Saúde Coletiva

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http://repositorio.ufes.br/handle/10/17584
Programa de Pós-Graduação em Saúde Coletiva

Centro: CCS
Telefone: (27) 3335 7287
URL do programa: http://www.saudecoletiva.ufes.br/pt-br/pos-graduacao/PPGSC

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Navegando Saúde Coletiva por Autor "Abreu, Luiz Carlos de"

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    Análise comparativa dos desfechos epidemiológicos de incidência, mortalidade e letalidade por COVID-19 entre os estados do Espírito Santo e Minas Gerais
    (Universidade Federal do Espírito Santo, 2023-10-05) Silva, Leonardo Gomes da; Abreu, Luiz Carlos de; https://orcid.org/0000000276182109; http://lattes.cnpq.br/6796970691432850; https://orcid.org/0000-0002-1820-8075; http://lattes.cnpq.br/6482229723872387; Silva, Alan Patricio da; Leitão, Francisco Naildo Cardoso
    Introduction: in China, in early December 2019, a new type of coronavirus emerged, SARS-CoV-2, a virus that causes a rapidly spreading disease and difficult to control its forms of transmission, given its form transmission is via the respiratory route. COVID19 is a disease that can initially be asymptomatic and can lead to death. Objective: to evaluate the incidence, mortality and lethality rates for COVID-19 between the states of Espírito Santo and Minas Gerais. Methods: this is an ecological study, of a quantitative nature, with time series analysis using a secondary and public database on COVID-19 in the states of Espírito Santo and Minas Gerais, from January 2020 to July of 2022. The incidence and mortality rates, expressed per 100,000 inhabitants, and the lethality rate, expressed as a percentage, were calculated. For trend analyses, Prais-Winsten linear regression was used, where the angular coefficient with its respective probability and the percentage variation of daily change were estimated. All statistical analyzes were performed using the STATA MP 17.0 statistical software. Results: when comparing the incidences of COVID-19 between states, Espírito Santo (ES) has the highest rates, as in 2020, where the rate was 2.19 times higher; in 2021, in which the rate was 1.29 times higher and 2022, corresponding to 2.65 times higher than the state of Minas Gerais. In addition, Espírito Santo had the highest mortality, with the exception of the year 2021. In turn, Minas Gerais had the highest lethality throughout the analyzed pandemic period. Conclusion: it was possible to observe that the state of Espírito Santo had a higher incidence of COVID-19, as well as higher mortality, when compared to the state of Minas Gerais. In turn, Minas Gerais had a higher fatality rate. Furthermore, it was observed that both states showed equal trends for mortality, lethality and incidence in the years 2020 and 2021. For the year 2022, Minas Gerais presents decreasing mortality and incidence and increasing lethality, while the state of Espírito Santo presents a stationary trend for all variables.
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    Modulação autonômica do ritmo cardíaco em profissionais da segurança pública e sua interação com o estresse psicossocial
    (Universidade Federal do Espírito Santo, 2024-05-08) Pestana, Andressa Braz Carlini; Abreu, Luiz Carlos de; https://orcid.org/0000-0002-7618-2109; http://lattes.cnpq.br/6796970691432850; https://orcid.org/0000-0002-0031-3731; http://lattes.cnpq.br/5433642968185260; Leitão, Francisco Naildo Cardoso; https://orcid.org/0000-0001-7743-2512; http://lattes.cnpq.br/6042531738477010; Raimundo, Rodrigo Daminello; https://orcid.org/0000-0002-3043-0728; http://lattes.cnpq.br/8068391785334566
    Introduction: the work of the military police is extremely important in the context of public security, however this activity presents numerous daily challenges that have repercussions on the physical and mental health of these professionals and in the different spheres of personal and family life. A simple and non-invasive measure such as heart rate variability (HRV) is capable of analyzing the modulation of the autonomic nervous system and may suggest a malfunction of the physiological system, with HRV being a sensitive and early indicator of health impairment. Objective: to analyze the autonomic modulation of heart rate in professionals who perform military public functions in the state of Espírito Santo. Method: cross-sectional study in which 71 participants over 18 years of age who worked in a public military role in the state of Espírito Santo were evaluated from August to November 2022. Weight, height, body composition and HRV were collected, followed by modulation