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Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco 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 Prevenção de Infecção e Saúde is the property of Revista Prevencao de Infeccao e 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 Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura 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.)

Objetivo: Analizar la variación de los índices de mortalidad por cáncer gástrico en Chile con la implementación del Programa de Garantías Explícitas en Salud del Sistema de Salud de Chile desde su implementación en el año 2006 al año 2022. Metodología Estudio cuantitativo de tipo analítico, transversal retrospectivo. Se realizó un análisis secundario de los índices de mortalidad por cáncer gástrico, entre los años 2000 y 2022. La técnica utilizada fue por series de tiempo con cambio estructural, con prueba estadística de Chow. Se incluyeron todas las defunciones cuya causa principal es cáncer gástrico. Resultados: Existe un cambio estructural en la serie de tiempo de la mortalidad estandarizada por cáncer gástrico en la población, en observaciones anuales desde el año 2000 al 2022, con una prueba de Chow = 25.62; p-value 1,572 e -5; con un nivel de significancia de 0,05 y que fue identificada en el año 2012. Conclusiones: Posterior a la implementación del Programa de Garantías Explícitas en Salud en el año 2006, relacionada con el cáncer gástrico, se visualiza un cambio estructural en el análisis de la mortalidad en el año 2012. Las medidas de tamizaje, cobertura, acceso y promoción en salud contribuyen a la disminución de la mortalidad entre los años 2012 y 2022.

Aim: To analyze the trend of neonatal mortality in Brazil from 2015 to 2019 and its preventable causes. Methods: Ecological time-series study with data extracted from the Mortality Information System and Live Births Information System. Neonatal mortality rates were calculated overall and according to preventable causes. Trend analysis was performed by Prais-Winsten regression. Results: The overall neonatal mortality rate reduced from 8.78 in 2015 to 8.60 in 2019. Disparities in neonatal mortality rates were observed among regions, with higher rates in the northern (10.3/1,000) and northeastern (9.9/1,000) regions. The causes preventable by adequate care for pregnancy, delivery and neonatal care prevailed, together totaling 97.8% of neonatal deaths in the period. There was a decreasing trend in preventable causes due to adequate care of the newborn (p < 0.001). Conclusion: There was a decrease in the neonatal mortality rate in Brazil from 2015 to 2019. [ABSTRACT FROM AUTHOR]

Copyright of Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura 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.)

Objetivo: identificar el patrón espacial y temporal de la mortalidad por Diabetes Mellitus en Brasil y su relación con los indicadores de desarrollo social. Método: estudio ecológico y de series temporales, a nivel nacional, con base en datos secundarios del Departamento de Informática del Sistema Único de Salud, con análisis espacial y temporal e inserción de indicadores en modelos de regresión no espacial y espacial. Se realizaron: cálculo de la tasa de mortalidad general; caracterización del perfil sociodemográfico y regional de las muertes mediante análisis descriptivo y temporal; y elaboración de mapas temáticos. Resultados: en Brasil se registraron 601.521 muertes relacionadas con la Diabetes Mellitus, lo que representa una mortalidad media de 29,5/100.000 habitantes. Los estados de Rio Grande do Norte, Paraíba, Pernambuco, Alagoas y Sergipe, Río de Janeiro, Paraná y Rio Grande do Sul presentaron conglomerados alto-alto. Mediante el uso de modelos de regresión, se comprobó que el índice de Gini (β=11,7) y la cobertura de la Estrategia Salud de la Familia (β=3,9) fueron los indicadores que más influyeron en la mortalidad por Diabetes Mellitus en Brasil. Conclusión: la mortalidad por diabetes en Brasil tiene una tendencia general alcista, está fuertemente asociada a los lugares con peores indicadores sociales.

Copyright of Saúde Coletiva is the property of MPM Comunicacao 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.)

