Hospital admissions through the National Health System (SUS) in the east of south expanded health region of Minas Gerais, Brazil, between 2014 and 2018

Hospitalizations occur electively in cases with no imminent risk to life or in cases of urgency and emergency, which demand immediate medical assistance. In a Health Region, these hospitalizations are conducted in reference hospitals. This study aimed to analyse hospital admissions in the Eastern South Region of Minas Gerais, by comparing the number of urgency and emergency admissions with elective procedures admissions and with the number of urgency admissions with sensitive to primary care conditions (CSAP). This longitudinal-retrospective-descriptive study was conducted with Hospital Information System (SIH) data relative to the 2014-2018 interval. Altogether, there were registered 129,524 hospitalizations, with 17,546 (13.55%) being elective admissions and 111,978 (86.45%) urgency procedures. Of the urgency hospitalizations total, 20,108 (17.95%) were CASP hospitalizations. The frequency of urgency hospitalization was six times higher than the elective hospitalization one, and even SPCC emergency admissions exceeded the elective hospitalizations offer

What shapes a galaxy? - Unraveling the role of mass, environment and star formation in forming galactic structure

We investigate the dependence of galaxy structure on a variety of galactic and environmental parameters for ~500,000 galaxies at z<0.2, taken from the Sloan Digital Sky Survey data release 7 (SDSS-DR7). We utilise bulge-to-total stellar mass ratio, (B/T)_*, as the primary indicator of galactic structure, which circumvents issues of morphological dependence on waveband. We rank galaxy and environmental parameters in terms of how predictive they are of galaxy structure, using an artificial neural network approach. We find that distance from the star forming main sequence (Delta_SFR), followed by stellar mass (M_*), are the most closely connected parameters to (B/T)_*, and are significantly more predictive of galaxy structure than global star formation rate (SFR), or any environmental metric considered (for both central and satellite galaxies). Additionally, we make a detailed comparison to the Illustris hydrodynamical simulation and the LGalaxies semi-analytic model. In both simulations, we find a significant lack of bulge-dominated galaxies at a fixed stellar mass, compared to the SDSS. This result highlights a potentially serious problem in contemporary models of galaxy evolution.Comment: Accepted to MNRAS. 31 pages, 15 figure

Factors associated with drug use among adolescents

The study aimed to identify factors associated to drug use in adolescents. For this purpose, it has been observed 133 adolescents registred in ninth grade in two municipal schools in Viçosa, who answered an individual questionnaire validated by PAHO / WHO, applied by members of the Uncensored Extension Project of the Federal University of Viçosa (UFV). Substance use and family structure were evaluated. Statistical tools were: Epi-Info 7.0 StatCalc, Pearson's chi-square test, Poisson regression and SPSS version 23.0 and Stata 9.0 programs. The sample had an average of 15 years old, that 26.3% reported drug use, thus, 65,4% related family history of drug use and low education. Other aspects of family structure included: good family perception, absence of violence and family mental disorder by 78.2%, 82.7% and 75.9% of adolescents, respectively. Only males persisted as a factor associated with drug use, with 2.4 times higher use (PR 2.39; 95% IC 1.19-4.78; p = 0.014). Therefore, only the male gender showed a higher risk for drug use, and further studies are needed to evaluate factors associated with drug use, aiming to promote public health

Demand for assistance in a human milk bank associated with socioeconomic and maternal-child health factors in Viçosa - Minas Gerais

The superiority of breast milk over milk of other species is already consolidated and there are numerous benefits in the practice of breastfeeding. The Human Milk Bank is a privileged place for the establishment of breastfeeding, as actions to encourage, support and promote breastfeeding are developed. This is a cross-sectional, retrospective study carried out at the only maternity hospital in the city. The sample consisted of mothers and babies assisted by a lactation support program from 2005 to 2016 and also mothers and babies monitored by the human milk bank. It was observed that the assistance of the milk bank was associated with the type of delivery performed (cesarean) (OR: 2.11; 95% CI: 1.03-4.33), having premature children (gestational age) (OR: 3 , 48; 95% CI: 1.52-7.95), higher education (OR: 1.16; 95% CI: 1.03-1.32) and being younger (age) (OR: 0.94; 95% CI %: 0.88-0.99) were the indicators that increased the mother's chance to seek care from the milk bank, regardless of parity and place of residence. The support, protection and promotion of breastfeeding that is carried out in this place, is configured as an important scenario favoring this practice, impacting on the health of the mother-child binomial in the present and in the future

A representação cultural de um “parto natural”: o ordenamento do corpo grávido em meados do século XX

