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5. O cuidado da obesidade nas regiões de saúde do estado do Amazonas na perspectiva dos gestores da atenção primária à saúde

Author

Costa, Lorena do Nascimento, Mota, Clara Guimarães, Lima, Regismeire Viana, Andrade, Edson Oliveira, Moysés, Rosana Pimentel Correia, Tavares, Bruno Mendes, Costa, Lorena do Nascimento, Mota, Clara Guimarães, Lima, Regismeire Viana, Andrade, Edson Oliveira, Moysés, Rosana Pimentel Correia, and Tavares, Bruno Mendes

Abstract

The role of the municipal manager is primordial in the planning, monitoring and evaluation of health actions in their municipality, among them the management of obesity, so this article aims to describe the perspective of primary care managers of the nine municipalities of the health regions of the state of Amazonas on the Obesity Care Line. This is a cross-sectional, census, descriptive and quali-quantitative study. The average age of the managers was 38 years, majority female (57.1%), and brown (71.4%). By the criteria used for the scoring of the analysis of obesity care by managers, the municipalities presented classification between "critical" and "incipient", that is, all presented absence of factors that influence obesity care. The themes mentioned by the managers reinforce the results, being them: Challenges in the Care Line Flow; Lack of Infrastructure of services and actions for the Management of Obesity and Work Process. It`s primordial to reassess the model of assistance practiced, emphasizing the care and autonomy of the subjects, the team role, the public management, the particularities of each location to understand the multicausalities of the data and assist in the development of specific actions aimed at tackling obesity., O papel do gestor municipal é primordial, no planejamento, acompanhamento e avaliação das ações em saúde do seu município, dentre elas a do manejo da obesidade, por isso este artigo objetiva descrever a perspectiva dos gestores da atenção primária dos nove municípios polos das regiões de saúde do estado do Amazonas sobre a linha de cuidado da obesidade. Trata-se de um estudo transversal, censitário, descritivo e quali-quantitativo. A média de idade dos gestores foi 38 anos, maioria do sexo feminino (57,1%), e pardo (71,4%). Pelos critérios utilizados para a pontuação da análise do cuidado da obesidade pelos gestores, os municípios apresentaram classificação entre “crítica” e “incipiente”, isto é, todos apresentaram ausência de fatores que influenciam no cuidado da obesidade. Os temas citados pelos gestores reforçam os resultados, sendo eles: Desafios no Fluxo da Linha de Cuidado; Carência de Infraestrutura dos serviços e ações para o Manejo da Obesidade e Processo de Trabalho. Sendo primordial reavaliar o modelo de assistência praticado, enfatizando os cuidados e a autonomia dos sujeitos, o papel de equipe, da gestão pública, as particularidades de cada localidade para entender as multicausalidades dos dados e auxiliar no desenvolvimento de ações específicas voltadas ao enfrentamento da obesidade.

Published
2023

8. Methodological aspects of the anthropometric assessment in the Brazilian National Survey on Child Nutrition (ENANI-2019): a population-based household survey

Author

Anjos, Luiz Antonio dos, primary, Ferreira, Haroldo da Silva, additional, Alves-Santos, Nadya Helena, additional, Freitas, Maiara Brusco de, additional, Boccolini, Cristiano Siqueira, additional, Lacerda, Elisa Maria de Aquino, additional, Castro, Inês Rugani Ribeiro de, additional, Mariz, Virginia Gaissionok, additional, Tavares, Bruno Mendes, additional, Gigante, Denise Pretucci, additional, and Kac, Gilberto, additional

Published
2021
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10. ERICA: prevalence of healthy eating habits among Brazilian adolescents

Author

Barufaldi, Laura Augusta, Abreu, Gabriela de Azevedo, Oliveira, Juliana Souza, Santos, Debora França dos, Fujimori, Elizabeth, Vasconcelos, Sandra Mary Lima, Vasconcelos, Francisco de Assis Guedes de, and Tavares, Bruno Mendes

Subjects
Food Preferences, Cross-Sectional Studies, Adolescent, Hábitos Alimentares, Preferências Alimentares, Health Behavior, Comportamentos Saudáveis, Estudos Transversais, Food Habits, Adolescente
Abstract

OBJECTIVE To describe the prevalence of eating habits considered healthy in adolescents according to sex, age, education level of the mother, school type, session of study, and geographic region. METHODS The assessed data come from the Study of Cardiovascular Risks in Adolescents (ERICA), a cross-sectional, national and school-based study. Adolescents of 1,247 schools of 124 Brazilian municipalities were evaluated using a self-administered questionnaire with a section on aspects related to eating behaviors. The following eating behaviors were considered healthy: consuming breakfast, drinking water, and having meals accompanied by parents or legal guardians. All prevalence estimates were presented proportionally, with their respective 95% confidence intervals. The Chi-square test was used to evaluate the differences in healthy eating habits prevalences according to other variables. The module survey of the Stata program version 13.0 was used to analyze complex data. RESULTS We evaluated 74,589 adolescents (72.9% of the eligible students). Of these, 55.2% were female, average age being 14.6 years (SD = 1.6). Among Brazilian adolescents, approximately half of them showed healthy eating habits when consuming breakfast, drinking five or more glasses of water a day, and having meals with parents or legal guardians. All analyzed healthy eating habits showed statistically significant differences by sex, age, type of school, session of study, or geographic region. CONCLUSIONS We suggest that specific actions of intersectoral approach are implemented for the dissemination of the benefits of healthy eating habits. Older female adolescents (15 to 17 years old) who studied in public schools, resided in the Southeast region, and whose mothers had lower education levels, should be the focus of these actions since they present lower frequencies concerning the evaluated healthy habits. RESUMO OBJETIVO Descrever a prevalência de comportamentos alimentares considerados saudáveis em adolescentes brasileiros, segundo sexo, idade, escolaridade da mãe, tipo de escola, turno de estudo e região geográfica. MÉTODOS Os dados analisados provêm do Estudo de Riscos Cardiovasculares em Adolescentes (ERICA), estudo transversal, nacional e de base escolar. Foram avaliados adolescentes de 1.247 escolas em 124 municípios brasileiros, utilizando questionário autopreenchível que incluía um bloco sobre aspectos relacionados ao comportamento alimentar. Foram considerados saudáveis os seguintes comportamentos alimentares: consumo de café da manhã, ingestão de água e realização de refeições com os pais ou responsáveis. As estimativas das prevalências foram apresentadas em proporções, com seus respectivos intervalos de confiança de 95%. O teste Qui-quadrado foi utilizado para avaliar a diferença das prevalências dos comportamentos alimentares saudáveis de acordo com as demais variáveis. Utilizou-se o módulo survey do programa Stata versão 13,0 para análise de dados de amostra complexa. RESULTADOS Foram avaliados 74.589 adolescentes (72,9% dos alunos elegíveis). Desses, 55,2% eram do sexo feminino e a média de idade foi de 14,6 anos (DP = 1,6). Entre os adolescentes brasileiros, aproximadamente metade apresentou comportamentos alimentares saudáveis quanto ao consumo de café da manhã, realização de refeições com os pais ou responsáveis e ingestão de cinco ou mais copos de água por dia. Todos os comportamentos alimentares saudáveis analisados apresentaram diferença estatisticamente significativa por sexo, idade, tipo de escola, turno de estudo ou região geográfica. CONCLUSÕES Sugere-se que ações específicas, de abordagem intersetorial, sejam implementadas para a disseminação dos benefícios dos comportamentos alimentares saudáveis. Adolescentes do sexo feminino, mais velhos (15 a 17 anos), cujas mães têm escolaridade mais baixa, alunos de escolas públicas e da região Sudeste, deveriam ser o foco dessas ações já que são os que apresentam menores frequências dos comportamentos saudáveis analisados.

