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Soroprevalência da infecção pelo Trypanosoma cruzi no município de Caicó, RN, e caracterização genética por RAPD do parasito isolado de humanos e de triatomíneos no semiárido potiguar

Sampaio, George Harisson Felinto
Fonte: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Ciências Farmacêuticas; Bioanálises e Medicamentos Publicador: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Ciências Farmacêuticas; Bioanálises e Medicamentos
Tipo: Dissertação Formato: application/pdf
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Trypanosoma cruzi infection was evaluated in 390 resident individuals in different rural communities of Caicó municipality, State of Rio Grande do Norte (RN). Of 28 investigated communities the soroprevalence of T. cruzi infection was 2.8% in eight rural communities individuals. The epidemiological characteristics of seropositive shown that the age ranged from 22 to 64 years, being significantly raised from 31 years (90.9%). The female gender was predominant and low education degree. Those individuals reported that they never donated blood, but they had direct contact with triatomines bug. The isolation of the parasite was performed by blood culture and xenoculture methods to determine the genetic variability of the samples. Twenty seven T. cruzi isolates were analyzed by RAPD as genetic marker using three random primers (M13-40, gt11-F and L15996). The T. cruzi isolates showed 73.7% of shared bands considering the average obtained with the three primers, and were genetically well correlated. Using this marker it was possible to separate the populations of the parasite in three distinct groups. The first group composed by isolates obtained of triatomines and humans from four different districts (Caicó, Caraúbas, Serra Negra doNorte and Governador Dix-Sept Rosado); the second contained isolates obtained of triatomines of two different species (T. brasiliensis and P. lutzi) captured in Caraúbas and Serra Negra do Norte. The third grouped isolates obtained from humans of Angicos and Caicó municipalities. In different localities of distinct mesoregions...

Avaliação da satisfação das usuárias sobre a atenção à saúde da mulher no Rio Grande do Norte

Vieira, Francisco Gleriston
Fonte: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Saúde da Família no Nordeste; Saúde da Família Publicador: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Saúde da Família no Nordeste; Saúde da Família
Tipo: Dissertação Formato: application/pdf
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This work discusses the evaluation of the satisfaction of the users on the women health care focusing on the quality of the primary care in the State of Rio Grande do Norte-BR. The main objective of this research is evaluate the satisfaction of the users about the actions applied to women health in the primary health care in Rio Grande do Norte, observing the information available through the Programa de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB). The specific objectives are: the evaluation of aspects related to women health; the evaluation of the specific actions related to welcoming the pregnant and; the evaluation of the information related to the postpartum. This dissertation is characterized as an evaluative research made through a multicentric transversal study, using a quantitative approach, which is part of the External Evaluation of the PMAQ-AB in the State of Rio Grande do Norte, made by the Federal University of Rio Grande do Norte. Some secondary data of the interviews with the users who were in the Basic Health Units were used during the External Evaluation of the PMAQ-AB in Rio Grande do Norte. The sample was collected following these criteria: the users that were in the Basic Health Units to attend to any procedure; they must had used the services for at least one year; and they must had agreed to participate the research. The ones that were attending to the services for the first time and the ones that did not use the services for at least 12 months were excluded from the sample. To the data collection it was used a chart of variables/indicators with the following information to the analysis: Women Health Care...

PET-saúde na percepção de estudantes: contribuições para a formação na área de saúde

Morais, Maria Betânia de
Fonte: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Saúde da Família no Nordeste; Saúde da Família Publicador: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Saúde da Família no Nordeste; Saúde da Família
Tipo: Dissertação Formato: application/pdf
Português
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This dissertation aimed to analyze the perception of students about (EPW Health) Education Program at Work for Health Training in the area of Health. It discusses the proposed theme from the perception of students graduating from the EPW- Health courses participants (dentistry, medicine, physiotherapy, nursing, nutrition, physical education) who have developed their school activities in family health units in the city of João Pessoa between 2009/2011.The program aims policies curricular changes as a potential route of contributions to training in healthcare. Attention is drawn to the new possibilities of working health training contextualized, ethically grounded, socially endorsed. It is pointed out in this process the need to adapt to the demands of professional profiles of SUS (Sistema Único de Saúde). This is an exploratory, descriptive study within a qualitative approach, conducted in the city of João Pessoa in the context of health care courses at the Federal University of Paraiba. The empirical material of this study was treated by the use of technical analysis "Categorical Content Theme" by Bardin. The results indicate prospects for promoting new practices and curricular changes, which highlights the EPW- Health, which has been presenting important experiences in teaching -community -service- with the inclusion of students in the municipal health network. We conclude that the path from collection to data analysis...

