Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:25:23Z No. of bitstreams: 3 petrina_macedo_figueiredo_elementos_pre_textuais.pdf: 225076 bytes, checksum: b53a479c80bc3b0013feff8c05fbd0c2 (MD5) petrina_macedo_figueiredo_texto.pdf: 444718 bytes, checksum: c8b48b5e37d3c3cbfb9f58e668f59e9a (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:25:59Z (GMT) No. of bitstreams: 3 petrina_macedo_figueiredo_elementos_pre_textuais.pdf: 225076 bytes, checksum: b53a479c80bc3b0013feff8c05fbd0c2 (MD5) petrina_macedo_figueiredo_texto.pdf: 444718 bytes, checksum: c8b48b5e37d3c3cbfb9f58e668f59e9a (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:25:49Z (GMT) No. of bitstreams: 3 petrina_macedo_figueiredo_elementos_pre_textuais.pdf: 225076 bytes, checksum: b53a479c80bc3b0013feff8c05fbd0c2 (MD5) petrina_macedo_figueiredo_texto.pdf: 444718 bytes, checksum: c8b48b5e37d3c3cbfb9f58e668f59e9a (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:26:50Z (GMT) No. of bitstreams: 3 petrina_macedo_figueiredo_elementos_pre_textuais.pdf: 225076 bytes, checksum: b53a479c80bc3b0013feff8c05fbd0c2 (MD5) petrina_macedo_figueiredo_texto.pdf: 444718 bytes, checksum: c8b48b5e37d3c3cbfb9f58e668f59e9a (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Made available in DSpace on 2015-01-07T15:26:50Z (GMT). No. of bitstreams: 3 petrina_macedo_figueiredo_elementos_pre_textuais.pdf: 225076 bytes, checksum: b53a479c80bc3b0013feff8c05fbd0c2 (MD5) petrina_macedo_figueiredo_texto.pdf: 444718 bytes, checksum: c8b48b5e37d3c3cbfb9f58e668f59e9a (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) Previous issue date: 2014 / Foi realizada uma revis?o integrativa no intuito de identificar, na literatura, a import?ncia da Vigil?ncia Epidemiol?gica ? VE na forma??o acad?mica em Enfermagem. A pesquisa envolveu publica??es nacionais e internacionais dispon?veis na Biblioteca Virtual em Sa?de. Os resultados detectam escassez de estudos sobre a tem?tica, enfatizaram a import?ncia da V Neste sentido, este trabalho objetiva estudar a import?ncia da VE na forma??o acad?mica da enfermagem. Neste sentido, prop?e-se um instrumento de estudo - Check-list - da forma??o profissional dos acad?micos do curso de gradua??o em enfermagem em rela??o ?s a??es de VE e promo??o ? sa?de; j? validado com modifica??es relacionadas ? proposta sugerida. Espera-se com este instrumento, o apontamento das vulnerabilidades nessa forma??o, indicar as quest?es a serem esmeradas no servi?o de sa?de, bem como subsidiar a??es para melhorias no Plano Pedag?gico de Enfermagem. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2014. / ABSTRACT We performed an integrative review in order to identify, in the literature, the importance of Surveillance - VE in nursing. The research involved national and international publications available on the Virtual Health Library. The results detected lack of studies on the subject, stressed the importance of VE. This work aims to study the importance of VE in nursing. In this sense, we propose a tool to study - Checklist - to study training of students of nursing school in relation to the shares of VE and health promotion; this tool already validated and had changes to get the suggested proposal. It is hoped that this instrument, appoint the vulnerabilities of formation in nusing, and will indicate the issues in the health service, and support actions to improve the Plan Teaching.

Made available in DSpace on 2014-12-17T14:46:47Z (GMT). No. of bitstreams: 1 LucianaMR_DISSERT.pdf: 3077063 bytes, checksum: 33dba30f3f983ca2c3893ca88edc953a (MD5) Previous issue date: 2010-10-07 / This is an exploratory descriptive study with quantitative approach, aiming to verify the nurses' knowledge concerning the epidemiological surveillance activities at the Onofre Lopes hospital (HUOL), in Natal, Rio Grande do Norte. The study was performed with 63 nurses from the hospital and the data were collected through a questionnaire. All data were analyzed using descriptive statistics. The results were discussed and organized into four sections: nurses' knowledge on hospital epidemiological surveillance; procedures of the professional nurse through compulsory notification diseases; difficulties found by nurses to register the compulsory notification diseases and suggestions of strategies to joint epidemiological surveillance service with the care practices of nurses. The results showed that 55.55% of nurses know the main action of epidemiological surveillance, compulsory notification of diseases, and that 42.86% reported to the Hospital Epidemiology Center , while 57.14% did not allocate the information for this service. Most nurses found it difficult to perform notification for not knowing its flow; for the surveillance service does not operate 24 hours and for vagueness on diagnostic of disorders. Suggestions of strategies to improve the quality of epidemiological information are focused on training of nurses in hospital epidemiological surveillance; working in partnership with the surveillance center; diffusion of information on surveillance and conducting a daily active search. It comes to conclusion that most nurses don't notify the Surveillance Center about Compulsory Notification Diseases and it wasn't observed the incorporation of integrality values between the hospital surveillance and all nurses, since this principle guides the actions of health services based on dialogue, listening, ethical commitment, sharing of knowledge among professionals of various services and respect towards other professionals. Therefore, the integrality gap in the actions of the nurses studied, as well as in the surveillance service does not mobilize the potential of such services to changes in the sense of achievement of practices aimed at a special attention model that combines preventive and corrective actions, proposed and desired by SUS. Through the difficulties presented, it becomes important to recommend educational processes with strategy to transform the conducts, besides proposing actions under the principle of integrality provide responses agile