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Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Oral health encompasses functional and aesthetic aspects that directly impact an individual's daily activities., Objectives: To analyze the impact of oral health conditions and related factors on the quality of life of public servants., Methods: This cross-sectional study was conducted with a sample of 89 public servants, both permanent and outsourced, from a federal public university in northeastern Brazil. Outcome was the impact of oral health on daily activities, determined by the Oral Impacts on Daily Performance indicator, and independent variables were sociodemographic characteristics, normative oral health conditions, access to and use of dental services, self-reported oral morbidity, self-perception of oral health, and absenteeism because of dental reasons. All data were analyzed using descriptive and analytical statistics, using the chi-squared test for heterogeneity and linear trend. The significance level used was set at 5%, with a 95% CI., Results: Participants experienced at least one day of work impaired by dental problems in the six months prior to the survey. Prevalence of dental absenteeism was 7.9%. Variables associated with the impact of oral health on daily activities included gender, toothache, toothache intensity, self-reported oral health, awake bruxism, self-reported need for dentures, number of natural teeth in the upper and lower arches, and signs of temporomandibular dysfunction., Conclusions: Sociodemographic, clinical, and subjective oral health variables influence the impact of oral health on the daily activities of public servants., Competing Interests: Conflicts of Interest: None

Background: The physical health of adolescents is crucial for the prosperity and sustainable development of a nation. Developing specific growth standards is essential for prioritizing the wellbeing of the youth of Pakistan. This study aimed to establish normative standards for height, weight, and body mass index (BMI) among 12- to 16-year-olds in South Punjab, facilitating accurate health assessments and tailored interventions., Method: This study utilized a cross-sectional design and stratified random sampling to select 2,970 adolescents (49.73% boys and 50.26% girls) aged 12-16 years from South Punjab, Pakistan. Anthropometric measurements, including height, weight, and BMI, were collected. The data were stratified by age and sex, and smoothed percentile curves were computed using the LMS method, which incorporates the L (γ-lambda), M (μ-mu), and S (δ-sigma) parameters. The results were compared to international references to provide a comprehensive analysis., Results: The results highlight sex-specific trends in anthropometric indicators among adolescents. Boys exhibited higher mean values in height (160.50 ± 11.50 cm), weight (45.02 ± 9.78 kg), and BMI (17.30 ± 2.41) than girls (158.57 ± 9.34 cm, 41.00 ± 7.89 kg, and 16.29 ± 2.82, respectively). Growth patterns indicate boys grow faster in height and weight between ages 12 and 14, whereas girls show slower annual increases. Comparative analysis with international standards reveals that boys' height and weight were generally lower than international medians (P50th), whereas girls' height was comparable or higher. BMI values for both sexes were lower than international norms, reflecting unique regional growth patterns., Conclusion: This research establishes updated age- and sex-specific normative reference standards for adolescents in South Punjab, Pakistan. The study revealed that Pakistani adolescent boys exhibit higher mean values in height, weight, and BMI than girls, with faster growth rates between ages 12 and 14. Compared to international standards, Pakistani adolescents show lower BMI values, highlighting unique regional growth patterns. These standards have practical applications in screening, monitoring, and health strategy planning, contributing to efforts to promote a healthier future for the population. Future studies are recommended to utilize these local growth references for health surveillance and treatment in the local population., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Long, Hamdani, Hamdani, Zhuang, Khurram and Hadier.)