ANÁLISE ESPACIAL DA INFECÇÃO PELO VÍRUS DO DENGUE NO MUNICÍPIO DE GOIÂNIA.; Spatial analysis of infection by the virus of dengue in city of Goiania

MACIEL, Ivan José
Fonte: Universidade Federal de Goiás; BR; UFG; Mestrado em Medicina Tropical; Medicina Publicador: Universidade Federal de Goiás; BR; UFG; Mestrado em Medicina Tropical; Medicina
Tipo: Tese de Doutorado Formato: application/pdf
Português
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Dengue is nowadays considered a growing public health problem worldwide. Several outbreaks of dengue have occurred in Brazil in the last two decades, and the country is now considered an endemic area where risk areas for sylvatic yellow fever also coexist. The current manuscript reviews the main epidemiological features of dengue in the world focusing in the peculiarities of the infection/disease progression in Brazil and, specifically, in Central-West Brazil. Some issues related to the challenge of control in the Central-West region and the opportunities for research are also discussed. In Brazil, the re-introduction of the vector (Aedes aegypti) dates 1976-77. The city of Rio de Janeiro (Southeast Brazil) was considered the starting point of viral dispersion to coastal and inland areas, since the first epidemic (DENV-1) in 1986. Brazil reports approximately 70% of the dengue cases in the Americas with the co-circulation of 3 dengue subtypes (DENV-1; DENV-2 and DENV-3). The disease affects mainly the adult population and the surveillance system has detected an increasing trend to hospitalization, disease severity and incidence in children and adolescents. Approximately 500,000 of dengue cases and 158 deaths were reported in 2007 compared to approximately 300...

Formação acadêmica e atuação profissional de nutricionistas de núcleos de apoio à saúde da família de Goiás; Academic performance and professional of the nutritionists from centers of support for family health of Goiás

Aguiar, Camilla Botêga
Fonte: Universidade Federal de Goiás; Brasil; UFG; Programa de Pós-graduação em Ensino na Saúde (FM); Pró-Reitoria de Pós-graduação (PRPG) Publicador: Universidade Federal de Goiás; Brasil; UFG; Programa de Pós-graduação em Ensino na Saúde (FM); Pró-Reitoria de Pós-graduação (PRPG)
Tipo: Dissertação Formato: application/pdf
Português
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95.75%
The current model of Health Care in Brazil prioritizes health promotion, prevention, control and treatment of health problems of individuals and families with integrity and continues. These actions are directly or indirectly related to food , requiring the insertion of a nutritionist in Primary Health The aim of this study was to analyze the academic performance and nutritionists professionals of the Centers of Support for Family Health of the State of Goiás, from the perspective of the researched, with a descriptive, exploratory, cross-sectional. For data collection we used a self-administered questionnaire with open and closed questions to characterize and study the academic and professional performance of the nutritionists. The data was tabulated in Excel and made a descriptive analysis of variables. The participants were 22 nutritionists , female , representing 88 % of the nutritionists from Centers of Support for Family Health of the State of Goiás. From these , 59.1 % had less than three years of graduation; 13.6 % had made a specialization in Health Family , 27.3 % felt qualified to work professionally with reflection on the socioeconomic , political and cultural territory. Regarding performance, 80 % are hired temporarily...

Adiposidade corporal ao longo da adolesc??ncia e fun????o pulmonar aos 18-19 anos de idade. Coorte de Nascimentos de 1993, Pelotas RS.; Adiposidade corporal ao longo da adolesc??ncia e fun????o pulmonar aos 18-19 anos de idade. Coorte de Nascimentos de 1993, Pelotas RS.; Adiposity throughout adolescence and lung function at 18-19 years of age. 1993 birth cohort, Pelotas - RS.; Adiposity throughout adolescence and lung function at 18-19 years of age. 1993 birth cohort, Pelotas - RS.