Published
2016

11. ERICA: prevalences of hypertension and obesity in Brazilian adolescents

Author

Bloch, Katia Vergetti, Klein, Carlos Henrique, Szklo, Moyses, Kuschnir, Maria Cristina C., Abreu, Gabriela de Azevedo, Barufaldi, Laura Augusta, Veiga, Gloria Valeria da, Schaan, Beatriz, Nogueira da Silva, Thiago Luiz, Leite de Vasconcellos, Mauricio Teixeira, Pantoja Moraes, Ana Julia, Borges, Ana Luiza, Andrade de Oliveira, Ana Mayra, Tavares, Bruno Mendes, Oliveira, Cecilia Lacroix de, Cunha, Cristiane de Freitas, Giannini, Denise Tavares, Belfort, Dilson Rodrigues, Santos, Eduardo Lima, Leon, Elisa Brosina de, Fujimori, Elizabeth, Araujo Oliveira, Elizabete Regina, Magliano, Erika da Silva, Guedes Vasconcelos, Francisco de Assis, Azevedo, George Dantas, Brunken, Gisela Soares, Britto Guimaraes, Isabel Cristina, Faria Neto, Jose Rocha, Oliveira, Juliana Souza, Carvalho, Kenia Mara B. de, Oliveira Goncalves, Luis Gonzaga de, Monteiro, Maria Ines, Santos, Marize M., Veiga Jardim, Paulo Cesar B., Muniz Ferreira, Pedro Antonio, Montenegro, Renan Magalhaes, Gurgel, Ricardo Queiroz, Vianna, Rodrigo Pinheiro, Vasconcelos, Sandra Mary, Lederer Goldberg, Tamara Beres [UNESP], Universidade Federal do Rio de Janeiro (UFRJ), Fundacao Oswaldo Cruz, Universidade do Estado do Rio de Janeiro (UERJ), Minist Saude, Univ Fed Rio Grande do Sul, Hosp Clin Porto Alegre, Fundacao Inst Brasileiro Geog & Estat, Fed Univ Para, Universidade de São Paulo (USP), Univ Estadual Feira de Santana, Universidade Federal de Minas Gerais (UFMG), Univ Fed Amapa, Inst Fed Educ Ciencia & Tecnol Tocantins, Univ Fed Amazonas, Universidade Federal do Espírito Santo (UFES), Universidade Federal de Santa Catarina (UFSC), Univ Fed Rio Grande do Norte, Universidade Federal de Mato Grosso do Sul (UFMS), Universidade Federal da Bahia (UFBA), Pontificia Univ Catolica Parana, Universidade Federal de Pernambuco (UFPE), Universidade de Brasília (UnB), Univ Fed Rondonia, Universidade Estadual de Campinas (UNICAMP), Univ Fed Piaui, Universidade Federal de Goiás (UFG), Univ Fed Maranhao, Univ Fed Ceara, Universidade Federal de Sergipe (UFS), Univ Fed Paraiba, Univ Fed Alagoas, and Universidade Estadual Paulista (Unesp)

Subjects
Male, Obesidade em adolescentes, Adolescent, 030204 cardiovascular system & hematology, 03 medical and health sciences, 0302 clinical medicine, Sex Factors, Residence Characteristics, Saúde pública, Humans, Prevalência, 030212 general & internal medicine, Obesity, epidemiologia, Adolescentes, Adolescente, Obesity, epidemiology, lcsh:Public aspects of medicine, Brasil, Hipertensão, epidemiologia, Artigo Original, Public Health, Environmental and Occupational Health, lcsh:RA1-1270, Risco cardiovascular, Overweight, Obesidade, epidemiologia, Cross-Sectional Studies, Socioeconomic Factors, Obesidade, Hypertension, Estudo Transversal, Female, Original Article, epidemiology, Hypertension, epidemiology, Public aspects of medicine, RA1-1270, Epidemiologic Methods, Brazil, Hipertensão
Abstract

Made available in DSpace on 2018-11-26T17:55:48Z (GMT). No. of bitstreams: 0 Previous issue date: 2016-02-01. Added 1 bitstream(s) on 2019-10-09T18:27:53Z : No. of bitstreams: 1 S0034-89102016000200306.pdf: 419935 bytes, checksum: d7fa2f48d7b9e477b060d8abf7ad79c6 (MD5) Brazilian Department of Science and Technology at the Secretariat of Science and Technology Strategic Inputs of the Ministry of Health (Departamento de Ciencia e Tecnologia da Secretaria de Ciencia e Tecnologia e Insumos Estrategicos do Ministerio da Saude - Decit/SCTIE/MS) Health Fund Sector (Fundo Setorial de Saude - CT-health) at the Ministry of science, Technology and Innovation (Ministerio da Ciencia, Tecnologia e Inovacao - MCTI) FINEP Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) hospital research incentive fund for Clinics in Porto Alegre (fundo de incentivo a Pesquisa do Hospital de Clinicas de Porto Alegre - HCPA) OBJECTIVE: To estimate the prevalence of arterial hypertension and obesity and the population attributable fraction of hypertension that is due to obesity in Brazilian adolescents. METHODS: Data from participants in the Brazilian Study of Cardiovascular Risks in Adolescents (ERICA), which was the first national school-based, cross-section study performed in Brazil were evaluated. The sample was divided into 32 geographical strata and clusters from 32 schools and classes, with regional and national representation. Obesity was classified using the body mass index according to age and sex. Arterial hypertension was defined when the average systolic or diastolic blood pressure was greater than or equal to the 95th percentile of the reference curve. Prevalences and 95% confidence intervals (95% CI) of arterial hypertension and obesity, both on a national basis and in the macro-regions of Brazil, were estimated by sex and age group, as were the fractions of hypertension attributable to obesity in the population. RESULTS: We evaluated 73,399 students, 55.4% female, with an average age of 14.7 years (SD = 1.6). The prevalence of hypertension was 9.6% (95% CI 9.0-10.3); with the lowest being in the North, 8.4% (95% CI 7.7-9.2) and Northeast regions, 8.4% (95% CI 7.6-9.2), and the highest being in the South, 12.5% (95% CI 11.0-14.2). The prevalence of obesity was 8.4% (95% CI 7.9-8.9), which was lower in the North region and higher in the South region. The prevalences of arterial hypertension and obesity were higher in males. Obese adolescents presented a higher prevalence of hypertension, 28.4% (95% CI 25.5-31.2), than overweight adolescents, 15.4% (95% CI 17.0-13.8), or eutrophic adolescents, 6.3% (95% CI 5.6-7.0). The fraction of hypertension attributable to obesity was 17.8%. CONCLUSIONS: ERICA was the first nationally representative Brazilian study providing prevalence estimates of hypertension in adolescents. Regional and sex differences were observed. The study indicates that the control of obesity would lower the prevalence of hypertension among Brazilian adolescents by 1/5. Univ Fed Rio de Janeiro, Inst Estudos Saude Colet, Rio De Janeiro, RJ, Brazil Fundacao Oswaldo Cruz, Escola Nacl Saude Publ Sergio Arouca, Dept Epidemiol & Metodos Quantitat Saude, Rio De Janeiro, RJ, Brazil Univ Estado Rio de Janeiro, Nucleo Estudos Saude Adolescente, Fac Ciencia Med, BR-20550011 Rio De Janeiro, RJ, Brazil Univ Estado Rio de Janeiro, Inst Med Social, Programa Posgrad Saude Colet, BR-20550011 Rio De Janeiro, RJ, Brazil Minist Saude, Secretaria Vigilancia Saude, Dept Vigilancia Doencas & Agravos Nao Transmiss &, Brasilia, DF, Brazil Univ Fed Rio de Janeiro, Inst Nutr Josue de Castro, Rio De Janeiro, RJ, Brazil Univ Fed Rio Grande do Sul, Fac Med, Dept Med Interna, Porto Alegre, RS, Brazil Hosp Clin Porto Alegre, Serv Endocrinol, Porto Alegre, RS, Brazil Fundacao Inst Brasileiro Geog & Estat, Escola Nacl Ciencias Estat, Rio De Janeiro, RJ, Brazil Fed Univ Para, Inst Ciencias Saude, BR-66059 Belem, Para, Brazil Univ Sao Paulo, Dept Enfermagem Saude Colet, Sao Paulo, SP, Brazil Univ Estadual Feira de Santana, Dept Saude, Feira De Santana, BA, Brazil Univ Fed Rio de Janeiro, Programa Posgrad Saude Colet, Rio De Janeiro, RJ, Brazil Univ Estado Rio de Janeiro, Dept Nutr, BR-20550011 Rio De Janeiro, RJ, Brazil Univ Fed Minas Gerais, Hosp Clin, Belo Horizonte, MG, Brazil Univ Estado Rio de Janeiro, Inst Nutr, Ctr Biomed, BR-20550011 Rio De Janeiro, RJ, Brazil Univ Fed Amapa, Macapa, AP, Brazil Inst Fed Educ Ciencia & Tecnol Tocantins, Palmas, TO, Brazil Univ Fed Amazonas, Fac Educ Fis & Fisioterapia, Manaus, Amazonas, Brazil Univ Fed Espirito Santo, Dept Enfermagem, Vitoria, ES, Brazil Univ Fed Santa Catarina, Ctr Ciencias Saude, Dept Nutr, Florianopolis, SC, Brazil Univ Fed Rio Grande do Norte, Ctr Biociencias, Dept Morfol, BR-59072970 Natal, RN, Brazil Univ Fed Mato Grosso, Dept Saude Colet, Inst Saude Colet, Cuiaba, MT, Brazil Univ Fed Bahia, Hosp Ana Neri, Salvador, BA, Brazil Pontificia Univ Catolica Parana, Escola Med, Curitiba, Parana, Brazil Univ Fed Pernambuco, Ctr Acad Vitoria, Recife, PE, Brazil Univ Brasilia, Dept Nutr, BR-70910900 Brasilia, DF, Brazil Univ Fed Rondonia, Nucleo Saude, Dept Educ Fis, Porto Velho, RO, Brazil Univ Estadual Campinas, Fac Enfermagem, Campinas, SP, Brazil Univ Fed Piaui, Ctr Ciencias Saude, Dept Nutr, Teresina, PI, Brazil Univ Fed Goias, Fac Med, Goiania, Go, Brazil Univ Fed Maranhao, Univ Hosp, Serv Cardiol, Sao Luis, MA, Brazil Univ Fed Ceara, Fac Med, Dept Saude Comunitaria, Fortaleza, Ceara, Brazil Univ Fed Sergipe, Ctr Ciencias Biol & Saude, Dept Med, Aracaju, SE, Brazil Univ Fed Paraiba, Ctr Ciencias Saude, Dept Nutr, BR-58059900 Joao Pessoa, Paraiba, Brazil Univ Fed Alagoas, Dept Nutr, Maceio, AL, Brazil Univ Estadual Paulista, Fac Med Botucatu, Botucatu, SP, Brazil Univ Estadual Paulista, Fac Med Botucatu, Botucatu, SP, Brazil FINEP: 01090421 CNPq: 2010/565037-2 hospital research incentive fund for Clinics in Porto Alegre (fundo de incentivo a Pesquisa do Hospital de Clinicas de Porto Alegre - HCPA): 405,009/FIPE-2012-7

