Barbara Reis-Santos

Índice de Desenvolvimento Humano e prevenção secundária de câncer de mama e colo do útero: um estudo ecológico

This ecological study assessed mammography and Papanicolaou test (Pap smear) screening rates and their association with the Human Development Index (HDI) in Brazilian state capitals and Federal District in 2011, based on VIGITEL telephone survey data. More than 70% of women had a mammogram some time in life in all the state capitals, while the Pap smear rates any time in life and in the previous three years fell short of the 80% target in most state capitals. There was a strong positive correlation between HDI and the test rates (r = 0.52 and 0.66 for mammogram any time in life and in the previous two years and r = 0.66 and 0.71 for Pap smear any time in life and in the previous three years, respectively). Prevalence ratio (PR) for mammogram in the previous two years was 1.06 (95%CI: 1.01-1.10) and PR for Pap smear in the previous three years was 1.07 (IC95%: 1.04-1.10). The promotion of public health policies that encourage Brazils urban economic and social development should help increase coverage for these tests.Estudo ecologico que analisou a proporcao da realizacao de mamografia e do exame de Papanicolaou e a associacao destes com o Indice de Desenvolvimento Humano (IDH), nas 26 capitais brasileiras e Distrito Federal, em 2011, com dados do VIGITEL. A proporcao de mamografia em algum momento da vida esteve acima de 70% para todas as capitais estudadas. Entretanto, poucas capitais atingiram a meta de 80% para o Papanicolaou, tanto para a realizacao em algum momento da vida como nos ultimos tres anos. Houve forte correlacao positiva entre IDH e as proporcoes desses exames (r = 0,52 e 0,66 para realizacao de mamografia em algum momento da vida e nos ultimos dois anos e r = 0,66 e 0,71 para realizacao do Papanicolaou em algum momento da vida e nos ultimos tres anos, respectivamente). A razao de prevalencia de mamografia nos ultimos dois anos foi 1,06 (IC95%: 1,01-1,10) e para o Papanicolaou nos ultimos tres anos foi 1,07 (IC95%: 1,04-1,10). A promocao de politicas publicas que incentivem o desenvolvimento socioeconomico das cidades brasileiras favoreceria o aumento da cobertura desses exames.

Spatial analysis of distribution of dengue cases in Espírito Santo, Brazil, in 2010: use of Bayesian model

OBJECTIVE To study the relationship between the risk of dengue and sociodemographic variables through the use of spatial regression models fully Bayesian in the municipalities of Espírito Santo in 2010. METHOD This is an ecological study and exploration that used spatial analysis tools in preparing thematic maps with data obtained from SinanNet. An analysis by area, taking as unit the municipalities of the state, was performed. Thematic maps were constructed by the computer program R 2.15.00 and Deviance Information Criterion (DIC), calculated in WinBugs, Absolut and Normalized Mean Error (NMAE) were the criteria used to compare the models. RESULTS We were able to geocode 21,933 dengue cases (rate of 623.99 cases per 100 thousand habitants) with a higher incidence in the municipalities of Vitória, Serra and Colatina; model with spatial effect with the covariates trash and income showed the best performance at DIC and Nmae criteria. CONCLUSION It was possible to identify the relationship of dengue with factors outside the health sector and to identify areas with higher risk of disease.

Human Development Index and secondary prevention of breast and cervical cancer: an ecological study

