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Search Results: 1 - 10 of 174769 matches for " Selma Maffei de;Thomson "
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Opini?es de m?es de crian?as que morreram no primeiro ano de vida no Município de Londrina, Paraná, Brasil
Silva, Ana Maria Rigo;Andrade, Selma Maffei de;Thomson, Zuleika;
Cadernos de Saúde Pública , 2002, DOI: 10.1590/S0102-311X2002000500022
Abstract: this research focused on opinions of mothers in londrina whose infant children had died in 1997, attempting to demonstrate the feasibility and utility of studies on user satisfaction with health services. opinions were analyzed according to type (positive, negative, or both positive and negative) and comments. the majority of mothers had positive opinions of the health services, especially prenatal care (75.6%), while fewer (52.6%) gave a positive assessment towards the hospital care provided to their infants who had died before they could be discharged from hospital. most of the low opinions (21.1%) concerned intrapartum care. analysis of comments revealed satisfaction but also some problems in the relationship between the physician staff and patients; others related to the organization of services and medical techniques or guidance. this type of study can be useful for a more comprehensive evaluation of health care provision.
Opini es de m es de crian as que morreram no primeiro ano de vida no Município de Londrina, Paraná, Brasil
Silva Ana Maria Rigo,Andrade Selma Maffei de,Thomson Zuleika
Cadernos de Saúde Pública , 2002,
Abstract: Este estudo teve como objetivos conhecer as opini es de m es de crian as menores de um ano que morreram em 1997, em Londrina, sobre os servi os de saúde utilizados, e demonstrar a viabilidade e utilidade dos estudos de satisfa o de usuários de servi os de saúde. As opini es foram analisadas segundo o tipo (positiva, negativa ou mista) e quanto ao teor dos comentários. Para todos os servi os prevaleceram as opini es positivas, com maior propor o para a aten o pré-natal (75,6%), e menor para o atendimento hospitalar às crian as que n o chegaram a ter alta do hospital após o nascimento (52,6%). O atendimento ao parto recebeu a maior propor o de opini es negativas (21,1%). O teor dos comentários revelou satisfa o e alguns problemas na rela o profissional/equipe e usuários, na organiza o de servi os e com rela o a técnicas e orienta es. Conclui-se que estudos deste tipo fornecem elementos importantes para uma avalia o mais global da assistência à saúde.
Queimaduras em crian?as e adolescentes: análise da morbidade hospitalar e mortalidade
Martins, Christine Baccarat de Godoy;Andrade, Selma Maffei de;
Acta Paulista de Enfermagem , 2007, DOI: 10.1590/S0103-21002007000400013
Abstract: objective: this research analyzed the hospital incidence and mortality due to burns in children aged less than 15 who live in londrina, and were treated in emergency services, hospitalized or who died because of this in 2001. methods: this is a descriptive study. morbidity data were obtained from the five geral hospitals of londrina, and mortality data came from the municipal mortality information nucleus of the city. the software epi info, version 6.04d was used for data analysis. results: 182 children under age 15, victims of burns have been studied, being 82.4% wounded by hot materials or heat source, 14.3% by exposition to smoke/fire/flame and 3.3% by exposition to electric current. male victims were predominant (56.6%), with the highest coefficient for the age of one year (6.1 per 1000 children). the hospitalization rate was 12.6%; one death occurred. 56.5% of the cases stayed in hospital for one to three days. conclusions: the findings contribute to increasing epidemiological knowledge of such events, highlighting the need for preventive measures.
Acidentes com corpo estranho em menores de 15 anos: análise epidemiológica dos atendimentos em pronto-socorro, interna??es e óbitos
Martins, Christine Baccarat de Godoy;Andrade, Selma Maffei de;
Cadernos de Saúde Pública , 2008, DOI: 10.1590/S0102-311X2008000900004
Abstract: this study aims to analyze accidents involving foreign bodies among children less than 15 years of age residing in londrina, paraná state, brazil, in terms of first aid, hospitalization, and death (2001). data were obtained from general hospital records and the municipal mortality database. a total of 434 accidents were analyzed, with a 3.7% hospitalization rate and 0.7% mortality. boys predominated (53.7%), and the incidence rate was highest among children one to three years of age (7.2 per 1,000 children). foreign body penetration in natural orifices (eyes, nostrils, and ears) accounted for 94%, inhalation/ingestion of food 2.8%, inhalation/ingestion of objects 2.5%, and aspiration of gastric contents 0.7%, and these causes accounted for all the deaths. the results contribute to epidemiological knowledge on such accidents and indicate the need to restructure health services in order to decentralize care for less complex injuries, besides emphasizing the need for preventive measures.