Published
2016

14. Estado nutricional e consumo de energia e nutrientes de préescolares que frequentam creches no município de Manaus, Amazonas: Existem diferenças entre creches públicas e privadas?

Author

Tavares, Bruno Mendes, Veiga, Glória Valéria da, Yuyama, Lucia Kiyoko Ozaki, Bueno, Milena Baptista, Mara Fisberg, Regina, and Fisberg, Mauro

Subjects
Male, Body Mass, Day Care, Scoring System, Nutritional Status, Ascorbic Acid, Vitamin Intake, Age, Controlled Study, Obesity, Child, Nutritional Assessment, Nutrient Uptake, Public Day Care Center, Adequate Intake, Retinol, School Child, Brasil, Sodium, Body Weight, City, Dietary Intake, Omega 6 Fatty Acid, Body Height, Zinc, Sodium Intake, Polyunsaturated Fatty Acid, Child, Preschool, Fat Intake, Cross-sectional Study, Female, Private Day Care Center, Trans Fatty Acid, Caloric Intake, Estimated Average Requirements, Human
Abstract

Objectives: To assess the nutritional status and dietary intakes of children attending public and private day care centers in Manaus, Brazil. Methods: The study assessed children aged 24 to 72 months, enrolled at two public (n=217) and two private (n=91) day care centers in Manaus. Nutritional status was classified according to Z scores for weight-for-age, weightfor- height, height-for-age and BMI-for-age. Dietary intakes were measured using the direct food-weighing method for 1 day. A 1-day dietary recall was administered to parents to assess dietary intakes outside the day care centers. The frequencies of children with nutrient intakes above and below the Estimated Average Requirements (EAR) or Adequate Intake (AI) cutoffs were calculated. Results: There proportion of overweight children was higher at the private day care centers, according to both weight-for-height and BMI-for-age indexes. Children from the public day care centers had higher intakes of polyunsaturated fat, trans fat, omega-6, vitamin C and sodium, and lower zinc intake when compared to those at private centers. Elevated energy intake and a high proportion of children with vitamin A, vitamin C, zinc and sodium intakes over the Tolerable Upper Intake Levels were observed at both types of day care center. There was a higher proportion of children with inadequate calcium intake at the public centers (27.6 vs. 7.9%, p

Published
2012

15. ERICA: prevalence of healthy eating habits among Brazilian adolescents

Author

Barufaldi, Laura Augusta, primary, Abreu, Gabriela de Azevedo, additional, Oliveira, Juliana Souza, additional, Santos, Debora França dos, additional, Fujimori, Elizabeth, additional, Vasconcelos, Sandra Mary Lima, additional, Vasconcelos, Francisco de Assis Guedes de, additional, and Tavares, Bruno Mendes, additional

Published
2016
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16. ERICA: prevalence of metabolic syndrome in Brazilian adolescents

Author

Kuschnir, Maria Cristina C, primary, Bloch, Katia Vergetti, additional, Szklo, Moyses, additional, Klein, Carlos Henrique, additional, Barufaldi, Laura Augusta, additional, Abreu, Gabriela de Azevedo, additional, Schaan, Beatriz, additional, Veiga, Gloria Valeria da, additional, Silva, Thiago Luiz Nogueira da, additional, Vasconcellos, Maurício T L de, additional, Moraes, Ana Júlia Pantoja de, additional, Oliveira, Ana Mayra Andrade de, additional, Tavares, Bruno Mendes, additional, Oliveira, Cecília Lacroix de, additional, Cunha, Cristiane de Freitas, additional, Giannini, Denise Tavares, additional, Belfort, Dilson Rodrigues, additional, Santos, Eduardo Lima, additional, Leon, Elisa Brosina de, additional, Oliveira, Elizabete Regina Araújo, additional, Fujimori, Elizabeth, additional, Borges, Ana Luíza, additional, Magliano, Erika da Silva, additional, Vasconcelos, Francisco de Assis Guedes, additional, Azevedo, George Dantas, additional, Brunken, Gisela Soares, additional, Guimarães, Isabel Cristina Britto, additional, Faria Neto, José Rocha, additional, Oliveira, Juliana Souza, additional, Carvalho, Kenia Mara B de, additional, Gonçalves, Luis Gonzaga de Oliveira, additional, Monteiro, Maria Inês, additional, Santos, Marize M, additional, Muniz, Pascoal Torres, additional, Jardim, Paulo César B Veiga, additional, Ferreira, Pedro Antônio Muniz, additional, Montenegro Jr, Renan Magalhães, additional, Gurgel, Ricardo Queiroz, additional, Vianna, Rodrigo Pinheiro, additional, Vasconcelos, Sandra Mary, additional, Martins, Stella Maris Seixas, additional, and Goldberg, Tamara Beres Lederer, additional

Published
2016
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17. Ações públicas para promoção de aglomerações produtivas: o caso do APL de Belo Horizonte, Juiz de Fora e Uberlândia – Minas Gerais

Author

Silva, Carla Cristina da, Tavares, Bruno Mendes, Silva, Jéssica Natalia, Silva, Carla Cristina da, Tavares, Bruno Mendes, and Silva, Jéssica Natalia

Abstract

O presente artigo analisou as ações e práticas do poder público existentes no APLs de TI de Belo Horizonte, Juiz de Fora e Uberlândia – MG, por meio da percepção dos atores que compõem os APLs. Os dados foram coletados por meio de entrevista estruturada e analisados com suporte do software NVIVO®, utilizando-se da técnica de análise de conteúdo. Os resultados revelam a importância dos APLs a nível regional e local e mostra que as principais ações públicas se resumem a incentivos fiscais e disponibilidade de recursos para tais APLs. Tais politicas apresentam-se mais concretas nos APLs de BH e Uberlândia onde percebe-se maior cooperação entre os níveis governamentais com as demais entidades. O APL de Juiz de Fora ainda apresenta ações de caráter embrionário.

