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Search Results: 1 - 10 of 403605 matches for " Barreto Sandhi M. "
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Saúde, trabalho e envelhecimento no Brasil
Giatti, Luana;Barreto, Sandhi M.;
Cadernos de Saúde Pública , 2003, DOI: 10.1590/S0102-311X2003000300008
Abstract: the rapid aging process of the brazilian population is accompanied by a similar change in the composition of the country's work force. the objective of this study is to determine health differentials in the elderly according to their insertion in the work market, after considering the influence of socio-demographic factors. this study included 2,886 males 3 65 years residing in ten brazilian metropolitan areas and included in the national household survey conducted by the national institute of geography and statistics, or national census bureau (ibge) in 1998. the analysis included the chi-square and odds ratios estimated by multiple logistic regression. more than a fourth of the elderly worked. among the formally retired elderly, those who still worked were younger seniors, those with more schooling, and those with higher per capita family income; they reported fewer chronic diseases and presented less difficulty in performing their activities of daily living, but did not show any differences in relation to health services utilization. according to our results, health and especially indicators of autonomy and physical mobility are independent predictive factors for the elderly to remain active.
Trabalho feminino e saúde na terceira idade
Giatti,Luana; Barreto,Sandhi M.;
Ciência & Saúde Coletiva , 2002, DOI: 10.1590/S1413-81232002000400016
Abstract: the objective of this study is to estimate and describe the participation of aged women in the labour market, and to investigate health differentials according to their working position, after considering the influence of social and demographic factors. this study comprises 4.607 females aged 65 or more, residents in 10 brazilian metropolitan regions and participants of pnad conducted in 1998. the following working categories have been defined: working, retired and other. the analysis was based on qui-square tests and odds ratios were obtained by multinomial logistic regression. almost 10% of the aged women worked, 42% were retired, and 48% did not work nor were retired. working women were younger, had higher income and schooling level between 4 and 7 years. working was associated with better self-perceived health, less report of chronic diseases, having private health plan, less medical visits and hospitalisations, better indicators of autonomy and physical mobility and more dentist visits. our results show that the proportion of women who remain in the active life in older ages is much lower than that found among brazilian males in the same period. it is important to determine if the observed differentials in health among aged women are also found among women in active age.
Saúde, trabalho e envelhecimento no Brasil
Giatti Luana,Barreto Sandhi M.
Cadernos de Saúde Pública , 2003,
Abstract: O envelhecimento da popula o tem importante reflexo na composi o etária da popula o economicamente ativa. O objetivo do presente estudo é determinar os diferenciais de saúde dos idosos, segundo sua inser o no mercado de trabalho, após considerar a influência dos fatores sócio-demográficos. Este trabalho incluiu 2.886 idosos do sexo masculino, com 65 anos ou mais de idade, residentes em dez regi es metropolitanas brasileiras e participantes da Pesquisa Nacional por Amostra de Domicílios, Funda o Instituto Nacional de Geografia e Estatística realizada em 1998. A análise incluiu o qui-quadrado e a odds ratio estimado através de regress o logística múltipla. Mais de um quarto dos idosos trabalhava. Em rela o aos aposentados, os que trabalhavam eram mais jovens, tinham maior escolaridade e maior renda domiciliar per capita; eles relataram menor freqüência de doen as cr nicas, apresentaram menor dificuldade para realiza o das atividades da vida diária, mas n o apresentaram diferen as com rela o ao uso de servi os de saúde. Nossos resultados indicam que a saúde e em especial os indicadores de autonomia e mobilidade física s o fatores preditivos independentes da permanência na vida ativa em idades mais elevadas.
Trabalho feminino e saúde na terceira idade
Giatti Luana,Barreto Sandhi M.
Ciência & Saúde Coletiva , 2002,
Abstract: O objetivo deste estudo é estimar e caracterizar a participa o de idosas no mercado de trabalho e investigar diferenciais de saúde, segundo sua inser o nesse mercado, após considerar a influência de fatores sociodemográficos. O estudo incluiu 4.607 com 65 anos e mais, residentes em dez regi es metropolitanas brasileiras e participantes da PNAD/98. Foram definidas as categorias: trabalhando, aposentada e outra. A análise incluiu o qui-quadrado e o odds ratio estimado através de regress o logística multinomial. Quase 10% das mulheres trabalhavam, 42% eram aposentadas e 48% n o trabalhavam nem eram aposentadas. As idosas ocupadas eram mais jovens, tinham maior renda, e de 4 a 7 anos de escolaridade. O fato de estar trabalhando esteve associado à melhor percep o da própria saúde, menor relato de doen as cr nicas, plano privado de saúde, menor relato de consulta e interna o hospitalar, melhores indicadores de autonomia e mobilidade física e maior freqüência de consulta odontológica. A permanência das idosas na vida ativa é inferior à dos homens brasileiros no mesmo período. Os diferenciais de saúde relacionados ao trabalho s o mais acentuados entre as mulheres. é fundamental determinar se os diferenciais de saúde observados entre idosas, também s o encontrados nas mulheres em idade ativa.
