Página 1 dos resultados de 206 itens digitais encontrados em 0.010 segundos

‣ As doenças infectocontagiosas em cidades de médio porte: uma abordagem qualitativa da Aids em Piracicaba/SP

Bueno, Nádia Helena
Fonte: Universidade Estadual Paulista (UNESP) Publicador: Universidade Estadual Paulista (UNESP)
Tipo: Dissertação de Mestrado Formato: 143 f. : il., gráfs., tabs., mapas
Português
Relevância na Pesquisa
37.091885%
Pós-graduação em Geografia - IGCE; As epidemias infectocontagiosas tais como cólera, dengue, malária, sarampo, tuberculose e AIDS assolam a sociedade humana, desestruturando a população nos segmentos sociais, econômicos e políticos. Dentre essas doenças optou-se em estudar os casos de AIDS, através da observação das categorias de exposição (sexo, preferência sexual, uso de drogas, faixa etária e razão por sexo) e das características sócio-territoriais da AIDS, permitindo-se assim trabalhar duas vertentes: o recorte do assistencialismo, o qual é responsável em cronificar a doença, evitando a morte do paciente, e, também elucidar uma possível mudança no perfil da doença. Essa discussão desenvolveu-se segundo a abordagem qualitativa e sob a perspectiva da Geografia socioambiental, utilizando-se de diferentes metodologias, as quais possibilitaram a construção dos mapas sócio-territoriais, gráficos e tabelas, traçando, dessa maneira, o perfil da epidemia na cidade de Piracicaba, visando contribuir com as políticas públicas para a saúde, assegurando acessibilidade aos serviços; The contagious epidemics such as cholera, dengue fever, malaria, measles, tuberculosis and AIDS devastates the human society...

‣ Qualidade ambiental e de vida humana: as alterações socioambientais e a difusão da dengue em Piracicaba - SP

Sperandio, Thaís Maria
Fonte: Universidade Estadual Paulista (UNESP) Publicador: Universidade Estadual Paulista (UNESP)
Tipo: Dissertação de Mestrado Formato: xii, 173 f. : il., mapas, gráfs., tabs.
Português
Relevância na Pesquisa
36.893057%
Pós-graduação em Geografia - IGCE; O crescimento urbano-industrial no Brasil, gerou contradições no espaço intra-urbano posto que as cidades apresentam em suas áreas periféricas habitações precárias, ambientes mal-concebidos e com saneamento inadequado e/ou ineficiente, atestando contra o conforto e saúde das pessoas, fato que propicia uma baixa qualidade ambiental e de vida. As doenças, principalmente as infecto-contagiosas, atualmente, se configuram em um excelente parâmetro para a investigação da qualidade ambiental e de vida urbana. As doenças transmissíveis, apesar de serem amplamente conhecidas, controladas e prevenidas, ainda causam altos índices de morbidade e de mortalidade e retratam a pobreza social, tecnológica e econômica, bem como o descaso político. A dengue, uma doença transmissível, reapareceu no espaço urbano devido a vários fatores sócio-ambientais, destaca-se: a falta de saneamento, o baixo nível educacional, fatores comportamentais, econômicos, culturais e falta de políticas públicas. No que diz respeito aos fatores ambientais destaca-se o clima, pois as temperaturas elevadas e as precipitações abundantes favorecem o desenvolvimento de vetores que, conseqüentemente, elevam o risco de doenças infecciosas. Desse modo...

