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OBJETIVO: Conhecer o perfil epidemiológico e demográfico do idoso que frequenta hospital geral, na periferia da cidade de São Paulo, Brasil. MÉTODO: Trata-se de um estudo observacional transversal descritivo e analí­tico, realizado em um Hospital Público da Região Sul de São Paulo- SP, no perí­odo de janeiro de 2010 a dezembro de 2016, com pessoas com mais de 60 anos. Utilizou-se teste não paramétrico de Kolmogorov – Smirnov. RESULTADOS: Os dados demográficos denotam que a maioria dos idosos que frequentam o hospital apresentaram agravos agudos, sendo prevalentes doenças cardiocerebrovasculares (30,25%), doenças do aparelho respiratório (13,39%), doenças infectocontagiosas (12,42%), doenças do trato gastrointestinal (9,68%), trauma (8%), doenças do aparelho urogenital (7,2%), câncer (3,25%). No estudo de prevalência de agravos agudos estratificado por décadas de vida encontrou-se: nos idosos acima de 80 anos um aumento da prevalência: doenças pulmonares, septicemias, doenças do aparelho geniturinário. Conclusões: As doenças cardio- vasculares são predominantes, seguidas das doenças do aparelho respiratório em um hospital público de periferia da cidade de São Paulo. O conhecimento deste perfil tem um potencial muito grande para administradores hospitalares organizarem seus serviços para atender de uma forma mais humanizada e eficiente este grupo de pacientes e seve de subsí­dio para as ações de atenção primária de saúde.

Objetivo: Analisar os dados de vitimização de homens, com idade entre 20 e 59 anos, pelas distintas formas de violência fí­sica e sexual, registrados no Sistema de Vigilância de Violências e Acidentes/SIVVA da cidade de São Paulo (SP). Método: Trata-se de um estudo transversal, de abordagem quantitativa, descritivo, retrospectivo. Realizado por meio das notificações do Sistema de Informação para a Vigilância de Violência e Acidentes (SIVVA) da Secretaria Municipal de Saúde da cidade de São Paulo, no perí­odo de janeiro a dezembro de 2014 na cidade de São Paulo, sendo composto por 6658 homens na faixa etária entre 20 a 59 anos. Resultados: O número de casos de violência fí­sica foram 6.624 casos e violência sexual 34 casos contra homens com idade entre 20 e 59 anos. O ví­nculo do agressor em relação a ví­tima era familiar ou conhecido da ví­tima; 61,8% violência sexual e 42,8% violência fí­sica. Conclusão: O estudo evidenciou que as ví­timas eram predominantemente adultos jovens. A violência na maioria dos estudos é vista como um grande problema social que atinge toda a sociedade, sendo responsável pelo adoecimento e mortes causadas por ações realizadas por indiví­duos ou, provocando danos fí­sicos, emocionais as ví­timas; além de gerar despesas para os serviços público.

Introduction: Decreased physical activity has been associated with poorer mental health and is a cause for concern during the COVID-19 pandemic. Objective: To compare groups of medical students (MS) who practiced different levels of moderate and vigorous physical activity (MVPA) during the COVID-19 pandemic, in relation to symptoms of anxiety and depression (BAI-BDI), sleep quality (PSQI), and physical activity (PA) - light, moderate, vigorous (LPA-MPA and VPA), and sedentary behavior (SB). Methods: This research is a cross-sectional study involving 218 MS. Data on the characteristics of the MS were collected through online forms: PA, SB, BAI, BDI, and PSQI. The Cohen's D (Effect Size - ES) and confidence interval (95% CI), Mann-Whitney test: Lower MVPA (Median=0 minute) and Higher MVPA (Median=390 minutes) were recorded. For the statistical analyses, we used: the Odds ratio (OR) for the presence of symptoms of high levels of anxiety and depression and poor sleep quality in the MS and MVPA. Results: We found a small ES for symptoms of depression (ES 0.26 95% CI 0.00 0.53 p=0.029), and significant differences (p

Introduction Identifying conditions among all cause hospitalizations that could be prevented at the primary care level would allow the development of strategies to reduce the range of diseases treated in hospital and promote a more efficient utilization of resources. Objective We sought to evaluate hospitalizations for clinical conditions that are sensitive to primary care in adults. Methods Cross-sectional study with data captured in hospital electronic health records using the diagnosis related groups classification system. Results Primary care-sensitive conditions were associated with longer duration of hospitalization, older age, higher prevalence of female patients, higher complexity at admission and during hospitalization, and a higher risk of mortality as compared with other conditions not sensitive to primary care. Conclusion A significant proportion of hospitalizations are due to causes sensitive to primary care. Hospitalizations due to primary care-sensitive conditions are associated with longer hospital stay, greater complexity and severity, and a higher risk of mortality.

INTRODUCTION: Burns injuries are a significant health problem because they cause permanent or long lasting sequelae. OBJECTIVE: To characterize burn injuries, occurring among children and adolescents living in the city of Sao Paulo, and to identify the profile of pediatric patients treated for burn injuries. METHODS: This is a cross-sectional, quantitative, descriptive and retrospective study. A survey was carried out using data from the Information System for Violence and Accident Surveillance (SIVVA) of the Municipal Health Department of the city of Sao Paulo, where the reports of accidents against children and adolescents (0 to 19-years-old). RESULTS: During the study period, there were 416 burn injuries among children and adolescents living in the city of Sao Paulo. The main lesion diagnoses were: degree II burn (41.6%), the body region being more affected by wrist and hand. CONCLUSION: The results of this study showed that there was a higher frequency of burns among boys, preschoolers and the domestic environment. It emphasizes the importance of epidemiological researches in the subject because they can support preventive strategies, especially in the period of childhood and adolescence.

