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Partner referral among patients with sexually transmitted diseases in Dhaka, BangladeshAlam, Nazmul, January 2008 (has links) (PDF)
Thesis (D.P.H.)--University of Alabama at Birmingham, 2008. / Title from first page of PDF file (viewed on June 23, 2009). Includes bibliographical references.
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Traditional and Web-Based Technologies to Improve Partner Notification Following Syphilis Diagnosis Among Men Who Have Sex With Men in Lima, Peru: Pilot Randomized Controlled TrialClark, Jesse L, Segura, Eddy R, Oldenburg, Catherine E, Salvatierra, Hector J, Rios, Jessica, Perez-Brumer, Amaya Gabriela, Gonzales, Pedro, Sheoran, Bhupendra, Sanchez, Jorge, Lama, Javier R 07 1900 (has links)
Background: Patient-initiated partner notification (PN) following the diagnosis of a sexually transmitted infection is a critical component of disease control in men who have sex with men (MSM) sexual networks. Both printed and internet-based technologies offer potential tools to enhance traditional partner notification approaches among MSM in resource-limited settings. Objective: This randomized controlled trial aimed to evaluate the effect of 2 different PN technologies on notification outcomes following syphilis diagnosis among MSM in Peru: A Web-based notification system and patient-delivered partner referral cards. Methods: During 2012-2014, we screened 1625 MSM from Lima, Peru, for syphilis infection and enrolled 370 MSM with symptomatic primary or secondary syphilis (n=58) or asymptomatic latent syphilis diagnosed by serology (rapid plasma reagin, RPR, and Microhemagglutination assay for Treponema pallidum antibody; n=312). Prior to enrollment, potential participants used a computer-based self-interviewing system to enumerate their recent sexual partnerships and provide details of their 3 most recent partners. Eligible participants were randomly assigned to one of 4 intervention arms: (1) counseling and patient-initiated Web-based PN (n=95), (2) counseling with Web-based partner notification and partner referral cards (n=84), (3) counseling and partner referral cards (n=97), and (4) simple partner notification counseling (control; n=94). Self-reported partner notification was assessed after 14 days among 354 participants who returned for the follow-up assessment. Results: The median age of enrolled participants was 27 (interquartile range, IQR 23-34) years, with a median of 2 partners (IQR 1-5) reported in the past month. Compared with those who received only counseling (arm 4), MSM provided with access to Web-based partner notification (arms 1 and 2) or printed partner referral cards (arms 2 and 3) were more likely to have notified one or more of their sexual partners (odds ratio, OR, 2.18, 95% CI 1.30-3.66; P=.003 and OR 1.68, 95% CI 1.01-2.79; P=.045, respectively). The proportion of partners notified was also higher in both Web-based partner notification (241/421, 57.2%; P<.001) and referral card (240/467, 51.4%; P=.006) arms than in the control arm (82/232, 35.3%). Conclusions: Both new Web-based technologies and traditional printed materials support patient-directed notification and improve self-reported outcomes among MSM with syphilis. Additional research is needed to refine the use of these partner notification tools in specific partnership contexts. / Revisión por pares / Revisión por pares
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Short-Term Reduction of Peak Loads in Commercial Buildings in a Hot and Dry ClimateJanuary 2012 (has links)
abstract: A major problem faced by electric utilities is the need to meet electric loads during certain times of peak demand. One of the widely adopted and promising programs is demand response (DR) where building owners are encouraged, by way of financial incentives, to reduce their electric loads during a few hours of the day when the electric utility is likely to encounter peak loads. In this thesis, we investigate the effect of various DR measures and their resulting indoor occupant comfort implications, on two prototype commercial buildings in the hot and dry climate of Phoenix, AZ. The focus of this study is commercial buildings during peak hours and peak days. Two types of office buildings are modeled using a detailed building energy simulation program (EnergyPlus V6.0.0): medium size office building (53,600 sq. ft.) and large size office building (498,600 sq. ft.). The two prototype buildings selected are those advocated by the Department of Energy and adopted by ASHRAE in the framework of ongoing work on ASHRAE standard 90.1 