cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.6504002
title: The relation of cash transfer programs and food insecurity among families with preschool children living in semiarid climates in Brazil

description: Abstract Background Food insecurity has important effects on human health, particularly in children’s. It continues to increase, with an estimated prevalence of 14.9% in the USA and 35% in Brazil. There have been few studies on the effect of cash transfer programs (CTPs) on the prevalence of food security in Brazil. Objective Evaluate the association between cash transfer programs and reductions in inequity and food insecurity. Method Population-based cross-sectional study in the state of Ceará, Northeast Brazil, with a sample of 8.000 households. Ceará is one of the poorest states. The state population of 8.5 million inhabitants, social security benefits and government grants, “ Bolsa Família”, have become the most stable source of income. The main outcomes measures were food insecurity and CTP participation. Multivariate logistic models were constructed to assess the association between participation in CTPs and food security. Results Participation in CTPs was found to be independently related to the prevalence of food security (APR 2.29 95% CI 1.57-3.33), as are education level, residential setting, and children’s nutritional status. Conclusions CTPs and investment in education are initiatives that might be used to reduce food insecurity.
DOI: 10.6084/m9.figshare.6504002.v1
title: The relation of cash transfer programs and food insecurity among families with preschool children living in semiarid climates in Brazil

description: Abstract Background Food insecurity has important effects on human health, particularly in children’s. It continues to increase, with an estimated prevalence of 14.9% in the USA and 35% in Brazil. There have been few studies on the effect of cash transfer programs (CTPs) on the prevalence of food security in Brazil. Objective Evaluate the association between cash transfer programs and reductions in inequity and food insecurity. Method Population-based cross-sectional study in the state of Ceará, Northeast Brazil, with a sample of 8.000 households. Ceará is one of the poorest states. The state population of 8.5 million inhabitants, social security benefits and government grants, “ Bolsa Família”, have become the most stable source of income. The main outcomes measures were food insecurity and CTP participation. Multivariate logistic models were constructed to assess the association between participation in CTPs and food security. Results Participation in CTPs was found to be independently related to the prevalence of food security (APR 2.29 95% CI 1.57-3.33), as are education level, residential setting, and children’s nutritional status. Conclusions CTPs and investment in education are initiatives that might be used to reduce food insecurity.
DOI: 10.6084/m9.figshare.6504398
title: (In)conformities in blood pressure measurement in primary health care

description: Abstract Introduction Inaccurate blood pressure measurement (BPM) can produce harmful results for people and the health system. Objective To evaluate the process and the BPM structure performed by nursing professionals in Primary Care Units (PCU) of the Unified Health System (SUS) of Blumenau-SC. Method Cross-sectional evaluation study of 16 stages of the 381 MPA process defined in the VI Brazilian Guidelines on Hypertension and analysis of physical and structural aspects of PCU 18. Results The average of noise were 60.4 ± 7.4 dB, the average temperature was 22.8 °C ± 1.9. The sphygmomanometers were not checked and calibrated every six months in 16 of the 18 units. Of the 16 steps, only six had higher compliance than 70% and accordingly had four steps of zero. Noteworthy is the use of inappropriate bracket (32%) and only 4 systolic and 11 diastolic did not end in zero digit. Nurses reported that 77.1% never had received prior training in BPM by SUS. Conclusions The structure and process of BMP presented unconformities in most recommended steps. Local managers should provide structural and technological conditions appropriate to correct BPM in order to prevent damage to people and unnecessary expenses for SUS.
DOI: 10.6084/m9.figshare.6504398.v1
title: (In)conformities in blood pressure measurement in primary health care