‣ Clima e saúde: contribuição ao estudo das condições atmosféricas e relação com as doenças respiratórias: subsídio às políticas públicas locais

Natalino, Renata Romera
Fonte: Universidade Estadual Paulista (UNESP) Publicador: Universidade Estadual Paulista (UNESP)
Tipo: Tese de Doutorado Formato: 172 f. : il., gráfs., tabs.
Português
Relevância na Pesquisa
47.279854%
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES); Pós-graduação em Geografia - IGCE; Esta pesquisa, realizada no campo da Geografia Médica, tem como objetivo estabelecer interface entre o clima e a saúde. Nessa ótica, buscou-se analisar a variabilidade dos elementos climáticos nas ocorrências de casos de internação por pneumonia, relacionando-os com os fatores de risco dos grupos dos pacientes e riscos socioeconômicos da população em estudo. Tomou-se a cidade de Rio Claro como exemplo de caso, para estimar a associação existente entre os totais diários de internação por pneumonia, obtidos pelo Sistema de Informação Hospitalar (AIH/SUS), e os dados meteorológicos (temperatura, precipitação e umidade), obtidos junto a Estação Metereológica do Centro de Análise e Planejamento Ambiental (CEAPLA) e pelo Laboratório de Análise Metereológica e Climatologia Aplicada da UNESP-campus de Rio Claro-SP no período compreendido entre janeiro de 2000 e dezembro de 2009. Foi evidenciado que o número de ocorrência de internação por pneumonia sofreu acréscimo durante os meses de outono e inverno, época em que foram registradas baixas temperaturas e período de estiagem. Com relação à distribuição espacial...

‣ A dinâmica do setor de serviços de saúde na região administrativa de Barretos

Tomicioli, Gabriel Magro
Fonte: Universidade Estadual Paulista (UNESP) Publicador: Universidade Estadual Paulista (UNESP)
Tipo: Trabalho de Conclusão de Curso Formato: 48 f.
Português
Relevância na Pesquisa
36.701438%
The dynamics of the health services sector can be seen in studies of geographical features as analysis on the quantity and quality of médical and hospital services provided and the demand or need sensed by the population, whether the public sector, whether private sector within a defined portion of space, in analysis in this study, the Administrative Region of Barretos, State of São Paulo. This study seeks to better understand the dynamics of the health services sector (Public and Private) in the production of urban space of the Administrative Region of Barretos, for it will be reviewed, in particular, the Cities Health Centers, Bebedouro and Barretos. Also proposes through this, try to clarify the central regional Barretos and Bebedouro in the context of health services; A dinâmica do setor de serviços de Saúde pode ser vista dentro dos estudos geográficos como análises sobre a quantidade e qualidade dos serviços médico-hospitalares oferecidos e a demanda ou necessidade sentida pela população, seja ela do setor público, seja setor privado, dentro de uma porção delimitada do espaço, em análise neste estudo, a Região Administrativa de Barretos, Estado de São Paulo. O presente estudo busca melhor entender a dinâmica do setor de serviços de Saúde (Pública e Privada) na produção do Espaço Urbano da Região Administrativa de Barretos...

‣ Sources of Information on Medical Geography

Mullins, Lynn S.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /07/1966 Português
Relevância na Pesquisa
47.279854%
Adequate research in the peripheral field of medical geography requires familiarity with the literature of medicine, geography, and other environmentally oriented fields. The pertinent literature of the two primary disciplines, as well as that of anthropology, nutrition, and human bioclimatology, is surveyed from a bibliographical point of view. A brief review of historical sources is presented, followed by a discussion of the contemporary organizations, both international and national, active in the field. Emphasis is placed on the publishing programs and projects, maps, atlases, symposia, reports, and other literature sponsored or stimulated by these organizations. Regional bibliographical surveys for East Africa, India, and the Soviet Union are also noted. Pertinent aspects of bibliographies, indexes, abstracts, library card catalogs and accession lists, and other resources are listed, with emphasis on the various subject headings and other approaches to them. Throughout, the sources of information are approached from a multidisciplinary and interdisciplinary viewpoint.