Objective. To analyze the dynamics of the spatial and temporal distribution of visceral leishmaniasis in Brazil from 2007 to 2020. Method. This ecological study focused on the spatial pattern of visceral leishmaniasis cases in Brazil from 2007 to 2020 using data from the Information System for Notifiable Diseases (SINAN). The variables analyzed were the incidence rate of visceral leishmaniasis and the visceral leishmaniasis composite indicator (VLCI), from which triennial thematic maps were constructed. The global Moran index was calculated to assess the existence of spatial autocorrelation, and the local Moran index was used to identify areas with higher and lower risk of visceral leishmaniasis in Brazil. Results. During the study period, there were 48 705 cases of visceral leishmaniasis, with an incidence rate of 25.53 cases per 100 000 population. There was spatial autocorrelation in all triennial blocks, with municipalities in the North and Northeast regions having an incidence equal to or greater than 50 cases per 100 000 population. Regarding the VLCI there was an increase in the number of municipalities classified as low risk for transmission, and a growing presence of state capitals with a classification of very high risk. Conclusion. The incidence of visceral leishmaniasis varied over the trienniums. The border region between the states of Tocantins, Maranhão, and Pará, along with the state of Ceará, stood out in the spatial distribution of the disease incidence and risk stratification by VLCI. These areas should be a priority for surveillance and control efforts for the disease. [ABSTRACT FROM AUTHOR]

Objective. To analyze the temporal trend of tuberculosis incidence and mortality rates in Brazil between 2011 and 2019. Methods. This was an ecological time series study of tuberculosis incidence and mortality rates in Brazil between 2011 and 2019. Data were extracted from the Notifiable Disease Information System and the Mortality Information System, and population estimates were from the Brazilian Institute of Geography and Statistics. Trends were analyzed by Joinpoint regression, which recognizes inflection points for temporal analysis. Results. The average incidence rate of tuberculosis in Brazil in the period was 35.8 cases per 100 000 population. From 2011 to 2015, this coefficient had an annual percentage change of --1.9% (95% CI [--3.4, --0.5]) followed by an increase of 2.4% (95% CI [0.9, 3.9]) until 2019. The average mortality rate between 2011 and 2019 was 2.2 deaths per 100 000 population, with an average annual percentage change of --0.4% (95% CI [--1.0, 0.2]). Amazonas was the only state with an increase in the annual average percentage variation for the incidence rate (3.2%; 95% CI [1.3, 5.1]) and mortality rate (2.7%; 95% CI [1.0, 4.4]) over the years, while Rio de Janeiro state had an increasing inflection for incidence from 2014 to 2019 (2.4%; 95% CI [1.4, 3.5]) and annual average of decreasing percentage variation (--3.5%; 95% CI [--5.0, --1.9]). Conclusions. During the period analyzed, a decreasing trend in incidence was observed between 2011 and 2015, and an increasing trend for the period from 2015 to 2019. On the other hand, no change in the trend for mortality was found in Brazil. [ABSTRACT FROM AUTHOR]

Introduction: Mortality from HIV/AIDS is one of the main indicators to monitor this public health problem. Objective: Analyze the changes in the trend in mortality and in the number of people infected with HIV/AIDS in Peru 2000-2021. Material and Methods: Ecological study based on open data on people living with HIV/AIDS in the period 2000-2021. Mortality rates were obtained from the Single National Health Information Repository. Data on new cases of HIV/AIDS were obtained from CDC Peru sources. A joinpoint regression analysis estimated trends using mean percentage change (APC); considering sex, life stages and regions, p values less than 0.05 being significant. Results: The general mortality trend had no significant changes (APC=-1.3 [95% CI: - 2.6; 0.1]); nine regions presented increasing mortality trends; mortality in women decreased (APC=-2.2 [95% CI: -3.7; -0.6]); an increasing trend was observed in adolescent mortality (APC=6.3 [95% CI: 2.3; 10.3]). An increasing trend was demonstrated in the number of people infected with HIV (APC=3.73 [95% CI: 2.6; 4.8]) and the trend of AIDS cases decreased from 2004 (APC=-2.54 [95% CI: -4.3; -0.7]). Conclusion: It was found that there are increasing trends in mortality from HIV/AIDS in adolescents and in a significant number of regions of the Peruvian highlands, being a key priority to deepen the management and approach of these populations. [ABSTRACT FROM AUTHOR]

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.)

