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- ItemSomente MetadadadosPredictors of employment after successful kidney transplantation - a population-based study(Wiley-Blackwell, 2008-07-01) Bohlke, Maristela [UNIFESP]; Marini, Stela Scaglioni; Gomes, Rafael Hisse; Terhorst, Lisoneide; Rocha, Marcos; Poli de Figueiredo, Carlos Eduardo; Sesso, Ricardo [UNIFESP]; Irigoyen, Maria Claudia [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Univ Catolica Pelotas; Universidade de São Paulo (USP); Pontif Catholic Univ Rio Grande do SulIntroduction: Kidney transplantation is currently the treatment of choice for end-stage renal disease. As the successful transplantation improves the physical and mental quality of life, it is expected that the transplant recipient should play a productive role in the society. the present study evaluates the occurrence and predictors of employment after kidney transplantation.Methods: Population-based cross-sectional study in which 272 adult kidney recipients assisted in a Brazilian Southern state were evaluated.Results: At the moment of the interview, 29% of the patients were employed. After analysis with logistic regression, the predictors of employment were male sex (OR 4.04; 95% CI 1.99-8.23), pre-transplant employment for non-diabetic (OR 4.35; 95% CI 3.79-4.99), diabetes for individuals who worked while on dialysis (OR 0.06; 95% CI 0.008-0.5), high educational level for individuals with mental quality of life scores above the 25th percentile (OR 3.06; 95% CI 2.98-3.14 for 50th percentile of mental quality of life). the Hosmer-Lemeshow test was of 3.33 (p = 0.91).Conclusion: the participation of the kidney transplant recipients with functioning graft into the work force in the Brazilian state of Rio Grande do Sul is low, being predicted mainly by sociodemographic factors. It was not detected any influence of patient perception of his/her physical conditions or other clinical variables, except for the presence of diabetes.
- ItemAcesso aberto (Open Access)Visual impairment and blindness: an overview of prevalence and causes in Brazil(Academia Brasileira de Ciências, 2009-09-01) Salomão, Solange Rios [UNIFESP]; Mitsuhiro, Márcia R. K. H. [UNIFESP]; Belfort, Rubens Junior [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Our purpose is to provide a summary overview of blindness and visual impairment on the context of recent Brazilian ocular epidemiologic studies. Synthesis of data from two cross-sectional population-based studies - the São Paulo Eye Study and the Refractive Error in School Children Study is presented. 3678 older adults and 2441 school children were examined between July 2004 and December 2005. Prevalence of blindness in older adults using presenting visual acuity was 1.51% decreasing to 1. 07% with refractive correction. The most common causes of blindness in older adults were retinal disorders, followed by cataract and glaucoma. In school children, the prevalence of uncorrected visual impairment was 4.82% decreasing to 0.41% with refractive correction. The most common cause of visual impairment in school children was uncorrected refractive error. Visual impairment and blindness in Brazil is an important public health problem. It is a significant problem in older Brazilians, reinforcing the need to implement prevention of blindness programs for elderly people with emphasis on those without schooling. In school-children cost-effective strategies are needed to address a readily treatable cause of vision impairment - prescription and provision of glasses.