and effective, as the purpose of VE hospital emergency care by the current epidemic / Trata-se de um estudo descritivo explorat?rio com abordagem quantitativa, com objetivo de verificar o conhecimento dos enfermeiros sobre as a??es de vigil?ncia epidemiol?gica no Hospital Universit?rio Onofre Lopes (HUOL), no Munic?pio de Natal, Estado do Rio Grande do Norte. O estudo foi desenvolvido com 63 enfermeiros do referido hospital e os dados foram coletados atrav?s de um question?rio. Todos os dados foram analisados atrav?s de estat?stica descritiva. Os resultados foram organizados e discutidos em quatro se??es: conhecimento dos enfermeiros sobre vigil?ncia epidemiol?gica hospitalar; procedimentos do profissional enfermeiro mediante as doen?as de notifica??o compuls?ria; dificuldades dos enfermeiros para registrar as doen?as de notifica??o compuls?ria e as sugest?es de estrat?gias para articular o servi?o de vigil?ncia epidemiol?gica com as pr?ticas assistenciais dos enfermeiros. Os resultados mostraram que 55,55% dos enfermeiros conhecem a principal a??o de vigil?ncia epidemiol?gica, a notifica??o compuls?ria de doen?a, e que 42,86% notificaram ao N?cleo Hospitalar de Epidemiologia, enquanto 57,14% n?o destinaram as informa??es para esse servi?o. A maior parte dos enfermeiros revelou dificuldades para realizar notifica??o por desconhecerem o fluxo de notifica??o; pelo servi?o de vigil?ncia n?o funcionar 24 horas e por indefini??o diagn?stica das doen?as. As sugest?es de estrat?gias para melhorar a qualidade da informa??o epidemiol?gica est?o voltadas para capacita??o do enfermeiro em vigil?ncia epidemiol?gica hospitalar; trabalho em parceria com o n?cleo de vigil?ncia; divulga??o das informa??es sobre vigil?ncia e realiza??o de busca ativa di?ria. Conclu?-se que a maioria dos enfermeiros n?o notifica ao N?cleo de Vigil?ncia as Doen?as de Notifica??o Compuls?ria e n?o se percebe a incorpora??o dos valores da integralidade entre a VE hospitalar com todos os enfermeiros, posto que este princ?pio norteia a??es dos servi?os de sa?de fundamentadas no di?logo, na escuta, no comprometimento ?tico, compartilhamento de saberes entre os profissionais dos diversos servi?os e respeito quanto ao trabalho dos outros profissionais. Assim, a lacuna da integralidade nas a??es dos enfermeiros estudados, bem como no servi?o de VE n?o mobiliza o potencial desses servi?os para mudan?as, no sentido de realiza??o de pr?ticas voltadas para um modelo de aten??o integral que articula a??es preventivas e curativas, proposto e desejado pelo SUS. Mediante as dificuldades apresentadas torna-se importante recomendar processos educativos com estrat?gia de transforma??o das pr?ticas, al?m de proposta de a??es ? luz do princ?pio da integralidade possibilitando respostas ?geis e efetivas, conforme prop?sito da VE hospitalar mediante as urg?ncias e emerg?ncias epidemiol?gicas atuais

Made available in DSpace on 2012-09-06T01:11:04Z (GMT). No. of bitstreams: 2 license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) 99.pdf: 2691977 bytes, checksum: 3fa2eff2b005ba0c1d8204b7a0ffaf2c (MD5) Previous issue date: 1998 / Descreve um estudo de Coorte Descritivo Retrospectivo, realizado com dados obtidos através de prontuários de pacientes internados no Instituto Estadual de Infectologia Säo Sebastiäo, no período de 11/96 a 06/97, que tiveram diagnóstico definitivo de meningite bacteriana ou viral. Procedeu-se às estimativas das gravidade e letalidade, de ambas as meningites, comparando-as entre si, bem como dos respectivos agentes etiológicos específicos. Com base nos 204 pacientes, 141 dos quais, portadores de meningite bacteriana e 63, de meningite viral, viu-se que as primeiras se apresentaram mais graves e mais letais que estas últimas, com excessos de risco de 17,6 e 7,8 por cento, respectivamente. Também evidenciou-se que, apesar de todas as infecçöes bacterianas apresentarem casos graves e incidência de óbitos, a que teve maior número destes desfechos foi a meningite pneumocócica, enquanto que, dentre as virais, a meningite por Herpes simples vírus, foi a única a apresentar tais eventos. Os maiores preditores para a gravidade foram a meningite pneumocócica, a meningite por Herpes simples vírus e a idade de 15 anos ou mais. Já para a letalidade, os preditores, além destes patógenos, foram os menores de 1 ano e evoluçäo clínica para o coma, na meningite bacteriana, e a idade de 15 anos ou mais e evoluçäo para torpor ou coma na viral. Ainda constatou-se que as características liquóricas seguem um padräo bem definido para cada uma das meningites em estudo. / This is a Retrospective Descriptive Cohort study, accomplished through reference book, with patients interned at the São Sebastião State Institute of Infectology, in Rio de Janeiro City, Brazil, in the period from 11/96 to 06/97, with definitive diagnosis of bacterial or viral meningitis. It was proceeded to the estimates of the severity and mortality, of both meningitis, comparing them to each other, as well as the respective pathogens. Based on the 204 patients, 141 of the which, carriers of bacterial meningitis and 63, of viral meningitis, the first ones came more severe and more lethal than these last ones, with excesses of risk of 17,6 and 7,8%, respectively. It was also evidenced that, in spite of all the bacterial infections they present severe cases and obits incidence, the one that had larger number of these was the pneumococcal meningitis, while, of the viral ones, the meningitis for Herpes simplex virus, was the only to present such events. The most importants predictores for the severity were pneumococcal meningitis, herpes simplex virus meningitis and the 15 years-old age or more. Already for the mortality, the predictores, besides these pathogens, was last then 1 year old and clinical evolution for the coma, in the bacterial meningitis, and the 15 years-old age or more and evolution for torpor or coma, in the viral one. It was still verified that the cerebrospinal fluid (CSF) characteristic follows a pattern very defined for each one of the meningitis in study.

Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2018-06-19T17:36:21Z No. of bitstreams: 1 GHENO_FLAVIA_PICOLI_DIS.pdf: 1195829 bytes, checksum: 156cb51070a991b8767db753c9f62ed5 (MD5) / Approved for entry into archive by Sheila Dias (sheila.dias@pucrs.br) on 2018-06-28T11:10:57Z (GMT) No. of bitstreams: 1 GHENO_FLAVIA_PICOLI_DIS.pdf: 1195829 bytes, checksum: 156cb51070a991b8767db753c9f62ed5 (MD5) / Made available in DSpace on 2018-06-28T11:15:02Z (GMT). No. of bitstreams: 1 GHENO_FLAVIA_PICOLI_DIS.pdf: 1195829 bytes, checksum: 156cb51070a991b8767db753c9f62ed5 (MD5) Previous issue date: 2018-03-05 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Studies have shown the relationship between diet quality and longevity. However, few instruments were developed for epidemiological evaluation of diet quality, and even fewer used those in people with more advanced ages. The Brazilian National Health Survey (BNHS), conducted by the IBGE in partnership with the Ministry of Health (MH) in 2013, used an eating habits questionnaire applied by interviewers, not necessarily health professionals. On the other hand, the Healthy Eating Guide Questionnaire (HEGQ) created by the MH in 2005, proved to be appropriate for the evaluation of diet quality in the oldest-old (80 years and older), but applied by nutritionists. The objective of this research is to compare the evaluation questionnaire results of the eating habits used by BNHS with the results of the HEGQ in oldest-old subjects, and in this study people with 90 years or more. The two questionnaires were applied to the oldest-old in his or her home, the questionnaire of BNHS by a professional not necessarily nutritionist and the HEGQ by a nutritionist. We observed that the overall PNS score presented a significant relationship (p <0.001) with a correlation coefficient of 26% with the overall score of the QGAS, when applied by a multiprofessional team. The overall PNS score had a higher correlation coefficient (34%) with the overall score of the QGAS when applied by a nutritionist. We conclude that the questionnaire of the eating habits of the PNS can be used in the evaluation of the quality of the diet in longevity, being more predictive when applied by nutritionist professionals. / Estudos t?m apontado a rela??o da qualidade da dieta e a longevidade. Entretanto, poucos instrumentos foram desenvolvidos para a avalia??o epidemiol?gica da qualidade da dieta e, em menor n?mero, utilizados em pessoas com idades mais avan?adas. A Pesquisa Nacional de Sa?de (PNS), realizada pelo IBGE em parceria com o Minist?rio da Sa?de em 2013, utilizou um question?rio de h?bitos alimentares aplicados por entrevistadores do pr?prio Instituto n?o necessariamente profissionais da ?rea da sa?de. Por outro lado, o Question?rio do Guia de Alimenta??o Saud?vel (QGAS), elaborado pelo Minist?rio da Sa?de em 2005, mostrou ser apropriado para a avalia??o da qualidade da dieta em longevos (80 anos ou mais), mas por profissionais nutricionistas. O objetivo desta pesquisa foi comparar os resultados do question?rio de avalia??o dos h?bitos alimentares utilizado pela PNS com os resultados do QGAS em longevos, sendo sujeitos de pesquisa pessoas com 90 anos ou mais. Foram aplicados os dois question?rios a domic?lio, o question?rio da PNS, por um profissional n?o necessariamente nutricionista, e o QGAS por um profissional dessa ?rea. Os resultados de cada item alimentar da PNS foram pontuados conforme os crit?rios do QGAS, gerando uma pontua??o global. Observamos que a pontua??o global da PNS apresentou uma rela??o significativa (p<0,001) com coeficiente de correla??o de 26% com a pontua??o global do QGAS, quando aplicada por equipe multiprofissional. A pontua??o global da PNS apresentou um coeficiente de correla??o maior (34%) com a pontua??o global do QGAS quando aplicada por profissional nutricionista. Conclu?mos que o question?rio dos h?bitos alimentares da PNS pode ser usado na avalia??o da qualidade da dieta em longevos, sendo mais preditora quanto aplicado por profissionais nutricionistas.

Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2016-01-11T17:05:00Z No. of bitstreams: 2 renata_luiz_ursine.pdf: 3230501 bytes, checksum: 2f2b878292cb8aa11d8b2f215f77aeda (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2016-01-11T17:05:22Z (GMT) No. of bitstreams: 2 renata_luiz_ursine.pdf: 3230501 bytes, checksum: 2f2b878292cb8aa11d8b2f215f77aeda (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Made available in DSpace on 2016-01-11T17:05:22Z (GMT). No. of bitstreams: 2 renata_luiz_ursine.pdf: 3230501 bytes, checksum: 2f2b878292cb8aa11d8b2f215f77aeda (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) Previous issue date: 2014 / Com o prop?sito de conhecer os aspectos epidemiol?gicos da Leishmaniose Visceral (LV) entre os munic?pios sob a jurisdi??o da Superintend?ncia Regional de Sa?de de Diamantina (SRSD), realizou-se um estudo da distribui??o da LV humana e canina nestes por meio de dados disponibilizados no Sistema de Informa??o de Agravos de Notifica??o e de dados registrados em livros da SRSD. No munic?pio com maior ocorr?ncia da LV humana, realizou-se o georreferenciamento dos casos humanos e caninos associados a fatores ambientais e sociais; analisou-se a percep??o das pessoas acometidas pela doen?a por meio de entrevistas; aspectos da estrutura e funcionamento do servi?o de controle da doen?a foram analisados por meio de question?rios. No per?odo de 2007 a 2012 houve a notifica??o de 79 casos de LV humana e 451 c?es positivos para a infec??o canina nos munic?pios que comp?em a SRSD. Nestes, a LV humana foi mais prevalente em crian?as, pessoas do g?nero masculino e residentes em ?reas rurais. Em Ara?ua?, munic?pio com maior transmiss?o da LV humana, houve a notifica??o de 41 casos de LV entre os anos de 2007 a 2013. Neste, a infec??o acometeu principalmente crian?as, pessoas do g?nero masculino e residentes da ?rea urbana. A distribui??o espacial dos casos de LV humana e da infec??o canina na ?rea urbana do munic?pio de Ara?ua? exibiu um padr?o aglomerado, com agrupamentos de casos humanos estatisticamente significativos a dist?ncias superiores a 350 metros e agrupamentos estatisticamente significativos de c?es infectados a dist?ncias superiores a 75 metros. A an?lise explorat?ria por meio do estimador de Kernel apontou para maior ocorr?ncia de casos humanos e caninos na ?rea central da cidade. N?o foi observada rela??o entre o ?ndice de Vegeta??o da Diferen?a Normalizada e as ?reas de maior ocorr?ncia da doen?a. A an?lise socioambiental dos ambientes domiciliares das pessoas acometidas pela LV no munic?pio de Ara?ua? revelou um predom?nio de defici?ncias em estruturas de saneamento ambiental; presen?a de arbustos, ?rvores frut?feras e