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Comparison of Data Screening Methods for Evaluating School-Level Fitness Patterns in Youth: Findings from the NFL PLAY 60 FITNESSGRAM Partnership Project  [PDF]
Pedro F. Saint-Maurice, Gregory J. Welk, Yang Bai, Kelly Allums-Featherston
Open Journal of Preventive Medicine (OJPM) , 2014, DOI: 10.4236/ojpm.2014.411099
Abstract: Background: There has been a great interest in tracking health-related fitness across the United States. The NFL PLAY 60 FITNESSGRAM Partnership Project (NFL P60FGPP) is a large participatory research network that involves the surveillance of fitness among more than 1000 schools spread throughout the country. Fitness data are collected by school staff and therefore these data can vary in quality and representativeness. Therefore, careful screening procedures are needed to ensure that the data can reflect actual patterns in the schools. This study examined the impact of different data screening procedures on outcomes of aerobic fitness (AF) collected from the NFL P60FGPP. Methods: Data were compiled from 149,101 youth from 504 schools and were processed using the established age- and gender-specific AF FITNESSGRAM health-related standards. Data were subjected to three different screening procedures (based on grade size and boy-to-girl ratio per grade). Linear models were computed to obtain unadjusted and adjusted (for age, BMI-Z, and socio-economic status) estimates of % youth in the Healthy Fitness Zone (HFZ) in order to determine if, 1) there were differences in % in the HFZ and 2) if differences could be explained by changes in the representativeness of the sample due to the different data screening procedures. Results: Depending on the screening procedure used, the final sample ranged from 96,999 (no screening) to 46,572 youth (most stringent criteria). The proportion of youth achieving appropriate levels of AF ranged from 56% to 61% with unscreened data resulting in consistently lower percentages of youth achieving the standard (P < 0.05). Overall, these differences were not explained by possible changes in demographic characteristics as the result of applying different screening criteria. Conclusions: The findings demonstrate the importance of establishing appropriate screening procedures that maximize sample size while also ensuring generalizability of the findings.
Aproxima??es teóricas acerca da Vigilancia à Saúde: um horizonte para a integralidade
Faria, Liliam Saldanha;Bertolozzi, Maria Rita;
Acta Paulista de Enfermagem , 2009, DOI: 10.1590/S0103-21002009000400012
Abstract: this study was an investigation of the proposition and development of health surveillance as an instrument or model of health. a literature search was conducted in lilacs and medline databases using the key words population's surveillance and primary health care. the literature indicated the existence of different propositions and terminologies for health surveillance which are used in epidemiology and territorial surveillance. there was emphasis on the use of health indicators, geoprocessing, and analysis of network of health surveillance agencies. health surveillance can be used to promote health, social control of information, and to evaluate health policies and its implementation.
Considera??es acerca de dois casos de botulismo ocorridos no Estado da Bahia
Figueiredo, Maria Aparecida Araújo;Dias, Juarez;Lucena, Rita;
Revista da Sociedade Brasileira de Medicina Tropical , 2006, DOI: 10.1590/S0037-86822006000300014
Abstract: a report on two cases of botulism, one fatal, in which disease diagnosis was difficult and collaboration between public health and epidemiological surveillance services was poor. the objective of this report is to warn professionals of the seriousness of this disease and to reflect on existing public health surveillance practices.
