Papers by Ilka Afonso Reis
Revista do Instituto de Medicina Tropical de São Paulo, 2021
This is an open-access article distributed under the terms of the Creative Commons Attribution Li... more This is an open-access article distributed under the terms of the Creative Commons Attribution License.
Revista da Universidade Federal de Minas Gerais, 2021
Diversas transformações sociais, econômicas e ambientais se refletem no ensino e na prática unive... more Diversas transformações sociais, econômicas e ambientais se refletem no ensino e na prática universitária, sendo o ambiente universitário meio e abrigo de práticas que podem ser uma referência para a sociedade. Conhecimentos acumulados no âmbito da pesquisa podem orientar ações para maior sustentabilidade da universidade como um todo. As questões políticas de contingenciamento de verbas, as mudanças climáticas e os desafios ambientais e sanitários trazem à tona questões para a gestão universitária ligadas ao uso de seus edifícios. O presente artigo se propõe então a analisar o ambiente universitário em questões ligadas ao uso de energia e ao conforto ambiental. Questões estas que vão lidar com a economicidade dos espaços universitários e com a salubridade destes.
Revista Brasileira de Epidemiologia, 2021
RESUMO: Objetivo: O estudo tem como objetivo avaliar o desempenho dos hospitais que participaram ... more RESUMO: Objetivo: O estudo tem como objetivo avaliar o desempenho dos hospitais que participaram do Programa Nacional de Avaliação de Serviços de Saúde (PNASS 2015-2016). Métodos: Estudo descritivo transversal quantitativo, que buscou mensurar o desempenho dos hospitais que participaram do programa com base nos dados do primeiro instrumento avaliativo do PNASS 2015-2016. O questionário de avaliação de processos aplicado aos hospitais contou com 102 itens, 17 critérios, agrupados em quatro blocos ou dimensões. Resultados: Participaram 1.681 hospitais. O escore médio por bloco foi: gestão organizacional (64), apoio técnico e logístico para produção de cuidado (73), gestão da atenção à saúde e do cuidado (64) e serviços/unidades específicas (72). Com relação à esfera administrativa, o melhor desempenho médio foi obtido pela esfera federal, seguido da estadual e da municipal. Os hospitais localizados no Sul e Sudeste obtiveram o melhor desempenho (73,0), seguido do Centro-Oeste (62,7), ...
Investigate the literature how are characterized the attitudes of health professionals in relatio... more Investigate the literature how are characterized the attitudes of health professionals in relation to diabetes. Integrative literature review on the basis Scientific Electronic Library Online, Brazilian digital library of theses and dissertations, Virtual Health Library, National Library of Medicine, Google Scholar, between 1990 and 2016, in English, Spanish and Portuguese. The results of quantitative studies were synthesized and those of a qualitative nature were subjected to content analysis. In general, quantitative studies show that doctors, nurses, dietitians and pharmacists showed favorable attitudes toward diabetes. However, there were differences in attitudes between the professional categories in relation to the severity of Type 2 diabetes, psychosocial impact of diabetes and autonomy of the person with diabetes. Meanwhile, in qualitative studies identified the presence of favorable and unfavorable attitudes among doctors, with regard to the autonomy of the person with diab...
Physis: Revista de Saúde Coletiva, 2021
Resumo Esta pesquisa teve por objetivo mensurar a eficiência dos gastos em Atenção Primária à Saú... more Resumo Esta pesquisa teve por objetivo mensurar a eficiência dos gastos em Atenção Primária à Saúde (APS) dos municípios paulistas e avaliar sua correlação com a densidade demográfica e o tamanho populacional dos municípios, assim como com sua localização geográfica e seu PIB per capita. Realizou-se uma avaliação ex post, quantitativa e descritiva acerca da eficiência do gasto em APS para uma amostra dos municípios paulistas (n=509), considerando os dados do ano de 2015. A presente pesquisa fez uso de um modelo de Data Envelopment Analysis com Supereficiência para detectar e remover outliers. Por fim, verificou-se a magnitude da relação existente entre os escores de eficiência calculados e as variáveis não discricionárias. Verificou-se que a média dos escores de eficiência após a exclusão dos municípios supereficientes (outliers) tornou-se maior (IC99%: 0.127; 0.213). Em média, os municípios paulistas são moderadamente ineficientes no tocante aos gastos com APS (ϴ = 0.488). Destaca-...
