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[PMID]: 29446573 [Au] Autor: Rukavishnikov VS; Kolycheva IV; Lakhman OL [Ti] Título: [Modern aspects of the conservation and promotion of health of firefighters]. [So] Source: Gig Sanit;95(12):1175-9, 2016. [Is] ISSN: 0016-9900 [Cp] País de publicação: Russia (Federation) [La] Idioma: rus [Ab] Resumo: On the basis of complex hygienic studies there were determined conditions of the work of firefighters in liquidation of foci of fires at the incipient stage, identified the complex of toxic substances, their quantitative content in the area of the smoke of fires. The analysis of the etiological role of occupational factors in the shaping of the morbidity and the physiological and clinical manifestations, established indices of the risk for occupational and industrial-caused pathology have allowed to substantiate the relationship of a number of nosological forms associated with working conditions of firefighters. There was developed a system of preventive activities for the promotion and preservation of the health of firefighters, as well as a conceptual model for monitoring of working conditions and state of health. [Mh] Termos MeSH primário: Bombeiros Doenças Profissionais Serviços Preventivos de Saúde/organização & administração Lesão por Inalação de Fumaça [Mh] Termos MeSH secundário: Adulto Seres Humanos Masculino Doenças Profissionais/etiologia Doenças Profissionais/fisiopatologia Doenças Profissionais/prevenção & controle Exposição Ocupacional/efeitos adversos Exposição Ocupacional/análise Exposição Ocupacional/prevenção & controle Saúde do Trabalhador/normas Medição de Risco Sibéria/epidemiologia Lesão por Inalação de Fumaça/etiologia Lesão por Inalação de Fumaça/fisiopatologia Lesão por Inalação de Fumaça/prevenção & controle [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180309 [Lr] Data última revisão: 180309 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180216 [St] Status: MEDLINE

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[PMID]: 29446273 [Au] Autor: Boyarskaya LA; Vil'ms EA; Turchaninov DV; Bogdashin IV; Erofeev YV [Ti] Título: [Hygienic substantiation of application of functional dairy products in the prevention of macro- and micronutrient deficiency]. [So] Source: Gig Sanit;95(11):1095-9, 2016. [Is] ISSN: 0016-9900 [Cp] País de publicação: Russia (Federation) [La] Idioma: rus [Ab] Resumo: Based on the study of actual nutrition and availability of macroelements there was found that adult population of the city of Omsk was established to refer to the group at risk for the development of micronutrient deficiency associated with low content of a set of essential elements (copper, zinc, calcium, selenium) in the ration, being prior for correction.There was executed the hygienic substantiation developed the fermented acid milk bioproduct of a functional purpose "Bifidin" enriched with micronutrients, prior for the population of the Omsk region. Introduction of this bio-product into the ration allows to effectively correct disorders of the mineral status, that was manifested in a decline in the proportion of patients with insufficiency of calcium (from 37.9 to 24.1%; p = 0.013), copper (from 51.7 to 25.9%; p = 0.004), selenium (from 96.6 to 84.5%; p = 0.026), zinc (from 58.6 to 48.3% of the subjects; p = 0.264). Upon the completion of the prophylactic course (intake "Bifidin" of 200 ml for 60 days), there was noted the gain in the concentration in hair: calcium (by 24.4%; p=0.441), zinc (by 8.0%; p=0.0008), copper (by 8.8%; p < 0.001), selenium (by 41.5%; p < 0.001). There was established the efficacy of the use of bio-product "Bifidin" enriched with micronutrients for the improvement of the structure of nutrition and element status of the adult population of the city of Omsk. There was justified the extensive use of dairy products enriched with micronutrients both for the reduction of the prevalence of microelementoses and the improvement of the nutritional status. [Mh] Termos MeSH primário: Laticínios Deficiências Nutricionais Suplementos Nutricionais Comportamento Alimentar Micronutrientes/análise Oligoelementos/análise [Mh] Termos MeSH secundário: Adulto Deficiências Nutricionais/diagnóstico Deficiências Nutricionais/epidemiologia Deficiências Nutricionais/prevenção & controle Feminino Cabelo/química Seres Humanos Masculino Necessidades Nutricionais/fisiologia Estado Nutricional Serviços Preventivos de Saúde/métodos Sibéria/epidemiologia [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Micronutrients); 0 (Trace Elements) [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180309 [Lr] Data última revisão: 180309 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180216 [St] Status: MEDLINE