A vigilancia epidemiológica e a perspectiva de trabalho no território: Secretaria Municipal de Saúde - Ribeir?o Preto
Villa, Tereza Cristina Scatena;Palha, Pedro Fredemir;Muniz, Jordana Nogueira;Cardozo-Gonzales, Roxana I.;Pinto Neto, José Martins;Assis, Marluce Maria Araujo;
Revista Latino-Americana de Enfermagem , 2002, DOI: 10.1590/S0104-11692002000100004
Abstract: this study aimed at analyzing the conformation of the epidemiological surveillance service in ribeir?o preto municipal health secretariat under the orientation of the principles established by the unified health system and the perspective of health surveillance in face of the health care municipalization process occurring in the 1990s through the following dimensions: territory; problems; intersectoriality based on positive health concepts and on the paradigm of social health production. by means of a qualitative approach, bibliographical and documentation sources as well as 17 semi-structured interviews were used. data were analyzed through the thematic analysis technique by which the following themes were identified: from "monitoring" to "educating and preventing": practice in epidemiological surveillance ? a proposal to work in the territory. it was concluded that the potentiality of actions related to epidemiological surveillance is associated with the perspective of working in the territory for the construction of health surveillance in order to assure the technical content of those actions as well as the participation of different professional categories in the same work project, which will not necessarily be performed by all professionals in the same health production process, territory or time.
O enfermeiro na vigilancia epidemiológica no município de Ribeir?o Preto 1988-1996
Pedersoli, Cesar Eduardo;Antonialli, Elisangela;Vila, Tereza Cristina Scatena;
Revista Latino-Americana de Enfermagem , 1998, DOI: 10.1590/S0104-11691998000500013
Abstract: the insertion of the nursing profession in epidemiologic surveillance (es) at ribeir?o preto from 1988 to 1996 has been identified in the process of health care decentralization. the qualitative methodology is used based in bibliographic and documentation sources and by 8 semi-structured interviews. nurses are in greater number than all other health profissionals and their practice are based on the epidemiology and management of control side, represented by notifications and visits, and the prevention side, represented by immunization.
Rela??es entre turismo e saúde: abordagens metodológicas e propostas de a??o
Matos,Vanina; Barcellos,Christovam;
Revista Panamericana de Salud Pública , 2010, DOI: 10.1590/S1020-49892010000800009
Abstract: objective: to identify relationships between tourism and health as well as the methods employed in studies about this topic. methods: the pubmed and scielo databases were searched in march of 2008 using the following strategy: traveler or traveller or tourism or tourist and risk or hazard or vulnerability and health or surveillance. the following were excluded: articles on animal health, conceptual and review articles, articles about non-tourist travel, and articles written in languages other than portuguese, english, italian, and spanish. of 153 articles identified, 112 were excluded, and 41 articles were examined. results: the number of articles on tourism and health increased from one in the 1970s to 34 in the 2000s. most studies were carried out in europe, followed by the americas, and most covered insect-borne diseases, respiratory diseases transmitted from person to person, and gastrointestinal diseases. mail, telephone, or face-to-face questionnaires were generally used for data collection. in terms of location, 21 studies were performed at the place of departure, 17 at the destination, and in 3 this information was not specified. four studies were carried out before the trip, 9 during the trip, 24 after the trip, and 3 did not specify this information. most studies focus on the tourist as a likely victim of health problems, unprepared to face situations of exposure during the trip. conclusions: the need to implement health care policies aimed at the tourist population is evident, with emphasis on infectious diseases and emergency actions to detect outbreaks involving tourists. a tourist-specific surveillance and notification system is also necessary, together with measures to prepare health care institutions to meet the individual demands of this population.
Análisis de la mortalidad en ciudades: resultados en Valencia y Alicante
Nolasco,Andreu; Melchor,Inmaculada; Moncho,Joaquín; García,Carmen; Verdú,José; Caballero,Pablo; Valero,Socorro; Martínez,Purificación; Pérez,María Jesús;
Gaceta Sanitaria , 2004, DOI: 10.1590/S0213-91112004000100003
Abstract: objectives: to describe mortality patterns, in general and by selected specific causes in valencia and alicante, to establish internal inequalities by districts, and to evaluate changes in the magnitude of these inequalities over time. methods: deaths among residents of valencia and alicante in the periods 1990-1992 and 1996-1998 were assigned to residential municipal districts. comparisons between the periods studied and between cities were carried out using the relative risk derived from a poisson regression model. a comparative mortality figure was calculated using the 17 largest groups of the 9th international classification of diseases. rates adjusted by the direct method, standardized mortality ratio, potential years of life lost (pyll) ratio and life expectancy at birth were calculated by districts in each study period. results: the risks of death from all causes decreased between the first and second periods in both men and women in both cities. life expectancy significantly increased in both cities for men and in valencia for women. the city of valencia had the greatest risk of death in both periods. some causes of death increased (groups 5 and 6, mental and nervous system disorders and sensory organ diseases). by districts, there was greater variability in valencia than in alicante, especially in districts 1 and 11 in valencia, which showed a high risk of death. conclusions: the process of internal mortality surveillance by districts is reproducible. in the city of valencia there were inequalities in mortality that were maintained over time. the city of alicante showed less internal variability in its mortality indicators.
