Ciencia & saude coletivaPub Date : 2025-02-01Epub Date: 2023-11-11DOI: 10.1590/1413-81232025302.01112023
Tatiane Ferreira Petroni, Mario Augusto Ono
{"title":"Impact of healthcare-associated infections on mortality of hospitalized patients with COVID-19: a systematic review.","authors":"Tatiane Ferreira Petroni, Mario Augusto Ono","doi":"10.1590/1413-81232025302.01112023","DOIUrl":"10.1590/1413-81232025302.01112023","url":null,"abstract":"<p><p>Although most cases of COVID-19 are mild cases, severe cases requiring hospitalization and mechanical ventilation were sufficient to overwhelm healthcare systems worldwide, leading to more than 6 million deaths and the increase in healthcare associated infections (HAIs). The incidence of HAIs in COVID-19 hospitalized patients has been addressed in systematic reviews, but in these there was no description of mortality related to these infections. Therefore, the aim of this review was to evaluate the impact of HAIs on mortality of hospitalized patients with COVID-19, specially by multidrug resistant bacteria as Acinetobacter baumannii. A systematic review was carried out in the PubMed database on July 2022 using the keywords \"healthcare-associated infection\" OR \"nosocomial infection\" AND \"COVID-19\" AND \"Acinetobacter baumannii\". The incidence of HAIs in COVID-19 patients was 18.85%, with 42.17% of mortality rate and relative risk (RR) 2.08 (95%CI 1.61-2.68). Considering that the risk of death was twice greater in co-infection COVID-19/HAI, it is essential the broad vaccination against COVID-19 and the adoption of measures to reduce HAI incidence in hospitalized patients and mortality by superinfections.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e01112023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398493","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}
Ciencia & saude coletivaPub Date : 2025-02-01Epub Date: 2023-12-22DOI: 10.1590/1413-81232025302.13232023
Thaysa de Aguiar Batista, Isabelle Karine Ramos de Lima, Ilma Kruze Grande de Arruda, Anna Karla de Oliveira Tito Borba
{"title":"[Methods for evaluating the frailty syndrome in elderly people with diabetes: an integrative review].","authors":"Thaysa de Aguiar Batista, Isabelle Karine Ramos de Lima, Ilma Kruze Grande de Arruda, Anna Karla de Oliveira Tito Borba","doi":"10.1590/1413-81232025302.13232023","DOIUrl":"10.1590/1413-81232025302.13232023","url":null,"abstract":"<p><p>This study aims to synthesize the available knowledge about the methods used to assess frailty syndrome in elderly people with diabetes in the community. This is an integrative review of the literature carried out in the LILACS, PubMed, Embase, Web of Science and Scopus databases. A total of 19 articles were included, categorized based on the type of instrument: unidimensional, which includes only the physical elements of frailty, and multidimensional, which incorporates the cognitive and psychosocial domains. Frailty was found to be present in all the articles included, ranging from 28.2% to 80% for unidimensional instruments and 9.4% to 46.2% for multidimensional instruments. Scientific evidence has demonstrated that there is a clear distinction between the various instruments analyzed and, depending on the reality to be applied, the cut-off points for the items that comprise the frailty scales should be adapted to the study population. In view of this, further studies are needed to investigate simpler methods for identifying frailty syndrome that facilitate its use in primary health care, in order to identify the risk of developing frailty early on, as it is the gateway of the health system responsible for the close and longitudinal monitoring of elderly people.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e13232023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398340","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}
Ciencia & saude coletivaPub Date : 2025-02-01Epub Date: 2023-11-26DOI: 10.1590/1413-81232025302.05342023
Luara Dos Santos, Betzabeth Slater, Cristiane da Silva Cabral, Giorgia Castilho Russo, Aline Rissatto Teixeira