Published
2015

18. Erratum to: The study of cardiovascular risk in adolescents – ERICA: rationale, design and sample characteristics of a national survey examining cardiovascular risk factor profile in Brazilian adolescents

Author

Bloch, Katia Vergetti, primary, Szklo, Moyses, additional, Kuschnir, Maria Cristina C., additional, de Azevedo Abreu, Gabriela, additional, Barufaldi, Laura Augusta, additional, Klein, Carlos Henrique, additional, de Vasconcelos, Maurício T L, additional, da Veiga, Glória Valéria, additional, Figueiredo, Valeska C, additional, Dias, Adriano, additional, Moraes, Ana Julia Pantoja, additional, Sousa, Ana Luiza Lima, additional, Borges, Ana Luiza Vilela, additional, Andrade de Oliveira, Ana Mayra, additional, Schaan, Beatriz D’Agord, additional, Tavares, Bruno Mendes, additional, de Oliveira, Cecília Lacroix, additional, de Freitas Cunha, Cristiane, additional, Giannini, Denise Tavares, additional, Belfort, Dilson Rodrigues, additional, Ribas, Dulce Lopes Barboza, additional, Santos, Eduardo Lima, additional, de Leon, Elisa Brosina, additional, Fujimori, Elizabeth, additional, Oliveira, Elizabete Regina Araújo, additional, da Silva Magliano, Erika, additional, de Assis Guedes Vasconcelos, Francisco, additional, Azevedo, George Dantas, additional, Brunken, Gisela Soares, additional, Dias, Glauber Monteiro, additional, Filho, Heleno R. Correa, additional, Monteiro, Maria Inês, additional, Guimarães, Isabel Cristina Britto, additional, Neto, José Rocha Faria, additional, Oliveira, Juliana Souza, additional, de Carvalho, Kenia Mara B., additional, Gonzaga de Oliveira Gonçalves, Luis, additional, Santos, Marize M, additional, Muniz, Pascoal Torres, additional, Veiga Jardim, Paulo César B., additional, Ferreira, Pedro Antônio Muniz, additional, Montenegro, Renan Magalhães, additional, Gurgel, Ricardo Queiroz, additional, Vianna, Rodrigo Pinheiro, additional, Vasconcelos, Sandra Mary, additional, Silva da Matta, Sandro, additional, Martins, Stella Maris Seixas, additional, Goldberg, Tamara Beres Lederer, additional, and Nogueira da Silva, Thiago Luiz, additional

Published
2015
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19. The study of cardiovascular risk in adolescents – ERICA: rationale, design and sample characteristics of a national survey examining cardiovascular risk factor profile in Brazilian adolescents

Author

Bloch, Katia Vergetti, primary, Szklo, Moyses, additional, Kuschnir, Maria Cristina C, additional, Abreu, Gabriela de Azevedo, additional, Barufaldi, Laura Augusta, additional, Klein, Carlos Henrique, additional, de Vasconcelos, Maurício TL, additional, da Veiga, Glória Valéria, additional, Figueiredo, Valeska C, additional, Dias, Adriano, additional, Moraes, Ana Julia Pantoja, additional, Souza, Ana Luiza Lima, additional, de Oliveira, Ana Mayra Andrade, additional, Schaan, Beatriz D’Argord, additional, Tavares, Bruno Mendes, additional, de Oliveira, Cecília Lacroix, additional, Cunha, Cristiane de Freitas, additional, Giannini, Denise Tavares, additional, Belfort, Dilson Rodrigues, additional, Ribas, Dulce Lopes Barboza, additional, Santos, Eduardo Lima, additional, de Leon, Elisa Brosina, additional, Fujimori, Elizabeth, additional, Oliveira, Elizabete Regina Araújo, additional, Magliano, Erika da Silva, additional, Vasconcelos, Francisco de Assis Guedes, additional, Azevedo, George Dantas, additional, Brunken, Gisela Soares, additional, Dias, Glauber Monteiro, additional, Filho, Heleno R Correa, additional, Monteiro, Maria Inês, additional, Guimarães, Isabel Cristina Britto, additional, Neto, José Rocha Faria, additional, Oliveira, Juliana Souza, additional, de Carvalho, Kenia Mara B, additional, Gonçalves, Luis Gonzaga de Oliveira, additional, Santos, Marize M, additional, Muniz, Pascoal Torres, additional, Jardim, Paulo César B Veiga, additional, Ferreira, Pedro Antônio Muniz, additional, Montenegro, Renan Magalhães, additional, Gurgel, Ricardo Queiroz, additional, Vianna, Rodrigo Pinheiro, additional, Vasconcelos, Sandra Mary, additional, da Matta, Sandro Silva, additional, Martins, Stella Maris Seixas, additional, Goldberg, Tamara Beres Lederer, additional, and da Silva, Thiago Luiz Nogueira, additional

Published
2015
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21. A Terapia Cognitivo-Comportamental e seus efeitos no tratamento dos transtornos do comportamento alimentar.

Author

Tavares Filho, Thomé Eliziário, Silva Magalhães, Paula Mitoso da, Tavares, Bruno Mendes, Tavares Filho, Thomé Eliziário, Silva Magalhães, Paula Mitoso da, and Tavares, Bruno Mendes

Abstract

O objetivo geral desta pesquisa é discutir as principais técnicas cognitivas e comportamentais utilizadas no tratamento dos transtornos alimentares. Para isso, foi necessário realizar um estudo sobre os transtornos alimentares, caracterizar a obesidade, a bulimia e a anorexia, e verificar, à luz da literatura, a aplicabilidade da Terapia Cognitivo-Comportamental no tratamento dos transtornos alimentares. Em decorrência dos seus aspectos multidimensionais, várias abordagens terapêuticas são utilizadas e existe uma tendência à integração de métodos psicoterápicos e farmacológicos. Atualmente, as técnicas cognitivas e comportamentais estão sendo utilizadas como estratégias eficazes na melhora dos quadros clínicos da obesidade, da bulimia e da anorexia nervosa.

Published
2009

24. Evaluation of the level of clinical-functional vulnerability of elderly students and non-students attended by the Polyclinic of the Funda????o Universidade Aberta da Terceira Idade (FUnATI) in Manaus - AM

Author

Ata??de, Douglas Silva, Leon, Elisa Brosina de, Santos, Ma??ra Mendes dos, Tavares, Bruno Mendes, and Fortes Filho, Sileno de Queiroz

Subjects
CI??NCIAS DA SA??DE, Vulnerabilidade, Idosos - Assist??ncia em institui????es, Velhice - Pesquisa, Idoso, Diagn??stico cl??nico-funcional, Idosos - Avalia????o funcional, Terapia ocupacional para idosos, Diagn??stico cl??nico-funcional de idosos
Abstract