Objectives : To identify and assess the prevalence of skin changes in the older adults surveyed, as well as to detect skin phototype according to the Fitzpatrick classification and to assess whether there was an association between the changes identified and predisposing factors (smoking, diabetes mellitus and hypertension). Additionally, evaluate the level of knowledge of the subjects regarding skin care. Method : A cross-sectional study was conducted in April to August 2018, based on a convenience sample of 80 older adults attending a private clinic. A questionnaire was applied among the subjects to identify their skin care and an answer sheet was completed by the researcher with information about the physical examination of the skin. Data were analyzed by the chi square or Fisher’s exact method. Poisson regression was used to determine the independent effect of the exploratory variables on the response variable. Results : The sampled population had a low level of education and was low-income and did not take proper care of their skin, while 70% were skin phototype 4. Most (73%) were aware of what skin cancer is and a significant portion 50% did not use sunscreen or moisturizer. There was no significant difference between the sexes (p>0.05). About half of the older adults reported having been instructed about skin care. Seventy two percent knew about the dangers of sun exposure. The most common skin alteration was melanosis and an association was found between diabetes and keratosis. Conclusions : The study population was low income, with a low level of education. They were exposed to the sun and did not make proper use of sunscreen or moisturizers, but sought health information from their doctor and knew what skin cancer was. Resumo Objetivo : Identificar e avaliar a prevalência das alterações de pele nas pessoas idosas pesquisadas, assim como detectar o fototipo de pele de acordo com a classificação de Fitzpatrick e avaliar se houve associação entre as alterações apresentadas com fatores que as predispõem (tabagismo, diabetes mellitus e hipertensão arterial). Além disso, avaliar o nível de conhecimento dos mesmos em relação aos cuidados com a pele. Método : Trata-se de estudo transversal realizado de abril a agosto de 2018 sendo a amostra selecionada por conveniência, 80 idosos frequentadores da clínica privada. Aplicado questionário aos idosos para saber os cuidados com a pele e ficha de atendimento com informações sobre exame físico da pele. Dados analisados pelo método do qui- quadrado ou exato de Fisher. Para determinar o efeito independente das variáveis exploratórias sobre a variável resposta foi utilizada a regressão de Poisson. Resultados : trata-se de população de baixa escolaridade, baixa renda que não cuida adequadamente de sua pele e 70% apresentam fototipo 4. A maioria (73%) conhece o que é o câncer de pele e cerca de 50% não faz uso de protetor solar nem hidratante. Não houve diferença significativa entre os sexos (p>0,05). Cerca da metade dos idosos relatou ter sido orientada sobre os cuidados cutâneos. Setenta e dois por cento conhecem os perigos da exposição solar. A alteração cutânea mais encontrada foi a melanose e foi encontrada associação entre diabetes e ceratose. Conclusão : Trata-se de população de baixa renda, baixa escolaridade e que se expõe ao sol, não faz uso devido de protetor solar e nem hidratantes, busca informação de saúde com o médico e conhece o que é o câncer de pele.

