Publications by authors named "Edina Mariko Koga da Silva"

Background: cardiorespiratory arrest (CRA) is a severe public health concern, and clinical simulation has proven to be a beneficial educational strategy for training on this topic.

Objective: To describe the implementation of a program for pediatric cardiac arrest care using rapid-cycle deliberate practice (RCDP), the quality of the technique employed, and participants' opinions on the methodology.

Design And Setting: This descriptive cross-sectional study of pre- and post-performance training in cardiopul monary resuscitation (CPR) techniques and reaction evaluation was conducted in a hospital in São Paulo.

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Background: Gestational Diabetes Mellitus (GDM) is one of the most prevalent complications of pregnancy and can cause adverse maternal and fetal outcomes. The maternal gut microbiota is involved in several metabolic functions, but it is not yet known its role in GDM physiopathology. This study aims to review the role of gut microbiota in pregnancies that evolved with GDM.

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Urinary incontinence after prostatectomy has a significant negative impact on the quality of life of the patient. The surgical treatment includes several models of male slings, such as adjustable slings. The objective of this study was to evaluate the effectiveness and safety of adjustable sling in the treatment of post-prostatectomy urinary incontinence.

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Context And Objective:: Brazil has the fifth largest population of obese individuals in the world. Women's magazines publish a large number of diet plans, and therefore the objective of this study was to assess the quality of these plans.

Design:: Cross-sectional descriptive study.

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Background:: The timing of surgery for recently symptomatic carotid artery stenosis remains controversial. Early cerebral revascularization may prevent a disabling or fatal ischemic recurrence, but it may also increase the risk of hemorrhagic transformation, or of dislodging a thrombus. This review examined the randomized controlled evidence that addressed whether the increased risk of recurrent events outweighed the increased benefit of an earlier intervention.

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Background: Low return rates for notification and counseling among donors with reactive serologic screening tests have been reported worldwide. A randomized trial to test the effectiveness of text message, letter, or telephone call reminders to improve return among nonresponding first-time blood donors with reactive serologic tests was conducted.

Study Design And Methods: Donors with serologically reactive screening test results who had a cell phone and resided in the metropolitan telephone area code of São Paulo in the period from August 2013 through July 2014 were eligible.

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Background: The authors conducted a systematic review to assess changes in patients' facial profiles resulting from orthodontic treatment with and without extraction of 4 premolars and to identify cephalometric parameters that can assist decision making in borderline cases.

Types Of Studies Reviewed: The authors conducted a systematic review of randomized clinical trials and observational studies comparing the 2 types of treatment (with and without premolar extraction) in terms of the changes in facial profile. The authors conducted an electronic search of the databases the Cochrane Library, PubMed MEDLINE, Embase, and Latin-American and Caribbean Health Sciences Literature.

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Background: Preeclampsia is a major cause of maternal and perinatal morbidity and mortality worldwide and especially in Latin America. High quality evidence indicates that calcium supplementation during pregnancy significantly reduces the incidence of preeclampsia and its consequences, including severe maternal morbidity and death. Few studies have assessed the implementation of this intervention in clinical practice.

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Objective: To progress in the understanding of the user profile and of search trends for health information on the internet.

Methods: Analyses were performed based on 1,828 individuals who completed an electronic questionnaire available on a very popular health website. At the same time, through the "elite survey" method, 20 specialists were interviewed, aiming at assessing quality control strategies regarding health information disseminated online.

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Article Synopsis
  • The study aimed to assess how effective low-level laser therapy (LLLT) at a wavelength of 830 nm is in reducing pain associated with tooth movement from orthodontic devices.
  • It involved 60 orthodontic patients divided into two groups, where one group received the LLLT treatment immediately after having elastomeric separators placed, while the control group received a placebo light.
  • Results showed that those who received LLLT reported lower pain levels and a higher occurrence of no pain compared to the control group, indicating that LLLT effectively alleviates the pain caused by orthodontic treatments.
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Introduction: In the jurisdiction of Brasília, Brazil, significant reductions in mortality rates and lethality resulting from acquired immunodeficiency syndrome (AIDS) were observed shortly after the introduction of highly active antiretroviral therapy. In recent years, however, the decline of these rates has not been as significant. Non-adherence to treatment and delayed diagnosis appear to be the main factors that increase the risk of death from AIDS.

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Context And Objective: Hypertension is a public health problem due to its high prevalence and long-term cardiovascular complications. In Brazil in 2005, cardiovascular diseases were responsible for 28% of all deaths. Efforts are being made within primary care to achieve adequate hypertension control.

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Objectives: This study reports on the Brazilian experience of developing a specialized bulletin, the Brazilian Health Technology Assessment Bulletin (BRATS), on health technology assessments (HTA).

Methods: The editorial process, format, and dissemination strategy of the publication are presented. A critical appraisal of the available issues was made using the checklist for HTA reports of the International Network of Agencies for Health Technology Assessment.