The Instituto Mexicano del Seguro Social (IMSS) developed and implemented epidemic monitoring and modeling tools to support the organization and planning of an adequate and timely response to the COVID-19 health emergency. The aim of this article is to describe the methodology and results of the early outbreak detection tool called COVID-19 Alert. An early warning traffic light was developed that uses time series analysis and a Bayesian method of early detection of outbreaks from electronic records on COVID-19 for suspected cases, confirmed cases, disabilities, hospitalizations, and deaths. Through Alerta COVID-19, the beginning of the fifth wave of COVID-19 in the IMSS was detected in a timely manner, three weeks before the official declaration. The proposed method is aimed at generating early warnings before the start of a new wave of COVID-19, monitoring the serious phase of the epidemic, and supporting decisionmaking within the institution; unlike other tools that have an approach aimed at communicating risks to the community. We can conclude that the Alerta COVID-19 is an agile tool that incorporates robust methods for the early detection of outbreaks. [ABSTRACT FROM AUTHOR]

Objetivo: identificar el patrón espacio-temporal de la mortalidad por tuberculosis y los factores relacionados. Método: Estudio ecológico, utilizando como unidad de análisis los municipios del estado de Ceará, Brasil, durante 2001 a 2017. La mortalidad por tuberculosis se analizó mediante técnicas de análisis temporal y espacial. Resultados: se notificaron 1.513 muertes por tuberculosis en el periodo. Se detectó un aumento medio anual del 15% de la mortalidad (intervalo de confianza del 95%: 6,2 - 24,6). Los indicadores que más influyeron en la mortalidad fueron: la esperanza de vida al nacer (β=3,38), los hogares con suministro de agua y saneamiento inadecuados (β=-0,01) y la probabilidad de sobrevivir hasta los 60 años (β=-2,26). Conclusión: este estudio evidenció el aumento del patrón temporal de la mortalidad por tuberculosis a lo largo de los años. Por lo tanto, se debe hacer hincapié en las estrategias de atención dirigidas a la adherencia al tratamiento y en las estrategias de salud pública dirigidas a mejorar el entorno de la población.

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.)

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.)

Objetivo. Estimar la elasticidad precio y la elasticidad ingreso de la demanda de cerveza en México. Material y métodos. Se utilizaron series mensuales de ventas y precios de cerveza de 2007 a 2019. Se estimó la elasticidad a largo plazo mediante un modelo de mínimos cuadrados ordinarios (MCO). La elasticidad en el corto plazo se estimó mediante un modelo de mínimos cuadrados ordinarios dinámicos (MCOD). Resultados. La elasticidad precio en el largo plazo fue de -1.40 (IC95%: -2.53 a -0.27) y -1.31 (IC95%: -2.46 a -0.15) en el corto plazo. La elasticidad ingreso de la demanda en el largo y en el corto plazo se estimó en 0.86 (IC95%: 0.44-1.29) y 0.93 (IC95%: 0.51-1.34), respectivamente. Conclusión. Los hallazgos de este estudio sugieren que las políticas fiscales pueden tener un impacto positivo en la salud de la población al reducir el consumo de cerveza.

Objective. To identify nationwide temporal trends and spatial patterns of gastric cancer--related mortality in Brazil. Methods. An ecological study was performed using death certificates registered from 2000 to 2019 in which gastric cancer was recorded as any cause of death (an underlying or associated cause). Trends over time were assessed using joinpoint regression models. Spatial and spatiotemporal clusters were identified by Kulldorff's space--time scan statistics to identify high-risk areas. Results. In 276 897/22 663 091 (1.22%) death certificates gastric cancer was recorded as any cause of death. Age-adjusted gastric cancer--related mortality increased significantly over time (annual percentage change [APC]: 0.7, 95% confidence interval [CI]: 0.5 to 0.8). The increase in mortality was more pronounced in the less-developed North and Northeast Regions (North Region, APC: 3.1, 95% CI: 2.7 to 3.5; Northeast Region, APC: 3.1, 95% CI: 2.5 to 3.7). Eight spatiotemporally associated high-risk clusters of gastric cancer--related mortality were identified in the North, South, Northeast and Central--West Regions, as well as a major cluster covering a wide geographical range in the South and Southeast Regions of Brazil during the first years of the study period (2000 to 2009). Conclusions. More recently, during 2010 to 2019, clusters of gastric cancer have been identified in the Northeast Region. The nationwide increase in mortality in this analysis of 20 years of data highlights the persistently high burden of gastric cancer in Brazil, especially in socioeconomically disadvantaged regions. The identification of these areas where the population is at high risk for gastric cancer--related mortality emphasizes the need to develop effective and intersectoral control measures. [ABSTRACT FROM AUTHOR]

Copyright of Cogitare Enfermagem is the property of Cogitare 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 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 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 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.)

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.)

Copyright of Saúde Coletiva is the property of MPM Comunicacao 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.)

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.)

Copyright of Salud Pública de México is the property of Instituto Nacional de Salud Publica 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.)