which reflect 80% of the commercial buildings in the US. After due diligence, the peak time window is selected to be 12:00-18:00 PM (6 hour window). The days when utility companies require demand reduction mostly fall during hot summer days. Therefore, two days, the summer high-peak (15th July) and the mid-peak (29th June) days are selected to perform our investigations. The impact of building thermal mass as well as several other measures such as reducing lighting levels, increasing thermostat set points, adjusting supply air temperature, resetting chilled water temperature are studied using the EnergyPlus building energy simulation program. Subsequently the simulation results are summarized in tabular form so as to provide practical guidance and recommendations of which DR measures are appropriate for different levels of DR reductions and the associated percentage values of people dissatisfied (PPD). This type of tabular recommendations is of direct usefulness to the building owners and operators contemplating DR response. The methodology can be extended to other building types and climates as needed. / Dissertation/Thesis / M.S. Architecture 2012
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Design and implementation of modules "Phases" and "External app connectivity" for real enterprise project "Time Project" using Angular2 and ASP.NET WEB API frameworksKORTAN, Michal January 2017 (has links)
The thesis deals with module extension in currently developing project called Time Project 5. Specifically, the Phases, Notification and External Interface module. The thesis is divided into four major chapters. The first chapter introduces theoretical background consisting of backend and frontend technology description. The second chapter serves as determination of customer's expectations in form of functional and nonfunctional requirements gathering. The major focus of the third chapter is on application architecture design of both server and client side together with subcomponents design. Additionally, this chapter is complemented by the data model and Time Project 5 application design. The last, and at the same time, major chapter reveals the actual implementation of mentioned subcomponents including further necessary support features.
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Falência de tratamento antituberculose: fatores preditores e análise de subnotificaçãoGomes, Adriana Bacelar Ferreira January 2007 (has links)
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Previous issue date: 2007 / Introdução: Uma parcela dos casos com tuberculose apresenta falência ao tratamento especifico, necessitando de condutas terapêuticas mais agressivas para alcançar a cura. Em 2005, foram identificados no Brasil 208 casos em tratamento com esquema III. A análise da coorte de casos novos e de retratamento demonstrou que 1% dos casos apresentou falência aos esquemas de tratamento de 1ª linha. Objetivo: Mensurar a magnitude do sub-registro da falência de tratamento antituberculose, identificar seus possíveis fatores preditores e estudar suas implicações para o desfecho dos casos. Metodologia: Estudo descritivo exploratório, pela análise do banco de dados de tuberculose do Sinan no período de 2000 a 2005. Por meio da conjunção de variáveis denominadas “condições marcadoras” e do resultado do pareamento probabilístico do Sinan com o banco de tuberculose multirresistente (SITBMR), foram identificados prováveis registros de falência não reconhecida, subdivididos em quatro categorias mutuamente exclusivas, de maior para menor rigor de classificação. Resultados: No período de 2000 a 2005 foram identificados 1.552 registros de falência reconhecida. A utilização do conjunto de variáveis previamente definidas permitiu a identificação de mais 9.299 prováveis registros de falência. Isso representou uma proporção de subnotificação de 85,7%. Entre os registros de falência, há predomínio de casos com recorrentes retornos ao sistema, notificados como reingresso após abandono ou recidivas após cura, associados com Aids, e com prescrição de esquemas terapêuticos inadequados ao tipo de entrada. A partir da análise multivariada, algumas dessas características também foram identificadas como possíveis fatores preditores de falência e para o seu não reconhecimento. Os registros de falência em relação aos registros de não falência apresentaram maior proporção de registros com desfecho desfavorável (RP=2,68) com alta proporção de abandonos (32,9%) e TBMR (11,9%). Entre os registros de falência não reconhecida a ocorrência de abandonos foi mais freqüente (RP=1,27). Conclusões: Há deficiências na forma como os registros dos casos de falência de tratamento antituberculose são notificados no sistema de informação oficial. Os dados atualmente divulgados pelo Programa Nacional de Controle da Tuberculose (PNCT) precisam ser revistos. Especial atenção precisa ser dada aos casos em falência para aumentar as chances de cura e evitar a evolução para multirresistência. / Salvador