Background: Diabetes and prediabetes are diagnosed differentially by Western and Chinese medicine. While Western medicine uses objective laboratory analysis of biochemical parameters to define the severity of diabetes and prediabetes, Chinese medicine uses a comprehensive approach that integrates observation, inquiry, pulse palpation, and tongue diagnosis. The medical information collected is then categorized into different syndromes. However, traditional methods of pulse and tongue diagnoses used to determine syndrome differentiation are highly subjective and skill dependent., Objective: This study aims to identify the gap in conventional traditional Chinese medicine (TCM) diagnostic techniques for syndrome differentiation analysis using contemporary diagnostic devices. We devised a protocol for a nonrandomized, exploratory, observational case-control study with equal allocations in 5 arms to investigate the syndrome differentiation of diabetes and prediabetes. We hypothesize that the TCM syndrome differentiation of diabetes and prediabetes in the tropical climate may differ from that defined based on the Chinese demographic. We also speculate that the high-frequency spectral energy may reflect a difference in pulse wave intensity and density between the healthy and diabetes groups., Methods: A total of 250 eligible participants will be equally assigned to 1 of 5 arms (healthy or subhealthy, prediabetes, diabetes, prediabetes with hypertension and dyslipidemia, and diabetes with hypertension and dyslipidemia). Participants aged 21-75 years, of any sex or race, and have been diagnosed with diabetes (fasting plasma glucose [FPG] of 7 mmol/L, or 2-hour plasma glucose [2hPG] of 11.1 mmol/L) or prediabetes (impaired FPG of 6.1-6.9 mmol/L, or impaired glucose tolerance with an 2hPG of 7.8-11 mmol/L) will be included. The Health Evaluation Questionnaire, Physical Activity Questionnaire, sugar intake assessment, Constitution in Chinese Medicine Questionnaire, radial pulse diagnosis, and tongue diagnosis will be performed in a single visit. ANOVA for continuous data and chi-square tests of independence will be used for categorical data assessments, with a level of P<.05 considered significant., Results: The recruitment is in progress. We anticipate that the study will conclude in June 2025. As of July 15, 2024, we have enrolled 140 individuals., Conclusions: To the best of our knowledge, this is the first study to use contemporary TCM diagnostic instruments to map expert and empirical knowledge of TCM to its scientific equivalents for the purpose of evaluating the syndrome differentiation of diabetes. We designed this protocol with the exploratory goal to examine objectively the syndrome differentiation of patients with diabetes and those with prediabetes using TCM diagnostic technologies. The data collected and evaluated under standardized conditions using these contemporary diagnostic devices will exhibit a higher degree of stability, hence yielding dependable and unbiased results for syndrome differentiation. Thus, our findings may potentially increase the accuracy of identification, diagnosis, treatment, and prevention of diabetes and prediabetes through a system of targeted treatment., Trial Registration: ClinicalTrials.gov NCT05563090; https://clinicaltrials.gov/ct2/show/NCT05563090., International Registered Report Identifier (irrid): DERR1-10.2196/56024., (©Hui Ping Ng, Shu Yun Chong, Yi Huan Li, Tong Hwee Goh, Ka Yii Pang, Michelle Jessica Pereira, Chin-Ming Huang. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 12.09.2024.)

Most of the existing mine ventilation system health evaluation methods use constant weights. The evaluation results easily deviate from the actual situation and cannot reflect the real state of the system. At the same time, there are many indexes selected, and the weight of each index is low, which makes it difficult to detect the impact of some indexes abnormalities on the overall health of the system. Based on the actual operating conditions and health evaluation requirements of mine ventilation system, 21 influencing factors are selected as the health evaluation indexes to construct the health evaluation index system of mine ventilation system. Fuzzy comprehensive evaluation, analytic hierarchy process and variable weight theory are used comprehensively to carry out the health evaluation of mine ventilation system. The analytic hierarchy process is used to determine the weights of evaluation indexes, the Hardarmard product variable weight model based on membership degree is used to calculate the index weights. The maximum membership degree criterion of fuzzy comprehensive evaluation is used to determine the health degree of mine ventilation system. This method is used to evaluate the health of a coal mine ventilation system. The results show that the evaluation result of this method is consistent with the actual situation. Compared with the evaluation method based on constant weight, the weights of the evaluation index of this method can be adjusted according to the actual situation so as to make the evaluation result more objective. Moreover, this method amplifies the impact of unhealthy indexes and highlights the potential system safety hazards, which attracts the attention of relevant personnel.

Abstract Objectives: to evaluate prenatal care provided to low-risk pregnant women users of the Sistema Único de Saúde (SUS) (Public Health System) in the city of Joinville, SC. Methods: this is a cross-sectional observational study carried out from March 2018 to February 2019, through interview and analysis of the Pregnant Card of puerperal over 18 years old, from Joinville, who underwent prenatal care at SUS, excluding recent given up puerperal. Prenatal care was evaluated according to the recommended criteria by the Prenatal and Birth Humanization Program. Results: 683 mothers were interviewed. The criteria with the highest levels of adequacy were accessibility (99.6%), early initiation on prenatal care (92.7%) and 6 or more consultations (87.1%) and the criteria with the lowest rates of adequacy were the set of guidelines (17.7%) and the third and first trimester exams (42.5% and 63.5% respectively). Conclusion: it is concluded that the prenatal care provided by SUS in the city of Joinville, despite the almost universal accessibility, the early onset and the prevalence of puerperal women with more than 6 consultations, showed a sharp decline in the analysis of the recommended indicators.

ABSTRACT Objective: to assess the Chronic Care Model implementation in Specialized Outpatient Care and its repercussions for health care. Methods: qualitative evaluative research, conducted by the Chronic Care Model. We used observation techniques, document analysis and interviews with 21 health professionals from specialized care. Analysis was conducted by triangulation, with the aid of MAXQDA software for initial and focused coding. All ethical aspects were respected. Results: professionals recognized that the model reorganized service care and administrative practices, presenting positive repercussions for the health of people assisted. The absence of continuing education for service professionals compromised the complete model implementation. Final considerations: the implementation, even if partial, of the model brings contributions to service improvement. The weaknesses that are still present are compatible with professionals’ difficulty in distancing themselves from the biomedical model.

