Base de dados : LILACS
Pesquisa : N03.219.521.346.506.564.663 [Categoria DeCS]
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Id: lil-769650
Autor: Puerari, Cláudia; Magalhães-Guedes, Karina Teixeira; Schwan, Rosane Freitas.
Título: Bacaba beverage produced by Umutina Brazilian Amerindians: Microbiological and chemical characterization
Fonte: Braz. j. microbiol;46(4):1207-1216, Oct.-Dec. 2015. tab, graf.
Idioma: en.
Resumo: Bacaba chicha is a beverage prepared by the indigenous Umutina people from the bacaba fruit (Oenocarpus bacaba), a purple berry that is rich in fat and carbohydrates, as well as a source of phenolic compounds. In this study, samples of bacaba chicha beverage were collected, and the microbial community was assessed using culture-dependent and -independent techniques. The nutritional composition and metabolite profiles were analyzed, and species belonging to lactic acid bacteria (LAB) and yeasts were detected. The LAB group detected by culture-dependent analysis included Enterococcus hormaechei and Leuconostoc lactis. Polymerase chain reaction and denaturing gradient gel electrophoresis (PCR-DGGE) detected additional Propionibacterium avidum, Acetobacter spp., and uncultured bacteria. Pichia caribbica and Pichia guilliermondii were detected in a culture-dependent method, and Pichia caribbica was confirmed by PCR-DGGE analysis. The pH value of the beverage was 6.2. The nutritional composition was as follows: 16.47 ± 0.73 g 100 mL-1 dry matter, 2.2 ± 0.0 g 100 mL-1 fat, 3.36 ± 0.44 g 100 mL-1 protein, and 10.87 ± 0.26 g 100 mL-1 carbohydrate. The metabolites detected were 2.69 g L-1 succinic acid, 0.9 g L-1 acetic acid, 0.49 g L-1 citric acid, 0.52 g L-1 ethanol, and 0.4 g L-1 glycerol. This is the first study to identify microbial diversity in bacaba chicha spontaneous fermentation. This study is also the starting step in the immaterial record of this Brazilian indigenous beverage prepared from bacaba fruit.
Descritores: Doença Crônica/economia
Custos de Cuidados de Saúde/estatística & dados numéricos
Gastos em Saúde/estatística & dados numéricos
Modelos Econométricos
Governo Estadual
-Absenteísmo
Centers for Disease Control and Prevention, U.S.
Efeitos Psicossociais da Doença
Classificação Internacional de Doenças
Medicaid/economia
Medicare/economia
Análise de Regressão
Estados Unidos
Limites: Humanos
Tipo de Publ: Research Support, U.S. Gov't, P.H.S.
Responsável: BR1.1 - BIREME


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Id: lil-757049
Autor: Gürkm, Asuman; Acar, Mehtap; Senel, Saliha.
Título: Características demográficas de pacientes con enfermedad de pie-mano-boca. Serie de casos atípicos / Demographic characteristics of patients with hand-foot-and-mouth disease. Atypical cases series
Fonte: Arch. argent. pediatr;113(4):e211-e214, ago. 2015. ilus, tab.
Idioma: es.
Resumo: La enfermedad de pie-mano-boca es un exantema frecuente en la niñez. Se han descrito varios tipos de lesiones de distribución generalizada en casos atípicos, aunque los datos sobre la predilección respecto de la localización de estas lesiones son insuficientes. Nuestro objetivo fue describir las características demográficas de los pacientes con esta enfermedad y caracterizar las localizaciones de las lesiones en pacientes con erupciones atípicas, tratadas en un centro ambulatorio de dermatología de un hospital pediátrico, entre noviembre de 2011 y agosto de 2013. Se incluyen a 67 pacientes en el estudio. La edad media de los pacientes fue de 34 meses con predominio de varones (60%). Todos los pacientes tuvieron erupciones en la boca, las manos y los pies. Los niños <24 meses se vieron afectados en la zona cubierta por el pañal y las extremidades, con un compromiso significativamente mayor en los que tenían entre 24 y 48 meses y en los >48 meses (p <0,0001 y p= 0,011, respectivamente). Ninguno de los pacientes tuvo complicaciones sistémicas graves.

