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Search Results: 1 - 10 of 579225 matches for " Castro M?nica Silva Monteiro de "
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Desigualdades sociais no uso de interna??es hospitalares no Brasil: o que mudou entre 1998 e 2003
Castro,Mnica Silva Monteiro de;
Ciência & Saúde Coletiva , 2006, DOI: 10.1590/S1413-81232006000400020
Abstract: the objective of this paper was to compare hospital admission associated factors in brazil in 1998 and 2003. the data of the 2003 national household survey health supplement were analyzed using a logistic regression model with normalized weights, using andersen's behavioral model, and the results were compared to those published in the pnad 1998. there was a decrease in hospital admission coefficients for women in reproductive age and older adults, and an increase in the coefficient for children. for adults, there was an increase in inequality in hospital admissions according to the income. among children, those with no income had more chances for hospital admission. race and educational level had no influence in hospital admissions. some general trends with respect to hospital admissions in brazil could be verified in this study: the increase in admissions for surgical procedures, the decrease in admissions related to pregnancy, childbirth and puerperium, shorter in-patient care, the increase in admissions to public hospitals, the increase in admissions financed by the brazilian unified health system (sus) in comparison to admissions covered by private health insurances and out-of-pocket payment, the decrease in admissions financed by more than one system and the great proportion of users satisfied with the care they received.
Factors associated with readmission to a general hospital in Brazil
Castro, Mnica Silva Monteiro de;Carvalho, Marilia Sá;Travassos, Cláudia;
Cadernos de Saúde Pública , 2005, DOI: 10.1590/S0102-311X2005000400021
Abstract: the objective of this study was to compare different modeling strategies to identify individual and admissions characteristics associated with readmission to a general hospital. routine data recorded in the hospital information system on all admissions to the regional public hospital of betim, minas gerais state, brazil, from july 1996 to june 2000 were analyzed. cox proportional hazards model and variants designed to deal with multiple-events data, like andersen-gill (ag), prentice, williams and peterson (pwp), and random effects models were fitted to time between hospital admissions or censoring. for comparison purposes, a poisson model was fitted to the total number of readmissions, using the same covariates. we analyzed 31,648 admissions of 26,198 patients, including 17,096 adults and 9,102 children. estimates for the pwp and frailty models were very similar, and both approaches should be fitted and compared. if clinical characteristics are available, the pwp model should be used. otherwise the random effects model can account for unmeasured differences, particularly some related to severity of the disease. these methodologies can help focus on various related readmission aspects such as diagnostic groups or medical specialties.
Spatial distribution of the Human T-Lymphotropic Virus types I and II (HTLV-I/II) infection among blood donors of Hemominas Foundation, Belo Horizonte, Minas Gerais State, Brazil, 1994-1996
Monteiro-de-Castro, Mnica Silva;Assun??o, Renato Martins;Proietti, Fernando Augusto;
Cadernos de Saúde Pública , 2001, DOI: 10.1590/S0102-311X2001000500022
Abstract: we conducted a cross-sectional study of the spatial distribution of htlv-i/ii infection among blood donors of hemominas foundation, living in belo horizonte, from 1994 to 1996. study population (1,022) was composed by 533 cases (positive western blot (wb), indeterminate wb and elisa positive without wb result) and a random sample of 489 non-cases (htlv-i/ii serum negative). cases and non-cases were georeferenced using the exact or an approximation of the household address reported at the blood donation interview. using multivariate analysis, cases with wb result are less likely to be reposition blood donors compared to voluntary ones (or = 0.70; ci 95%: 0.50-0.99). using the difference between univariate k functions, we found no evidence that cases and non-cases differ in their spatial distribution. we found no evidence that cases with and without wb result differ in the distance between their residence and hemominas foundation. no donors without wb result were georeferenced by the exact address. these donors could not have received the hemominas letter inviting them to return to collect the second blood sample.
