DA GESTÃO DA INFORMAÇÃO AO COMPORTAMENTO INFORMACIONAL

In today's information society, technology investments have become a way for organizations to find the desired competitive advantage. However, these investments do not always bring the expected results. Thus, the present article reflected on the importance of employee behavior in relation to informational resources since technology does not guarantee organizational objectives. Through extensive bibliographic research, this paper has discussed the main concepts on the subject.En la sociedad de la información actual, las inversiones en tecnología se han convertido en una forma para que las organizaciones garanticen la ventaja competitiva deseada. Estas inversiones no siempre traen los resultados esperados. Por lo tanto, este artículo reflexiona sobre la importancia del comportamiento del empleado en relación con el intercambio de información, ya que la tecnología no garantiza los objetivos organizativos. A través de una vasta investigación bibliográfica, este artículo analiza los principales conceptos sobreNa atual sociedade da informação os investimentos em tecnologia têm se tornado uma forma das organizações garantir a desejada vantagem competitiva. Estes investimentos nem sempre trazem os resultados esperados. Assim, o presente artigo reflete sobre importância do comportamento do colaborador em relação ao recurso informacional visto que a tecnologia não garante os objetivos organizacionais. Por intermédio de uma vasta pesquisa bibliográfica, este documento discute os principais conceitos sobre o tema

Miastenia grave autoimune do adulto : experiencia de 20 anos do HC - FCM - UNICAMP

Orientador: Anamarli NucciDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências MédicasResumo: A miastenia grave (MG) é a doença autoimune melhor compreendida. Assume grande importância por suas manifestações clínicas de morbi-mortalidade, as quais declinaram com o maior conhecimento fisiopatológico da doença nas últimas décadas . Analisou-se retrospectivamente os prontuários dos pacientes adultos com MG autoimune do Hospital de Clínicas da Faculdade de Ciências Médicas da Universidade Estadual de Campinas ( HC - FCM - UNICAMP ), acompanhados no período de 1982 a 2001. Enfocou-se dados de apresentação clínica, exames complementares, tratamento e evolução. Medidas de significância estatística foram realizadas por teste do Qui-Quadrado ou teste exato de Fisher quando indicado, com significância quando p 10% em 69,57%, e em 25% dos casos grau I. Anticorpos anti receptor de acetilcolina (AcARACo ), fração ligador, foram positivos em 67,24% dos casos submetidos ao exame. A tomografia computadorizada ( TC ) de mediastino mostrou uma sensibilidade de no máximo 75% para detecção de timoma e especificidade de 67,92%. O exame anátomo patológico evidenciou 16% de timoma. A timectomia como parte da terapêutica foi realizada em 59% dos casos. Anti-colinesterásico foi utilizado em 96,9%, prednisona em 86%, outros imunossupressores em 35%, plasmaférese aguda em 20% e a imunoglobulina (IgIV) aguda em 3,93%. Na evolução 29,13% apresentaram remissão completa, 7,09% remissão farmacológica, 53,54% melhora, 4,72% ficaram inalterados, 0,79% (um caso) piora, 2,36% exacerbação e 2,36% óbito relacionado a MG. Entre os fatores associados com remissão completa mostrou-se significante a realização de timectomia (p=0,0002) e com evolução não favorável o sexo masculino (p=0,0469). Óbitos pela MG foram associados a uma pior classificação de O e G ( graus III e IV )Abstract: Introduction: Myasthenia gravis (MG) is the best known autoimmune diseased. There is very importance due to its morbidity and mortality, with improvement in the treatment in the last years. Objectives: to analyze retrospectively the experience of UNICAMP University Hospital about MGAA. Casuistics and Methods: to review retrospectively the charts of adults myasthenic patients attended in Unicamp University Hospital and that were followed in a regular bases during the period 1982-2001. It was analysed the clinical classification, laboratory examinations (repetitive nerve stimulation; acetylcholine receptor antibodies; CT or MRI images of mediastinum and histopathological exams of surgical removed material), treatment and outcome. Variables were analyzed by Chi ¿ square or Fisher' s exact test ( probability ¿ p < = 0,05 was considered significant ), and by multivariance regression analysis. Results: 127 patients fulfilled criteria for MGAA , 71% were females and 29% males; 87,4% white and 11,81% black. The mean age at the beginning of MG was 36,95 years, median 32 years, extremes 19 and 71 years. Another autoimmune disease was present in 19,68%. Osserman-Genkins scale classified 17,3% as grade I, 42,5% as IIa, 29,9% as IIb, 7,1% as III and 3,1% as grade IV. Repetitive nerve stimulation was positive in 69,57%, and only in 25% grade I. Acetylcholine receptor antibodies was positive in 67,24% from the cases that performed the exam. CT images of mediastinum showed 75% sensibility for diagnosis of thymoma and 67,92% specificity. Thymic histopathology revealed thymoma in 16%. Seventy five patients (59%) were submitted to thymectomy. The treatment with anticholinesterasic agents was prescribed for 96,9%, prednisone for 86%, and another immunossupressor for 35%. Plasmapheresis was indicated in 20% and intravenous immunoglobulin in 3,93%. Evolution: 29,13% was in complete remission, 7,09% in pharmacologic remission, 53,54% were considered improved, 4,72% had unchanged status, 0,79% (one case) worse, 2,36% exacerbation and 2,36% died of MG. Thymectomy associated to complete remission was considered significant (p=0,0002), and males were associated to unfavorable evolution (p=0,0469). Death of MG was associated to a worse clinical classification on Osserman-Genkins scale. Conclusions: One hundred and Twenty seven pacients with MGAA were followed; and clinical presentation range from ocular MG to severe MG, but mild generalized MG predominated. The treatment considered drugs and thymectomy. A favorable evolution was observed in 90% of casesMestradoNeurologiaMestre em Ciências Médica