Hand-foot-and-mouth disease (HFMD) is a common childhood exanthem. Various types of lesions and widespread distribution in atypical cases have been described, but data on the predilection of lesion localizations in atypical cases are insufficient. We aimed to describe the demographic features of patients with HFMD, and to characterize lesion localizations in patients with atypical eruptions treated at an outpatient dermatology clinic of a pediatric hospital, between November 2011 and August 2013.The study included 67 patients. Mean age of the patients was 34 months and there was a male predominance (60%). All the patients had eruptions on hands, feet, and mouth. Children aged <24 months had involvement of the diaper area and extremities, which was significantly higher than those aged 24-48 months and >48 months (P < 0.0001 and P= 0.011, respectively). None of the patients had serious systemic complications.
Descritores: Fraude/legislação & jurisprudência
-Georgia
Órgãos Governamentais
Responsabilidade Legal
Medicaid/legislação & jurisprudência
Medicare/legislação & jurisprudência
Autorreferência Médica/legislação & jurisprudência
Salários e Benefícios
Estados Unidos
Limites: Humanos
Responsável: AR1.2 - Instituto de Investigaciónes Epidemiológicas


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Id: lil-751379
Autor: José, Anderson; Dal Corso, Simone.
Título: Reproducibility of the six-minute walk test and Glittre ADL-test in patients hospitalized for acute and exacerbated chronic lung disease
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(3):235-242, May-Jun/2015. tab, graf.
Idioma: en.
Resumo: Background: The 6-minute walk test (6MWT) and the Glittre ADL-test (GT) are used to assess functional capacity and exercise tolerance; however, the reproducibility of these tests needs further study in patients with acute lung diseases. Objectives: The aim of this study was to investigate the reproducibility of the 6MWT and GT performed in patients hospitalized for acute and exacerbated chronic lung diseases. Method: 48 h after hospitalization, 81 patients (50 males, age: 52±18 years, FEV1: 58±20% of the predicted value) performed two 6MWTs and two GTs in random order on different days. Results: There was no difference between the first and second 6MWT (median 349 m [284-419] and 363 m [288-432], respectively) (ICC: 0.97; P<0.0001). A difference between the first and second tests was found in GT (median 286 s [220-378] and 244 s [197-323] respectively; P<0.001) (ICC: 0.91; P<0.0001). Conclusion: Although both the 6MWT and GT were reproducible, the best results occurred in the second test, demonstrating a learning effect. These results indicate that at least two tests are necessary to obtain reliable assessments. .
Descritores: Assistência ao Convalescente/estatística & dados numéricos
Planos de Pagamento por Serviço Prestado/estatística & dados numéricos
Medicare/economia
Readmissão do Paciente/estatística & dados numéricos
Centros de Reabilitação/estatística & dados numéricos
-Artroplastia de Substituição/reabilitação
Estudos de Coortes
Fraturas Ósseas/reabilitação
Pacientes Internados
Medicare/normas
Doenças do Sistema Nervoso/reabilitação
Alta do Paciente
Indicadores de Qualidade em Assistência à Saúde
Valores de Referência
Estudos Retrospectivos
Acidente Vascular Cerebral/reabilitação
Estados Unidos/epidemiologia
Limites: Idoso
Idoso de 80 Anos ou mais
Feminino
Humanos
Masculino
Tipo de Publ: Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.
Responsável: BR1.1 - BIREME


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Texto completo SciELO Saúde Pública
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Id: lil-618471
Autor: Vargas Bustamante, Arturo; Laugesen, Miriam; Caban, Mabel; Rosenau, Pauline.
Título: United States-Mexico cross-border health insurance initiatives: Salud Migrante and Medicare in Mexico / Iniciativas transfronterizas de seguro de salud entre México y los Estados Unidos: Salud Migrante y Medicare en México
Fonte: Rev. panam. salud pública = Pan am. j. public health;31(1):74-80, ene. 2012.
Idioma: en.
Resumo: While U.S. health care reform will most likely reduce the overall number of uninsured Mexican-Americans, it does not address challenges related to health care coverage for undocumented Mexican immigrants, who will remain uninsured under the measures of the reform; documented low-income Mexican immigrants who have not met the five-year waiting period required for Medicaid benefits; or the growing number of retired U.S. citizens living in Mexico, who lack easy access to Medicare-supported services. This article reviews two promising binational initiatives that could help address these challenges-Salud Migrante and Medicare in Mexico; discusses their prospective applications within the context of U.S. health care reform; and identifies potential challenges to their implementation (legal, political, and regulatory), as well as the possible benefits, including coverage of uninsured Mexican immigrants, and their integration into the U.S. health care system (through Salud Migrante), and access to lower-cost Medicare-supported health care for U.S. retirees in Mexico (Medicare in Mexico).