description: Abstract Introduction Inaccurate blood pressure measurement (BPM) can produce harmful results for people and the health system. Objective To evaluate the process and the BPM structure performed by nursing professionals in Primary Care Units (PCU) of the Unified Health System (SUS) of Blumenau-SC. Method Cross-sectional evaluation study of 16 stages of the 381 MPA process defined in the VI Brazilian Guidelines on Hypertension and analysis of physical and structural aspects of PCU 18. Results The average of noise were 60.4 ± 7.4 dB, the average temperature was 22.8 °C ± 1.9. The sphygmomanometers were not checked and calibrated every six months in 16 of the 18 units. Of the 16 steps, only six had higher compliance than 70% and accordingly had four steps of zero. Noteworthy is the use of inappropriate bracket (32%) and only 4 systolic and 11 diastolic did not end in zero digit. Nurses reported that 77.1% never had received prior training in BPM by SUS. Conclusions The structure and process of BMP presented unconformities in most recommended steps. Local managers should provide structural and technological conditions appropriate to correct BPM in order to prevent damage to people and unnecessary expenses for SUS.
DOI: 10.6084/m9.figshare.6503087
title: Retinopathy of prematurity: associated factors and prediction

description: Abstract Introduction Retinopathy of prematurity (ROP) is a vasoproliferative disease that affects the retina of prematurely born children. Therefore, this study proposed to identify associated factors and to predict retinopathy in prematurity. Method A cross-sectional study including preterm newborns divided into two groups: with and without retinopathy. The variables were categorized using the likelihood ratio test, and the variables with p-values less than 0.2 were analyzed by a multiple logistic model. The model used the construction of a Receiver Operating Characteristic (ROC) curve as predicting tool. Results Of the 296 newborns, 32 (10.81%) had retinopathy. The following variables represented a risk factor according to the logistic model: gestational age ≤ 30 weeks (p-value = 0.0214), birth weight ≤ 1250 grams (p-value = 0.0013) and Apgar score at 1 minute &lt;7 (p-value = 0.0352). The ROC curve with sensitivity of 0.771 and specificity of 0.774 was a precise model, showing accuracy of 0.8448 and a probability point of 0.79. Conclusions This model can be used to predict retinopathy in premature newborns with a risk factor of 0.79, emphasizing that the need for additional attention.
DOI: 10.6084/m9.figshare.6502862
title: Trends in morbidity and mortality due to child and adolescent cancer in a center of irrigated fruitculture

description: Abstract Objective To describe trends in cancer morbidity and mortality among young people aged 0 to 19 years in the municipalities of Petrolina (PE) and Juazeiro (BA). Method Historical series of morbidity and mortality from childhood and adolescence of residents of Petrolina (PE) and Juazeiro (BA), from 2004 to 2013, using data from the Hospital Internment Information System and Mortality Information System. Rates of hospitalization and mortality were standardized by age, trend analysis was performed by the Joinpoint regression model. Results Rates of hospitalization and mortality were higher in Petrolina compared to those in Juazeiro. Mortality rates above 60/1.000.0000 in both municipalities are above the Brazilian mortality rates (40.28/1.000,000) and the mortality rates in the Northeast (35.62/1.000.000) from 2001 to 2005. Conclusion There was a significant increase in hospitalization rates and increase without statistical significance of mortality rates in the two municipalities, which may be related to improved access to specialized pediatric oncology services, late diagnosis, and exposure to pesticides.
DOI: 10.6084/m9.figshare.6502862.v1
title: Trends in morbidity and mortality due to child and adolescent cancer in a center of irrigated fruitculture

description: Abstract Objective To describe trends in cancer morbidity and mortality among young people aged 0 to 19 years in the municipalities of Petrolina (PE) and Juazeiro (BA). Method Historical series of morbidity and mortality from childhood and adolescence of residents of Petrolina (PE) and Juazeiro (BA), from 2004 to 2013, using data from the Hospital Internment Information System and Mortality Information System. Rates of hospitalization and mortality were standardized by age, trend analysis was performed by the Joinpoint regression model. Results Rates of hospitalization and mortality were higher in Petrolina compared to those in Juazeiro. Mortality rates above 60/1.000.0000 in both municipalities are above the Brazilian mortality rates (40.28/1.000,000) and the mortality rates in the Northeast (35.62/1.000.000) from 2001 to 2005. Conclusion There was a significant increase in hospitalization rates and increase without statistical significance of mortality rates in the two municipalities, which may be related to improved access to specialized pediatric oncology services, late diagnosis, and exposure to pesticides.
DOI: 10.6084/m9.figshare.6503084
title: Prevalence, profile and factors associated with self-medication in adolescents and employees of a professionalizing public school