Cadernos de Saúde Pública, 2020
Although renal replacement therapy has contributed to the survival of chronic kidney failure (CKF... more Although renal replacement therapy has contributed to the survival of chronic kidney failure (CKF) patients, mortality remains a major concern. This study aimed to identify the factors associated with mortality in a prospective cohort of CKF patients. Sociodemographic, clinical, nutritional, lifestyle and quality of life data were collected from 712 patients. The instruments used were the Short-Form Health Survey (SF-36), Global Subjective Assessment (GSA) and Charlson Comorbidity Index (CCI) questionnaires. A total of 444 patients died during the study. After five years of follow-up, factors such as not being married (hazard ratio - HR = 1.289, 95%CI: 1.001; 1.660), a low frequency of leisure activities (HR = 1.321; 95%CI: 1.010; 1.727) and not being transplanted (HR = 7.246; 95%CI: 3.359; 15.630) remained independently associated with the risk of mortality. At the end of the follow-up period, factors such as not being married (HR = 1.337, 95%CI: 1.019; 1.756), not being transplant...
Revista de Saúde Pública, 2020
OBJETIVO: Estimar a incidência e avaliar os fatores de risco para náuseas e vômitos induzidos por... more OBJETIVO: Estimar a incidência e avaliar os fatores de risco para náuseas e vômitos induzidos por antineoplásicos com alto e moderado potencial emético em pacientes adultos, no primeiro ciclo de tratamento. MÉTODOS: Estudo de coorte prospectiva, com 269 adultos acompanhados durante o primeiro ciclo de quimioterapia antineoplásica. A incidência de náuseas e vômitos foi avaliada na fase aguda (0–24 horas), na fase tardia (24 horas–5º dia) e na fase total (0–5º dia). RESULTADOS: 152 pacientes foram submetidos a quimioterápico com alto potencial emético e 117 a moderado potencial emético. A frequência relativa de náuseas foi maior quando comparada à de vômitos na fase aguda (p < 0,001) e na fase tardia (p < 0,001). Os fatores de risco identificados foram: faixa etária ≤ 49 anos (odds ratio = 0,47; IC95% 0,23–0,95) e 50–64 anos (odds ratio = 0,45; IC95% 0,23–0,87), uso de tabaco (odds ratio = 0,35; IC95% 0,14–0,88) e alto potencial emético dos quimioterápicos (odds ratio 0,55; IC95...
Sustainability, 2020
In recent decades, there has been an increase in the search for more detailed information on popu... more In recent decades, there has been an increase in the search for more detailed information on population dynamics, given the growing demand for more sustainable economic, social, and environmental planning. The dissemination of Geographic Information Systems (GIS) has contributed to the development of methodologies for the field of population estimates for small areas. To support more sustainable policies, this study aims to evaluate the capacity and contribution of the orbital images (Landsat ETM+) for the production of post-census population estimates for the municipality of Contagem, Minas Gerais, Brazil. Firstly, models were built using the average of the reflectance of the spectral bands of the Landsat 7 ETM+ for each special intra-municipal unit, called the census sector, as explanatory variables for the population density. Secondly, this study constructed models that use the reflectance and the distributed population at the level of the pixels of the images. All models were te...
