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Search Results: 1 - 10 of 193608 matches for " Fernando Kel e Alexandra Crispim Boing "
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SPACIAL DISTRIBUTION AND ASSOCIATION BETWEEN INFANT MORTALITY AND LOW BIRTH WEIGHT WITH SOCIOECONOMIC FACTORS AND HEALTH SERVICES IN THE SOUTHERN REGION OF BRAZIL.
Antonio Fernando Boing, Fernando Kel e Alexandra Crispim Boing
SaBios : Revista de Saúde e Biologia , 2006,
Abstract: This research aimed to realize the spacial distribution of the infant mortality rates and of the proportion of low weight newborns in the southern area of Brazil and to test the association of those indicators with socioeconomic factors and health services. It is an ecological study put together from data collected from the 1,159 municipalities comprising the southern area of Brazil in the year 2000. The independent variables were the Municipal Human Development Rate, the illiteracy rate, the Gini coefficient, the proportion of poor people and people in homes with indoor plumbing and bathrooms, the annual average of medical visits for basic medical specialties, the monthly average of home visits per family and the number of medical clinics per 10,000 inhabitants. Kolmogorov-Smirnov, ANOVA and Kruskall-Wallis tests were performed and the Spearman coefficient of correlation was calculated. A significant statistical association was established between infant mortality and all the socioeconomic indicators. As for the proportion of low birth weight, it was associated with the proportion of people in homes with indoor plumbing and bathrooms, the annual average of medical visits for basic medical specialties, the Gini coefficient, poverty levels and monthly average of home visits per family. The spacial distribution of the diseases investigated allowed the identification of areas with the worst indicators investigated and which need greater government investment and attention. The public policies in infant health care should consider the need to improve the socioeconomic conditions and accessible health services in order to reduce the inequalities in health and the magnitude of the disease.
Mortalidade infantil por causas evitáveis no Brasil: um estudo ecológico no período 2000-2002
Boing, Antonio Fernando;Boing, Alexandra Crispim;
Cadernos de Saúde Pública , 2008, DOI: 10.1590/S0102-311X2008000200024
Abstract: this study aims to test the associations between infant mortality from preventable causes in brazil and socioeconomic factors, including those pertaining to health services and investments. this was an ecological study using 296 brazilian counties (municipalities) with more than 80,000 inhabitants each as the analytical units. kruskall-wallis and anova tests were performed to compare independent variables according to infant mortality quartile, and pearson and spearman's correlation coefficients were computed to test the associations. as the infant mortality quartile from preventable causes increases, there is a gradual decrease in the municipal human development index, per capita gross domestic product, households with bathrooms and indoor plumbing, total health expenditures per inhabitant, and physicians per 1,000 inhabitants, and an increase in the gini coefficient. improved socioeconomic conditions and public health investments are strongly associated with reduction of infant mortality from preventable causes. this knowledge should permeate actions aimed at minimizing the number and unequal distribution of such deaths.
A carga das neoplasias no Brasil: mortalidade e morbidade hospitalar entre 2002-2004
Boing, Antonio Fernando;Vargas, Silvia Angélica López;Boing, Alexandra Crispim;
Revista da Associa??o Médica Brasileira , 2007, DOI: 10.1590/S0104-42302007000400016
Abstract: objective: to describe mortality and the hospital morbidity by neoplasias in brazil and regions according to gender. methods: data of deaths were obtained from the mortality information system and of hospital morbidity from the hospital information system. deaths were categorized according to primary tumor sites, selected in accordance with the tenth revision of the international classification of diseases. the population data were drawn from the inter census estimates of the ibge (brazilian institute of geography and statistics). the period of analysis was the triennial 2002-2004, with the most recent mortality data in brazil. the average of this period was calculated to ensure greater stability of the rates. results: between 2002 and 2004, 405,415 deaths from neoplasias occurred in brazil. the highest rates of mortality were identified in the south and south-east regions. for men, cancer of the trachea, bronchi and lungs were the malignant neoplasias with the highest mortality rate while for women breast cancer was highest. breast cancer and cancer of the uterine cervix are those requiring the largest number of in-hospital admissions. in internments, leukemia presented the highest average cost and total cost. conclusion: the burden of neoplasms is extremely high in brazil and public policies focused on the population must be given priority for an effective control of mortality and morbidity.