Background: To assess the financial impact of incorporating a new (reciprocal) technology into endodontic treatments in the public health system (SUS). Methods: This was a economic evaluation study (comparing the 3 different endodontic instrumentation techniques—manual, rotary and reciprocating), allocative efficiency analysis to optimize existing resources in the SUS, and financial contribution impact analysis of incorporation of a new technology. Thirty-one (31) 12 years-old volunteers were evaluated. Results: The incremental cost-effectiveness ratio (ICER) was calculated at R$1.34/min, − R$0.60/min and BRL 0.10/min for the single-rooted, bi-rooted and tri-rooted teeth, respectively, when the rotary technique was compared with the manual type. In turn, the ICER was R$ 21.04/min, − R$ 0.73/min and − R$ 2.81/min for the 3 types of teeth, respectively, when the reciprocating technique was compared with the manual type. The incremental financial impact of replacing manual endodontic with rotary endodontic treatments would be − R$ 2060963.66 in the case of single-rooted teeth, but the number of treatments would also be reduced (− 19,379). In the case of two-rooted teeth, the incremental financial impact would be BRL 34921540.62 with the possibility of performing an additional 204,110 treatments. In turn, BRL 11523561.50 represented the incremental financial impact for teeth with 3 or more roots and with an increase of 72,545 procedures. When we analyzed the incremental financial impact of replacing manual endodontic with reciprocating endodontic treatments, it would be − R$ 730227.80 in the case of single-rooted teeth, allowing for an additional 2538 treatments. In turn, R$ 21674853.00 represented the incremental financial impact for bi-radicular teeth, with an increase of 121,700 procedures. In the case of two-rooted teeth, the incremental financial impact would be BRL 13591742.90 with the possibility of performing an additional 40,670 treatments. Conclusions: The reciprocating technique could improve access to endodontic treatment in the SUS as it allowed a simultaneous reduction in clinical time and associated costs. However, the higher number of endodontic treatments performed would have a financial impact. [ABSTRACT FROM AUTHOR]

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Women from countries with conflicting views on cosmesis may avoid these procedures for the fear of being rejected by the community. Understanding the motives that drive patients from these countries to seek cosmetic procedures helps discern possible causes of postoperative dissatisfaction, which can be prevented by careful selection of patients and individualizing their management protocols. Objectives: This study helps identify the factors that affect Egyptian Muslim women's attitude toward cosmetic procedures. The main factors tested were female gender role stress (FGRS), body dysmorphic disorder (BDD), and religious attitude. The secondary factors investigated were health evaluation, life satisfaction, self-satisfaction, social media use, TV exposure, spouse/friends/family influence, and internalization of beauty standards. Methods: Women willing to undergo cosmetic procedures were compared with those who were not. A survey exploring demographics and the different motives were posted for the public online. Results: Among 502 participants, 288 were willing to undergo cosmetic procedures and 214 were not. Our findings showed a statistically significant difference for the degree of BDD, FGRS, and religiousness between willing and unwilling groups. Moreover, greater pressure from partner to change appearance, influence of friends and family on opinion regarding beauty of oneself, internalization of beauty standards, and lower ratings of life and self-satisfaction showed statistically significant association with willingness to undergo cosmetic treatment. Conclusion: BDD, FGRS, and religious attitude are among the highest predictors of the willingness of women to undergo cosmetic procedures together with many other factors. This study is the first of its kind to evaluate several unexplored motives and opens the door for future research. Level of Evidence V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. [ABSTRACT FROM AUTHOR]

Copyright of Computer Measurement & Control is the property of Magazine Agency of Computer Measurement & Control and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Obesity and obesity-related diseases [type 2 diabetes, cardiovascular disease (CVD), and cancer] are becoming more common, which is a major public health concern. Metabolically healthy obesity (MHO) has become a type of obesity, accounting for a large proportion of obese people. MHO is still harmful to health. It was discovered that MHO screening criteria could not well reflect health hazards, whereas visceral fat, adiponectin pathway, oxidative stress, chronic inflammation, and histological indicators at the microlevel could clearly distinguish MHO from health control, and the biological pathways involved in these micro indicators were related to MHO pathogenesis. This review reveals that MHO’s micro metabolic abnormality is the initial cause of the increase of disease risk in the future. Exploring the biological pathway of MHO is important in order to develop an effective mechanism-based preventive and treatment intervention strategy. Exercise can correct the abnormal micro metabolic pathway of MHO, regulate metabolic homeostasis, and enhance metabolic flexibility. It is a supplementary or possible alternative to the traditional healthcare prevention/treatment strategy as well as an important strategy for reducing MHO-related health hazards. [ABSTRACT FROM AUTHOR]

Health promotion policies in several countries propose the practice of physical activity in their guidelines. Assessing the results of these interventions, while providing important decision support, can be challenging. For this study, a theory-drive-evaluation was used, analysis of the contribution. The intervention results chain, the theory of change (ToC), was explained to analyze the elements related to the sustainability of the results of a program called Academia da Cidade (PAC), from 2002 to 2016. For ToC validation, interviews with ten key informants were carried out, and four focus groups were held from June to August 2016. The ToC test was carried out by integrating the qualitative data produced, as well as by performing a literature review and the review of official and technical documents. Thematic content analysis was used. The results indicated that most of the assumptions were confirmed in the presence of other influencing factors (contextual and rival explanations). ToC testing revealed the plausibility and validity of the program's theory, allowing us to conclude that the sustainability of PAC structuring factors contributed to the maintenance of the expected outcomes, despite the instability that occurred from 2012 to 2016. [ABSTRACT FROM AUTHOR]