Vigilancia da saúde: fundamentos, interfaces e tendências
Arreaza,Antonio Luis Vicente; Moraes,José Cássio de;
Ciência & Saúde Coletiva , 2010, DOI: 10.1590/S1413-81232010000400036
Abstract: the present article rescues initially the forms, content and operational projection of the epidemiological surveillance as indispensable tool for the knowledge field and public health practices. after that, we verify that the health surveillance model establishes an enlargement of this operational concept of surveillance by integrating the collectives and individuals practices in different health necessities dimensions, which includes beyond of the risks and damages control also the eco-socials determinants. in the sequence, we search to dimension the distinct levels of actuation of this sanitary practice articulated to the interventions of promotion, protection and recovery under a located and integrated logic of the unique system of brazilian health. finally, we argue that all the conceptual-operational model framework of public health surveillance itself constitutes as a politics and sanitary base for the consolidation of the health promotion paradigm in the collective health field.
Valida??o inicial do índice de necessidade de aten??o à saúde bucal para as equipes de saúde bucal na estratégia de saúde da família
Carnut,Leonardo; Filgueiras,Leonardo Vilar; Figueiredo,Nilcema; Goes,Paulo Sávio Angeiras de;
Ciência & Saúde Coletiva , 2011, DOI: 10.1590/S1413-81232011000800008
Abstract: this survey set out to validate the index of oral healthcare needs (iohn), based on a pre-defined algorithm of the social status of families. the validation process was divided into two phases, namely a face validation and a construct validation. in the latter, data on caries experience, toothache and access to oral health services was collected. to validate the index a random, stratified sample of 412 children aged 3-5 and 7-12 was obtained, based on the iohcn algorithm, all the children being from the areas of recife covered by the family healthcare program. the analysis consisted of a descriptive and an analytical phase, adopting a 5% level of significance. the index was considered by an expert committee to have good face validity. the convergent construct validation was associated with a decay component of dmft (p = 0.03) and dmft (p = 0.01); the divergent construct validation was associated with access to oral care (p = 0.001) and filled component of dmft (p = 0.05), showing no association with the filled component of dmft. the index of oral healthcare needs was shown to have good initial validation and canbe used as a useful tool in the planning of dental care at a local level.
Indicadores sociais e de saúde para a operacionaliza??o da vigilancia à saúde
Santiago, Alynne da Costa;Fracolli, Lislaine Aparecida;Zoboli, Elma Lourdes Campos Pavone;Silva, Rosemara Melchior Valdevino;
Revista da Escola de Enfermagem da USP , 2008, DOI: 10.1590/S0080-62342008000400025
Abstract: the proposal of health surveillance is a techno-assistance model that is still in construction in brazil. to implement the health surveillance proposition, the healthcare professionals have to be prepared to capture and understand the epidemiologic and social profiles of the population. the goal of this study was to identify and classify information about social and health indicators available on the internet to be used by healthcare professionals. one is about a literature review, performed in several databases. the results show that there is a wide range of information related of health indicators on the internet, although all this information is a limited instrument for healthcare professionals. the level of aggregation and the focus in morbimortality make the utilization of these databases difficult within the proposal of health surveillance. the conclusion of this study notes that research findings based on social and health indicators must be made available in internet.
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