‣ RealityFlythrough: Enhancing Situational Awareness for Medical Response to Disasters Using Ubiquitous Video

McCurdy, Neil J.; Griswold, William G; Lenert, Leslie A.
Fonte: American Medical Informatics Association Publicador: American Medical Informatics Association
Tipo: Artigo de Revista Científica
Publicado em //2005 Português
Relevância na Pesquisa
36.799895%
The first moments at a disater scene are chaotic. The command center initially operates with little knowledge of hazards, geography and casualties, building up knowledge of the event slowly as information trickles in by voice radio channels. RealityFlythrough is a tele-presence system that stitches together live video feeds in real-time, using the principle of visual closure, to give command center personnel the illusion of being able to explore the scene interactively by moving smoothly between the video feeds. Using RealityFlythrough, medical, fire, law enforcement, hazardous materials, and engineering experts may be able to achieve situational awareness earlier, and better manage scarce resources. The RealityFlythrough system is composed of camera units with off-the-shelf GPS and orientation systems and a server/viewing station that offers access to images collected by the camera units in real time by position/orientation. In initial field testing using an experimental mesh 802.11 wireless network, two camera unit operators were able to create an interactive image of a simulated disaster scene in about five minutes.

‣ Typhoid Fever in Nineteenth-Century Colombia: Between Medical Geography and Bacteriology

GARCÍA, MÓNICA
Fonte: Cambridge University Press Publicador: Cambridge University Press
Tipo: Artigo de Revista Científica
Publicado em /01/2014 Português
Relevância na Pesquisa
36.799895%
This paper analyses how the Colombian medical elites made sense of typhoid fever before and during the inception of bacteriological ideas and practices in the second half of the nineteenth century. Assuming that the identity of typhoid fever has to be understood within the broader concerns of the medical community in question, I show how doctors first identified Bogotá’s epidemics as typhoid fever during the 1850s, and how they also attached specificity to the fever amongst other continuous fevers, such as its European and North American counterparts. I also found that, in contrast with the discussions amongst their colleagues from other countries, debates about typhoid fever in 1860–70 among doctors in Colombia were framed within the medico-geographical scheme and strongly shaped by the fear of typhoid fever appearing alongside ‘paludic’ fevers in the highlands. By arguing in medico-geographical and clinical terms that typhoid fever had specificity in Colombia, and by denying the medico-geographical law of antagonism between typhoid and paludic fevers proposed by the Frenchman Charles Boudin, Colombian doctors managed to question European knowledge and claimed that typhoid fever had distinct features in Colombia. The focus on paludic and typhoid fevers in the highlands might explain why the bacteriological aetiology of typhoid fever was ignored and even contested during the 1880s. Anti-Pasteurian arguments were raised against its germ identity and some physicians even supported the idea of spontaneous origin of the disease. By the 1890s...

‣ Genetics: A New Landscape for Medical Geography

Carrel, Margaret; Emch, Michael
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
47.68519%
The emergence and re-emergence of human pathogens resistant to medical treatment will present a challenge to the international public health community in the coming decades. Geography is uniquely positioned to examine the progressive evolution of pathogens across space and through time, and to link molecular change to interactions between population and environmental drivers. Landscape as an organizing principle for the integration of natural and cultural forces has a long history in geography, and, more specifically, in medical geography. Here, we explore the role of landscape in medical geography, the emergent field of landscape genetics, and the great potential that exists in the combination of these two disciplines. We argue that landscape genetics can enhance medical geographic studies of local-level disease environments with quantitative tests of how human-environment interactions influence pathogenic characteristics. In turn, such analyses can expand theories of disease diffusion to the molecular scale and distinguish the important factors in ecologies of disease that drive genetic change of pathogens.

‣ Geostatistics: a common link between medical geography, mathematical geology, and medical geology

Goovaerts, P.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /08/2014 Português
Relevância na Pesquisa
47.281113%
Since its development in the mining industry, geostatistics has emerged as the primary tool for spatial data analysis in various fields, ranging from earth and atmospheric sciences to agriculture, soil science, remote sensing, and more recently environmental exposure assessment. In the last few years, these tools have been tailored to the field of medical geography or spatial epidemiology, which is concerned with the study of spatial patterns of disease incidence and mortality and the identification of potential ‘causes’ of disease, such as environmental exposure, diet and unhealthy behaviours, economic or socio-demographic factors. On the other hand, medical geology is an emerging interdisciplinary scientific field studying the relationship between natural geological factors and their effects on human and animal health. This paper provides an introduction to the field of medical geology with an overview of geostatistical methods available for the analysis of geological and health data. Key concepts are illustrated using the mapping of groundwater arsenic concentration across eleven Michigan counties and the exploration of its relationship to the incidence of prostate cancer at the township level.