Fatores associados às interna??es hospitalares no Brasil
Castro,Mnica Silva Monteiro de; Travassos,Cláudia; Carvalho,Marília Sá;
Ciência & Saúde Coletiva , 2002, DOI: 10.1590/S1413-81232002000400014
Abstract: the objective was to identify hospital admission associated factors in brazil, analyzing if that utilization is equitable and identifying which characteristics are associated with heavy users. we analyzed data from the 1998 national household survey, using logistic regression and multinomial logistic regression, with normalized weights and statistical techniques to correct for design effect. we used andersen's behavioral model as the theoretical model for this analysis. in model adjusted for health needs and enabling factors, people with smaller income had more chance of being admitted to hospital; and in model adjusted only for health needs people with larger income had more chance. all need variables were less related to use for people with two hospital admissions, in comparison with those with more than two admissions; and there was no association between social variables and occurrence of two admissions, but this association occurred for three or more admissions. the reduction of social inequalities in the aspects that "enable" people to use hospital admissions would reduce inequalities in this use. a health system that offers a "regular health service", besides low or any payment in the moment of use, would have a positive impact in the equity of hospital admission utilization in brazil.
Padr?es espa?o-temporais da mortalidade por cancer de pulm?o no Sul do Brasil
Castro, Mnica Silva Monteiro de;Vieira, Viviane Alves;Assun??o, Renato Martins;
Revista Brasileira de Epidemiologia , 2004, DOI: 10.1590/S1415-790X2004000200003
Abstract: neoplasms are the second most common mortality cause in brazil, together with injuries and accidents. amongst the neoplasms, lung cancer is one of most frequent in men and in women, and it is also one of the most lethal. moreover, the attributed risk of tobacco as an etiologic agent of this type of cancer is considerably high, making it potentially susceptible to preventive public health measures. the objective of this work was to analyze spatial and temporal patterns of lung cancer in four brazilian states (rio grande do sul, santa catarina, paraná and s?o paulo), from 1996 to 2000. the observed values were obtained from the brazilian ministry of health mortality information system (sim-ms). the expected values were calculated using indirect standardization according to sex and age groups (smr). the geographic units analyzed were micro-regions defined by the brazilian census bureau (ibge). a bayesian model that allowed for space-time interaction was used, using winbugs software. adjusted smr showed that in southern brazil there was a "u" pattern in lung cancer mortality for men, and indicated specific areas that had higher smr and/or greater smr growth. the main hypothesis for this result would be different tobacco use incidences, but the absence of this information at a regional level in brazil did not permit including this variable in our analysis. the results of this paper can be used to guide public policies directed towards reducing the use of tobacco and of mortality from lung cancer.
Spatial distribution of the Human T-Lymphotropic Virus types I and II (HTLV-I/II) infection among blood donors of Hemominas Foundation, Belo Horizonte, Minas Gerais State, Brazil, 1994-1996
Monteiro-de-Castro Mnica Silva,Assun??o Renato Martins,Proietti Fernando Augusto
Cadernos de Saúde Pública , 2001,
Abstract: We conducted a cross-sectional study of the spatial distribution of HTLV-I/II infection among blood donors of Hemominas Foundation, living in Belo Horizonte, from 1994 to 1996. Study population (1,022) was composed by 533 cases (positive Western Blot (WB), indeterminate WB and ELISA positive without WB result) and a random sample of 489 non-cases (HTLV-I/II serum negative). Cases and non-cases were georeferenced using the exact or an approximation of the household address reported at the blood donation interview. Using multivariate analysis, cases with WB result are less likely to be reposition blood donors compared to voluntary ones (OR = 0.70; CI 95%: 0.50-0.99). Using the difference between univariate K functions, we found no evidence that cases and non-cases differ in their spatial distribution. We found no evidence that cases with and without WB result differ in the distance between their residence and Hemominas Foundation. No donors without WB result were georeferenced by the exact address. These donors could not have received the Hemominas letter inviting them to return to collect the second blood sample.
Factors associated with readmission to a general hospital in Brazil
Castro Mnica Silva Monteiro de,Carvalho Marilia Sá,Travassos Cláudia
Cadernos de Saúde Pública , 2005,
Abstract: The objective of this study was to compare different modeling strategies to identify individual and admissions characteristics associated with readmission to a general hospital. Routine data recorded in the Hospital Information System on all admissions to the Regional Public Hospital of Betim, Minas Gerais State, Brazil, from July 1996 to June 2000 were analyzed. Cox proportional hazards model and variants designed to deal with multiple-events data, like Andersen-Gill (AG), Prentice, Williams and Peterson (PWP), and random effects models were fitted to time between hospital admissions or censoring. For comparison purposes, a Poisson model was fitted to the total number of readmissions, using the same covariates. We analyzed 31,648 admissions of 26,198 patients, including 17,096 adults and 9,102 children. Estimates for the PWP and frailty models were very similar, and both approaches should be fitted and compared. If clinical characteristics are available, the PWP model should be used. Otherwise the random effects model can account for unmeasured differences, particularly some related to severity of the disease. These methodologies can help focus on various related readmission aspects such as diagnostic groups or medical specialties.
