Base de dados : MEDLINE
Pesquisa : N01.600.775 [Categoria DeCS]
Referências encontradas : 1756 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 176 ir para página                         

  1 / 1756 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29274211
[Au] Autor:Jakubas-Zawalska J; Asman M; Solarz K
[Ad] Endereço:Department of Parasitology, School of Pharmacy with the Division of Laboratory Medicine in Sosnowiec, Medical University of Silesia in Katowice, ul. Jednosci 8, 41-218 Sosnowiec, Poland
[Ti] Título:Sensitization to the storage mites Lepidoglyphus destructor and Tyrophagus putrescentiae (Acari, Sarcoptiformes, Astigmatina) in a suburban population in Southern Poland
[So] Source:Ann Parasitol;63(3):183-188, 2017.
[Is] ISSN:2299-0631
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:Mite infestation of stored products is a serious threat to food safety and public health. These stored product mites are not only serious pests of stored food but also cause allergies in humans. Thirty serum samples from patients living in suburban areas of Upper Silesia (South Poland) were tested for sensitization to two species of storage mites: Lepidoglyphus destructor [LD] and Tyrophagus putrescentiae [TP]. Patient antibodies against particular antigens were identified using anti-human anti-IgE monoclonal antibodies. Fifteen protein fractions from LD gave positive reactions with IgE antibodies and 18 from TP. Seven of the 30 samples showed positive reactions to a protein fraction measuring about 29 kDa from LD and six reacted with a fraction measuring about 25 kDa from TP. These findings may imply the existence of many protein fractions with allergenic properties besides the characterized allergens in the two tested species.
[Mh] Termos MeSH primário: Hipersensibilidade/epidemiologia
Hipersensibilidade/imunologia
Ácaros/imunologia
[Mh] Termos MeSH secundário: Alérgenos/imunologia
Alérgenos/metabolismo
Animais
Feminino
Seres Humanos
Masculino
Ácaros/metabolismo
Polônia/epidemiologia
População Suburbana
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Allergens)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171224
[St] Status:MEDLINE
[do] DOI:10.17420/ap6303.104


  2 / 1756 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27770375
[Au] Autor:Cheng S; Li E; Lok AS
[Ad] Endereço:College of Human Medicine, Michigan State University, 2019 965 Fee Rd. A110, East Lansing, MI, 48824, USA.
[Ti] Título:Predictors and Barriers to Hepatitis B Screening in a Midwest Suburban Asian Population.
[So] Source:J Community Health;42(3):533-543, 2017 Jun.
[Is] ISSN:1573-3610
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Despite guidelines recommending hepatitis B virus (HBV) screening among the Asian population, not all Asians are screened. We assessed barriers to and factors predicting HBV screening in Michigan. Adults residing in Southeast Michigan self-identifying as Asian were surveyed at Asian grocery stores, restaurants, churches, and community events. 404 persons participated in the survey, 54 % were women, median age was 51 years, 63 % were Chinese, and 93.8 % were born outside the U.S. 181 (44.8 %) had not or could not recall having been screened for HBV. Of these, 89 % said their primary care physicians (PCP) had never brought up screening. Unscreened participants were more likely to think HBV is genetically inherited and cannot be treated than those who had been screened. They were also more likely to think they should avoid close contact with others, would bring shame to their families, and lose their job, if found to be infected with HBV. Among 223 (55.2 %) who had been screened, 48 % said their PCP had the greatest influence in their decision to be screened and 70.9 % said they were screened at a doctor's visit. Screened participants were more likely to know someone with HBV, have a PCP, and have health insurance. Logistic regression analysis showed knowing someone with HBV was the only predictor for screening. Despite guidelines for HBV screening, only half of the Asian Americans surveyed had been screened. Increasing awareness among PCPs is needed to increase HBV screening in this population.
[Mh] Termos MeSH primário: Americanos Asiáticos
Conhecimentos, Atitudes e Prática em Saúde
Hepatite B/diagnóstico
Programas de Rastreamento/estatística & dados numéricos
Aceitação pelo Paciente de Cuidados de Saúde
[Mh] Termos MeSH secundário: Adulto
Americanos Asiáticos/psicologia
Americanos Asiáticos/estatística & dados numéricos
Estudos Transversais
Feminino
Seres Humanos
Masculino
Michigan/epidemiologia
Meia-Idade
Aceitação pelo Paciente de Cuidados de Saúde/psicologia
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
População Suburbana/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180111
[Lr] Data última revisão:
180111
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161023
[St] Status:MEDLINE
[do] DOI:10.1007/s10900-016-0285-4


