Objectives: to investigate the causes and the factors associated to fetal death in Cuiaba, Mato Grosso, 2006-2010. Methods: a population based case-control study in a ratio of 1:3 (300:900), was based on secondary data on Live Births and Mortality Information Systems. A hierarchical logistic regression was used. Results: remains independently associated to fetal death: low maternal schooling (OR=1.58, CI95%=1.02;2.47), low weight (OR=5.59, CI95%=3.22;9.70) gestational age <37 weeks (OR=9.34, CI95%=5.38;16.21), previous fetal death (OR=6.65, CI95%=4.35;10.15). The type of cesarean delivery remained as a protective factor (OR=0.35, CI95%=0.24;0.54). The main causes of fetal deaths were by unspecified cause (15.4%), followed by maternal hypertensive disorders (14.7%). The fetal mortality rate (TMF) decreased from 10.0 in 2006 to 7.5 deaths per thousand births in 2010 (decreased 24.5%). The TMF during the study period was below the goal set for 2030 by the World Health Organization. Conclusions: approximately one third of fetal deaths causes were potentially avoidable. Factors such as low maternal schooling, low birth weight, prematurity and previous fetal death history constitute as main determinants for fetal deaths in Cuiaba and suggests that socioeconomic situation still determines quality care for pregnant women and that actions should be directed to improve prenatal care.
Objective: To analyze factors associated with the incomplete timely vaccination schedule up to 12 months of age, in children born in 2015, in the municipality of Rondonópolis, Mato Grosso. Methods: Population survey, August/2017 to February/2018, which used the method proposed by the World Health Organization to collect information about routine vaccination. For analysis of the associated factors, the recommendations of the National Immunization Program of the Ministry of Health were considered. Univariate analysis was performed, and the factors associated with p<0.20 entered in the multiple analysis, with hierarchical entry of individual variables and contextual indicator of concentration of the income extremes. Results: The incomplete timely vaccination schedule up to 12 months was 82.03% (95%CI 78.41–86.63). In the final model, the following remained independently associated: having one or more siblings at home (OR 3.18; 95%CI 1.75–5.76) and not receiving a visit from a community health worker in the last 30 days (OR 1.93; 95%CI 1.04–3.57). Conclusions: It is necessary to implement an active search for children with vaccination delay in relation to the recommended interval for each vaccine, in addition to the need to strengthen the link of the family health strategy and child caregivers.
Propôs-se desenvolver uma fórmula baseada na ceratometria corneana e diâmetro anteroposterior do globo ocular para estimar a refração esférica objetiva, ou poder esférico estimado. Métodos: Estudo retrospectivo, transversal e observacional, selecionou prontuários de 150 pacientes míopes, consecutivos, atendidos no Oftalmocenter Santa Rosa -Cuiabá -MT, entre o período de 2017 a 2019. Coletou-se dados da idade, sexo, acuidade visual, refração com cicloplegia, e resultados da ceratometria e diâmetro anteroposterior. Utilizou-se a regressão linear múltipla para determinar os possíveis modelos. Resultados: Dos 150 prontuários, 100 olhos direitos continham todos os critérios de inclusão. A idade média foi de 17 ± 6,2 anos, sendo 49 do sexo masculino. A média e o DP da miopia, astigmatismo, K 1 , K 2 e diâmetro anteroposterior foram de -4
Introdução: Enfermeiros são considerados protagonistas no enfrentamento da pandemia Covid-19. O desenvolvimento de medidas que promovam a resiliência no ambiente laboral é imprescindível. Objetivo: Analisar a associação entre resiliência e características socioeconômicas, laborais e de saúde de enfermeiros da atenção terciária de um município do interior de Mato Grosso no contexto da pandemia Covid-19. Método: Estudo transversal, realizado com enfermeiros da atenção terciária à saúde. Os dados foram coletados por meio de questionário socioeconômico, laboral e de saúde, escola de resiliência e do Self Report Questionare-20. Resultados: Dos 101 enfermeiros, apresentaram baixo/médio nível de resiliência 49,5%. Constatou-se indicativo de morbidade psicológica em 51,5% da amostra. Sexo feminino (p<0,001), ser chefe de família (p=0,003), vínculo empregatício CLT (p=0,031) e trabalho em único turno (p=0,034) foram fatores protetores a baixa/média resiliência. Em contrapartida, foram fatores de risco, vínculo empregatício por contrato (p=0,004), enfermeiros que não se sentiam protegidos na execução das atividades profissionais (p=0,001) e os que não faziam acompanhamento com psicólogo/psiquiatra antes da pandemia (p=0,014). Conclusão: O nível de resiliência dos enfermeiros é baixo/médio e a maioria apresentou indicativo de morbidade psicológica. Ações que promovam resiliência no contexto de trabalho destes profissionais são fundamentais, e, que considerem os fatores associados apontados na literatura.
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