Introduction: Congenital syphilis is an infectious disease that has the etiological agent Treponema pallidum. Its transmission is vertical hematogenous, transplacental, of infected pregnant untreated or inadequately treated for its concept. It divides into two periods: early to the second year of life, and after the second year of life, late. Detection during prenatal care is performed by screening the third trimester of pregnancy with preterm labor, as early as in the maternity ward. The detection of Treponema pallidum through non-treponemal test (VDRL), presents little specificity, high sensitivity, low cost and fast negativation in response to the treatment avoiding that the concept is born with sequels. Thus, prenatal care is an important tool in the control of the disease, and it is necessary to improve care quality, since 70% of the mothers in Brazil are prenatal, not all of them are diagnosed or have the appropriate treatment of syphilis. Objective: To establish an epidemiological panorama of the incidence of Congenital Syphilis in the socioeconomic and cultural context in which the School Hospital of the Southern Region of the city of São Paulo is inserted. Patients and Methods: This is an individualized, observational, cross-sectional study carried out by means of a medical records survey of the Hospital Infection Control Service of Hospital Escola da Região Sul in the city of São Paulo. The survey of data referring to the form with questions of interest to the mother and the newborns diagnosed with Congenital Syphilis in the period from 2012 to 2016 was developed. This project was submitted and approved by the Ethics Committee of the Santo Amaro University - SP (Plataforma Brasil - CAAE: 68103317.6.3001.5447). Results: A total of 183 cases of Congenital Syphilis were registered in the Hospital Infection Control Service of the São Paulo School Hospital from 2012 to 2016, and among these, 126 medical records were reinforced. Prenatal performance (p = 0.0060), schooling (p = 0.5107) and schooling (p = 0.8603) did not influence disease screening by showing insignificant statistical data. Success occurred with companion treatment (p = 0.0451), which showed the highest incidence in 2014 (48.1%) and 2016 (58.3) when compared to the others. Conclusion: In the presented scenario, it was verified that although prenatal and maternal treatment were performed, they were inefficient to prevent pregnant women from transmitting the disease. This is probably related to the inefficiency of the treatment of the companions, who although in the year 2014 and 2016 presented a higher incidence of accomplishment, coincided with the increase of notifications in those same years. There were no statistically significant differences in relation to other factores, a fact that causes concern in the field of Public Health. Introducción: La sífilis congénita es una enfermedad infecciosa que tiene el agente etiológico Treponema pallidum. Su transmisión es hematógena vertical, transplacentaria, de embarazadas infectadas sin tratar o tratadas inadecuadamente para su concepto. Se divide en dos períodos: temprano hasta el segundo año de vida, y después del segundo año de vida, tardío. La detección durante la atención prenatal se realiza mediante la detección del tercer trimestre del embarazo con trabajo de parto prematuro, ya en la sala de maternidad. La detección de Treponema pallidum mediante prueba no treponémica (VDRL), presenta poca especificidad, alta sensibilidad, bajo costo y rápida negatividad en respuesta al tratamiento evitando que el concepto nazca con secuelas. Así, la atención prenatal es una herramienta importante en el control de la enfermedad, y es necesario mejorar la calidad de la atención, ya que el 70% de las madres en Brasil son prenatales, no todas están diagnosticadas o tienen el tratamiento adecuado de sífilis. Objetivo: Establecer un panorama epidemiológico de la incidencia de la Sífilis Congénita en el contexto socioeconómico y cultural en el que se inserta el Hospital Escolar de la Región Sur de la ciudad de São Paulo. Pacientes y métodos: Se trata de un estudio individualizado, observacional, transversal, realizado mediante encuesta de historia clínica del Servicio de Control de Infecciones Hospitalarias del Hospital Escola da Região Sul de la ciudad de São Paulo. Se elaboró ​​la encuesta de datos referentes al formulario con preguntas de interés para la madre y los recién nacidos diagnosticados con Sífilis Congénita en el período de 2012 a 2016. Este proyecto fue presentado y aprobado por el Comité de Ética de la Universidad Santo Amaro - SP (Plataforma Brasil - CAAE: 68103317.6.3001.5447). Resultados: Se registraron un total de 183 casos de Sífilis Congénita en el Servicio de Control de Infecciones Hospitalarias del Hospital Escolar de São Paulo de 2012 a 2016, de los cuales se reforzaron 126 historias clínicas. El rendimiento prenatal (p = 0,0060), la escolaridad (p = 0,5107) y la escolaridad (p = 0,8603) no influyeron en el cribado de enfermedades al mostrar datos estadísticos insignificantes. El éxito se produjo con el tratamiento con acompañantes (p = 0,0451), que mostró la mayor incidencia en 2014 (48,1%) y 2016 (58,3) en comparación con los demás. Conclusión: En el escenario presentado, se verificó que si bien se realizaron tratamientos prenatales y maternos, estos resultaron ineficientes para evitar que las embarazadas transmitieran la enfermedad. Esto probablemente esté relacionado con la ineficacia del trato de los acompañantes, que si bien en el año 2014 y 2016 presentaron una mayor incidencia de realización, coincidió con el aumento de notificaciones en esos mismos años. No hubo diferencias estadísticamente significativas en relación con otros factores, hecho que genera preocupación en el ámbito de la Salud Pública. Introdução: a sífilis congênita é uma doença infecciosa que possui como agente etiológico Treponema pallidum. Sua transmissão é hematogênica vertical, transplacentária, de gestantes infectadas não tratadas ou tratadas inadequadamente para seu conceito. Divide-se em dois períodos: precoce até o segundo ano de vida e, após o segundo ano de vida, tardia. A detecção durante o pré-natal é realizada pela triagem do terceiro trimestre da gravidez com trabalho de parto prematuro, já na maternidade. A detecção do Treponema pallidum através do teste não treponêmico (VDRL), apresenta pouca especificidade, alta sensibilidade, baixo custo e rápida negativação em resposta ao tratamento evitando que o concepto nasça com sequelas. Assim, o pré-natal é uma ferramenta importante no controle da doença, sendo necessário melhorar a qualidade da assistência, visto que 70% das mães no Brasil fazem o pré-natal, e nem todas têm diagnóstico de sífilis ou recebem o tratamento adequado. Objetivo: Traçar um panorama epidemiológico da incidência da Sífilis Congênita no contexto socioeconômico e cultural em que está inserido o Hospital Escola da Região Sul da cidade de São Paulo. Pacientes e Métodos: Trata-se de um estudo individualizado, observacional, transversal, realizado por meio de levantamento de prontuários do Serviço de Controle de Infecção Hospitalar do Hospital Escola da Região Sul da cidade de São Paulo. Foi desenvolvido o levantamento de dados referentes ao formulário com perguntas de interesse da mãe e dos recém-nascidos com diagnóstico de Sífilis Congênita no período de 2012 a 2016. Este projeto foi submetido e aprovado pelo Comitê de Ética da Universidade de Santo Amaro - SP (Plataforma Brasil - CAAE: 68103317.6.3001.5447). Resultados: No período de 2012 a 2016, foram registrados 183 casos de Sífilis Congênita no Serviço de Controle de Infecção Hospitalar do Hospital Escola de São Paulo, sendo que destes, 126 prontuários foram reforçados. O desempenho pré-natal (p = 0,0060), a escolaridade (p = 0,5107) e a escolaridade (p = 0,8603) não influenciaram o rastreamento da doença por apresentar dados estatísticos insignificantes. O sucesso ocorreu com o acompanhamento do acompanhante (p = 0,0451), que apresentou maior incidência em 2014 (48,1%) e 2016 (58,3) quando comparado aos demais. Conclusão: No cenário apresentado, constatou-se que embora o pré-natal e o tratamento materno fossem realizados, eles eram ineficazes para evitar que as gestantes transmitissem a doença. Isso provavelmente está relacionado à ineficiência do tratamento dos acompanhantes, que embora no ano de 2014 e 2016 apresentassem maior incidência de cumprimento, coincidiu com o aumento das notificações nesses mesmos anos. Não houve diferenças estatisticamente significativas em relação aos outros fatores, fato que preocupa a Saúde Coletiva.