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Návrh optimalizace rozmístění hlásných profilů úrovně hladiny vody v Jihočeském kraji / Proposal of deployment profiles optimization concerning premier water levels in the South Bohemian region.ZÁVODSKÁ, Pavlína January 2013 (has links)
The diploma thesis on "A Proposal to Optimize the Distribution Network of Water Level Gauging Stations in South Bohemian Region? deals with the distribution network of gauging stations of a category ?A?, ?B? and ?C? in the catchment area in South Bohemia. The thesis has been designed as an overview of the current situation of the gauging stations in South Bohemian Region; it is focused on the distribution network of these stations not only in the areas hit with floods. It examines whether these critical places across which the stations have been distributed since 2002 correspond to the requirements of the current flood protection, whether it would not be advisable either to increase or, on contrary, to reduce the number of stations in the exposed river areas. The data processed by Povodí Vltavy, Horní Vltava s.p. Plant, and documents by the ČHMÚ were used for the purposes of this examination. The result of the thesis is the fact that the number of the distributed gauging stations is sufficient as for the needs of flood protection, which has been found out by means of structured interviews with the respective experts. Position of these stations has been incorporated in the flood prevention plans and most of these plans have been designed just on the basis of the distribution network of the gauging stations. The critical locations have been sufficiently mapped and recorded and the flood forecasting and warning service uses the gained, very precious information from these gauging stations. The goal of the thesis was to assess the current distribution network of the gauging stations on the rivers in South Bohemian Region. The current distribution network of the gauging stations on the rivers in South Bohemian Region was studied on the basis of an analysis of the ascertained data and documents. The first goal of the examination was the issue whether the current distribution network and the number of the gauging stations correspond to the needs of protection of citizens, cultural heritage, and property, and whether it would not be advisable to increase the number of these stations. The other goal of the thesis was to optimize the gauging stations with respect to the usefulness and their distribution network, whether the distribution network corresponds to the flood protection. The current distribution network of the gauging stations was analysed by means of a partial method of field research, consulting the expert books, legal regulations and a field research. By analysing these data, I tried to find out in the thesis whether optimisation of the number and the distribution network of the water level gauging stations correspond to the current requirements of the gained data from the respective subject-matter authorities. Upon the results of the analysis of the documents, it was found out that the distribution network and optimization of all gauging stations of all categories - ?A, B, C" - meet the needs of the catchment and requirements to their distribution. Upon the gained information, it was found out that Povodí Vltavy and the operators of the gauging stations have created a very clearly organised network. The hypothesis whether the water level gauging stations are distributed on all of the important rivers in South Bohemian Region was disapproved. The gained information suggests that the gauging stations are distributed on all rivers in South Bohemian Region. The research results have revealed that there is a number of locations in danger of big flooding, however, overflowing at such areas does not put in danger people?s lives, health or property. To conclude, it can be said no matter a society is prepared for flooding as best as possible, the nature, namely water, is an element that is to be respected a lot. This is very important in terms of protection of health, life, cultural heritage and property. The thesis will be offered to the water-management authorities and administrators of the location for further use.