Background: The assessment of the satisfaction of patient in the oral health service has its relevance as a measure of effect of health care, on the biopsychosocial aspects of patients, however the literature review studies on the subject are scarce. Objective: This integrative review aimed to analyze the studies evaluating the satisfaction of patient in oral health services, according to the methodological characteristics of the research articles, attributes used, patients' profile and factors related to satisfaction, and the potential and limitations of the studies. Method: A search was performed on the databases BBO, Pubmed e Lilacs, for inclusion of studies about satisfaction of patient in the oral health service, 02 descriptors were used: "oral health" and "patient satisfaction". Results: Satisfaction was associated with self-perception about oral health, human relations between patients and professionals, and the way to scheduling consultations. The main limitation found was the predominance of positive responses from patients, due to the "gratitude bias" and the subjectivity in determining satisfaction. Conclusion: This research has potential in terms of social control, user empowerment and qualification of management and planning of dental care. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Atencao Primaria a Saude is the property of Revista de Atencao Primaria a Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of KONTAKT - Journal of Nursing & Social Sciences related to Health & Illness is the property of University of South Bohemia in Ceske Budejovice, Faculty of Health & Social Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of RSBO: Revista Sul-Brasileira de Odontologia is the property of UNIVILLE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The application of cell phones, similar portable devices (ie, tablets), apps, the internet, and GPS in evaluation have established new ways of collecting, storing, retrieving, transmitting, and processing data or information. However, evidence is incipient as to which technological resources remain at the center of assessment practice and the factors that promote their use by the assessment community. Objective: This study aimed to analyze the relationship between the use of the National Program for Improving Primary Healthcare Access and Quality's (PMAQ-AB; Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica) mobile app and management system and the external evaluation quality of Brazil's PMAQ-AB. Methods: We conducted a qualitative case study during the external evaluation of Brazil's PMAQ-AB. Data collection consisted of interviews, focus groups, and document analysis. A total of 7 members from the Department of Primary Care of the Ministry of Health and 47 researchers from various higher education and research institutions across the country participated in the study. Data were categorized using the ATLAS.ti software program, according to the quality standards of the Joint Committee on Standards for Educational Evaluation, following the content analysis approach by Bardin. Results: The results related to feasibility, thematic scope, field activity management, standardized data collection, data consistency, and transparency. They demonstrated improvements and opportunities for advancements in evaluation mediated by the use of information technology (IT), favored the emergence of new practices and remodeling of existing ones, and took into account the multiple components required by the complex assessment of access and quality in primary health care. Difficulties in technology operation, inoperative systems, and lack of investment in equipment and human resources posed challenges to increasing the effectiveness of IT in evaluation. Conclusions: The use of technology-based tools--the app and the management system--during the external evaluation offered evaluators a greater opportunity for stakeholder engagement. This also allowed the insertion of different organizational, operational, and methodological components that are capable of triggering influences and confluences. In addition, this allowed connections in collaborative and synergistic networks to increase the quality and allow the development of a more consistent and efficient evaluation process with greater possibility of incorporating the results into public health policies. [ABSTRACT FROM AUTHOR]

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Wetland health assessment provides important basis for wetland restoration and management. However, it is quite tricky to select proper indicators from multiple assessment indicators that can truly reflect the health state of urban wetlands. In an attempt to address these problems, a pressure-state-response (PSR) and back propagation artificial neural network (BP) conjoined model was established for health assessment of several plateau urban wetlands in Xining City, China. The model was driven and verified through field monitoring and social questionnaire data for 4 consecutive years from 2016 to 2019. Results indicate that: (1) Eight health evaluation indexes, including population density, eutrophication level, increasing humidity, carbon dioxide absorption, air purifying, recreation, wetland management level and investment in ecological construction and protection were selected from 45 input indexes. (2) The health index of Huangshui National Wetland Park has been increasing year by year, with an average of comprehensive health score of 0.746, 0.790, 0.884, and 0.877, respectively. The indicators that contributed the most to the restoration effect were leisure and entertainment service value (2016), carbon dioxide absorption service value (2017), eutrophication (2018), and wetland management level (2019), respecially. (3) Compared with the single PSR method, the advantages of this method include; There are fewer evaluation indicators, more accurate results (excluding the interference of some highly variable indicators) and more sensitive to environmental changes. The current study proposed a novel method that may provide additional accurate and refined indicators for urban wetland health assessment.

