oalib

Publish in OALib Journal

ISSN: 2333-9721

APC: Only $99

Submit

Any time

2020 ( 54 )

2019 ( 316 )

2018 ( 371 )

2017 ( 354 )

Custom range...

Search Results: 1 - 10 of 262538 matches for " Liberata C; Silva "
All listed articles are free for downloading (OA Articles)
Page 1 /262538
Display every page Item
Fatores associados à inadequa o do uso da assistência pré-natal
Coimbra Liberata C,Silva Ant?nio A M,Mochel Elba G,Alves Maria T S S B
Revista de Saúde Pública , 2003,
Abstract: OBJETIVO: Identificar fatores associados à inadequa o do uso da assistência pré-natal em comunidade urbana. MéTODOS: Foi realizado estudo transversal em amostra sistemática, estratificada por maternidades, de todos os nascimentos hospitalares do município de S o Luís, MA, no período de mar o de 1997 a fevereiro de 1998. Foram avaliados indicadores socioecon micos e demográficos, de saúde reprodutiva, morbidade na gravidez e utiliza o de servi os pré-natais. Utilizou-se questionário padronizado respondido pelas puérperas antes da alta hospitalar. A adequa o do uso da assistência pré-natal foi analisada pelo índice "Adequacy of Prenatal Care Utilization" (APNCU) e por um novo índice proposto, baseado nas recomenda es do Ministério da Saúde, Brasil. RESULTADOS: Foram entrevistadas 2.831 puérperas, atendidas em dez unidades de saúde pública e privada. A inadequa o do uso da assistência pré-natal foi de 49,2% pelo índice APNCU, e de 24,5% pelo novo índice proposto. Mulheres atendidas em servi os públicos de saúde, de baixa escolaridade e baixa renda familiar, sem companheiro ou com doen a durante a gravidez, tiveram maiores percentuais de inadequa o do uso do atendimento pré-natal, pelos dois índices analisados. Pelo novo índice proposto, maiores percentuais de inadequa o foram associados à alta paridade e idade materna, enquanto baixa idade materna (<20 anos), ocorrência de doen a durante a gravidez e primiparidade sugerem prote o contra a inadequa o. CONCLUS ES: O atendimento pré-natal em S o Luís do Maranh o apresentou baixa cobertura. A inadequa o do uso da assistência esteve associada a vários fatores indicativos da persistência de desigualdade social.
Infant mortality: comparison between two birth cohorts from Southeast and Northeast, Brazil
Ribeiro,Valdinar S; Silva,Ant?nio A M; Barbieri,Marco A; Bettiol,Heloisa; Arag?o,Vania M F; Coimbra,Liberata C; Alves,Maria T S S B;
Revista de Saúde Pública , 2004, DOI: 10.1590/S0034-89102004000600004
Abstract: objective: to obtain population estimates and profile risk factors for infant mortality in two birth cohorts and compare them among cities of different regions in brazil. methods: in ribeir?o preto, southeast brazil, infant mortality was determined in a third of hospital live births (2,846 singleton deliveries) in 1994. in s?o luís, northeast brazil, data were obtained using systematic sampling of births stratified by maternity unit (2,443 singleton deliveries) in 1997-1998. mothers answered standardized questionnaires shortly after delivery and information on infant deaths was retrieved from hospitals, registries and the states health secretarys' office. the relative risk (rr) was estimated by poisson regression. results: in s?o luís, the infant mortality rate was 26.6/1,000 live births, the neonatal mortality rate was 18.4/1,000 and the post-neonatal mortality rate was 8.2/1,000, all higher than those observed in ribeir?o preto (16.9, 10.9 and 6.0 per 1,000, respectively). adjusted analysis revealed that previous stillbirths (rr=3.67 vs 4.13) and maternal age <18 years (rr=2.62 vs 2.59) were risk factors for infant mortality in the two cities. inadequate prenatal care (rr=2.00) and male sex (rr=1.79) were risk factors in s?o luís only, and a dwelling with 5 or more residents was a protective factor (rr=0.53). in ribeir?o preto, maternal smoking was associated with infant mortality (rr=2.64). conclusions: in addition to socioeconomic inequalities, differences in access to and quality of medical care between cities had an impact on infant mortality rates.
Fatores associados à inadequa??o do uso da assistência pré-natal
Coimbra,Liberata C; Silva,Ant?nio A M; Mochel,Elba G; Alves,Maria T S S B; Ribeiro,Valdinar S; Arag?o,Vania M F; Bettiol,Heloisa;
Revista de Saúde Pública , 2003, DOI: 10.1590/S0034-89102003000400010