Fatores associados às interna es hospitalares no Brasil
Castro Mnica Silva Monteiro de,Travassos Cláudia,Carvalho Marília Sá
Ciência & Saúde Coletiva , 2002,
Abstract: O objetivo foi identificar fatores associados às admiss es hospitalares no Brasil, analisando se essa utiliza o é eqüitativa e identificando características associadas aos grandes usuários. A PNAD/1998 foi analisada, utilizando regress o logística e regress o logística multinomial, com pesos normalizados e técnicas estatísticas para corre o do efeito de desenho. O modelo teórico utilizado foi o Comportamental de Andersen. No modelo ajustado por necessidade de saúde e fatores capacitantes, pessoas com menor renda apresentaram maior chance de se internar; o contrário ocorreu no modelo ajustado somente por necessidade de saúde. Todas as variáveis de necessidade mostraram-se menos relacionadas ao uso nas pessoas com duas interna es, em compara o com aquelas com mais do que duas interna es. N o houve associa o entre variáveis sociais e ocorrência de duas interna es, mas essa associa o ocorreu para três ou mais interna es. A redu o das desigualdades sociais nos aspectos que "capacitam" ao uso de admiss es hospitalares reduziria as desigualdades neste uso. Um sistema de saúde que ofere a um "servi o de uso regular", além de baixo ou nenhum pagamento no ato do consumo, seriam medidas de impacto positivo na eqüidade do consumo de servi os hospitalares no Brasil.
Urinary Incontinence in Pregnant Women: Integrative Review  [PDF]
Eveliny Silva Martins, Ana Karina Bezerra Pinheiro, Priscila de Souza Aquino, Mnica Oliveira Batista Oriá, Régia Christina Moura Barbosa Castro, Diego Jorge Maia Lima, Karízia Vilanova Andrade, Carla Suellen Pires de Sousa, Samia Monteiro Holanda
Open Journal of Nursing (OJN) , 2016, DOI: 10.4236/ojn.2016.63023
Abstract: Objective: To characterize the scientific production related to the impact of urinary incontinence on quality of life of pregnant women. Method: An integrative review carried out from September 2014 to May 2015. The search was conducted in six databases, and a final sample of seventeen publications was presented. The data were presented in tables. Results: Incontinence related factors are: Being older, second pregnancy, multiparity, constipation, smoking, and obesity. Stress incontinence is the most occurring in pregnant women, causing an adverse impact on quality of life. Discussion: It is for health professionals who try to create effective coping strategies for minimizing consequences generated by the accidental loss of urine. Conclusion: Urinary incontinence affects the mother’s life, resulting in social, behavioral, physical and emotional harm, taking this woman to be excluded from society and feel insecure about their health.
Regionaliza??o como estratégia para a defini??o de políticas públicas de controle de homicídios
Castro, Mnica S. Monteiro de;Silva, Bráulio Figueiredo Alves da;Assun??o, Renato M.;Beato Filho, Cláudio Chaves;
Cadernos de Saúde Pública , 2004, DOI: 10.1590/S0102-311X2004000500021
Abstract: this article analyzes the spatial distribution of homicide rates in minas gerais state, brazil, using data from the ministry of health mortality information system (sim/ms) from 1996 to 2000. population data used to calculate rates were also obtained from the brazilian ministry of health. minas gerais has a large territory, so the study used a recently developed statistical methodology implemented in the skater software to generate homogeneous spatial clusters. the technique obtained 24 spatial clusters, in which municipalities with similar homicide rates were aggregated. using these results, the authors discuss the possible creation of "public security administration areas" that would allow the implementation of public policies aimed at controlling and diminishing homicides in municipalities with similar characteristics for this type of crime.
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