Introduction: sexually Transmitted Infections (STIs) represent a global public health problem, and are responsible for direct effects on reproductive and child health, causing consequences such as infertility and complications during pregnancy and delivery, fetal death, as well as a variety of health problems in affected children. Objective: to evaluate outcome indicators related to acquired syphilis in the period 2016-2019 in a southeast Brazilian state capital. Methods: this is a descriptive management evaluation study with a quantitative approach, which evaluated the outcome indicators “provision of adequate syphilis treatment in the general population” and “monitoring of acquired syphilis”. Data were collected on the Notifiable Health Conditions Information System (SINAN), for the period from January 1st 2016 to December 31st 2019. Information regarding treatment and monitoring of cases of acquired syphilis was obtained by searching electronic medical records between August 1st 2020 and March 31st 2021. Results: the municipality of Vitória had 2,647 cases of acquired syphilis, using the criterion of year of diagnosis. The notified cases related to 1,641 men (61.99%) and 1,006 women (38.01%). The predominant age group was 20 to 29 years, while race / skin color was predominantly brown. The most frequent level of education was complete high school. The non-treponemal test was performed in 84.93% of the cases and the treponemal test in 47.22%. Regarding the “provision of adequate syphilis treatment” indicator, we found a total of 90.08% for adequate treatment of cases in Vitória’s public health service network for the four-year period: 87.25% in 2016; 85.27% in 2017; 91.79% in 2018; and 94.23% in 2019. Regarding the “monitoring of syphilis cases in the general population” indicator, we found a total of 35.72% for adequate monitoring of cases in Vitória’s public health service network for the four-year period: 33.33% in 2016; 36.83% in 2017; 34.53% in 2018; and 38.20% in 2019. Conclusion: the outcome indicators evaluated in Vitória, in the 2016-2019 four-year period, were: adequate treatment 90.08% and adequate monitoring 35.72%. [ABSTRACT FROM AUTHOR]

During the operation of a diesel engine, its valve clearance will change with the degradation of its performance state. In order to solve the problems of the traditional health assessment method, the determination of health indicators is difficult and the weight is artificially dependent on human experience. A method for evaluating the health status of diesel engine valves based on deep learning was proposed. Firstly, the diesel engine cylinder head vibration signal was decomposed by wavelet packet decomposition algorithm, and 14 common time-domain features and wavelet packet decomposition signal energy ratio vector were extracted from the decomposed node signals, and a multi-dimensional comprehensive health assessment index vector was constructed. Then build a health evaluation model based on one-dimensional convolutional neural network (1DCNN), and input the obtained health evaluation index vector into the model for training and health evaluation. The effectiveness of the method is verified through the valve degradation simulation experiment carried out on the diesel engine test bench. In addition, compared with the traditional method, it solves the problem of screening health indicators and the influence of subjective experience of people, and has a better health evaluation effect. [ABSTRACT FROM AUTHOR]

In order to solve the problem of health evaluation of CNC machine tools, an evaluation method based on grey clustering analysis and fuzzy comprehensive evaluation was proposed. The health status grade of in-service CNC machine tools was divided, and the performance indicator system of CNC machine tools was constructed. On the above basis, the relative importance of each performance and its indicators were combined, and grey clustering analysis and fuzzy comprehensive evaluation was utilized to evaluate the health status of in-service CNC machine tools to determine their health grade. The proposed health status evaluation method was applied to evaluate the health level of an in-service gantry CNC machine that can be used for the machining propellers, and the results shown that the health status of the whole gantry CNC machine tool is healthy. The proposed evaluation method provides useful references for further in-depth research on the health status analysis and optimization of CNC machine tools. [ABSTRACT FROM AUTHOR]

Diabetes mellitus is a chronic systemic disease with a high morbidity and mortality rate. As it can affect several organs and systems, diabetes mellitus has a negative impact on the quality of life of its patients. The aim of the study was to demonstrate which domains of quality of life are impacted by diabetes mellitus. A cross-sectional study was carried out with 111 people with diabetes mellitus. The Brazilian version of the Medical Outcome Survey Short-Form 36 (SF-36) questionnaire was used to assess quality of life. The data were submitted to descriptive statistical analysis. Most of the sample was female (61.3%) and the mean age was 53.2±16.8 years. The greatest impairment was observed in the pain domain, with a score of 35.8±22.8. The functional capacity domain presented the least impairment, with a mean score of 60.8±31.5. Thus, pain was the domain with the most impact on the lives of individuals with diabetes mellitus, while functional capacity showed the least impairment. Scores in all domains were below the normative values for the Brazilian population. [ABSTRACT FROM AUTHOR]

