Ciencia & saude coletiva最新文献_第5页

The intersectionality of gender, race and social class in the life trajectories of women who attempted suicide. 性别、种族和社会阶层在试图自杀的女性生命轨迹中的交叉性。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2024-07-07 DOI: 10.1590/1413-81232025307.04862024

Jéssica Pereira Manelli, Dinair Ferreira Machado

{"title":"The intersectionality of gender, race and social class in the life trajectories of women who attempted suicide.","authors":"Jéssica Pereira Manelli, Dinair Ferreira Machado","doi":"10.1590/1413-81232025307.04862024","DOIUrl":"10.1590/1413-81232025307.04862024","url":null,"abstract":"The aim is to analyze the suicide attempts of women under the intersectionality of gender, race and social class. This is a qualitative study along the lines of a topical life story, carried out with seven women who reported experiences of suicide during their lives. Data collection occurred through individual interviews, supported by a questionnaire for sociodemographic characterization and a semi-structured script. The full analysis of the interviews revealed four categories of thematic analysis: 1) subsistence trajectories and development of the expression of social inequality; 2) childhood and adolescence marked by violence in the family context; 3) the sexual division of labor and gender inequality as fruits of patriarchy; 4) the difficulty in ethnic-racial self-affirmation as an outcome of racism and a mechanism of social invisibility. The interdependence of the axes of oppression was verified: gender, race and social class in the life trajectory of women who saw suicide as a feasible strategy to end the suffering caused by the social structure. This study revealed that suicide attempts in women must be approached from the perspective of macrosocial intersectionality, breaking with individualistic and biologizing perspectives.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e04862024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Carioca Super Centre of Vaccination: building rehabilitation as a sustainable management strategy in primary health care in the city of Rio de Janeiro, Brazil. 里约热内卢超级疫苗接种中心：将康复建设成为巴西里约热内卢市初级卫生保健的可持续管理战略。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2025-03-23 DOI: 10.1590/1413-81232025307.19932024

Rafael Santos Gonçalves de Assis Morais, João da Costa Pantoja, Gerson Oliveira Penna

{"title":"Carioca Super Centre of Vaccination: building rehabilitation as a sustainable management strategy in primary health care in the city of Rio de Janeiro, Brazil.","authors":"Rafael Santos Gonçalves de Assis Morais, João da Costa Pantoja, Gerson Oliveira Penna","doi":"10.1590/1413-81232025307.19932024","DOIUrl":"10.1590/1413-81232025307.19932024","url":null,"abstract":"The quality of healthcare physical spaces is essential to ensure well-being, safety, and productivity, while also promoting sustainable practices through rational cost management. This study examines the quality and performance of the building housing the Carioca Super Centre of Vaccination (CSCV), rehabilitated as a management strategy within primary health care in Rio de Janeiro. An experimental approach with a multi-parameter model was adopted, involving on-site inspections and documentary analyses, considering degradation, cultural significance, and estimated lifespan. The model resulted in a quality and performance indicator (QPI), based on the guidelines of the National Health Surveillance Agency (Anvisa) and the Unified Health System (SUS), with an emphasis on heritage conservation. The results indicate that the CSCV has high cultural significance and satisfactory performance, with a QPI of 83.25%, placing it in the \"B\" range for quality and performance, suggesting that the unit is close to excellence standards. The research reinforces the importance of heritage preservation to strengthen the SUS, fostering safe, functional, and culturally significant environments.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e19932024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Depressive symptoms among Brazilian elderly people: a study based on the National Health Survey - 2019. 巴西老年人的抑郁症状：一项基于2019年全国健康调查的研究

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2024-07-26 DOI: 10.1590/1413-81232025307.00362024

Vinicius Dos Santos Sguerri, Érico de Castro-Costa, Antônio Ignácio de Loyola Filho

{"title":"Depressive symptoms among Brazilian elderly people: a study based on the National Health Survey - 2019.","authors":"Vinicius Dos Santos Sguerri, Érico de Castro-Costa, Antônio Ignácio de Loyola Filho","doi":"10.1590/1413-81232025307.00362024","DOIUrl":"10.1590/1413-81232025307.00362024","url":null,"abstract":"The aim is to investigate the prevalence and identify sociodemographic factors and health conditions associated with depressive symptoms among Brazilian elderly people. Data collected from 21,965 elderly people participating in the National Health Survey - 2019 were used. The Patient Health Questionnaire-9 (PHQ-9) was used to track depressive symptoms, considering the cutoff point ≥ 9. The Poisson regression model was used to detect associated factors, at a significance level of p < 0.05. The prevalence of depressive symptoms was 13.2%. After adjustment, female sex, negative self-rated health (fair or bad/very bad) and having two or more chronic diseases were positively associated with the presence of depressive symptoms. Negative associations were detected for ages between 70 and 79 years and living in rural areas and in the Northeast and North regions. Considering the frequency with which depressive symptoms occur among elderly people, and the consequences for the quality of life of this population segment, health services must organize themselves to monitor them and provide or refer appropriate care.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e00362024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of Primary Health Care in Rio de Janeiro, Brazil: the experience of patients fifteen years after the Reform. 巴西里约热内卢bbb100初级卫生保健评价：改革15年后患者的经验。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2025-02-02 DOI: 10.1590/1413-81232025307.18802024

