Hospitalizaciones por condiciones sensibles a la atención primaria en Novo Hamburgo, Rio Grande do SulObjectives: This study aimed to analyze trends in admissions for ambulatory care sensitive conditions (ACSC) in Novo Hamburgo, comparing it with the rest of the Rio Grande do Sul State, and relating it to the investments in health and the Family Health Strategy (FHS) coverage in the city, from 1998 to 2012. Methods: We conducted an ecological study. Data were obtained from the Unified Health System's Hospital Database (SIH-SUS). The causes of ACSC were based on a national list published by the Ministry of Health. ACSC tendencies in Novo Hamburgo and the rest of the Rio Grande do Sul State were analyzed by means of their standardized rates, based on moving averages every three years, and Negative Binomial Regression. Correlation analysis was performed between the variables of interest. Results: Despite an increase of 329.26% in financial investments and the expansion of FHS coverage in the period, reaching 20.20% of the population, there was no decrease in ACSC rate trends in Novo Hamburgo. In the rest of Rio Grande do Sul, there was a reduction in ACSC, however, the rates were higher than in Novo Hamburgo during the same period. Conclusion: Although this study found no association between the decrease in ACSC rates and increased coverage for FHS, increase financial investment in health, financial investment in primary care and per capita spending on health, there is evidence that they are correlated. Probably the FHS coverage was not enough to impact the ACSC.
Os autores relatam o caso de urna criança de 2 anos e 4 meses com queixas ginecológicas (secreção vaginal branca), dor abdominal difusa e pseudopuberdade precoce (telarca). Iniciada investigação em Unidade de Saúde PSF de Porto Alegre, sendo referenciada ao nível secundário onde foi diagnosticada neoplasia ovariana (Tumor de Células da Granulosa Juvenil).
We have recently had the opportunity of studying a plague epidemic that broke out on Terceira Island, Azores, in 1908. Terceira Island contains a population of 45,000 souls, the epidemic spread over 27 parishes. About 260 persons were attacked, with a mortality of about 48%.
RESUMOA pandemia de COVID-19 tornou-se avassaladora, causando mais de 600 mil mortes (17/11/2021). Com esse contexto, esse trabalho buscou determinar a mortalidade por COVID-19 em Novo Hamburgo, no Rio Grande do Sul, até o mês de junho / 2021 e compará-la com os demais municípios das regiões do Vale dos Sinos e metropolitana, e o estado do Rio Grande do Sul. Estudo ecológico, dados municipais foram fornecidos pela Vigilância Sanitária, e a nível estadual pela Secretaria Estadual de Saúde, a mortalidade foi calculada por 100.000 habitantes. Mortalidade no município de Novo Hamburgo foi de 334,8/100.000 habitantes, foi maior que o do Estado (262,2); porém menor que em outras cidades de região metropolitana 6;7;1;2). Podemos concluir que ações proativas e pontuais em termos de Vigilância podem determinar evoluções diferentes em eventos pandêmicos, mesmo se tratando de regiões densamente povoadas e de difícil controle da mobilidade pela sua proximidade.
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