Cleber Nascimento do Carmo

Associação entre material particulado de queimadas e doenças respiratórias na região sul da Amazônia brasileira

OBJETIVO: Investigar os efeitos de curto prazo da exposicao ao material particulado de queimadas da Amazonia na demanda diaria de atendimento ambulatorial por doencas respiratorias de criancas e de idosos. METODOS: Estudo epidemiologico com delineamento ecologico de series temporais. Os registros diarios de atendimento ambulatorial foram obtidos nas 14 unidades de saude do municipio de Alta Floresta, Mato Grosso, regiao sul da Amazonia brasileira, no periodo de janeiro de 2004 a dezembro de 2005. Informacao sobre os niveis diarios de material particulado fino foi disponibilizada pelo Instituto Nacional de Pesquisas Espaciais. Para controlar possiveis fatores de confusao (situacoes nas quais uma associacao nao causal entre exposicao e doenca e observada devido a uma terceira variavel), foram adicionadas ao modelo variaveis referentes a tendencia temporal, sazonalidade, temperatura, umidade relativa do ar, precipitacao pluviometrica e efeitos de calendario (como ocorrencia de feriados e finais de semana). Utilizou-se regressao de Poisson via modelos aditivos generalizados. RESULTADOS: Um incremento de 10 µg/m³ nos niveis de exposicao ao material particulado esteve associado a aumentos de 2,9 e 2,6% nos atendimentos ambulatoriais por doencas respiratorias de criancas no 6o e 7o dias subsequentes a exposicao. Nao foram encontradas associacoes significativas nos atendimentos de idosos. CONCLUSOES: Os resultados sugerem que os niveis de material particulado das queimadas na Amazonia estao associados a efeitos adversos a saude respiratoria de criancas.

Diagnostic characterization of services providing care to victims of accidents and violence in five Brazilian state capitals

This article characterizes the services providing care to victims in five Brazilian regions with high violence and accident rates. It analyzes care activities and strategies, the profile of the teams, the conditions of installations, equipment and supplies, integrated care and registration services and the opinion of health managers with respect to the needs and requirements for a better care to the victims. The sample is composed by 103 services: 34 from Recife, 25 from Rio de Janeiro, 18 from Manaus, 18 from Curitiba and 8 from Brasilia. The still preliminary results indicate: lower number of services focusing on the elderly; scarce investment in preventive actions; the principal actions carried out are social assistance, ambulatory and hospital care and psychological assistance; patients received from Basic Health Units require attention of the communities and families; need for investment in capacity building programs for professionals; precarious registries, data handled manually. The wording of the National Policy for Reduction of Morbidity and Mortality from Accidents and Violence is not well-known and there is a lack of articulation among and inside sectors and between prehospital and emergency care services. Rehabilitation services are insufficient in all cities.

Caracterização diagnóstica dos serviços que atendem vítimas de acidentes e violências em cinco capitais brasileiras

Este artigo caracteriza servicos que atendem as vitimas em capitais das cinco regioes brasileiras com altos indices de violencias e acidentes.Analisam-se atividades e estrategias de atendimento, perfil das equipes, condicoes das instalacoes, equipamentos e insumos, servicos integrados de atencao e de registro de agravos e a otica de gestores de saude sobre demandas e necessidades para uma atencao de qualidade as vitimas. O acervo se constitui de 103 servicos: 34 de Recife, 25 do Rio de Janeiro, 18 de Manaus, 18 de Curitiba e 8 de Brasilia. Os resultados ainda preliminares indicam: menor numero de servicos com atendimentos voltados a idosos; pouco investimento em acoes de prevencao; suporte social, atendimento ambulatorial, hospitalar e psicologico sao as principais acoes empreendidas; encaminhamentos das unidades basicas de saude requerem atencao nas comunidades e familias; necessidade de investimentos na capacitacao dos profissionais para atendimento; registros precarios e feitos manualmente. O texto da Politica Nacional de Reducao de Morbimortalidade por Acidentes e Violencias e pouco conhecido e ha desarticulacao inter e intra-institucional e entre atendimento pre-hospitalar e de emergencia. Em todas as cidades ha insuficiencia de servicos de reabilitacao.

Trend in mortality due to external causes in the State of Espírito Santo, Brazil, from 1994 to 2005

The aim of this study was to analyze the trend in mortality due to external causes in the State of Espirito Santo, Brazil, from 1994 to 2005, according to specific groups (traffic injuries, poisoning, intentional self-harm, assault), age group and gender. The trend analysis was performed with polynomial regression models, based on data from the Brazilian Ministry of Healths Mortality Information System. For all external causes, the trend was not statistically significant, but when it was stratified by gender and age group the results showed a downward trend in some strata. According to gender, the yearly increase in mortality rate was higher for men. In general, this increase was observed in all age groups. For traffic injuries, there was a decrease in the mortality rate, mainly for men. There was a decrease in deaths from poisoning for both men and women. Intentional self-harm showed an upward trend, especially for 50 and over age group. As a specific group, assault also showed a significant upward trend for under-34 age groups and for men.