WEHRMEISTER, Fernando C??sar
Fonte: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR Publicador: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR
Tipo: Tese de Doutorado Formato: application/pdf
Português
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Background: cross-sectional studies have shown an inverse relationship between waist circumference (WC) and lung function in adults and elderly. The long term effects of such association, as well as its relation to adolescence are not yet established. Objectives: to evaluate the effects of WC and percentage of fat mass on lung function parameters in adolescence. Methods: a longitudinal study of the 1993 Birth Cohort, in Pelotas, Brazil, at the 18 years old follow-up. WC was evaluated using the difference, in standard deviation, between 15 and 18 years old, adjusted for height in both periods. Percentage of fat mass was evaluated using air-displacement pletismography. Spirometry was performed to obtain Forced Expiratory Volume in 1 second (FEV1) and Forced Vital Capacity (FVC). Multivariate Linear regression models were performed. Results: out of 5,249 original members, 4,129 were evaluated at 18 years old. Spirometry was performed in 3,859 individuals. There was a statistically significant inverse relationship between the WC difference and FEV1 and among men, both for absolute values (β = -0,028 [IC 95% -0.053; -0.003]) and for predicted values (β = - 0.646 [IC 95% -1.247; -0.046]). An inverse relationship between percentage of fat and FEV1 and CVF was also statistically significant for both sexes. Conclusion: WC difference and percentage of fat mass were negatively associated with lung function. However...

Atividade f??sica e composi????o corporal em adolescentes da Coorte de Nascimentos de 1993 em Pelotas; Atividade f??sica e composi????o corporal em adolescentes da Coorte de Nascimentos de 1993 em Pelotas; Physical activity and body composition in adolescents from birth cohort in Pelotas, 1993; Physical activity and body composition in adolescents from birth cohort in Pelotas, 1993

REICHERT, Felipe Fossati
Fonte: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR Publicador: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR
Tipo: Tese de Doutorado Formato: application/pdf
Português
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95.75%
Background: Prospective studies on physical activity (PA), diet, and body composition in adolescents are lacking, particularly outside high-income countries. The aims of this paper were to describe the methods used for assessing these variables in the 1993 Pelotas (Brazil) Birth Cohort, and to discuss the fieldwork challenges faced and alternatives to overcome them. Methods: In 2006-7 a sub-sample of the 1993 Pelotas cohort was revisited. PA was estimated using questionnaires, a combined heart rate and motion sensor (Actiheart), and the Actigraph GT1M accelerometer. Diet was investigated by questionnaire. Total body water was determined by stable isotopes. Thirty individuals had their total energy expenditure assessed by double labeled water. All data were collected at participants home. Results: The logistics of the fieldwork and the difficulties in undertaking the study and alternatives to overcome them are presented. Preliminary analyses show that 511 individuals were traced (response rate = 90.0%). Compliance of both adolescents and their families for the motion sensors and body composition measurements was excellent. Conclusions: We conclude it is feasible to carry out high-quality studies on PA in developing countries. We hope the present manuscript will be useful to other researchers interested in carrying out similar studies.; Objetivos: Estudos prospectivos sobre a atividade f??sica (AF)...

Avalia????o da implanta????o do hiperdia, no munic??pio de Foz do Igua??u PR; Evaluating the implementation of Hiperdia in the city of Foz Igua??u - PR

SILVA, ??rica Ferreira da
Fonte: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR Publicador: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR
Tipo: Dissertação Formato: application/pdf
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105.75%
Aiming to meet the demographic, clinical and epidemiological characteristics of population with hypertension (HTN) and diabetes (DM), was established by the Ministry of Health, the Registration and Monitoring System for Hypertensive and Diabetics patients (Hiperdia). In this context, a study of time series, descriptive, based on secondary data from the database of SIS-HIPERDIA and Hospital Information System of the Unified Health System (SIH-SUS) in the city of Foz do Iguacu, with to analyze the process of care delivered in this program and the impact thereof on hospital admissions for diabetes, hypertension and morbidities associated with the presence of the same. The results demonstrated a program with a low coverage of entries and accompaniments and performs so inexpressive clinical assessments recommended for control and prevention of complications of these injuries. We concluded that the Hiperdia in the city of Foz do Igua??u, needs to review its objectives and strategies and thus improve the work process and quality of services offered to the population.; Objetivando conhecer o perfil demogr??fico, clinico e epidemiol??gico da popula????o portadora de hipertens??o (HAS) e diabetes (DM), foi criado, pelo Minist??rio da Sa??de...

