Universidade de Pernambuco

About: Universidade de Pernambuco is a education organization based out in Recife, Brazil. It is known for research contribution in the topics: Population & Artificial neural network. The organization has 6147 authors who have published 6948 publications receiving 73648 citations.

Mortalidade materna em Recife. 1. Avaliação da subenumeração de estatísticas oficiais

Abstract: Este estudo analisou os obitos de mulheres com idade entre 10 a 49 anos, ocorridos em Recife, Pernambuco, nos anos de 1992 e 1993, com a finalidade de identificar os obitos maternos neste periodo e confronta-los com as estatisticas oficiais. As informacoes foram obtidas a partir de 1.013 declaracoes de obito, sendo complementadas com consultas aos prontuarios medicos, fichas de anestesia, relatorios de enfermagem, pericias tanatoscopicas do Instituto de Medicina Legal, relatorios das necropsias do Servico de Verificacao de obitos e por meio de entrevistas com os medicos que assistiram estes obitos ou com familiares das mulheres que faleceram. Calcularam-se as razoes de mortalidade materna (RMM) para o Municipio de Recife para cada ano e para o periodo total do estudo. As 20 mortes maternas declaradas representaram 2% dos obitos entre mulheres nessa faixa etaria. Apos a investigacao encontraram-se mais 22 casos para todo o periodo. A RMM pelas estatisticas oficiais era de 37,0 por 100.000 nascidos vivos, passando a 77,7 apos a correcao. Esta diferenca representou uma subenumeracao de 52,4%. Conclui-se que, no caso de Recife, nao se poderia aplicar o fator de correcao de 3,0 recomendado para a Regiao Nordeste pelo Ministerio da Saude, porque a mortalidade materna estaria sendo entao superestimada.

Nutritional status and its impact on time and relocation in postoperative complications of abdominal patients undergoing surgery

Abstract: Introuction The nutritional state is the independent factor that most influences the post-operational results in elective surgeries Oective to evaluate the influence of the nutritional state on the hospitalization period and on the post-operative complications of patients submitted to abdominal surgery Metos prospective study with 99 surgical patients over 18 years of age, submitted to abdominal surgeries in the period from April to October of 2013, in the Instituto e Meicina Integral Proessor Fernano Figueira (IMIP) All patients were submitted to anthropometric nutritional evaluations through the body mass Index (BMI), arm circumference (AC) and triceps skinfold thickness (TEST) The biochemical evaluation was carried out from the leukogram and serum albumin results The identification of candidate patients to nutritional therapy (NT) was carried out through the nutritional risk (NR) evaluation by using the BMI, loss of weight and hypoalbuminemia The information about post-operational complications, hospitalization period and clinical diagnosis was collected from the medical records Program SPSS version 130 and significance level of 5% were used for the statistical analysis Results The malnutrition diagnosed by the AC showed significant positive association with the presence of post-operative complications (p=002) and with hospitalization period (p=002) The presence of NR was greater when evaluated by hypoalbuminemia (289%), however, only 4% of the sample carried out the NT in the pre-operational period The hospitalization period was greater for patients with malignant neoplasia (p<001) Conclusion The malnutrition diagnosis of patients submitted to abdominal surgeries is associated to greater risk of post-operational complications and longer hospitalization permanence (Nutr Hosp 2014;30:629-635)

Why do people use exotic plants in their local medical systems? A systematic review based on Brazilian local communities.

Abstract: Efforts have been made to understand the processes that lead to the introduction of exotic species into local pharmacopoeias. Among those efforts, the diversification hypothesis predicts that exotic plants are introduced in local medical systems to amplify the repertoire of knowledge related to the treatment of diseases, filling blanks that were not occupied by native species. Based on such hypothesis, this study aimed to contribute to this discussion using the context of local Brazilian populations. We performed a systematic review of Brazilian studies up to 2011 involving medicinal plants, excluding those studies that presented a high risk of bias (because of sampling or plant identification problems). An analysis of similarities (ANOSIM) was conducted in different scales to test for differences in the repertoire of therapeutic indications treated using native and exotic species. We have found that although there is some overlap between native and exotic plants regarding their therapeutic indications and the body systems (BSs) that they treat, there are clear gaps present, that is, there are therapeutic indications and BSs treated that are exclusive to exotic species. This scenario enables the postulation of two alternative unfoldings of the diversification hypothesis, namely, (1) exotic species are initially introduced to fill gaps and undergo subsequent expansion of their use for medical purposes already addressed using native species and (2) exotic species are initially introduced to address problems already addressed using native species to diversify the repertoire of medicinal plants and to increase the resilience of medical systems. The reasons why exotic species may have a competitive advantage over the native ones, the implications of the introduction of exotic species for the resilience of medical systems, and the contexts in which autochthonous plants can gain strength to remain in pharmacopoeias are also discussed.