Objectives : To characterize the population of elderly people who have suffered physical and sexual violence, and describe the features of this aggression based on the Information System for Violence and Injury Surveillance (ISVIS) of the Municipal Health Department of the city of São Paulo. Method : A cross-sectional, retrospective study was performed of all cases of elderly victims of physical and sexual violence reported in São Paulo in 2013. Results : A total of 602 cases of elderly victims of physical abuse were reported, of which 52.3% were male. In the same period there were ten reported cases of elderly victims of sexual assault, 90% of whom were female. The main diagnosis of injury was head trauma (33.2%) and 65.0% of victims were discharged from hospital immediately. Conclusion : Physical abuse with the use of physical force was higher among male elderly persons, and sexual assault was higher among women. Most of the attacks took place at the residence of the elderly person, and were committed by family members.

Objective: Globally, more than 1.2 million people die from traffic accidents each year. In order to reduce the rate of traffic accidents and their subsequent social consequences in Sao Paulo, Brazil, the aim of this study was to characterize pedestrian victims of traffic accidents and occurrences. Methods: This is a cross-sectional, quantitative, descriptive and retrospective epidemiological study of 2723 pedestrians injured in traffic accidents during 2016 in Sao Paulo. Results: Of the total sample, 37.3% participants were female and 62.7% male; incidence was highest in the 10-19 year old age group (19.9%) and lower limb injuries were most frequent (28.6%). Of the cases attended in urgent health care units, 75.6% progressed to hospital discharge. Accidents were more frequent in the afternoon (44.6%), and most commonly involved cars (47.2%). Conclusions: This study showed the importance of making detailed records of traffic accidents to guide the government in intensive education efforts to develop a healthy society and respect for traffic regulations, to promote urban improvements involving signage and pavement, and to maintain pre-hospital and hospital care teams in strategic locations to minimize the time elapsed between the accident and care provided to the victim. Level of Evidence II; Retrospective study. RESUMO Objetivo: Mundialmente, mais de 1,2 milhão de pessoas morrem por ano vítimas de acidentes de trânsito. Visando a redução das taxas de acidentes de trânsito e suas consequências sociais em São Paulo, Brasil, o objetivo deste estudo foi caracterizar as vítimas de acidentes e ocorrências de trânsito. Métodos: Este é um estudo epidemiológico transversal, quantitativo, descritivo e retrospectivo de 2.723 pedestres vítimas de acidentes de trânsito durante 2016 em São Paulo. Resultados: Do total da amostra, 37,3% participantes eram mulheres e 62,7% homens; a incidência foi maior no grupo de 10 a 19 anos (19,9%) sendo as lesões de membros inferiores as mais frequentes (28,6%). Dos casos encaminhados às unidades de pronto atendimento, 75,6% evoluíram para alta hospitalar. Os acidentes foram mais frequentes no período da tarde (44,6%) e a maioria associada a automóveis (47,2%). Conclusões: O estudo mostrou a importância de realizar o registro detalhado de acidentes de trânsito para orientar os governantes para a educação intensiva da população visando o desenvolvimento de uma sociedade sadia e o respeito às leis de trânsito, promover melhorias urbanas quanto à sinalização e ao pavimento das vias e para manter equipes de atendimento pré-hospitalar e hospitalar em locais estratégicos para minimizar o intervalo de tempo entre o acidente e o atendimento das vítimas. Nível de Evidência II; Estudo retrospectivo.

Introduction: The frequency of femoral fractures has increased significantly in recent decades. It is known that this is closely related to geriatric population increase in our society, becoming a relevant public health problem. Objective: To identify the epidemiological profile of femoral fractures after an accidental fall among elderly people living in the city of Sao Paulo. Methods: This is a cross-sectional, quantitative, descriptive and retrospective study. We analyzed a total of 188 cases of fall among elderly (60 years old or more) diagnosed with femoral fractures, notified in The Information System for Violence and Accidents Surveillance (SIVVA), between January and October of 2017. Results: The main injury diagnoses among elderly who suffered from fall accidents were femoral neck fracture (28.7%) and pertrochanteric fracture (24.5%). In relation to age and gender, femoral fractures due to accidental fall were predominantly among elderly with 80 years old or more (51.1%) and females (62.8%). Femoral fractures due to falls were more frequent in white individuals (62.2%), main place of occurrence were in the elder residence and during daytime. Conclusion: Femoral fractures among elderly occurred predominantly in female, white individuals, playing a major role due to their high morbimortality, making public health policies for elderly direct a greater attention to this population.