diferentes animais ao redor dos domic?lios; proximidade com ambientes naturais e casas aglomeradas. Por meio das entrevistas com as pessoas que foram acometidas pela LV, foi poss?vel perceber um desconhecimento em rela??o ? doen?a, principalmente no que diz respeito ?s formas de transmiss?o. P?de-se perceber tamb?m que os m?dicos tiveram dificuldade em diagnosticar a LV e que o tratamento que estes prescreveram para os pacientes foi, no geral, demorado. De forma geral, o munic?pio de Ara?ua? desenvolve a maioria das a??es propostas pelo Minist?rio da Sa?de para o Programa de Controle da Leishmaniose Visceral (PCLV), contudo, h? necessidade de melhor estrutura??o do servi?o de controle da LV neste. A realiza??o de planejamentos para os levantamentos das demandas de materiais para a execu??o dos diagn?sticos da LV para que n?o os falte durante a realiza??o dos inqu?ritos e o estabelecimento de condi??es para a execu??o de levantamentos entomol?gicos ? uma necessidade premente. O investimento em trabalhos de educa??o em sa?de para a popula??o, educa??o continuada para os m?dicos, Agentes de Combate a Endemias e demais profissionais envolvidos no PCLV tamb?m ? fundamental. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2014. / ABSTRACT In order to know the epidemiology of visceral leishmaniasis (VL) between the municipalities under the jurisdiction of the Regional Health Superintendency of Diamantina (SRSD), carried out a study of the distribution of human and canine LV these using data available in Diseases Information system Notification and data recorded in the SRSD books. In the city with the highest occurrence of human VL was held georeferencing of human and canine cases associated with environmental and social factors; analyzed the perception of people with the disease through interviews; aspects of the structure and function of disease control service were analyzed by means of questionnaires. In the period 2007-2012 there was a notification of 79 cases of human VL and 451 dogs positive for canine infection in the municipalities that make up the SRSD. In these, the human VL was more prevalent in children, male gender and living people in rural areas. In Ara?ua?, municipality with greater transmission of human VL, there was notification of 41 cases of VL between the years 2007 to 2013. In this, the infection affected mainly children, males and gender residents of the urban area. The spatial distribution of cases of human VL and canine infection in urban Ara?ua? municipality exhibited a pattern crowded with groups of statistically significant human cases at distances greater than 350 meters and statistically significant clusters of infected dogs at distances greater than 75 meters . The exploratory analysis using the Kernel estimator pointed to a higher incidence of human and canine cases in the central area of the city. No relationship was found between the Difference Vegetation Index Normalized and areas of highest incidence of the disease. The environmental analysis of the home environments of people affected by LV in the municipality of Ara?ua? revealed a predominance of deficiencies in environmental sanitation structures; presence of shrubs, fruit trees and different animals around the household; proximity to natural environments and clustered houses. Through interviews with people who have been affected by LV, it was revealed an ignorance about the disease, particularly with regard to forms of transmission. It could be perceived also that doctors had difficulty diagnosing VL and the treatment prescribed for these patients was generally, time consuming. In general, the municipality of Ara?ua? develop most of the actions proposed by the Ministry of Health for the Control Program Visceral Leishmaniasis (PCLV), however, there is need for a better structuring of the LV control this service. The realization of plans for surveys of the demands of materials for the execution of LV diagnostics lest they miss during the surveys and the establishment of conditions for the implementation of entomological surveys is urgently needed. Investment in health education work for the population, continuing education for physicians, Fighting Endemic Diseases agents and other professionals involved in PCLV is also key.

Made available in DSpace on 2014-12-17T14:13:52Z (GMT). No. of bitstreams: 1 CarlosRNB_DISSERT.pdf: 3053054 bytes, checksum: 21a986fcce16c387458463b332b62819 (MD5) Previous issue date: 2011-08-01 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / Introdu??o: A aus?ncia de dados recentes sobre a infec??o pelo Trypanosoma cruzi na ?rea end?mica do estado do Rio Grande do Norte motivou a realiza??o de um inqu?rito soroepidemiol?gico amostral em moradores da zona rural da mesorregi?o oeste e do munic?pio de Caic?, na mesorregi?o central. M?todos: Dezesseis munic?pios foram sorteados, 15 da mesorregi?o oeste e um da central, com popula??o estimada em 83.852 indiv?duos. Foram coletadas 1.950 amostras de sangue na mesorregi?o oeste e 390 em Caic?. A pesquisa de anticorpos anti-T. cruzi foi realizada usando os kits Chagatest? ELISA, Chagatest? HAI-hemaglutina??o indireta, e a rea??o de imunofluoresc?ncia indireta. Nos soros com resultados indeterminados foi realizado o western blot TESAcruzi? para confirma??o da reatividade. Resultados: A estimativa da soropreval?ncia revelou 6,5% para a mesorregi?o oeste e 3,3% em Caic?. A soropositividade eleva-se progressivamente com a idade at? a quinta d?cada de vida em Caic? e na sexta d?cada no oeste. As preval?ncias mais elevadas foram encontradas em grupos de munic?pios localizados na ?rea central e geograficamente pr?ximos dessa mesorregi?o. Apenas o grau de escolaridade e o conhecimento do triatom?neo evidenciaram associa??o ? soropositividade. N?o foram identificados indiv?duos sororreativos com idade inferior a 18 anos e n?o houve evid?ncia de associa??o quanto ao sexo. Conclus?es: A infec??o pelo T. cruzi persiste mais elevada e concentrada em munic?pios da ?rea central da mesorregi?o oeste, mas sugerem o decl?nio da transmiss?o vetorial nessa mesorregi?o e em Caic?. As vari?veis epidemiol?gicas parecem n?o exercer influ?ncia na soropositividade, ? exce??o da escolaridade e conhecimento do triatom?neo nos sororreativos da mesorregi?o oeste

