Brazilian Journal of Medicine and Human Health最新文献_第3页

HAZARDS AND RISKS TO CONSUMERS’ HEALTH CAUSED BY POPSICLES ON SALVADOR BEACHES – BAHIA STATE 巴伊亚州萨尔瓦多海滩上的冰棒对消费者健康造成的危害和风险

Brazilian Journal of Medicine and Human Health Pub Date : 2017-03-27 DOI: 10.17267/2317-3386bjmhh.v5i1.1228

Renata Oliveira dos Santos Menezes, R. Cardoso, A. G. Guimarães

{"title":"HAZARDS AND RISKS TO CONSUMERS’ HEALTH CAUSED BY POPSICLES ON SALVADOR BEACHES – BAHIA STATE","authors":"Renata Oliveira dos Santos Menezes, R. Cardoso, A. G. Guimarães","doi":"10.17267/2317-3386bjmhh.v5i1.1228","DOIUrl":"https://doi.org/10.17267/2317-3386bjmhh.v5i1.1228","url":null,"abstract":"Introduction : Beaches are a place for interaction and leisure, as well as a scenery for the provision of services, including the street food trade. In this segment, different workers with different type of foods are included, especially the popsicles. Methods: This study aimed to characterize microbiologically the popsicles commercialized on the beaches of Salvador, Bahia State. A cross-sectional study was carried out on 13 beaches, with the application of semi- structured questionnaires to 33 vendors to characterize microbiologically the popsicles sold on the beaches of Salvador, Bahia State, and the collecting of 198 samples, which were submitted to analysis: counting of Psychrotrophic microorganisms and coagulase-positive staphylococci , estimation of the Most Likely Number of total and thermolerant Coliforms/ Escherichia coli and Salmonella spp research. Results: The results showed that in the microbiological profile, most of the samples were in compliance with the standards. However, 34.3% (68) of non-compliance were recorded, including contamination by the various microorganisms studied, except for Salmonella spp ., which was not identified. Conclusion: The study identified risks to the costumer's health, given the contamination in the products, for both groups of sellers.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122597385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SEVERE INTESTINAL FAILURE IN A CHAGAS’S DISEASE PATIENT AFTER TOTAL COLECTOMY PLUS PARTIAL ILEECTOMY 查加斯病患者全结肠切除加部分回肠切除术后的严重肠衰竭

Brazilian Journal of Medicine and Human Health Pub Date : 2017-03-27 DOI: 10.17267/2317-3386BJMHH.V5I1.1275

T. Duarte, F. Melo, José Rodrigues Santos-Júnior, M. Moussa, D. A. De-Souza

{"title":"SEVERE INTESTINAL FAILURE IN A CHAGAS’S DISEASE PATIENT AFTER TOTAL COLECTOMY PLUS PARTIAL ILEECTOMY","authors":"T. Duarte, F. Melo, José Rodrigues Santos-Júnior, M. Moussa, D. A. De-Souza","doi":"10.17267/2317-3386BJMHH.V5I1.1275","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V5I1.1275","url":null,"abstract":"Introduction: To report the clinical course of a Chagas’s disease patient with severe intestinal failure after resection of the total colon and terminal ileum. Case Report: The patient underwent rectosigmoidectomy (of the sigmoid volvulus, December 2009) and total colectomy plus partial ileectomy (May 2011). Patient evolved with multiple hospitalizations caused by severe diarrhea (up to 23 stools/day), hydroelectrolyte disturbance and acute renal failure, severe protein-energy malnutrition [loss of 34.9% of usual body weight (uBW)], and multiple episodes of sepsis. Were prescribed parenteral nutrition solutions exclusively or concurrently with very small volumes (e.g., 40ml/day) of semi-elemental diet with low fat and high protein. After several weeks predetermined amounts of carbohydrate-rich foods (potatoes, rice, pasta, cassava), vegetables (chayote, carrots), low-fat meat, cream crackers, coconut water and fruit (watermelon, melon, banana) were progressively introduced. After 36 months, the patient was metabolically stable (BW=67.2 kg, weight recovery of 23.6 kg), with hydroelectrolytic balance. Due to the recovery of the functional capacity, the patient was advised to return to his work activities. Conclusions: Chagas’s disease patient submitted to intestinal resection may have severe intestinal failure and protein-energy malnutrition. Specialized nutritional therapy and clinical and laboratory monitoring by a multidisciplinary team, can contribute to better prognostic.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129665527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CANDIDA SPECIES IN THE GENITAL TRACT OF WOMEN ATTENDING A UNIVERSITY HOSPITAL FOR GYNECOLOGICAL INTERVENTIONS 念珠菌种在生殖道的妇女参加大学医院妇科干预