  3 / 1756 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28719774
[Au] Autor:Duong DM; Nguyen AD; Nguyen CC; Le VT; Hoang SN; Bui HTT
[Ad] Endereço:1 Hanoi University of Public Health, Ha Noi, Vietnam.
[Ti] Título:A Secular Trend in Birth Weight and Delivery Practices in Periurban Vietnam During 2005-2012.
[So] Source:Asia Pac J Public Health;29(5_suppl):18S-24S, 2017 Jul.
[Is] ISSN:1941-2479
[Cp] País de publicação:China
[La] Idioma:eng
[Ab] Resumo:The remarkable increase in Vietnamese economic conditions can increase the birth weight in neonates and better delivery practices among women. The Chi Linh Health and Demographic Surveillance System started in 2004. An open cohort of data consisting of about 57 561 people from 17 993 households has been followed primarily with respect to demography, economy, and education. The aim of this research is to study secular trends in delivery practice and birth weight in the past decade (2005-2012) in Chi Linh. We found a significant change in delivery rates at hospitals and cesarean section rates, but the birth weights over a decade of drastic economic development were stable. Furthermore, the findings show significant associations of birth weight and delivery practices with the child's sex, mother's age, and household income. Our results might be considered as representative for other similar periurban settings in Vietnam. We suggest that appropriate policies should be developed given the reduction in the use of delivery services in commune health centers in urban areas.
[Mh] Termos MeSH primário: Peso ao Nascer
Cesárea/tendências
Parto Obstétrico/tendências
População Suburbana/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Parto Obstétrico/métodos
Desenvolvimento Econômico
Feminino
Seres Humanos
Renda/estatística & dados numéricos
Recém-Nascido
Masculino
Idade Materna
Gravidez
Fatores Sexuais
Vietnã
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170719
[St] Status:MEDLINE
[do] DOI:10.1177/1010539517718335


  4 / 1756 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28704434
[Au] Autor:Zahouli JBZ; Koudou BG; Müller P; Malone D; Tano Y; Utzinger J
[Ad] Endereço:Swiss Tropical and Public Health Institute, Basel, Switzerland.
[Ti] Título:Urbanization is a main driver for the larval ecology of Aedes mosquitoes in arbovirus-endemic settings in south-eastern Côte d'Ivoire.
[So] Source:PLoS Negl Trop Dis;11(7):e0005751, 2017 Jul.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Failure in detecting naturally occurring breeding sites of Aedes mosquitoes can bias the conclusions drawn from field studies, and hence, negatively affect intervention outcomes. We characterized the habitats of immature Aedes mosquitoes and explored species dynamics along a rural-to-urban gradient in a West Africa setting where yellow fever and dengue co-exist. METHODOLOGY: Between January 2013 and October 2014, we collected immature Aedes mosquitoes in water containers in rural, suburban, and urban areas of south-eastern Côte d'Ivoire, using standardized sampling procedures. Immature mosquitoes were reared in the laboratory and adult specimens identified at species level. PRINCIPAL FINDINGS: We collected 6,159, 14,347, and 22,974 Aedes mosquitoes belonging to 17, 8, and 3 different species in rural, suburban, and urban environments, respectively. Ae. aegypti was the predominant species throughout, with a particularly high abundance in urban areas (99.374%). Eleven Aedes larval species not previously sampled in similar settings of Côte d'Ivoire were identified: Ae. albopictus, Ae. angustus, Ae. apicoargenteus, Ae. argenteopunctatus, Ae. haworthi, Ae. lilii, Ae. longipalpis, Ae. opok, Ae. palpalis, Ae. stokesi, and Ae. unilineatus. Aedes breeding site positivity was associated with study area, container type, shade, detritus, water turbidity, geographic location, season, and the presence of predators. We found proportionally more positive breeding sites in urban (2,136/3,374, 63.3%), compared to suburban (1,428/3,069, 46.5%) and rural areas (738/2,423, 30.5%). In the urban setting, the predominant breeding sites were industrial containers (e.g., tires and discarded containers). In suburban areas, containers made of traditional materials (e.g., clay pots) were most frequently encountered. In rural areas, natural containers (e.g., tree holes and bamboos) were common and represented 22.1% (163/738) of all Aedes-positive containers, hosting 18.7% of the Aedes fauna. The predatory mosquito species Culex tigripes was commonly sampled, while Toxorhynchites and Eretmapodites were mostly collected in rural areas. CONCLUSIONS/SIGNIFICANCE: In Côte d'Ivoire, urbanization is associated with high abundance of Aedes larvae and a predominance of artificial containers as breeding sites, mostly colonized by Ae. aegypti in urban areas. Natural containers are still common in rural areas harboring several Aedes species and, therefore, limiting the impact of systematic removal of discarded containers on the control of arbovirus diseases.
[Mh] Termos MeSH primário: Aedes/crescimento & desenvolvimento
Larva/crescimento & desenvolvimento
Urbanização
[Mh] Termos MeSH secundário: Animais
Costa do Marfim/epidemiologia
Dengue/epidemiologia
Doenças Endêmicas
Feminino
Seres Humanos
Densidade Demográfica
População Rural
População Suburbana
População Urbana
Febre Amarela/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170714
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0005751