description: Abstract Objectives To evaluate the prevalence, profile and factors associated with self-medication in the population of the Federal Institute of Minas Gerais (Instituto Federal de Minas Gerais) - Ouro Preto. Method This is a cross-sectional study, in which a questionnaire was applied to students and staff of the Institution addressing issues such as socioeconomic status, general characteristics, self-reported health condition, medication used in the previous 15 days, use of prescription and over-the-counter medication. Poisson regression was used to evaluate the factors associated with self-medication. Results 270 individuals were interviewed, 231 students and 39 employees. The prevalence of self-medication was 69.3% (95%CI 63.6-74.6), analgesics being the main pharmacological class used. The factors associated with self-medication were: to use medicine influenced by advertising (PR = 1.2; 95%CI = 1.1-1.4); the practice of indicating medication (PR = 1.4; 95%CI = 1.1-1.6); self-reported health status very good/good (PR = 0.8; 95%CI = 0.6-0.9), and having the last medical appointment for more than a month (RP = 1.5; 95%CI= 1.1-2.1). Conclusion These factors reinforce the importance of access to medical consultations and awareness actions of the rational use of medicines.
DOI: 10.6084/m9.figshare.6503084.v1
title: Prevalence, profile and factors associated with self-medication in adolescents and employees of a professionalizing public school

description: Abstract Objectives To evaluate the prevalence, profile and factors associated with self-medication in the population of the Federal Institute of Minas Gerais (Instituto Federal de Minas Gerais) - Ouro Preto. Method This is a cross-sectional study, in which a questionnaire was applied to students and staff of the Institution addressing issues such as socioeconomic status, general characteristics, self-reported health condition, medication used in the previous 15 days, use of prescription and over-the-counter medication. Poisson regression was used to evaluate the factors associated with self-medication. Results 270 individuals were interviewed, 231 students and 39 employees. The prevalence of self-medication was 69.3% (95%CI 63.6-74.6), analgesics being the main pharmacological class used. The factors associated with self-medication were: to use medicine influenced by advertising (PR = 1.2; 95%CI = 1.1-1.4); the practice of indicating medication (PR = 1.4; 95%CI = 1.1-1.6); self-reported health status very good/good (PR = 0.8; 95%CI = 0.6-0.9), and having the last medical appointment for more than a month (RP = 1.5; 95%CI= 1.1-2.1). Conclusion These factors reinforce the importance of access to medical consultations and awareness actions of the rational use of medicines.
DOI: 10.6084/m9.figshare.6503087.v1
title: Retinopathy of prematurity: associated factors and prediction

description: Abstract Introduction Retinopathy of prematurity (ROP) is a vasoproliferative disease that affects the retina of prematurely born children. Therefore, this study proposed to identify associated factors and to predict retinopathy in prematurity. Method A cross-sectional study including preterm newborns divided into two groups: with and without retinopathy. The variables were categorized using the likelihood ratio test, and the variables with p-values less than 0.2 were analyzed by a multiple logistic model. The model used the construction of a Receiver Operating Characteristic (ROC) curve as predicting tool. Results Of the 296 newborns, 32 (10.81%) had retinopathy. The following variables represented a risk factor according to the logistic model: gestational age ≤ 30 weeks (p-value = 0.0214), birth weight ≤ 1250 grams (p-value = 0.0013) and Apgar score at 1 minute &lt;7 (p-value = 0.0352). The ROC curve with sensitivity of 0.771 and specificity of 0.774 was a precise model, showing accuracy of 0.8448 and a probability point of 0.79. Conclusions This model can be used to predict retinopathy in premature newborns with a risk factor of 0.79, emphasizing that the need for additional attention.
DOI: 10.6084/m9.figshare.6992357
title: Sensitivity and specificity of hand grip strength as a risk discriminator for multimorbidities in the elderly