Sao Paulo Medical Journal, 2019
Despite advancements in renal replacement therapies and increased survival, patients still face s... more Despite advancements in renal replacement therapies and increased survival, patients still face several physical, psychological and social limitations as consequences of chronic kidney disease and treatment complexity. 1,2 The daily struggle with end-stage renal disease symptoms and related comorbidities, along with the need to cope with psychosocial stressors, directly impacts patients' quality of life and mental health. 3,4 Depression and anxiety are considered to be the most common end-stage renal disease-related psychological disorders, with higher prevalence and incidence rates in this population than those in the general population. 5-10 According to the World Health Organization, the estimated global prevalence rates of depression and anxiety in 2015 were 4.4% and 3.6%, respectively, with an increase in reported cases of 18% between 2005 and 2015. 11 The anxiety and depression rates that have been estimated among end-stage renal disease patients are not accurate: they range from 0 to 100%, depending on the diagnostic criteria, assessment tool and population characteristics. 12 A systematic review of 55 studies revealed prevalence rates of 38% and 27% for anxiety and depression, respectively, among end-stage renal disease patients. 13 The high frequency and impact of affective symptoms in nephrology practice have led the research community to devote increasing attention to depression and anxiety over the last few years. 7 In end-stage renal disease, these mental disorders are associated with various conditions that lead to poorer health outcomes, with direct impacts on patients' quality of life and survival. 14-23 Anxiety and depression are also associated with unhealthy forms of behavior, such as alcohol and tobacco use, poor eating habits, sedentary lifestyle and non-compliance with treatment. 24 These factors translate into increased risks of clinical events and the need for emergency services, thus resulting in higher healthcare costs. 25-26
Acta Paulista de Enfermagem, 2017
Resumo Objetivo: Examinar os recursos de aplicativos para dispositivos móveis destinados ao autoc... more Resumo Objetivo: Examinar os recursos de aplicativos para dispositivos móveis destinados ao autocuidado de adolescentes com diabetes mellitus tipo 1. Métodos: Revisão integrativa por meio da busca de artigos nos periódicos indexados nas bases de dados: Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Literatura Latino-Americana em Ciências da Saúde, PubMed (National Library of Medicine), Scopus, e Web of Science no período de 2012 a 2017, utilizando os seguintes descritores: aplicativos móveis, autocuidado e diabetes mellitus tipo 1, bem como respectivos descritores em inglês e espanhol. Resultados: A busca gerou um total de 248 artigos, dos quais 12 artigos atenderam os critérios de seleção. Os recursos dos aplicativos foram examinados a partir das funções de controle glicêmico, insulinoterapia, alimentação, atividade física, abordagem dos sentimentos e relações sociais. Observou-se que nenhum artigo descreveu um aplicativo que integrasse todos os recurso...
Parasites & Vectors, 2018
Background: Control strategies adopted by the Brazilian Visceral Leishmaniasis Surveillance and C... more Background: Control strategies adopted by the Brazilian Visceral Leishmaniasis Surveillance and Control Programme (VLSCP) include identifying and culling seropositive infected dogs, early diagnosis and treatment of human cases, chemical control of the vector and population awareness. This study evaluated the effectiveness of the VLSCP on the prevalence and incidence rates of Leishmania infantum in children residing in areas under different VLSCP intervention times. Methods: A quasi-experimental epidemiological study with a panel (two cross-sectional) and a concurrent cohort was performed in three areas of Belo Horizonte, southeast Brazil. The first cross-sectional study (I) was carried out with 1875 children, 478 of which were enrolled in the cohort study. In the second cross-sectional study (II), 413 additional children were included, totalizing 891 children. Laboratory diagnosis was performed by ELISA-rK39. Analyses included multilevel logistic and Poisson regression models. Results: The incidence rates of L. infantum infection were: 14.4% in the area where VLSCP intervention was initiated in 2006 (AI2006); 21.1% in the area where intervention was initiated in 2008 (AI2008); and 11.6% in the area where intervention was initiated in 2010 (AI2010-control area). A follow-up period of 24 months showed that the personstime incidence rates in AI2006, AI2008, and AI2010 were: 6.2/100, 10/100, and 5.6/100 persons/24 months, respectively. The final prevalence rates of infection (cross-sectional II-in 2012), compared to the initial rates (cross-sectional I-in 2010), increased 83.7% in AI2006, 74.1% in AI2008, and decreased 5% in AI2010. Analysis of the effectiveness revealed that children residing in AI2008 are more likely to be infected (OR = 1.84; 95% CI: 1.06-3.23) and present a higher risk of infection (IRR = 1.76; 95% CI: 1.05-2.95) compared to those in AI2010. No statistically significant differences were observed in asymptomatic infection (OR and IRR) in AI2006 compared to AI2010.
Revista de saude publica, 2018
OBJECTIVE To determine the items of the Brazilian National Program for Improving Access and Quali... more OBJECTIVE To determine the items of the Brazilian National Program for Improving Access and Quality of Primary Care that better evaluate the capacity to provide mental health care. METHODS This is a cross-sectional study carried out using the Graded Response Model of the Item Response Theory using secondary data from the second cycle of the National Program for Improving Access and Quality of Primary Care, which evaluates 30,523 primary care teams in the period from 2013 to 2014 in Brazil. The internal consistency, correlation between items, and correlation between items and the total score were tested using the Cronbach's alpha, Spearman's correlation, and point biserial coefficients, respectively. The assumptions of unidimensionality and local independence of the items were tested. Word clouds were used as one way to present the results. RESULTS The items with the greatest ability to discriminate were scheduling of the agenda according to risk stratification, keeping of re...