{"title":"[Culinary skills in Brazilian food and nutrition public policies: a documentary analysis].","authors":"Luara Dos Santos, Betzabeth Slater, Cristiane da Silva Cabral, Giorgia Castilho Russo, Aline Rissatto Teixeira","doi":"10.1590/1413-81232025302.05342023","DOIUrl":"10.1590/1413-81232025302.05342023","url":null,"abstract":"<p><p>The development of cooking skills (CS) is a strategy to facilitate the implementation of healthy and sustainable diets. This study aims to analyze the approach to CS in Brazilian documents to promote adequate and healthy eating, in line with the political, epidemiological and social context of their publication periods, starting from the first edition of the National Food and Nutrition Policy (PNAN). Public documents included in the virtual libraries of the Secretariats of Primary Health Care and Social Development were searched, starting from the date of publication of the first PNAN edition (1999) until 2022. It was identified 25 documents; 4 themes were generated and analyzed. There was an evolution of the CS approach, expanding the focus on biological-nutritional and hygienic-sanitary aspects of cooking to an approach that takes biopsychosocial-cultural and environmental factors into account, especially after the publication of the second edition of the Brazilian Food Guidelines, which highlights the expansion of the perspective on cooking and consolidates it as a golden rule for adequate and healthy food.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e05342023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398334","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}
Ciencia & saude coletivaPub Date : 2025-02-01Epub Date: 2024-09-05DOI: 10.1590/1413-81232025302.00822024
Natalia Tenuta, Romero Alves Teixeira, Anelise Andrade de Souza, Wanessa Debôrtoli de Miranda, Rômulo Paes-Sousa
{"title":"Brazilian food banks: how to evaluate them?","authors":"Natalia Tenuta, Romero Alves Teixeira, Anelise Andrade de Souza, Wanessa Debôrtoli de Miranda, Rômulo Paes-Sousa","doi":"10.1590/1413-81232025302.00822024","DOIUrl":"10.1590/1413-81232025302.00822024","url":null,"abstract":"<p><p>Food banks are facilities dedicated to (i) reducing food loss and waste, (ii) ensuring food security and (iii) performing food and nutrition education. Although the food banks are spread all over Brazil, having recognized impact in the society, there are no defined instruments for their evaluation and for improving their results. This paper presents a theoretical-methodological proposal to evaluate the implementation of Brazilian food banks, which intends to offer instruments and techniques to identify if the relation between their inputs, processes and products are consistent with expectations. Based on the elements of a map of processes and results for food banks, this proposal comprises a data collection instrument and an implementation evaluation plan. This evaluation plan is organized into six analytical dimensions, composed of indicators that will show diagnoses of implementation for food banks managed in the four modalities currently in operation in Brazil. We hope that this proposal will be the starting point for expanding the production of evaluation methodologies focused on food banks.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e00822024"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398415","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}
Ciencia & saude coletivaPub Date : 2025-02-01Epub Date: 2023-12-14DOI: 10.1590/1413-81232025302.16312023
Mariana Silva Macedo, Jorge Henrique Santos Saldanha, Larissa Riani Costa Tavares, Kátia Suely Queiroz Silva Ribeiro, Silvia Lanziotti Azevedo da Silva, Fernando Pierette Ferrari, Rafaela Raulino Nogueira, Milena Maria Cordeiro de Almeida
{"title":"[Primary health organization models and care practices for people with disabilities in Brazil].","authors":"Mariana Silva Macedo, Jorge Henrique Santos Saldanha, Larissa Riani Costa Tavares, Kátia Suely Queiroz Silva Ribeiro, Silvia Lanziotti Azevedo da Silva, Fernando Pierette Ferrari, Rafaela Raulino Nogueira, Milena Maria Cordeiro de Almeida","doi":"10.1590/1413-81232025302.16312023","DOIUrl":"10.1590/1413-81232025302.16312023","url":null,"abstract":"<p><p>The scope of the Care Network for People with Disabilities in Brazil is to enhance access to, and improve health care for, people with disabilities (PwD) with the participation of primary health care (PHC). The objective of this study was to estimate the association between the PHC organization model and health practices aimed at PwD at this level of care. It involved a cross-sectional study with 1,377 qualified PHC professionals in 8 Brazilian states, part of the REDECIN-BRASIL survey. Logistic regression was performed to estimate the association between the PHC model and the Family Health Strategy (FHS) Model and the frequency of care aimed at PwDs. The Traditional PHC Model revealed a positive and statistically significant association with a lower frequency of practices aimed at PwD in PHC, compared to the FHS model, with regression adjustment for knowledge about the care network for PwD. Prenatal care, home care and health education are more frequent practices in the FHS model, however, creating lines of care, clinical protocols, intersectoral actions and articulation with community resources are still challenges for both models.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e16312023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398347","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}