‣ Medical geography in Charaka Samhita

Bhavana, K.R.; Shreevathsa,
Fonte: Medknow Publications & Media Pvt Ltd Publicador: Medknow Publications & Media Pvt Ltd
Tipo: Artigo de Revista Científica
Publicado em //2014 Português
Relevância na Pesquisa
36.860486%
Charaka Samhita is the oldest and the most authentic treatise on Ayurveda and is the ancient medical science of India. Apart from giving information on medical conditions and their treatment; it also gives valuable information on geographical, social, and economic conditions of India. This article is an attempt to explore geographical conditions of the ancient India, its geographical position in present India and its medical significance.

‣ Sair curado para a vida e para o bem: diagramas, linhas e dispersão de forças no complexus nosoespacial do Hospital de Caridade Juvino Barreto (1909-1927)

Silva, Rodrigo Otávio da
Fonte: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em História; História e Espaços Publicador: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em História; História e Espaços
Tipo: Dissertação Formato: application/pdf
Português
Relevância na Pesquisa
37.281116%
This work has as object of study the Hospital de Caridade Juvino Barreto, nosocomial institution located in the city of Natal (RN), between the Praia de Areia Preta and the Monte Petrópolis, focusing on the period from 1909, the year in which the new hospital building was constructed and opened, and 1927, the date of the transfer of administration of the public domain to the newly created Sociedade de Assistência Hospitalar (SAH). We study the conditions of possibility of the emergence of this hospital space in the urban environment of the capital of Rio Grande do Norte, seeking to understand the different tactics and strategies implemented by the historical subjects involved in the formation of this institution nosocomial. Starting from a corpus of documents consisting of medical memories (with Dr. Januário Cicco as privileged observer), information present in newspapers (the Republic and the Christmas Journa l), photo collection and extensive administrative and legal material (Speeches, Exhibitions, Reports, Laws and Resolutions), we analyzed in detail the medical geography of HCJB, relating the discourses of medicine and geography in choosing the spatial location of the hospital as we examine the architecture of the hospital...

‣ Traditionelle Medizin im modernen Nordbenin - Von Naturprodukt und Ganzheitstherapie zu Eco-Social Medicine

Pichorner, Livia Marisa
Fonte: Universität Tübingen Publicador: Universität Tübingen
Tipo: Studienarbeit; info:eu-repo/semantics/other
Português
Relevância na Pesquisa
47.4389%
Even within the globalized world, Traditional Medicine plays an important role for the rural population in northern Benin. From a human geography perspective, this research examines the cultural, societal and economic factors influencing traditional health care. The first part of the research report deals with concepts of post-development and medical geography. The second part explains the applied methodology and offers a sceptic perspective on the research itself. The analysis of qualitative interviews in the third part answers the research questions: firstly, how traditional medicine is integrated into modern society in Benin, focusing on actors, structures, and processes and, secondly, if only specifically traditional medical knowledge is transmitted. To conclude, the last part discusses the high valorisation and at the same time challenging situation for contemporary traditional medicine in a regard to the theories that have been pointed out. [untranslated]

‣ Fauna flebotomínea na bacia do Rio Araguari, antes, durante e após a construção da barragem da Usina Hidrelétrica Capim Branco I, Uberlândia, Minas Gerais, Brasil; American Cutaneous Leishmaniosis; American Visceral Leishmaniosis; Medical Geography; Phlebotomine; Hydroelectric Power Plant 'Capim Banco I'; Lutzomyia