Redu??o das interna??es por condi??es sensíveis à aten??o primária no Brasil entre 1998-2009
Boing,Antonio Fernando; Vicenzi,Rafael Baratto; Magajewski,Flávio; Boing,Alexandra Crispim; Moretti-Pires,Rodrigo Otávio; Peres,Karen Glazer; Lindner,Sheila Rubia; Peres,Marco Aurélio;
Revista de Saúde Pública , 2012, DOI: 10.1590/S0034-89102012005000011
Abstract: objective: to describe the trends in hospitalizations for ambulatory care sensitive conditions between 1998 and 2009 in brazil. methods: the ecological time series study used secondary data on hospitalizations for acsc in the sistema único de saúde (sus, national unified health system). data were obtained from the hospital information system. hospital admission rates per 10,000 inhabitants were standardized by age range and gender, using the 2000 census male brazilian population as standard. trend analysis of the historic series was performed through generalized linear regression using the prais-winsten method. results: between 1998 and 2009, there was an average annual reduction in admissions for ambulatory care sensitive conditions of 3.7% in men (95%ci -2.3;-5.1) and women (95%ci -2.5; -5.6). the trend varied in each state, although no increase in admissions was observed in any state. in both men and women, the highest reductions were observed in hospitalizations for gastrointestinal ulcers (-11.7% a year and -12.1%, respectively), avoidable conditions (-8.8% and -8.9%) and lower respiratory diseases (-8.0% and -8.1%). hospitalization increased only for angina (men), kidney infections and urinary tract infections (men and women) and conditions related to prenatal care and delivery (women). the three groups of illness which led to the most admissions were infectious gastroenteritis and its complications, cardiac insufficiency and asthma. conclusions: between 1998 and 2009, there was a substantial reduction in admissions for ambulatory care sensitive conditions in brazil, although some illnesses presented stability or even an increase, which calls for attention from the health sector.
Associa??o entre depress?o e doen?as cr?nicas: um estudo populacional
Boing,Antonio Fernando; Melo,Guilherme Rocha; Boing,Alexandra Crispim; Moretti-Pires,Rodrigo Otávio; Peres,Karen Glazer; Peres,Marco Aurélio;
Revista de Saúde Pública , 2012, DOI: 10.1590/S0034-89102012005000044
Abstract: objective: to assess the association between depression and chronic diseases in adults. methods: population-based cross-sectional study with a sample of 1,720 adults aged 20 to 59 years conducted in the city of florianópolis, southern brazil, in 2009. multistage sampling was used and census tracts were the primary sample unit. subjects were interviewed at home, and reported being diagnosed with depression (outcome) and 11 other chronic diseases (exploratory variable) by a health provider. they were grouped into those with no chronic disease, one, and two or more diseases. gender, age, marital status, income, physical activity, hospitalization and medical visits were confounders. poisson regression analysis was used to estimate prevalence ratios and related 95% confidence intervals. results: the prevalence os depression was 16.2% (95%ci 14.3;18.2). it was higher in women, older individuals, widowed or divorced, and poor ones. those who reported no leisure-time physical activity and medical visits in the last two weeks, and who were hospitalized in the last year also showed higher prevalence of depression and chronic diseases. even after adjustment for confounders the prevalence of depression was 1.44 (95%ci 1.09;1.92) times higher among those reporting one chronic disease and 2.25 times higher among those reporting two or more diseases than among those with no diseases. conclusions: the prevalence of depression is much higher among people with higher burden of chronic diseases. health professionals, health services, and policy makers must target specific strategies to this group.
Desigualdades socioecon?micas nos gastos e comprometimento da renda com medicamentos no Sul do Brasil
Boing,Alexandra Crispim; Bertoldi,Andréa Damaso; Peres,Karen Glazer;
Revista de Saúde Pública , 2011, DOI: 10.1590/S0034-89102011005000054
Abstract: objective: to describe socioeconomic inequalities regarding the use, expenditures and the income committed to the purchase of medicines. methods: a cross-sectional population-based study was carried out with 1,720 adults living in the urban area of florianópolis, southern brazil, in 2009. cluster sampling was adopted and census tracts were the primary sampling units. use of medicines and the expenditures incurred in their purchase in the past 30 days were investigated through interviews. use, expenditures and the income committed concerning medicines were analyzed according to per capita family income, self-reported skin color, age and sex, adjusting for the complex sample. results: the prevalence of medicine use was 76.5% (95%ci: 73.8; 79.3), higher among women and in older individuals. the mean expenditure on medicine was r$ 46.70, with higher values among women, whites, older individuals and among richer people. while 3.1% of the richest committed more than 15% of their income to purchasing medicine, that figure reached 9.6% in the poorest group. the proportion of people that had to buy medicines after an unsuccessful attempt to obtain them in the public health system was higher among the poor (11.0%), women (10.2%) and the elderly (11.1%). a large part of the adults bought medicines contained in the national list of essential medicines (19.9%) or in the municipal list of essential medicines (28.6%), with significant differences according to gender, age and income. conclusions: there is socioeconomic, age and gender inequality in the income committed to the purchase of medicines, with worse conditions for the poor, older individuals and women.