Abstract: objective: to identify factors associated with inadequacy of prenatal care utilization in urban community. methods: a cross-sectional study of a systematic sample stratified by maternity hospital, consisting of hospital births in the municipality of s?o luís, brazil, was carried out from march 1997 to february 1998. socioeconomic and demographic factors, reproductive health, morbidity during pregnancy, and utilization of prenatal care services were studied. mothers answered a standardized questionnaire before hospital discharge. the adequacy of prenatal care utilization was analyzed by means of two indexes: apncu (adequacy of prenatal care utilization) and a new index based on the recommendations of the brazilian ministry of health. results: there were interviewed 2,831 women who delivered at 10 public and private maternity hospitals. the inadequacy of prenatal care utilization was 49.2% according to the apncu index and 24.5% when determined by the brazilian index. prenatal care at public services, low maternal schooling, low income, having no partner, and absence of maternal diseases during pregnancy were associated with inadequacy of prenatal care use according to both indexes. high parity and maternal age of 35 years or more were also associated with inadequacy, whereas primiparity, morbidity, and young maternal age (<20 years) seemed to protect from inadequacy when the brazilian index was used. conclusions: prenatal care showed low coverage in the municipality of s?o luís. the inadequacy of prenatal care utilization was associated with several factors linked to social inequality.
Cobertura e fatores associados à n?o realiza??o do exame preventivo de Papanicolaou em S?o Luís, Maranh?o
Oliveira, Márcia Maria Hiluy Nicolau de;Silva, Ant?nio Augusto Moura da;Brito, Luciane Maria Oliveira;Coimbra, Liberata Campos;
Revista Brasileira de Epidemiologia , 2006, DOI: 10.1590/S1415-790X2006000300007
Abstract: in 1998, 465 women from 25 to 49 years of age, inhabitants of the municipality of s?o luís, maranh?o, brazil were interviewed to estimate pap smear coverage, interval between tests and to identify factors associated with not performing pap smears. a three-stage household cluster survey was performed; 95% confidence intervals corrected by design effect, and crude and adjusted odds ratio estimates were calculated by logistic regression. pap smear coverage at least once in a lifetime was 82.4% (95% ci 76.6% - 87.0%) and nearly reached the minimum value of the 85% needed to impact the incidence and mortality of cervical cancer. the interval between tests was low, given that 65.8% of women repeated the test within one year. after adjustment for confounding factors, the risks of not having performed a pap smear test at least once in a lifetime were higher for women who did not live with a companion, who had five to eight years of schooling, who had not been to a medical appointment in the past three months and who lived in households whose head of family was engaged in a manual and non-qualified occupation. women who had two to four sexual partners in the past three months were at a lower risk of not having a cervical smear. in this northeastern state capital, pap smear coverage was similar to other national studies. however, some women were unnecessarily tested at short intervals, wasting resources and contributing to reduce the access of more vulnerable groups who presented higher risks for not having had a pap smear test.
Avalia o da qualidade dos dados do Sistema de Informa es sobre Nascidos Vivos em 1997-1998
Silva Ant?nio Augusto Moura da,Ribeiro Valdinar Sousa,Borba Júnior Ant?nio Freitas,Coimbra Liberata Campos
Revista de Saúde Pública , 2001,
Abstract: OBJETIVO: Verificar a concordancia entre as informa es constantes no Sistema de Informa o sobre Nascidos Vivos (Sinasc) referentes a partos hospitalares e aquelas obtidas por inquérito seccional (padr o-ouro). MéTODOS: Realizou-se inquérito por amostragem em 2.831 partos hospitalares ocorridos em dez maternidades do município de S o Luís, MA, abrangendo cerca de 98% dos nascimentos hospitalares da cidade. O arquivo do Sinasc foi comparado com os dados do inquérito perinatal após a realiza o de linkage por programa de computador. Foram analisados: a cobertura estimada do Sinasc em rela o aos nascimentos hospitalares verificados, o percentual de informa o ignorada ou n o preenchida e o grau de concordancia entre as informa es constantes no arquivo do Sinasc com o arquivo perinatal. Na medida da concordancia, foram