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-03-22T19:46:19Z No. of bitstreams: 1 WiltonRodriguesMedeiros_TESE.pdf: 1563654 bytes, checksum: faf0273ef8cdab04af297b69a25dd4ba (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-03-28T23:03:41Z (GMT) No. of bitstreams: 1 WiltonRodriguesMedeiros_TESE.pdf: 1563654 bytes, checksum: faf0273ef8cdab04af297b69a25dd4ba (MD5) / Made available in DSpace on 2016-03-28T23:03:41Z (GMT). No. of bitstreams: 1 WiltonRodriguesMedeiros_TESE.pdf: 1563654 bytes, checksum: faf0273ef8cdab04af297b69a25dd4ba (MD5) Previous issue date: 2015-03-27 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / O objetivo do estudo foi tra?ar o perfil de mortalidade do idoso no Brasil, nas duas faixas et?rias lim?trofes, aqueles com 60 a 69 anos (mais jovens) e 80 ou mais (longevos). Para isso, se buscou a caracteriza??o, tend?ncia, distin??o de diferentes perfis de mortalidade e da qualidade da informa??o e suas rela??es com o contexto socioecon?mico e sanit?rio das microrregi?es do Brasil. Para tanto, se processou a coleta de dados no Sistema de Informa??o sobre Mortalidade (SIM) e Instituto Brasileiro de Geografia e Estat?stica (IBGE). A partir dos dados foram calculados os coeficientes de mortalidade para os cap?tulos da Classifica??o Internacional das Doen?as (CID-10) e com o uso do modelo de regress?o polinomial se obteve a tend?ncia dos principais cap?tulos. Atrav?s da An?lise de Agrupamento por t?cnica n?o hier?rquica (K-Means) se obteve os perfis entre as microrregi?es brasileiras. Ademais, por meio da an?lise fatorial das vari?veis contextuais se obteve o ?ndice de Priva??o Socioecon?mica e Sanit?ria (IPSS). A tend?ncia dos CMId e da raz?o de seus valores nos dois estratos mostrou uma diminui??o da maior parte dos indicadores, principalmente das taxas de mal definidas, especialmente entre os longevos. Os perfis que emergiram foram nos idosos ?mais jovens?, o Perfil do Desenvolvimento, Perfil da Modernidade, Perfil do Paradoxo Epidemiol?gico e Perfil do Desconhecimento. Nos longevos, emergiram perfis denominados igualmente aos tr?s ?ltimos e mais o Perfil das Baixas Taxas de Mortalidade. Na compara??o das m?dias de IPSS de forma global todos os grupos diferiam entre si, em ambos os estratos et?rios. Foi feita a compara??o do Perfil do Desconhecimento, com os demais perfis, atrav?s do uso de contrastes ortogonais. Basicamente ele diferia de todos os outros, isolados ou agrupados. Embora, nos longevos este apresentou m?dia de IPSS semelhante ao Perfil das Baixas Taxas de Mortalidade. Tamb?m, foi encontrada associa??o entre os indicadores de qualidade da informa??o, CMId por causas mal definidas, Coeficiente Geral de Mortalidade para cada estrato et?rio (CGMId) e o IPSS das microrregi?es, onde foi maior a priva??o socioecon?mica sanit?ria, mais desfavor?veis foram as taxas encontradas. Diante dos achados, considera-se que apesar da diminui??o dos coeficientes de mortalidade, h? diferen?as marcantes de perfis e estes est?o relacionados ?s condi??es contextuais, como tamb?m ?s desigualdades regionais em rela??o ? qualidade da informa??o, fato que potencializa a vulnerabilidade da faixa et?ria estudada e as iniquidades em sa?de j? presentes. / The aim of the present study was to trace the mortality profile of the elderly in Brazil using two neighboring age groups: 60 to 69 years (young-old) and 80 years or more (oldest-old). To do this, we sought to characterize the trend and distinctions of different mortality profiles, as well as the quality of the data and associations with socioeconomic and sanitary conditions in the micro-regions of Brazil. Data was collected from the Mortality Information System (SIM) and the Brazilian Institute of Geography and Statistics (IBGE). Based on these data, the coefficients of mortality were calculated for the chapters of the International Disease Classification (ICD-10). A polynomial regression model was used to ascertain the trend of the main chapters. Non-hierarchical cluster analysis (K-Means) was used to obtain the profiles for different Brazilian micro-regions. Factorial analysis of the contextual variables was used to obtain the socio-economic and sanitary deprivation indices (IPSS). The trend of the CMId and of the ratio of its values in the two age groups confirmed a decrease in most of the indicators, particularly for badly-defined causes among the oldest-old. Among the young-old, the following profiles emerged: the Development Profile; the Modernity Profile; the Epidemiological Paradox Profile and the Ignorance Profile. Among the oldest-old, the latter three profiles were confirmed, in addition to the Low Mortality Rates Profile. When comparing the mean IPSS values in global terms, all of the groups were different in both of the age groups. The Ignorance Profile was compared with the other profiles using orthogonal contrasts. This profile differed from all of the others in isolation and in clusters. However, the mean IPSS was similar for the Low Mortality Rates Profile among the oldest-old. Furthermore, associations were found between the data quality indicators, the CMId for badly-defined causes, the general coefficient of mortality for each age group (CGMId) and the IPSS of the micro-regions. The worst rates were recorded in areas with the greatest socioeconomic and sanitary deprivation. The findings of the present study show that, despite the decrease in the mortality coefficients, there are notable differences in the profiles related to contextual conditions, including regional differences in data quality. These differences increase the vulnerability of the age groups studied and the health iniquities that are already present.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2015-10-26T21:47:34Z No. of bitstreams: 1 TatyanaMariaSilvaDeSouzaRosendo_TESE.pdf: 2040660 bytes, checksum: 9c1896365bafc16c6077ccddfbb786a3 (MD5) / Approved for entry into archive by Elisangela Moura (lilaalves@gmail.com) on 2015-10-26T22:15:46Z (GMT) No. of bitstreams: 1 TatyanaMariaSilvaDeSouzaRosendo_TESE.pdf: 2040660 bytes, checksum: 9c1896365bafc16c6077ccddfbb786a3 (MD5) / Made available in DSpace on 2015-10-26T22:15:46Z (GMT). No. of bitstreams: 1 TatyanaMariaSilvaDeSouzaRosendo_TESE.pdf: 2040660 bytes, checksum: 9c1896365bafc16c6077ccddfbb786a3 (MD5) Previous issue date: 2014-06-05 / A morbidade materna grave, tamb?m conhecida como near miss materno, tem sido utilizada como alternativa ao estudo da mortalidade materna, pois al?m de ser mais frequente, compartilha os mesmos determinantes e possibilita a implementa??o da vigil?ncia epidemiol?gica dos casos. Desde ent?o, auditorias em hospitais t?m sido realizadas a fim de determinar as taxas de near miss materno, suas principais causas e seus fatores associados. Mais recentemente, inqu?ritos populacionais a partir da morbidade auto-referida tamb?m t?m sido apresentados como vi?veis na identifica??o desses casos. OBJETIVO: O objetivo deste estudo foi determinar a preval?ncia de near miss materno e de complica??es no per?odo grav?dico-puerperal no munic?pio de Natal/RN e estudar seus fatores associados. M?TODO: Trata-se de um estudo seccional, de base populacional realizado no munic?pio de Natal/RN, Brasil, que tem como popula??o-alvo as mulheres