O objetivo deste estudo foi discutir as estratégias pedagógicas destinadas às mulheres para institucionalização da representação do parto normal a partir da obra Parto Natural: Guia para os futuros pais, publicada em 1955. Partiu-se de uma análise histórica e cultural desse livro em suas edições publicadas nos anos de 1955, 1957, 1960 e 1964, auxiliada por materiais publicados à época que compartilhavam das mesmas significações e representações referentes às questões do parto no contexto brasileiro. Esse período foi marcado pelo resgate e surgimento de métodos de preparação da mulher para o processo de parir. A análise, à luz do referencial teórico de Roger Chartier, principalmente com a noção de representação, e de Michel Foucault, indica que os dispositivos utilizados na tessitura da obra visaram propor um modelo de parto disciplinar, a institucionalização, medicalização e industrialização do parto normal no contexto brasileiro em meados do século XX.The scope of this study is to discuss teaching strategies directed towards women to institutionalize the representation of normal birth based on the work “Natural Childbirth: A Guide for Future Parents”, published in 1955. The research begins with a historical and cultural analysis of the 1955, 1957, 1960 and 1964 editions of this book. It is aided by materials published, in the same period, which share the same meanings and representations concerning issues surrounding childbirth in the Brazilian context. It is a period marked by retrospectives and the emergence of methods for preparing women for the childbirth process. The results of our analysis, in the light of Roger Chartier’s theoretical framework, especially applying the notion of representation of Michel Foucault, indicate that the apparatuses used in the work’s registers sought to propose a disciplinary model for childbirth: institutionalization, medical insertion and industrialization of normal childbirth in the Brazilian context of the mid-twentieth century

Absenteeism-disease in university employees: a cross-sectional study of the reasons for leave from 2013 to 2018

The Server's Integrated Health Subsystem is used to register health treatment licenses in the Federal Public Service, enabling knowledge about absenteeism-illness. To subsidize health promotion actions, it is intended to know its motivating causes in a Federal Education Institution in Minas Gerais. A cross-sectional study on leave between 2013 and 2018 was carried out. The variables were: position, sex, number of days off and the motivating code of the leave. Descriptive and inferential analyzes were performed using Poisson Regression. The main motivations found were: musculoskeletal disorders, followed by mental health in the group of professors and respiratory disorders in the group of administrative technicians, among whom, technicians up to 50 years old are associated with sick leave due to respiratory tract disorders and civil servants over 50 years old for musculoskeletal reasons. There was no difference in age with regard to mental disorder in this group. The static ergonomic risk associated with respiratory and psychic outcomes, and the risk due to dynamic activities in the absence of musculoskeletal disorders. Based on the data presented, it is possible to propose measures for Health Policy, aimed at improving the environment and work process, minimizing its risks and protecting the health of the employee

A visão das gestantes acerca da participação do homem no processo gestacional

Objetivo: Analisar a visão das gestantes quanto à participação do homem durante o processo gestacional e as consultas de prénatal. Métodos: Trata-se de uma pesquisa qualitativa, avaliada por meio de análise de conteúdo, que teve como sujeitos as gestantes cadastradas em duas Estratégias de Saúde da Família. Resultados: A pesquisa apontou o apoio ofertado em âmbito familiar como essencial para a gestante e a ausência do homem durante a consulta foi entendida e justificada pelo horário de trabalho do companheiro, na maioria das vezes. Conclusão: Assim, depreende-se que existe a necessidade de estabelecimento de vínculo entre a tríade mãe-pai-filho para o melhor desenvolvimento da gestação. Os profissionais de saúde envolvidos na Atenção Primária à Saúde podem contribuir para esse processo e devem estimular e facilitar a participação do homem durante as consultas de pré-natal, entre outras atividades realizadas nesse cenário

Health education as a strategy to promote the development of the prematurely born child: perception of caregivers

The birth of a premature baby can cause impairment in the child's development, requiring a critical analysis from the health professional of their performance in the care directed to this public and their family. There is lack of scientific literature focused on the promotion of functional development of premature infants, making necessary the use of technologies that help the family in home care. Objective: To understand the knowledge and practices of caregivers of prematurely children, about the functional development mediated by an intervention with an educational technology. This was a qualitative, descriptive, exploratory and intervention research, with 11 mothers of prematurely born children, followed up by a service in a city of Minas Gerais. Performed in three steps. The first still in the follow up service, the second and third consisted of home visits. The analysis originated the categories “Expectations related to the educational material”, “Experiences with the educational material” and “Changes in care aroused by the appropriation of the educational material”. The work of the health educator articulated with an educational technology focused on promoting the child development of premature children contributes to the resignification of knowledge and everyday practices of care directed to this public