The dilemma of the judiciary: law and acess to medicines
Alexandra Crispim Boing,Neusa Sens Bleomer,Claudia Roesler
Saúde & Transforma??o Social , 2011,
Abstract: to allow access to drugs recommended by health professionals, many people have resorted to the legal arena by filing lawsuits against the union, states or counties requesting drugs. This phenomenon requires the public sector major challenge in structuring health policiesand service organization. Objective: To understand the speech of judges who judged that deferred action and requested medicines were brought against the state of Santa Catarina between 2000 and 2006. Methodology: The arguments of the judges in stock deferrals were analyzed using the methodology of the Collective Subject Discourse (CSD). The sample needed to conduct this analysis was of 486 shares and the program was used Qualiquantisoft. Results: Through the methodology of the DSC were found three predominant central ideas, namely: (A) The right to life and health must be guaranteed by the state, according to the Federal Constitution and state Constitution, with 73.25% share, followed the ideal central (B) The proponent of Justice defends the greater good that is life and not the state interest with 6.79% stake and 19.96% of the shares with the central idea (C) The author is carrying a specific disease, therefore needs a drug for treatment and has no financial position to acquire it. Discussion: In decisions handed down by judges found that the speech was about the most used legal framework, not dealing with the public policies exist, or therapeutic choices to the detriment of drugs that were part of some government program.
Tendência temporal e distribui??o espacial da mortalidade por cancer de pulm?o no Brasil entre 1979 e 2004: magnitude, padr?es regionais e diferen?as entre sexos
Boing, Antonio Fernando;Rossi, Tiana Fávero;
Jornal Brasileiro de Pneumologia , 2007, DOI: 10.1590/S1806-37132007000500009
Abstract: objectives: to describe the temporal trend in and spatial distribution of mortality from tracheal, bronchial, and lung cancer in brazil from 1979 to 2004. methods: mortality data by gender and geographic region were obtained from the mortality database created by the ministry of health in 1975. demographic data were collected from the national censuses, from population counts, and from population estimates made in non-census years. mortality rates were standardized according to the direct method, and the trends were analyzed by gender and geographic region using the prais-winsten method for generalized linear regression. results: lung cancer mortality accounted for approximately 12% of the overall neoplasia-related mortality during the period. there was a trend toward an increase for both genders and in all regions, except for the male population in the southeast region, whose rates remained steady between 1979 and 2004. the highest rates were observed in the south and southeast regions. however, the northeast region was the one that presented the greatest increase, followed by the central-west and north regions. in all regions, the increase in mortality rates was higher in women. conclusions: the increase in lung cancer mortality in brazil between 1979 and 2004 requires public measures that can minimize exposition to risk factors, mainly tobacco, and allow greater access to health care facilities for diagnosis and treatment.
Condi??es socioecon?micas e cancer de cabe?a e pesco?o: uma revis?o sistemática de literatura
Boing,Antonio Fernando; Antunes,José Leopoldo Ferreira;
Ciência & Saúde Coletiva , 2011, DOI: 10.1590/S1413-81232011000200025
Abstract: this study sought to describe the main characteristics of epidemiological studies that investigated the association between socioeconomic conditions and head and neck cancer. research was carried out on the medline (international science literature), lilacs (latin american and caribbean health sciences literature) and scielo (scientific electronic library online) databases, as well as the references cited in the articles obtained through the primary search of the aforementioned databases. the publication period considered included 38 years (1970-2007) and the analysis was restricted to articles in spanish, english or portuguese. twenty-five studies were selected, 15 that outlined case-control, four ecological and six that combined information from official databases, such as censuses and cancer or death records. most cases reported an association between lower socioeconomic conditions and head and neck cancer. the most used indexes were occupation and education. few studies investigated medication, aiming to point out which proximal factors operate in the investigated association. additional studies, with uniform criteria to effect the adjustments in the regression models and sufficient samples, are required to inquire this dimension.
Stability of nonstationary states of spin-2 Bose-Einstein condensates
H. M?kel,E. Lundh
Physics , 2012,
Abstract: The dynamical stability of nonstationary states of homogeneous spin-2 rubidium Bose-Einstein condensates is studied. The states considered are such that the spin vector remains parallel to the magnetic field throughout the time evolution, making it possible to study the stability analytically. These states are shown to be stable in the absence of an external magnetic field, but they become unstable when a finite magnetic field is introduced. It is found that the growth rate and wavelength of the instabilities can be controlled by tuning the strength of the magnetic field and the size of the condensate.
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