Brazilian Journal of Medicine and Human Health Pub Date : 2017-03-27 DOI: 10.17267/2317-3386BJMHH.V5I1.1254

Thais Chimati Felix, R. Menezes, Marília Cristina Berardi, D. Röder, R. Pedroso

{"title":"CANDIDA SPECIES IN THE GENITAL TRACT OF WOMEN ATTENDING A UNIVERSITY HOSPITAL FOR GYNECOLOGICAL INTERVENTIONS","authors":"Thais Chimati Felix, R. Menezes, Marília Cristina Berardi, D. Röder, R. Pedroso","doi":"10.17267/2317-3386BJMHH.V5I1.1254","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V5I1.1254","url":null,"abstract":"Introduction: Vulvovaginal candidiasis occurs in about 75% of all women during reproductive age, and around half of those will have at least one recurrent episode. Objectives: To evaluate the occurrence of Candida species in the genital tract of women attending a clinic of Gynecology and Obstetrics at the University Hospital for gynecological interventions, related to signs and symptoms of infection and also to evaluate the susceptibility to antifungal agents of the Candida isolates. Methods and materials: Samples of vaginal secretions were taken of 128 women during gynecological and colposcopic examination, through sterile swab, to carry out culture for fungi. Susceptibility tests were performed for fluconazole, itraconazole, voriconazole, nystatin and amphotericin B. Results: Twenty (15.6%) patients had positive culture for yeasts identified as: C. albicans (57.1%), C. glabrata (19%), C. parapsilosis complex (4.8%), C. lipolytica (4.8%), Trichosporon sp (9.5%), and Rhodotorula sp (4.8%). Ninety women (70.3%) reported no symptoms and 38 (29.6%) were symptomatic. The most frequent complaints were: discharge, vulval itching, and dyspareunia. All isolates were susceptible to the antifungal agents tested, except for some isolates of C. parapsilosis complex, which showed in vitro resistance to itraconazole. Conclusions: Although Candida species were isolated in only some of the women, C. albicans was the most common species. The more frequent complaints were discharge and vulvar itching. Most of the isolates were susceptible to the antifungals tested.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116758962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

THE EXPORT OF BRAZILIAN WORKERS TO THE U.S.: FROM WORK TO LIVE TO LIVE TO WORK 巴西工人向美国的出口:从工作到生活到生活到工作

Brazilian Journal of Medicine and Human Health Pub Date : 2017-03-27 DOI: 10.17267/2317-3386BJMHH.V5I1.1316

C. Siqueira

引用次数: 0

AGREEMENT OF NHP AND SF-36 SOCIAL DOMAINS: AN EXPLORATORY STUDY NHP与sf-36社会域一致性的探索性研究

Brazilian Journal of Medicine and Human Health Pub Date : 2017-03-27 DOI: 10.17267/2317-3386BJMHH.V5I1.1297