utilizados o indicador "kappa", no caso de variáveis qualitativas, e a correla o intraclasse, em se tratando de variáveis quantitativas. RESULTADOS: A cobertura estimada do Sinasc foi de 75,8% (IC95%; 73,3%-78,2%). Os campos do Sinasc que apresentaram boa confiabilidade foram: peso ao nascer, sexo, hospital de nascimento, tipo de parto e idade materna. As estimativas do baixo peso ao nascer foram semelhantes nas duas pesquisas e a concordancia foi alta (kappa=0,94). Entretanto, a prematuridade foi mais alta no inquérito (11,2%) do que no Sinasc (1,7%), e a concordancia foi baixa (kappa=0,09). CONCLUS O: A cobertura estimada do Sinasc foi baixa. A análise do arquivo do Sinasc mostrou que a cobertura estimada foi baixa; a taxa de baixo peso ao nascer parece ter boa validade e reprodutibilidade; e a taxa de prematuridade está subestimada.
Avalia??o da qualidade dos dados do Sistema de Informa??es sobre Nascidos Vivos em 1997-1998
Silva,Ant?nio Augusto Moura da; Ribeiro,Valdinar Sousa; Borba Júnior,Ant?nio Freitas; Coimbra,Liberata Campos; Silva,Raimundo Antonio da;
Revista de Saúde Pública , 2001, DOI: 10.1590/S0034-89102001000600003
Abstract: objective: to verify the concordance between data routinely collected by the sinasc (information system on live births) and data obtained by a cross-sectional survey (gold standard). methods: the survey was performed in a sample of 2,831 hospital deliveries in ten maternity hospitals of the municipality of s?o luís, brazil. the sample frame represented about 98% of hospital births. sinasc's data was compared with the survey data using a computerized linkage program. sinasc's hospital births coverage, percentage of missing or unrecorded data and consistency between sinasc 's and the survey's data were analyzed. concordance was measured using the kappa indicator for qualitative variables and the intraclass correlation coefficient for quantitative variables. results: the estimated sinasc coverage was 75.8% (95% ci: 73.3%-78.2%). five sinasc's data fields showed good reliability: birth weight, newborn sex, hospital of birth, type of delivery and maternal age. low birth weight rates estimated by the two data sources were similar and the concordance was high (kappa=0.94). however, preterm birth rates were higher in the survey (11.2%) than according to sinasc 's data (1.7%) and the concordance was low (kappa=0.09). conclusions: estimated sinasc coverage was low. low birth weight rates from sinasc's data seem to be valid and reliable. preterm birth rates from sinasc's data are underestimated.
Perinatal health and mother-child health care in the municipality of S o Luís, Maranh o State, Brazil
Silva Ant?nio Augusto M. da,Coimbra Liberata Campos,Silva Raimundo Ant?nio da,Alves Maria Teresa S. S. de B. e
Cadernos de Saúde Pública , 2001,
Abstract: The purpose of this article was to evaluate socioeconomic and demographic indicators, reproductive health, use of prenatal, childbirth, and neonatal services, and anthropometric data for mothers and infants. The authors performed a cross-sectional analysis of a systematic sample of 2,831 hospital births in S o Luís, Maranh o State, from March 1997 to February 1998 at ten public and private maternity hospitals. The sample was stratified proportionally according to the number of births in each maternity hospital. Mothers answered a standard questionnaire. Of the total, 97.9% were live births and 98% were singletons. Prenatal coverage was 89.5%, and prevalence of cesarean sections was 33.8%. A physician provided prenatal care in 75.7% of cases and performed 73.8% of the deliveries. The Unified Health System covered the costs of 76.4% of the prenatal visits and 89.7% of the deliveries. A pediatrician was present in the delivery room in 50.2% of cases. The low birth weight rate was 9.6% and the preterm birth rate 13.9%. Reasons for concern included a high percentage of adolescent mothers, single mothers (or without partners), the high cesarean rate, and the high percentage of births attended by unqualified personnel.
Water-contact patterns and risk factors for Schistosoma mansoni infection in a rural village of Northeast Brazil
SILVA Ant?nio Augusto Moura da,CUTRIM Raimundo Nonato Martins,ALVES Maria Teresa Seabra Soares de Britto e,COIMBRA Liberata Campos
Revista do Instituto de Medicina Tropical de S?o Paulo , 1997,
