Publications by authors named "Carlos Raymundo"

Background: the riverside population lives in a vulnerable social situation, shaped by geographical, economic, social, and educational aspects that have repercussions on health literacy, the limitations of which can compromise Quality of Life. These specificities influence the actions of Primary Health Care, especially in the rural context. This study aimed to assess the factors associated with Functional Health Literacy and Quality of Life among riverside residents of the Brazilian Amazon who use Primary Health Care.

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The accelerated deterioration of roads is conditioned by parameters such as climate change, poor construction, and heavy vehicle traffic. Two relevant measures to monitor the condition of a road are the International Roughness Index (IRI) and the number of functional failures in a segment, mainly potholes, since they are associated with higher risks such as accidents or damage to vehicle mechanics. In the state of the art, pothole detection or International Roughness Index (IRI) calculation algorithms are proposed, but they use vehicles designed to produce less vibration and use phones that decrease the performance of the embedded sensors.

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  • Malnutrition is a significant global health issue, and this study focused on its prevalence among mother-child pairs in Brazil for children under 5 years old, comparing data from 2006 and 2019.* -
  • The findings revealed that in 2019, 58.2% of mothers and 9.7% of children were overweight, with rising rates of overweight in mother-child dyads and an increase in the double burden of malnutrition over the years.* -
  • Vulnerability to malnutrition was higher in dyads with lower maternal education, older mothers, and those from Southern Brazil, highlighting the need for targeted interventions in these populations.*
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Background: Vitamins B6, B12, and folate are essential for the formation and maintenance of the human brain, but studies evaluating these vitamins with early childhood development (ECD) in children under 5 y are limited and controversial.

Objectives: To evaluate the association between vitamins B6, B12, and folate concentrations/status and ECD.

Methods: Data regarding 6520 children aged 6-59 mo from the ENANI-2019 (the Brazilian National Survey on Child Nutrition) were analyzed.

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  • The study assessed the impact of COVID-19 on public health across Brazil, focusing on how incidence, mortality, and case fatality rates were influenced by social factors in different municipalities.
  • It utilized a spatial-temporal Bayesian model and found that factors like the Bolsa Família Program and proportional mortality ratio were linked to lower COVID-19 rates, while better health insurance coverage and higher inequality (Gini index) correlated with increased rates.
  • The highest risk for COVID-19 incidence and mortality was initially observed in the North region and spread to other areas, with non-white populations facing higher risks of illness and death from the virus.
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  • The study aimed to assess the effectiveness of the CLARIPED triage system for children in São Paulo, Brazil, by analyzing its ability to predict patient outcomes.
  • It involved a large sample size of 24,338 pediatric emergency visits, categorizing urgency levels and noting outcomes such as hospital admissions and length of stay.
  • Findings indicated that CLARIPED has good predictive capability with high sensitivity (0.88) and a low undertriage rate (11.5%), confirming its validity for use in pediatric emergency settings.
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Introduction: We aimed to describe the profile of adult patients and analyze the predictors of death from severe acute respiratory syndrome (SARS) due to coronavirus disease 2019 (COVID-19) in the state of Rio de Janeiro. Knowledge of the predictors of death by COVID-19 in Rio de Janeiro, a state with one of the highest mortality rates in Brazil, is essential to improve health care for these patients.

Methods: Data from the Information System for Epidemiological Surveillance of Influenza and the Mortality Information System were used.

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  • The study aimed to assess how effective the computerized pediatric triage system CLARIPED is in emergency departments by analyzing its correlation with patient outcomes.
  • Researchers observed 19,122 cases over a year, noting urgency levels that ranged from no urgency to emergency, with outcomes like hospital admission and length of stay increasing based on urgency.
  • Findings indicate that CLARIPED is a valid triage system, showing good sensitivity and low rates of undertriage, meaning it effectively identifies urgent cases while minimizing risks of missing critical patients.
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Background: COVID-19 can occur asymptomatically, as influenza-like illness, or as more severe forms, which characterize severe acute respiratory syndrome (SARS). Its mortality rate is higher in individuals over 80 years of age and in people with comorbidities, so these constitute the risk group for severe forms of the disease. We analyzed the factors associated with death in confirmed cases of COVID-19 in the state of Rio de Janeiro.