Objetivos. Comparar las tasas de mortalidad por infección respiratoria aguda grave atribuible a gripe (IRAG) entre los períodos antes de la vacunación (AV) y después de la vacunación (DV), conocer la evolución histórica y estacionalidad de serie histórica entre 2002-2016 y estimar el riesgo de morir de niños entre 6 y 23 meses mediante el empleo de un modelo estadístico. Métodos. Estudio de serie histórica con datos oficiales de mortalidad del informe estadístico de defunción. Se consideraron como IRAG los códigos de CIE-10 entre J09-18.9 y J22X. Se calcularon tasas brutas (TB) y ajustadas por edad (TAE) y se compararon los períodos AV (2002-2009) y DV (2010-2016) con prueba de χ2. El mejor modelo estadístico fue el que comparó las defunciones por IRAG en niños durante el 2002 con otros años. Se analizaron los datos con programa R, nivel de significancia P

Copyright of Cogitare Enfermagem is the property of Cogitare 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 Saúde Coletiva is the property of MPM Comunicacao 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.)

Objective: We describe time trend incidence (2009-2018) of non-work related Sickness Absence (SA) segmented by duration of episodes in Spain. Methods: We used SA cases from a health insurance company ("mutua") in Spain. Overall non-work related SA incidence and incidence by duration of episodes (1-3 days, 4-15 days, 16-30 days, 31-90 days and> 90 days) were obtained. A time series ecological study was carried out with an inflection point in 2013. The annual percentage of change and 95% confidence interval were obtained. The analyses were stratified by age and sex. Results: Overall incidence went from 35.3 cases per 100 workers-years in 2009 to 25.2 in 2013. From 2014, there is a sustained rise in the incidence of ITCC, ending 2018 with 34.1 cases per 100 workers-years. The overall incidence is determined mainly by processes less than 16 days in young population. The decrease in 2009-2013 occurred in all the duration segments, especially in 4 to 15 (APC=-11,2; 95% CI=(-14,1 a -8,2)) and more than 90 days (APC =-9,4; 95% CI =(-15,5 a -2,8)), mainly in young people. The rise in 2013-2018 was observed in all the segments, with the largest significant increase in sections of 1-3 days (younger workers: APC =18,9; 95% CI =(14,8 a 23,2)) and in more than 90 days (mainly in older ones). Time trend of SA showed similar pattern in both sexes. Conclusions: Time trend analysis of SA incidence by duration segments offers a detailed information of SA. These results are useful for professionals in the prevention and management of SA. [ABSTRACT FROM AUTHOR]

Mesothelioma mortality and its socio-demographic and temporal patterns in Argentina from 1980 to 2013 were estimated using data from death certificates obtained from the Vital Statistics System of Argentina’s National Ministry of Health. There were 3,259 mesothelioma deaths corresponding to an age-adjusted mortality of 3.1/1,000,000 in 1980 and 5.7/1,000,000 in 2013, an average increase of 84.1% in 34 years. This raising trend became clearer after 1997. Males had higher mortality estimates compared with women in every year of the series; these findings suggest past exposure to asbestos. It is plausible that the asbestos exposure was mostly occupational, which is more common among men. Actions related to reinforcing the asbestos ban already in place and strengthening health surveillance directed at workplaces, previously exposed workers, and the population in general are recommended.

Resumo Objetivo: analisar a tendência do coeficiente de mortalidade dos acidentes de trânsito envolvendo pedestres, por sexo, faixa etária e macrorregião no Brasil, entre 1996 e 2015. Métodos: estudo ecológico de série temporal, com dados de mortalidade do Sistema de Informações sobre Mortalidade (SIM) do Ministério da Saúde; utilizaram-se regressões generalizadas lineares de Prais-Winstein para o cálculo da variação percentual anual. Resultados: óbitos de pedestres corresponderam a 26,5% das mortes por acidentes de trânsito; a mortalidade entre pedestres diminuiu 63,2% no país, com variação do coeficiente padronizado, de 8,9 para 3,3 para cada 100 mil habitantes, ressaltando-se que as regiões Norte e Nordeste apresentaram uma diminuição mais lenta em relação à média nacional; os atropelamentos são significativamente maiores entre homens e idosos. Conclusão: apesar de a mortalidade entre pedestres estar diminuindo em todas as regiões, os números atuais ainda representam uma grande parcela da mortalidade no trânsito.