Adverse psychosocial working conditions and minor psychiatric disorders among bank workers
Luiz S Silva, Sandhi M Barreto
BMC Public Health , 2010, DOI: 10.1186/1471-2458-10-686
Abstract: A cross-sectional study of a random sample of 2,500 workers in a Brazilian state bank in 2008. The presence of MPD was determined by the General Health Questionnaire.(GHQ). Psychosocial work conditions were assessed by means of the Effort-Reward Imbalance (ERI) and Job Content Questionnaire (JCQ). The presence and magnitude of the independent associations between MPD and adverse psychosocial working conditions were determined by Prevalence Ratios, obtained by Poisson regression.From 2,337 eligible workers, 88% participated. The prevalence of MPD was greater among women (45% vs. 41%; p > 0.05). In the multivariate analysis, the prevalence of MPD was twice as high among bank workers exposed to high psychological demand and low control at work and under high effort and low reward working conditions. The lack of social support at work and the presence of over-commitment were also associated with higher prevalence of MPD. A negative interaction effect was found between over-commitment and effort-reward imbalance.The prevalence of MPD is high among bank workers. The results reinforce the association between MPD and adverse psychosocial working conditions, assessed by the JCQ and ERI models. The direction of the interaction observed between over-commitment and ERI was contrary to what was expected.Globalization and market deregulation have resulted in substantial restructuring in the financial services sector and in the way work is organized and done over the last few decades, in both industrialized and developing countries. A report by the International Labor Organization shows that this modernization has led to the development of a number of concerns for financial service workers, such as increasing time pressure, excessive work demands, role conflict, ergonomic insufficiencies, problematic customer relations and an increase in reported cases of stress and violence [1].Work-related stress can affect individuals when their coping mechanisms or abilities to control the dem
Obesity and underweight among Brazilian elderly: the Bambuí Health and Aging Study
Barreto, Sandhi M.;Passos, Valéria M. A.;Lima-Costa, Maria Fernanda F.;
Cadernos de Saúde Pública , 2003, DOI: 10.1590/S0102-311X2003000200027
Abstract: the coexistence of obesity (body mass index, bmi 3 30kg/m2) and underweight (bmi £ 20kg/m2) and related factors were investigated among all residents aged 60+ years in bambuí, minas gerais state, using multinomial logistic regression. 1,451 (85.5%) of the town's elderly participated. mean bmi was 25.0 (sd = 4.9kg/m2) and was higher for women and decreased with age. prevalence of obesity was 12.5% and was positively associated with female gender, family income, hypertension, and diabetes and inversely related to physical activity. underweight affected 14.8% of participants, increased with age, and was higher among men and low-income families. it was negatively associated with hypertension and diabetes and directly associated with trypanosoma cruzi infection and 3 2 hospitalizations in the previous 12 months. both obesity and underweight were associated with increased morbidity. the association of underweight with t. cruzi infection, increased hospitalization, and low family income may reflect illness-related weight loss and social deprivation of elderly in this community. aging in poverty may lead to an increase in nutritional deficiencies and health-related problems among the elderly.
Leishmaniose tegumentar na Regi o Metropolitana de Belo Horizonte: aspectos clínicos, laboratoriais, terapêuticos e evolutivos (1989-1995)
Passos Valéria M. A.,Barreto Sandhi M.,Romanha Alvaro J.,Krettli Antoniana U.
Revista da Sociedade Brasileira de Medicina Tropical , 2001,
Abstract: Foram investigados aspectos clínicos, laboratoriais, terapêuticos e evolutivos da leishmaniose tegumentar americana em Belo Horizonte. O estudo incluiu 358 pacientes com leishmaniose cutanea (LC) e 25 com leishmaniose mucosa (LM). Comparados aos pacientes com LC, aqueles com LM apresentaram maior tempo de doen a e relato de outras doen as concomitantes, sugerindo que a debilita o pela leishmaniose e/ou outras doen as podem contribuir para a ativa o e/ou dissemina o mucosa do parasito. As sensibilidades das rea es intradérmica, de imunofluorescência indireta e da pesquisa direta do parasito foram de 78,4, 79,3 e 68,3%, respectivamente. O tratamento com antimoniato de meglumina foi 100% eficaz, com 59% de efeitos colaterais ao longo do tratamento. A recidiva após tratamento ocorreu em 32 (10,1%) dos 318 casos seguidos por até dois anos. A maioria das recidivas (31 dos 32 casos) ocorreu em pacientes com LC tratados com 15mg Sb5+/kg/dia. Na investiga o de critérios de cura, a rea o intradérmica negativa foi o único fator associado a um risco três vezes maior de recidiva. Um aumento da dose ou do tempo de tratamento talvez melhore o prognóstico nestes pacientes.
Obesity and underweight among Brazilian elderly: the Bambuí Health and Aging Study
Barreto Sandhi M.,Passos Valéria M. A.,Lima-Costa Maria Fernanda F.
