[Patterns of variation in the infant mortality rate in Rio Grande do Sul State, Brazil: comparison of empirical Bayesian and fully Bayesian approaches].

Infant mortality is considered a sensitive health indicator, and knowledge of its geographical profile is essential for formulating appropriate public health policies. Disease mapping aims to describe the geographical distribution of disease incidence and mortality rates. Due to the heavy instability of crude rates in small areas, methods involving Bayesian smoothing of rates are used, drawing on information for the whole area or neighborhood to estimate the event rate.

[Comparison of simple and multiple imputation methods using a risk model for surgical mortality as example].

Introduction: It is common for studies in health to face problems with missing data. Through imputation, complete data sets are built artificially and can be analyzed by traditional statistical analysis. The objective of this paper is to compare three types of imputation based on real data.

Factors associated with hospital mortality in Rio Grande do Sul SUS network in 2005: application of a Multilevel Model.

Objective: To use a multilevel analysis methodology to evaluate hospital mortality from the data available in the Hospital Information System of the National Unified Health System.

Methods: Cross-sectional study with data obtained from Authorization Forms for Hospital Admissions in Rio Grande do Sul, Brazil in 2005. The modeling was performed using multilevel logistic regression, with variables from the individual level (hospital admissions) and the context level (hospital profile).

Mortality prediction model using data from the Hospital Information System.

Objective: To develop a hospital mortality prediction model based on data from the Hospital Information System of the Brazilian National Health System.

Methods: This was a cross-sectional study using data from 453,515 authorizations for hospital admission relating to 332 hospitals in Rio Grande do Sul, Southern Brazil in the year 2005. From the ratio between observed and expected deaths, the hospitals were ranked in an adjusted manner, and this was compared with the crude ranking of the mortality rate.

Development of the concept of spatial-temporal mask for testing effects of discharge from well-drilling activities on biological communities.

This paper describes the use of Bayesian spatial models to develop the concept of a spatial-temporal mask for the purpose of identifying regions in which before and after drilling effects are most clearly defined and from which the consequences of exposure of macrofauna and meiofauna to the release of drilling discharges can be evaluated over time. To determine the effects of drilling fluids and drill-cuttings on the marine benthic community, it is essential to know not only where discharged materials ended up within the possible impact area, but also the chemical concentrations to which biota were exposed during and after drilling. Barium and light hydrocarbons were used as chemical tracers for water-based and non-aqueous-based fluids in a shallow water site in the Campos Basin, off the coast of Brazil.

Effects of non-aqueous fluids-associated drill cuttings discharge on shelf break macrobenthic communities in the Campos Basin, Brazil.

This paper assesses the effects of non-aqueous fluids (NAF)-associated drill cuttings discharge on shelf break macrobenthic communities in the Campos Basin, off the southeast Brazilian coast, Rio de Janeiro State. Samples were taken with a 0.25-m2 box corer from surrounding two oil and gas wells on three monitoring cruises: before drilling, three months after drilling, and 22 months after drilling.

[Utilization of fully Bayesian modeling to detect patterns in relative risk variation for infant mortality in Rio Grande do Sul State, Brazil].

The infant mortality rate is one of the key indicators used to measure a population's quality of life. The State of Rio Grande do Sul has a social and economic indicator called the Socioeconomic Development Index (IDESE). Most studies analyze the infant mortality rate in relation to risk factors, visually aided by maps.

Genetic biomonitoring of an urban population exposed to mutagenic airborne pollutants.

Biomonitoring studies have increased as a consequence of risks and effects to human health on exposure to environmental contaminants, mainly air pollutants. Genetic biomarkers are useful tools for the early assessment of exposure to occupational and environmental pollution. The objective of the present study was to investigate genotoxic effects on people residing and/or working downwind from an oil refinery in southern Brazil and the mutagenic activity of airborne particulate matter (PM10).

Relationship between oral clinical conditions and daily performances.

The aim of this study was to assess the impact of oral status on the daily performances of civil servants from the Public Works and Waste Management Department of the city of Porto Alegre, located in Southern Brazil. A cross-sectional study was conducted on a representative sample composed of 276 civil servants with ages ranging from 35 to 44 years. The Oral Impacts on Daily Performances index developed was employed to measure impacts caused by oral clinical conditions.

Laparoscopy versus laparotomy for benign ovarian tumour.

Background: Over the last 10 years laparoscopy and minilaparotomy have become increasingly common approaches for the surgical removal of benign ovarian tumours. However, in the event that a tumour is found to be malignant, laparotomy is the appropriate procedure. Careful preoperative assessment including transvaginal ultrasound with morphological scoring, colour doppler assessment of vascular quality, and serum cancer antigen 125 (CA 125) level is desirable.