description: Abstract Objective Select through sensitivity and specificity the best cutoffs for hand grip strength as a risk discriminator for presence of multimorbidities in the elderly. Method A cross-sectional study was conducted with 310 elderly individuals aged ≥60 years, of both genders, living in the municipality of Ibicuí, Bahia state, Brazil. Hand grip strength as a risk discriminator for presence of multimorbidities was identified by analysis of the Receiver Operating Characteristic (ROC) curves with 95% confidence interval. Subsequently, the cutoff points with their respective sensitivity and specificity values were identified. Results The total area under the ROC curve between hand grip strength and presence of multimorbidities was 0.59, 95% CI (0.52-0.67) for women and 0.58, 95% CI (0.50-0.67) for men. The best cutoff points to discriminate presence of multimorbidities were 15.35 kgf (69.7% sensitivity and 52.2% specificity) and 24.8 kgf (49.5% sensitivity and 68.4% specificity) for women and men, respectively. Conclusion Results suggest that hand grip strength may be used as a risk discriminator for presence of multimorbidities in the elderly.
DOI: 10.6084/m9.figshare.6992060
title: Admissions for conditions sensitive to primary health care, 2008-2015: an analysis of the impact of the expansion of the Family Health Strategy in the city of Rio de Janeiro

description: Abstract Background The municipality of Rio de Janeiro has presented an important expansion of Primary Health Care coverage through Family Health Strategy since 2009, and it is important to evaluate the impact of this agenda. Admissions Rate by Primary Care Sensitive Conditions is an indicator used in order to assess the effectiveness of PHC. Objective Evaluate the repercussion of the expansion of Family Health Strategy (FHS) on admission for conditions sensitive to primary health care (ICSAP) from 2008 to 2015. Method FHS and ICSAP coverage indicators were analyzed between 2008 and 2015 in the municipality of Rio de Janeiro. Correlation between the indicators was obtained using Spearman's coefficient and the rate ratio was calculated using as a parameter the year immediately preceding the expansion of coverage in the municipality (2008). Results Results identified a trend towards increased FHS coverage and reduced ICSAP indicators, inverse correlation between FHS coverage and the proportion of hospitalizations due to ICSAP (r = -0.888, p = 0.020), and between FHS coverage and ICSAP rate (r = -0.753, p = 0.031). Significant correlation was observed between the rate ratios of coverage indicators as of 2011 and the hospitalization rates as of 2013. Conclusion Expansion of PHC in the city of Rio de Janeiro had a positive impact on hospitalizations because of conditions that were sensitive to PHC. It is necessary to discuss the standardization of services for PHC units and the encouragement of the qualification of professionals in the area.
DOI: 10.6084/m9.figshare.6992357.v1
title: Sensitivity and specificity of hand grip strength as a risk discriminator for multimorbidities in the elderly

description: Abstract Objective Select through sensitivity and specificity the best cutoffs for hand grip strength as a risk discriminator for presence of multimorbidities in the elderly. Method A cross-sectional study was conducted with 310 elderly individuals aged ≥60 years, of both genders, living in the municipality of Ibicuí, Bahia state, Brazil. Hand grip strength as a risk discriminator for presence of multimorbidities was identified by analysis of the Receiver Operating Characteristic (ROC) curves with 95% confidence interval. Subsequently, the cutoff points with their respective sensitivity and specificity values were identified. Results The total area under the ROC curve between hand grip strength and presence of multimorbidities was 0.59, 95% CI (0.52-0.67) for women and 0.58, 95% CI (0.50-0.67) for men. The best cutoff points to discriminate presence of multimorbidities were 15.35 kgf (69.7% sensitivity and 52.2% specificity) and 24.8 kgf (49.5% sensitivity and 68.4% specificity) for women and men, respectively. Conclusion Results suggest that hand grip strength may be used as a risk discriminator for presence of multimorbidities in the elderly.
DOI: 10.6084/m9.figshare.6992060.v1
title: Admissions for conditions sensitive to primary health care, 2008-2015: an analysis of the impact of the expansion of the Family Health Strategy in the city of Rio de Janeiro

