Jane de Eston Armond

A escuta e o diálogo na assistência ao pré-natal, na periferia da zona Sul, no município de São Paulo

Foi realizado um estudo transversal para verificar a importância da escuta e do dialogo na assistencia prestada as gestantes no programa pre-natal, em quatro Unidades Basicas de Saude: duas com modelo Tradicional e duas com modelo em Programa de Saude da Familia (PSF), localizadas na regiao da Subprefeitura Capela do Socorro, Sao Paulo. O objetivo foi identificar as percepcoes das gestantes quanto a escuta e dialogo oferecidos pela equipe pre-natal. Foi colhida uma amostra por sorteio de 50% das gestantes que estivessem no terceiro atendimento. Para as 152 participantes, utilizou-se questionario auto-aplicavel, semi-estruturado com algumas perguntas abertas, elaborado apos teste previo. A analise estatistica foi feita com os testes G de Cochran e quiquadrado. O numero de gestantes que receberam orientacoes quanto ao funcionamento do Programa foi maior na Unidade Tradicional Icarai. Percebeu-se que a gestante encontra escuta e dialogo no pre-natal tanto nas Unidades Tradicionais quanto nas com PSF, sugerindo que nos dois modelos de atendimento pode-se realizar excelente trabalho de Saude Publica.

Anemia e renda per capita familiar de crianças freqüentadoras da creche do Centro Educacional Unificado Cidade Dutra, no Município de São Paulo

OBJECTIVE: To evaluate the frequency of anemia according to family per capita income in children enrolled in a day care center in Sao Paulo, Brazil, in 2004. METHODS: This cross-sectional study enrolled 190 children aged 11 to 57 months divided into two groups of per capita income ( 1 minimum wage). Hemoglobin level was evaluated in capillary blood (finger-stick test) using a Hemocue® portable photometer. Anemia was considered when hemoglobin level was below 11g/dL. The results were analyzed using chi-square and Kruskal-Wallis tests. RESULTS: Anemia was found in 31.6% of the investigated children, with a higher proportion in younger children. The frequency of anemia was, respectively, 72.7%, 41.2%, 19.7% and 15.4% in children aged 11-23 months age, 24-35 months, 36-47 months, and 48-57 months. Among children of families with low per capita income, the frequency of anemia was 36.7%. In families earning more than one minimum wage per capita per month, there were 22.9% of children with anemia. CONCLUSIONS: At the day care center, the frequency of anemia was higher among children aged 11-23 months, especially when the family per capita income was less than one minimum wage per month.

Transport accidents among children and adolescents at the emergency service of a teaching hospital in the southern zone of the city of São Paulo

Objective to describe the victim profile and circumstances of transport accidents involving children and adolescents who were attended at a teaching hospital in the southern zone of the city of São Paulo. Methods this was an individual observational case series study among patients up to the age of 19 years who were attended at a hospital in the southern zone of the city of São Paulo, state of São Paulo, Brazil, due to traffic accidents. The files notifying suspected or confirmed cases of violence and accidents (SIVVA files) covering January to December 2012 were analyzed. Results among the 149 cases notified, 64.4% related to males and 35.6% to females. The transport accidents were predominantly among males, irrespective of age. The main injury diagnoses were superficial head trauma (24.8%) followed by multiple non-specified trauma (36.4%), in both sexes. Conclusion transport accidents among children and adolescents occurred more often among males. The main transport accidents among the children and adolescents attended as emergency cases were caused by motor vehicles and motorcycles. Among the accident victims, the largest proportion was attended because of being run over.

Analysis of hospitalization occurred due to motorcycles accidents in São Paulo city

OBJECTIVE: To characterize the motorcycle accidents occurred in the city of São Paulo, SP, Brazil in the year 2013, with emphasis on information about hospital admissions from SIH/SUS. METHODS: This is a retrospective cross-sectional study. The study covered 5,597 motorcyclists traumatized in traffic accident during the year 2013 occurred in the city of São Paulo. A survey was conducted using secondary data from the Information System of Hospitalization Health System (SIH/SUS). RESULTS: In 2013, in the city of São Paulo there were 5,597 admissions of motorcyclists traumatized in traffic accidents, of which 89.8% were male. The admission diagnosis were: leg fracture, femur fracture, and intracranial injury. CONCLUSION: This study confirms other preliminary studies on several points, among which stands out the highest prevalence of male young adults. Level of Evidence II, Retrospective Study.

Accidents involving motorcyclists and cyclists in the municipality of São Paulo: characterization and trends.

Objective To describe the characteristics of motorcycle and bicycle accident victims, according to notifications of suspected and confirmed accidents that have occurred in the municipality of São Paulo. Method This was a descriptive epidemiological study. It covered all accidents (12,924) that occurred involving motorcycles (11,366) and bicycles (1558) between January 2011 and October 2013. Data in the Health Departments information system for surveillance of violence and accidents (SIVVA) was surveyed. Results Motorcycle accidents accounted for 52.1% of the cases notified and bicycles, 7.1%. Males predominated in both types of accidents: 81.6% and 80.6%, respectively. In the motorcycle accidents, the predominant age group among the victims was from 20 to 24 years. Both types of accidents occurred during the daytime (7:00–18:00 h): 37.4% and 27.0% respectively. Among the motorcycle accidents, the driver had been using alcohol in 3% and it was not possible to identify whether this had occurred in 67%. Conclusions Public policies prioritizing financial and human resources applied toward reducing these types of accidents need to be brought in.

Femoral Fracture in Elderly: An Avoidable Cause?

