Navegando por Palavras-chave "Epidemiologic Studies"
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- ItemAcesso aberto (Open Access)Basal cell carcinoma: an updated epidemiological and therapeutically profile of an urban population(Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, 2006-04-01) Bariani, Roberta Lopes; Nahas, Fabio Xerfan [UNIFESP]; Barbosa, Marcus Vinicius [UNIFESP]; Farah, Andréia Bufoni [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Brazilian Society of Plastic Surgery; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To describe the epidemiological profile of basal cell carcinoma patients at a private hospital in São Paulo and to evaluate the treatment adopted. METHODS: A prospective study of 202 patients, on which 253 lesions were diagnosed for histopathological exam as basal cell carcinoma within the period of January 2001 to September 2003, in the Plastic Surgery Residency Program at the Hospital Jaraguá. The susceptibility factor of the host, the environment variables, the characteristics of the lesions and the efficacy of the treatment were examined. The data were statistically evaluated. RESULTS: The incidence of basal cell carcinoma was 126 cases per 100,000 patients in a period of 32 months (36 cases per 100,000 patients/year). The patients were evenly distributed in terms of sex: 48% male and 52% female. The greater incidence was in patients between the ages of 60 and 80 years and the average was 64 years. The survey revealed susceptibility factors such as white race and phototypes I and II in 95.5% of the patients. Exposition to ultraviolet radiation was reported by 77% of the patients and the most frequent location of tumors was on the face (71.2% of the cases). Actinic keratosis and a history of skin cancer were reported in 43.6% and in 25% of the cases, respectively. The adopted treatment was surgery in 99.4% of the cases and only one patient was treated with radiotherapy. Twenty lesions (8%) had incomplete excision.The recurrence rate was 2% (5 cases). There were no cases with metastasis or fatal outcome. CONCLUSIONS: The factors related to the development of basal cell cancer which were significantly present in the population surveyed were: older age, white individuals, phototypes I and II, presence of actinic keratosis, previous history of non-melanoma skin cancer and exposure to ultra-violet rays both in recreational and in occupational form.The surgical treatment employed was effective with a rate of incomplete excision and recurrence similar to those found in the literature.
- ItemAcesso aberto (Open Access)The Brazilian Football Association (CBF) model for epidemiological studies on professional soccer player injuries(Faculdade de Medicina / USP, 2011-01-01) Arliani, Gustavo Gonçalves [UNIFESP]; Belangero, Paulo Santoro [UNIFESP]; Runco, Jose Luiz; Cohen, Moises [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Brazilian Football Association; Clube de Regatas do Flamengo's Department HeadOBJECTIVE: This study aims to establish a national methodological model for epidemiological studies on professional soccer player injuries and to describe the numerous relevant studies previously published on this topic. INTRODUCTION: The risk of injury in professional soccer is high. However, previous studies of injury risk in Brazil and other countries have been characterized by large variations in study design and data collection methods as well as definitions of injury, standardized diagnostic criteria, and recovery times. METHODS: A system developed by the Union of European Football for epidemiological studies on professional soccer players is being used as a starting point to create a methodological model for the Brazilian Football Association. To describe the existing studies on professional soccer player injuries, we developed a search strategy to identify relevant epidemiological studies. We included the Latin American and Caribbean Center on Health Sciences and Medline databases in our study. RESULTS: We considered 60 studies from Medline and 16 studies from the Latin American and Caribbean Center on Health Sciences in the final analysis. Twelve studies were selected for final inclusion in this review: seven from the Latin American and Caribbean Center on Health Sciences and five from Medline. We identified a lack of uniformity in the study design, data collection methods, injury definitions, standardized diagnostic criteria, and the definition of recovery time. Based on the information contained within these articles, we developed a model for epidemiological studies for the Brazilian Football Association. CONCLUSIONS: There is no uniform model for epidemiological studies of professional soccer injuries. Here, we propose a novel model to be applied for epidemiological studies of professional soccer player injuries in Brazil and throughout the world.
- ItemAcesso aberto (Open Access)Violência entre parceiros íntimos e consumo de álcool(Faculdade de Saúde Pública da Universidade de São Paulo, 2010-02-01) Zaleski, Marcos [UNIFESP]; Pinsky, Ilana [UNIFESP]; Laranjeira, Ronaldo [UNIFESP]; Ramisetty-Mikler, Suhasini; Caetano, Raul; Universidade Federal de Santa Catarina Núcleo de Psiquiatria; Universidade Federal de São Paulo (UNIFESP); University of Texas Southwestern School of Public HealthOBJECTIVE: To estimate the prevalence of intimate partner violence and alcohol consumption during episodes of violence. METHODS: Cross-sectional study with a multi-stage probability sample, representative of the Brazilian population. Sample was comprised of 1,445 men and women, married or cohabitating, interviewed between November 2005 and April 2006. Interviews were conducted in the interviewees' homes, using a standardized closed questionnaire. Rates of prevalence of intimate partner violence were estimated and chi-square tests were used to assess gender differences in this prevalence. RESULTS: General prevalence of intimate partner violence was 10.7% in men and 14.6% in women. Men consumed alcohol in 38.1% of cases and women in 9.2%. As regards perception of alcohol consumption by intimate partner, men reported their female partners consumed alcohol in 30.8% of episodes of violence, while women reported that their male partners consumed it in 44.6% of episodes. CONCLUSIONS: Women were more frequently involved in mild and serious episodes of violence (perpetration, victimization or both) than men. The fact that episodes of violence reported were four times more frequent in intoxicated men enables the assumption that prevention of intimate partner violence may be promoted by public policies aimed at reducing alcohol consumption.