  5 / 1756 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28634248
[Au] Autor:Palakshappa D; Doupnik S; Vasan A; Khan S; Seifu L; Feudtner C; Fiks AG
[Ad] Endereço:Department of Pediatrics, PalakshappaD@email.chop.edu.
[Ti] Título:Suburban Families' Experience With Food Insecurity Screening in Primary Care Practices.
[So] Source:Pediatrics;140(1), 2017 Jul.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Food insecurity (FI) remains a major public health problem. With the rise in suburban poverty, a greater understanding of parents' experiences of FI in suburban settings is needed to effectively screen and address FI in suburban practices. METHODS: We conducted 23 semistructured interviews with parents of children <4 years of age who presented for well-child care in 6 suburban pediatric practices and screened positive for FI. In the interviews, we elicited parents' perceptions of screening for FI, how FI impacted the family, and recommendations for how practices could more effectively address FI. All interviews were audio recorded and transcribed. We used a modified grounded theory approach to code the interviews inductively and identified emerging themes through an iterative process. Interviews continued until thematic saturation was achieved. RESULTS: Of the 23 parents interviewed, all were women, with 39% white and 39% African American. Three primary themes emerged: Parents expressed initial surprise at screening followed by comfort discussing their unmet food needs; parents experience shame, frustration, and helplessness regarding FI, but discussing FI with their clinician helped alleviate these feelings; parents suggested practices could help them more directly access food resources, which, depending on income, may not be available to them through government programs. CONCLUSIONS: Although most parents were comfortable discussing FI, they felt it was important for clinicians to acknowledge their frustrations with FI and facilitate access to a range of food resources.
[Mh] Termos MeSH primário: Família
Abastecimento de Alimentos/estatística & dados numéricos
Atenção Primária à Saúde
[Mh] Termos MeSH secundário: Adulto
Pré-Escolar
Seres Humanos
Lactente
Meia-Idade
Philadelphia
Estudos Prospectivos
População Suburbana
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170622
[St] Status:MEDLINE