analysis, autonomous through Kubios® software. For this analysis, heart rate was recorded beat by beat with individuals in the supine position for 25 minutes using a heart rate monitor. HRV indices were calculated using linear methods in the time and frequency domains, and by non-linear methods. The data were analyzed by comparing men and women, age groups 25 to 34 years and 35 to 54 years and BMI groups considered adequate (18.5 to 24.9 kg/m2), overweight (25.0 to 29.9 kg/m2 ) and obesity (> 30.0 kg/m2 ). Results: statistically significant differences were observed in the following variables between men and women SDNN (p=0.006), RMSSD (p=0.028), SD1 (p=0.001) and SD2 (p=0.017). Between the different BMI ranges SNS (p=0.031), Average RR (p=0.012) and Average HR (p=0.025) and in the different age groups PNS (p=0.007), SI (p=0.0034), SDNN (p=0.004), RMSSD (p=0.0013), SD1 (p=0.0013) and SD2 (p=0.0093). These variables were effective and sensitive in identifying differences in cardiac autonomic modulation between men and women. Frequency domain components (VLF, LF and HF) did not show significant differences. Conclusion: women had greater vagal tone and global HRV compared to men. Individuals classified as obese had greater sympathetic activity and individuals between 35 - 54 years of age had lower vagal tone and lower global HRV.
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    Tendência temporal da mortalidade por acidente vascular cerebral na população residente do estado do Espírito Santo, Brasil: uma análise com a regressão joinpoint entre o período de 2000 e 2021
    (Universidade Federal do Espírito Santo, 2024-07-28) Mpuhua, Casanova André Motopa; Souza, Orivaldo Florêncio de; https://orcid.org/; http://lattes.cnpq.br/; Abreu, Luiz Carlos de; https://orcid.org/0000-0002-7618-2109; http://lattes.cnpq.br/; Orientador2; https://orcid.org/; http://lattes.cnpq.br/; https://orcid.org/; http://lattes.cnpq.br/; Daboin, Blanca Elena Guerrero; https://orcid.org/0000-0001-6819-3900; http://lattes.cnpq.br/; Rocha, João Batista Francalino da; https://orcid.org/; http://lattes.cnpq.br/; 3º membro da banca; https://orcid.org/; http://lattes.cnpq.br/
    INTRODUCTION: stroke is one of the leading causes of death and acquired disability worldwide. Each year, 17 million people suffer a stroke, resulting in 6.5 million deaths, while millions more face the disease, bringing the total number of survivors to 80 million. In Brazil, stroke is the leading cause of death among adults, accounting for 10% of hospital admissions to public hospitals. Despite the reduction in overall mortality from stroke, the absolute number of cases, deaths and years of life lost continues to grow, especially in developing and underdeveloped countries. OBJECTIVE: to analyze the trend of mortality due to stroke in the population of the state of Espírito Santo, Brazil, between 2000 and 2021. METHODS: this is an ecological time series study using secondary data on the population of the state of Espírito Santo, Brazil, from 2000 to 2021. Data on deaths by sex and age group during this period were obtained from the database of the Department of Informatics of the Unified Health System (DATASUS), on the website https://datasus.saude.gov.br/informacoes-de-saude-tabnet/. The focus of the study was to analyze deaths whose underlying cause was stroke, coded as I64 in the International Classification of Diseases, 10th version. The temporal trend of strokes was assessed using joinpoint regression analysis with the Regression Joinpoint software. RESULTS: in the state of Espírito Santo, from 2000 to 2021, there was a significant decrease in proportional mortality from stroke of -3.7% (95% CI: -5.8%; - 1.7%), with a p-value <0.001. This decline was observed both in males, with a reduction of -3.0% (95% CI: -4.2%; -1.7%), and in females, which recorded a decrease of -3.9% (95% CI: -5.6%; -2.2%). Among the age groups analyzed, the group aged 50 to 59 years stood out, which showed the greatest decline in proportional mortality from stroke, with an average annual percentage change (AAPC) of -4.9 (95% CI: -8.4; -1.4). In contrast, the 30–39 age group showed the smallest decline, with a VPMA of -2.4 (95% CI: -4.2; -0.5). No segments of change in proportional stroke mortality were identified in the 40–49, 60–69, and 70–79 age groups during the study period. CONCLUSION: there was a decline in stroke mortality rates, with a long-term downward trend, in the state of Espírito Santo, Brazil, during the period analyzed. The interrupted trend analysis revealed two segments for stroke mortality from 2000 to 2016, with a decreasing trend, and from 2016 to 2021, with an increasing trend.