B. Alencar, I. Souza, K. Sá

{"title":"AGREEMENT OF NHP AND SF-36 SOCIAL DOMAINS: AN EXPLORATORY STUDY","authors":"B. Alencar, I. Souza, K. Sá","doi":"10.17267/2317-3386BJMHH.V5I1.1297","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V5I1.1297","url":null,"abstract":"Introduction: Health Related Quality of Life (HRQoL) is an important outcome measure to investigate and monitor patients with chronic diseases. In order to achieve such goal, it is essential to choose an appropriate tool to evaluate the peculiarities of each population. Instruments to investigate HRQoL, NHP and SF-36 are alike in several aspects and are considered by the scientific community as replaceable each other. However, there are doubts regarding the agreement of their social domains. Objective: The present study aim to assess whether the social domains of the NHP and SF-36 correspond when applied in a population with chronic disease. Methods: The present research was made by applying the two instruments to a population with chronic disease. The social domains agreement was evaluated by Pearson correlation, ROC curve, AUC, Youdex Index, and Bland-Altman plot. Results: It was achieve a weak correlation between the two social domais (r = 0.3), confirmed by ROC curve with small AUC (0.416) and Youdex Index around 0.0. The Bland-Altman plot reaffirmed the no agreement between the two subscale by achieving mean difference equal to 29.37 (± 38.51), which made the concordance Interval vary from 106.39 to -47.65. Conclusion: it was concluded that social domains of NHP and SF-36 do not agree to each other. However, reasons for that are not explained and need to be investigated in futures studies. The current research was approved by the Research Ethics Committee of the Bahiana School of Medicine and Public Health under the protocol CAAE 516.42315.5.0000.5544.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126770591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

BRIDGING THE TECHNOLOGY GAP IN HEALTH CARE: DEVELOPING A MODEL TO BETTER HELP THOSE WHO HELP OTHERS 弥合卫生保健方面的技术差距:开发一种模式，更好地帮助那些帮助他人的人

Brazilian Journal of Medicine and Human Health Pub Date : 2016-12-13 DOI: 10.17267/2317-3386BJMHH.V4I4.1125

G. Hembroff, M. Matos

{"title":"BRIDGING THE TECHNOLOGY GAP IN HEALTH CARE: DEVELOPING A MODEL TO BETTER HELP THOSE WHO HELP OTHERS","authors":"G. Hembroff, M. Matos","doi":"10.17267/2317-3386BJMHH.V4I4.1125","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V4I4.1125","url":null,"abstract":"Over recent years, there has been a significant increase of integrated computing devices and systems within the healthcare sector, including computerized machines which can see deep within the human body to detect illnesses previously missed, help engage the patient, provide enhanced education, and access medical data not readily accessible before. However, as new technologies, medications, treatments, and procedures are being developed rapidly, clinicians are expected to incorporate this new information into their daily practices, apply this knowledge to their patients, track each patient’s individual health status and background, while communicating quickly with patients, hospitals, and other providers. Additionally, clinicians are expected to keep up with the latest published medical data in the hopes of increasing the accuracy of diagnoses and treatments to improve patient health outcomes. However, there is a “small” problem with this expectation, there is not enough hours in a day to accomplish all of these tasks. According to a report by the Memorial Sloan-Kettering Cancer Center, it would take at least 160 hours (or four 40-hour work weeks) of reading every single week just to keep up with new medical knowledge as it’s published, let alone applying the effort to consider its relevance or to implement it practically. This places false expectations on clinicians. While they may be an experienced doctor, they still require a process which delivers functional, meaningful, efficient, and user-friendly technology to their daily work environment. Therefore, it is important to develop a methodology to support and compliment the recent strategy of health care delivery and payments.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126407831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

POSTVACCINATION TRANSVERSE MYELITIS IN THE POSTPARTUM PERIOD: CASE REPORT AND LITERATURE REVIEW 产后疫苗接种后横贯脊髓炎:病例报告及文献复习

Brazilian Journal of Medicine and Human Health Pub Date : 2016-12-13 DOI: 10.17267/2317-3386bjmhh.v4i4.995

O. A. Barbosa, A. B. D. Souza, Cristiane Souza Vasconcelos, P. Lemos

引用次数: 0

A BRIEF REPORT FROM A BRAZILIAN STUDYING IN THE NETHERLANDS 一个在荷兰学习的巴西人的简短报道

Brazilian Journal of Medicine and Human Health Pub Date : 2016-12-13 DOI: 10.17267/2317-3386bjmhh.v4i4.1178

L. Lemos

引用次数: 0

IMPLEMENTATION OF CHOOSING WISELY CAMPAIGN IN HEALTH COURSES IN BRAZIL – DESCRIPTION OF THE FIRST STEPS 在巴西卫生课程中实施明智选择运动——描述最初的步骤