This ecological study assessed mammography and Papanicolaou test (Pap smear) screening rates and their association with the Human Development Index (HDI) in Brazilian state capitals and Federal District in 2011, based on VIGITEL telephone survey data. More than 70% of women had a mammogram some time in life in all the state capitals, while the Pap smear rates any time in life and in the previous three years fell short of the 80% target in most state capitals. There was a strong positive correlation between HDI and the test rates (r = 0.52 and 0.66 for mammogram any time in life and in the previous two years and r = 0.66 and 0.71 for Pap smear any time in life and in the previous three years, respectively). Prevalence ratio (PR) for mammogram in the previous two years was 1.06 (95%CI: 1.01-1.10) and PR for Pap smear in the previous three years was 1.07 (IC95%: 1.04-1.10). The promotion of public health policies that encourage Brazils urban economic and social development should help increase coverage for these tests.Estudo ecologico que analisou a proporcao da realizacao de mamografia e do exame de Papanicolaou e a associacao destes com o Indice de Desenvolvimento Humano (IDH), nas 26 capitais brasileiras e Distrito Federal, em 2011, com dados do VIGITEL. A proporcao de mamografia em algum momento da vida esteve acima de 70% para todas as capitais estudadas. Entretanto, poucas capitais atingiram a meta de 80% para o Papanicolaou, tanto para a realizacao em algum momento da vida como nos ultimos tres anos. Houve forte correlacao positiva entre IDH e as proporcoes desses exames (r = 0,52 e 0,66 para realizacao de mamografia em algum momento da vida e nos ultimos dois anos e r = 0,66 e 0,71 para realizacao do Papanicolaou em algum momento da vida e nos ultimos tres anos, respectivamente). A razao de prevalencia de mamografia nos ultimos dois anos foi 1,06 (IC95%: 1,01-1,10) e para o Papanicolaou nos ultimos tres anos foi 1,07 (IC95%: 1,04-1,10). A promocao de politicas publicas que incentivem o desenvolvimento socioeconomico das cidades brasileiras favoreceria o aumento da cobertura desses exames.

Tuberculosis Characterization in a Special Population of Kidney Transplant Recipients

Setting. Tuberculosis clinical presentation is not typical in kidney transplant recipients and the diagnosis of active disease is usually delayed. Objective. To characterize tuberculosis presentation in Brazilians kidney transplant recipients. Study Design. We analyzed the clinical records of tuberculosis cases regarding sociodemographic data and health history. Results. Thirteen TB cases were identified among 843 transplant recipients. The average time for TB development after transplantation was 4 years. Eight subjects presented pulmonary disease, seven patients required hospitalization Alertness to the possibility of TB and the careful evaluation for possible TB of all kidney transplant recipients with unexplained is vital, as is the related work of transplant and TB control teams and four died as a consequence of TB. Conclusion. The severe consequences of TB in posttransplantation can become critical.

Índice de Desarrollo Humano y prevención secundaria del cáncer de mama y cáncer de cuello uterino: un estudio ecológico

This ecological study assessed mammography and Papanicolaou test (Pap smear) screening rates and their association with the Human Development Index (HDI) in Brazilian state capitals and Federal District in 2011, based on VIGITEL telephone survey data. More than 70% of women had a mammogram some time in life in all the state capitals, while the Pap smear rates any time in life and in the previous three years fell short of the 80% target in most state capitals. There was a strong positive correlation between HDI and the test rates (r = 0.52 and 0.66 for mammogram any time in life and in the previous two years and r = 0.66 and 0.71 for Pap smear any time in life and in the previous three years, respectively). Prevalence ratio (PR) for mammogram in the previous two years was 1.06 (95%CI: 1.01-1.10) and PR for Pap smear in the previous three years was 1.07 (IC95%: 1.04-1.10). The promotion of public health policies that encourage Brazils urban economic and social development should help increase coverage for these tests.Estudo ecologico que analisou a proporcao da realizacao de mamografia e do exame de Papanicolaou e a associacao destes com o Indice de Desenvolvimento Humano (IDH), nas 26 capitais brasileiras e Distrito Federal, em 2011, com dados do VIGITEL. A proporcao de mamografia em algum momento da vida esteve acima de 70% para todas as capitais estudadas. Entretanto, poucas capitais atingiram a meta de 80% para o Papanicolaou, tanto para a realizacao em algum momento da vida como nos ultimos tres anos. Houve forte correlacao positiva entre IDH e as proporcoes desses exames (r = 0,52 e 0,66 para realizacao de mamografia em algum momento da vida e nos ultimos dois anos e r = 0,66 e 0,71 para realizacao do Papanicolaou em algum momento da vida e nos ultimos tres anos, respectivamente). A razao de prevalencia de mamografia nos ultimos dois anos foi 1,06 (IC95%: 1,01-1,10) e para o Papanicolaou nos ultimos tres anos foi 1,07 (IC95%: 1,04-1,10). A promocao de politicas publicas que incentivem o desenvolvimento socioeconomico das cidades brasileiras favoreceria o aumento da cobertura desses exames.