Purpose. There are many instruments to test children's motor coordination, but the problem is that none of them evaluates accuracy and precision during motor tasks. Therefore, the aim of the study was to develop and test the applicability of electrical buzz wire (EBW) as an instrument for assessing eye-hand coordination and object control skill in children, as well as to delimit the mean time and errors in tasks involving speed and/or accuracy. Methods. The cross-sectional study involved 66 children (28 boys and 38 girls) aged 7-12 years. The variables evaluated were anthropometrics, hand dominance, and Movement Assessment Battery for children (MABc-2). The outcomes were time (s) and error (n) during 4 tasks while changing speed and wire loop size. Results. The ANOVA analysis showed statistically significant differences in the time variable [F(4, 502) = 8.6155, p < 0.001] and in the error [F(6, 502) = 69.209, p < 0.001]. The mean values of time and errors in each task were standardized after linear regression: 2.38 errors and 37 seconds in task 1; 3.2 errors and 35 seconds in task 2; 6.4 errors and 24 seconds in task 3; and 6.4 errors and 23.1 seconds in task 4. The error and time variables in EBW presented weak negative correlations with all MABc-2 domains. Conclusions. EBW was developed; the time and errors with a comfortable speed were lower than with a high speed, regardless of the difficulty level. Time and error values were also standardized in this age group. [ABSTRACT FROM AUTHOR]

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract The objective of this work is to reflect on the objects and approaches usually employed in the evaluation of pharmaceutical care and their potential applicability in primary care settings. We conducted the review of the literature, and, to exemplify the advantages of expanding these objects and approaches, a real-world problem situation was selected: morbidity and mortality related to lack of treatment adherence by hypertensive patients in Brazilian primary health care services. Our reflections highlight the need to evaluate the effects of interventions, understood within Donabedian’s normative model as ‘outcomes,’ which can be clinical, humanistic, or economic. Our findings show that most published studies, even those that set out to report outcomes, actually evaluate processes, such as number of visits, number of problems identified, types of problems, or acts of the practice performed by pharmacists. On the other hand, we also identify a need for study designs and indicators to enable ‘finer’ normative assessment. We also discuss the importance of shifting research toward an evaluative paradigm to allow strategic, logic, effects, production, efficiency, and implementation analyses. Finally, we suggest some possible indicators to evaluate pharmaceutical care interventions in the selected problem situation, through an extension of the objects and approaches proposed.

Since 1994, Brazil has been offering Primary Health Care (PHC) services based on the Family Health Strategy. The ESF has achieved important results. During this period, the PHC financing model did not undergo major methodological changes. In this article, the results of the new financing model for PHC approved in a tripartite manner in 2019, Previne Brasil, are laid out, which is composed of (i) weighted capitation, (ii) incentives for specific and strategic actions and, (iii) payment for performance. These first results reveal the increase of more than 50 million people with qualified and unique registration, associated with the record number of more than 52 thousand FH / eAP teams financed by the Ministry of Health, with more than 35 thousand of which (67%) using electronic medical records. In addition, the registration of people and professionals of the Brazilian PHC, together with SISAB, is the largest set of demographic and clinical health data in the world. These advances favor the overcoming of difficulties to achieve greater access, longitudinality and coordination of care, qualifying the Brazilian PHC in search of better health outcomes. [ABSTRACT FROM AUTHOR]

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: In 2015, a quality improvement project—the "Adequate Childbirth Project" (Projeto Parto Adequado, or PPA)—was implemented in Brazilian private hospitals with the goal of reducing unnecessary cesarean sections. One of the strategies adopted by the PPA was the implementation of labor and childbirth care by nurse-midwives. The objective of this study is to evaluate the results of the PPA in the implementation and adequacy of labor and childbirth care by nurse-midwives in Brazilian private hospitals. Methods: Cross-sectional, hospital-based study, carried out in 2017, in 12 hospitals participating in the PPA. We assessed the proportion of women assisted by nurse-midwives during labor and childbirth care and the adequacy of 13 care practices following parameters of the World Health Organization. Women assisted in the PPA model of care and in the standard of care model were compared using the chi-square statistical test. Results: 4798 women were interviewed. Women in the PPA model of care had a higher proportion of labor (53% × 24.2%, p value < 0.001) and vaginal birth (32.7% × 11.3%, p value < 0.001), but no significant differences were observed in the proportion of women assisted by nurse-midwives during labor (54.8% × 50.1%, p value = 0.191) and vaginal birth (2.2% × 0.7%, p value = 0.142). The implementation of recommended practices was adequate, except the use of epidural analgesia for pain relief, which was intermediate. There was a greater use of recommended practices including "oral fluid and food", "maternal mobility and position", "monitoring of labor", "use of non-pharmacological methods for pain relief" and "epidural analgesia for pain relief" in women assisted by nurse-midwives in relation to those assisted only by doctors. Many non-recommended practices were frequently used during labor by nurse-midwives and doctors. Conclusions: There was an increase in the proportion of women with labor and vaginal birth in the PPA model of care and an appropriate use of recommended practices in women assisted by nurse-midwives. However, there was no difference in the proportion of women assisted by nurse-midwives in the two models of care. The expansion of nursing participation and the reduction of overused practices remain challenges. Plain Language Summary: Brazil has a high rate of cesarean sections with low participation of nurse-midwives in childbirth care. Nurse-midwife care is associated with less use of interventions, lower proportions of cesarean sections and greater women's satisfaction. In 2015, a quality improvement project, called the "Adequate Childbirth Project" (Projeto Parto Adequado, PPA), was implemented in Brazilian private hospitals to reduce unnecessary cesarean sections. One of its components is the expansion of nurse-midwives in labor and childbirth care. In this study, we evaluated the results of PPA on childbirth care by nurse-midwives. Data were collected in 12 hospitals with interviews with 4798 women. Women assisted in the PPA model of care had a higher proportion of labor and vaginal birth, but there was no increase in the proportion of women assisted by nurse-midwives, neither during labor nor vaginal birth. The use of recommended practices was adequate, except for the use of epidural analgesia, with greater use of some recommended practices in women assisted by nurse-midwives compared to those seen only by doctors. However, we observed excessive use of non-recommended practices during labor, both by doctors and nurses. We can conclude that there was an increase in the proportion of women with labor and vaginal birth in the PPA model of care and a greater use of recommended practices in women assisted by nurse-midwives, but without an increase in the proportion of women assisted by nurses. The expansion of nurse-midwives' participation in childbirth care and the reduction of non-recommended practices therefore continue to be challenges. [ABSTRACT FROM AUTHOR]