Aunque la reforma del sector sanitario de los Estados Unidos muy probablemente reducirá el número global de ciudadanos estadounidenses de origen mexicano sin cobertura de atención de la salud, esta reforma no afronta los problemas relacionados con esta cobertura para los inmigrantes mexicanos indocumentados, quienes seguirán sin tener seguro aun tras la aplicación de las medidas de la reforma; para los inmigrantes mexicanos documentados de bajos ingresos que no han cumplido el período de espera de cinco años requerido para recibir las prestaciones de Medicaid; o para el número cada vez mayor de ciudadanos estadounidenses jubilados que viven en México y no pueden acceder con facilidad a los servicios de Medicare. En este artículo se analizan dos iniciativas binacionales prometedoras que podrían ayudar a afrontar estos retos: Salud Migrante y Medicare en México. Se tratan además sus futuras aplicaciones dentro del contexto de la reforma del sector sanitario de los Estados Unidos y se señalan los posibles retos para su ejecución (legales, políticos y reglamentarios), al igual que las posibles prestaciones, como la cobertura de los inmigrantes mexicanos no asegurados y su integración en el sistema de atención de la salud de los Estados Unidos (mediante Salud Migrante), y el acceso a atención de la salud de bajo costo, con el apoyo de Medicare, para los jubilados estadounidenses residentes en México (Medicare en México).
Descritores: Emigrantes e Imigrantes
Emigração e Imigração
Cobertura do Seguro
Cooperação Internacional
Seguro Saúde/organização & administração
Medicare/organização & administração
Migrantes
-Emigrantes e Imigrantes/legislação & jurisprudência
Emigração e Imigração/legislação & jurisprudência
Reforma dos Serviços de Saúde/economia
Reforma dos Serviços de Saúde/legislação & jurisprudência
Acesso aos Serviços de Saúde/economia
Cobertura do Seguro/economia
Cobertura do Seguro/legislação & jurisprudência
Seguro Saúde/economia
Seguro Saúde/legislação & jurisprudência
Seguro Médico Ampliado/legislação & jurisprudência
Cooperação Internacional/legislação & jurisprudência
Americanos Mexicanos
México
Pessoas sem Cobertura de Seguro de Saúde/legislação & jurisprudência
Medicare/legislação & jurisprudência
Patient Protection and Affordable Care Act
Projetos Piloto
Pobreza/economia
Aposentadoria/economia
Migrantes/legislação & jurisprudência
Estados Unidos
Saúde Global/economia
Saúde Global/legislação & jurisprudência
Limites: Humanos
Responsável: BR1.1 - BIREME


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Id: lil-356194
Autor: McBean, A. M; Bubolz, T. A; Conde, J. G; Barosso, G. M.
Título: Use of Medicare services by elderly residents of Puerto Rico
Fonte: P. R. health sci. j;22(2):111-118, June 2003.
Idioma: en.
Resumo: OBJECTIVES: We describe hospitalization rates among Medicare beneficiaries resident in Puerto Rico compared to beneficiaries in the mainland U.S., in 1999. METHODS: A cross-sectional analysis using Medicare Denominator and hospitalization files. RESULTS: The rate ratio (PR/U.S.) of age, gender-adjusted hospitalizations among elderly Medicare beneficiaries with Part A coverage was 0.78, compared with 0.92 among beneficiaries with both Part A and Part B coverage. Among the latter, the rate ratios were 0.78 for surgical admissions, 1.08 for low-variation medical conditions, and 0.97 for high variation medical conditions. They were higher for younger elderly beneficiaries. CONCLUSIONS: Rates of hospitalization in Puerto Rico may be lower, the same or exceed those of the mainland U.S. depending on the age of the beneficiary and the type of hospitalization.
Descritores: Admissão do Paciente/estatística & dados numéricos
Alta do Paciente/estatística & dados numéricos
Medicare
Serviços de Saúde para Idosos
-Estudos Transversais
Grupos Diagnósticos Relacionados
IDOSO DE ACETABULARIA ANOS OU MAIS
Porto Rico/epidemiologia
Limites: Humanos
Masculino
Feminino
Idoso
Tipo de Publ: Estudo Comparativo
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.
Responsável: BR1.1 - BIREME


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Id: lil-323793
Autor: Wallece, Steven P; Enriquez-Haass, Vilma.
Título: Disponibilidad, accesibilidad y aceptabilidad en el sistema de atención médica en vías de cambio para los adultos mayores en los Estados Unidos / Availability, accessibility, and acceptability in the envolving health care system for older adults in the United States of America
Fonte: Rev. panam. salud pública = Pan am. j. public health;10(1):18-28, jul. 2001.
Idioma: es.
Descritores: Equidade no Acesso aos Serviços de Saúde
Medicare
-Planos de Sistemas de Saúde
Estados Unidos
Responsável: US1.1 - HQ Library