PLoS neglected tropical diseases, 2017
Visceral leishmaniasis (VL) is expanding in Brazil and in other South American countries, a proce... more Visceral leishmaniasis (VL) is expanding in Brazil and in other South American countries, a process that has been associated with the urbanization of the disease. This study analyzes the spatial and temporal distribution of VL in the Brazilian state of Minas Gerais and identifies the areas with higher risks of transmission. An ecological study with spatial and time series analyzes of new confirmed cases of VL notified to the Brazilian Notifiable Disease Information System between 2002 and 2013, considering the 12 mesoregions of Minas Gerais. Two complementary methodologies were used: thematic maps of incidence and Poisson (log-linear) generalized linear model. Thematic maps using crude and smoothed cumulative incidences were generated for four trienniums. Poisson Regression measured the variation of the average number of cases from one year to the following, for each mesoregion. The 5,778 cases analyzed revealed a heterogeneous spatial and temporal distribution of VL in Minas Gerais...
BMC public health, Jan 6, 2017
The prevalence of type 2 diabetes mellitus is increasing substantially worldwide, leading to seri... more The prevalence of type 2 diabetes mellitus is increasing substantially worldwide, leading to serious economic effects, complications and deaths. This study evaluated the effectiveness of an empowerment program providing support for psychosocial, behavioral, and clinical aspects of diabetes to help Brazilian users of public health services obtain metabolic control of this condition. In this cluster randomized trial, participants aged 30-80 diagnosed with type 2 diabetes were recruited from ten Brazilian public health units in 2014 and 2015. Five units were randomly assigned to receive the empowerment program based on a behavior change protocol, and five continued to receive only conventional treatment. The primary outcome was the biochemical and anthropometric parameters, and the secondary outcomes were self-care, attitude, knowledge and empowerment related to diabetes. The effect of the experiment was defined as the percentage variation between the values at the initial and final pe...
Revista Latino-Americana de Enfermagem, 2016
Objective: to evaluate the effectiveness of the telephone intervention for promoting self-care re... more Objective: to evaluate the effectiveness of the telephone intervention for promoting self-care related to physical activity and following a diet plan in users with diabetes, compared to conventional monitoring of users over a six-month period. Method: this was a randomized clinical trial, which included 210 users with diabetes, linked to eight Primary Health Units of Belo Horizonte, Minas Gerais. The experimental group (104 members) received six telephone interventions over the six-month monitoring; the control group (106 members) received conventional monitoring. To evaluate the self-care practices related to physical activity and following a healthy eating plan, in both groups, the self-care questionnaire was applied before the intervention and at three and six months after its start. Results: the mean effect of self-care scores in the experimental group was 1.03 to 1.78 higher than the control group, with progressive and significant improvement (p<0.001). Conclusion: the resul...
Journal of Nursing Ufpe on Line Jnuol Doi 10 5205 01012007, Jan 14, 2015
Objective: to evaluate the efficacy of a board game about dengue played by young children in elem... more Objective: to evaluate the efficacy of a board game about dengue played by young children in elementary schools in southeastern Brazil. Methods: schoolchildren were randomly assigned to participate in a board game group (BGG) or control group (CG). A questionnaire was designed to assess knowledge and attitudes about dengue fever and applied to both the BGG and CG groups before and after post-intervention. The research was approved by the Research Ethics Committee of UFMG by the CAAE nº 0106.0.203,00009. Results: the BGG demonstrated changes in attitudes (p<0.05) across all questions except one. The BGG showed increased knowledge about dengue as indicated by correct responses compared to the CG in 12 out of eighteen selected test questions. Conclusion: Educational tools such as a board game can be specifically designed to improve knowledge and attitudes about dengue in different classroom settings. Descriptors: Games, Experimental; Debriefing; Dengue Fever; Knowledge; Schoolchildren. RESUMO Objetivo: avaliar a eficácia de um jogo de tabuleiro sobre a dengue jogado por crianças em escolas públicas. Método: escolares de duas escolas foram randomizados, aleatoriamente, para participar do grupo do jogo de tabuleiro (GJT) ou do grupo controle (GC). Um questionário foi construído para avaliar os conhecimentos e atitudes sobre a dengue e aplicado tanto ao GJT quanto