Epidemiologia da ins??nia em inqu??rito populacional em uma cidade do sul do Brasil; Epidemiology of insomnia in a population survey in a city in southern Brazil

FANTINEL, Everton Jos??
Fonte: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR Publicador: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR
Tipo: Dissertação Formato: application/pdf
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95.75%
Insomnia is the most common sleep disorder. It affects millions of people constituting a public health problem with social and individual consequences. This study aimed to evaluate the prevalence of insomnia and its association with sociodemographic, behavioral and drug use. We used a cross-sectional population-based sample of 2732 adults aged 20 years or more living in Pelotas, Brazil. The outcome was operationalized by Insomnia Severity Index. Analysis was adjusted by Poisson regression. The prevalence of insomnia was 28.2% (95% CI: 26.2 to 30.3), with an increased likelihood in women, younger, poorer and do not work people. There was an apparent increase in the prevalence of insomnia in the city over the past ten years, with a marked change in age, becoming more prevalent in young than old.; A ins??nia ?? o mais frequente dos problemas relacionados ao sono. Afeta milh??es de pessoas constituindo-se em um problema de sa??de p??blica com consequ??ncias sociais e individuais. Este estudo teve por objetivo avaliar a preval??ncia de ins??nia e sua associa????o com vari??veis sociodemogr??ficas, comportamentais e de uso de medicamentos. Utilizou-se o delineamento transversal de base populacional, com amostra de 2732 indiv??duos de 20 anos de idade ou mais...

Associa????o entre suporte social e atividade f??sica no lazer em adultos; Associa????o entre suporte social e atividade f??sica no lazer em adultos; Association between social support and leisure-time physical activity in adults; Association between social support and leisure-time physical activity in adults

SILVA, In??cio Crochemore Mohnsam da
Fonte: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR Publicador: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR
Tipo: Dissertação Formato: application/pdf
Português
Relevância na Pesquisa
95.75%
Objective: To explore the association between social support from family and friends and the practice of leisure-time physical activity (PA) in adults (≥20 years old). Methodology: Population-based, cross-sectional study, conducted in Pelotas/RS. The sampling process occurred in multiple stages. Leisure-time PA was measured with the long version of the International Physical Activity Questionnaire. Those who reported an PA practice of ≥150 minutes on the week before the interview were considered active. Specific estimates for walking and moderate and vigorous PA (MVPA) were performed. Social support was collected with a Social Support Scale for PA and different exposure variables were built according to the sources of support (family or friends), levels of exposure and type of PA practice. The developed analysis was stratified by sex. For the association between social support and PA a Poisson regression was used with robust adjustment of variance. Complementary analysis stratified the sample in two age groups (20-39 years old and ≥40 years old). Results: There was a strong association between social support and leisure-time PA in adults (RP≥ 2,0). Considering the walks, prevalence ratios between men were lower than the ones between women. Restricting the analysis to MVPA...

Padr??es de sibil??ncia respirat??ria do nascimento at?? o in??cio da adolesc??ncia estudo longitudinal das crian??as nascidas em 1993 na cidade de Pelotas-RS; Padr??es de sibil??ncia respirat??ria do nascimento at?? o in??cio da adolesc??ncia estudo longitudinal das crian??as nascidas em 1993 na cidade de Pelotas-RS; Wheezing phenotypes from birth to early adolescence longitudinal study of children born in 1993 in Pelotas-RS; Wheezing phenotypes from birth to early adolescence longitudinal study of children born in 1993 in Pelotas-RS