Aims Childhood obesity is emerging as a relevant public health concern because a significant proportion of obese children will become obese in adulthood. The prevalence of childhood and adolescent obesity has increased in developed and developing nations. This study aimed to verify the prevalence of overweight and obesity in schoolchildren from primary schools in an urban–rural peripheral region of Sao Paulo, Brazil. Methods This was a cross-sectional study with 2039 6- to 10-year-old children. The body mass index in z-scores (BMI z-score) were measured and tested for possible associations between variables such as gender, age, school grade and time of day. Results The average age of the children was 8.5 years. We found a higher frequency of overweight children (16.4%) than obese children. There were no differences observed between schools. In the overweight group, we found higher z-scores in children from the first and third grades and no differences in the obese group. Moreover, the BMI z-score was higher in the overweight children in the first time of day and for the obese children in the third time of day. Conclusions The children studied in the third time of day (3–7 p.m.) had a high BMI z-score. Being overweight was more prevalent than obesity in children. Moreover, the frequency of obesity in boys was higher than in girls. Anthropometric surveillance of obesity and lifestyle changes are necessary to control excessive weight gain in childhood.

Objective In this perspective, the present research aims to describe the reports of self-injury and suicide attempt among the elderly population living in the city of São Paulo. Methods This is a descriptive, quantitative approach based on Violence and Accidents Surveillance Information System (SIVVA) of the city of São Paulo. In the selection of notifications, it was included the ones related to self-injury and attempted suicide against men and women, with age group between 60 and over, from January to December 2014 in the city of São Paulo, Southeastern Region of Brazil. Results During 2014, 93 cases of self-injury and attempted suicide were reported among elderly people living in the city of São Paulo. The main instruments used by the elderly population in the analyzed period were poisoning (41.9%), other means (34.4%), cold weapon (15.1%), high precipitation places (4.3%), hanging or suffocation (3.2%), and firearm (1.1%). Conclusion From the results of this study it was possible to characterize some specific aspects related to self-injury and suicide attempt among elderly in the evaluated population. Therefore, developing a strategy to promote effective prevention actions and offer specialized services to most risk groups (brown races, people with lower levels of education, and males). RESUMO Objetivo Nesta perspectiva, a presente pesquisa tem como objetivo descrever os casos de autoagressão e tentativa de suicídio entre a população idosa residente na cidade de São Paulo. Métodos Esta é uma abordagem descritiva e quantitativa baseada no Sistema de Informação para Vigilância de Violências e Acidentes (SIVVA) da cidade de São Paulo. Na seleção das notificações, foram incluídos os relacionados à autoagressão e à tentativa de suicídio contra homens e mulheres, com faixa etária entre 60 e mais, de janeiro a dezembro de 2014 na cidade de São Paulo, Região Sudeste do Brasil. Resultados Durante o ano de 2014, 93 casos de autolesão e tentativa de suicídio foram notificados em pessoas idosas residentes na cidade de São Paulo. Os principais instrumentos utilizados pela população idosa no período analisado foram envenenamentos (41,9%), outros meios (34,4%), arma branca (15,1%), locais de alta precipitação (4,3%), suspensão ou sufocação (3,2%) e arma de fogo (1,1%). Conclusão Com os resultados deste estudo, foi possível caracterizar alguns aspectos específicos relacionados a autoagressão e tentativa de suicídio entre os idosos na população estudada. Portanto, faz-se necessário desenvolver uma estratégia para promover ações de prevenção eficazes e oferecer serviços especializados para a maioria dos grupos de risco (raça parda, pessoas com níveis mais baixos de educação e homens).

ResumoObjetivoDescrever as características de vítimas de acidentes de motocicleta e bicicleta, segundo notificações de acidentes, suspeitos e confirmados, ocorridos no município de São Paulo.MétodoEstudo epidemiológico transversal, descritivo. Abrangeu todos os acidentes (12.924) ocorridos com motocicleta (11.366) e bicicleta (1.558) de janeiro de 2011 a outubro de 2013. Fez‐se um levantamento dos dados do Sistema de Informação de Vigilância e Violência e Acidentes (SIVVA) da Secretaria de Saúde.ResultadosOs acidentes de motocicleta corresponderam a 52,1% dos casos notificados; os de bicicleta, a 7,1%. O sexo masculino foi predominante em ambos: 81,6% e 80,6%, respectivamente. Nos acidentes de motocicleta, a faixa predominante das vítimas foi entre 20 e 24 anos. Ambos os acidentes ocorreram durante o dia (7 às 18 horas): 37,4% e 27,0% respectivamente. Entre os acidentes de motocicleta, em 3% os pilotos fizeram uso de álcool e em 67% não foi possível identificar se isso ocorrera..ConclusõesFaz‐se necessária a adoção de políticas públicas que priorizem a aplicação de recursos financeiros e humanos na redução desses tipos de acidente.AbstractObjectiveTo describe the characteristics of motorcycle and bicycle accident victims, according to notifications of suspected and confirmed accidents that have occurred in the municipality of São Paulo.MethodThis was a descriptive epidemiological study. It covered all accidents (12,924) that occurring involving motorcycles (11,366) and bicycles (1,558) between January 2011 and October 2013. Data in the Health Department's information system for surveillance of violence and accidents (SIVVA) was surveyed.ResultsMotorcycle accidents accounted for 52.1% of the cases notified and bicycles, 7.1%. Males predominated in both types of accident: 81.6% and 80.6%, respectively. In the motorcycle accidents, the predominant age group among the victims was from 20 to 24 years. Both types of accident occurred during the daytime (7:00 to 18:00 hours): 37.4% and 27.0% respectively. Among the motorcycle accidents, the driver had been using alcohol in 3% of them and it was not possible to identify whether this had occurred in 67%.ConclusionsPublic policies prioritizing financial and human resources applied towards reducing these types of accident need to be brought in.