{"title":"[Ultra-processed foods and culinary preparations on promotions in Brazil's largest food delivery app].","authors":"Luiza Rodrigues Dias, Juliana Aparecida Gama Baptista, Renata Bertazzi Levy, Maria Alvim Leite","doi":"10.1590/1413-81232025302.07512023","DOIUrl":"10.1590/1413-81232025302.07512023","url":null,"abstract":"<p><p>The scope of this study was to verify differences in the characteristics of predominantly ultra-processed foods or culinary dishes on sale from the largest food delivery app in Brazil in neighborhoods with differing socioeconomic categories in the city of São Paulo. Twenty neighborhoods were selected, categorized according to quartiles of the Municipal Human Development Index. Data on food on sale, classified as culinary preparations or ultra-processed foods, were collected from the centroid of the neighborhoods. A sample of 350 promotions was analyzed, and their characteristics were compared according to the degree of processing categories and vulnerability of the neighborhood. A higher prevalence of promotions for ultra-processed foods was observed in three out of four socioeconomic categories. Places that offered culinary preparations were closer than places that offered ultra-processed foods. The average price and discount were higher for ultra-processed foods. Given the wide availability of ultra-processed foods, it seems necessary to promote the consumption of culinary preparations and highlight them in digital food environments in order to discourage the choice of ultra-processed foods.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e07512023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398382","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}
Ciencia & saude coletivaPub Date : 2025-02-01Epub Date: 2024-01-05DOI: 10.1590/1413-81232025302.12942023
Gabriela Gomes de Paiva, Rafael Moreira Claro, Victória Bortolosso Bocardi, Bruna Vieira de Lima Costa
{"title":"Convenience of opening hours of commercial food establishments: barrier or facilitator to healthy food?","authors":"Gabriela Gomes de Paiva, Rafael Moreira Claro, Victória Bortolosso Bocardi, Bruna Vieira de Lima Costa","doi":"10.1590/1413-81232025302.12942023","DOIUrl":"10.1590/1413-81232025302.12942023","url":null,"abstract":"<p><p>The objective was to evaluate the opening hours of establishments selling in natura and mixed foods, located in areas with and without Food and Nutrition Public Establishments (FNPE). A cross-sectional study, carried out in Belo Horizonte, Brazil. Average hours of operation were recorded, and compared between in natura and mixed food establishments (Student's t-test). The functioning of establishments was divided into status and compared between types of establishments (Chi-square). The average operation hours of the establishments were compared according to their location in areas with or without FNPE (Student's t-test). Mixed establishments were open, on average, longer hours than in natura food establishments (p<0.001). The number of mixed establishments open at extended hours (after 18 hours) was significantly higher than the number of in natura establishments (p<0.001), on weekdays (90.9% vs. 67.8%), Saturdays (84. 1% vs. 55.9%) and Sundays (40.9% vs. 3.4%). On weekdays operation of in natura food establishments was lower in areas with FNPE (p<0.05). Mixed establishments open longer hours and are more available during extended hours and on Sundays. Areas with FNPE had lower average opening hours for in natura food establishments.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e12942023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398418","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}
Ciencia & saude coletivaPub Date : 2025-02-01Epub Date: 2023-12-07DOI: 10.1590/1413-81232025302.02762023
Ana Maria Rosa Freato Gonçalves, Marília Silveira Almeida Campos, Lara Almeida de Menezes, Leonardo Régis Leira Pereira
