Este estudo analisa o fluxo de pacientes atendidas com câncer de mama, no Brasil, no âmbito do SUS, segundo o tipo de tratamento recebido. Foram identificadas redes de atenção oncológica com base nas informações do Sistema de Informações Hospitalares e do Sistema Informações Ambulatoriais de Alta Complexidade em Oncologia, relativas ao período 2005-2006, utilizando os programas TabWin e TerraView. O atendimento está amplamente distribuído pelo território nacional, com forte concentração nos maiores centros, e indícios de escassez de atendimento mesmo nas regiões onde a oferta de serviços é maior. Grande proporção das pacientes reside a mais de 150km do local de atendimento. A identificação das redes constitui ferramenta com aplicação importante no planejamento e na melhoria da distribuição dos serviços, considerando que o acesso geográfico é relevante para o desfecho do tratamento. A redução das taxas de morbidade e mortalidade depende da identificação precoce, pois, uma vez identificado o caso, o tratamento adequado e ágil concorre para reduzir os impactos da doença.
The results suggest that the vaccine produced by Cuba may offer protection against serogroup B meningococcal disease, but its effects may not be homogeneous.
Health situation analysis has been used to understand complex health processes and to contribute to decision-making in public policies. This paper analyzes the spatial relationship between mortality patterns in the city of Rio de Janeiro (1996-1998) and socioeconomic profiles of neighborhoods. Mortality data were collected from the Municipal Health Department and population data were obtained from the National Census Bureau (IBGE) (1991 and 1996). Neighborhoods were aggregated through the K-means cluster method into 4 homogeneous socioeconomic groups, and the mortality indicators distribution was analyzed by different strata. General mortality, circulatory disease mortality, mortality from poorly defined causes, and mortality from violent causes all displayed large differences among socioeconomic groups. The spatial pattern of the socioeconomic strata allowed the identification of different living conditions, which involved specific mortality patterns. Higher socioeconomic strata presented low mortality figures for all causes.
Introduction: Dengue has affected Rio de Janeiro City since the 1980s. The sequential Zika and chikungunya virus introductions during 2015 aggravated the health scenario, with 97,241 cases of arboviral diseases reported in 2015-2016, some with neurological disorders. Methods: Arbovirus-related neurologic cases were descriptively analyzed, including neurological syndromes and laboratory results. Results: In total, 112 cases with non-congenital neurologic manifestations (Guillain-Barré syndrome, 64.3%; meningoencephalitis, 24.1%; acute demyelinating encephalomyelitis, 8%) were arbovirus-related; 43.7% were laboratoryconfirmed, of which 57.1% were chikungunya-positive. Conclusions: Emerging arbovirus infections brought opportunities to study atypical, severe manifestations. Surveillance responses optimized case identification and better clinical approaches.
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