Objective:To describe the characteristics of motorcycle and bicycle accident victims, according to notifications of suspected and confirmed accidents that have occurred in the municipality of São Paulo.Method:This was a descriptive epidemiological study. It covered all accidents (12,924) that occurred involving motorcycles (11,366) and bicycles (1558) between January 2011 and October 2013. Data in the Health Department's information system for surveillance of violence and accidents (SIVVA) was surveyed.Results:Motorcycle accidents accounted for 52.1% of the cases notified and bicycles, 7.1%. Males predominated in both types of accidents: 81.6% and 80.6%, respectively. In the motorcycle accidents, the predominant age group among the victims was from 20 to 24 years. Both types of accidents occurred during the daytime (7:00-18:00 h): 37.4% and 27.0% respectively. Among the motorcycle accidents, the driver had been using alcohol in 3% and it was not possible to identify whether this had occurred in 67%.Conclusions:Public policies prioritizing financial and human resources applied toward reducing these types of accidents need to be brought in. Objetivo:Descrever as características de vítimas de acidentes de motocicleta e bicicleta, segundo notificacões de acidentes, suspeitos e confirmados, ocorridos no município de São Paulo.Método:Estudo epidemiológico transversal, descritivo. Abrangeu todos os acidentes (12.924) ocorridos com motocicleta (11.366) e bicicleta (1.558) de janeiro de 2011 a outubro de 2013. Fez-se um levantamento dos dados do Sistema de Informação de Vigilância e Violência e Acidentes (SIVVA) da Secretaria de Saúde.Resultados:Os acidentes de motocicleta corresponderam a 52,1% dos casos notificados; os de bicicleta, a 7,1%. O sexo masculino foi predominante em ambos: 81,6% e 80,6%, respectivamente. Nos acidentes de motocicleta, a faixa predominante das vítimas foi entre 20 e 24 anos. Ambos os acidentes ocorreram durante o dia (7 às 18 horas): 37,4% e 27,0% respectivamente. Entre os acidentes de motocicleta, em 3% os pilotos fizeram uso de álcool e em 67% não foi possível identificar se isso ocorrera.Conclusões:Faz-se necessária a adoção de políticas públicas que priorizem a aplicação de recursos financeiros e humanos na redução desses tipos de acidente.

ObjectiveTo describe the victim profile and circumstances of transport accidents involving children and adolescents who were attended at a teaching hospital in the southern zone of the city of São Paulo.MethodsThis was an individual observational case series study among patients up to the age of 19 years who were attended at a hospital in the southern zone of the city of São Paulo, state of São Paulo, Brazil, due to traffic accidents. The files notifying suspected or confirmed cases of violence and accidents (SIVVA files) covering January to December 2012 were analyzed.ResultsAmong the 149 cases notified, 64.4% related to males and 35.6% to females. The transport accidents were predominantly among males, irrespective of age. The main injury diagnoses were superficial head trauma (24.8%) followed by multiple non-specified trauma (36.4%), in both sexes.ConclusionTransport accidents among children and adolescents occurred more often among males. The main transport accidents among the children and adolescents attended as emergency cases were caused by motor vehicles and motorcycles. Among the accident victims, the largest proportion was attended because of being run over. ObjetivoDescrever o perfil das vítimas e as circunstâncias dos acidentes de transporte ocorridos com crianças e adolescentes atendidos em hospital-escola na Zona Sul da cidade de São Paulo.MétodosTrata-Se de um estudo individuado observacional de tipo levantamento de casos, com pacientes até 19 anos, que foram atendidos por acidentes de trânsito em hospital na Zona Sul da cidade de São Paulo, estado de São Paulo, Brasil. Foram analisadas as Fichas de Notificação de Casos Suspeitos ou Confirmados de Violência e Acidentes (SIVVA), de janeiro a dezembro de 2012.ResultadosEntre os 149 casos notificados, 64,4% correspondem ao sexo masculino e 35,6% ao feminino. Os acidentes de transporte são predominantes no sexo masculino, independentemente da idade. Os principais diagnósticos de lesão foram o trauma superficial da cabeça (24,8%), seguido por trauma múltiplo não especificado (36,4%) em ambos os sexos.ConclusãoOs acidentes de transporte entre crianças e adolescentes foram maiores no sexo masculino. Os principais acidentes de transporte entre as crianças e os adolescentes atendidos na urgência foram ocasionados por automóveis e motocicletas. Entre as vítimas de acidentes a maior parte foi atendida por atropelamento.