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[PMID]: 28465301 [Au] Autor: Ritchey MD; Loustalot F; Wall HK; Steiner CA; Gillespie C; George MG; Wright JS [Ad] Endereço: Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, GA hha7@cdc.gov. [Ti] Título: Million Hearts: Description of the National Surveillance and Modeling Methodology Used to Monitor the Number of Cardiovascular Events Prevented During 2012-2016. [So] Source: J Am Heart Assoc;6(5), 2017 May 02. [Is] ISSN: 2047-9980 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: This study describes the national surveillance and modeling methodology developed to monitor achievement of the Million Hearts initiative's aim of preventing 1 million acute myocardial infarctions, strokes, and other related cardiovascular events during 2012-2016. METHODS AND RESULTS: We calculate sex- and age-specific cardiovascular event rates (combination of emergency department, hospitalization, and death events) among US adults aged ≥18 from 2006 to 2011 and, based on log-linear models fitted to the rates, calculate their annual percent change. We describe 2 baseline strategies to be used to compare observed versus expected event totals during 2012-2016: (1) assume no rate changes, with modeled 2011 rates held constant through 2016; and (2) assume 2006-2011 rate trends will continue, with the annual percent changes applied to the modeled 2011 rates to calculate expected 2012-2016 rates. Events prevented estimates during 2012-2013 were calculated using available data: 115 210 (95% CI, 60 858, 169 562) events were prevented using stable baselines and an excess of 43 934 (95% CI, -14 264, 102 132) events occurred using trend baselines. Women aged ≥75 had the most events prevented (stable, 76 242 [42 067, 110 417]; trend, 39 049 [1901, 76 197]). Men aged 45 to 64 had the greatest number of excess events (stable, 22 912 [95% CI, 855, 44 969]; trend, 38 810 [95% CI, 15 567, 62 053]). CONCLUSIONS: Around 115 000 events were prevented during the initiative's first 2 years compared with what would have occurred had 2011 rates remained stable. Recent flattening or reversals in some event rate trends were observed supporting intensifying national action to prevent cardiovascular events. [Mh] Termos MeSH primário: Doenças Cardiovasculares/prevenção & controle Serviços Preventivos de Saúde/tendências [Mh] Termos MeSH secundário: Adolescente Adulto Distribuição por Idade Idoso Idoso de 80 Anos ou mais Doenças Cardiovasculares/diagnóstico Doenças Cardiovasculares/mortalidade Bases de Dados Factuais Feminino Pesquisas sobre Serviços de Saúde Mortalidade Hospitalar/tendências Seres Humanos Masculino Meia-Idade Prognóstico Fatores de Proteção Fatores de Risco Distribuição por Sexo Fatores de Tempo Estados Unidos/epidemiologia Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [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: 170504 [St] Status: MEDLINE

