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 & Medicine. The organization has 6147 authors who have published 6948 publications receiving 73648 citations.

Efficacy and Safety of Stents in the Treatment of Fistula After Bariatric Surgery: a Systematic Review and Meta-analysis

Abstract: Fistula development is a serious complication after bariatric surgery. We performed a systematic review and meta-analysis to assess the efficacy of fistula closure and complications associated with endoscopic stent treatment of fistulas, developed after bariatric surgeries, particularly Roux-en-Y gastric bypass (RYGB) and gastric sleeve (GS). Studies involving patients with fistula after RYGB or GS and those who received stent treatment only were selected. The analyzed outcomes were overall success rate of fistula closure, mean number of stents per patient, mean stent dwelling time, and procedure-associated complications. Current evidence from identified studies demonstrates that, in selected patients, endoscopic stent treatment of fistulas after GS or RYGB can be safe and effective.

O perfil da emergência do Hospital da Restauração: uma análise dos possíveis impactos após a municipalização dos serviços de saúde

Abstract: Estudo do perfil demografico e epidemiologico da clientela atendida na Emergencia de Adultos do Hospital da Restauracao, unidade de grande porte pertencente a Secretaria de Saude de Pernambuco e que atende pacientes provenientes de todas as regioes do Estado. OBJETIVO: Identificar o perfil da clientela atendida, sua adequacao a missao institucional e avaliar as mudancas ocorridas apos a municipalizacao dos servicos de saude, em 1994. METODO: O desenho de estudo foi o de analise de serie de dados, sendo a amostra constituida por 16.383 prontuarios de pacientes atendidos nos anos de 1993, 1997 e 2001. Foram estudadas as variaveis diagnostico (adequados e inadequados), municipalizacao, Programa de Saude da Familia, e as co-variaveis sexo, faixa etaria, dia, hora e procedencia. RESULTADOS: Em relacao a variavel diagnostico, constatou-se que a grande maioria foi inadequada (74,5%). A municipalizacao dos servicos de saude e a implantacao do Programa de Saude da Familia ao que parece nao acarretaram modificacoes significativas na demanda aos servicos. Duas faixas etarias (20-29 e 30-49 anos) perfazem mais da metade dos atendimentos. Por especialidades, a maior demanda e para a Traumatologia, seguindo-se a Clinica Cirurgica. A quase totalidade dos pacientes (90%) procede do Recife ou da Regiao Metropolitana, sendo a segunda-feira e o horario diurno os de maior demanda. Os resultados indicam que o Hospital cumpre sua missao de atendimento preferencial a politraumatismos, neurocirurgia e emergencias clinicas. No entanto, atende uma grande parcela de pacientes que nao estao adequados ao seu perfil, comprometendo a qualidade da assistencia prestada aqueles que o demandam.

Relationship between oral health, nutrient intake and nutritional status in a sample of Brazilian elderly people

Abstract: Objective: To evaluate the relationship between the oral health condition, the nutrient intake and the body mass index (BMI) in elderly people. Background: Impaired dentition has been associated with an inadequate consumption of key nutrients and with changes in nutritional status in elderly people. Materials and methods: The sample comprised 887 elderly people, aged 60 and over, of whom 816 underwent a clinical oral examination and were allocated into groups according to the numbers of teeth and number of posterior occluding pairs of natural teeth. Nutritional status was determined using the BMI. Dietary intake was assessed by a 24-h diet recall interview and the data from these records were converted to nutritional intake using DietPro software. Differences between means were evaluated using anova, together with the Tukey test or Dunnet test, according to the normality of the data. Associations between categorical variables were tested using chi-square analysis. Results: Ages ranged from 60 to 96 years (mean, 71.46 years), with 47% of the respondents in the 60-to 69-year-old group. A high DMFT index (mean, 27.81) was observed with the missing component accounting for 88.8% of the index. Significant differences were observed between the mean intake of nutrients and the number of posterior occluding pairs of natural teeth (p < 0.05). No significant differences were found between the number of teeth and BMI. Conclusion: Nutrient intake is associated with the oral health status as defined by clinical measures.

Impacts of dental pain on daily activities of adolescents aged 14-15 years and their families.

Abstract: Objective. To assess the prevalence and severity of dental pain on the daily lives of adolescents and their families in Brazil, and, in terms of socio-economic status, whether there are differences in the prevalence of impacts. Material and Methods. In a cross-sectional survey of a random sample of 14 to 15-year-olds in Brazil, the prevalence and severity of dental pain, and how dental pain affects daily functioning, were assessed using a child-related questionnaire. A family-related questionnaire included questions on a child pain inventory and the pain-related impacts on the daily lives of the child's family members. Results. 14.5% of children reported high impact levels on their daily lives related to dental pain, the more so among girls than among boys, i.e. 16.7% compared to 11.6%. Significantly more impacts occurred in lower socio-economic class children than in higher, i.e. 19.7% versus 7.8%. The prevalence of impacts among children who reported dental pain (n=354) was high; 64.7% reporting that co...

Fatores de risco para mortalidade neonatal em crianças com baixo peso ao nascer

Abstract: OBJETIVO: Analisar os fatores de risco associados aos obitos neonatais em criancas com baixo peso ao nascer. METODOS: Realizou-se um estudo de coorte, composto pelos nascidos vivos com peso entre 500 g e 2.499 g, residentes no Recife (PE), entre 2001 e 2003, produtos de gestacao unica e sem anencefalia. Os dados sobre os 5.687 nascidos vivos e 499 obitos neonatais, provenientes do Sistema de Informacoes sobre Nascidos Vivos e do Sistema de Informacoes sobre Mortalidade, foram integrados pela tecnica de linkage. Em modelo hierarquizado, as variaveis dos niveis distal (fatores socioeconomicos), intermediario (fatores de atencao a saude) e proximal (fatores biologicos) foram submetidas a analise univariada e regressao logistica multivariada. RESULTADOS: Com o ajuste das variaveis na regressao logistica multivariada, as variaveis do nivel distal que permaneceram significantemente associadas com o obito neonatal foram: a coabitacao dos pais, numero de filhos vivos e tipo de hospital de nascimento; no nivel intermediario: numero de consultas no pre-natal, complexidade do hospital de nascimento e tipo de parto; e no nivel proximal: sexo, idade gestacional, peso ao nascer, indice de Apgar e presenca de malformacao congenita. CONCLUSOES: Os principais fatores associados a mortalidade neonatal nos nascidos vivos com baixo peso estao relacionados com a atencao a gestante e ao recem-nascido, redutiveis pela atuacao do setor saude.