GARC??A, Adriana Mui??o
Fonte: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR Publicador: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR
Tipo: Dissertação Formato: application/pdf
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95.77%
Wheezing patterns during childhood have important prognostic implications. The aim of this study was to measure the prevalence of wheezing patterns in a sub-sample of the 1993 Pelotas, Brazil, birth cohort, interviewed at birth , 6 and 12 month, 4 and 10-12 years of age. The wheezing patterns studied were: transient, persistent, late onset and recurrent. The total of the sub-sample was 897 children (20% systematic sample from the original cohort) with the prevalence and 95% confidence interval of wheezing patterns as follows: transient 44.7% (40.7-47.2); persistent 6.4% (4.8-8.0); late onset 3.3% (2.2-4.5); recurrent 4.1% (2.8-5.4). The independent variables associated with the wheezing patterns were: a) transient wheeze: low family income, shorter duration of breast-feeding, respiratory infections (6 and/or 12 months) and family history of asthma; b) persistent: male sex, asthma during pregnancy, respiratory infections in infancy and family history of asthma (4 and 10-12 years; c) late onset: family history of asthma (10-12 years old), medical diagnoses of rhinitis (10-12 years old) and as protective factors respiratory infections in infancy and a medical diagnosis of eczema (at adolescence); d) recurrent: smoking during pregnancy and having no asthma in the family. Identifying wheezing patterns and associated factors allow us to adopt preventive measures and to avoid lung function deterioration in adult life.; Os padr??es de sibil??ncia respirat??ria t??m importantes implica????es progn??sticas. O objetivo deste estudo foi estudar estes padr??es em uma sub-amostra da coorte de 1993 de Pelotas...

Anticoncepcional oral, ligadura de trompas e condom: caracteriza????o do conhecimento da popula????o de 15 anos ou mais em uma cidade do sul do Brasil.; Knowledge about contraceptives in a population aged 15 or more in a city from the South of Brazil

VIEIRA, Vera Maria Pinheiro
Fonte: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR Publicador: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR
Tipo: Dissertação Formato: application/pdf
Português
Relevância na Pesquisa
95.75%
In Brazil, the prevalence contraceptive use is high, however the incorrect and inappropriate use is frequent, suggesting little knowledge about the methods. Thus, it was evaluated the knowledge about the most used contraceptive methods, measured through a score (0-10) and factors related to this knowledge. It was performed a population-based cross-sectional study, with 3,542 subjects, aged 15 or over, residents of the urban zone of Pelotas, RS. The average score of knowledge was of 4,65 (sd=2,07) being 5,02 (sd=2,10) for women and 4,18 (sd=1,92) for men. The lower age, higher schooling, report of unwanted pregnancy, and lifetime use of contraceptive methods exclusive or combined, were associated with higher knowledge score among men, while for women, the determinants of higher knowledge was higher age, live with partner, higher schooling, better socioeconomic level, not having religion and lifetime use of contraceptive methods exclusive or combined. Although the high prevalence of contraceptive use during the lifetime (75,3%), it is still limited the knowledge about the most used methods, as well as about the menstrual cycle and the fertile period.; A preval??ncia de uso de anticoncepcional no Brasil ?? alta, por??m ?? freq??ente seu uso incorreto e inadequado...

Motociclistas : perfil, preval??ncia de uso da moto e acidentes de tr??nsito - estudo de base populacional; Motorcyclists: profile, prevalence of use of the bike and traffic accidents - a population-based study

SEERIG, Lenise Menezes
Fonte: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR Publicador: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR
Tipo: Dissertação Formato: application/pdf
Português
Relevância na Pesquisa
95.77%
A cross sectional populational study was performed in Pelotas, Southern Brazil, aiming to describe the profile of motorcycle users, determine the prevalence and type of use and to report the acidentes with body injury happened in the last 12 months. Sampling process was carried out in two stages, with the primary unit being the census track and the secondary the house. The study included 3,004 individuals aged 10 to 59 years old, residents in urban zone, which answered a structured questionnaire. The outcome of the study was the use of motorcycle (driver or as a ride. The independent variables investigated were sex, age (complete years), skin color, educational level (complete years of study) and socioeconomic level (measured in quintiles). The descriptive analyses used the Stata 12 software, with the svy command for conglomerates. The prevalence of motorcycle use was 25.1% (95% CI 95% 22.6-27.60). The major part of the drivers was composed by males (79%), while women were the majority in the ride condition (73%). In relation to the age, teenagers (10-17 years) used the motorcycle predominately in the ride condition (23.1%). Around 40% of the users were not wearing the jugular belt appropriately and the majority (75.9%) reported to have a very high risk of motorcycle accident. In relation to the accidents...