Micronutrient supplementation adherence and influence on the prevalences of anemia and iron, zinc and vitamin A deficiencies in preemies with a corrected age of six months

OBJECTIVE: To analyze adherence to the recommended iron, zinc and multivitamin supplementation guidelines for preemies, the factors associated with this adherence, and the influence of adherence on the occurrence of anemia and iron, zinc and vitamin A deficiencies. METHODS: This prospective cohort study followed 58 preemies born in 2014 until they reached six months corrected age. The preemies were followed at a referral secondary health service and represented 63.7% of the preterm infants born that year. Outcomes of interest included high or low adherence to iron, zinc and multivitamin supplementation guidelines; prevalence of anemia; and prevalences of iron, zinc, and vitamin A deficiencies. The prevalence ratios were calculated by Poisson regression. RESULTS: Thirty-eight (65.5%) preemies presented high adherence to micronutrient supplementation guidelines. At six months of corrected age, no preemie had vitamin A deficiency. The prevalences of anemia, iron deficiency and zinc deficiency were higher in the low-adherence group but also concerning in the high-adherence group. Preemies with low adherence to micronutrient supplementation guidelines were 2.5 times more likely to develop anemia and 3.1 times more likely to develop zinc deficiency. Low maternal education level increased the likelihood of nonadherence to all three supplements by 2.2 times. CONCLUSIONS: Low maternal education level was independently associated with low adherence to iron, zinc and vitamin A supplementation guidelines in preemies, which impacted the prevalences of anemia and iron and zinc deficiencies at six months of corrected age

Completude das notificações de síndrome respiratória aguda grave no âmbito nacional e em uma regional de saúde de Minas Gerais, durante a pandemia de COVID-19, 2020

Objective: To analyze the completeness of notifications of cases of severe acute respiratory illness from the Influenza Epidemiological Surveillance Information System (SIVEP-Gripe) during the COVID-19 pandemic, in the national database and in a regional database in the state of Minas Gerais, Brazil, in 2020. Methods: Descriptive study of the completeness of sociodemographic variables and those related to the etiology, clinical condition, evolution and diagnostic criteria of SIVEP-Influenza. Completeness was classified as excellent (greater than 95%), good (90 to 95%), fair (80 to 90%), poor (50 to 80%), and very poor (less than 50%). Results: The percentage of variables with excellent completeness was only 18.1% in the national database and 27.8% in the regional database. Conclusion: Low completeness of both SIVEP-Gripe databases was evidenced, making it necessary to improve the work process and routine training of professionals for the correct completion.Objetivo: Analizar la completitud de las notificaciones de casos de síndrome respiratorio agudo severo del Sistema de Información de Vigilancia Epidemiológica de Influenza (SIVEP-Gripe) durante la pandemia de COVID-19, en la base de datos nacional y en una base de datos regional de salud en el estado de Minas Gerais, Brasil, en 2020. Métodos: Estudio descriptivo de la completitud de las variables sociodemográficas y las relacionadas con la etiología, cuadro clínico, evolución y criterios diagnósticos del SIVEP-Influenza. La exhaustividad se clasificó como excelente (más grande que 95%), buena (90 a 95%), regular (80 a 90%), mala (50 a 80%) y muy mala (menos que 50%). Resultados: El porcentaje de variables con excelente completitud fue solo del 18,1% en la base de datos nacional y del 27,8% en la base de datos regional. Conclusión: Se evidenció la baja completitud de ambas bases de datos SIVEP-Gripe, siendo necesario mejorar el proceso de trabajo y la rutina de capacitación de los profesionales para el correcto llenado.Objetivo: Analisar a completude das notificações de casos de síndrome respiratória aguda grave no Sistema de Informação de Vigilência Epidemiológica da Gripo (SIVEP Gripe) durante a pandemia de COVID-19, na base de dados nacional e na base da Unidade Regional de Saúde do estado de Minas Gerais, Brasil, em 2020. Métodos: Estudo descritivo da completude das variáveis sociodemográficas e das relativas à etiologia, condição clínica, evolução e critérios diagnósticos do SIVEP-Gripe. O nível de completude foi classificado como excelente (&gt;95%), bom (90 a 95%), regular (80 a 90%), ruim (50 a 80%) ou muito ruim (&lt;50%). Resultados: O percentual de variáveis com completudo excelente foi de apenas 18,1% na base de dados nacional, e de 27,8% na base de dados regional. Conclusão: Evidenciou-se baixa completude de ambas bases dados do SIVEP-Gripe, tornando-se necessários aperfeiçoamentos no processo de trabalho e capacitações rotineiras dos profissionais para o correto preenchimento