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Perfil epidemiológico dos atendimentos antirrábicos humanos pós-exposição no município de Santa Maria, RS, Brasil / Epidemiological profile of human anti-rabies attendance posts exposure in the city of Santa Maria, RS, BrazilVasconcellos, Jaíne Soares de Paula 16 January 2017 (has links)
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Rabies is a viral zoonosis that presents progressive and lethal development in almost 100% of cases. Besides being a disease of great importance for the costs generated in livestock and human rabies treatments. The objective of this study was to define the epidemiological profile of human rabies in the municipality of Santa Maria, Rio Grande do Sul, Brazil, from 2010 to 2015. Data from the Notification of Invalidity Information System (Sistema de Informação de Agravo de Notificação, SINAN) were obtained. Through the completion of individual records of human rabies cases (ICD10-W64). The data were analyzed with the aid of the Tabwin® program and later exported to the Excel® program, forming a database that was organized and analyzed using R® software. Thus, post-exposure rabies treatments occurred in 55.0% of the cases in females and 45.0% in males. The highest occurrence (54.5%) was observed in the age group from 20 to 59 years. Mainly, 87.5% of registered cases were caused by canine and 10.9% feline animals. The site of exposure that obtained the highest number of attacks by canine bite was the lower limb with 22.1%. It was possible to observe indications of precipitated treatments, both in cases of indirect contacts and in cases in which the animals were healthy, observable and negative clinically or laboratorially for the disease. There was a large number of fields contained in the mandatory notification form which were ignored at the time of filling. It is suggested a program for training of the professionals involved with this aggravation and the dissemination of information aimed an instrumentalizing for the users about the accidents. An informative folder containing the main information to be transmitted to the residents was developed. In addition, a flow chart was drawn up guiding the actions against the anti-rabies visits to be applied in the city. / A raiva é uma zoonose viral que apresenta desenvolvimento progressivo e letal em quase a totalidade dos casos. Além disso, é uma doença de grande importância econômica, especialmente relacionada aos custos gerados na pecuária e nos tratamentos antirrábicos humanos. O objetivo deste estudo foi avaliar o perfil epidemiológico dos atendimentos antirrábicos humanos pós-exposição no município de Santa Maria, Rio Grande do Sul, Brasil. Foram utilizados os dados do Sistema de Informação de Agravo de Notificação (SINAN), obtidos no período de 2010 a 2015, por meio da busca das fichas de investigação individuais dos atendimentos antirrábicos humanos, notificadas no município. Os dados foram analisados com o auxílio do programa Tabwin® e posteriormente exportados para o programa Excel®, formando um banco que foi organizado e analisado utilizando-se o software R®. Desta forma, os atendimentos antirrábicos pós exposição ocorreram em 55,0% dos casos em pessoas do sexo feminino e 45,0% em masculino. A maior ocorrência (54,5%) foi observada na faixa etária de 20 a 59 anos. Majoritariamente, 87,5% dos agravos registrados foram causados por animais da espécie canina e 10,9% felina. O local de exposição que obteve maior número de ataques por mordedura canina foi o membro inferior (22,1%). Foi possível constatar que ocorreu a indicação de tratamentos de maneira inadequada, tanto em casos de contatos indiretos quanto em casos nos quais os animais eram sadios, observáveis e negativos clínica ou laboratorialmente para a doença. Observou-se um grande número de campos contidos na ficha de notificação obrigatória que não foram preenchidos. Sugere-se capacitações para os profissionais envolvidos e a disseminação de informações visando instrumentalizar os usuários a respeito deste agravo. Um folder informativo contendo as principais informações a serem transmitidas aos munícipes foi desenvolvido. Além disso, foi proposto um fluxograma norteador das ações frente aos atendimentos antirrábicos para o município.
