| Records |
| Author |
Nunes, B.P.; Soares, M.U.; Wachs, L.S.; Volz, P.M.; Saes, M. de O.; Duro, S.M.S.; Thume, E.; Facchini, L.A. |
| Title |
Hospitalization in older adults: association with multimorbidity, primary health care and private health plan |
Type |
Journal Article |
| Year |
2017 |
Publication |
Revista de Saude Publica |
Abbreviated Journal |
Rev Saude Publica |
| Volume |
51 |
Issue  |
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Pages |
43 |
| Keywords |
Aged; Brazil; *Comorbidity; Cross-Sectional Studies; Female; Hospitalization/*statistics & numerical data; Humans; Male; Middle Aged; Prepaid Health Plans/*statistics & numerical data; Primary Health Care/*standards/statistics & numerical data; Socioeconomic Factors; Urban Population |
| Abstract |
OBJECTIVE: Evaluate the association of multimorbidity, primary health care model and possession of a private health plan with hospitalization. METHODS: A population-based cross-sectional study with 1,593 elderly individuals (60 years old or older) living in the urban area of the city of Bage, State of Rio Grande do Sul, Brazil. The outcome was hospitalization in the year preceding the interview. The multimorbidity was evaluated through two cut-off points (>/= 2 and >/= 3). The primary health care model was defined by residence in areas covered by traditional care or by Family Health Strategy. The older adults mentioned the possession of a private health plan. We performed a gross and adjusted analysis by Poisson regression using a hierarchical model. The adjustment included demographic, socioeconomic, functional capacity disability and health services variables. RESULTS: The occurrence of overall and non-surgical hospitalization was 17.7% (95%CI 15.8-19.6) and 10.6% (95%CI 9.1-12.1), respectively. Older adults with multimorbidity were admitted to hospitals more often when to older adults without multimorbidity, regardless of the exhibition' form of operation. Having a private health plan increased the hospitalization by 1.71 (95%CI 1.09-2.69) times among residents in the areas of the Family Health Strategy when compared to elderly residents in traditional areas without a private health plan. CONCLUSIONS: The multimorbidity increased the occurrence of hospitalizations, especially non-surgical ones. Hospitalization was more frequent in older adults with private health plan and those living in Family Health Strategy areas, regardless of the presence of multiple diseases. OBJETIVO: Avaliar a associacao da multimorbidade, modelo de atencao basica e posse de plano de saude com hospitalizacao. METODOS: Estudo transversal de base populacional com 1.593 idosos (60 anos ou mais) residentes na zona urbana do municipio de Bage, Rio Grande do Sul. O desfecho foi a hospitalizacao no ano anterior a entrevista. A multimorbidade foi avaliada por meio de dois pontos de corte (>/= 2 e >/= 3). O modelo de atencao basica foi definido pela residencia em areas cobertas pela atencao tradicional ou da Estrategia Saude da Familia. A posse de plano de saude foi referida pelos idosos. Realizou-se analise bruta e ajustada por regressao de Poisson utilizando modelo hierarquizado. O ajuste incluiu variaveis demograficas, socioeconomicas, capacidades funcionais e de servicos de saude. RESULTADOS: A ocorrencia de hospitalizacao geral e nao cirurgica foi de 17,7% (IC95% 15,8-19,6) e 10,6% (IC95% 9,1-12,1), respectivamente. Idosos com multimorbidade hospitalizaram mais em comparacao com os idosos sem multimorbidade, independentemente da forma de operacionalizacao da exposicao. O plano de saude aumentou em 1,71 (IC95% 1,09-2,69) vezes a internacao hospitalar entre residentes nas areas da Estrategia Saude da Familia em comparacao aos idosos residentes nas areas tradicionais sem plano de saude. CONCLUSOES: A multimorbidade aumentou a ocorrencia de hospitalizacoes, principalmente aquelas nao cirurgicas. Idosos com plano de saude e residentes em areas de Estrategia Saude da Familia internaram mais, independentemente da presenca de multiplas doencas. |
| Address |
Departamento de Medicina Social. Faculdade de Medicina. Universidade Federal de Pelotas. Pelotas, RS, Brasil |
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| Language |
Portuguese |
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0034-8910 |
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| Notes |
PMID:28492761 |
Approved |
no |
| Call Number |
ref @ user @ |
Serial |
97638 |
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| Author |
Griboff, J.; Horacek, M.; Wunderlin, D.A.; Monferran, M.V. |
| Title |
Bioaccumulation and trophic transfer of metals, As and Se through a freshwater food web affected by antrophic pollution in Cordoba, Argentina |
Type |
Journal Article |
| Year |
2017 |
Publication |
Ecotoxicology and Environmental Safety |
Abbreviated Journal |
Ecotoxicol Environ Saf |
| Volume |
148 |
Issue |