Atividade f??sica em diferentes fases da vida: massa mineral ??ssea e perfil lip??dico em adultos pertencentes ?? coorte de nascimentos de Pelotas de 1982.

BIELEMANN, Renata Moraes
Fonte: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR Publicador: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR
Tipo: Tese de Doutorado Formato: application/pdf
Português
Relevância na Pesquisa
95.76%
Com o envelhecimento populacional ocorrido no Brasil e no mundo nas ??ltimas d??cadas cresce o interesse pelos fatores relacionados com o processo de aumento da idade e sua influ??ncia na qualidade de vida. Dentre esses fatores o estudo do conte??do, bem como a densidade mineral ??ssea torna-se relevante. A import??ncia da massa ??ssea (entendida nesse projeto como medidas de conte??do ou densidade ??ssea) est?? ligada ?? capacidade funcional, ocorr??ncia de fraturas e ainda, por altos custos relacionados a interna????es pelas mesmas. Sabe-se atualmente que a massa mineral ??ssea de indiv??duo em um per??odo atual reflete experi??ncias vividas anteriormente por ele, de forma que ac??mulo de ganhos e perdas que ocorrem ao longo da vida ?? visto em idades futuras. Dentre os fatores positivamente associados ?? aquisi????o e manuten????o da massa ??ssea, a atividade f??sica aparece como fundamental, exercendo influ??ncia em todas as fases do ciclo vital. Desconhecem-se estudos que tenham avaliado o efeito da atividade f??sica ao longo da vida sobre medidas de massa mineral ??ssea de indiv??duos jovens realizados em pa??ses de renda m??dia ou baixa, especialmente no Brasil, onde existem diferen??as importantes dos pa??ses de alta renda com rela????o ??s ra??as e padr??es de atividade f??sica dos habitantes do pa??s...

Sa??de nas fronteiras: an??lise quantitativa e qualitativa da clientela do Centro Materno Infantil de Foz do Igua??u; Sa??de nas fronteiras: an??lise quantitativa e qualitativa da clientela do Centro Materno Infantil de Foz do Igua??u

MELLO, Fabio de
Fonte: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR Publicador: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR
Tipo: Dissertação Formato: application/pdf
Português
Relevância na Pesquisa
95.75%
A sa??de na fronteira ?? uma das ??reas da Sa??de P??blica que impactam na consolida????o do Sistema ??nico de Sa??de (SUS). O MERCOSUL, apesar do intento de alinhar a circula????o de pessoas, servi??os e bens de consumo entre os pa??ses sul-americanos, n??o prev?? nenhuma articula????o para resolu????o das situa????es adversas de sa??de. O governo do Brasil, na tentativa de racionalizar a oferta de servi??o de sa??de e otimizar a infraestrutura instalada para cobertura dos brasileiros que moram no exterior em zona de fronteira, criou em 2006 o SIS-Fronteiras. Foz do Igua??u participa desse sistema e instalou o Centro Materno Infantil (CMI) com intuito de atender as gestantes brasileiras oriundas da tr??plice fronteira. Essa popula????o flutuante ?? o tema principal do presente trabalho. Objetivando analisar as caracter??sticas do servi??o de sa??de oferecido pelo CMI e comparar o perfil das usu??rias gestantes brasileiras moradoras do Paraguai com as gestantes residentes no Brasil, foram utilizadas abordagens quantitativa e qualitativa em distintas fases do estudo. Estas est??o divididas em tr??s componentes: revis??o da literatura e documenta????o referentes ?? sa??de na fronteira; an??lise dos dados das gestantes do CMI e do SINASC de Foz do Igua??u; e entrevistas semiestruturadas com gestantes e informantes-chave brasileiros e paraguaios. Os principais achados deste estudo podem ser assim resumidos. O CMI ?? de fato utilizado pelas gestantes brasileiras que vivem no Paraguai. Seu comportamento frente ao processo de pr??-natal...