Otávio Pereira D'Avila, Luiz Alexandre Chisini, Mauro Cardoso Ribeiro, Vinicius Siqueira Tavares Meira-Silva, Yann Rodrigues Mathuiy, Luana Jonata Nunes de Moura, Erno Harzheim, Luiz Felipe Pinto

{"title":"Evaluation of Primary Health Care in Rio de Janeiro, Brazil: the experience of patients fifteen years after the Reform.","authors":"Otávio Pereira D'Avila, Luiz Alexandre Chisini, Mauro Cardoso Ribeiro, Vinicius Siqueira Tavares Meira-Silva, Yann Rodrigues Mathuiy, Luana Jonata Nunes de Moura, Erno Harzheim, Luiz Felipe Pinto","doi":"10.1590/1413-81232025307.18802024","DOIUrl":"10.1590/1413-81232025307.18802024","url":null,"abstract":"The present study aimed to assess the degree of orientation for PHC from the perspective of adult and child users in the city of Rio de Janeiro. The design was a cross-sectional observational study and included independent samples of child and adult users leaving medical appointments at different health units in Rio de Janeiro (RJ). The study outcome was the essential and general scores of the PCATool Brazil, categorized as High Score above 6.6 and Low Score below 6.6. Socioeconomic, health-related, service use, and general characteristic variables were also collected. A total of 889 adults and 956 children answered the questionnaire and were analyzed. The core and overall PCATool scores were slightly higher in children than in the adult sample. The overall score was 6.72, 95%CI (6.63-6.81) and 6.40, 95%CI (6.30-6.50) in adults. In the adjusted models, individuals with five or more consultations in the last year: children - (OR=1.33, 95%CI [1.01-1.75])/adults - (OR=2.63, 95%CI [1.68-4.11]) and consultation with the same doctor: children - (OR=2.34, 95%CI [1.77-3.08])/adults - (OR=3.42, 95%CI [2.19-5.32]) were associated with a higher overall score.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e18802024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

GeoVacina Rio Monitor: epidemiological intelligence to restore vaccination coverage in the city of Rio de Janeiro, Brazil. GeoVacina里约热内卢监测：流行病学情报，以恢复巴西里约热内卢市的疫苗接种覆盖率。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2025-01-25 DOI: 10.1590/1413-81232025307.18652024

Malena Farias Santa Anna, Débora Medeiros de Oliveira E Cruz, Felipe de Carvalho Vommaro Marincola, Nadja Greffe, Caroline Dias Ferreira, Oswaldo Gonçalves Cruz, Valeria Saraceni, Gislani Mateus Oliveira Aguilar

{"title":"GeoVacina Rio Monitor: epidemiological intelligence to restore vaccination coverage in the city of Rio de Janeiro, Brazil.","authors":"Malena Farias Santa Anna, Débora Medeiros de Oliveira E Cruz, Felipe de Carvalho Vommaro Marincola, Nadja Greffe, Caroline Dias Ferreira, Oswaldo Gonçalves Cruz, Valeria Saraceni, Gislani Mateus Oliveira Aguilar","doi":"10.1590/1413-81232025307.18652024","DOIUrl":"10.1590/1413-81232025307.18652024","url":null,"abstract":"Vaccination coverage has declined in the municipality of Rio de Janeiro (MRJ) since 2019. To address this issue, within the expansion of the Family Health Strategy (FHS) and epidemiological intelligence, the GeoVacina Rio Monitor was created. Its aim is to recover vaccination for children with delayed doses and monitor pentavalent vaccine indicators in the population registered under the FHS in MRJ from January 2023 to January 2024. Data were extracted from the Electronic Health Record and summarized by FHS team, public health unit (PHU), and planning area (PA). An interactive map enables the viewing of children's information and vaccination status at the team's centroid. Additional features include vaccination coverage monitoring and downloading lists of children to be vaccinated across 237 PHUs. During the evaluated period, the proportion of fully vaccinated children increased from 76.1% (May 2023) to 90.8% (January 2024), a rise of 14.7 percentage points, with a 49.5 p.p. reduction in units with coverage below 80%. The GeoVacina Rio Monitor enhances data quality and restores vaccination coverage, aligning epidemiological intelligence with regional immunization strategies, with the potential for implementation in other municipalities.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e18652024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Repercussion of the COVID-19 pandemic on tuberculosis control actions in primary health care: scoping review]. [COVID-19大流行对初级卫生保健结核病控制行动的影响：范围审查]。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2024-08-03 DOI: 10.1590/1413-81232025307.00992024