Pedestrian traffic injuries represent an important cause of mortality, and although the occurrence rates are lower than collisions between vehicles, the lethality is much higher due to the vulnerability of the pedestrians. This study characterized the victims of traffic accidents as to gender, age group, period of occurrence, association with alcohol and drug use, place of accidents, diagnosis of attendance, evolution of victims and types of vehicles involved, in order to assist public managers in intervening in such scenario. It is a cross-sectional, quantitative, descriptive and retrospective epidemiological study of 2719 pedestrians injured in traffic accident records, during 2017 in Sao Paulo, Brazil. Men were involved in 61.9% of the traffic accidents and the most affected age group was between 20 and 24 years (12.4%). The highest incidence was in the afternoon (12.2%), in the South region (4.5%) and 46.3% associated with cars. The lower limb traumas were the most frequent (32.3%) and 76.5% of the victims followed to hospital discharge. This study revealed the importance of the epidemiological analyses of traffic accidents. It is an important tool to guide governments to promote public and drivers education to respect the traffic regulations. And besides, it can be used to manage the assistance of the pedestrian victims of traffic accidents by the maintaining of the pre-hospital and hospital care teams in strategic locations to minimize the time between the accident and the victim’s care by the public Brazilian National Health System (Sistema Unico de Saude - SUS).

OBJECTIVE: To characterize the motorcycle accidents occurred in the city of São Paulo, SP, Brazil in the year 2013, with emphasis on information about hospital admissions from SIH/SUS. METHODS: This is a retrospective cross-sectional study. The study covered 5,597 motorcyclists traumatized in traffic accident during the year 2013 occurred in the city of São Paulo. A survey was conducted using secondary data from the Information System of Hospitalization Health System (SIH/SUS). RESULTS: In 2013, in the city of São Paulo there were 5,597 admissions of motorcyclists traumatized in traffic accidents, of which 89.8% were male. The admission diagnosis were: leg fracture, femur fracture, and intracranial injury. CONCLUSION: This study confirms other preliminary studies on several points, among which stands out the highest prevalence of male young adults. Level of Evidence II, Retrospective Study.

Objective: To evaluate the persistence of nutritional deficit in a sample of schoolchildren. Methods: A cross-sectional study of 1,761 schoolchildren between 6 and 10 years from 3 schools. They were assessed by Z scores of weight for height and height for age, according to the World Health Organization. The variables studied were gender, age, grade and school year. The χ² test was used to relate the nutritional deficit with the variables. Results: Of all children 8.5% were malnourished according to the weight for height Z score, 21.6%, according to height for age. The analysis of the weight for height Z score revealed that 59.7% were male and 40.3% female. The mean age was 8.9 years. As to the Z score of height for age, 53.9% were males and 46.1% females. The risk of malnutrition was higher among boys: 59.7% for the weight for height index and 53.9% for height for age. There was no statistical difference between schools, gender and school year. As to nutritional status, school period (p < 0.0001) and students’ grade (p = 0.0105), we observed statistical significance. Conclusion: Malnutrition still persists among the low-income population and males had a higher percentage of malnutrition. Nutritional evaluation of students is an extremely important tool for understanding the dynamics of child nutrition and development. RESUMO Objetivo: Verificar a persistência do déficit nutricional em amostra de escolares. Métodos: Estudo transversal com 1.761 escolares de 6 a 10 anos provenientes de 3 escolas de ensino fundamental. Foram avaliados pelos escores Z de peso/estatura e estatura/idade, segundo a Organização Mundial da Saúde. As variáveis estudadas foram: gênero, idade, série e período escolar. O teste do χ² relacionou o déficit nutricional com as variáveis. Resultados: Segundo o escore Z de peso/estatura 8,5% eram desnutridas; 21,6% de acordo com estatura/idade. A análise do escore Z de peso/estatura revelou que 59,7% eram meninos e 40,3% meninas. A média de idade foi de 8,9 anos. Quanto ao escore Z de estatura/idade 53,9% eram do gênero masculino e 46,1% do gênero feminino. O risco de desnutrição foi maior entre os meninos: 59,7% para o índice peso/estatura e 53,9% para o estatura/idade. Não houve diferença estatística na comparação entre as escolas, o gênero e o período escolar. Já entre estado nutricional, período (p < 0,0001) e série dos escolares (p = 0,0105), observamos significância. Conclusão: A desnutrição ainda é persistente entre a população de baixa renda e o gênero masculino apresentou maior prevalência. Pode-se considerar que a avaliação nutricional é uma ferramenta de extrema importância para compreensão da dinâmica nutricional de crianças e seu desenvolvimento.

Objective: To compare the growth curves from a population from a large city suburban hospital with those of the city of São Paulo, São Paulo State, Brazil. Methods: At Hospital Geral do Grajaú, that serves the high pregnancy risk population lacking health facilities, of low education level and smaller number of prenatal visits and great morbidity, a growth curve was built for the newborns, as the Hospital is provided with updated equipment and personnel. The curve was built from the database available containing information on live births during the 2003 to 2007 period and totaling 9,952 newborns, as their weight at birth and gestational age were taken as parameters. The distribution curves of 3%, 10%, 50% and 90% of the Grajaú were compared to those of the city of São Paulo curve. Results: The curves did not significantly differ from those of the São Paulo curve percentiles, as shown by the mean deviation (Z score) calculation, notwithstanding the higher rates for prematurity, low weight, teenager mothers and lack of prenatal visits among the Grajaú population as compared to those of São Paulo. Conclusions: The São Paulo city curve showed to be appropriate for the suburban population despite the existing differences. RESUMO Objetivo: Comparar a curva de crescimento intrauterino de uma população que se serve de um hospital da região periférica com a curva de crescimento intrauterino da cidade de São Paulo, Brasil. Métodos: O Hospital Estadual do Grajaú serve a uma população com gestação de alto risco, com falta de recursos de saúde, baixo nível de escolaridade, poucas consultas de pré-natal e grande morbidade. O hospital que atende a essa população tem recursos e pessoal especializado, o hospital escola de medicina. A curva foi construída por meio de programa de dados confiáveis que contém informações sobre todos os recém-nascidos vivos durante os anos de 2003 a 2007, totalizando 9.952 recém-nascidos, tomando-se os dados de peso e idade gestacional como parâmetros. As curvas de distribuição de peso para os percentis 3, 10, 50 e 90 para os grupos de idade gestacional foram comparados àqueles da curva da cidade de São Paulo. Resultados: As curvas não diferiram significativamente, como demonstrado pelo cálculo do desvio das médias (Z score), não obstante as taxas de prematuridade, baixo peso, mães adolescentes e falta de consultas ao pré-natal fossem significativamente maiores na população do Hospital Estadual do Grajaú do que na população do município de São Paulo. Conclusões: A curva da cidade de São Paulo se mostrou apropriada para aquela população da periferia da cidade, ainda que existam as diferenças epidemiológicas.