Efeito da sazonalidade do nascimento sobre a sa??de e nutri????o de crian??as e adultos jovens; Effects of seasonality at birth on asthma and pneumonia in the childhood and adult life

CHICA, David Alejandro Gonzalez
Fonte: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR Publicador: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR
Tipo: Dissertação Formato: application/octet-stream
Português
Relevância na Pesquisa
95.75%
This study evaluated the effects of the trimester of birth and of ambient temperature in the first six months of life on hospitalizations due to asthma and pneumonia in preschool children and on the diagnosis of asthma in adult life in individuals from the 1982 Pelotas (Brazil) Birth Cohort. This population-based cohort included 5,914 live births, of whom 75% were followed up until adulthood. The risk of hospitalization due to pneumonia and asthma among children born between April and June (months before the winter) was 1.31 (CI95% 0.99-1.73) to 2.4 (CI95% 1.11-4.99) times higher than that of children born between January and March (summer). The average temperature of the six first months of life was divided in tertiles; the risk of hospitalization was 1.64 (CI95% 1.26-2.13) to 3.16 (Ci95% 1.63-6.12) times higher in the coldest tertile compared to the hottest tertile. The effects of seasonality diminished with age and the association with asthma at 23-24 years was weak. Children from poor families showed a higher prevalence of hospitalization independent of birth season, but the effects of seasonality on pneumonia were more evident among children from wealthy families.; Avaliou-se os efeitos do trimestre do nascimento e da temperatura m??dia ambiental durante os seis primeiros meses de vida sobre as hospitaliza????es por asma e pneumonia em pr??-escolares e sobre o diagn??stico de asma em adultos pertencentes ?? coorte de nascimento de 1982 da cidade de Pelotas (RS)...

Determinantes e efeitos da continuidade na aten????o ?? sa??de: estudo de base populacional em Pelotas, RS.; Factors associated with interpersonal continuity of care: population-based study.

ROSA FILHO, Luiz Artur
Fonte: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR Publicador: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR
Tipo: Dissertação Formato: application/octet-stream
Português
Relevância na Pesquisa
95.76%
Aims: To study the prevalence of Interpersonal Continuity of Care (CIAS) and its socioeconomic and demographic determinants, as well as, those related to the health care and the persons health needs. Methods: It was developed a population-based cross-sectional study involving 3133 individuals of the urban area of Pelotas, RS. The studied sample included adults with 20 years or more and were selected in multiple steps. The multivariate analysis was performed trough Poisson regression. In the first level were the socioeconomic and demographic variables and in the proximal level were the health care and persons health needs. Results: The prevalence of CIAS was of 43,7% IC95% (42,0-45,5). Females, individuals with higher age, higher incomes, those who had consulted in the last year, those with chronic disease and the ones who had not consulted in the public health system had presented higher prevalence of CIAS. When analyzing those who had consulted in the Public Primary Health Care Services (UBS), females, older individuals and Family Health Program had higher prevalence of CIAS. Conclusion: The CIAS is more prevalent in the elderly and those with chronic illness. However, other vulnerable groups, as those with low income and users of the public health system...

Mudan??a da atividade f??sica na adolesc??ncia e seus preditores: um estudo prospectivo no Sul do Brasil; Change of physical activity in adolescence and its predictors: a prospective study in Southern Brazil

DUMITH, Samuel de Carvalho
Fonte: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR Publicador: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR
Tipo: Tese de Doutorado Formato: application/pdf
Português
Relevância na Pesquisa
95.77%
OBJECTIVES: The aim of this study was to evaluate the prevalence of physical activity and its correlates among adolescents aged 14-15 years. METHODS: A cross-sectional study was carried out in Pelotas, Southern Brazil, comprising 4325 individuals from the 1993 Birth Cohort. Physical activity was analyzed using three approaches: 1) prevalence of any leisure-time physical activity; 2) prevalence of any active commuting to school; 3) prevalence of engagement in at least 300 min/wk of a combination of both. The correlates examined included demographic, socioeconomic, behavioral, social and biological factors, as well as the number of leisure-time physical activities practiced. Statistical analyses were done through Poisson regression. RESULTS: The proportion of adolescents engaged in any leisure-time physical activity was 75.6%; and 73.4% were active commuters. Total physical activity prevalence (score  300 min/wk) was 48.2%, being higher for boys (62.6%) than girls (34.5%), and increasing linearly according to the number of physical activities performed (p<0.001). The correlates of physical activity according to the 300 min/wk threshold were: being non-white, having failed at school and time spent playing video games. Lower socioeconomic status...