{"title":"Barriers and facilitators to medication adherence in chronic diseases: a scoping review.","authors":"Ana Maria Rosa Freato Gonçalves, Marília Silveira Almeida Campos, Lara Almeida de Menezes, Leonardo Régis Leira Pereira","doi":"10.1590/1413-81232025302.02762023","DOIUrl":"10.1590/1413-81232025302.02762023","url":null,"abstract":"<p><p>To guide the interventions of health professionals, it is necessary to identify the reasons for non-adherence to treatment. This scoping review aims to identify and discuss barriers and facilitators for adherence to pharmacotherapy in chronic diseases. Of the 3,482 eligible studies, it was observed that in the 114 studies that met the selection criteria, facilitators such as income, social support, older age, education, motivation to use pharmacotherapy, formation of a bond with the health professional, health education, believe in pharmacotherapy, realize the benefits of pharmacotherapy, motivation for self-care, and disease severity, were common to the various chronic health conditions. Regarding the common barriers, were: cost of the medication, complexity of pharmacotherapy; adverse drug reaction, greater number of prescribers and pharmacies used, greater number of visits to urgent and emergency services, believing that the medication is not necessary, and having depression. The analysis of these factors provides support for the health professional to identify the reasons that led to non-adherence and guide the interventions to be carried out, promoting adherence to treatment.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e02762023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398413","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}
Ciencia & saude coletivaPub Date : 2025-02-01Epub Date: 2023-12-14DOI: 10.1590/1413-81232025302.09812023
Daniely Casagrande Borges, Raquel Canuto, Francisco Minella Pasqual, Giovani Longo Rosa, Júlio Celso Borello Vargas
{"title":"Social and ethnic-racial inequities of physical accessibility to famers' markets in Porto Alegre, Brazil.","authors":"Daniely Casagrande Borges, Raquel Canuto, Francisco Minella Pasqual, Giovani Longo Rosa, Júlio Celso Borello Vargas","doi":"10.1590/1413-81232025302.09812023","DOIUrl":"10.1590/1413-81232025302.09812023","url":null,"abstract":"<p><p>Farmers' markets are important spaces for the commercialization of fruits and vegetables, which access by the urban population is considered one of the key aspects of healthy cities. This study adopts an ecological approach with geographic-spatial emphasis to describe accessibility to farmers' markets in Porto Alegre-RS, by four different modes of transport (walking, bicycle, bus, and car) and their associations with income and race/skin color. The distribution of markets across the city is more balanced than other food establishments, although physical accessibility is highly uneven across modes of transport: the ability to reach a market on foot in 10 minutes or less is restricted to no more than 25% of the population, while almost 90% can do it by driving a car. The study found a direct and positive association between levels of accessibility to farmers' markets and income: wealthier areas can reach fairs in less time using any mode of transport than poorer ones (p<0.001). Regions with a majority of white inhabitants have better accessibility to the fairs on foot, by bicycle, and by bus (p<0.01) than regions with a majority of Black, Indigenous, or yellow populations.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e09812023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398499","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}
{"title":"Facebook users' engagement with dental caries misinformation in Brazilian Portuguese.","authors":"Mariana Remiro, Olívia Santana Jorge, Matheus Lotto, Thaís Marchini Oliveira, Maria Aparecida Andrade Moreira Machado, Thiago Cruvinel","doi":"10.1590/1413-81232025302.06202023","DOIUrl":"10.1590/1413-81232025302.06202023","url":null,"abstract":"<p><p>This study analyzed dental caries-related Facebook posts in Brazilian Portuguese to identify misinformation and predict user interaction factors. A sample of 500 posts (between August 2016 and August 2021), was obtained by CrowdTangle. Two independent and calibrated investigators (intraclass correlation coefficient varying from 0.80 to 0.98) characterized the posts based on their time of publication, author's profile, sentiment, aim of content, motivation, and facticity. Most posts (90.2%) originated from Brazil, and they were predominantly shared by business profiles (94.2%). Approximately 67.2% of these posts focused on preventive dental issues, driven by noncommercial interests in 88.8% of cases. Misinformation was present in 39.6% of the posts, particularly those with a positive sentiment and commercial motivation. Business profiles and positive sentiment were identified as predictive factors for higher post engagement. These findings highlight a significant proportion of dental caries-related posts containing misinformation, especially when associated with positive emotions and commercial motivation.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 2","pages":"e06202023"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398420","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}