Roberta Ramos Ribeiro, Rubia Laine de Paula Andrade, Daiane Cardoso da Silva, Hellen Cristina Sthal, Johannes Abreu Oliveira, Izabella Mendonça Regis, Roxana Isabel Cardozo Gonzalez

{"title":"[Repercussion of the COVID-19 pandemic on tuberculosis control actions in primary health care: scoping review].","authors":"Roberta Ramos Ribeiro, Rubia Laine de Paula Andrade, Daiane Cardoso da Silva, Hellen Cristina Sthal, Johannes Abreu Oliveira, Izabella Mendonça Regis, Roxana Isabel Cardozo Gonzalez","doi":"10.1590/1413-81232025307.00992024","DOIUrl":"10.1590/1413-81232025307.00992024","url":null,"abstract":"This study aimed to map the scientific literature on the impact of the COVID-19 pandemic on the execution of tuberculosis control actions in primary care. It is a scope review, guided by the method proposed by Joanna Briggs Institute Reviewers, developed from five stages. Studies that focused on the analysis of TB control actions were included, considering the studies that contextualize the scenario of the COVID-19 pandemic in the provision, management, and development of tuberculosis services, also, studies that involved the context of APS units were included. The results were classified by categories of conceptual analyses, from the analysis of thematic categorization, presented in frames and tables. The search strategy resulted in a total of 1,014 publications and, after the selection and eligibility process, 21 studies were selected. The mapping of the scientific literature of the study identified the impact of the COVID-19 pandemic in all categories named as TB control actions in APS. Despite the significant impacts pointed out by the studies, it is possible and feasible to recover the response to TB in the post-pandemic period, through accelerated efforts.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e00992024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Food insecurity, gender and race/color: a study in the semi-arid northeast]. [粮食不安全，性别和种族/肤色：半干旱东北地区的研究]。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2024-07-12 DOI: 10.1590/1413-81232025307.02022024

Thaís da Conceição Pereira, Elisiandre Martins de Lima, Rafaela Lira Formiga Cavalcanti de Lima, Rosana Salles-Costa, Poliana de Araújo Palmeira

{"title":"[Food insecurity, gender and race/color: a study in the semi-arid northeast].","authors":"Thaís da Conceição Pereira, Elisiandre Martins de Lima, Rafaela Lira Formiga Cavalcanti de Lima, Rosana Salles-Costa, Poliana de Araújo Palmeira","doi":"10.1590/1413-81232025307.02022024","DOIUrl":"10.1590/1413-81232025307.02022024","url":null,"abstract":"This study aimed to analyze the association between food insecurity (FI) and the gender and race/color characteristics of the reference people in households in a municipality in the semiarid northeastern region. A cross-sectional study was conducted, with a probabilistic sample and household interviews, with 737 households in 2022-2023. The Brazilian Food Insecurity Scale was used to measure FI, and self-declared gender and race/color profiles were created (White man, White woman, Black man, Black woman). Multivariate multinomial logistic regression models were estimated to analyze the association between AI profiles and levels. A high prevalence of FI (41.6%) was observed, especially in households where the reference person was a woman. Households headed by black women and white women were more likely to be in Moderate/severe FI when compared to white men. The findings suggest that gender and race/skin color should be included in formulating and implementing public policies related to AI in an intersectional and intersectoral manner, especially in populations that present more significant social and climatic vulnerabilities, such as the northeastern semiarid region.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e02022024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paquetá vaccinated and censused: strategies and results of the partnership between the SUS and the IBGE during a pandemic period due to COVID-19. 疫苗接种和普查：在2019冠状病毒病大流行期间，单一卫生系统与IBGE之间伙伴关系的战略和结果。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2024-12-11 DOI: 10.1590/1413-81232025307.18852024

Luiz Felipe Pinto, Carolina Mott, Margareth Catoia Varela, Juliana Arruda de Matos, Luciana Gomes Pedro Brandão, Marcellus Dias da Costa, José Cerbino Neto