Submitted by Douglas Ata??de (doug_ataide@hotmail.com) on 2020-04-19T21:47:45Z No. of bitstreams: 3 Carta Encaminhamento Autodep??sito.pdf: 85006 bytes, checksum: ab7641ceef2b91a983e11c3909dfeeb4 (MD5) PPGSSEA - Disserta????o de mestrado - Douglas Silva Ataide.pdf: 1230997 bytes, checksum: bae482485064c233d1e9fa3e1613fd89 (MD5) ATA DE DEFESA PG1.pdf: 416127 bytes, checksum: 292f6f32b9fe6a0d2c72b1ce1f26f5b8 (MD5) Rejected by PPGSSEA Sa??de, Sociedade e Endemias na Amaz??nia (ppgssea@ufam.edu.br), reason: Est??o faltando os seguintes documentos: . segunda folha da ATA de defesa com o parecer da coordena????o do programa; . ficha catalogr??fica on 2020-04-20T16:55:39Z (GMT) Submitted by Douglas Ata??de (doug_ataide@hotmail.com) on 2020-04-20T17:42:35Z No. of bitstreams: 5 Carta Encaminhamento Autodep??sito.pdf: 85006 bytes, checksum: ab7641ceef2b91a983e11c3909dfeeb4 (MD5) PPGSSEA - Disserta????o de mestrado - Douglas Silva Ataide.pdf: 1230997 bytes, checksum: bae482485064c233d1e9fa3e1613fd89 (MD5) ATA DE DEFESA PG1.pdf: 416127 bytes, checksum: 292f6f32b9fe6a0d2c72b1ce1f26f5b8 (MD5) ATA DE DEFESA PG2.pdf: 374172 bytes, checksum: fda20ae56941bd6449908eb2dfdfbbef (MD5) ficha catalogr??fica.pdf: 2041 bytes, checksum: 0848fffa7135d610338f7484791ef9b1 (MD5) Approved for entry into archive by PPGSSEA Sa??de, Sociedade e Endemias na Amaz??nia (ppgssea@ufam.edu.br) on 2020-04-20T19:08:48Z (GMT) No. of bitstreams: 5 Carta Encaminhamento Autodep??sito.pdf: 85006 bytes, checksum: ab7641ceef2b91a983e11c3909dfeeb4 (MD5) PPGSSEA - Disserta????o de mestrado - Douglas Silva Ataide.pdf: 1230997 bytes, checksum: bae482485064c233d1e9fa3e1613fd89 (MD5) ATA DE DEFESA PG1.pdf: 416127 bytes, checksum: 292f6f32b9fe6a0d2c72b1ce1f26f5b8 (MD5) ATA DE DEFESA PG2.pdf: 374172 bytes, checksum: fda20ae56941bd6449908eb2dfdfbbef (MD5) ficha catalogr??fica.pdf: 2041 bytes, checksum: 0848fffa7135d610338f7484791ef9b1 (MD5) Rejected by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br), reason: Corre????o da entrada na Ficha Catalogr??fica, onde se l?? de Leon, Elisa , Ataide Douglas Silva, dever?? ser corrigido para: Ata??de, Douglas Silva. Quanto ao t??tulo, transcrever apenas a primeira palavra em caixa alta, salvo quando se tratar de nome pr??prio: Avalia????o do n??vel de vulnerabilidade cl??nico-funcional de idosos alunos e n??o alunos atendidos pela Policl??nica da Funda????o Universidade Aberta da Terceira Idade (FUnATI) em Manaus - AM on 2020-04-20T20:15:34Z (GMT) Submitted by Douglas Ata??de (doug_ataide@hotmail.com) on 2020-04-20T20:41:31Z No. of bitstreams: 5 Carta Encaminhamento Autodep??sito.pdf: 85006 bytes, checksum: ab7641ceef2b91a983e11c3909dfeeb4 (MD5) PPGSSEA - Disserta????o de mestrado - Douglas Silva Ataide.pdf: 1230997 bytes, checksum: bae482485064c233d1e9fa3e1613fd89 (MD5) ATA DE DEFESA PG1.pdf: 416127 bytes, checksum: 292f6f32b9fe6a0d2c72b1ce1f26f5b8 (MD5) ATA DE DEFESA PG2.pdf: 374172 bytes, checksum: fda20ae56941bd6449908eb2dfdfbbef (MD5) FICHA CATALOGRAFICA.pdf: 1951 bytes, checksum: 83c7194a9e22fea3c3be613e8fe245ce (MD5) Approved for entry into archive by PPGSSEA Sa??de, Sociedade e Endemias na Amaz??nia (ppgssea@ufam.edu.br) on 2020-04-20T23:22:18Z (GMT) No. of bitstreams: 5 Carta Encaminhamento Autodep??sito.pdf: 85006 bytes, checksum: ab7641ceef2b91a983e11c3909dfeeb4 (MD5) PPGSSEA - Disserta????o de mestrado - Douglas Silva Ataide.pdf: 1230997 bytes, checksum: bae482485064c233d1e9fa3e1613fd89 (MD5) ATA DE DEFESA PG1.pdf: 416127 bytes, checksum: 292f6f32b9fe6a0d2c72b1ce1f26f5b8 (MD5) ATA DE DEFESA PG2.pdf: 374172 bytes, checksum: fda20ae56941bd6449908eb2dfdfbbef (MD5) FICHA CATALOGRAFICA.pdf: 1951 bytes, checksum: 83c7194a9e22fea3c3be613e8fe245ce (MD5) Rejected by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br), reason: Exclus??o da express??o ": n??vel de vulnerabilidade cl??nico-funcional de idosos - Manaus/AM", logo ap??s o campo destinado ao t??tulo na Ficha Catalogr??fica. Dever?? ser mantida apenas se esta fizer parte do t??tulo ou subt??tulo da Disserta????o. on 2020-04-21T01:03:47Z (GMT) Submitted by Douglas Ata??de (doug_ataide@hotmail.com) on 2020-04-21T04:10:44Z No. of bitstreams: 5 Carta Encaminhamento Autodep??sito.pdf: 85006 bytes, checksum: ab7641ceef2b91a983e11c3909dfeeb4 (MD5) PPGSSEA - Disserta????o de mestrado - Douglas Silva Ataide.pdf: 1230997 bytes, checksum: bae482485064c233d1e9fa3e1613fd89 (MD5) ATA DE DEFESA PG1.pdf: 416127 bytes, checksum: 292f6f32b9fe6a0d2c72b1ce1f26f5b8 (MD5) ATA DE DEFESA PG2.pdf: 374172 bytes, checksum: fda20ae56941bd6449908eb2dfdfbbef (MD5) ficha catalogr??fica.pdf: 1934 bytes, checksum: b9a729fb5d8f9b41d1e8b05de1696f88 (MD5) Approved for entry into archive by PPGSSEA Sa??de, Sociedade e Endemias na Amaz??nia (ppgssea@ufam.edu.br) on 2020-05-07T20:45:14Z (GMT) No. of bitstreams: 5 Carta Encaminhamento Autodep??sito.pdf: 85006 bytes, checksum: ab7641ceef2b91a983e11c3909dfeeb4 (MD5) PPGSSEA - Disserta????o de mestrado - Douglas Silva Ataide.pdf: 1230997 bytes, checksum: bae482485064c233d1e9fa3e1613fd89 (MD5) ATA DE DEFESA PG1.pdf: 416127 bytes, checksum: 292f6f32b9fe6a0d2c72b1ce1f26f5b8 (MD5) ATA DE DEFESA PG2.pdf: 374172 bytes, checksum: fda20ae56941bd6449908eb2dfdfbbef (MD5) ficha catalogr??fica.pdf: 1934 bytes, checksum: b9a729fb5d8f9b41d1e8b05de1696f88 (MD5) Rejected by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br), reason: A ficha catalogr??fica dever?? estar inserida na p??gina 3 do arquivo da Disserta????o, e n??o em arquivo ?? parte. on 2020-05-07T21:51:36Z (GMT) Submitted by Douglas Ata??de (doug_ataide@hotmail.com) on 2020-05-08T04:05:22Z No. of bitstreams: 4 Carta Encaminhamento Autodep??sito.pdf: 85006 bytes, checksum: ab7641ceef2b91a983e11c3909dfeeb4 (MD5) ATA DE DEFESA PG1.pdf: 416127 bytes, checksum: 292f6f32b9fe6a0d2c72b1ce1f26f5b8 (MD5) ATA DE DEFESA PG2.pdf: 374172 bytes, checksum: fda20ae56941bd6449908eb2dfdfbbef (MD5) PPGSSEA - Mestrado Douglas Ataide.pdf: 1238402 bytes, checksum: 4f4b6868928f8719de6ace15da02d0be (MD5) Approved for entry into archive by PPGSSEA Sa??de, Sociedade e Endemias na Amaz??nia (ppgssea@ufam.edu.br) on 2020-05-18T22:35:16Z (GMT) No. of bitstreams: 4 Carta Encaminhamento Autodep??sito.pdf: 85006 bytes, checksum: ab7641ceef2b91a983e11c3909dfeeb4 (MD5) ATA DE DEFESA PG1.pdf: 416127 bytes, checksum: 292f6f32b9fe6a0d2c72b1ce1f26f5b8 (MD5) ATA DE DEFESA PG2.pdf: 374172 bytes, checksum: fda20ae56941bd6449908eb2dfdfbbef (MD5) PPGSSEA - Mestrado Douglas Ataide.pdf: 1238402 bytes, checksum: 4f4b6868928f8719de6ace15da02d0be (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2020-05-19T17:04:04Z (GMT) No. of bitstreams: 4 Carta Encaminhamento Autodep??sito.pdf: 85006 bytes, checksum: ab7641ceef2b91a983e11c3909dfeeb4 (MD5) ATA DE DEFESA PG1.pdf: 416127 bytes, checksum: 292f6f32b9fe6a0d2c72b1ce1f26f5b8 (MD5) ATA DE DEFESA PG2.pdf: 374172 bytes, checksum: fda20ae56941bd6449908eb2dfdfbbef (MD5) PPGSSEA - Mestrado Douglas Ataide.pdf: 1238402 bytes, checksum: 4f4b6868928f8719de6ace15da02d0be (MD5) Made available in DSpace on 2020-05-19T17:04:04Z (GMT). No. of bitstreams: 4 Carta Encaminhamento Autodep??sito.pdf: 85006 bytes, checksum: ab7641ceef2b91a983e11c3909dfeeb4 (MD5) ATA DE DEFESA PG1.pdf: 416127 bytes, checksum: 292f6f32b9fe6a0d2c72b1ce1f26f5b8 (MD5) ATA DE DEFESA PG2.pdf: 374172 bytes, checksum: fda20ae56941bd6449908eb2dfdfbbef (MD5) PPGSSEA - Mestrado Douglas Ataide.pdf: 1238402 bytes, checksum: 4f4b6868928f8719de6ace15da02d0be (MD5) Previous issue date: 2020-03-19 Introduction: The identification of functional characteristics and the risk of vulnerability allow the improvement of the provision of health services for this population. Objective: To identify the level of clinical-functional vulnerability of elderly students and non-students attended by the polyclinic of the Open University Foundation of the Third Age of Manaus. Methodology: This is a cross-sectional descriptive study. The sample was selected using a non-probabilistic convenience method. Data were collected from elderly patients seen from January 2017 to December 2018. The medical record contains socioeconomic, anthropometric issues and is complemented by the Functional Clinical Vulnerability Index (IVCF-20). All data were reviewed, tabulated and later coded. The STATA 14.0 software was used for statistical analysis of the data. Simple and relative absolute frequencies, and categorical data were presented using tables. For the analysis of the quantitative data, when the normality hypothesis is accepted, the mean and standard deviation were calculated. Differences in the distribution of categorical variables between groups were tested using the Chi-square test. To assess the associations of interest by controlling for possible confounding variables, Poisson's multiple regression model was used. Variables with p