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The aim was to determine the prevalence of overweight and obesity in schoolchildren and the association with birth weight and family antecedents of cardiovascular disease. This cross-sectional study used a probabilistic sample of 929 schoolchildren aged 6 to 10 years. The variables were: body mass index (BMI), birth weight and family antecedents of cardiovascular disease.

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Article Synopsis
  • - The study evaluated the prevalence and risk factors of Helicobacter pylori infection among low-income children in São Paulo, Brazil, finding that 35.6% of the 326 evaluated children were infected, with older children being more affected.
  • - The research included demographic data collection and serological testing, excluding those with chronic diseases or previous treatments, and it revealed that infection rates increased significantly with age (20.8% in ages 2-4 compared to 58.3% in those older than 12).
  • - No strong links were found between infection and factors like gender, family size, or income; the only significant association identified was with the child's age, indicating an intermediate prevalence of H. pylori in
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Context And Objective: Infant mortality expresses a set of living, working and healthcare access conditions and opens up possibilities for adopting interventions to expand equity in healthcare. This study aimed to investigate vulnerability and the consequent differences in access to health services and occurrences of deaths among infants under one year of age in the municipality of Embu.

Design And Setting: This was a descriptive study in the municipality of Embu.

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Article Synopsis
  • A two-stage study evaluated metabolic syndrome and related factors in prepubertal schoolchildren, focusing on nutritional status, blood pressure, and cardiovascular disease history.
  • Out of 929 children aged 6-10, 27.7% were overweight/obese, 12.2% had hypertension, and metabolic syndrome was identified in 9.3% (ATP) and 1.9% (WHO) of participants.
  • The findings revealed that overweight/obese children had a higher prevalence of metabolic syndrome, while some normal-weight children with personal or family health histories showed concerning metabolic markers.
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Context And Objective: Iron deficiency anemia is an important public health problem in Brazil. In the municipality of Embu, a population study in 1996 found anemia prevalence of 68.5% among children aged one to two years.

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Article Synopsis
  • - The study aimed to investigate the connection between various risk factors and developmental disorders in children at a clinic in São Paulo, focusing on infants with low birth weight and other complications.
  • - Researchers reviewed cases from 1995 to 2003, track feedback from medical professionals on developmental outcomes, and performed statistical analyses to find significant risk factors.
  • - Findings revealed that over half of the children had developmental abnormalities, with low birth weight, perinatal asphyxia, and maternal age being crucial indicators for monitoring child development.
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Article Synopsis
  • - A study in Belém, Brazil, with 365 infants (6-24 months) found that over half (55.1%) had iron-deficiency anemia, while 15.3% showed depleted iron reserves and 18.1% had iron sufficiency.
  • - Logistic regression indicated significant links between iron deficiency and factors like being in the 6-12 month age group (OR = 3.67), not using iron-fortified formula after breastfeeding (OR = 1.93), and having a low income (per capita income ≤ 1 minimum wage, OR = 2.69).
  • - The high prevalence of iron deficiency in infants highlights the urgent need for effective public health measures to address
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Objective: To assess the receptive vocabulary of children aged between two years and six months and five years and eleven months who were attending childcare centers and kindergarten schools.

Methods: An analytical cross-sectional study was carried out in the municipality of Embu, Southeastern Brazil. The Peabody Picture Vocabulary Test and analysis of factors associated with children's performance were applied.

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Context And Objective: Short stature is defined as a height of more than two standard deviations below the average for a given age and sex in a reference population. The objective was to describe follow-up conducted among short-stature children and adolescents.

Design And Setting: Descriptive study, at the Growth outpatient clinic, Department of Pediatrics, Universidade Federal de São Paulo.

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In the present study, the practices and knowledge of 40 physicians and 40 nurses from municipal health care units (UMS) and 40 physicians and 40 nurses from the Family Health Program (FHP) in Belém, Pará State, Brazil, all of whom working in primary health care, were evaluated in relation to child development surveillance. Measures of knowledge of child development showed an average of 63.7% correct answers for UMS physicians, 57.

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Article Synopsis
  • The paper examines the nutritional status of 320 children under 5 years old in Embu, Brazil, during 1996-1997 to identify vulnerable populations needing health services.
  • It uses z-scores for weight/age, height/age, and weight/height to evaluate nutrition, finding that deficits in height/age were the most common while weight/height had the least issues.
  • The study reveals that low birth weight children are particularly at risk, with height deficit serving as an important early indicator for potential future health consequences.
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Article Synopsis
  • A cross-sectional study in Embu, São Paulo, in 1996 surveyed 483 mothers to assess prenatal and childbirth care across different socioeconomic groups.
  • Over 90% of mothers received prenatal care, but access was notably late for those in lower-income strata, particularly in slums.
  • Quality indicators revealed that only 60.8% of mothers had breast exams during care, and a lack of proper prenatal consultations was linked to young maternal age, low income, and absence of private health insurance, prompting local health authorities to improve health measures.
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