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Id: lil-304160
Autor: Redondo, Nélida.
Título: El colapso de las políticas sociales dirigidas a la vejez en la Argentina / The collapse of the socila politics devoted to the elderly in Argentina
Fonte: Rev. argent. gerontol. geriatr;21(4):145-56, dic. 2001. tab, graf.
Idioma: es.
Conferência: Apresentado em: Jornadas Argentinas de Estudios de Población, 6, Neuquén, 14-16 nov. 2001.
Descritores: Idoso
Argentina
Assistência à Saúde
Indicadores Econômicos
Medicare
Política Pública
Condições Sociais
Previdência Social
Estatística
Responsável: AR194.1 - Centro de Documentación e Información Bibliográfica en Tercera Edad


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Id: lil-234851
Autor: Suárez-Pérez, Erick; Sánchez-Ayéndez, Melba; Oliver-Vázquez, Marlen; Vélez Almodóvar, Hemilce; Rosario-Rosado, Rosa; Nazario-Delgado, Cruz.
Título: Knowledge and beliefs of breast cancer among elderly Puerto Rican women: validation process of scales
Fonte: P. R. health sci. j;17(4):365-73, Dec. 1998. tab.
Idioma: en.
Resumo: This paper presents the results of the validation process to determine the concepts for knowledge and beliefs about breast cancer early detection practices among Puerto Rican elderly women. An initial questionnaire was designed based on the scientific literature review and focus group experiences. To determine its reliability and validity, 50 elderly women, stratified by type of profession and place of residence, were interviewed twice. Consistency of the questionnaire was analyzed using binomial test, matched t-test, Pearson correlation coefficient, and Cronbach's coefficient effect. Factor analysis (FA) was the statistical technique used to analyze the grouping of the knowledge and beliefs statements. FA indicated that three scales for knowledge and one for beliefs can be constructed. The purpose of the scales was to identify differences among groups, according to breast cancer early detection practices. Construct validity was performed to determine the number of statistical associations between the scales and these practices. The results showed that beliefs scales was associated with practice of mammogram (p < 0.05), and visit to the gynecologist (p < 0.05) while the knowledge scale for early-detection was associated with the clinical breast examination (p < 0.05). The beliefs scale had better consistency than the knowledge scale. The Cronbach's alpha was 0.75 for the beliefs' scale and 0.30, 0.41 and 0.43 for each defined knowledge scale, respectively.
Descritores: Neoplasias da Mama/prevenção & controle
Conhecimentos, Atitudes e Prática em Saúde
-Fatores Etários
Idoso de 80 Anos ou mais
Atitude Frente a Saúde
Educação
Análise Fatorial
Entrevistas como Assunto
Mamografia
Medicare
Modelos Teóricos
Porto Rico
Inquéritos e Questionários
Fatores de Risco
Estados Unidos
Limites: Humanos
Feminino
Idoso
Tipo de Publ: Estudo Comparativo
Research Support, Non-U.S. Gov't
Responsável: BR1.1 - BIREME


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Id: lil-108081
Autor: De Andino, Richard M; Conde, José G; Mendoza, Margarita.
Título: Differences in patient mix: a partial explanation for the excessive medicare mortality observed in some Pueto Rican hospitals
Fonte: Bol. Asoc. Méd. P. R;83(8):329-32, ago. 1991. tab.
Idioma: en.
Resumo: Data from a census in a Puerto Rican community were used to retrospectively compare patients admitted to government hospitals in terms of demographic variables, mental status and functional status in the community prior to admission. A total of 268 patients admitted to a hospital at least once during the study period were identified. Patients admitted to government hospitals were poorer, less educated, less functional and had a higher level of mental impairment. However, in comparison to private hospitals, stratified analysis showed consistently higher in-hospital mortality rates among patients admitted to government hospitals when other variables were taken into account
Descritores: Grupos Diagnósticos Relacionados
Hospitais Federais
Hospitais Privados
Medicare
Mortalidade
-Fatores Etários
Grupos Diagnósticos Relacionados
Hospitais Federais
Hospitais Privados
Medicare
Porto Rico
Fatores Sexuais
Fatores Socioeconômicos
Estados Unidos
Responsável: BR1.1 - BIREME


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Id: lil-69728
Autor: Rivera Ofray, Crispulo M.
Título: Medicare: el reembolso a los médicos por servicios prestados
Fonte: Bol. Asoc. Méd. P. R;80(4):135-6, abr. 1988.
Idioma: es.
Descritores: Reembolso de Seguro de Saúde
Medicare
-Brasil
Honorários Médicos
Mecanismo de Reembolso
Sociedades Médicas
Responsável: BR1.1 - BIREME



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