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Sistemas manuscrito e informatizado de notificação voluntária de incidentes em saúde como base para a cultura de segurança do paciente / Voluntary handwritten and computer-based incident reporting to ground a patient safety cultureHelaine Carneiro Capucho 20 July 2012 (has links)
Nas organizações de saúde, as notificações voluntárias são essenciais para a construção da aprendizagem, que é um dos fundamentos da cultura da segurança do paciente. O objetivo deste estudo foi comparar um sistema manuscrito e um sistema informatizado de notificações voluntárias de incidentes e queixas técnicas relacionados à saúde, implantados em um hospital de ensino do interior de São Paulo, por meio da análise documental das notificações encaminhadas. Os sistemas foram comparados quanto à quantidade e qualidade das notificações, categoria dos profissionais notificadores, motivos e características dos incidentes relacionados aos medicamentos. O presente estudo demonstrou que as notificações encaminhadas por meio de sistemas manuscrito e informatizado podem ser utilizadas para identificação de incidentes, mas é possível que o segundo sistema seja mais vantajoso do que o primeiro, por ter apresentado aumento do número de notificações em 58,7%; aumento da taxa de notificação em 62,3%; maior qualidade dos relatos, especialmente quanto à classificação e descrição da gravidade do incidente, e descrição do paciente; eliminação da ilegibilidade e de rasuras; ampliação da participação dos diferentes profissionais de nível superior e de profissionais de nível médio e básico, especialmente técnicos e auxiliares de enfermagem; favorecimento de relatos de incidentes que causaram danos aos pacientes, especialmente os moderados e graves; favorecimento de relatos de incidentes relacionados aos medicamentos potencialmente perigosos, de relatos de reações adversas e inefetividade terapêutica, de erros de omissão, de administração de medicamento não autorizado, de dose, erro de técnica de administração e não adesão do paciente, e também de erros de medicação mais graves, incluindo os que causaram danos aos pacientes; favorecimento de relatos de suspeita de inefetividade terapêutica de medicamentos. A implantação do sistema informatizado de notificações voluntárias de incidentes na saúde como base para a cultura de segurança do paciente no sistema de saúde brasileiro parece ser uma estratégia viável e totalmente necessária para o gerenciamento de riscos e a qualificação da assistência, tendo este trabalho contribuído para nortear como deve ser o processo de notificação voluntária de incidentes e queixas técnicas em saúde. / Voluntary incident reporting is essential in health facilities to promote learning, which is one of the fundaments of patient safety culture. This study presents a comparison between voluntary handwritten reports and a computer-based reporting system of health-related incidents and technical complaints implemented in a university hospital in the interior of São Paulo, Brazil. This comparison was conducted through a document analysis of reports and the systems were compared in terms of quantity and quality of reports, profession of those reporting the incidents, reasons and characteristics of medication-related incidents. This study revealed that both handwritten and computer-based reports can be used to identify incidents but the latter seems to be a better system because it presented an increase of 58.7% in the number of reports; an increase of 62.3% in the reporting rate; better quality reports, especially in relation to the classification and description of the incidents\' severity and description of patients; the problem of illegibility was eliminated; a greater number of workers from different professions with higher education and also with technical and primary education was observed, especially nursing technicians and auxiliaries; reports of incidents causing harm to patients was favored, especially moderate and severe incidents, in addition to reports of potentially dangerous medication-related incidents, adverse reactions and ineffective therapy, omitted errors, non-authorized administration of medication, dosage errors, administration technique, non-adherence of patients, reports of more severe medication errors, including those that harmed patients, and reports concerning suspicion of ineffective drug therapy. The implementation of a computer-based voluntary reporting system of health-related incidents to fundament a patient safety culture within the Brazilian health system seems to be a viable and essential strategy to risk management and qualify care delivery. This study can guide the process of voluntary reporting of incidents and technical complaints.