Estudo descritivo de quedas entre menores de 15 anos no município de Londrina (PR, Brasil)
Martins,Christine Baccarat de Godoy; Andrade,Selma Maffei de;
Ciência & Saúde Coletiva , 2010, DOI: 10.1590/S1413-81232010000800021
Abstract: this study aims at analyzing, from the epidemiological point of view, occurrences of falls among children under the age of 15 who live in londrina, paraná, and were treated at emergency departments, hospitalized or passed away due to such event in 2001. data were obtained from registries of general hospitals and from the mortality information nucleus. 2,991 children victims of falls were analyzed, representing an incidence rate of 25.3 per 1000 children. non-fatal hospitalization rate was 3.9%; one death occurred in an emergency department. the risk of suffering falls was higher among boys, except with children aged less than one year. most frequently injured by falls were the groups of one year old (coefficient of 46.0 per 1000 children) and of two years old (coefficient of 38.4 per 1000 children). the most affected body region was head/neck (55.2%) and superficial traumatism was the most frequent kind of injury (46.4%). falls occurred mainly from bed/cradle, furniture/couch, tricycle/skates, staircase/degrees, playground equipment, wall/gate/roof/balcony, hammock, tree and stroller. findings show a high falls incidence among children and adolescents and contribute to increasing epidemiological knowledge of such events and so grounding the planning of preventive and control measures.
Causas externas entre menores de 15 anos em cidade do Sul do Brasil: atendimentos em pronto-socorro, interna??es e óbitos
Martins, Christine Baccarat de Godoy;Andrade, Selma Maffei de;
Revista Brasileira de Epidemiologia , 2005, DOI: 10.1590/S1415-790X2005000200012
Abstract: objective: to identify causes of hospital attendance or deaths due to external causes of morbidity and mortality (accidents or violence) and types of injury among children under the age of 15 who lived in londrina, paraná, brazil, in 2001. methods: cross-sectional study, with retrospective data collection. medical records of the five general hospitals and the mortality information centre of the city were the source of morbidity and mortality data, respectively. external causes and types of injury were classified according to the international classification of diseases. results: out of 8,854 children, 95.7% received care in emergency rooms and were discharged. among victims seen in emergency rooms, falls were the main type of accident (33.9%), followed by events of undetermined intent (31.8%), and accidents caused by inanimate forces (15.5%), especially by foreign bodies in natural orifices (4.6%) or through the skin (3.2%). at this level of care, superficial trauma (32.9%) and open wounds (29.3%) were the main types of injury. among children who were admitted to hospitals, falls were also the main type of accident (32.4%), followed by transportation accidents (19.5%), accidents caused by inanimate forces (15.7%), and poisoning (13.5%). superficial trauma (22.0%) and fractures (19.5%) prevailed among admitted children. transportation accidents (44.4%) and drowning (16.7%) were the main external causes of death and intracranial trauma (50.0%) the main type of fatal injury. conclusions: the causes and types of injury differ according to the level of care and indicate the need of restructuring healthcare services in order to decentralize care to less complex injuries.
Acidentes de transporte terrestre em município da Regi?o Sul do Brasil
Andrade,Selma Maffei de; Mello Jorge,Maria Helena P de;
Revista de Saúde Pública , 2001, DOI: 10.1590/S0034-89102001000300017
Abstract: the study was conducted in the municipality of londrina, a medium-sized city of southern brazil. analysis was performed in the characteristics of road accidents that had occurred during the first semester of 1996, resulting in 3,643 victims. car or small truck collisions were the most common type of accident. the rate of motorcycle-related injuries (per 1,000 registered vehicles) was seven times higher than that resulting from cars or small trucks. fatality rates were higher for motorcyclists who collided with stationary objects (29.4%) and pedestrians who were injured by lorries or buses (22.2%), in comparison with a mean fatality rate of 1.8%. this information may provide a basis for the implementation of public policies aiming at reducing accidents.