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[PMID]: 28450414 [Au] Autor: Bohlouli B; Jackson TJ; Tonelli M; Hemmelgarn B; Klarenbach S [Ad] Endereço: Department of Medicine, University of Alberta, Edmonton, Alberta. [Ti] Título: Adverse Outcomes Associated with Preventable Complications in Hospitalized Patients with CKD. [So] Source: Clin J Am Soc Nephrol;12(5):799-806, 2017 May 08. [Is] ISSN: 1555-905X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: Patients with CKD are at risk of hospital-acquired complications (HACs). We sought to determine the association of preventable HACs with mortality, length of stay (LOS), and readmission. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: All adults hospitalized from April of 2003 to March of 2008 in Alberta were characterized by kidney function and occurrence of preventable HACs. CKD was defined by eGFR<60 ml/min per 1.73 m and/or albumin-to-creatinine ratio >3-30 mg/mmol for >3 months in the time frame from 365 to 90 days before admission. Regression models examined the association of HACs with outcomes. RESULTS: Of 536,549 hospitalizations, 8.5% ( =45,733) had CKD and 9.8% of patients with CKD had one or more potentially preventable HAC. In patients with potentially preventable HACs, proportions of death within index hospitalization and from discharge to 90 days were 17.7% and 6.8%, respectively. In patients with CKD, comparing with those hospitalizations without potentially preventable HACs, the adjusted odds ratio (OR) of mortality during index hospitalization and from hospital discharge to 90 days in patients with one or more preventable HAC was 4.67 (95% confidence interval [95% CI], 4.17 to 5.22) and 1.08 (95% CI, 0.94 to 1.25), respectively. Median incremental LOS in patients with one or more preventable HAC was 9.86 days (95% CI, 9.25 to 10.48). The OR for readmission with preventable HAC was 1.24 (95% CI, 1.15 to 1.34). In a cohort with and without CKD, the adjusted ORs of mortality during index hospitalization in patients with CKD and no preventable HACs, patients without CKD and with preventable HACs, and patients with CKD and preventable HACs were 2.22 (95% CI, 1.69 to 2.94), 5.26 (95% CI, 4.98 to 5.55), and 9.56 (95% CI, 7.23 to 12.56), respectively (referenced to patients without CKD or preventable HACs). CONCLUSIONS: Preventable HACs are associated with higher mortality, incremental LOS, and greater risk of readmission, especially in people with CKD. Targeted strategies to reduce complications should be a high priority. [Mh] Termos MeSH primário: Doença Iatrogênica Admissão do Paciente Insuficiência Renal Crônica/complicações [Mh] Termos MeSH secundário: Idoso Idoso de 80 Anos ou mais Alberta Albuminúria/etiologia Biomarcadores/urina Creatinina/urina Feminino Taxa de Filtração Glomerular Mortalidade Hospitalar Seres Humanos Doença Iatrogênica/prevenção & controle Rim/fisiopatologia Tempo de Internação Masculino Meia-Idade Readmissão do Paciente Serviços Preventivos de Saúde Insuficiência Renal Crônica/diagnóstico Insuficiência Renal Crônica/mortalidade Insuficiência Renal Crônica/terapia Medição de Risco Fatores de Risco Fatores de Tempo [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Biomarkers); AYI8EX34EU (Creatinine) [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: 170429 [St] Status: MEDLINE [do] DOI: 10.2215/CJN.09410916

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[PMID]: 29412546 [Au] Autor: Kolomiets ND; Mokhort TV; Fedorenko EV; Mokhort EG; Petrenko SV [Ti] Título: [The problem of iodine deficiency and its solution in the republic of Belarus]. [So] Source: Gig Sanit;95(5):417-21, 2016. [Is] ISSN: 0016-9900 [Cp] País de publicação: Russia (Federation) [La] Idioma: rus [Ab] Resumo: The problem of iodine deficiency is relevant to the Republic of Belarus. It's confirmed by virtually commonly found geophysical iodine deficiency in soils and waters. Data on iodine deficiency initiated the development of a state strategy for the elimination of iodine deficiency in the population. This strategy determined the mandatory use of iodized salt only in the country in the food industry and catering as the main event for the elimination of iodine deficiency. The aim of this work was a comprehensive evaluation of the results of the implementation of the strategy for elimination of iodine deficiency among the population of the Republic of Belarus. Medical monitoring of the assessment of the efficacy showed the decrease in the incidence of simple non-toxic goiter in adolescents from 1215,23 per 100,000 population in 1998 to 341,25 in 2013 (3.6 times), and indices ofprimary morbidity rate in children fell by 2.9 times. Over the period from 1998 primary morbidity rate of simple nontoxic goiter decreased significantly in adults from 379.9 to 31,71 people per 100,000 of the population in 2013 respectively (almost 12 times). Data of the assessment of ioduria in Belarus indicate that 89.2% of children enrolled in the study have iodine excretion of more than 100 pg/L. Thus, in the Republic of Belarus there was achieved the level of an adequate intake of iodine with foodstuffs. This model ofprevention of iodine deficiency, as well as the traditional approach based on the adoption of the law, is a versatile and cost-effective mode. [Mh] Termos MeSH primário: Deficiências Nutricionais Iodo/farmacologia Cloreto de Sódio na Dieta/farmacologia [Mh] Termos MeSH secundário: Adolescente Adulto Criança Deficiências Nutricionais/epidemiologia Deficiências Nutricionais/etiologia Deficiências Nutricionais/prevenção & controle Feminino Seres Humanos Iodo/análise Iodo/deficiência Masculino Prevalência Serviços Preventivos de Saúde/métodos Serviços Preventivos de Saúde/organização & administração República da Bielorrússia/epidemiologia [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Sodium Chloride, Dietary); 0 (iodized salt); 9679TC07X4 (Iodine) [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180301 [Lr] Data última revisão: 180301 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180208 [St] Status: MEDLINE