Comparação da atividade física em adultos de Pelotas RS por um período de cinco anos; Comparison of physical activity in adults from Pelotas - RS for a period of five years

KNUTH, Alan Goularte
Fonte: Universidade Federal de Pelotas; Medicina; Programa de Pós-Graduação em Epidemiologia; UFPel; BR Publicador: Universidade Federal de Pelotas; Medicina; Programa de Pós-Graduação em Epidemiologia; UFPel; BR
Tipo: Dissertação Formato: application/pdf
Português
Relevância na Pesquisa
95.82%
Physical activity has mechanisms to interfere with people's health. The health status of an individual is composed of several factors (biological, mental, social, cultural, economic) which interfere with inter-related health condition, and these determinants are in constant dynamic states producing more or less healthy. Physical activity, considered modifiable behavior, plays a role in determining the health-disease process through multiple properties, for example, in a more organic in the sense of prevention and also treatment of morbidities. The individual engaged in a systematic program of physical activity may have a protective effect against chronic diseases, and protection against mortality. On the other hand, when the disease is established, physical activity is to assist in the treatment of various morbidities. In addition to biological properties, this phenomenon is able to establish or strengthen mechanisms of social interaction, favoring the integrated approach of people and training for such mechanisms are most often experienced by children, elderly groups, among others. Thus physical activity has been increased relevance in the context of public health, and thus know its evolution and determinants may be useful for public policy for the sector. In 2002...

Análise da expressão das proteínas META2, LRR17, STI1 e TSA em isolados de Leishmania (Viannia) braziliensis obtidos de pacientes com lesão cutânea ou mucosa; Analysis of protein expression of META2, LRR17, TSA and STI1 in isolates of Leishmania (Viannia) braziliensis obtained from patients with cutaneous or mucosal lesions

Ávila, Lucilla Ribeiro
Fonte: Universidade Federal de Goiás; Brasil; UFG; Programa de Pós-graduação em Medicina Tropical e Saúde Publica (IPTSP); Instituto de Patologia Tropical e Saúde Pública - IPTSP (RG) Publicador: Universidade Federal de Goiás; Brasil; UFG; Programa de Pós-graduação em Medicina Tropical e Saúde Publica (IPTSP); Instituto de Patologia Tropical e Saúde Pública - IPTSP (RG)
Tipo: Dissertação Formato: application/pdf
Português
Relevância na Pesquisa
95.76%
Introduction: Leishmania (Viannia) braziliensis is the most common etiologic agent of cutaneous leishmaniasis in Brazil. About 1 to 10% of patients infected with this species of parasite develop the mucosal leishmaniasis, whose lesions are progressive, destructive and are characterized by a strong specific immune response. The mechanisms for the development of mucosal leishmaniasis are poorly known, but it is possible that proteins associated with virulence of the parasite, such as META2 LRR17 and/or related with the induction of a strong immune response, such as STI and TSA, participate in the pathogenesis disease, causing the appearance of metastases in the mucosa. Objective: To evaluate the expression of proteins META2, LRR17, STI1 and TSA in promastigotes and amastigotes of Leishmania (Viannia) braziliensis derived from cutaneous or mucosal lesions. Methods: It was used three isolates from cutaneous lesions of patients (JCJ8c, and RPL5c SMB7c) and three isolates from mucosal lesions (ASL9m, and JBC8m PPS6m). Amastigotes of the isolates were obtained after inoculation of biopsies in mice knockout in interferon gamma and promastigotes in logarithmic or stationary phase obtained in culture in Grace's medium. The kinetics of growth in culture of isolates was performed by counting daily over ten days in the flow cytometer. The expression of proteins of each isolate was assessed by immunoblotting technique and by flow cytometry...