  6 / 1756 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28570899
[Au] Autor:Shahsavani S; Hoseini M; Dehghani M; Fararouei M
[Ad] Endereço:Department of Environmental Health Engineering, School of Health, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
[Ti] Título:Characterisation and potential source identification of polycyclic aromatic hydrocarbons in atmospheric particles (PM ) from urban and suburban residential areas in Shiraz, Iran.
[So] Source:Chemosphere;183:557-564, 2017 Sep.
[Is] ISSN:1879-1298
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Polycyclic aromatic hydrocarbons (PAHs) are a generally hazardous class of organic compounds that are identified as toxic, carcinogenic, mutagenic, and teratogenic, and are considered to be a concern for human health because of their potential for causing adverse health effects. The present study aims to determine the atmospheric concentration and potential sources of particulate-bound PAHs in urban and suburban atmospheric particulate matter (PM10) in Shiraz, Iran. Ambient air samples were collected from urban and suburban areas using a SKC sampling pump equipped with a size-selective air intake during the spring of 2015. The mean PM10 concentration at the urban station (62.73 ± 23.38 µg m ) was higher than that at the suburban station (60.88 ± 31.03 µg m ). The mean (±SD) concentrations of the 16 total PAHs in the particulate phase were 19.28 ± 7.48 ng m and 17.80 ± 9.17 ng m at the urban and suburban stations, respectively. Among different types of PAHs, phenanthrene had the highest concentration in both stations. Various diagnostic ratios have been suggested, which were used in this study for identification of PAHs' sources. The results of these diagnostics showed that in Shiraz, the most dominant sources of PAHs were traffic emissions, especially vehicle emissions and petroleum automobiles emissions.
[Mh] Termos MeSH primário: Poluentes Atmosféricos/análise
Monitoramento Ambiental/métodos
Material Particulado/análise
Hidrocarbonetos Aromáticos Policíclicos/análise
Emissões de Veículos/análise
[Mh] Termos MeSH secundário: Seres Humanos
Irã (Geográfico)
Tamanho da Partícula
Estações do Ano
População Suburbana
Urbanização
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Air Pollutants); 0 (Particulate Matter); 0 (Polycyclic Aromatic Hydrocarbons); 0 (Vehicle Emissions)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170602
[St] Status:MEDLINE


  7 / 1756 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28306717
[Au] Autor:Castillo-Neyra R; Brown J; Borrini K; Arevalo C; Levy MZ; Buttenheim A; Hunter GC; Becerra V; Behrman J; Paz-Soldan VA
[Ad] Endereço:Department of Biostatistics and Epidemiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States of America.
[Ti] Título:Barriers to dog rabies vaccination during an urban rabies outbreak: Qualitative findings from Arequipa, Peru.
[So] Source:PLoS Negl Trop Dis;11(3):e0005460, 2017 Mar.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Canine rabies was reintroduced to the city of Arequipa, Peru in March 2015. The Ministry of Health has conducted a series of mass dog vaccination campaigns to contain the outbreak, but canine rabies virus transmission continues in Arequipa's complex urban environment, putting the city's 1 million inhabitants at risk of infection. The proximate driver of canine rabies in Arequipa is low dog vaccination coverage. Our objectives were to qualitatively assess barriers to and facilitators of rabies vaccination during mass campaigns, and to explore strategies to increase participation in future efforts. METHODOLOGY/PRINCIPAL FINDINGS: We conducted 8 focus groups (FG) in urban and peri-urban communities of Mariano Melgar district; each FG included both sexes, and campaign participants and non-participants. All FG were transcribed and then coded independently by two coders. Results were summarized using the Social Ecological Model. At the individual level, participants described not knowing enough about rabies and vaccination campaigns, mistrusting the campaign, and being unable to handle their dogs, particularly in peri-urban vs. urban areas. At the interpersonal level, we detected some social pressure to vaccinate dogs, as well as some disparaging of those who invest time and money in pet dogs. At the organizational level, participants found the campaign information to be insufficient and ill-timed, and campaign locations and personnel inadequate. At the community level, the influence of landscape and topography on accessibility to vaccination points was reported differently between participants from the urban and peri-urban areas. Poor security and impermanent housing materials in the peri-urban areas also drives higher prevalence of guard dog ownership for home protection; these dogs usually roam freely on the streets and are more difficult to handle and bring to the vaccination points. CONCLUSIONS: A well-designed communication campaign could improve knowledge about canine rabies. Timely messages on where and when vaccination is occurring could increase dog owners' perception of their own ability to bring their dogs to the vaccination points and be part of the campaign. Small changes in the implementation of the campaign at the vaccination points could increase the public's trust and motivation. Location of vaccination points should take into account landscape and community concerns.
[Mh] Termos MeSH primário: Surtos de Doenças
Doenças do Cão/epidemiologia
Doenças do Cão/prevenção & controle
Acesso aos Serviços de Saúde
Vacinas Antirrábicas/administração & dosagem
Raiva/veterinária
Vacinação/utilização
[Mh] Termos MeSH secundário: Animais
Transmissão de Doença Infecciosa/prevenção & controle
Doenças do Cão/transmissão
Cães
Feminino
Grupos Focais
Masculino
Propriedade
Peru/epidemiologia
Raiva/epidemiologia
Raiva/prevenção & controle
Raiva/transmissão
População Suburbana
População Urbana
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Rabies Vaccines)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170619
[Lr] Data última revisão:
170619
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170318
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0005460