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[PMID]: 29419693 [Au] Autor: Ozdogu H; Boga C; Asma S; Kozanoglu I; Gereklioglu C; Yeral M; Buyukkurt NT; Solmaz S; Korur A; Aytan P; Maytalman E; Kasar M [Ad] Endereço: Adana Adult Bone Marrow Transplantation Center, University Hospital of Baskent, Adana. [Ti] Título: Organ damage mitigation with the Baskent Sickle Cell Medical Care Development Program (BASCARE). [So] Source: Medicine (Baltimore);97(6):e9844, 2018 Feb. [Is] ISSN: 1536-5964 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: The Eastern Mediterranean is among the regions where sickle cell disease (SCD) is common. The morbidity and mortality of this disease can be postponed to adulthood through therapies implemented in childhood. The present study focuses on the organ damage-reducing effects of the Baskent Sickle Cell Medical Care Development Program (BASCARE), which was developed by a team who lives in this region and has approximately 25 years of experience. The deliverables of the program included the development of an electronic health recording system (PRANA) and electronic vaccination system; the use of low citrate infusion in routine prophylactic automatic erythrocyte exchange (ARCE) programs including pregnant women; the use of leukocyte-filtered and irradiated blood for transfusion; the use of magnetic resonance imaging methods (T2) for the management of transfusion-related hemosiderosis; and the implementation of an allogeneic hematopoietic stem cell transplantation protocol for adult patients. The sample was composed of 376 study subjects and 249 control subjects. The hospital's Data Management System and the central population operating system were used for data collection. BASCARE enabled better analysis and interpretation of complication and mortality data. Vaccination rates against influenza and pneumococcal disease improved (21.5% vs 50.8% and 21.5% vs 49.2%, respectively). Effective and safe ARCE with low citrate infusion were maintained in 352 subjects (1003 procedures). Maternal and fetal mortality was prevented in 35 consecutive pregnant patients with ARCE. Chelating therapy rates reduced from 6.7% to 5%. Successful outcomes could be obtained in all 13 adult patients who underwent allogeneic peripheral stem cell transplantation from a fully matched, related donor. No patients died by day 100 or after the first year. Cure could be achieved without graft loss, grades III to IV acute graft versus host disease, extensive chronic graft versus host disease, or other major complications. The BASCARE program significantly improved patient care and thereby prolonged the life span of SCD patients (42 ± 13 years vs 29 ±â€Š7 years, P < .001). We may recommend using such individualized programs in centers that provide health care for patients with SCD, in accordance with holistic approach due to the benign nature but malignant course of the disease. [Mh] Termos MeSH primário: Anemia Falciforme Avaliação de Processos e Resultados (Cuidados de Saúde)/estatística & dados numéricos Administração dos Cuidados ao Paciente [Mh] Termos MeSH secundário: Adulto Anemia Falciforme/epidemiologia Anemia Falciforme/terapia Registros Eletrônicos de Saúde/organização & administração Feminino Seres Humanos Lactente Masculino Meia-Idade Mortalidade Administração dos Cuidados ao Paciente/métodos Administração dos Cuidados ao Paciente/organização & administração Administração dos Cuidados ao Paciente/estatística & dados numéricos Gravidez Serviços Preventivos de Saúde/métodos Desenvolvimento de Programas Turquia/epidemiologia [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180214 [Lr] Data última revisão: 180214 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 180209 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000009844