Analysis of standards of living and health in the urban population of Botucatu, S.Paulo State (Brazil): II - The population's knowledge and opinion on disease symptoms, 1983

Com objetivo de verificar o grau de informação da população urbana de Botucatu sobre questões de saúde, foram pesquisados conhecimentos e opiniões a respeito da freqüência e gravidade de treze sintomas e sinais de doenças, em 1.005 famílias amostradas. As respostas foram analisadas segundo idade, sexo, escolaridade e estrato sócio-econômico e mostraram tendência compatível com os conhecimentos da medicina científica. Na comparação dos sexos, por idade, as mulheres (adultas jovens) valorizaram mais do que os homens a freqüência e a gravidade da maioria dos sintomas. Os escores altos conferidos para a gravidade tenderam a diminuir com o aumento da escolaridade para todos os sintomas. Houve variações, entre os sintomas, na valorização da freqüência, de acordo com os estratos sócio-econômicos, com tendência à diminuição dos escores altos para gravidade, com o aumento do nível sócio-econômico. O grau de informação encontrado na população contraria o preconceito ainda existente na área médica, a respeito do conhecimento dos leigos. Foi levantada a hipótese de que a amostra estudada teve acesso a múltiplas fontes de informação, entre as quais a extensa rede local de serviços médicos.It was verified the extent of the information of the urban population of Botucatu, SP (Brazil) on health questions. Knowledge and opinions about frequency and severity of thirteen symptoms and signs of disease were researched in 1005 families sampled. The answers were analyzed according to age, sex, level of education and socio-economic level. They showed a tendency compatible with scientific medical knowledge. In the comparison of the sexes, by age, (young adult) women gave more value to the frequency and seventy of most of the symptoms than men. The high scores observed for severity showed a tendency to decrease with the increasing level of education for all the symptoms. There were variations among the symptoms in the appreciation of frequency according to the socio-economic level, with a tendency to a decrease in the high scores related to severity, according to the increase in socio-economic level. The degree of information observed in the population contradicts the prejudice, still existing in the medical area, about laymen's lack of knowledge. The hypothesis that the sample studied had access to several sources of information, among them the extensive local network of medical sevices, is put forward

Inquérito sobre blastomicose sul-americana pela intradermo reação em uma comunidade rural do município de Botucatu, SP (Brasil)

The prevalence of South American Blastomycosis (S.A.B.), had not been studied in rural areas of the State of São Paulo (Brazil) where it is suposed to be endemic. In a S.A.B. skin test survey made in 408 persons living in rural areas around Botucatu we had 13% of positive results. No sex or race differences are observed, however positive results were more frequent in older residents of the area. Persons with positive skin test were submited to examination and none of them had any clinical or roentgenological signs sugestive of S.A.B., from there 29 persons only 13.8% had positive complement fixation for S.A.B.A blastomicose sul-americana, considerada como doença endêmica no interior do Estado de São Paulo, não havia sido ainda investigada quanto a sua prevalência, como infecção, em zona rural. Em inquérito realizado entre 408 pessoas de uma comunidade rural de Botucatu, pela intradermo reação com paracoccidioidina, verificou-se 13% de positividade. Não houve diferenças de positividade quanto ao sexo, cor e hábitos. As percentagens de positivos, em termos gerais, aumentaram com a idade e com o tempo de residência nas fazendas, o que pode ser explicado pelo maior tempo de exposição ao agente, ainda mais nas ocupações ligadas à lavoura. No grupo controle a taxa de testes positivos foi de 6,6%. Entre 29 soros, da população rural, houve 13,8% de reações de fixação do complemento positivas (Título entre 2,0 e 2,5). Os exames clínico e radiológico dos indivíduos reatores não evidenciaram sinais sugestivos de blastomicose-doença

Multidimensional evaluation of performance: experimental application of the balanced scorecard in Ferrara university hospital

<p>Abstract</p> <p>Background and Aims</p> <p>One of the best-known performance planning and evaluation techniques utilising both monetary and non-monetary data is the <it>Balanced Scorecard (BSC)</it>. This is a means of rationalising the global activity of a business in the attempt to create value, and to translate the company vision into a set of tactical objectives and measurable strategies. The aim of this study was to implement and evaluate the use of BSC in two departments of the St. Anna University Hospital, Ferrara: the Analysis Laboratory and Digestive Endoscopy operating units (OU).</p> <p>Materials and methods</p> <p>With the collaboration of the health workers involved, a precise methodological programme was pursued: Definition of the strategic map from 4 perspectives, according to Kaplan and Norton, Definition of the Key Performance Areas (KPA), or macro-objectives, Identification of the cause-effect relationships between KPAs, Identification of the sub-objectives of each KPA, Definition of the Key Performance Indicators (KPI), Definition of the weight/importance of each objective in the global evaluation.</p> <p>Results</p> <p>The information gathered permitted the definition of macro- and sub-objectives for each perspective, as well as determining the relevant indicators, standards, weights, frequency of detection and means of acquisition. Strategic maps showing the cause/effect relationships in each OU were created, as were 'evaluation panels', which describe the global performance of each department. For each perspective, the fundamental data were summarised in one table. Evaluation of each perspective yielded a positive result for the majority of the objectives, and the global result (including all 4 perspectives) was found to be satisfactory.</p> <p>Discussion-Conclusion</p> <p>The Balanced Scorecard was implemented in the abovementioned OUs of St. Anna University Hospital, Ferrara, after the health workers themselves realised the need for change.</p> <p>In our research the employees were pleased to be evaluated, not only for the financial outcomes, but also for the satisfaction of improving internal procedure, relationships with the community and their own growth/learning. BSC is an ideal point of contact between the financial and clinical dimensions of management. However, difficulties in its application were faced, among these, at least in the initial phase, the lack of information systems able to drive it, and the complexity of the research for specific indicators needed to be overcome. The time factor (on average, at least two years are required) and the availability of technological resources were also limiting factors.</p> <p>The rapid diffusion of BSC among the principal international profit and non-profit organisations is testament to its great potential. This project could be seen as a preparatory phase in the strategical analysis of a subsequent business plan.</p

Multidimensional evaluation of performance with experimental application of balanced scorecard: a two year experience

<p>Abstract</p> <p>Background</p> <p>In today's dynamic health-care system, organizations such as hospitals are required to improve their performance for multiple stakeholders and deliver an integrated care that means to work effectively, be innovative and organize efficiently. Achieved goals and levels of quality can be successfully measured by a multidimensional approach like Balanced Scorecard (BSC). The aim of the study was to verify the opportunity to introduce BSC framework to measure performance in St. Anna University Hospital of Ferrara, applying it to the Clinical Laboratory Operative Unit in order to compare over time performance results and achievements of assigned targets.</p> <p>Methods</p> <p>In the first experience with BSC we distinguished four perspectives, according to Kaplan and Norton, identified Key Performance Areas and Key Performance Indicators, set standards and weights for each objective, collected data for all indicators, recognized cause-and-effect relationships in a strategic map. One year later we proceeded with the next data collection and analysed the preservation of framework aptitude to measure Operative Unit performance. In addition, we verified the ability to underline links between strategic actions belonging to different perspectives in producing outcomes changes.</p> <p>Results</p> <p>The BSC was found to be effective for underlining existing problems and identifying opportunities for improvements. The BSC also revealed the specific perspective contribution to overall performance enhancement. After time results comparison was possible depending on the selection of feasible and appropriate key performance indicators, which was occasionally limited by data collection problems.</p> <p>Conclusions</p> <p>The first use of BSC to compare performance at Operative Unit level, in course of time, suggested this framework can be successfully adopted for results measuring and revealing effective health factors, allowing health-care quality improvements.</p

Is It Safe to Combine a Fundoplication to Sleeve Gastrectomy? Review of Literature

Complicacions; Fundoplicatura; MànigaComplicaciones; Funduplicatura; MangaComplications; Fundoplication; SleeveBackground and Objectives: The rising numbers of laparoscopic sleeve gastrectomy (LSG) procedures now being performed worldwide will likely be followed by an increasing number of patients experiencing gastro-esophageal reflux disease (GERD). The purpose of the current review was to analyze in terms of safety different techniques of fundoplication used to treat GERD associated with LSG. Methods: An online search was performed in PubMed/MEDLINE in December 2020 to identify articles reporting LSG and fundoplication. The following term combination was used: (sleeve, fundoplication), (sleeve, Nissen), (sleeve, Rossetti), (sleeve, Toupet) and (sleeve, Dor). The extracted information included details of the methods (e.g., retrospective case series), demographic characteristics (e.g., age, gender), clinical characteristics, number of patients, rate of conversion, and postoperative outcomes. Results: A total of 154 studies were identified and after an assessment of title according to our exclusion criteria, 116 articles were removed. Of the 38 studies analyzed for full content review, a total of seven primary studies (487 patients) were identified with all inclusion criteria. Analyzing the different types of fundoplication used, we have identified: 236 cases of Nissen-Sleeve, 220 cases with modified Rossetti fundoplication, 31 cases of Dor fundoplication, and no case of Toupet fundoplication. The overall postoperative complication rate was 9.4%, with the most common reported complication being gastric perforation, 15 cases—3.1%. The second most common complication was bleeding identified in nine cases (1.8%) followed by gastric stenosis in six cases (1.2%). The mortality was nil. Conclusions: Different types of fundoplication associated with LSG appear to be a safe surgical technique with an acceptable early postoperative complication rate. Any type of fundoplication associated with LSG to decrease GERD should be evaluated cautiously while prospective clinical randomized trials are needed.This research received no external funding

Desarrolo y validación de una versión reducida del instrumento para la evaluación de la Calidad de Vida en el Trabajo de enfermeras en hospitales

Este estudo tem como objetivos desenvolver a versão reduzida de um instrumento para avaliação da Qualidade de Vida no Trabalho (QVT) de enfermeiros hospitalares e analisar a sua confiabilidade e validade. O estudo foi desenvolvido com uma amostra probabilística de 348 enfermeiros selecionados em quatro hospitais da cidade de São Paulo. Os métodos clinimétrico e psicométrico foram utilizados no processo de redução de itens, obtendo-se um instrumento com 31 itens e quatro domínios: Valorização e reconhecimento institucional; Condições de trabalho, segurança e remuneração; Identidade e imagem profissional e Integração com a equipe. Na análise da consistência interna, obtiveram-se coeficientes alfa de Cronbach de 0,94 para o total de itens e de 0,77 a 0,92 para os domínios. Estes resultados e os obtidos nas análises de validade convergente, de critério e discriminante sugerem que o instrumento reduzido é adequado para a mensuração da QVT de enfermeiros em hospitais.Este estudio tiene como objetivo desarrollar una versión reducida de un instrumento para evaluar la Calidad de Vida en el Trabajo (CVT) de enfermeros en hospitales y evaluar su fiabilidad y validez. El estudio fue desarrollado con una muestra probabilística de 348 enfermeros seleccionados en cuatro hospitales da la ciudad de São Paulo, Brasil. Los métodos clinimétrico y psicométrico fueran utilizados en la reducción de ítems, obteniendo-se un instrumento con 31 ítems y cuatro dominios: Valorización y reconocimiento institucional; Condiciones de trabajo, seguridad y remuneración; Identidad y imagen profesional y Integración con el equipo. En la análisis de consistencia interna se obtuvieran coeficientes alfa de Cronbach de 0,94 para lo total de ítems y de 0,77 a 0,92 para los dominios. Estos resultados y los obtenidos en el análisis de validez convergente, de criterio y discriminante sugieren que el instrumento reducido es adecuado para la medición de CVT de enfermeros en hospitales.This study aims to develop a short form of an instrument to assess the Quality of Working Life (QWL) of hospital nurses and to evaluate its reliability and validity. The study was developed with a probabilistic sample of 348 nurses enrolled in four hospitals in Sao Paulo city, Brazil. Clinimetric and psychometric methods were used for the items reduction resulting in an instrument with 31 items and four domains: Institutional valorization and recognition; Working conditions, security and salary; Identity and professional image and Integration with the team. Internal consistency analysis showed Cronbach's alpha coefficients of 0.94 for the total items and 0.77 to 0.92 for the domains. These results and those obtained in the analysis of convergent, criterion and discriminant validity suggest that the reduced instrument is suitable for the measurement of QWL of nurses in hospitals

Common Mental Disorders And The Use Of Psychoactive Drugs: The Impact Of Socioeconomic Conditions

Objective: To evaluate the infl uence of socioeconomic conditions on the association between common mental disorders and the use of health services and psychoactive drugs. Methods: This was a population-based cross-sectional study conducted in the city of Botucatu, Southeastern Brazil. The sample was probabilistic, stratifi ed and cluster-based. Interviews with 1,023 subjects aged 15 years or over were held in their homes between 2001 and 2002. Common mental disorders were evaluated using the Self-Reporting Questionnaire (SRQ-20). The use of services was investigated in relation to the fortnight preceding the interview and the use of psychotropic drugs, over the preceding three days. Logistic regression was used for multivariable analysis, and the design effect was taken into consideration. Results: Out of the whole sample, 13.4% (95% CI: 10.7;16.0) had sought health services over the fortnight preceding the interview. Seeking health services was associated with female gender (OR=2.0) and the presence of common mental disorders (OR=2.2). 13.3% of the sample (95% CI: 9.2;17.5) said they had used at least one psychotropic drug, especially antidepressives (5.0%) and benzodiazepines (3.1%). In the multivariable analysis, female gender and the presence of common mental disorders remained associated with the use of benzodiazepines. Per capita income presented a direct and independent association with the use of psychoactive drugs: the greater the income, the greater the use of these drugs was. Conclusions: Lower income was associated with the presence of common mental disorders, but not with the use of psychotropic drugs. The association of common mental disorders and the use of psychotropic drugs in relation to higher income strengthens the hypothesis that inequality of access to medical services exists among this population.424717723Ballester, D.A., Filipon, A.P., Braga, C., Andreoli, S.B., The general practitioner and mental health problems: Challenges and strategies for medical education (2005) Sao Paulo Med J, 123 (2), pp. 72-76. , doi:10.1590/ S1516-31802005000200008Beck, C.A., Williams, J.V., Wang, J.L., Kassam, A., El-Guebaly, N., Currie, S.R., Psychotropic medication use in Canada (2005) Can J Psychiatry, 50 (10), pp. 605-613Galduroz, J.C., Noto, A.R., Nappo, S.A., Carlini, E.L., First household survey on drug abuse in São Paulo, Brazil, 1999: Principal findings (2003) Sao Paulo Med J, 121 (6), pp. 231-237. , doi:10.1590/S1516-31802003000600003Harding, T.W., Arango, M.V., Baltazar, J., Climent, C.E., Ibrahim, H.H., Ladrido-Ignacio, L., Mental disorders in primary health care: A study of their frequency and diagnosis in four developing countries (1980) Psychol Med, 10 (2), pp. 231-241Hart, J.T., The inverse care law (1971) Lancet, 1 (7696), pp. 405-412Hennekens, C.H., Buring, J.E., (1987) Epidemiology in Medicine, , Boston: Little, Brown and Company;Hosmer, D.W., Lemeshow, S., (1989) Applied Logistic Regression, , New York: John Wiley & Sons;Iacoponi, E., Detecção de distúrbios emocionais pelo médico: Impacto do tipo de trabalho médico e do conceito sobre doenças mentais. 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(2006) Cad Saude Publica, 22 (8), pp. 1639-1648. , doi: 10.1590/S0102-311X2006000800012Mari, J.J., Williams, P., A validity study of a Psychiatric Screening Questionnaire (SRQ-20) in Primary care in the city of São Paulo (1986) Br J Psychiatry, 148, pp. 23-26Mari, J.J., Almeida-Filho, N., Coutinho, E., Andreoli, S.B., Miranda, C.T., Streiner, D., The epidemiology of psychotropic use in the city of São Paulo (1993) Psychol Med, 23 (2), pp. 467-474Marín-Lŕon, L., Oliveira, H.B., Barros, M.B., Dalgalarrondo, P., Botega, N.J., Social inequality and common mental disorders (2007) Rev Bras Psiquiatr, 29 (3), pp. 250-253Mendoza-Sassi, R., Béria, J.U., Barros, A.J., Outpatient health service utilization and associated factors: A population-based study (2003) Rev Saude Publica, 37 (3), pp. 372-378Moncrieff, J., Psychiatric drug promotion and the politics of neo-liberalism (2006) Br J Psychiatry, 188, pp. 301-302Patel, V., Araya, R., Lima, M., Ludermir, A., Todd, C., Women, poverty and common mental disorders in four restructuring societies (1999) Soc Sci Med, 49 (11), pp. 1461-1471Rodrigues, M.A., Facchini, L.A., Lima, M.S., Modificações nos padrões de consumo de psicofármacos em localidade do Sul do Brasil. 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Análise das condições de saúde e de vida da população urbana de Botucatu, São Paulo (Brasil): IV - Morbidade referida em entrevistas domiciliárias, 1983-1984

The objective of the study was to analyse the referred morbidity of the urban population resident in the city of Botucatu, S. Paulo State, Brazil for the period 1983-1984 was analysed. Data was obtained from a sample population of 7,075 persons (12 per cent of the population) by means of household interviews using two pre-codified questionnaires applied by trained lay interviews under supervision. The recall period of the events was fixed at three weeks. The variables studied were: sex, age, schooling, "per capita" income, and referred morbidity (complaints, symptoms, common accidents, and diagnoses). The results showed that 56 percent reported episodes of illness to a total of 6,649. Women of 50 or more years old presented the highest frequency of complaints. There was no variation of occurrence of episodes in terms of "per capita" income. The prevalence of illness episodes was 939 per thousand persons. There was a predominance of complaints relating to the respiratory system (20 per cent of complaints), mainly acute respiratory infections; on a second level was signs, symptoms and ill-defined conditions (19 per cent), followed by diseases of the musculoskeletal system, of the nervous system and of the circulatory system (about 9%) and, finally, diseases of the digestive system and lesions and poisoning (8%). Specific rates of prevalence according to groups of diseases (ICD) and to the variables of study were estimated. The difficulties of comparing these results with those given by other works, because of the lack of homogeneity in the criteria adopted for obtaining information, are commented on. It is concluded that there is a need for a standardized procedure in any study of referred morbidity because of its epidemiological importance and its use in health planning.Objetivou-se estudar a morbidade referida pela população urbana amostrada, no Município de Botucatu, SP, Brasil, em 1983/84, segundo sexo, idade, escolaridade e renda per capita. O método consistiu em entrevistas domiciliárias, com aplicação de dois formulários pré-codificados. Os entrevistadores eram leigos treinados e supervisionados, e a pessoa entrevistada foi quase sempre a mãe de família. O período recordatório estabelecido em relação aos eventos informados (queixas, sintomas, acidentes comuns e diagnósticos) foi de três semanas. Das 7.075 pessoas amostradas (12% da população), 56% apresentaram episódios mórbidos, totalizando 6.649 episódios. As mulheres, bem como o grupo etário de 50 e mais anos apresentaram maior freqüência de queixas. A escolaridade e a renda per capita não diferenciaram os entrevistados quanto à ocorrência maior ou menor de episódios. A prevalência de episódios mórbidos foi de 939/1.000 entrevistados. Predominaram queixas do aparelho respiratório (20% do total de queixas), principalmente as infecções respiratórias agudas. Em segundo lugar, os sinais e sintomas mal definidos (19%) e, a seguir, as doenças do sistema osteo-muscular, do sistema nervoso e do sistema circulatório, com proporções similares (ao redor de 9%) e, finalmente, as do sistema digestivo e as lesões e envenenamentos (ao redor de 8%). Foram estimados os coeficientes de prevalência por grupos de doença (pela CID), segundo as variáveis estudadas. São comentadas as dificuldades de comparação dos resultados obtidos com os de trabalhos congêneres, face às diferenças nos métodos usados, apontando-se para a necessidade de uma padronização metodológica dos estudos de morbidade referida, cuja importância epidemiológica e para o planejamento em saúde vem sendo amplamente reconhecida