Objective. To investigate whether structural aspects of primary care units (PCUs) and the work processes of primary care teams are associated with the rate of hospitalizations for primary care-sensitive conditions (HPCSC) in children younger than 5 years of age in Brazil. Method. For this longitudinal ecological study, secondary data were obtained from the Brazilian Hospital Information System and from three cycles of the National Program for Access and Quality Improvement in Primary Care (PMAQ-AB) (2012, 2014, 2017/2018). The analysis included 42 916 PCUs. A multilevel random intercept model with fixed slope was used. In the first level, the outcome (HPCSC rates) and explanatory variables (structure and process indicators) aggregated by PCU were analyzed. Social determinants (represented by a stratification criterion combining municipality population and health care management indicators) were entered in the second level. The t test with Bonferroni correction was used to compare indicator means between regions, and multilevel linear regression was used to estimate the correlation coefficients. Results. The HPCSC rate in children younger than 5 years was 62.78/100 thousand population per estimated PCU coverage area. A direct association with the outcome was observed for: participation in one or more PMAQ-AB cycles; team planning; special hours; dedicated pediatric care area; and availability of vaccines. Equipment, materials, supplies, and being a small or medium-size municipality were inversely associated with HPCSC. Conclusions. HPCSC rates in children below 5 years of age may potentially be reduced through improvements in PCU structure and process indicators and in municipal social determinants. [ABSTRACT FROM AUTHOR]

Objectives: to determine the implementation level and analyze favorable and unfavorable aspects of operationalization women's care in postpartum period in primary care. Methods: evaluation study of the normative type, performed through a multiple case study in three cities in the South States in Brazil, with a collection of primary and secondary data. The implementation level (classification: satisfactory, partial, incipient, and critical) was determined by the Matriz de Análise e Julgamento (Analysis and Judgment Matrix), consisted of the dimensions of management and execution, and the respective sub-dimensions. Thematic and imbricated analysis of the cases were performed. Results: postpartum care was incipient in the management dimension for all the cases, with a higher implementation level for the "care coordination and intersectorality mechanisms" (partial) sub-dimension. In the execution dimension in case 3 was partially implemented, and the others were incipient. The breastfeeding sub-dimension had a higher implementation level for all the cases, and the longitudinality, mental health and reproductive planning sub-dimensions had a lower implementation level. Care in relation to domestic violence and mental health occurred unsystematically, and reproductive planning focused on hormonal contraceptive methods. Conclusion: management does not provide ideal conditions for healthcare professionals' performance; and, in the execution dimension are not incorporated as the main necessity in the health care practice in women's health. [ABSTRACT FROM AUTHOR]

Objective: analyze the hospitalizations prevalence for Ambulatory Care Sensitive Conditions (ACSCs) and its main causes in elderly according to the healthy macroregions in Santa Catarina State. Methods: this is a descriptive ecological study where were picked Hospitalizations System data (SIH - DATASUS). Results: in the study period, there were 262.104 hospitalizations of elderly for ambulatory Care Sensitive Conditions in Santa Catarina. The most frequent diseases were Heart Failure Lung Diseases, Cerebrovascular Diseases, Angina and Diabetes Mellitus. The regions from the state that had more hospitalizations were the South and West. However, it was found that there was a decrease in the total number of elderly hospitalizations during the study period, suggesting a good resolution of primary health care in the State. Conclusion: the ACSCs in elderly is relevant when it is compared to the total number of hospitalizations made by the Unified Health System, in this population, in the state of Santa Catarina. [ABSTRACT FROM AUTHOR]