Exposure to pesticides and prostate cancer: systematic review of the literature

Abstract Introduction: Investigations about the association between prostate cancer and environmental and/or occupational pesticide exposure have evidenced a possible role of these chemical substances on tumor etiology, related to their action as endocrine disruptors. Objective: To assess the association between pesticide exposure and prostate cancer by conducting a systematic review of the scientific literature. Materials and methods: Articles published until August 18, 2015 were searched in the databases MEDLINE/Pubmed, Scielo, and Lilacs using the keywords “pesticides” and “prostate cancer”. Only the analytical observational studies whose methodological quality met the criteria established by the New Castle-Ottawa scale were included in this review. Results: The review included 49 studies published between 1993 and 2015. All studies were in English and analyzed exposure to pesticides and/or agricultural activities. Most studies (32 articles) found a positive association between prostate cancer and pesticides or agricultural occupations, with estimates ranging from 1.01 to 14.10. Conclusion: The evidence provided by the reviewed studies indicates a possible association between the development of prostate cancer and pesticide exposure and/or agricultural occupations.

Mortalidade por doenças cardiorrespiratórias em idosos no estado de Mato Grosso, 1986 a 2006

OBJETIVO: Descrever a evolucao temporal da mortalidade por doencas cardiorrespiratorias em idosos. METODOS: Estudo epidemiologico descritivo com delineamento ecologico de series temporais realizado no estado do Mato Grosso, de 1986 a 2006. Foram utilizados dados sobre doencas dos aparelhos respiratorio e circulatorio obtidos do Sistema de Informacao sobre Mortalidade do Ministerio da Saude. Modelos de regressao linear simples foram ajustados para avaliar a tendencia das taxas especificas de mortalidade por grupos especificos de idade (60 a 69, 70 a 79 e 80 ou mais anos) e sexo. RESULTADOS: Houve aumento na proporcao de obitos por doencas respiratorias e diminuicao por doencas cardiovasculares. Na comparacao de taxas entre os sexos, as mulheres apresentaram taxas 15% menores para as causas cardiovasculares e taxas similares ao sexo masculino para as causas respiratorias. Foi observada taxa elevada de mortalidade por doencas respiratorias e cardiovasculares, com importante tendencia de incremento entre os grupos mais longevos. Em idosos com idade > 80 anos o aumento anual medio na taxa de mortalidade por doencas respiratorias foi de 1,99 obitos e de 3,43 por doencas do aparelho circulatorio. CONCLUSOES: O estado de Mato Grosso apresenta elevada taxa de mortalidade por doencas respiratorias e cardiovasculares em idosos, com importante tendencia de incremento entre os grupos mais longevos.OBJECTIVE To describe time trends of mortality due to cardiorespiratory diseases in elderly people. METHODS Epidemiological descriptive study with an ecological time series approach conducted in the state of Mato Grosso, Central-West Brazil, between 1986 and 2006. Data were obtained from the Brazilian Ministry of Health Mortality Database. Linear regression models were adjusted to analyze trends in mortality rates by age groups (60 to 69; 70 to 79; and 80 or more) and gender. RESULTS There was an increase in proportion of deaths due to respiratory diseases and a decrease in proportion of deaths due to cardiovascular diseases. As for gender, cardiovascular rates were 15% lower in women than men and respiratory rates were similar in both men and women. High mortality rates for respiratory and cardiovascular diseases were observed with increasing trends among the oldest-old groups. The annual average increase for respiratory and cardiovascular diseases in those aged 80 years and older was 1.99 and 3.43 deaths, respectively. CONCLUSIONS The state of Mato Grosso shows high mortality rates due to cardiorespiratory disease among elderly people with increasing trends among the oldest-old groups.

Percepção da qualidade ambiental de localidades próximas ao Complexo Petroquímico do Rio de Janeiro, Brasil

This article aims to verify the residents’ perception difference on the environmental quality of two localities near the construction area of the Petrochemical Complex of Rio de Janeiro. Nine environmental quality aspects (water supply services, sewage and garbage collection; leisure areas; public security; health services; streets; air; rivers) were evaluated. Cross-sectional study conducted with 240 residents of the Porto das Caixas and Manilha, both of them located in Itaborai city, RJ state, Brazil. The statistical analysis involved the chi-square test and Fisher´s exact test. Leisure Area was the factor perceived also by participants of both locations of the study with worse quality. The quality perception of health services, security and sanitation differed significantly among the inhabitants of the two studied localities. The worsening of environmental quality was related by 51% of the residents of Porto das Caixas to the absence of mitigatory measures after the occurrence of a local chemical accident in 2005. The prioritization of interventions should be based on the perception of specific population groups such as strategy that can allow a reduction of environmental health inequities in installation and construction contexts of the oil and gas industries.