Resumo Objetivo: caracterizar as hospitalizações pelo Sistema Único de Saúde (SUS) para realização de cirurgias bariátricas no Brasil, no período 2010-2016. Métodos: estudo descritivo de séries temporais, com dados do Sistema de Informações Hospitalares do SUS (SIH/SUS); sua população-alvo, pacientes na idade de 16 ou mais anos. Resultados: foram realizadas 46.035 internações (6.576/ano; 4,3/100 mil hab./ano); a média de idade foi de 39,0 anos (desvio-padrão: 10,4); o sexo feminino predominou (85,4%) e a faixa etária de 35-39 anos concentrou 18,0% dos casos; 16.923 pacientes (36,8%) necessitaram de unidade de tratamento intensivo (UTI); ocorreram 99 (0,2%) óbitos intra-hospitalares; a mediana de permanência hospitalar foi de 3 dias, e o intervalo interquartil, de 2 dias; o gasto médio anual foi de R$ 39.410.919,37 e o valor médio por internação atingiu R$ 5.992,75 (R$ 1.464,15/dia). Conclusão: as cirurgias bariátricas caracterizaram-se como procedimentos com adultos jovens do sexo feminino, uso frequente de UTI e baixa letalidade.

Resumo Objetivo: analisar a tendência das taxas de internação por condições cardiovasculares sensíveis à atenção primária à saúde (CCSAP). Métodos: estudo ecológico das séries temporais das taxas de internação por CCSAP pelo Sistema Único de Saúde (SUS) no município de Senador Canedo, GO, em 2001-2016; utilizaram-se dados do Sistema de Informações Hospitalares e estimativas populacionais da Rede Interagencial de Informações para a Saúde (RIPSA) e da Fundação IBGE; utilizou-se o método de Prais-Winsten para análise de tendência. Resultados: utilizaram-se dados de 3.244 internações por CCSAP; verificou-se tendência temporal decrescente para a taxa de internações por CCSAP (taxa de incremento anual [TIA] = -8,14 - IC95% -11,78;-4,35) e a taxa de insuficiência cardíaca (TIA = -12,07 - IC95% -14,75;-9,30); as tendências temporais das taxas de internações por hipertensão, angina e doenças cerebrovasculares foram estacionárias. Conclusão: as taxas de internação por CCSAP e insuficiência cardíaca diminuíram; entretanto as taxas por hipertensão, angina e doenças cerebrovasculares permaneceram constantes.

Resumo: Avaliar os efeitos da idade, período e coorte de nascimento (APC) na evolução temporal da mortalidade por câncer do ovário no Brasil e suas grandes regiões, entre o período de 1980 a 2014. Estudo ecológico de tendência temporal em que foram utilizados modelos APC com uma abordagem bayesiana e o método determinístico INLA (Integrated Nested Laplace Approximations) na inferência dos parâmetros. Os dados de mortalidade e os dados populacionais foram obtidos junto ao Departamento de Informática do Sistema Único de Saúde. As taxas de mortalidade por câncer do ovário, segundo região geográfica, foram padronizadas pelo método direito, após correção dos óbitos para causas maldefinidas e diagnóstico incompleto de câncer. No período de estudo, o Brasil apresentou 4,91 óbitos por câncer do ovário por 100 mil mulheres, as regiões Sul (5,66) e Sudeste (5,70) apresentaram as maiores taxas por 100 mil mulheres, e a Região Norte a menor (3,13/100 mil mulheres). Houve aumento progressivo da mortalidade com o avançar da idade em todas as regiões. O modelo APC multivariado de melhor ajuste evidenciou risco positivo de morte no Centro-oeste e Nordeste entre 2010-2014 e, a partir do período de 1995-1999, na Região Sul. Observou-se, ainda, risco positivo e significativo de morte para as coortes mais antigas no Sul e Sudeste, e risco reduzido para as coortes mais jovens. O inverso foi observado nas regiões Norte e Nordeste. Evidenciou-se um padrão heterogêneo na evolução temporal da mortalidade por câncer do ovário nas regiões geográficas brasileiras, o que pode estar relacionado aos distintos processos de transição demográfica e epidemiológica vivenciados por estas regiões.