description: Abstract Background The municipality of Rio de Janeiro has presented an important expansion of Primary Health Care coverage through Family Health Strategy since 2009, and it is important to evaluate the impact of this agenda. Admissions Rate by Primary Care Sensitive Conditions is an indicator used in order to assess the effectiveness of PHC. Objective Evaluate the repercussion of the expansion of Family Health Strategy (FHS) on admission for conditions sensitive to primary health care (ICSAP) from 2008 to 2015. Method FHS and ICSAP coverage indicators were analyzed between 2008 and 2015 in the municipality of Rio de Janeiro. Correlation between the indicators was obtained using Spearman's coefficient and the rate ratio was calculated using as a parameter the year immediately preceding the expansion of coverage in the municipality (2008). Results Results identified a trend towards increased FHS coverage and reduced ICSAP indicators, inverse correlation between FHS coverage and the proportion of hospitalizations due to ICSAP (r = -0.888, p = 0.020), and between FHS coverage and ICSAP rate (r = -0.753, p = 0.031). Significant correlation was observed between the rate ratios of coverage indicators as of 2011 and the hospitalization rates as of 2013. Conclusion Expansion of PHC in the city of Rio de Janeiro had a positive impact on hospitalizations because of conditions that were sensitive to PHC. It is necessary to discuss the standardization of services for PHC units and the encouragement of the qualification of professionals in the area.
DOI: 10.6084/m9.figshare.6992069
title: Patterns of sleep and daytime sleepiness: comparison between adolescents from the interior and metropolitan regions

description: Abstract Introduction Sleep is a physiological process whose expression in humans is influenced by social and environmental factors. Objective Compare the variables sleep and daytime sleepiness in adolescents from a municipality in the countryside and from a metropolitan city. Method Study participants were 1645 adolescents from representative samples of two cities of the state of Santa Catarina, Brazil: one from the interior of the state and another from a metropolitan area. Adolescents responded to a self-administered questionnaire on sociodemographic issues, sleeping and waking times on weekdays and weekends, daytime sleepiness, and health perception. Results Adolescents living in the metropolitan region presented delayed sleeping (p &lt; 0.001), waking (p &lt; 0.001), and mid-sleep ( p &lt; 0.001) times compared with those of adolescents from the countryside. No statistically significant differences were observed between the means of sleep duration identified (p = 0.645). Adolescents also presented similar sleepiness indexes (p = 0.082). Association of negative health perception with high scores on the Pediatric Daytime Sleepiness Scale (PDSS) was observed regardless of the region in which adolescents live. Conclusions Results suggest that contextual and geographic variables influence the sleep phase of adolescents. Therefore, a better understanding of sleep compensatory measures in adolescents is fundamental.
DOI: 10.6084/m9.figshare.6992069.v1
title: Patterns of sleep and daytime sleepiness: comparison between adolescents from the interior and metropolitan regions

description: Abstract Introduction Sleep is a physiological process whose expression in humans is influenced by social and environmental factors. Objective Compare the variables sleep and daytime sleepiness in adolescents from a municipality in the countryside and from a metropolitan city. Method Study participants were 1645 adolescents from representative samples of two cities of the state of Santa Catarina, Brazil: one from the interior of the state and another from a metropolitan area. Adolescents responded to a self-administered questionnaire on sociodemographic issues, sleeping and waking times on weekdays and weekends, daytime sleepiness, and health perception. Results Adolescents living in the metropolitan region presented delayed sleeping (p &lt; 0.001), waking (p &lt; 0.001), and mid-sleep ( p &lt; 0.001) times compared with those of adolescents from the countryside. No statistically significant differences were observed between the means of sleep duration identified (p = 0.645). Adolescents also presented similar sleepiness indexes (p = 0.082). Association of negative health perception with high scores on the Pediatric Daytime Sleepiness Scale (PDSS) was observed regardless of the region in which adolescents live. Conclusions Results suggest that contextual and geographic variables influence the sleep phase of adolescents. Therefore, a better understanding of sleep compensatory measures in adolescents is fundamental.