Foi realizado um estudo transversal para verificar a importância da escuta e do diálogo na assistência prestada às gestantes no programa pré-natal, em quatro Unidades Básicas de Saúde: duas com modelo Tradicional e duas com modelo em Programa de Saúde da Família (PSF), localizadas na região da Subprefeitura Capela do Socorro, São Paulo. O objetivo foi identificar as percepções das gestantes quanto à escuta e diálogo oferecidos pela equipe pré-natal. Foi colhida uma amostra por sorteio de 50% das gestantes que estivessem no terceiro atendimento. Para as 152 participantes, utilizou-se questionário auto-aplicável, semi-estruturado com algumas perguntas abertas, elaborado após teste prévio. A análise estatística foi feita com os testes G de Cochran e quiquadrado. O número de gestantes que receberam orientações quanto ao funcionamento do Programa foi maior na Unidade Tradicional Icaraí. Percebeu-se que a gestante encontra escuta e diálogo no pré-natal tanto nas Unidades Tradicionais quanto nas com PSF, sugerindo que nos dois modelos de atendimento pode-se realizar excelente trabalho de Saúde Pública. A transversal study was carried out to verify the importance of dialogue and of listening in the care provided to pregnant women, participants of the pre-natal program in four basic Health Units: two of them, using a traditional model and two using the Family Health Program (PSF) model, located at the Subprefeitura (administrative region) of Capela do Socorro, Sao Paulo. The objective was to identify the perceptions of the pregnant women related to listening and dialogue offered by the pre-natal team. A sample was randomly taken from 50% of the pregnant women that were in the third month of attendance. For the 152 participants, a self-applicable and semi-structured questionnaire with some opened questions was used, developed after prior testing. Cochran's G and Chi-square tests were used for a statistical analysis. The number of pregnant women that received guidance regarding the program working method was greater in the Icaraí Traditional Unit. It has been observed that the pregnant woman are heard and there is dialogue during pre-natal care both in the Traditional Units and those in the Family Health Program ( PSF), suggesting that in the two health care models excellent Public Health Care Work can be offered.

Objective: To examine in a sample of students from a region of low socioeconomic status, the persistence of nutritional deficit. Method: Cross-sectional study of 1761 schoolchildren between 6 and 10 years from three schools in Parelheiros. Were assessed by z scores of weight for age and height for age, according to World Health Organization The variables studied were: gender, age, grade and school year. We used the chi-square to relate the nutritional deficit with the variables. Results: Of 1761 children studied 8.5% were malnourished according to z score P / E, 21.6%, according to E / I. The analysis of z score P / E revealed that 58.4% were male and 66.7% female. The mean age was 8.9 years. The z score of E / I 53.4% were male and 56.5% female. The risk of malnutrition was higher among boys: 59.7% for the index P / E and 53.9% for E / I. There was no statistically significant difference between the schools, gender and school year. Among nutritional status, period (P < 0.0001) and students grade (p = 0.0105), we observed statistical significance. Conclusion: Malnutrition is still continuing between the low-income population and males had a higher percentage of malnutrition. From the analysis in the region, one can consider that the nutritional assessment of school - the anthropometric technique in particular - is an extremely important tool for understanding the dynamics of child nutrition and development.

Objective: To examine in a sample of students from a region of low socioeconomic status, the obesity and overweight. Method: cross-sectional study of 1761 schoolchildren between 6 and 10 years from three schools in Parelheiros. Were assessed by z scores of weight for height, according to World Health Organization The variables studied were: gender, age, grade and school year. We used the chi-square to relate the obesity and overweight with the variables. Results: Of 1761 children studied 7,6% were obese and overwheigt according to z score P/E. The analysis of z score P/E revealed that 60,0% were male and 40,0% female. The mean age was 8.9 years. The risk of overweight was higher among boys: 41,2% for the index P/E. There was no statistically significant difference between the schools, gender and school year and school period. Among obesity and overweight, the school year and school period (P < 0.0001) were observed statistical significance. Conclusion: Overweight and obesity are a growing problem in the low income population by its food, customs and lack of information. From the analysis in the region, one can consider that the nutritional assessment of school - the anthropometric technique in particular - is an extremely important tool for understanding the dynamics of child nutrition and development.