de 15 a 49 anos que engravidaram nos ?ltimos cinco anos. Realizou-se um processo de amostragem probabil?stico com desenho de amostras complexas, no qual foram sorteados 60 setores censit?rios distribu?dos em tr?s estratos (norte, sul-leste e oeste). Em seguida sortearam-se os domic?lios que deveriam ser inclu?dos na pesquisa a fim de obter uma amostra de 1.135 mulheres eleg?veis nas quais foi aplicado um question?rio. Nas an?lises descritivas e de associa??es bivariadas aplicando o teste Qui-quadrado, calculando a Raz?o de Preval?ncia (RP) com intervalo de confian?a de 95% e considerando os pesos e efeitos do delineamento. A an?lise de regress?o de Poisson, tamb?m com signific?ncia de 5% e IC de 95%, foi utilizada para as an?lises dos fatores associados RESULTADOS: Foram entrevistadas 848 mulheres das 1.132 mulheres eleg?veis identificadas em 8.227 domic?lios percorridos, totalizando uma taxa de n?o-resposta de 7%. A preval?ncia de near miss materno foi de 41/1.000NV, sendo a interna??o em UTI (19/1.000NV) o marcador mais referido. A preval?ncia de complica??es no per?odo grav?dico puerperal foi de 21,2%, sendo a hemorragia (10,7%) e a infec??o urin?ria (10,7%) as condi??es cl?nicas mais relatadas e a perman?ncia no hospital por mais de uma semana ap?s o parto a interven??o mais frequente (5,4%). Quanto aos fatores associados, a an?lise bivariada mostrou associa??o entre o maior n?mero de complica??es nas mulheres da ra?a preta/parda (RP=1,23; IC95%=1,04-1,46) e com pior situa??o socioecon?mica (RP=1,33; IC95%=1,12-1,58), nas mulheres que fizeram o pr?-natal no servi?o p?blico (RP=1,42; IC95%=1,16-1,72), que n?o foram orientadas durante o pr?-natal sobre lugar onde deveriam fazer o parto (RP=1,24; IC95%=1,05-1,46), que fizeram o parto no servi?o p?blico (RP=1,63; IC95%=1,30-2,03), que percorreram mais de um hospital para realizar o parto (RP=1,22; IC95%=1,03-1,45) e que n?o tiveram acompanhante durante o parto (RP=1,19; IC95%=1,01-1,41) ou em todos os momentos da assist?ncia ao parto - antes, durante e depois do parto - (RP=1,25; IC95%=1,05-1,48). Al?m disso, o n?mero de dias de interna??o p?s-parto foi maior nas mulheres que tiveram mais complica??es (RP=1,59; IC95%=1,36-1,86). No modelo final da regress?o tanto o local do parto (RP=1,21; IC95%=1,02-1,44) como a condi??o socioecon?mica (RP=1,54; IC95%=1,25-1,90) mantiveram a associa??o. CONSIDERA??ES FINAIS: A realiza??o de inqu?ritos populacionais utilizando a defini??o pragm?tica de near miss ? fact?vel e pode acrescentar informa??es importantes sobre esse evento. Foi poss?vel perceber a express?o das iniquidades em sa?de relacionadas ? sa?de materna tanto na an?lise das condi??es socioecon?micas como na quest?o da utiliza??o dos servi?os de sa?de. / INTRODUCTION: Severe maternal morbidity , also known as maternal near miss , has been used as an alternative to the study of maternal mortality , since being more frequent shares the same determinants and enables the implementati on of epidem iological surveillance of cases . Since then, hospital audits ha ve been carried out to determine the rates of maternal near miss, its mai n causes and associated factors . More recently, population surveys based on self - reported morbidity have als o been presented as vi able in identifying these cases . OBJECTIVE: The aim of this study was to determine the prevalence and associated factors of maternal near miss and complications during pregnancy and puerperal period in Natal/RN. METHODS: A cross - secti onal population - based study was conducted in Natal /RN , Brazil, which has as its target population women aged 15 to 49 years who were pregnant in the last five years. It was carried out a probabilistic sam pling design based on a multi - stage complex sample , in which 60 census tracts were selected from three strata (north , south - east and west). Afterwards, domiciles were visited in order to obtain a sample of the 908 eligible women in whom a questionnaire was applied. The descriptive analyzes and bivariate ass ociations were performed using the Chi - square test and the estimate of the prevalence ratio (PR ) with 95% confidence interval (CI) and considering the weights and design effects . The Poisson regression analysis , also with 5% significance and 95% CI, was us ed for analyzes of associated factors. RESULTS: 848 women were identified and interviewed after visits in 8.227 households corresponding to a response rate of 93 . 4 %. The prevalence of maternal near miss was 41 . 1 /1 000NV, being the Intensive Care Unity stay i ng (19 . 1 /1 000 LB ) and eclampsia (13 . 5/1000LB) the most important marker s . The prevalence of complications in the puerperal peri od was 21 . 2 %, and hemorrhage (10 . 7%) and urinary tract infection (10 . 7%) the most frequently reported clinical conditions and rema in ing in the hospital for over a week after delivery the mo st frequent intervention (5.4%) . Regarding associated factors , the bivariate analysis showed an association between the increased number of complications in women of black/brown race ( PR= 1 . 23; CI95 % : 1 . 04 - 1 . 46) and lower socioeconomic status ( PR= 1 . 33; CI95%: 1 . 12 - 1 . 58) in women who had pre natal care in public service ( PR= 1 . 42; CI95%: 1 . 16 to 1 . 72 ) and that were not advised during prenatal about where they should do the d elivery (PR= 1 . 24; CI95%: 1 . 05 - 1 . 46), made the del ivery in the public service (PR= 1 . 63; CI95%: 1 . 30 - 2 . 03), had to search for more than one hospital for delivery (PR=1 . 22; CI95%: 1 . 03 - 1 . 45) and had no companion during childbirth ( PR =1 . 19; CI95%: 1 . 01 - 1 . 41) or at all times of childbirth c are - before, during and after childbirth - ( PR= 1 . 25, CI95%: 1 . 05 - 1 . 48) . Moreover, the number of days postpartum hospitalization was higher in women who had more complications (P R= 1 . 59 ; CI95%: 1 . 36 - 1 . 86). In the final regression model for both birth place (P R= 1 . 21 ; CI 95% : 1 . 02 to 1 . 44 ) and socioeconomic status (PR = 1.54 ; CI95%: 1 . 25 - 1 . 90 ) the association remained. CONCLUSION : Conducting population surveys using the pragmatic definition of near miss is feasible and may add importa nt information about this ev ent . It was possible to find the expression of health inequalities related to maternal health in the analysis of both socioeconomic conditions and on the utilization of health services.