[Multiple imputations for missing data: a simulation with epidemiological data].

In situations with missing data, statistical analyses are usually limited to subjects with complete data. However, such estimates may be biased. The method of 'filling in' missing data is called imputation.

Fluoride characterization by principal component analysis in the hydrochemical facies of Serra Geral Aquifer System in Southern Brazil.

Principal component analysis is applied to 309 groundwater chemical data information from wells in the Serra Geral Aquifer System. Correlations among seven hydrochemical parameters are statistically examined. A four-component model is suggested and explains 81% of total variance.

Brazilian version of the Protocole Montréal d'Evaluation de la Communication (Protocole MEC): normative and reliability data.

The lack of standardized instruments to evaluate communication disorders related to the right hemisphere was verified. A new evaluation tool was developed: Protocole Montréal d'Evaluation de la Communication--Protocole MEC, adapted to Brazilian Portuguese--Bateria Montreal de Avaliação da Comunicação--Bateria MAC (Montreal Evaluation of Communication Battery). The purpose was to present stratified normative data by age and educational level, and to verify the reliability parameters of the MEC Battery.

Biomonitoring of genotoxicity using micronuclei assay in native population of Astyanax jacuhiensis (Characiformes: Characidae) at sites under petrochemical influence.

Bom Jardim brook is a small stream that flows through an area under the influence of a Petrochemical Complex, demanding control over its quality, so a genotoxic evaluation was performed. This study was conducted in situ, based on previous analysis on the same subject. These were performed both in vitro, with Salmonella typhimurium and human lymphocytes, and in vivo, using bioassays with fish exposed to water from the study area.

Right hemisphere damage: Communication processing in adults evaluated by the Brazilian Protocole MEC - Bateria MAC.

Unlabelled: Right-brain-damaged individuals may present discursive, pragmatic, lexical-semantic and/or prosodic disorders.

Objective: To verify the effect of right hemisphere damage on communication processing evaluated by the Brazilian version of the Protocole Montréal d'Évaluation de la Communication (Montreal Communication Evaluation Battery) - Bateria Montreal de Avaliação da Comunicação, Bateria MAC, in Portuguese.

Methods: A clinical group of 29 right-brain-damaged participants and a control group of 58 non-brain-damaged adults formed the sample.

Correlation between drug treatment adherence and lithium treatment attitudes and knowledge by bipolar patients.

Background: Non-adherence should always be investigated when there is a failure in bipolar treatments, since it is known that reported non-adherence rates in bipolar disorder treatment for long-term prophylactic pharmacotherapy range from 18% to 52%, with a median prevalence of 44.7%. Several factors are related to the poor adherence and reduction of medication efficiency, such as the different types of bipolar disorder, the presence of side effects, medication interactions, level of patient's knowledge about the disorder and their attitude towards treatment, complexity of medical regimens and the doctor-patient relationship.

Decreases in procalcitonin and C-reactive protein are strong predictors of survival in ventilator-associated pneumonia.

Introduction: This study sought to assess the prognostic value of the kinetics of procalcitonin (PCT), C-reactive protein (CRP) and clinical scores (clinical pulmonary infection score (CPIS), Sequential Organ Failure Assessment (SOFA)) in the outcome of ventilator-associated pneumonia (VAP) at an early time point, when adequacy of antimicrobial treatment is evaluated.

Methods: This prospective observational cohort study was conducted in a teaching hospital. The subjects were 75 patients consecutively admitted to the intensive care unit from October 2003 to August 2005 who developed VAP.

[Teenagers and condom use: choices by young Brazilians from three Brazilian State capitals in their first and last sexual intercourse].

Condom use has increased among Brazilian youth, although condoms are not used in all sexual relations; in addition, their use varies over the course of an individual's affective and sexual history. This study focused on the prevalence and factors associated with condom use during sexual initiation and in the most recent sexual relations in young men and women (18-24 years of age). The data are from the GRAVAD Research Project, a cross-sectional study with a stratified probabilistic sample using household interviews in three Brazilian State capitals.

Reproductive outcomes in an area adjacent to a petrochemical plant in southern Brazil.

Objective: To evaluate possible adverse reproductive outcomes in an area adjacent to a petrochemical plant in southern Brazil.

Methods: A review of 17,113 birth records of the main hospital of the municipality of Montenegro, southern Brazil, from 1983 to 1998 was carried out. Three groups of cases were selected: (1) newborns with major congenital malformations; (2) newborns with low birth weight (<2,500 g); and (3) stillborns (>500 g).