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[PMID]: 29182823 [Au] Autor: Vranesic Bender D; Giljevic Z; Kusec V; Laktasic Zerjavic N; Bosnjak Pasic M; Vrdoljak E; Lkinas Kelecic Dina; Reiner Z; Anic B; Krznaric Z [Ti] Título: GUIDELINES FOR THE PREVENTION, DETECTION AND THERAPY OF VITAMIN D DEFICIENCY IN ADULTS. [So] Source: Lijec Vjesn;138(5-6):121-132, 2016 May. [Is] ISSN: 0024-3477 [Cp] País de publicação: Croatia [La] Idioma: eng [Ab] Resumo: It is estimated that over one billion of people around the globe have low serum values of vitamin D, therefore, we can consider vitamin D deficiency as a pandemic and public health problem. Geographic position of Croatia, especially the continental part of the country, is a risk factor for the development of deficiency of vitamin D in the population. The aim of these guidelines is to provide the clinicians with easy and comprehensive tool for prevention, detection and therapy of vitamin D deficienney in healthy population and various groups of patients. They were made as a result of collaboration of clinicians of different backgrounds who are dealing with patients at risk of vitamin D deficiency. These guidelines are evi- dence-based, according to GRADE-system (Grading of Recommendations, Assessment, Development and Evaluation), which describes the level of evidence and strength of recommendation. The main conclusions address the recommended serum vitamin D values in the population which should be between 75 and 125 nmol/L and defining recommended preven- tive and therapeutic dosages of vitamin D in order to reach the adequate levels of serum vitamin D. [Mh] Termos MeSH primário: Deficiência de Vitamina D Vitamina D [Mh] Termos MeSH secundário: Adulto Croácia/epidemiologia Prática Clínica Baseada em Evidências/métodos Seres Humanos Serviços Preventivos de Saúde/métodos Serviços Preventivos de Saúde/organização & administração Medição de Risco/métodos Fatores de Risco Vitamina D/sangue Vitamina D/farmacologia Deficiência de Vitamina D/sangue Deficiência de Vitamina D/diagnóstico Deficiência de Vitamina D/prevenção & controle Deficiência de Vitamina D/terapia [Pt] Tipo de publicação: JOURNAL ARTICLE; PRACTICE GUIDELINE [Nm] Nome de substância: 1406-16-2 (Vitamin D) [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180208 [Lr] Data última revisão: 180208 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171129 [St] Status: MEDLINE

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[PMID]: 29284026 [Au] Autor: Arenas DJ; Lett LA; Klusaritz H; Teitelman AM [Ad] Endereço: Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America. [Ti] Título: A Monte Carlo simulation approach for estimating the health and economic impact of interventions provided at a student-run clinic. [So] Source: PLoS One;12(12):e0189718, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: Student Run Clinics (SRCs) are a common aspect of medical education, present at more than half of US medical schools, and noted for providing care to communities that might otherwise lack access, including the uninsured and underinsured. To date, few studies have rigorously quantified the health and economic benefits of SRCs, and the present study remedies that. METHODS AND FINDINGS: We used Monte Carlo simulations to estimate the health impact of common preventive health interventions applied to individuals in quality-adjusted life-years (QALYs). We then used those measurements to estimate the health and economic impact of United Community Clinic (UCC), a student-run clinic in Philadelphia, PA. We found that with an annual operating budget of $50,000, UCC saves 6.5 QALYs, corresponding to over $850,000 saved. CONCLUSIONS: Using Monte Carlo simulation methods, the health and economic impact of SRCs can be reasonably estimated to demonstrate the utility of SRCs and justify their growing importance in the healthcare delivery landscape of the US. [Mh] Termos MeSH primário: Instituições de Assistência Ambulatorial/organização & administração Educação Médica/organização & administração Método de Monte Carlo Estudantes de Medicina [Mh] Termos MeSH secundário: Instituições de Assistência Ambulatorial/economia Seres Humanos Philadelphia Serviços Preventivos de Saúde/economia Serviços Preventivos de Saúde/organização & administração Anos de Vida Ajustados por Qualidade de Vida [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180129 [Lr] Data última revisão: 180129 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171229 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0189718