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    Três anos de pandemia da COVID-19: análise da variação temporal no estado do Rio de Janeiro, região sudeste brasileira
    (Universidade Federal do Espírito Santo, 2023-07-18) Santos, Gabriella Lima; Abreu, Luiz Carlos de; https://orcid.org/0000000276182109; http://lattes.cnpq.br/6796970691432850; https://orcid.org/0000-0003-4618-6966; http://lattes.cnpq.br/0797403706995936; Silva, Romeu Paulo Martins; https://orcid.org/000000028368158X; http://lattes.cnpq.br/0912778768755567; Ribeiro, Mariane Albuquerque Lima; https://orcid.org/0000-0002-6475-3285; http://lattes.cnpq.br/7096015128546015
    Introduction: according to the course of the severity of the new coronavirus in different continents, the pandemic in the Americas region stood out with the number of cases and deaths. The southeastern region of Brazil was one of the most affected and the state of Rio de Janeiro showed significant values of epidemiological measures, in particular the mortality rate which is, the highest in Brazil. The Rio de Janeiro is considered a national metropolis and an important entry point for international travelers, therefore, air and road flows contributed to the insertion and spread of the virus in Rio de Janeiro. Objective: to analyze the temporal variations of lethality, mortality and incidence rates due to COVID-19 in the state of Rio de Janeiro during the period from January 2020 to December 2022. Methods: ecological study, with public access population-based time series provided by the Secretary of Health of the State of Rio de Janeiro. Information was collected on cases and deaths from COVID-19 from January 2020 to December 2022. Incidence and mortality rates, expressed per 100,000 inhabitants, and lethality, expressed as a percentage, were calculated. For trend analyses, time series construction rates were calculated using the generalized linear regression model by the Prais-Winsten method. The angular coefficient with its respective probability and the percentage variation of daily change were estimated. All statistical analyzes were performed using the STATA MP 17.0 statistical software. Results: in the analyzed period, the months of December 2020, March 2021 and January 2022, the highest percentage of confirmed cases was observed, respectively, with 21.24%, 15.72% and 56.51%. Regarding deaths, the highest percentage occurred in the months of May 2020 (23.92%), April 2021 (19.64%) and between January (28.20%) and February 2022 (28.62%). The fatality rate found was higher in the month of May 2020 (11.6%), however in 2022 in this same month, the lethality found was 0.21%, proving to be the lowest of the entire analyzed period. The month of April 2021 had the highest mortality rate with 45.14 deaths per 100,000 inhabitants. In January 2022, the highest incidence with 3,390.03 confirmed cases per 100,000 inhabitants. The mortality rate and incidence showed variation in the serial correlation between the analyzed years. Mortality in 2020 maintained a stationary tendency at 1.05% and in the following years followed the same behavior, with a decreasing trend of -0.82% and -0.52%. The incidence, on the other hand, showed a daily growth of 2.03% in the year 2020, in the other years it varied between decreasing and increasing, -0.56% and -0.77%, respectively. The fatality rate followed a stationary trend in the three pandemic years with -0.12%, -0.15% and 0.15% for each year, consecutively. Conclusion: the health indicators studied in the state of Rio de Janeiro have different epidemiological behaviors, as well as important serial correlation variations between the analyzed years. The incidence stood out in 2020 and mortality in the same period showed a stationary trend. In 2021, the epidemiological measures showed a similar behavior and in 2022, a change in the pattern was observed, with mortality trending downward and the incidence stationary. Lethality, in turn, presented a stationary behavior in the three pandemic years.