Mortality due to cardiorespiratory diseases in elderly people in Mato Grosso state, 1986 to 2006

OBJETIVO: Descrever a evolucao temporal da mortalidade por doencas cardiorrespiratorias em idosos. METODOS: Estudo epidemiologico descritivo com delineamento ecologico de series temporais realizado no estado do Mato Grosso, de 1986 a 2006. Foram utilizados dados sobre doencas dos aparelhos respiratorio e circulatorio obtidos do Sistema de Informacao sobre Mortalidade do Ministerio da Saude. Modelos de regressao linear simples foram ajustados para avaliar a tendencia das taxas especificas de mortalidade por grupos especificos de idade (60 a 69, 70 a 79 e 80 ou mais anos) e sexo. RESULTADOS: Houve aumento na proporcao de obitos por doencas respiratorias e diminuicao por doencas cardiovasculares. Na comparacao de taxas entre os sexos, as mulheres apresentaram taxas 15% menores para as causas cardiovasculares e taxas similares ao sexo masculino para as causas respiratorias. Foi observada taxa elevada de mortalidade por doencas respiratorias e cardiovasculares, com importante tendencia de incremento entre os grupos mais longevos. Em idosos com idade > 80 anos o aumento anual medio na taxa de mortalidade por doencas respiratorias foi de 1,99 obitos e de 3,43 por doencas do aparelho circulatorio. CONCLUSOES: O estado de Mato Grosso apresenta elevada taxa de mortalidade por doencas respiratorias e cardiovasculares em idosos, com importante tendencia de incremento entre os grupos mais longevos.OBJECTIVE To describe time trends of mortality due to cardiorespiratory diseases in elderly people. METHODS Epidemiological descriptive study with an ecological time series approach conducted in the state of Mato Grosso, Central-West Brazil, between 1986 and 2006. Data were obtained from the Brazilian Ministry of Health Mortality Database. Linear regression models were adjusted to analyze trends in mortality rates by age groups (60 to 69; 70 to 79; and 80 or more) and gender. RESULTS There was an increase in proportion of deaths due to respiratory diseases and a decrease in proportion of deaths due to cardiovascular diseases. As for gender, cardiovascular rates were 15% lower in women than men and respiratory rates were similar in both men and women. High mortality rates for respiratory and cardiovascular diseases were observed with increasing trends among the oldest-old groups. The annual average increase for respiratory and cardiovascular diseases in those aged 80 years and older was 1.99 and 3.43 deaths, respectively. CONCLUSIONS The state of Mato Grosso shows high mortality rates due to cardiorespiratory disease among elderly people with increasing trends among the oldest-old groups.

Repetibilidade e reprodutibilidade de um manual de exercícios físicos domiciliares

Corresponding address: Guilherme Henrique de Lima Matias – Instituto de Medicina Integral Professor Fernando Figueira (Imip) – Jornalista Hercílio Celso Street, 577, apt. 303, Candeias – Jaboatão dos Guararapes (PE), Brazil – Zip Code: 54450-170 – E-mail: guilhermehenriquelm@yahoo.com.br – Financing source: Nothing to declare – Conflict of interests: Nothing to declare – Presentation: June 29th, 2017 – Accepted for publication: Apr. 20th, 2018– Approved by the Ethics Committee of Imip, CAEE 1.574.833. Repeatability and reproducibility of a home physical exercise manual Repetibilidade e reprodutibilidade de um manual de exercícios físicos domiciliares Repetibilidad y reproducibilidad de un manual de ejercicios físicos domiciliarios Guilherme Henrique de Lima Matias1, Ana Clara Carvalho Gonçalves Guerra1, Breno Augusto Bormann de Souza Filho2, Jurema Telles de Oliveira Lima1, Cleber Nascimento do Carmo2, Inês Echenique Mattos2

Repeatability and reproducibility of a home physical exercise manual

Corresponding address: Guilherme Henrique de Lima Matias – Instituto de Medicina Integral Professor Fernando Figueira (Imip) – Jornalista Hercílio Celso Street, 577, apt. 303, Candeias – Jaboatão dos Guararapes (PE), Brazil – Zip Code: 54450-170 – E-mail: guilhermehenriquelm@yahoo.com.br – Financing source: Nothing to declare – Conflict of interests: Nothing to declare – Presentation: June 29th, 2017 – Accepted for publication: Apr. 20th, 2018– Approved by the Ethics Committee of Imip, CAEE 1.574.833. Repeatability and reproducibility of a home physical exercise manual Repetibilidade e reprodutibilidade de um manual de exercícios físicos domiciliares Repetibilidad y reproducibilidad de un manual de ejercicios físicos domiciliarios Guilherme Henrique de Lima Matias1, Ana Clara Carvalho Gonçalves Guerra1, Breno Augusto Bormann de Souza Filho2, Jurema Telles de Oliveira Lima1, Cleber Nascimento do Carmo2, Inês Echenique Mattos2