IntroductionCongenital heart disease is an abnormality in the structure or cardiocirculatory function, occurring from birth, even if diagnosed later. It can result in intrauterine death in childhood or in adulthood. Accounted for 6% of infant deaths in Brazil in 2007.ObjectiveTo estimate underreporting in the prevalence of congenital heart disease in Brazil and its subtypes.MethodsThe calculations of prevalence were performed by applying coefficients, giving them function rates for calculations of health problems. The study makes an approach between the literature and the governmental registries. It was adopted an estimate of 9: 1000 births and prevalence rates for subtypes applied to births of 2010. Estimates of births with congenital heart disease were compared with the reports to the Ministry of Health and were studied by descriptive methods with the use of rates and coefficients represented in tables.ResultsThe incidence in Brazil is 25,757 new cases/year, distributed in: North 2,758; Northeast 7,570; Southeast 10,112; South 3,329; and Midwest 1,987. In 2010, were reported to System of Live Birth Information of Ministry of Health 1,377 cases of babies with congenital heart disease, representing 5.3% of the estimated for Brazil. In the same period, the most common subtypes were: ventricular septal defect (7,498); atrial septal defect (4,693); persistent ductus arteriosus (2,490); pulmonary stenosis (1,431); tetralogy of Fallot (973); coarctation of the aorta (973); transposition of the great arteries (887); and aortic stenosis 630. The prevalence of congenital heart disease, for the year of 2009, was 675,495 children and adolescents and 552,092 adults.ConclusionIn Brazil, there is underreporting in the prevalence of congenital heart disease, signaling the need for adjustments in the methodology of registration.
The study focuses on the practice of nursing assistance in psychiatric in Ceará. The data was collected by interviews and documents regarding history of nursing and of the assistance psychiatric in Ceará. On conclusion, the nursing practice is essentially supervision to the nursing team in delivering psychiatric medicine. The nursing practice has specific data to be considered on its study as whole: the relationship between psychiatric assistance and society.
RESUMO: 0 presente trabalho enfoca a correlayBo entre a cronologia de criayao dos hospitais psiqub1tricos do Ceara com as politicas de saMe no Brasil. A metodologia co mpOs-se pela realizayao de visitas ou envio de correspondencia as instituiyOes, co nsultas aos maiores jornais em circulayao no Ceara e de estudo bibliografico sobre as politicas de saude e saude mental. 0 surgimento dos hospitais psiquiatricos foi analisado partindo da delimitayBo previa de quatro fases de desenvolvimento da assistencia psiquiatrica no Pais, de acordo com as transfo rmayoes ocorridas, desde o descobrimento ate os nossos dias. A analise evidenciou que 0 surgimento dos referidos hospitai s guarda re layao com aquelas fases e que as politicas de saude vigentes em cada epoca tiveram forte determinayao no ritmo de CriayBO dos mesmos.ABA TRACT: The present paper emphasizes the re lationship between the Chronology of psychiatric hospital creation and health policy. The methodology was done by visiting or sending mail to institutions, collect ing data fro m newspapers of Ceara and doing a bibliog raphy study about health policy and mental health . Indeed, the creation of psychiatric hospitals was analysed from previous fo ur phases of development of the psychiatric assistance in the country, accord ing to the changes sisnce the begining to up to date . The analysis revealed that a creation of psychiatric hospitals keep close re lationship with those phases and that health policy from each period of time had strong influence on them.UNITERMOS: Hospitais PSiquiatricos -Politica de Saude. INTRODUC A Oremeteu Ii iniciativa de associa-Ia as politicas de saude e de saude mental no Brasil, ao longo dos anos, tendo como objetivo explicitar as rela90es ai existentes. o presente trabalho surgiu como desdobramento de pesquisa realizada anterionnente cujos resultados ja estao publicados(3). Naquela investiga9ao, entre outros dados, fo ram levantados os anos de cria9ao dos hospitais psiquiatricos do Ceara cuja compila9ao evi denciou longo periodo (quase quatro seculos) em que s6 ao final surgiu urn hospital, seguido de outro (mais de sete decadas) em que surgiram tres hospitais. No periodo seguinte, no correr de quatro anos, seis hos pitais fo ram criados e por fim chega-se Ii fa se atual, em que arrefeceu a tendencia de cria9ao dos mesmos. Essa tendencia irregular chamou-nos a aten9ao e nos o presente estudo tambem insere-se no esfor90 de alguns auto res cearenses que vern explicitando as caracteristicas da pnltica psiquilitrica na regiao, bern como sua hist6ria e seus detenninantes (2,3,4, 5,6). METO DOLOGIAA pesquisa amparou-se em metodologia iniciada com uma primeira compila9ao de dados obtidos com a realiza9ao de visitas ou com 0 envio de correspon dencia a todos os hospitais psiquiatricos da regiao,• Doutora em Enfermagem. Professora
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