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NOTIFICAÇÃO COMPULSÓRIA DA VIOLÊNCIA NA INFÂNCIA E NA ADOLESCÊNCIA EM SANTA MARIA, RS / COMPULSORY NOTIFICATION OF VIOLENCE IN CHILDHOOD AND ADOLESCENCE IN SANTA MARIA, RSCezar, Pamela Kurtz 24 April 2015 (has links)
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This study aimed to investigate the process of compulsory notification of violence in childhood and adolescence in the city of Santa Maria/RS, through articulation of epidemiological data with the experiences of professionals involved in this process. For this purpose, a quantitative and qualitative research with descriptive and exploratory design was carried out. Data collection on the quantitative section comprised a documentary survey conducted in the Notifiable Diseases Information System (SINAN-Net) database: domestic and sexual violence and/or others. In order to collect qualitative data, four focus groups with professionals involved in the process of compulsory notification of violence management and/or execution were organized. The data analysis was performed using descriptive statistics and content analysis technique. The results are displayed in three articles. In the first one the results of quantitative research were presented by describing the epidemiological data of compulsory notification of violence in child and adolescent age group, from 2009 to 2013, occurred and reported in Santa Maria/RS. The findings show that victims were predominantly female; physical violence was the most commonly reported; the residence was the place where more violence occurred; and the mother and father were presented as the biggest offenders. In the second and third articles the results of qualitative research were presented. The second one referred to the deployment and implementation process of compulsory notification of violence in Santa Maria/RS. The results showed that in everyday services this procedure was not routine. Weaknesses were identified both in the professionals training in order to carry out the compulsory notification of violence and in the dissemination and use of epidemiological data. Also, some progress was identified through the growing number of services involved with this procedure, in addition to the notification records increase in recent years. The third article presented the professionals perceptions and feelings regarding compulsory notification of violence in childhood and adolescence as well as the interdisciplinary and intersectoral work. The results indicated that the professionals perceived the compulsory notification of violence as a most difficult procedure when it involved children and adolescents. Among all the feelings mobilized by violence in childhood and adolescence were impotence, dismay, anger, and desire to do something. On the other hand, the feelings mobilized by the notification of violence were fear and frustration. With regard to care services and protection network, professionals said that in order to confront violence, an integrated, interdisciplinary and intersectoral work was needed. Given the results from the three articles, it is concluded that compulsory notification of violence can be an important instrument for children and adolescence protection. Thus, this process needs to be improved in Santa Maria city by investing in qualification and support to professionals, compilation and distribution of assistance flows, and appropriate use of epidemiological data provided by the compulsory notifications of violence. / O presente estudo teve como objetivo investigar o processo de notificação compulsória da violência na infância e na adolescência na cidade de Santa Maria/RS, por meio da articulação de dados epidemiológicos com as vivências dos profissionais envolvidos nesse processo. Para tanto foi realizada uma pesquisa quantitativa e qualitativa, com delineamento descritivo e exploratório. A coleta de dados na parte quantitativa compreendeu uma pesquisa documental, realizada na base de dados do Sistema de Informação de Agravos de Notificação/SINAN-Net: violência doméstica, sexual e/ou outras. Para a coleta de dados na parte qualitativa realizaram-se quatro grupos focais com profissionais envolvidos com a gestão e/ou a execução do processo de notificação compulsória da violência. A análise dos dados foi realizada por meio da estatística descritiva e da técnica de análise de conteúdo. Os resultados foram expostos em três artigos. No primeiro foram apresentados os resultados da pesquisa quantitativa, no qual foram descritos os dados epidemiológicos das notificações compulsórias da violência na faixa etária da infância e da adolescência, no período de 2009 a 2013, ocorridos e notificados em Santa Maria/RS. Identificou-se que o sexo feminino predominou no número de vítimas, a violência física foi a mais notificada, a residência foi o local onde mais ocorreram as violências, além da mãe e do pai aparecerem como os maiores agressores. Nos segundo e terceiro artigos foram apresentados os resultados da pesquisa qualitativa. O segundo artigo referiu-se ao processo de implantação e implementação da notificação compulsória da violência em Santa Maria/RS. Os resultados observados evidenciaram que no cotidiano dos serviços esse procedimento não era rotina. Identificaram-se fragilidades tanto na capacitação dos profissionais para realizarem a notificação compulsória da violência como na divulgação e utilização dos dados epidemiológicos. Também foram visualizados progressos, por meio do crescente número de serviços envolvidos com esse procedimento, somados ao aumento nos registros de notificação nos últimos anos. O terceiro artigo apresentou as percepções e os sentimentos dos profissionais quanto à notificação compulsória da violência na infância e na adolescência e o trabalho interdisciplinar e intersetorial. Os resultados indicaram que os profissionais percebiam a notificação compulsória da violência, quando envolvia crianças e adolescentes, como um procedimento mais difícil. Entre os sentimentos mobilizados pela violência na infância e na adolescência estava a impotência, o espanto, a revolta e o desejo de fazer algo. Entre os sentimentos mobilizados pela notificação da violência estava o medo e a e a frustração. No que diz respeito aos serviços de atendimento e a rede de proteção, os profissionais expuseram que para enfrentar a violência era necessário um trabalho integrado, interdisciplinar e intersetorial. Diante dos dados obtidos nos três artigos, conclui-se que a notificação compulsória da violência pode ser um importante instrumento de proteção à infância e a adolescência. Para tanto é preciso aperfeiçoar esse processo na cidade de Santa Maria/RS, investindo na qualificação e no apoio aos profissionais, na organização e divulgação dos fluxos de atendimento e na utilização adequada dos dados epidemiológicos fornecidos pelas notificações compulsórias da violência.