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Background: Zika virus (ZIKV) infection caused outbreak in Brazil, in 2015 and 2016. Disorganized urban growth, facilitates the concentration of numerous susceptible and infected individuals. It is useful to understand the mechanisms that can favor the increase in ZIKV incidence, such as areas with wide socioeconomic and environmental diversity.

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Article Synopsis
  • - The study aimed to explore how cardiovascular risk factors (like age, inactivity, smoking, alcohol use, hypertension, and diabetes) relate to cognitive performance in middle-aged Brazilian adults (ages 45-64).
  • - Results showed that older age and lower education levels were linked to worse cognitive test scores, while physical inactivity and hypertension were particularly associated with declines in memory and executive function.
  • - The findings suggest that cardiovascular risk factors can negatively impact cognitive abilities even in middle-aged individuals, highlighting the importance of addressing these risks for long-term cognitive health.
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Background: Identified in December 2019 in the city of Wuhan, China, the outbreak of COVID-19 spread throughout the world and its impacts affect different populations differently, where countries with high levels of social and economic inequality such as Brazil gain prominence, for understanding of the vulnerability factors associated with the disease. Given this scenario, in the absence of a vaccine or safe and effective antiviral treatment for COVID-19, nonpharmacological measures are essential for prevention and control of the disease. However, many of these measures are not feasible for millions of individuals who live in territories with increased social vulnerability.

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The occurrence of fetal and neonatal disorders in pregnant women with Zika virus infection in the literature is not consistent. This study aims to estimate the prevalence rate of these disorders in fetuses/neonates of pregnant women with confirmed or probable infection by Zika virus. A systematic review with meta-analysis was conducted in November 2020.

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Objectives: To study the impact of the implementation of the Pediatric Surviving Sepsis Campaign protocol on early recognition of sepsis, 1-h treatment bundle and mortality.

Methods: Retrospective, single-center study, before and after the implementation of the sepsis protocol.

Outcomes: sepsis recognition, compliance with the 1-h bundle (fluid resuscitation, blood culture, antibiotics), time interval to fluid resuscitation and antibiotics administration, and mortality.

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Objective: To describe the clinical characteristics of children and adolescents admitted to intensive care with confirmed COVID-19.

Method: Prospective, multicenter, observational study, in 19 pediatric intensive care units. Patients aged 1 month to 19 years admitted consecutively (March-May 2020) were included.

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Objective: To assess the validity and reliability of a triage system for pediatric emergency care (CLARIPED) developed in Brazil.

Methods: Validity phase: prospective observational study with children aged 0 to 15 years who consecutively visited the pediatric emergency department (ED) of a tertiary hospital from July 2 to 18, 2013. We evaluated the association of urgency levels with clinical outcomes (resource utilization, ED admission rate, hospitalization rate, and ED length of stay); and compared the CLARIPED performance to a reference standard.

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  • The study examines viral co-detection in children with severe acute respiratory infections during the 2009 H1N1 pandemic in Rio de Janeiro.
  • Of the 71 respiratory samples analyzed, 38% tested positive for H1N1, with a variety of other viruses also detected, indicating that co-infection is common.
  • H1N1-positive patients showed specific clinical features but there were no significant differences in the severity of illness or outcomes between those with multiple viral detections and those with a single virus.
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Objective: To describe the prevalence of microcephaly in infants admitted to the neonatal intensive care units (NICUs) in eight private hospitals in south-eastern and midwestern Brazil, from 2011 to 2015.

Design: Observational, cross-sectional study in a cohort of neonates.

Setting: Eight private NICUs situated in the cities of Rio de Janeiro (RJ), São Paulo (SP) and Federal District of Brasilia (FDB).

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In the last two months, there have been indications that the Zika virus epidemic is on the decline in Brazil. We reviewed the surveillance data published by the Brazilian Ministry of Health to assess trends of microcephaly and neurological abnormalities suggestive of congenital infection, as well as Zika virus disease in Brazil as a whole and its various regions. From November 2015 to July 2016, 8301 cases of microcephaly were reported in Brazil, mainly in the Northeast region.

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