ao GC antes e póx-intervenção. O projeto de pesquisa foi aprovado pelo Comitê de Ética em Pesquisa da UFMG, CAAE nº 0106.0.203,00009. Resultados: o GJT demonstrou mudanças de atitudes (p <0,05) em todas as questões, exceto uma. O GJT mostrou maior conhecimento sobre a dengue, como indicado pela proporção de respostas corretas em relação ao GC, em 12 das 18 perguntas. Conclusão: ferramentas educacionais, como um jogo de tabuleiro, podem ser projetadas especificamente para melhorar o conhecimento e as atitudes sobre a dengue em diferentes contextos em escolares. Descritores: Jogo Experimentais; Questionário; Dengue; Conhecimento; Escolares. RESUMEN Objetivo: evaluar la eficacia de un juego de mesa sobre el dengue que desempeñan los niños en las escuelas primarias. Método: los estudiantes fueron asignados aleatoriamente a participar en el juego de mesa (JM) o grupo control (GC). Se construyó un cuestionario para evaluar los conocimientos y actitudes sobre el dengue y aplicado tanto a JM en el GC antes y después de la intervención. La investigación fue aprobada por el Comité de Ética en Investigación de la UFMG con el CAAE nº 0106.0.203,000-09. Resultados: el JM demostró cambios en las actitudes (p < 0,05) en todas las cuestiones excepto uno. El JM mostró un mayor conocimiento sobre el dengue, según lo indicado por las respuestas correctas en comparación con el GC en 12 de las dieciocho preguntas. Conclusión: las herramientas educativas tales como un juego de mesa pueden ser diseñadas específicamente para mejorar los conocimientos y actitudes sobre el dengue en los diferentes contextos de aula. Descriptores: Juego de Mesa; de Concursos; El Dengue; El Conocimiento; Estudiantes.
Revista da Escola de Enfermagem da USP, 2016
OBJECTIVE Check the relationship between the users' contact time in educational programs and ... more OBJECTIVE Check the relationship between the users' contact time in educational programs and self-care and knowledge variables in diabetes mellitus. METHOD A longitudinal study with a quantitative approach with the participation, in the initial phase, of 263 users linked to Basic Health Units in Belo Horizonte, Brazil during the years 2012 and 2013. The data were collected with respect to the total contact time of the users' participation in the educational program as regards knowledge and self-care in acquired diabetes mellitus. The data were analyzed using the Student t-test for comparison of means, considering a 0.05 significance level. RESULTS The final sample included 151 users. The analysis showed that the improvement in self-care scores was statistically higher during an educational intervention of eight hours or more (p-value <0.05). In relation to the scores for knowledge, there was a statistically significant improvement at the end of the educational program. It...
Efficacy of Extruded Rice Grains Fortified with Iron, Zinc and Folic Acid Consumed by Young Adolescent Girls as Part of Their Mid-Day Lunch Program in a Southeastern Brazilian School
Nutrire, 2014
Brazilian Symposium on GeoInformatics, 2005
Geosensors networks are dense wireless networks of small, low-cost sensors, which collect and dis... more Geosensors networks are dense wireless networks of small, low-cost sensors, which collect and disseminate environmental data of a vast geographical area. These networks hold the promise of revolutionizing sensing in a wide range of application. Despite the large amount of research in this field, little effort has been done to establish how to deal with the data collected by these networks. This paper examines this emerging subject and identifies alternatives for geosensors data analysis. Figure 2-Schematic representation of a geosensors network (adapted from Akyildiz et al., 2002)
Cadernos de Saúde Pública, 2013
O objetivo foi de analisar os fatores associados ao início planejado da diálise dos pacientes dia... more O objetivo foi de analisar os fatores associados ao início planejado da diálise dos pacientes diabéticos que iniciaram o tratamento no Município de Belo Horizonte, Minas Gerais, Brasil. Estudo transversal com 250 pacientes diabéticos que iniciaram diálise entre janeiro de 2006 e dezembro de 2007. Iniciar a diálise com fístula arteriovenosa ou em diálise peritoneal foi classificado como início planejado. Foram investigadas as variáveis sociodemográficas, clínicas e de utilização de serviços de saúde por meio de entrevista semiestruturada. Para análise multivariada utilizou-se regressão de Poisson. Setenta por cento dos pacientes começaram a diálise de forma não planejada e 67% dos que consultaram com o nefrologista foram encaminhados com mais de quatro meses. Frequentar o centro de saúde, não ter a primeira consulta com nefrologista paga pelo SUS e ter tido opção de escolha para o tratamento da doença renal foram fatores relacionados ao início planejado da diálise. O início não plane...
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Papers by Ilka Afonso Reis