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Pages |
275-284 |
| Keywords |
Aquatic organisms; As; Biomagnification; Food web; Metals; Stable isotopes |
| Abstract |
The concentration of metals (Al, Cr, Mn, Fe, Ni, Cu, Zn, Ag, Cd, Hg, Pb, U), As and Se in different ecosystem components (water, sediment, plankton, shrimp, and fish muscle) has been determined in a eutrophic reservoir in the Province of Cordoba (Argentina). Los Molinos Lake (LML) was sampled during the dry (DS) and wet seasons (WS) in order to examine the bioaccumulation and transfer of these inorganic elements through the food web. Stable nitrogen isotope (delta15N) was used to investigate trophic interactions. According to this, samples were divided into three categories: plankton, shrimp (Palaemonetes argentinus) and fish (Silverside, Odontesthes bonariensis). The bioaccumulation factor (BAF) was calculated for the organisms, and it was determined that the elements analyzed undergo bioaccumulation, especially in organisms such as plankton. The invertebrates were characterized by the highest BAF for Cu and Zn in both seasons, As (DS), and Cd and Hg (WS). The fish muscle was characterized by the highest BAF for Se (WS), Ag and Hg (DS). On the other hand, a significant decrease in Al, Cr, Mn, Fe, Ni, Cu, Zn, As, Se, Cd and U concentrations through the analyzed trophic web during both seasons was observed. Moreover, a significant increase in Hg levels was observed with increasing trophic levels in the DS, indicating its biomagnification. Despite the increasing impact of metals, As and Se pollution in the studied area due to urban growth and agricultural and livestock activities, no previous study has focused on the behavior and relationships of these pollutants with the biotic and abiotic components of this aquatic reservoir. We expect that these findings may be used for providing directions or guidance for future monitoring and environmental protection policies. |
| Address |
ICYTAC, Instituto de Ciencia y Tecnologia de Alimentos Cordoba, CONICET and Facultad de Ciencias Quimicas, Universidad Nacional de Cordoba, Bv. Dr. Juan Filloy s/n, Ciudad Universitaria, 5000 Cordoba, Argentina. Electronic address: mmonferran@fcq.unc.edu.ar |
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English |
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0147-6513 |
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| Notes |
PMID:29078130 |
Approved |
no |
| Call Number |
ref @ user @ |
Serial |
98006 |
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| Author |
Corvalan, C.; Garmendia, M.L.; Jones-Smith, J.; Lutter, C.K.; Miranda, J.J.; Pedraza, L.S.; Popkin, B.M.; Ramirez-Zea, M.; Salvo, D.; Stein, A.D. |
| Title |
Nutrition status of children in Latin America |
Type |
Journal Article |
| Year |
2017 |
Publication |
Obesity Reviews : an Official Journal of the International Association for the Study of Obesity |
Abbreviated Journal |
Obes Rev |
| Volume |
18 Suppl 2 |
Issue |
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Pages |
7-18 |
| Keywords |
Latin America; childhood obesity; children; nutrition and physical activity situation |
| Abstract |
The prevalence of overweight and obesity is rapidly increasing among Latin American children, posing challenges for current healthcare systems and increasing the risk for a wide range of diseases. To understand the factors contributing to childhood obesity in Latin America, this paper reviews the current nutrition status and physical activity situation, the disparities between and within countries and the potential challenges for ensuring adequate nutrition and physical activity. Across the region, children face a dual burden of undernutrition and excess weight. While efforts to address undernutrition have made marked improvements, childhood obesity is on the rise as a result of diets that favour energy-dense, nutrient-poor foods and the adoption of a sedentary lifestyle. Over the last decade, changes in socioeconomic conditions, urbanization, retail foods and public transportation have all contributed to childhood obesity in the region. Additional research and research capacity are needed to address this growing epidemic, particularly with respect to designing, implementing and evaluating the impact of evidence-based obesity prevention interventions. |
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Hubert Department of Global Health of the Rollins School of Public Health, Emory University, Atlanta, GA, USA |
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English |
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Edition |
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| ISSN |
1467-7881 |
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Conference |
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| Notes |
PMID:28741907 |
Approved |
no |
| Call Number |
ref @ user @ |
Serial |
