• Fallesen Connell posted an update 1 year, 5 months ago

    To determine the association between perceived discrimination and receiving adequate treatment for chronic diseases in Venezuelan migrants.

    A cross-sectional study was performed. This is a secondary analysis of the ENPOVE national survey from Peru. The association between the perceived discrimination and receiving adequate treatment for chronic diseases was evaluated using a Poisson regression model, considering the adjusted effect of the multistage sampling.

    A total of 865 migrants were evaluated (age 36.6 ± 0.7 years and 58.2% women). Of these, 54.8% perceived discrimination, and 89.2% did not receive adequate treatment for chronic diseases. Perceived discrimination was significantly associated with a lower prevalence of receiving adequate treatment for chronic diseases (PRa = 0.49; 95%CI 0.25 – 0.97).

    This study evidenced that perceived discrimination decreases the prevalence of receiving adequate treatment for chronic diseases by approximately 50% compared with those who did not perceive discrimination.

    This study evidenced that perceived discrimination decreases the prevalence of receiving adequate treatment for chronic diseases by approximately 50% compared with those who did not perceive discrimination.

    To analyze the different profiles of dental service use by the Brazilian elderly and their possible association with sociodemographic factors, comorbidities, functionality and self-perception of oral health.

    Cross-sectional population-based study, using secondary data from the National Health Survey (PNS) of 2013. The sample size was 2,969 elderly individuals. Latent Class Analysis was used to construct the dependent variable “profile of dental service use” from questions related to this profile. The independent variables formed 3 blocks sociodemographic; comorbidities; functionalities and self-perception of oral health. The Rao-Scott Test and Standardized Residue Analysis tested the association. To measure the effect of covariates, Odds Ratio was estimated using a multiple hierarchical model of multinomial logistic regression. Significance level was 5%.

    Three latent classes were identified Direct Disbursement Profile, Health Plan Profile and the Unified Health System (SUS) Profile. White elderly people were associated with the Direct Disbursement and Health Plans profile. The Health Plan profile was more associated with the married marital status or living with a spouse. In the multiple model, low schooling was associated with the profile of SUS users and elderly people diagnosed with cancer with the Health Plan profile. Self-perceiving oral health as bad or very bad increased the chances of belonging to the SUS profile.

    Latent Class Analysis proved to be a powerful strategy for a subtle and detailed understanding of the profile of dental service use and its relationship with associated factors.

    Latent Class Analysis proved to be a powerful strategy for a subtle and detailed understanding of the profile of dental service use and its relationship with associated factors.

    To identify factors associated with a higher probability of survival for men aged 60 and over in the course of almost 15 years.

    Prospective cohort study, where time zero is the year 2000 and deaths (final event) were measured until November 2014. The independent variables were obtained from personal characteristics, childhood life, educational status, lifestyle, social support, work history, socioeconomic situation, and health condition.

    At the end of the period, 25.8% of elderly men remained alive and the factors that stood out associated with a higher probability of survival were performing 50% or more of the Basic and/or Instrumental Activities of Daily Living (95%CI 0.41 – 0.64), being the head of the family (95%CI 0.42 – 0.82), participating in the community (95%CI 0.52 – 0.88), working on their own (95%CI 0.54 – 0.88), and owning a home and goods (95%CI 0.56 – 0.92).

    Characteristics related to a greater autonomy of the elderly men, even after almost 15 years, contributed to an increase in the probability of survival.

    Characteristics related to a greater autonomy of the elderly men, even after almost 15 years, contributed to an increase in the probability of survival.

    The purpose of this study was to describe the impact of the COVID-19 pandemic on Primary Health Care in Brazil.

    This retrospective ecological study was carried out using Brazilian municipality data obtained from the information systems of the National Public Health System. The outcomes were medical appointments, prenatal procedures and diabetes care. The exposure variable was the occurrence of the COVID-19 pandemic, based on the first case reported in Brazil. Multilevel mixed-effects negative binomial regression was used to analyze the association between the number of procedures per 10,000 inhabitants and COVID-19.

    Data from 5,564 Brazilian municipalities were included in the present study. Regarding medical appointments, the largest reduction occasioned by the pandemic occurred in May (IRR = 0.27, 95%CI 0.24 – 0.30). Prenatal procedures were reduced by 65% (IRR = 0.35, 95%CI 0.32 – 0.38), also in May. In addition, diabetes care saw the biggest reductions in April 2020 (IRR = 0.24, 95%CI 0.11 – 0.53) and May 2020 (IRR = 0.19, 95%CI 0.09 – 0.43). From February to December 2020, the pandemic had a significant effect on the total number of procedures evaluated.

    The findings showed a reduction in prenatal procedures, diabetes and medical consultations performed in Brazil’s Primary Health Care, following the onset of the COVID-19 pandemic.

    The findings showed a reduction in prenatal procedures, diabetes and medical consultations performed in Brazil’s Primary Health Care, following the onset of the COVID-19 pandemic.Basking and retreat sites constitute a key resource in the habitat of any ectotherm. buy Infigratinib Identifying the elements that are used and modelling the microhabitat selection of species is crucial for assessing the impact of anthropogenic disturbances at the population level and, therefore, focusing on conservation efforts. We investigated how structural attributes of the microhabitat and biotic factors influence the probability of basking and retreat sites use by Phymaturus palluma, a rock-dwelling and viviparous lizard endemic to the Central Andes of Argentina. We measured the characteristics of a series of rocks (basking sites) and shelters (retreat sites) in the study area and compared lizard resource use versus availability using resource selection analyses (RSFs). According to our best RSF model, P. palluma select high and large rocks as basking sites and prefer those near their retreat sites and far from the basking sites of their neighbours. In contrast, retreat site selection is related to the length, depth, slope, and width of the shelter.

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