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[PMID]: 29261757 [Au] Autor: Williams JAR; Ortiz SE [Ad] Endereço: Department of Health Management and Policy, University of Kansas School of Medicine, Kansas City, Kansas, United States of America. [Ti] Título: Examining public knowledge and preferences for adult preventive services coverage. [So] Source: PLoS One;12(12):e0189661, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: INTRODUCTION: To examine (1) what individuals know about the existing adult preventive service coverage provisions of the Affordable Care Act (ACA), and (2) which preventive services individuals think should be covered without cost sharing. METHODS: An online panel from Survey Monkey was used to obtain a sample of 2,990 adults age 18 and older in March 2015, analyzed 2015-2017. A 17-item survey instrument was designed and used to evaluate respondents' knowledge of the adult preventive services provision of the ACA. Additionally, we asked whether various preventive services should be covered. The data include age, sex, race/ethnicity, and educational attainment as well as measures of political ideology, previous insurance status, the number of chronic conditions, and usual source of care. RESULTS: Respondents correctly answered 38.6% of the questions about existing coverage under the ACA, while on average respondents thought 12.1 of 15 preventive services should be covered (SD 3.5). Respondents were more knowledgeable about coverage for routine screenings, such as blood pressure (63.4% correct) than potentially stigmatizing screenings, such as for alcohol misuse (28.8% correct). Blood pressure screening received the highest support of coverage (89.8%) while coverage of gym memberships received the lowest support (59.4%). Individuals with conservative ideologies thought fewer services on average should be covered, but the difference was small-around one service less than those with liberal ideologies. CONCLUSIONS: Overwhelmingly, individuals think that most preventive services should be covered without cost sharing. Despite several years of coverage for preventive services, there is still confusion and lack of knowledge about which services are covered. [Mh] Termos MeSH primário: Serviços Preventivos de Saúde/organização & administração [Mh] Termos MeSH secundário: Adulto Custo Compartilhado de Seguro Estudos Transversais Seres Humanos Conhecimento Patient Protection and Affordable Care Act Serviços Preventivos de Saúde/economia Estados Unidos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180116 [Lr] Data última revisão: 180116 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171221 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0189661

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[PMID]: 29211199 [Au] Autor: Tesser CD [Ad] Endereço: Universidade Federal de Santa Catarina. Centro de Ciências da Saúde. Departamento de Saúde Pública. Florianópolis, SC, Brasil. [Ti] Título: Why is quaternary prevention important in prevention? [So] Source: Rev Saude Publica;51:116, 2017 Dec 04. [Is] ISSN: 1518-8787 [Cp] País de publicação: Brazil [La] Idioma: eng; por [Ab] Resumo: Quaternary prevention consists in the identification of persons at risk of excessive medicalization and their protection against new unnecessary interventions, avoiding iatrogenic damages. Here, we argue about the importance of quaternary prevention in specific primary and secondary prevention. The recent great development of preventive medicine, biomedicalization of risks and their treatment as if they were diseases, and the powerful influence of the commercial interests of pharmaceutical industries on the production of medical-sanitary knowledge alter classifications, create diseases and pre-diseases, lower cutoff points, and erase the distinction between prevention and healing. This situation converts larger amounts of asymptomatic persons into sick individuals and diverts clinical attention and resources from sick persons to the healthy, from older adults to young persons, and from the poor to the rich. Quaternary prevention facilitates and induces the development and systematization of operational knowledge and guidelines to contain hypermedicalization and the damages of preventive actions in professional care, especially in primary health care. [Mh] Termos MeSH primário: Doenças Assintomáticas Medicalização/normas Serviços Preventivos de Saúde/normas Procedimentos Desnecessários/normas [Mh] Termos MeSH secundário: Seres Humanos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171220 [Lr] Data última revisão: 171220 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171207 [St] Status: MEDLINE

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1			PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
2	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
3	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2

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