98012 |
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| Author |
Goncalves, P.B.; Hallal, P.C.; Hino, A.A.F.; Reis, R.S. |
| Title |
Individual and environmental correlates of objectively measured physical activity and sedentary time in adults from Curitiba, Brazil |
Type |
Journal Article |
| Year |
2017 |
Publication |
International Journal of Public Health |
Abbreviated Journal |
Int J Public Health |
| Volume |
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Issue |
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Pages |
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| Keywords |
Accelerometry; Adults; Environmental correlates; Individual correlates; Physical activity; Sedentary time |
| Abstract |
OBJECTIVES: This study assessed the association of individual and neighborhood environment characteristics and objectively measured physical activity (PA) and sedentary time (ST) in adults from Curitiba, Brazil. METHODS: A population-based cross-sectional study was conducted through face-to-face household interviews in 2010. The analytic sample included 305 adults aged 20-65 years recruited from 32 census tracts selected according to neighborhood walkability and socioeconomic status. Individual and environmental PA correlates were evaluated through standardized and valid self-reported measures, including the Neighborhood Environment Walkability Scale. Minutes per week of PA and ST were assessed through accelerometry. Multi-level regression models were used in the analyses. RESULTS: After adjusting for confounders the strongest individual and environmental correlates associated with ST was residential density (B = 0.14; p = 0.008), light-intensity PA was being a father/mother (B = 35.71; p = 0.025) and moderate-to-vigorous PA was sex (B = 0.91; p < 0.001) and number of cars (one car, B = -1.05; two cars, B = -1.14; p < 0.001). CONCLUSIONS: The associations found with individual and environmental correlates varied accordingly across all outcomes. Future changes in policies and infrastructure should consider the social context of the community and improvements to promote a safer environment in the neighborhood. |
| Address |
Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO, USA |
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English |
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1661-8556 |
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| Notes |
PMID:28717827 |
Approved |
no |
| Call Number |
ref @ user @ |
Serial |
98014 |
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| Author |
Ayash, C.; Costas-Muniz, R.; Badreddine, D.; Ramirez, J.; Gany, F. |
| Title |
An Investigation of Unmet Socio-Economic Needs Among Arab American Breast Cancer Patients Compared with Other Immigrant and Migrant Patients |
Type |
Journal Article |
| Year |
2017 |
Publication |
Journal of Community Health |
Abbreviated Journal |
J Community Health |
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Issue |
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Pages |
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| Keywords |
Arabs; Breast cancer; Immigrant health |
| Abstract |
Although Arabs are a growing population in the United States, they are a hidden minority when compared to larger, more studied groups like Latinos and Caribbean immigrants of African descent (CIAD). There is limited research pertaining to patients' unmet socioeconomic and supportive care needs when undergoing breast cancer treatment, particularly among immigrants and migrants. This is a comparative study of a nested cohort of 36 Arabs, 145 Latinos and 128 CIAD breast cancer patients participating in the Integrated Cancer Care Access Network and their areas of needed assistance. The patients were recruited from eleven community cancer clinics in New York City and through community based organizations. Patients most commonly reported needing financial, transportation, and food assistance. Arabs were more likely than their CIAD and Latino counterparts to have health insurance and legal aid needs. Arabs also has the highest proportion of patients unaware of their own cancer stage, at odds with their report of lower information needs than the other groups. Additional culturally tailored Arabic language interventions are needed to educate Arabic speaking breast cancer patients to help facilitate access to available services. |
| Address |
Arab Health Initiative, Memorial Sloan Kettering Cancer Center, Immigrant Health and Cancer Disparities Service, 485 Lexington Avenue, 2nd floor, New York, NY, USA |
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English |
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0094-5145 |
ISBN |
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| Notes |
PMID:28669006 |
Approved |
no |
| Call Number |
ref @ user @ |
Serial |
98018 |
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