Objective. To describe the temporal distribution and epidemiologic characteristics of congenital syphilis (CS) cases in the city of Niterói, southeastern Brazil, from 2007 to 2016. Method. This descriptive time series analysis of the incidence of CS used data from the Notifiable Diseases Information System (SINAN) and the Live Birth Information System (SINASC). The sample included all notified cases. A probabilistic matching was performed between SINAN and SINASC data to recover ignored information. The time series was estimated using logarithmic regression according to sociodemographic and prenatal care variables. Results. There were 754 identified cases of CS in the study period (mean incidence: 11.9 cases/1 000 live births). The incidence was higher in younger women (10 to 19; 20 to 24 years) and in those with black skin, low schooling, and without prenatal care. Of the overall group, only 57.6% received a diagnosis of syphilis during prenatal care. Treatment was not adequate in 87,7%, and only 12.2% of partners were treated. SC incidence presented a growing trend of 16%/year, reaching 23.2 cases/1 000 living births in 2016. This growth was especially marked in female adolescents (25.2%/year), brown race/skin color (16.8%/year), women with low schooling (57.1%/year) and women who received prenatal care (17.3%/year); and, from 2012 to 2016, in women without information on skin color. Conclusions. Social inequalities were linked to CS in the present sample. Also, increasing CS incidence was detected in youth. Health care professionals must be trained to manage gestational syphilis, and public policies must effectively address the social determinants of this condition. [ABSTRACT FROM AUTHOR]

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Copyright of Revista Brasileira em Promoção da Saúde is the property of Revista Brasileira em Promocao da 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 Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online 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.)

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.)

Resumo Objetivo: avaliar a tendência temporal da mortalidade proporcional por causas mal definidas no Tocantins e em Palmas, Brasil, em 1998-2014. Métodos: estudo de tendência temporal, utilizando dados do Sistema de Informações sobre Mortalidade (SIM) e do Serviço de Verificação de Óbitos (SVO); a tendência temporal dessa mortalidade foi avaliada mediante emprego da Regressão Joinpoint. Resultados: de 1998 a 2014, a mortalidade proporcional por causas mal definidas foi reduzida em 88,5% no Tocantins e 88,1% em Palmas; o teste de tendência indicou pontos de inflexão estatisticamente significante em 1998-2004 (-4,14; p=0,001) para Tocantins e em 1998-2000 (-7,92; p

Resumo Objetivo: analisar a tendência temporal da cobertura da Estratégia Saúde da Família (ESF) no Brasil, suas regiões e Unidades da Federação (UFs), em 2006-2016. Métodos: estudo ecológico de séries temporais com dados do Departamento de Atenção Básica do Ministério da Saúde; utilizou-se regressão de Prais-Winsten. Resultados: no Brasil, as coberturas da ESF em 2006 e 2016 foram de 45,3% e 64,0%, respectivamente, com tendência crescente (variação anual = 8,4%: IC95% 7,4;9,3); as cinco regiões nacionais mostraram tendência crescente na cobertura, assim como a maioria das UFs, exceto Roraima, Amapá, Piauí, Rio Grande do Norte e Paraíba, que apresentaram estabilidade; em 2016, 14 UFs apresentaram coberturas entre 75 e 100%, e 11 entre 50 e 74,9%; São Paulo e o Distrito Federal mostraram coberturas menores que 50%. Conclusão: embora, em geral, a cobertura da ESF tenha aumentado, em 2016, 13 UFs apresentaram coberturas inferiores a 75%; necessitam-se mais esforços pela universalização da ESF.

Resumo Objetivo: analisar a tendência temporal de mortalidade por leucemias em menores de 20 anos de idade nas capitais dos estados brasileiros e no Distrito Federal, Brasil, 1980 a 2015. Métodos: estudo descritivo de série temporal; foram calculadas taxas de mortalidade por leucemias, padronizadas por idade; utilizou-se regressão de Prais-Winsten. Resultados: as taxas de mortalidade por leucemias reduziram-se de 2,73 para 1,58 por 100 mil habitantes menores de 20 anos, no período estudado (variação percentual anual de -7,06%: IC95% -8,61;-5,49), com diferença entre capitais; houve redução na magnitude em todas as faixas etárias - 0 a 4 (-9,17%: IC95% -11,58;-6,69), 5 a 9 (-9,27%: IC95% -11,90;-6,56), 10 a 14 (-4,86%: IC95% -6,69;-3,00) e 15 a 19 anos (-3,77%: IC95% -5,22;-2,31). Conclusão: houve tendência de redução na taxa de mortalidade por leucemia em crianças e adolescentes, embora desigual entre as capitais, indicando a necessidade de medidas para minimizar diferenças regionais.