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-07-11T17:51:54Z No. of bitstreams: 1 ElianaMesquitaDaSilva_DISSERT.pdf: 3246519 bytes, checksum: 6c088e76cfe91f1f780680d007b22351 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-07-18T21:28:43Z (GMT) No. of bitstreams: 1 ElianaMesquitaDaSilva_DISSERT.pdf: 3246519 bytes, checksum: 6c088e76cfe91f1f780680d007b22351 (MD5) / Made available in DSpace on 2016-07-18T21:28:43Z (GMT). No. of bitstreams: 1 ElianaMesquitaDaSilva_DISSERT.pdf: 3246519 bytes, checksum: 6c088e76cfe91f1f780680d007b22351 (MD5) Previous issue date: 2015-08-28 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / No contexto do enfrentamento das consequ?ncias da transi??o demogr?fica, o envelhecimento populacional se caracteriza como um importante desafio para a sociedade brasileira. Nesse sentido, este estudo foi desenvolvido em dois objetivos principais. No primeiro artigo, foram empregadas vari?veis de contextos socioecon?micos e demogr?ficos para a identifica??o de perfis multidimensionais dos idosos residentes nas capitais do Nordeste, a partir de indicadores espec?ficos provenientes das informa??es do Censo Demogr?fico 2010. Para tanto, foi utilizado o m?todo Grade of Membership (GoM), cujo delineamento de perfis admite que um indiv?duo perten?a a diferentes graus de pertin?ncia a m?ltiplos perfis, de modo a identificar fatores socioecon?micos e demogr?ficos associados ?s condi??es de vida dos idosos das capitais nordestinas, e mostrar diferen?as na combina??o entre eles. Os principais resultados mostram a forma??o de tr?s perfis extremos: Perfil 1(35,5%), Perfil 2 (24,8%) e Perfil 3 (29,7%). De modo geral, os resultados apontam para perfis com condi??es de vida prec?rias que s?o expressos principalmente pelos baixos n?veis de escolaridade e pela renda mensal domiciliar per capita. O segundo artigo analisou rela??o entre a mortalidade por doen?as cr?nicas (Neoplasias, Doen?as Hipertensivas, Infarto Agudo do Mioc?rdio, Doen?as Cerebrovasculares, Pneumonia e Doen?as Cr?nicas das vias ?reas Inferiores) na popula??o de idosos, dos 137 bairros de Natal, desagregados por faixas et?rias decenais (60 a 69 anos, 70 a 79 anos e 80 anos e mais), e indicadores socioecon?micos. Foram utilizados os microdados do Sistema de Informa??o de Mortalidade (SIM), disponibilizados pela Secretaria de Sa?de de Natal, e as informa??es populacionais s?o provenientes do Censo Demogr?fico 2010. O m?todo utilizado refere-se ? l?gica de vizinhan?a do ?ndice Global e Local (LISA) de Moran, cuja espacializa??o a partir dos mapas coropl?ticos permitiu analisar a mortalidade dos idosos por bairros, segundo indicadores socioecon?micos e demogr?ficos, de acordo com a presen?a de signific?ncia espacial. Os resultados mostram maior propor??o de idosos concentrada nos bairros de melhor condi??o socioecon?mica, como Petr?polis e Lagoa Seca. As taxas de mortalidade, segundo as causas de morte e padronizadas pelo M?todo Bayesiano Emp?rico, distribu?ram-se localmente da seguinte forma: Neoplasias (Santos Reis, Nova Descoberta, Cidade Nova, Capim Macio e Ponta Negra); Doen?as Hipertensivas (Lagoa Azul, Potengi, Redinha, Santos Reis, Ribeira, Lagoa Nova, Capim Macio, Ne?polis e Ponta Negra); Infarto Agudo do Mioc?rdio (Nordeste, Guarap?s e Capim Macio); Doen?as Cerebrovasculares (Petr?polis e M?e Lu?za); Pneumonia (Ribeira, Praia do Meio, Nova Descoberta, Capim Macio e Ponta Negra); Doen?as Cr?nicas das Vias A?reas Inferiores (Igap?, Nordeste e Quintas). Os achados presentes no trabalho poder?o contribuir para outros estudos sobre o tema e fomento de pol?ticas espec?ficas para os idosos. / Population aging is a global demographic trend. This process is a reality that merits attention and importance in recent years, and cause considerable impact in terms of greater demands on the health sector, social security and special care and attention from families and society as a whole. Thus, in the context of addressing the consequences of demographic transition, population aging is characterized as a major challenge for Brazilian society. Therefore, this study was conducted in two main objectives. In the first article, variables of socioeconomic and demographic contexts were employed to identify multidimensional profiles of elderly residents in the Northeast capitals, from specific indicators from the 2010 Census information Therefore, we used the Grade of Membership Method (GoM), whose design profiles admits that an individual belongs to different degrees of relevance to multiple profiles in order to identify socioeconomic and demographic factors associated with living conditions of the elderly in the Northeastern capitals. The second article examined the possible relationship between mortality from chronic diseases and socio-economic indicators in the elderly population, of the 137 districts in Natal, broken down by ten-year age groups (60 to 69 years, 70-79 years and 80 and over. The microdata from the Mortality Information System (SIM), was used, provided by the Health Secretariat of Christmas, and population information came from the Population Census 2010. The method refers to the Global and Local Index neighborhood logic (LISA) Moran, whose spatial distribution from the choropleth maps allowed us to analyze the mortality of the elderly by neighborhoods, according to socioeconomic and demographic indicators, according to the presence of special significance. In the first article, the results show the identification of three extreme profiles. The Profile 1 which is characterized by median socioeconomic status and contributes 35.5% of elderly residents in the area considered. The profile 2 which brings together seniors with low socioeconomic status characteristics, with a percentage of 24.8% of cases. And the Profile 3 composing elderly with features that reveal better socioeconomic conditions, about 29.7% of the elderly. Overall, the results point to poor living conditions represented by the definition of these profiles, mainly expressed by the results observed in more than half of the northeastern elderly experience a situation of social vulnerability given the large percentage that makes up the Profile 1 and Profile 2, adding 60% of the elderly. In the second article, the results show a higher proportion of elderly concentrated in the neighborhoods of higher socioeconomic status, such as Petr?polis and LagoaSeca. Mortality rates, according to the causes of death and standardized by the empirical Bayesian method were distributed locally as follows: Neoplasms (Reis Santos, New Discovery, New Town, Grass Soft and Ponta Negra); Hypertensive diseases (Blue Lagoon, Potengi, Redinha, Reis Santos, Riverside, Lagoa Nova, Grass Soft, Ne?polis and Ponta Negra); Acute Myocardial Infarction (Northeast, Guarapes and grass Soft); Cerebrovascular diseases (Petr?polis and Mother Luiza); Pneumonia (Ribeira, Praia do Meio, New Discovery, Grass Soft and Ponta Negra); Chronic Diseases of the Lower Way Airlines (Igap?, Northeast and Thursdays). The present findings at work may contribute to other studies on the subject and development of specific policies for the elderly.

Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2016-10-18T22:30:52Z No. of bitstreams: 1 DISSERTA??O TACIANE.pdf: 1332823 bytes, checksum: 16624f495ae47a3674ddd9369197c8bf (MD5) / Made available in DSpace on 2016-10-18T22:30:52Z (GMT). No. of bitstreams: 1 DISSERTA??O TACIANE.pdf: 1332823 bytes, checksum: 16624f495ae47a3674ddd9369197c8bf (MD5) Previous issue date: 2015-03-31 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Metabolic syndrome is a set of changes consisting of dyslipidemia, glucose intolerance, hypertension, obesity and hyperinsulinemia. The study of this syndrome is of great importance to public health, since it can lead to negative outcomes that could increase their risk of cardiovascular disease in the general population. OBJECTIVE: Investigate the occurrence of metabolic syndrome and associated factors in adults treated in public health services in the city of Feira de Santana - BA. METHOD: epidemiological study, cross-sectional and exploratory conducted in 479 adults aged at least 20 years, seen at public health services in the fair city of Santana - BA. Information was obtained through structured questionnaires, anthropometric clinical and oral, and biochemists. The diagnosis of metabolic syndrome took into account the criteria proposed by the National Cholesterol Education Program - Adult Treatment Panel III / (NCEP-ATP III) and the International Diabetes Federation (IDF). Prevalence ratios were estimated (PR) and their respective confidence intervals of 95% (95% CI) and statistical significance level of 5%. Multivariate analysis was constructed using Poisson regression. RESULTS: Presented in the form of a scientific paper: "Metabolic syndrome and its associated factors in adults", to be submitted to the Journal Brazilian Archives of Endocrinology and Metabolism. The occurrence of MS ranged from 57% (NCEP / ATP III) to 62% (IDF). In the bivariate analysis female, advanced age, overweight, and some comorbidities proved to be independently associated with MS. In the hierarchic analysis, only BMI ? 30 kg / m? (NCEP-ATPIII) and no measurement of blood pressure periodically (IDF) remained independently associated with metabolic syndrome. CONCLUSIONS: The metabolic syndrome is a public health problem among individuals in this study. The body mass index ? 30 kg / m2 not regular blood pressure measurements are important predictors of the metabolic syndrome in adults. / A S?ndrome Metab?lica ? um conjunto de altera??es constitu?do por dislipidemia, intoler?ncia ? glicose, hipertens?o arterial, obesidade e a hiperinsulinemia. O estudo desta s?ndrome ? de grande relev?ncia para a sa?de p?blica, uma vez que pode ocasionar desfechos negativos capazes de aumentar o risco de doen?as cardiovasculares na popula??o em geral. OBJETIVO: Investigar a ocorr?ncia de S?ndrome Metab?lica e seus fatores associados em indiv?duos adultos atendidos em servi?os de sa?de p?blica no Munic?pio de Feira de Santana ? BA.M?TODO: Estudo epidemiol?gico, transversal, e de car?ter explorat?rio realizado em 479 adultos com idade m?nima de 20 anos, atendidos em servi?os de sa?de p?blica no munic?pio de Feira de Santana ? BA. As informa??es foram obtidas mediante aplica??o de question?rios estruturados, exames cl?nicos antropom?tricos e bucais, e bioqu?micos. O diagn?stico da s?ndrome metab?lica levou em considera??o os crit?rios propostos pelo National Cholesterol Education Program - Adult Treatment Panel III / (NCEP-ATP III) e pela Internacional Diabetes Federation (IDF). Foram estimadas raz?o de preval?ncia (RP) e seus respectivos intervalos de confian?a de 95% (IC 95%) e n?vel de signific?ncia estat?stica de 5%. A an?lise multivariada foi constru?da usando a regress?o de Poisson. RESULTADOS:Apresentados em forma de artigo cient?fico: ?S?ndrome metab?lica e seus fatores associados em indiv?duos adultos?, a ser submetido ? Revista Arquivos Brasileiros de Endocrinologia e Metabologia. A ocorr?ncia da SM variou entre 57% (NCEP/ATP III) a62% (IDF). Na an?lise bivariada, sexo feminino, faixa et?ria avan?ada, excesso de peso, e algumas comorbidades mostraram-se independentemente associados com SM. Na an?lise hierarquizada, apenas ?ndice de massa corporal ? 30kg/m? (NCEP-ATPIII) e n?o aferi??o da press?o arterial periodicamente (IDF)permaneceram independentemente associados ? s?ndrome metab?lica.CONCLUS?ES: A s?ndrome metab?lica representa um problema de Sa?de P?blica entre os indiv?duos desse estudo. O ?ndice de massa corporal ? 30kg/m2 a n?o aferi??o regular da press?o arterial s?o potenciais preditores da s?ndrome metab?lica em adultos.