  8 / 1756 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28296882
[Au] Autor:Lindahl-Rajala E; Hoffman T; Fretin D; Godfroid J; Sattorov N; Boqvist S; Lundkvist Å; Magnusson U
[Ad] Endereço:Department of Clinical Sciences, Division of Reproduction, Swedish University of Agricultural Sciences, Uppsala, Sweden.
[Ti] Título:Detection and characterization of Brucella spp. in bovine milk in small-scale urban and peri-urban farming in Tajikistan.
[So] Source:PLoS Negl Trop Dis;11(3):e0005367, 2017 Mar.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Brucellosis is one of the most common zoonoses globally, and Central Asia remains a Brucella hotspot. The World Health Organization classifies brucellosis as a neglected zoonotic disease that is rarely in the spotlight for research and mainly affects poor, marginalized people. Urban and peri-urban farming is a common practice in many low-income countries, and it increases the incomes of families that are often restrained by limited economic resources. However, there is a concern that the growing number of people and livestock living close together in these areas will increase the transmission of zoonotic pathogens such as Brucella. This study investigates the presence of Brucella DNA in bovine milk in the urban and peri-urban area of Dushanbe, Tajikistan. Brucella DNA was detected in 10.3% of 564 cow milk samples by IS711-based real-time PCR. This finding is concerning because consumption of unpasteurized dairy products is common in the region. Furthermore, Brucella DNA was detected in the milk of all seropositive cows, but 8.3% of the seronegative cows also showed the presence of Brucella DNA. In addition, sequence analysis of the rpoB gene suggests that one cow was infected with B. abortus and another cow was most likely infected with B. melitensis. The discrepancies between the serology and real-time PCR results highlight the need to further investigate whether there is a need for implementing complementary diagnostic strategies to detect false serological negative individuals in Brucella surveillance, control, and eradication programmes. Furthermore, vaccination of cattle with S19 in addition to vaccination of small ruminants with Rev 1 might be needed in order to control Brucella infections in the livestock population but further research focusing on the isolation of Brucella is required to obtain a comprehensive understanding of the Brucella spp. circulating among the livestock in this region.
[Mh] Termos MeSH primário: Agricultura
Brucella/classificação
Brucella/isolamento & purificação
DNA Bacteriano/isolamento & purificação
Leite/microbiologia
[Mh] Termos MeSH secundário: Animais
Brucella/genética
Bovinos
DNA Bacteriano/genética
RNA Polimerases Dirigidas por DNA/genética
Seres Humanos
Prevalência
Reação em Cadeia da Polimerase em Tempo Real
Análise de Sequência de DNA
População Suburbana
Tadjiquistão
População Urbana
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (DNA, Bacterial); EC 2.7.7.6 (DNA-Directed RNA Polymerases); EC 2.7.7.6 (RNA polymerase beta subunit)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170619
[Lr] Data última revisão:
170619
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170316
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0005367