{"title":"Paquetá vaccinated and censused: strategies and results of the partnership between the SUS and the IBGE during a pandemic period due to COVID-19.","authors":"Luiz Felipe Pinto, Carolina Mott, Margareth Catoia Varela, Juliana Arruda de Matos, Luciana Gomes Pedro Brandão, Marcellus Dias da Costa, José Cerbino Neto","doi":"10.1590/1413-81232025307.18852024","DOIUrl":"10.1590/1413-81232025307.18852024","url":null,"abstract":"Eternalized in Brazil in the novel \"A Moreninha\" by Joaquim Manuel Macedo, Paquetá Island is a quiet neighborhood in the municipality of Rio de Janeiro. Considering the COVID-19 pandemic, in 2021, the Municipal Health Department of Rio de Janeiro invited Fiocruz to carry out a seroepidemiological survey on the island, which later, in October 2021, assisted the IBGE in carrying out the pre-test for the Demographic Census. This article aims to describe the main results of both surveys, highlighting conceptual issues in the dialogue between primary health care (PHC) and the IBGE's methodological definitions. The results showed the importance of vaccination for planning health surveillance actions and were decisive for carrying out the Pre-Test of the 2022 Census, insofar as it allowed for the homologation of equipment and systems. One of the main differences between the surveys was the method used to count the population. For the family health teams in PHC, any resident is counted and registered, while for the IBGE, only those living in occupied homes for habitual use are counted, disregarding homes for occasional use, creating the concept of the registration paradox in PHC.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e18852024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Temporal and spatial persistence of tuberculosis cases in Brazilian municipalities between 2001 and 2022. 2001年至2022年巴西城市结核病病例的时空持续性

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2024-06-21 DOI: 10.1590/1413-81232025307.15972023

Naanda Kaanna Matos de Souza, Lucas Dias Soares Machado, Denis Fernandes Alves, Luis Abel da Silva Filho, Viviane Martins da Silva

{"title":"Temporal and spatial persistence of tuberculosis cases in Brazilian municipalities between 2001 and 2022.","authors":"Naanda Kaanna Matos de Souza, Lucas Dias Soares Machado, Denis Fernandes Alves, Luis Abel da Silva Filho, Viviane Martins da Silva","doi":"10.1590/1413-81232025307.15972023","DOIUrl":"10.1590/1413-81232025307.15972023","url":null,"abstract":"The objective was to analyze the association between socioeconomic variables and the temporal and spatial persistence of TB rates reported in Brazilian municipalities between the years 2001 and 2022. An ecological study of time series and spatial analysis was conducted using secondary data from public sources. Spatial correlation was sought between TB rates and socioeconomic variables in Brazilian municipalities and their direct and indirect effects on these rates. Global and Local Moran's Indices, both univariate and bivariate, as well as the Durbin spatial error model, were used. The results show that an increase in per capita GDP and health expenditure impacts the reduction of TB cases. Additionally, there is a direct correlation between TB rates and demographic density and the rate of healthcare professionals. It was concluded that, despite its multifactorial nature, poverty is a strong determinant in the increase of TB rates. The reduction of TB cases in Brazilian municipalities depends on public health policies and intersectoral actions that are targeted to each geographical area based on its specific characteristics.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e15972023"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Natural Language Processing applied to electronic records: surveillance and detection of health events. 应用于电子记录的自然语言处理：健康事件的监视和检测。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2025-01-25 DOI: 10.1590/1413-81232025307.18722024

Gabriel Campos Vieira, João Henrique de Araújo Morais, Débora Medeiros de Oliveira E Cruz, Caroline Dias Ferreira, Wagner Tassinari, Valeria Saraceni, Gislani Mateus Oliveira Aguilar, Oswaldo Gonçalves Cruz

{"title":"Natural Language Processing applied to electronic records: surveillance and detection of health events.","authors":"Gabriel Campos Vieira, João Henrique de Araújo Morais, Débora Medeiros de Oliveira E Cruz, Caroline Dias Ferreira, Wagner Tassinari, Valeria Saraceni, Gislani Mateus Oliveira Aguilar, Oswaldo Gonçalves Cruz","doi":"10.1590/1413-81232025307.18722024","DOIUrl":"10.1590/1413-81232025307.18722024","url":null,"abstract":"Text fields in medical records are a valuable source for Public Health Surveillance but remain underutilized. This study describes the use of natural language processing (NLP) to enhance the identification of suspected cases and monitor disease trends in electronic records from the Urgency and Emergency Network (Rede de Urgência e Emergência - RUE), in the municipality of Rio de Janeiro (MRJ). Texts were pre-processed, and rules were applied to identify individual (measles and rubella) and collective (diarrhea and influenza-like syndrome) events, comparing the results with ICD-10 data from January 2023 to September 2024. A total of 28 suspected measles cases and 33 suspected rubella cases were identified through ICD, while the NLP technique detected an additional 30 suspected cases of measles and 17 of rubella based on patient complaints. Time series of diarrhea and influenza-like syndrome (síndrome gripal - SG), stemming from ICD and complaints, showed a cross-correlation above 0.93 at lag 0. Complaint analysis, particularly after the discontinuation of nonspecific SG ICD codes by RUE management, revealed a greater stability and expanded detection of suspected cases, demonstrating the potential of NLP in epidemiological surveillance in MRJ.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e18722024"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0