Introduction: Public health information is essential for decision-making in the public policy context, therefore considered a basic tool for phenomenon interpretation. The objective of this study was to evaluate the use of the Immunization Information System by nursing professionals. Materials and Methods: An analytical cross-sectional study was conducted with nursing professionals in a municipality in the Western Macro-region of Minas Gerais State by means of a validated checklist. For analysis, a scoring system was used to rate their use of the information system as appropriate, partially appropriate, not appropriate and critical. The median was used as a summary measure for descriptive analysis and Pearson's chi-square test was used to assess comparisons. Results: Out of 104 participating nurses, 14.4% reported having used records for vaccination information management; 93.3% performed vaccine inventory management, which was the only activity classified as appropriate; preparation of reports listing missed doses (39.4%), vaccination coverage (36.5%) and dissemination of consolidated reports (17.3%) were classified as critical. No statistically significant differences were found between the variables studied. Discussion: Underutilizing information systems has consequences for vaccination services, such as low vaccination coverage and variation in dropout rates, as well as hindering planning and decision making by vaccination center managers. Conclusions: Managing data in information systems should be recognized by healthcare professionals as a necessary, functional and applicable piece of the work process performed in vaccination centers. [ABSTRACT FROM AUTHOR]

Objective: to evaluate the hospital indicators and their repercussions on the number of monthly admissions to a public university hospital, before and after implementing the Internal Regulation Center. Method: an evaluative research study, of the Case Study type, developed in a public university hospital. A total of 28 indicators related to structure, production, productivity and quality were measured, which are part of internal Benchmarking. The data were analyzed by means of descriptive statistics and multiple regression to identify the independent factors and those associated with the number of monthly hospitalizations with 95% confidence intervals. Results: implementation of the Center significantly increased (p<0.001) the number of discharges, the bed utilization factor and the bed renewal rate, emergency hospitalization, bed occupancy percentage, surgical procedures performed and the patient-day mean value (p=0.027). There was a reduction (p<0.001) in the number of visits to the medical, obstetric and orthopedic emergency room, in the rates of in-hospital infection and infant mortality, as well as a mean reduction of 0.81/day, approximately one day less of hospitalization per patient, or a gain of 40 available beds per month. Conclusion: although the number of available beds was lower in the post-implementation period, the bed replacement interval was reduced, representing an increase of 40 more beds per month due to the reduction in the patients' length of stay in the institution. [ABSTRACT FROM AUTHOR]

Copyright of Revista Eletrônica de Enfermagem is the property of Revista Eletronica de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Atencao Primaria a Saude is the property of Revista de Atencao Primaria a Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ciencia, Cuidado e Saude is the property of Universidade Estadual de Maringa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Aletheia is the property of Aletheia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Gaucha de Enfermagem is the property of Revista Gaucha de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Archives of Dental Science / Arquivos em Odontologia is the property of Universidade Federal de Minas Gerais, Faculdade de Odontologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Texto & Contexto Enfermagem is the property of Universidade Federal de Santa Catarina, Programa de Pos-Graduacao de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Texto & Contexto Enfermagem is the property of Universidade Federal de Santa Catarina, Programa de Pos-Graduacao de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

An ecological irrigation district has emerged as the modern management with healthy ecosystems in precision agriculture. A health assessment of irrigation districts has been one of the most important operations for the decision-making on agricultural water management and pollution. In this study, a novel health evaluation was made on the ecological irrigation district using multisource data. A study area was selected as a part of the Yellow River basin, located at Helan County in Ningxia, China. A knowledge mapping was also applied to systematically sort out the index systems of comprehensive evaluation on the irrigation districts using a VOSviewer platform. The key indicators were then screened with a high co-occurrence frequency. An indicator system was constructed for the comprehensive evaluation of the ecological irrigation districts. Five categories of the primary indicators were divided in the indicator system, including the ecological environment (B1), the modernization of water transmission and distribution (B2), and the modernization of field engineering (B3), the modernization of production and management (B4), and production efficiency (B5). There was also 18 second-grade indicators in total. All indicators were classified into one to four levels of health. With the support of GIS, these indicators were quantified by combining the remote sensing data (LandSat8, MODIS) with research statistics and field trial data. The weight of each indicator was confirmed through Analytic Hierarchy Process (AHP). The evaluation data was divided by the scale of townships, where each administrative division was used as an evaluation unit. Finally, a fuzzy evaluation model was used to implement the comprehensive evaluation on the health level of the ecological irrigation district in the study area. The results show that there were large differences in the indicator B1 among the evaluation units, especially from the indicator of watershed area (C13) and the indicator of water quality in the main drainage ditches (C14), indicating a higher weight. At the same time, the degree of aridity (vegetation index VSWI) (C16) indicated a great potential to save water in the study area. Therefore, it was still encouraged to develop water-saving irrigation. More importantly, there were small differences in the indicators of B2, B3, B4, and B5 among the evaluation units, indicating the consistent upgrading of irrigation districts. Consequently, the highest value of health level (0.81) was found in Nanliangtaizi and Jingxing Farm, whereas, the lowest value was in Hongguang Town (0.69), where all evaluation units were in the range of health level 3 to 2. In addition, 0.325 of the irrigation districts were presented at the first level of health, whereas, 0.272 of the irrigation districts were at the second level, indicating an excellent operating condition. This study can provide a strong reference to efficiently construct the ecological irrigation districts in Northwest China. [ABSTRACT FROM AUTHOR]