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Agressões por cães e gatos em municípios da região noroeste do Estado de São Paulo / Agressions by dogs and cats in the northwest region of São Paulo State, BrazilSumida, Doralice de Souza [UNESP] 01 July 2016 (has links)
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Previous issue date: 2016-07-01 / As agressões provocadas por animais domésticos, em especial por cães e gatos, constituem-se em um sério problema de saúde pública no Brasil, particularmente por sua relação com o controle da raiva em humanos. O objetivo deste estudo foi verificar a ocorrência de casos de agressão de pessoas por cães e gatos em municípios da região Noroeste do Estado de São Paulo no período de 2008 a 2013, observando a variação da frequência ao longo dos anos e o perfil das mesmas entre os municípios, de acordo com suas características específicas. Para tanto, realizou-se um levantamento em arquivos de dados oficiais da Secretaria de Saúde do Estado de São Paulo, tendo como base o período entre os anos de 2008 a 2013. Foram notificados 9.411 casos de acidentes por animais domésticos, sendo as agressões por cães as mais frequentes. A grande maioria dos municípios avaliados tiveram aumentos dos casos de agressões durante o período de estudo, entretanto a relação entre agressões por cães domiciliados e não domiciliados permaneceu constante. A maior frequência de agressões ocorreu na faixa etária entre 0 - 14, em todos os municípios analisados e nesta faixa etária houve predominância de ferimentos em membros inferiores, enquanto que em maiores de 14 anos, a maior ocorrência foi em mãos/pés. Houve predomínio de mordeduras, seguidas de arranhaduras. Foram observadas diferenças estatisticamente significantes entre os municípios da região estudada em relação à incidência das agressões e à sua distribuição entre os gêneros, não diferindo nas demais características como idade das pessoas agredidas, tipo de ferimento, localização das lesões. / Aggressions caused by domestic animals, especially by cats and dogs, is a serious public health issue in Brazil, particularly in its relation to the control of human rabies. The purpose of this study was to investigate the incidents involving aggression by dogs and cats to people in the municipalities of São Paulo State Northwest region from 2008 to 2013, noting the frequency variation over the years and the profile of them between municipalities in accordance with their specific characteristics. A survey on the State official data center was performed having as basis the period between 2008 and 2013, when 9,411 cases of aggressions by pets were reported. The aggressions caused by dogs were the most frequently reported. The large majority of the assessed municipalities had an increases in cases of aggression during the study period, however the relationship between aggressions from domestic and free roaming dogs remained constant. The highest frequency of attacks occurred in the group aging from 0 to14, in all analyzed municipalities and in this age range there was a predominance of injuries in the lower limbs, while in those over 14 years, the highest occurrence was in hands/feet. A large majority of reported aggressions corresponded to bites, followed by scratching. Statistically significant differences were observed between the municipalities in the study area in the incidence of attacks and their distribution between the genders, but not differing in other characteristics such as age of attacked people, type of injury and location of injury.
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