Published
2020

25. Consumo alimentar em adolescentes na Regi??o Norte e fatores associados

Author

Costa, Mayara Suelirta da, Tavares, Bruno Mendes, Souza, Celsa da Silva Moura, and Lima, Regismeire Viana

Subjects
CI??NCIAS DA SA??DE, Consumo alimentar, Sistema cardiovascular - Doen??as - Fatores de risco, H??bitos alimentares - Brasil, Norte, Adolescentes - Nutri????o, Regi??o Norte, Adolescentes, Alimentos regionais
Abstract

Submitted by Mayara Costa (nutricionista_mayara@hotmail.com) on 2019-12-10T22:44:50Z No. of bitstreams: 4 Disserta????oFINAL.pdf: 3723533 bytes, checksum: cef29e23c828cb80dd79a1e2011264fb (MD5) Carta do orientador.pdf: 68778 bytes, checksum: c343983f1a4c45629fcb295b7afc70ff (MD5) ATA Mayara .pdf: 546516 bytes, checksum: 7d93b8eb0121611b0dda78a07f32d631 (MD5) Ficha catalogr??fica.pdf: 1819 bytes, checksum: ecacb2f3ae4884e7a250fdf50f1e1f50 (MD5) Approved for entry into archive by Sa??de, Sociedade e Endemias na Amaz??nia PPGSSEA (ppgssea@ufam.edu.br) on 2019-12-11T21:12:20Z (GMT) No. of bitstreams: 4 Disserta????oFINAL.pdf: 3723533 bytes, checksum: cef29e23c828cb80dd79a1e2011264fb (MD5) Carta do orientador.pdf: 68778 bytes, checksum: c343983f1a4c45629fcb295b7afc70ff (MD5) ATA Mayara .pdf: 546516 bytes, checksum: 7d93b8eb0121611b0dda78a07f32d631 (MD5) Ficha catalogr??fica.pdf: 1819 bytes, checksum: ecacb2f3ae4884e7a250fdf50f1e1f50 (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2019-12-12T14:41:19Z (GMT) No. of bitstreams: 4 Disserta????oFINAL.pdf: 3723533 bytes, checksum: cef29e23c828cb80dd79a1e2011264fb (MD5) Carta do orientador.pdf: 68778 bytes, checksum: c343983f1a4c45629fcb295b7afc70ff (MD5) ATA Mayara .pdf: 546516 bytes, checksum: 7d93b8eb0121611b0dda78a07f32d631 (MD5) Ficha catalogr??fica.pdf: 1819 bytes, checksum: ecacb2f3ae4884e7a250fdf50f1e1f50 (MD5) Made available in DSpace on 2019-12-12T14:41:19Z (GMT). No. of bitstreams: 4 Disserta????oFINAL.pdf: 3723533 bytes, checksum: cef29e23c828cb80dd79a1e2011264fb (MD5) Carta do orientador.pdf: 68778 bytes, checksum: c343983f1a4c45629fcb295b7afc70ff (MD5) ATA Mayara .pdf: 546516 bytes, checksum: 7d93b8eb0121611b0dda78a07f32d631 (MD5) Ficha catalogr??fica.pdf: 1819 bytes, checksum: ecacb2f3ae4884e7a250fdf50f1e1f50 (MD5) Previous issue date: 2019-11-28 The study verifies the differences between the consumption of typical foods from the northern region and cardiovascular risk factors in school adolescents from the northern region of Brazil. This project is part of a larger study called ???Cardiovascular Risk Study in Adolescents??? (ERICA), a national school-based multicenter cross-sectional study, conducted between 2013 and 2014. A sample consisted of 7,041 adolescents aged 1217 attending schools. public and private facilities in 10 cities in the northern region with over 100,000 inhabitants. Sociodemographic information, lifestyle, anthropometric measurements, blood pressure and biochemical tests were collected. Food intake data were used by R24h. In descriptive analyzes, quantitative variables were described in prevalence with confidence interval, and qualitative in frequencies, a comparison was made by the chi-square test, considering the value of p

Published
2019

26. Provision and fixing of health professionals in basic care in difficult access contexts in the state of Amazonas

Author

Dolzane, Rozenila da Silva, Schweickardt, J??lio Cesar, Menezes, K??tia Maria Lima, and Tavares, Bruno Mendes

Subjects
Pessoal da ??rea m??dica, CI??NCIAS DA SA??DE, Pol??ticas de sa??de p??blica, Aten????o prim??ria em sa??de, Pol??tica de sa??de - Amaz??nia, Cuidados prim??rios de sa??de, Profissionais de sa??de, Amaz??nia
Abstract