Brazilian Journal of Medicine and Human Health Pub Date : 2016-12-13 DOI: 10.17267/2317-3386bjmhh.v4i4.1193

M. Menezes, Marília Menezes Gusmão, A. Ladeia, C. Aguiar, Cristiane Magali Freitas dos Santos, L. C. Correia

{"title":"IMPLEMENTATION OF CHOOSING WISELY CAMPAIGN IN HEALTH COURSES IN BRAZIL – DESCRIPTION OF THE FIRST STEPS","authors":"M. Menezes, Marília Menezes Gusmão, A. Ladeia, C. Aguiar, Cristiane Magali Freitas dos Santos, L. C. Correia","doi":"10.17267/2317-3386bjmhh.v4i4.1193","DOIUrl":"https://doi.org/10.17267/2317-3386bjmhh.v4i4.1193","url":null,"abstract":"Introduction. Popular medical decisions regarding testing or treatment are often ineffective or even harmful. Seeking an awareness of healthcare professionals and patients in this regard, it was created the international campaign \"Choosing Wisely”, whose strategy is based on creating lists containing situations that are frequent but of low value to patients. Objective. To describe the initial process of implementing Choosing Wisely Campaign in EBMSP. Material and methods. Descriptive study based on observation reports. Results. It was made a presentation and invitation the healthcare courses coordinators of EBMSP, followed by research group formation. The medical course list was written using an expert panel and it was sent to students and medical teachers of the school. The partial results were presented in events of medical education and a Choosing Wisely meeting in Brazil. A student-aimed questionnaire to evaluate perceptions on cost-conscious attitudes and role-modeling behavior is being validated. Conclusion. It is noticeable the high interest of students and teachers about the campaign, the development of a research activity helped systematization and organization of the actions and fast evolution of the research team.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126252846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

PREVALENCE AND DETERMINANTS OF MALE CONDOM UTILIZATION IN ONDO STATE NIGERIA 尼日利亚昂多州男性避孕套使用的流行率和决定因素

Brazilian Journal of Medicine and Human Health Pub Date : 2016-12-13 DOI: 10.17267/2317-3386BJMHH.V4I4.1057

O S Ilesanmi, F. Alele

{"title":"PREVALENCE AND DETERMINANTS OF MALE CONDOM UTILIZATION IN ONDO STATE NIGERIA","authors":"O S Ilesanmi, F. Alele","doi":"10.17267/2317-3386BJMHH.V4I4.1057","DOIUrl":"https://doi.org/10.17267/2317-3386BJMHH.V4I4.1057","url":null,"abstract":"Introduction Male condom use has been advocated to prevent unwanted pregnancy and Sexually Transmitted Infections (STI). Predictors of condom use will help in understanding groups requiring more interventions. This study aims at determining the prevalence and predictors of male condom utilization in Ondo State. Methods This is a secondary data analysis of the Nigeria National Demographic and Health Survey (NDHS) 2013 data set. Ondo state data was extracted. The study area was Ondo State, Nigeria. It was a descriptive cross-sectional study and it focused on men between ages 15-49 years. Descriptive statistics were done. Data was analysed using Chi-square test and logistic regression. Level of statistical significance was p<0.05. Results The mean age of the 404 respondents was 29 ± 10 years, 215 (53.2%) were never in a marital union, 258 (63.8%) had secondary level of education. Out of 318 (78.7%) respondents who have ever had sex 91(28.7%) used condom at last sex. In age 15-24 categories 37(59.7%) used condoms while only 54(24.7%) used among respondents above 25 years, p<0.001. Among those who were never in any marital union 58(60.4%) used condom compared to 13(22.8%) of those who were living with partners, p<0.001. Men who were not in union had about 4 times odds of using condoms (OR 3.6, 95% Cl: 1.5-8.7, p=0.004). Conclusion To reduce the prevalence of HIV/AIDS and transmission of STI emphasis needs to be put on the use of condom. Effort at promoting condom use should be encouraged among men in marital union especially those having extramarital sex.","PeriodicalId":280405,"journal":{"name":"Brazilian Journal of Medicine and Human Health","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133614151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0