Objective: to analyze trends of hospitalization for ambulatory care-sensitive cardiovascular conditions (ACSCC). Methods: this was an ecological study of time series of rates of hospitalization for ACSCC in the municipality of Senador Canedo, GO, Brazil, 2001-2016; we used data from the Hospital Information System and population estimates provided by the Inter-Agency Health Information Network (RIPSA) and the Brazilian Institute of Geography and Statistics (IBGE); the Prais-Winsten method was used to analyze trends. Results: we used data on 3,244 hospitalizations for ACSCC; there was decreasing trend in the rate of hospitalizations for ACSCC (annual increase rate [AIR] =-8.14-95%CI-11.78;-4.35) and in the heart failure rate (AIR =-12.07-95%CI-14.75;-9.30); hospitalization rate time trends for hypertension, angina and cerebrovascular diseases were stationary. Conclusion: rates of hospitalization for ACSCC and heart failure decreased, however rates for hypertension, angina and cerebrovascular diseases remained constant.
To evaluate the morphometric, macroscopic and microscopic aspects of experimentally induced partial-thickness burns in rats treated with different silver-based dressings. Methods: Wistar rats were used, divided into six treatments: saline (NaCl 0.9%); silver sulfadiazine 1%; Silvercel; Mepilex Ag; Aquacel Ag and Acticoat. The animals were monitored daily and euthanized at 7, 14 and 30 days after injury induction (DAI). Results: At 7 DAI, necrosis/crust was greater in control, silver sulfadiazine and Mepilex Ag treatments, granulation tissue was induced by Aquacel Ag, polymorphonuclear infiltrate (PMN) infiltration was intensified by Mepilex Ag; mononuclear infiltrate (MN) infiltration and angiogenesis were increased by Silvercel. At 14 DAI, hemorrhage was decreased by Silvercel and Mepilex Ag, PMN infiltration increased by Acticoat. At 30 DAI, angiogenesis was greater in the Acticoat treatment and fibroblasts were increased by Acticoat and Mepilex Ag. Collagen was induced at 14 DAI by silver sulfadiazine and Aquacel Ag and, at 30 DAI, by silver sulfadiazine and Silvercel treatments. Conclusions: Silvercel and Acticoat presented better results than the other products. However, all the dressings were better than the control at some point during the process, and may contribute to the healing of partial thickness burns. Silvercel and Aquacel Ag treatments induced better cosmetic outcomes regarding wound closure and scarring.
Objetivo: Analisar as os gastos com internação do Sistema Único de Saúde (SUS) com internações por Acidente Vascular Cerebral (AVC) em Goiás, Brasil. Métodos: É um estudo ecológico sobre os gastos públicos com internação por AVC em Goiás, entre janeiro de 2010 e dezembro de 2019. Os dados obtidos por meio do Sistema de Dados do Ministério da Saúde (DATASUS). Foram tabulados pelo programa TabWin® e os calculados pelo Microsoft Excel®. Não houve submissão ao Comitê de Ética em Pesquisa, por se tratar de um estudo utilizando dados secundários, sem identificação dos participantes. Resultados: Os custos aumentaram em 158,6% mesmo que as internações abaixaram em 23,8%. Pessoas com mais de 65 anos lideraram a lista de internações com 54,8%. Com relação às tendências, média gasta anual, valor total e intervalo de confiança das dez cidades mais dispendiosas do estado, nenhuma apresentou tendência decrescente. O tratamento de AVC foi responsável por 84,64% dos procedimentos realizados. Conclusão: As despesas com AVC foram altas e, possivelmente, medidas voltadas à atenção primária diminuiria a despesa total. Além disso, sexo masculino, idade e municípios com maiores portes populacionais e com bons índices de condições de vida são fatores que elevaram as despesas totais.
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