Abstract: Schistosomiasis mansoni in the Serrano village, municipality of Cururupu, state of Maranh o, Brazil, is a widely spread disease. The PECE (Program for the Control of Schistosomiasis), undertaken since 1979 has reduced the prevalence of S. mansoni infection and the hepatosplenic form of the disease. Nevertheless piped water is available in 84% of the households, prevalence remains above 20%. In order to identify other risk factors responsible for the persistence of high prevalence levels, a cross-sectional survey was carried out in a systematic sample of 294 people of varying ages. Socioeconomic, environmental and demographic variables, and water contact patterns were investigated. Fecal samples were collected and analyzed by the Kato-Katz technique. Prevalence of S. mansoni infection was 24.1%, higher among males (35.5%) and between 10-19 years of age (36.6%). The risk factors identified in the univariable analysis were water contacts for vegetable extraction (Risk Ratio - RR = 2.92), crossing streams (RR = 2.55), bathing (RR = 2.35), fishing (RR = 2.19), hunting (RR = 2.17), cattle breeding (RR = 2.04), manioc culture (RR = 1.90) and leisure (RR = 1.56). After controlling for confounding variables by proportional hazards model the risks remained higher for males, vegetable extraction, bathing in rivers and water contact in rivers or in periodically inundated parts of riverine woodland (swamplands)
Risk factors for preterm births in S?o Luís, Maranh?o, Brazil
Arag?o, Vania Maria de Farias;Silva, Ant?nio Augusto Moura da;Arag?o, Lívia Farias de;Barbieri, Marco Ant?nio;Bettiol, Heloísa;Coimbra, Liberata Campos;Ribeiro, Valdinar Sousa;
Cadernos de Saúde Pública , 2004, DOI: 10.1590/S0102-311X2004000100019
Abstract: preterm birth continues to be one of the main causes of neonatal morbidity and mortality. the objective of the present study was to identify risk factors for preterm birth in s?o luís, maranh?o, brazil. the sample consisted of hospital births at 10 public and private hospitals from march 1, 1997 to february 28, 1998. a total of 2,443 live births were randomly selected, excluding multiple deliveries and stillbirths. preterm birth rate in s?o luís was 12.7%. risk factors for preterm delivery were maternal age below 18 years, family income equal to or less than one minimum wage/ month, primiparity, vaginal delivery at a public hospital, single mothers (or living without a partner), and absence of prenatal care. the following factors remained associated with preterm birth after multivariate analysis to control for confounding: maternal age below 18 years (or = 1.9), primiparity (or = 1.5), and failure to appear for scheduled prenatal care visits (or = 1.5).
Perinatal health and mother-child health care in the municipality of S?o Luís, Maranh?o State, Brazil
Silva, Ant?nio Augusto M. da;Coimbra, Liberata Campos;Silva, Raimundo Ant?nio da;Alves, Maria Teresa S. S. de B. e;Lamy Filho, Fernando;Lamy, Zeni Carvalho;Mochel, Elba Gomide;Arag?o, Vania Maria de F.;Ribeiro, Valdinar Sousa;Tonial, Sueli Rosina;Barbieri, Marco Ant?nio;
Cadernos de Saúde Pública , 2001, DOI: 10.1590/S0102-311X2001000600025
Abstract: the purpose of this article was to evaluate socioeconomic and demographic indicators, reproductive health, use of prenatal, childbirth, and neonatal services, and anthropometric data for mothers and infants. the authors performed a cross-sectional analysis of a systematic sample of 2,831 hospital births in s?o luís, maranh?o state, from march 1997 to february 1998 at ten public and private maternity hospitals. the sample was stratified proportionally according to the number of births in each maternity hospital. mothers answered a standard questionnaire. of the total, 97.9% were live births and 98% were singletons. prenatal coverage was 89.5%, and prevalence of cesarean sections was 33.8%. a physician provided prenatal care in 75.7% of cases and performed 73.8% of the deliveries. the unified health system covered the costs of 76.4% of the prenatal visits and 89.7% of the deliveries. a pediatrician was present in the delivery room in 50.2% of cases. the low birth weight rate was 9.6% and the preterm birth rate 13.9%. reasons for concern included a high percentage of adolescent mothers, single mothers (or without partners), the high cesarean rate, and the high percentage of births attended by unqualified personnel.
Page 1 /262538
Display every page Item


Home
Copyright © 2008-2017 Open Access Library. All rights reserved.