Introduction: The frequency of femoral fractures has increased significantly in recent decades. It is known that this is closely related to geriatric population increase in our society, becoming a relevant public health problem. Objective: To identify the epidemiological profile of femoral fractures after an accidental fall among elderly people living in the city of Sao Paulo. Methods: This is a cross-sectional, quantitative, descriptive and retrospective study. We analyzed a total of 188 cases of fall among elderly (60 years old or more) diagnosed with femoral fractures, notified in The Information System for Violence and Accidents Surveillance (SIVVA), between January and October of 2017. Results: The main injury diagnoses among elderly who suffered from fall accidents were femoral neck fracture (28.7%) and pertrochanteric fracture (24.5%). In relation to age and gender, femoral fractures due to accidental fall were predominantly among elderly with 80 years old or more (51.1%) and females (62.8%). Femoral fractures due to falls were more frequent in white individuals (62.2%), main place of occurrence were in the elder residence and during daytime. Conclusion: Femoral fractures among elderly occurred predominantly in female, white individuals, playing a major role due to their high morbimortality, making public health policies for elderly direct a greater attention to this population.

INCIDENCE OF PEDESTRIAN TRAFFIC INJURY IN SÃO PAULO, BRAZIL, IN 2016

ABSTRACT Objective: Globally, more than 1.2 million people die from traffic accidents each year. In order to reduce the rate of traffic accidents and their subsequent social consequences in Sao Paulo, Brazil, the aim of this study was to characterize pedestrian victims of traffic accidents and occurrences. Methods: This is a cross-sectional, quantitative, descriptive and retrospective epidemiological study of 2723 pedestrians injured in traffic accidents during 2016 in Sao Paulo. Results: Of the total sample, 37.3% participants were female and 62.7% male; incidence was highest in the 10-19 year old age group (19.9%) and lower limb injuries were most frequent (28.6%). Of the cases attended in urgent health care units, 75.6% progressed to hospital discharge. Accidents were more frequent in the afternoon (44.6%), and most commonly involved cars (47.2%). Conclusions: This study showed the importance of making detailed records of traffic accidents to guide the government in intensive education efforts to develop a healthy society and respect for traffic regulations, to promote urban improvements involving signage and pavement, and to maintain pre-hospital and hospital care teams in strategic locations to minimize the time elapsed between the accident and care provided to the victim. Level of Evidence II; Retrospective study.

Self-injury and suicide attempt among the elderly population in the city of São Paulo

Objetivo Nesta perspectiva, a presente pesquisa tem como objetivo descrever os casos de autoagressao e tentativa de suicidio entre a populacao idosa residente na cidade de Sao Paulo. Metodos Esta e uma abordagem descritiva e quantitativa baseada no Sistema de Informacao para Vigilância de Violencias e Acidentes (SIVVA) da cidade de Sao Paulo. Na selecao das notificacoes, foram incluidos os relacionados a autoagressao e a tentativa de suicidio contra homens e mulheres, com faixa etaria entre 60 e mais, de janeiro a dezembro de 2014 na cidade de Sao Paulo, Regiao Sudeste do Brasil. Resultados Durante o ano de 2014, 93 casos de autolesao e tentativa de suicidio foram notificados em pessoas idosas residentes na cidade de Sao Paulo. Os principais instrumentos utilizados pela populacao idosa no periodo analisado foram envenenamentos (41,9%), outros meios (34,4%), arma branca (15,1%), locais de alta precipitacao (4,3%), suspensao ou sufocacao (3,2%) e arma de fogo (1,1%). Conclusao Com os resultados deste estudo, foi possivel caracterizar alguns aspectos especificos relacionados a autoagressao e tentativa de suicidio entre os idosos na populacao estudada. Portanto, faz-se necessario desenvolver uma estrategia para promover acoes de prevencao eficazes e oferecer servicos especializados para a maioria dos grupos de risco (raca parda, pessoas com niveis mais baixos de educacao e homens).

Physical and sexual aggression against elderly persons reported in the city of São Paulo

Objectives : To characterize the population of elderly people who have suffered physical and sexual violence, and describe the features of this aggression based on the Information System for Violence and Injury Surveillance (ISVIS) of the Municipal Health Department of the city of Sao Paulo. Method : A cross-sectional, retrospective study was performed of all cases of elderly victims of physical and sexual violence reported in Sao Paulo in 2013. Results : A total of 602 cases of elderly victims of physical abuse were reported, of which 52.3% were male. In the same period there were ten reported cases of elderly victims of sexual assault, 90% of whom were female. The main diagnosis of injury was head trauma (33.2%) and 65.0% of victims were discharged from hospital immediately. Conclusion : Physical abuse with the use of physical force was higher among male elderly persons, and sexual assault was higher among women. Most of the attacks took place at the residence of the elderly person, and were committed by family members.

Fatores associados à queda em idosos atendidos em hospital da região sul da cidade de São Paulo

Introducao: Atualmente, o aumento da expectativa de vida da populacao, este fenomeno necessita de uma reorganizacao do Sistema de Saude, devido a fragilidade dos idosos pelo seu declinio fisiologico poderem apresentar o risco de sofrer queda. Objetivo: Analisar por meio do prontuario hospitalar, mulheres e homens com idade de 60 anos ou mais, que tenham sido atendidos por queda, no ano 2010, no hospital situado na regiao sul de Sao Paulo. Metodo: Trata-se de um estudo individuado-observacional de serie de casos, com pacientes com 60 anos e mais de idade, que foram atendidos por queda em hospital situado na regiao sul da cidade de Sao Paulo. Resultados: A queda do mesmo nivel foi mais frequente entre os idosos do sexo feminino. Entre os idosos que foram atendidos por queda, a idade foi predominante entre os 75 anos e mais de idade. Conclusao: O tipo de trauma, tanto na queda do mesmo nivel quanto de um nivel ao outro, houve uma frequencia maior trauma superficial da cabeca.