Cadernos de Saúde Pública , 2003,
Abstract: The coexistence of obesity (body mass index, BMI > or = 30kg/m2) and underweight (BMI <= 20kg/m2) and related factors were investigated among all residents aged 60+ years in Bambuí, Minas Gerais State, using multinomial logistic regression. 1,451 (85.5%) of the town's elderly participated. Mean BMI was 25.0 (SD = 4.9kg/m2) and was higher for women and decreased with age. Prevalence of obesity was 12.5% and was positively associated with female gender, family income, hypertension, and diabetes and inversely related to physical activity. Underweight affected 14.8% of participants, increased with age, and was higher among men and low-income families. It was negatively associated with hypertension and diabetes and directly associated with Trypanosoma cruzi infection and > or = 2 hospitalizations in the previous 12 months. Both obesity and underweight were associated with increased morbidity. The association of underweight with T. cruzi infection, increased hospitalization, and low family income may reflect illness-related weight loss and social deprivation of elderly in this community. Aging in poverty may lead to an increase in nutritional deficiencies and health-related problems among the elderly.
Smoking-attributable mortality and years of potential life lost in 16 Brazilian capitals, 2003: a prevalence-based study
Paulo CRP Corrêa, Sandhi M Barreto, Valéria MA Passos
BMC Public Health , 2009, DOI: 10.1186/1471-2458-9-206
Abstract: The Smoking-Attributable Mortality, Morbidity and Economic Costs (SAMMEC) software was used to estimate the smoking attributable mortality (SAM) in 15 Brazilian State Capitals and the Federal District for the year 2003. Smoking prevalence and mortality data of people aged 35 years or older were obtained for each city from the Brazilian Household Survey on Non Communicable Diseases Risk Factors (2002–2003) and from the Brazilian Mortality System (2003), respectively.In 2003, of the 177,543 deaths of persons aged 35 years and older 24,222 (13.64%) were attributable to cigarette smoking. This total represents 18.08% of all male deaths (n = 16,896) and 8.71% (n = 7,326) of all female deaths in these cities. The four leading causes of smoking-attributable death were chronic airways obstruction (4,419 deaths), ischemic heart disease (4,417 deaths), lung cancer (3,682 deaths), and cerebrovascular disease (3,202 deaths). Cigarette smoking accounted for 419,935 years of potential life lost (YPLL) (279,990 YPLL for men and 139,945 YPLL for women) in the same period.Tobacco use caused one out of five male deaths and one out of ten female deaths in the sixteen cities in 2003. Four leading causes of smoking attributable deaths (ischemic heart disease, chronic airways obstruction, lung cancer and cerebrovascular disease) accounted for 64.9% of SAM. Effective and comprehensive actions must be taken in order to slow this epidemic in Brazil.Scientific evidence of harm caused by smoking has been accumulating for over 200 years, at first in relation to cancers of the lip and mouth, and then in relation to vascular diseases and lung cancer [1]. Epidemiologic studies have estimated disease risks associated with various smoking patterns. At present, nearly 40 diseases or causes of death are known to be positively associated with cigarette smoking [1]. As a result of these findings, in the next 50 years, tobacco use is projected to cause nearly 450 million deaths worldwide [2]. It is expe
Predictive factors of in-hospital mortality and of severe perioperative complications in myocardial revascularization surgery
Almeida, Fernanda Fuscaldi;Barreto, Sandhi Maria;Couto, Bráulio Roberto G. M.;Starling, Carlos E. F.;
Arquivos Brasileiros de Cardiologia , 2003, DOI: 10.1590/S0066-782X2003000100005
Abstract: objective: to investigate preoperative predictive factors of severe perioperative intercurrent events and in-hospital mortality in coronary artery bypass graft (cabg) surgery and to develop specific models of risk prediction for these events, mainly those that can undergo changes in the preoperative period. methods: we prospectively studied 453 patients who had undergone cabg. factors independently associated with the events of interest were determined with multiple logistic regression and cox proportional hazards regression model. results: the mortality rate was 11.3% (51/453), and 21.2% of the patients had 1 or more perioperative intercurrent events. in the final model, the following variables remained associated with the risk of intercurrent events: age 3 70 years, female sex, hospitalization via sus (sistema único de saúde - the brazilian public health system), cardiogenic shock, ischemia, and dependence on dialysis. using multiple logistic regression for in-hospital mortality, the following variables participated in the model of risk prediction: age 3 70 years, female sex, hospitalization via sus, diabetes, renal dysfunction, and cardiogenic shock. according to the cox regression model for death within the 7 days following surgery, the following variables remained associated with mortality: age 3 70 years, female sex, cardiogenic shock, and hospitalization via sus. conclusion: the aspects linked to the structure of the brazilian health system, such as factors of great impact on the results obtained, indicate that the events investigated also depend on factors that do not relate to the patient's intrinsic condition.
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