Características das vítimas por acidentes de transporte terrestre em município da Regi?o Sul do Brasil
Andrade,Selma Maffei de; Jorge,Maria Helena P de Mello;
Revista de Saúde Pública , 2000, DOI: 10.1590/S0034-89102000000200008
Abstract: objective: to evaluate the magnitude of morbidity and mortality and describe some of the characteristics of road accident victims. methods: the study population was composed of 3,643 victims of road accidents which occurred in londrina, pr (brazil), during the first semester of 1996. there were included victims from accidents registered by the military police, those who died at the accident scenario or on their way to the hospital, those who received emergency care or were hospitalized through the unified care system. it was observed a period of 180 days for death verification. results: the mean incidence and mortality rates were 1,582.2 and 29.0 per 100,000 inhabitants, respectively. these rates, however, have demonstrated great variability in relation to several characteristics (place of residence, gender, age and the victim's mode of transport). the majority of victims were motorcyclists, followed by cyclists and pedestrians who, altogether, accounted for 76.9% of the total, and 81.5% of those who died. conclusions: these results suggest that road accidents constitute a major cause of morbidity and mortality and that specific preventive measures should be considered in order to reduce such accidents, especially those that involve the most vulnerable road passers.
Epidemiologia dos acidentes e violências entre menores de 15 anos em município da regi?o sul do Brasil
Martins, Christine Baccarat de Godoy;Andrade, Selma Maffei de;
Revista Latino-Americana de Enfermagem , 2005, DOI: 10.1590/S0104-11692005000400011
Abstract: this study aimed to analyze the epidemiological characteristics of accidents and violence against children under 15 years old who lived in londrina, a city in the south of brazil, in 2001. morbidity data were collected from general hospitals records and mortality data were obtained from the municipal mortality information center. a total of 8,854 children were studied, which corresponded to an incidence rate of 74.8/1,000 children. admission and fatality rates were 4.2% and 0.2%, respectively. the incidence rate was higher among two-year olds (109/1,000) and male victims prevailed (60.7%). other causes of injuries were the main subtype of external cause (61.0%), followed by events of undetermined intention (30.6%) and by transport-related injuries (7.5%). the head was the most affected body part (34.9%) and superficial injuries were the most frequent kind of trauma (32.4%). the results contribute to the planning of injury control and prevention actions.
Violência na infancia e juventude: atendimentos hospitalares e mortalidade em município da Regi o Sul do Brasil = Violence in childhood and youth: hospital attendances and mortality in a city of southern Brazil
Christine Baccarat de Godoy Martins,Selma Maffei de Andrade
Acta Scientiarum : Health Sciences , 2006,
Abstract: O estudo analisou as características da violência em menores de 15 anos, residentes em Londrina, Estado do Paraná, atendidos em hospitais ou que morreram em 2001, por meio de consulta a prontuários hospitalares e dados de mortalidade. Dos 67 casos estudados, 79,1% corresponderam às agress es (53 casos) e 20,9% (14 casos) às les esautoprovocadas intencionalmente. Entre os casos de agress o, a maioria ocorreu no sexo masculino, na faixa etária de 10 a 14 anos, sendo os meios mais freqüentes a for a corporal (54,7%) e a arma de fogo (15,1%). As interna es por agress o (7,5%) foram todasdecorrentes de arma de fogo, também responsável por um óbito (1,9%). Entre as les es autoprovocadas, a ingest o de medicamento predominou (71,4%), o sexo feminino foi maioria (10 casos) e a idade mais freqüente foi 14 anos. As interna es corresponderam a 35,7% e n o houve óbitos. Os resultados podem contribuir para o planejamento de a es de preven o desses agravos. The study analyzed the characteristics of violence among youngsters under the age 15 who lived in Londrina, State of Paraná, Brazil, who were attended in hospitals or died in 2001. The study was conducted by means of reviewing hospital records and mortality data. Among 67 cases, 79.1% were due to assaults (53 cases) and 20.9% (14 cases) due to intentional self-harm. The majority of assaults occurred amongboys, in the 10-14 years of age group. Assaults by bodily force (54.7%) and by firearm discharge (15.1%) were the main types. All hospital admissions (7.5%) and one death (1.9%) occurred due to firearm discharge. Among cases of intentional self-harm, intake ofmedicaments prevailed (71.4%) and the majority were females aged 14. Hospital admissions corresponded to 35.7% of the intentional self-harm cases, but there was no death. The results may contribute to the planning of preventive actions in order to reduce these events.
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