Objectives: To determine the outcome of patients who underwent ECT in a Brazilian General Hospital between 1993 and 2007. Methods: Telephone contact with all patients (or their relatives) who were submitted to ECT during psychiatric hospitalization in HC-Unicamp-Brazil. Data were compiled for statistical analysis at SPSS. Results: There were 53 successful telephone contacts (33.9% of 153 patients who underwent ECT). Losses were due to changes of telephones/addresses. No refuses occurred. The mean time between the procedure and the contact was 55.4 months (3-170). Twenty patients (37.3%) and 37 relatives (69.8%) were interviewed. Most were women (60.4% n=32), 4 were inpatients by the occasion of the call and 4 died. The mean age was 42.9±19.4. The assessments of current mental state by patients were: excellent in 5-9.4% cases, good in 12-22.6%, poor in 2-3.8%. The evaluation by family members was: excellent in 11-20.8% cases, good in 11-20.8%, poor in 7-13.2% and very poor in 5-9.4%. In 42 cases (79.2%) the patient was still under psychiatric treatment (taking psychotropic medication in 39-73.6%). In 28 cases (54%) there was need for new admission in a psychiatric inpatient ward. In 38 cases (74%) the patient reported knowing that he/she had undergone ECT, and only in 5 cases (9.4%) there was a lasting side effect of treatment reported, which was change in memory. Conclusions: Data of the evolution of patients corroborate the importance of treatment with ECT for severe mental disorders, and also shows the low rate of long-term complications related to the procedure.
Objectives: To describe the socio-demographic and clinical characteristics, complications and therapeutic response of patients treated with ECT in the Psychiatric Unit of the General Hospital from University of Campinas-Brazil (1993-2007). Methods: All medical records of the patients who underwent ECT were reviewed and compiled for subsequent statistical analysis by SPSS program.
Introduction: Meningitis is a potentially fatal disease. Vaccines play a fundamental role in its prevention, so it is important to reflect on the vaccination coverage (VC) performed in Brazil and in its regions. Objectives: To analyze the VC of meningitis in Brazil and regions in the last decade. Design and setting: Ecological study carried out in Brazil. Methods: Data were collected in the Information System of the National Immunization Program from the Computer Department of the Unified Health System between 2011 and 2020. The variables analyzed were: region, capitals and immunizers, which are Meningococcus C, Pneumococcal, Haemophilus influenzae b and Tetravalente. Evaluation by the Research Ethics Committee was waived because it is public data. Results: During this period, the national VC against meningitis was 86.8%, with 19.8% of reduction when comparing 2011 and 2020. The South had the highest VC (91.0%), followed by the MidWest (90.2%), Southeast (88.7%), Northeast (85.0%) and North (76.6%), while the Southeast suffered the greatest reduction (24.0%) and the North the smallest (9.6%). The capitals had a total VC of 83.7%. The vaccines meningococcus C and pneumococcal had higher levels of total VC (92.9% and 90.4%, respectively), while their booster doses had VC of 85.4% and 83.3%, respectively. The tetravalent vaccine had a rate of 77.0%. Conclusions: Except for the North, Brazilian regions have obtained adequate VCs in the last decade, but these rates have been decreasing. It is urgent to strengthen the national vaccination plan in the country, especially in the North.
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