Submitted by ROZENILA DOLZANE (rozedolzane@hotmail.com) on 2019-12-06T01:46:09Z No. of bitstreams: 1 DISSERTA????O UFAM ROZE revisada.pdf: 1974924 bytes, checksum: 7b7f042197393d04204aa013f76df083 (MD5) Submitted by ROZENILA DOLZANE (rozedolzane@hotmail.com) on 2019-12-09T14:18:35Z No. of bitstreams: 4 DISSERTA????O UFAM ROZE revisada.pdf: 1974924 bytes, checksum: 7b7f042197393d04204aa013f76df083 (MD5) ATA DEFESA ROZENILA.pdf: 414769 bytes, checksum: 01d56f7b911252772b9df5fc5302afe2 (MD5) FICHA CATALOGRAFICA PPGSSEA.pdf: 1873 bytes, checksum: 76e6208e1a3d749c689e46fd16325e62 (MD5) Carta de Autodep??sito.pdf: 403280 bytes, checksum: 9b184cb9f439921ad91be25d9f44c677 (MD5) Approved for entry into archive by Sa??de, Sociedade e Endemias na Amaz??nia PPGSSEA (ppgssea@ufam.edu.br) on 2019-12-09T23:24:25Z (GMT) No. of bitstreams: 4 DISSERTA????O UFAM ROZE revisada.pdf: 1974924 bytes, checksum: 7b7f042197393d04204aa013f76df083 (MD5) ATA DEFESA ROZENILA.pdf: 414769 bytes, checksum: 01d56f7b911252772b9df5fc5302afe2 (MD5) FICHA CATALOGRAFICA PPGSSEA.pdf: 1873 bytes, checksum: 76e6208e1a3d749c689e46fd16325e62 (MD5) Carta de Autodep??sito.pdf: 403280 bytes, checksum: 9b184cb9f439921ad91be25d9f44c677 (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2019-12-10T12:17:32Z (GMT) No. of bitstreams: 4 DISSERTA????O UFAM ROZE revisada.pdf: 1974924 bytes, checksum: 7b7f042197393d04204aa013f76df083 (MD5) ATA DEFESA ROZENILA.pdf: 414769 bytes, checksum: 01d56f7b911252772b9df5fc5302afe2 (MD5) FICHA CATALOGRAFICA PPGSSEA.pdf: 1873 bytes, checksum: 76e6208e1a3d749c689e46fd16325e62 (MD5) Carta de Autodep??sito.pdf: 403280 bytes, checksum: 9b184cb9f439921ad91be25d9f44c677 (MD5) Made available in DSpace on 2019-12-10T12:17:33Z (GMT). No. of bitstreams: 4 DISSERTA????O UFAM ROZE revisada.pdf: 1974924 bytes, checksum: 7b7f042197393d04204aa013f76df083 (MD5) ATA DEFESA ROZENILA.pdf: 414769 bytes, checksum: 01d56f7b911252772b9df5fc5302afe2 (MD5) FICHA CATALOGRAFICA PPGSSEA.pdf: 1873 bytes, checksum: 76e6208e1a3d749c689e46fd16325e62 (MD5) Carta de Autodep??sito.pdf: 403280 bytes, checksum: 9b184cb9f439921ad91be25d9f44c677 (MD5) Previous issue date: 2019-11-25 Introduction: The Unified Health System (SUS) was created as an organizational model to structure health policies in the country. However, despite the progress achieved after its implementation, there are still gaps to be filled in order to effectively incorporate health professionals in Primary Care (PH), especially in those locations farther from urban centers, as presented by the municipalities within the region. state of Amazonas. There is an issue of the provision and settling of health professionals in PH in areas of difficult access because it still represents a challenge for the state's public health policies, in relation to the populations that live in the most remote locations of the capital. Purpose: To analyze the provision and fixation of health professionals in PH in municipalities of Amazonas. Method: Cross-sectional, descriptive-analytical study with a quantitative and qualitative approach, which is part of a broader research called: ???The Scenario of Labor Management in the Amazon: setting and provision of health professionals in SUS???, with 397 professionals, from the PH of Amazonas??? 20 small towns. The professionals were interviewed through a questionnaire with closed and open questions. Descriptive statistics was used to assess the sociodemographic profile of the professionals and content analysis to interpret the interviews as well. Results: Medical professionals were appointed as facilitators of negative statistics regarding provision and settlement in Amazonas???s small towns. The positive highlights that justify that they could stay were family issues, good conditions of the place and the feeling of changes in the population's health. The challenges highlighted for the rotation of professionals were the salary issue, lack of infrastructure and geography of the place and the political issues. Conclusion: Effective health policies, practices aimed at professional qualification and enhancement, structuring of environments that offer health services, in addition, policies that support students from villages and small towns to take courses and, at the same time, expand vacancies of health courses in strategic locations in the state, these are actions that can contribute to the provision and establishment of professionals in places that are difficult to access. Introdu????o: O Sistema ??nico de Sa??de (SUS) foi criado como modelo organizacional para estruturar as pol??ticas de sa??de no pa??s. Contudo, apesar dos progressos alcan??ados ap??s sua implanta????o, ainda existem lacunas a serem preenchidas, para que haja a incorpora????o efetiva de profissionais de sa??de na Aten????o B??sica (AB), especialmente naquelas localidades mais distante dos centros urbanos, como se apresentam os munic??pios inseridos no estado do Amazonas. A quest??o do provimento e fixa????o de profissionais de sa??de na AB em ??reas de dif??cil acesso, ainda representa um desafio para as pol??ticas p??blicas de sa??de do estado, em rela????o ??s popula????es que residem nas localidades mais remotas da capital. Objetivo: Analisar o provimento e a fixa????o dos profissionais de sa??de na AB em munic??pios do Amazonas. M??todo: Estudo transversal, descritivo-anal??tico, de abordagem quantitativa e qualitativa, o qual faz parte de uma pesquisa mais ampla denominada: ???O Cen??rio da Gest??o do Trabalho no Amazonas: fixa????o e provimento de profissionais de sa??de no SUS???, com 397 profissionais da AB de 20 munic??pios do estado do Amazonas. Os profissionais foram entrevistados por interm??dio de question??rio com perguntas fechadas e abertas. Foi utilizada estat??stica descritiva para avaliar o perfil sociodemogr??fico dos profissionais e An??lise de Conte??do para interpreta????o das entrevistas. Resultados: Os profissionais de medicina foram apontados como facilitadores das estat??sticas negativas em rela????o ao provimento e fixa????o nos munic??pios. Os destaques positivos como motivos para perman??ncia foram quest??o familiar, as boas condi????es do local e o sentimento de modifica????es na sa??de da popula????o. Os desafios salientados para que haja a rotatividade dos profissionais foram, a quest??o salarial, falta de infraestrutura e geografia do local e as quest??es pol??ticas. Conclus??o: Pol??ticas de sa??de efetivas, pr??ticas voltadas para a capacita????o e valoriza????o profissional, estrutura????o dos ambientes que oferecem servi??os em sa??de, al??m disso, pol??ticas que valorizem as cotas e apoio para alunos dos munic??pios realizarem curso e, ao mesmo tempo, ampliar as vagas de cursos de sa??de em locais estrat??gicos do Estado, s??o a????es que podem contribuir com o provimento e a fixa????o de profissionais em locais de dif??cil acesso.

Published
2019

27. Proposta de livro pr??tico sobre terapia nutricional em pacientes cir??rgicos

Author

Micchi, Veronica Chasse Thurler, Nakajima, Gerson Suguiyama, Rosa, Rosane Dias da, Byk, Jonas, and Tavares, Bruno Mendes

Subjects
Assist??ncia perioperat??ria, Nutritional therapy, MEDICINA: CIRURGIA [CI??NCIAS DA SA??DE], Pacientes cir??rgicos, Apoio nutricional, Avalia????o nutricional, Perioperative, Terapia nutricional, Nutritional support, Nutritional assessment, Surgery pacients
Abstract

Submitted by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2019-04-26T14:30:23Z No. of bitstreams: 4 Disserta????o_VeronicaMicchi_PPGRACI (Parcial - at?? f. 56).pdf: 1328514 bytes, checksum: 925d10eec2278d79bf65b8e53c742152 (MD5) Disserta????o_VeronicaMicchi_PPGRACI (Parcial - f. 195 - 220).pdf: 328071 bytes, checksum: e99feca450f82a48e9692bde511ade7d (MD5) Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2019-05-02T12:19:08Z (GMT) No. of bitstreams: 4 Disserta????o_VeronicaMicchi_PPGRACI (Parcial - at?? f. 56).pdf: 1328514 bytes, checksum: 925d10eec2278d79bf65b8e53c742152 (MD5) Disserta????o_VeronicaMicchi_PPGRACI (Parcial - f. 195 - 220).pdf: 328071 bytes, checksum: e99feca450f82a48e9692bde511ade7d (MD5) Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Made available in DSpace on 2019-05-02T12:19:08Z (GMT). No. of bitstreams: 4 Disserta????o_VeronicaMicchi_PPGRACI (Parcial - at?? f. 56).pdf: 1328514 bytes, checksum: 925d10eec2278d79bf65b8e53c742152 (MD5) Disserta????o_VeronicaMicchi_PPGRACI (Parcial - f. 195 - 220).pdf: 328071 bytes, checksum: e99feca450f82a48e9692bde511ade7d (MD5) Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2019-02-08 999882989 BACKGROUND: In Brazil, 39% of hospitalized surgical patients present some degree of malnutrition. The deleterious effect of malnutrition associated with metabolic changes that occur in the perioperative period may increase the risk of complications such as infection, metabolic and hemodynamic disorders, increased hospital stay, increased hospital costs, reduced quality of life, and patient survival. One way to prevent or reduce these effects is to identify patients early and initiate appropriate nutritional management, but the medical decisions regarding nutritional behavior are still insipient, due to several factors. Thus, tools that can help in a practical way in the search for knowledge and decision making benefit not only the professional but also the patient. OBJECTIVE: To prepare a book for quick consultation for the assistance of health team professionals in the care of the surgical patient in nutritional therapy. Specifics objectives: To investigate in the scientific literature recommendations on nutritional therapy in surgical patients; analyze and select the information found in the scientific literature; organize the content for writing the book. METHOD: This is a methodological study that includes an integrative review, with a documentary and retrospective analysis that covers the five years of scientific publication. It was used as search sites: Scientific Electronic Library Online - Scielo, Public Medline - PubMed, Web of Science, COCHRANE Liberty, and the database of relevant scientific societies. RESULTS: We found 836 articles of which 90 were selected. The articles were compiled by topic addressed to the definition of content resulting in 11 chapters of the book. For the preparation of the chapters, new information pertinent to the subject has been integrated. CONCLUSION: It was possible to elaborate the book, containing the themes compiled from the analysis and selection of the articles found in the review. JUSTIFICATIVA: No Brasil 39% dos pacientes cir??rgicos hospitalizados apresentam algum grau de desnutri????o. O efeito delet??rio da desnutri????o associada as altera????es metab??licas que ocorrem no per??odo perioperat??rio pode aumentar os riscos de complica????es como infec????o, dist??rbios metab??licos e hemodin??mico, aumento do tempo de interna????o, aumento do custo hospitalar, redu????o da qualidade de vida e sobrevida do paciente. Uma forma de prevenir e ou reduzir esses efeitos ?? identificar precocemente os pacientes e iniciar o manejo nutricional adequado, por??m ainda s??o insipientes as decis??es m??dicas frente ?? conduta nutricional, por diversos fatores. Assim, ferramentas que possam auxiliar de forma pr??tica na busca pelo conhecimento e na tomada de decis??o, beneficia n??o s?? o profissional, mas tamb??m, o paciente. OBJETIVO: Elaborar um livro para consulta r??pida para o aux??lio de profissionais da equipe de sa??de no cuidado do paciente cir??rgico em terapia nutricional. Objetivos espec??ficos: Investigar na literatura cient??fica recomenda????es sobre terapia nutricional em pacientes cir??rgicos; analisar e selecionar as informa????es encontradas na literatura cient??fica; organizar o conte??do para elabora????o do livro. M??TODO: ?? um estudo metodol??gico que engloba a revis??o integrativa, com an??lise documental e retrospectiva que abrangeu os ??ltimos cinco anos de publica????o cient??fica. Foi utilizado como locais de busca: Scientific Eletronic Library Online ??? Scielo, Public Medline - PubMed, Web of Science, COCHRANE Liberty, e o banco de dados das sociedades cient??ficas pertinentes. RESULTADOS: Foram encontrados 836 artigos dos quais, 90 foram selecionados. Os artigos foram compilados por tema abordado para a defini????o do conte??do resultando em 11 cap??tulos do livro. Para a elabora????o dos cap??tulos, foram integradas novas informa????es pertinentes a cada tema. CONCLUS??O: Foi poss??vel elaborar o livro, contendo os temas compilados a partir da an??lise e sele????o dos artigos encontrados na revis??o.