  9 / 1756 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28159132
[Au] Autor:Pallangyo EN; Mbekenga C; Källestål C; Rubertsson C; Olsson P
[Ad] Endereço:School of Nursing and Midwifery/TIHE, Aga Khan University, P.O. Box 38129, Ufukoni Road, Dar es Salaam, Tanzania; International Maternal and Child Health/IMCH, Department of Women's and Children's Health, Uppsala University, Akademiska Sjukhuset, SE 751 85 Uppsala, Sweden. Electronic address: eunice
[Ti] Título:"If really we are committed things can change, starting from us": Healthcare providers' perceptions of postpartum care and its potential for improvement in low-income suburbs in Dar es Salaam, Tanzania.
[So] Source:Sex Reprod Healthc;11:7-12, 2017 Mar.
[Is] ISSN:1877-5764
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To explore healthcare providers' perceptions of the current postpartum care (PPC) practice and its potential for improvement at governmental health institutions in low-resource suburbs in Dar es Salaam, Tanzania. DESIGN: Qualitative design, using focus group discussions (8) and qualitative content analysis. SETTING: Healthcare institutions (8) at three levels of governmental healthcare in Ilala and Temeke suburbs, Dar es Salaam. PARTICIPANTS: Registered, enrolled and trained nurse-midwives (42); and medical and clinical officers (13). RESULTS: The healthcare providers perceived that PPC was suboptimal and that they could have prevented maternal deaths. PPC was fragmented at understaffed institutions, lacked guidelines and was organized in a top-down structure of leadership. The participants called for improvement of: organization of space, time, resources, communication and referral system; providers' knowledge; and supervision and feedback. Their motivation to enhance PPC quality was high. KEY CONCLUSIONS: The HCP awareness of the suboptimal quality of PPC, its potential for promoting health and their willingness to engage in improving care are promising for the implementation of interventions to improve quality of care. Provision of guidelines, sensitization of providers to innovate and maximize utilization of existing resources, and supportive supervision and feedback are likely to contribute to the sustainability of any improvement.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Assistência à Saúde/normas
Cuidado Pós-Natal/normas
Pobreza
Melhoria de Qualidade
Qualidade da Assistência à Saúde
[Mh] Termos MeSH secundário: Adulto
Cidades
Feminino
Grupos Focais
Instalações de Saúde
Pessoal de Saúde
Seres Humanos
Renda
Morte Materna
Meia-Idade
Enfermeiras Obstétricas
Gravidez
Pesquisa Qualitativa
População Suburbana
Tanzânia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170621
[Lr] Data última revisão:
170621
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170205
[St] Status:MEDLINE


  10 / 1756 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28106526
[Au] Autor:Walewska-Zielecka B; Religioni U; Juszczyk G; Wawrzyniak ZM; Czerw A; Soszynski P; Fronczak A
[Ad] Endereço:Department of Public Health, Medical University of Warsaw, Poland.
[Ti] Título:Anti-hepatitis C virus seroprevalence in the working age population in Poland, 2004 to 2014.
[So] Source:Euro Surveill;22(2), 2017 Jan 12.
[Is] ISSN:1560-7917
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:Hepatitis C virus (HCV) infection is considered by the World Health Organization (WHO) to be a serious public health concern and one of the major public health priorities. In 2005, it was estimated that there are 185 million anti-HCV positive people in the world, which constitutes 2.8% of the global population. Our study estimates the anti-HCV seroprevalence in the working age population (15-64 years-old), mostly urban and suburban residents, in Poland from 2004 to 2014. The studied group consisted of 61,805 working-age population representatives whose data were obtained from electronic medical records of an outpatient clinic network operating on a countrywide level. Positive anti-HCV test results were obtained in 957 patients, representing 1.5% of the whole population studied throughout the analysed period. The average age of all anti-HCV positive patients was 36.8 years. Analysis of the data suggests that the proportion of anti-HCV positive patients decreased over the study period (mean positive anti-HCV = -0.0017 × year + 3.3715; R = 0.7558). In 2004, positive results were noted among 3.2% of patients undergoing HCV antibody tests, but in 2014, the percentage of patients with a positive result stood at 1.1%. The apparent decrease affected men and women similarly. Our study also provides evidence that screening people born before 1965 could be beneficial.
[Mh] Termos MeSH primário: Anticorpos Antivirais/sangue
Hepacivirus/isolamento & purificação
Hepatite C/epidemiologia
Vigilância da População/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Distribuição por Idade
Registros Eletrônicos de Saúde
Feminino
Hepacivirus/genética
Hepatite C/diagnóstico
Seres Humanos
Masculino
Meia-Idade
Polônia/epidemiologia
Prevalência
Estudos Soroepidemiológicos
Testes Sorológicos
População Suburbana
População Urbana
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antibodies, Viral)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170121
[St] Status:MEDLINE



página 1 de 176 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde