Knowledge on the HPV vaccine among university students

The objective is to evaluate knowledge on HPV vaccine and its use among university students. This is a cross-sectional study with 301 participants, of which 202 medical students from UERJ and UNIFESO (101 freshmen = M1 and 101 from the 6th year = M2) and 99 UERJ literature students (50 freshmen = L1 and 49 of the last year = L2). Information was obtained by questionnaires. Input and statistical analysis were carried out with the EPI-INFO 3.5.2 Program. Results showed that, among medical students, 21% of M1 and 16% of M2 used the HPV vaccine (p=0.35), mostly adopted by women (M1=29.7% and M2=21.3%) than men (M1=5.4% and M2=7.5%). Similarly, female students showed more interest in using the vaccine (M1=85.1% and M2=80%) than male (M1=56.2% and M2=20.5%). Among literature students, only women received the vaccine (L1=6.5% and L2=22.2%) and no men were vaccinated (p=0.04). More women expressed interest in receiving the vaccine than men (♀ L1=76%, L2=65% and ♂ L1=47%, L2=40%). Comparison among genders regardless of the course showed that the vaccination rate is higher among women (p<0.001), as is the interest in being vaccinated (p=0.004). We concluded that the majority of male university students know less about the HPV vaccine than the female ones, use less and are less interested in being vaccinated, in all the groups interviewed. Vaccination coverage is low among the university population and is higher among medical students

Incidência de lesões intra-epiteliais cervicais em população de adolescentes atendidas em serviço público de saúde no Rio de Janeiro, Brasil

Submitted by Russomano Fabio ([email protected]) on 2014-12-07T21:05:10Z No. of bitstreams: 1 99-304-Monteiro 2009 - Incidence_SIL_adolescents.pdf: 102914 bytes, checksum: 444a9656767178bbf084b9af77c710a8 (MD5)Approved for entry into archive by Santos Bárbara ([email protected]) on 2014-12-10T12:25:15Z (GMT) No. of bitstreams: 1 99-304-Monteiro 2009 - Incidence_SIL_adolescents.pdf: 102914 bytes, checksum: 444a9656767178bbf084b9af77c710a8 (MD5)Made available in DSpace on 2014-12-10T12:59:58Z (GMT). No. of bitstreams: 1 99-304-Monteiro 2009 - Incidence_SIL_adolescents.pdf: 102914 bytes, checksum: 444a9656767178bbf084b9af77c710a8 (MD5) Previous issue date: 2009Centro Universitário Serra dos Órgãos. Rio de Janeiro, Teresópolis, Brasil. / Hospital Geral de Jacarepaguá. Ambulatório de Ginecologia para Adolescentes. Rio de Janeiro, RJ, Brasil.Universidade do Estado do Rio de Janeiro. Centro Biomédico. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.This study aimed to estimate the incidence and types of cervical cytopathological findings in adolescents who were treated in public health services between 1993 and 2006. This is a cohort study, with the following inclusion criteria: < 20 years of age, sexually-active, without cervical le-sions upon entry into the study or sexually ac-tive < 1 year. The data were collected from 403 adolescents’ medical records. Incidence density of cytopathological alterations was estimated and the actuarial method was used to calculate the 5-year incidence during follow-up after sexual ini-tiation. In the first year of sexual activity, the inci-dence of cervical lesions was 24.1%. The incidence decreased to 3-8% over the following 4 years. The incidence density was 4.7 cases per 100 persons per year. The first abnormal cytological diagnosis showed atypical squamous cells of undetermined significance (ASCUS) in 5.5% (22) of patients, low-grade squamous intra-epithelial lesions (LSIL) in 28% (113), and high-grade squamous intraepi-thelial lesions (HSIL) in 3% (12). Eight (67%) cas-es of HSIL occurred during the first year of sexual activity. The incidence of cytopathological find-ings at beginning of sexual life is high, suggesting the importance of including sexually-active ado-lescents in cervical cancer prevention program

Incidence of cervical intraepithelial lesions in a population of adolescents treated in public health services in Rio de Janeiro, Brazil Incidência de lesões intra-epiteliais cervicais em população de adolescentes atendidas em serviço público de saúde no Rio de Janeiro, Brasil

This study aimed to estimate the incidence and types of cervical cytopathological findings in adolescents who were treated in public health services between 1993 and 2006. This is a cohort study, with the following inclusion criteria: < 20 years of age, sexually-active, without cervical lesions upon entry into the study or sexually active < 1 year. The data were collected from 403 adolescents' medical records. Incidence density of cytopathological alterations was estimated and the actuarial method was used to calculate the 5-year incidence during follow-up after sexual initiation. In the first year of sexual activity, the incidence of cervical lesions was 24.1%. The incidence decreased to 3-8% over the following 4 years. The incidence density was 4.7 cases per 100 persons per year. The first abnormal cytological diagnosis showed atypical squamous cells of undetermined significance (ASCUS) in 5.5% (22) of patients, low-grade squamous intra-epithelial lesions (LSIL) in 28% (113), and high-grade squamous intraepithelial lesions (HSIL) in 3% (12). Eight (67%) cases of HSIL occurred during the first year of sexual activity. The incidence of cytopathological findings at beginning of sexual life is high, suggesting the importance of including sexually-active adolescents in cervical cancer prevention programs.<br>O objetivo foi estimar a incidência e os tipos das alterações citopatológicas cervicais em adolescentes acompanhadas em serviço público entre 1993-2006. Estudo de coorte, tendo como critérios de inclusão: idade < 20 anos, apresentar atividade sexual, citopatologia negativa para lesão cervical na entrada do estudo ou tempo de atividade sexual <1 ano. Os dados foram coletados de prontuários de 403 adolescentes. Foi estimada densidade de incidência, e para o cálculo da incidência das alterações citopatológicas referentes a cinco anos de acompanhamento após atividade sexual foi utilizado o método atuarial. No primeiro ano de atividade sexual, a incidência de lesões cervicais foi de 24,1%. Houve redução da incidência nos quatro anos subseqüentes com variação entre 3-8%. A densidade de incidência foi de 4,7 casos/100 pessoas-ano. O primeiro diagnóstico citológico anormal mostrou atipias em células escamosas de significado indeterminado (ASCUS) em 5,5% (22) das pacientes, lesão intra-epitelial escamosa de baixo grau (LSIL) em 28% (113) e lesão intra-epitelial escamosa de alto grau (HSIL) em 3% (12). Oito (67%) dos casos de HSIL ocorreram no primeiro ano de atividade sexual. A incidência de alterações citopatológicas é alta no início da vida sexual, sugerindo ser importante a inclusão das adolescentes sexualmente ativas no Programa de Controle do Câncer de Colo Uterino

Proportion and factors associated with Apgar less than 7 in the 5th minute of life: from 1999 to 2019, what has changed?

Abstract Although variation between observers in the assessment of the Apgar score, it remains a useful indicator of the general conditions of the newborn. This is a cross-sectional study based on population of live births in Brazil in 1999 and biennium 2018-2019. All declarations of live births (DNV) obtained from the Live Births System database were accessed. Frequencies were compared between groups using Pearson’s chi-square test and multivariate logistic regression analysis was performed. A statistical significance level of 0.05 was considered. We included 9.050.521 DNVs in our research. We found that 2,1% of newborns had 5th minute Apgar </p

Iniciativa unidade básica amiga da amamentação: avaliação do nível de sua implantação em uma metrópole brasileira

Made available in DSpace on 2014-11-14T10:54:09Z (GMT). No. of bitstreams: 2 Iniciativa Unidade Básica Amiga da Amamentação avaliação do nível de sua implantação em uma metrópole brasileira.pdf: 356848 bytes, checksum: d858998f3bde175b5a1cb318dd62d1bf (MD5) license.txt: 1914 bytes, checksum: 7d48279ffeed55da8dfe2f8e81f3b81f (MD5) Previous issue date: 2013Universidade Federal Fluminense. Faculdade de Nutrição. Niterói, RJ, Brasil.Universidade do Estado do Rio de Janeiro. Instituto de Nutrição. Rio de Janeiro, RJ, Brasil.Universidade do Estado do Rio de Janeiro. Faculdade de Medicina. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Universidade de São Paulo. Faculdade de Saúde Pública. São Paulo, SP, Brasil.Objetivo Avaliar o nível de implantação da Iniciativa Unidade Básica Amiga da Amamentação em uma metrópole brasileira. Métodos Com base em protocolos validados, criou-se ferramenta de avaliação do nível de implantação composta por 55 parâmetros, gerando escore final que poderia variar de 0 a 10 pontos. Aplicou-se essa ferramenta em amostra probabilística das unidades básicas municipais de saúde da cidade do Rio de Janeiro (n=56). Foram entrevistados gestores (n=56), profissionais de saúde (n=541) e usuárias (n=985). Resultados A média do escore final das unidades básicas municipais de saúde referente ao nível de implantação da Iniciativa Unidade Básica Amiga da Amamentação foi de 5,45 (IC95%: 5,11 - 5,78). Observaram-se piores resultados em relação à norma escrita e ao treinamento. As técnicas de massagem e de ordenha das mamas, conhecimentos sobre contracepção, riscos do uso de fórmulas infantis, mamadeiras e chupetas e a implantação de grupos de apoio apresentaram resultados intermediários. As orientações sobre direitos, vantagens e recomendações relativas à amamentação, a escuta das preocupações, vivências e dúvidas da clientela e o encorajamento da amamentação sob livre demanda tiveram resultados mais satisfatórios. Conclusão A ferramenta desenvolvida permitiu a avaliação do nível geral de implantação da Iniciativa Unidade Básica Amiga da Amamentação e de cada conjunto de ações correspondentes aos “Dez Passos”, fornecendo subsídios para reorientação das estratégias utilizadas na cidade. A cidade do Rio de Janeiro apresenta nível intermediário de implantação das ações de promoção, proteção e apoio à amamentação, preconizadas pela Iniciativa e pela heterogeneidade na implantação das atividades que a compõem.Objective This study assessed the degree of implementation of the Breastfeeding-Friendly Primary Care Initiative in a Brazilian metropolis. Methods A tool with 55 items and a maximum score of 10 points, based on validated protocols, was developed for assessing the degree of implementation of the abovementioned initiative. This tool was used on a probabilistic sample of municipal primary care units in the city of Rio de Janeiro, Brazil (n=56). Managers (n=56), healthcare practitioners (n=541) and users (n=985) were interviewed. Results The mean score for the degree of implementation of the Breastfeeding-Friendly Primary Care Initiative in the study units was 5.45 (95%CI: 5.11 - 5.78), the maximum being 10.00. Existence of written guidelines and training obtained the worst scores. Breast massage and manual milk expression techniques; knowledge about contraception and the risks associated with the use of baby formulas, bottles, and pacifiers; and existence of support groups obtained intermediate scores. Provision of information and recommendations on breastfeeding rights and advantages; addressing users’ worries, life experiences, and doubts; and encouraging cue feeding achieved the best scores. Conclusion The proposed tool assessed the general degree of implementation of the Breastfeeding-Friendly Primary Care Initiative and of each group of actions associated with the “Ten Steps”, providing information for restructuring the strategies used in Rio de Janeiro. The degree of implementation of breastfeeding promotion, protection, and support set by the initiative in this city is intermediate, with its items having been implemented to different degrees