Published
2019

28. Study of Cardiovascular Risks in Adolescents (ERICA): factors associated with work in adolescence.

Author

Leon EB, Tavares BM, Fernandes TG, Gonçalves RL, Franco FFS, Souza MBCA, Fischer FM, and Barroso BIL

Subjects
Adolescent, Brazil epidemiology, Cross-Sectional Studies, Humans, Male, Prevalence, Risk Factors, Socioeconomic Factors, Cardiovascular Diseases epidemiology, Heart Disease Risk Factors
Abstract

This study aimed to verify the association between work and sociodemographic factors, health behaviors, and cardiovascular risk in Brazilian adolescents. Data from the Study of Cardiovascular Risks in Adolescents (ERICA) were analyzed, with a sample of 37,815 adolescents aged 12-17 years and morning shift students. Considering complex sampling, crude and adjusted Prevalence Ratios (PR) were calculated with interval estimates for variables by Poisson multiple regression model with robust variance estimate. The sociodemographic factors associated with work among Brazilian adolescents were male gender (PR 1.34), aged 15-17 years, with maternal schooling up to elementary school (PR 1.26), public school students (PR 1.63), and from the rural area (PR 1.90). Regarding lifestyle habits and social behavior, the association was significant in physically active (PR 1.19) and alcohol-consuming students (PR 1.35). In conclusion, work among Brazilian adolescent morning shift students is still strongly linked to social issues. Work was associated with alcohol consumption, and there was no association with metabolic markers.

Published
2021
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29. Dietary patterns of Brazilian adolescents according to geographic region: an analysis of the Study of Cardiovascular Risk in Adolescents (ERICA).

Author

Alves MA, Souza AM, Barufaldi LA, Tavares BM, Bloch KV, and Vasconcelos FAG

Subjects
Adolescent, Adolescent Behavior, Brazil, Cardiovascular Diseases etiology, Child, Cross-Sectional Studies, Diet Surveys, Female, Humans, Male, Nutritional Status, Residence Characteristics, Risk Factors, Sex Factors, Socioeconomic Factors, Diet statistics & numerical data, Feeding Behavior physiology
Abstract

The study aimed to identify the dietary patterns of Brazilian adolescents in each of Brazil's five major geographic regions and verify possible differences in adherence to dietary patterns according to age, sex, and type of school. Data were analyzed from 71,298 adolescents 12 to 17 years of age that participated in the Study of Cardiovascular Risk in Adolescents (ERICA), a cross-sectional nationwide, multicenter, school-based survey. Food consumption data were obtained using a 24-hour food recall, and identification of dietary patterns used factor analysis. Associations between the adolescents' sociodemographic characteristics and dietary patterns were verified by linear regression analyses, stratified by age and adjusted for nutritional status, total energy intake, and physical activity. In the five geographic regions, three dietary patterns with similar characteristics were identified: traditional pattern, bread-and-coffee pattern, and unhealthy pattern. The North of Brazil showed a fourth dietary pattern characterized by typical regional foods, called the traditional-North pattern. In all five regions, male adolescents showed the highest adherence to the traditional pattern and the lowest adherence to the unhealthy pattern. Private school students showed higher adherence to the unhealthy pattern and lower adherence to the traditional pattern. The results suggest that in this sample of adolescents, males were associated with traditional Brazilian foods such as rice and beans, while higher socioeconomic status was associated with the consumption of unhealthy foods like sugary beverages and snacks.

Published
2019
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30. ERICA: prevalences of hypertension and obesity in Brazilian adolescents.

Author

Bloch KV, Klein CH, Szklo M, Kuschnir MC, Abreu Gde A, Barufaldi LA, da Veiga GV, Schaan B, da Silva TL, de Vasconcellos MT, Moraes AJ, Borges AL, de Oliveira AM, Tavares BM, de Oliveira CL, Cunha Cde F, Giannini DT, Belfort DR, Santos EL, de Leon EB, Fujimori E, Oliveira ER, Magliano Eda S, Vasconcelos Fde A, Azevedo GD, Brunken GS, Guimarães IC, Faria Neto JR, Oliveira JS, de Carvalho KM, Gonçalves LG, Monteiro MI, Santos MM, Jardim PC, Ferreira PA, Montenegro RM Jr, Gurgel RQ, Vianna RP, Vasconcelos SM, and Goldberg TB

Subjects
Adolescent, Brazil epidemiology, Epidemiologic Methods, Female, Humans, Hypertension etiology, Male, Obesity complications, Residence Characteristics, Sex Factors, Socioeconomic Factors, Hypertension epidemiology, Obesity epidemiology, Overweight epidemiology
Abstract

OBJECTIVE To estimate the prevalence of arterial hypertension and obesity and the population attributable fraction of hypertension that is due to obesity in Brazilian adolescents. METHODS Data from participants in the Brazilian Study of Cardiovascular Risks in Adolescents (ERICA), which was the first national school-based, cross-section study performed in Brazil were evaluated. The sample was divided into 32 geographical strata and clusters from 32 schools and classes, with regional and national representation. Obesity was classified using the body mass index according to age and sex. Arterial hypertension was defined when the average systolic or diastolic blood pressure was greater than or equal to the 95th percentile of the reference curve. Prevalences and 95% confidence intervals (95%CI) of arterial hypertension and obesity, both on a national basis and in the macro-regions of Brazil, were estimated by sex and age group, as were the fractions of hypertension attributable to obesity in the population. RESULTS We evaluated 73,399 students, 55.4% female, with an average age of 14.7 years (SD = 1.6). The prevalence of hypertension was 9.6% (95%CI 9.0-10.3); with the lowest being in the North, 8.4% (95%CI 7.7-9.2) and Northeast regions, 8.4% (95%CI 7.6-9.2), and the highest being in the South, 12.5% (95%CI 11.0-14.2). The prevalence of obesity was 8.4% (95%CI 7.9-8.9), which was lower in the North region and higher in the South region. The prevalences of arterial hypertension and obesity were higher in males. Obese adolescents presented a higher prevalence of hypertension, 28.4% (95%CI 25.5-31.2), than overweight adolescents, 15.4% (95%CI 17.0-13.8), or eutrophic adolescents, 6.3% (95%CI 5.6-7.0). The fraction of hypertension attributable to obesity was 17.8%. CONCLUSIONS ERICA was the first nationally representative Brazilian study providing prevalence estimates of hypertension in adolescents. Regional and sex differences were observed. The study indicates that the control of obesity would lower the prevalence of hypertension among Brazilian adolescents by 1/5.

Published
2016
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