Lemos, Jureth Couto
Fonte: Universidade Federal de Uberlândia Publicador: Universidade Federal de Uberlândia
Tipo: Tese de Doutorado
Português
Relevância na Pesquisa
47.08102%
As Leishmanioses Tegumentar Americana - LTA e Visceral Americana – LVA são doenças infecto-parasitárias não contagiosas de caráter zoonótico, causadas por protozoários de várias espécies do gênero Leishmania, que acometem o homem e diversas espécies de animais domésticos e silvestres. São doenças consideradas reemergentes por reaparecerem ou se expandirem de maneira a atingirem outras regiões, nas quais a sua presença não tinham sido assinaladas. A Organização Mundial de Saúde considerada a LTA como a segunda doença mais importante causada por protozoários para a saúde pública. Os vetores da LTA e da LVA são flebotomíneos do gênero Lutzomyia, e que no mundo são conhecidas aproximadamente, 800 espécies, das quais 229 são encontradas no Brasil. Destas cerca de 40 espécies são consideradas suspeitas ou já foram comprovadas como vetores das Leishmanioses. Por isso, este trabalho teve como objetivo monitorar a fauna flebotomínia da área de implantação da barragem da Usina Hidrelétrica Capim Branco I, na bacia do Rio Araguari, no Município de Uberlândia, MG, antes e durante sua construção e após o enchimento do lago, relacionando-a com as alterações ambientais e com os elementos climáticos. A barragem da Usina Hidrelétrica Capim Branco I foi construída na latitude 18°47’25”S e longitude 48°08’50”W...

‣ Genotypic and phenotypic characteristics of Methicillin-resistant Staphylococcus aureus (MRSA) strains, isolated on three different geography locations

Ostojić, Maja; Hukić, Mirsada
Fonte: Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina Publicador: Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina
Tipo: Artigo de Revista Científica
Publicado em /08/2015 Português
Relevância na Pesquisa
36.893057%
Staphylococcus aureus is a major cause of hospital-acquired infections worldwide. Increased frequency of methicillin-resistant Staphylococcus aureus (MRSA) in hospitalized patients and possibility of vancomycin resistance requires rapid and reliable characterization of isolates and control of MRSA spread in hospitals. Typing of isolates helps to understand the route of a hospital pathogen spread. The aim of this study was to investigate and compare genotypic and phenotypic characteristics of MRSA samples on three different geography locations. In addition, our aim was to evaluate three different methods of MRSA typing: spa-typing, agr-typing and GenoType MRSA. We included 104 samples of MRSA, isolated in 3 different geographical locations in clinical hospitals in Zagreb, Mostar, and Heidelberg, during the period of six months. Genotyping and phenotyping were done by spa-typing, agr-typing and dipstick assay GenoType MRSA. We failed to type all our samples by spa-typing. The most common spa-type in clinical hospital Zagreb was t041, in Mostar t001, and in Heidelberg t003. We analyzed 102/104 of our samples by agr-typing method. We did not find any agr-type IV in our locations. We analyzed all our samples by the dipstick assay GenoType MRSA. All isolates in our study were MRSA strains. In Zagreb there were no positive strains to PVL gene. In Mostar we have found 5/25 positive strains to PVL gene...

‣ Training Synergies Between Medical Informatics and Health Services Research: Successes and Challenges

Shortliffe, Edward H.; Garber, Alan M.
Fonte: American Medical Informatics Association Publicador: American Medical Informatics Association
Tipo: Artigo de Revista Científica
Publicado em //2002 Português
Relevância na Pesquisa
46.97113%
Stanford's two decades of success in linking medical informatics and health services research in both training and investigational activities reflects advantageous geography and history as well as natural synergies in the two areas. Health services research and medical informatics at Stanford have long shared a quantitative, analytic orientation, along with linked administration, curriculum, and clinical activities. Both the medical informatics and the health services research curricula draw on diverse course offerings throughout the university, and both the training and research overlap in such areas as outcomes research, large database analysis, and decision analysis/decision support. The Stanford experience suggests that successful integration of programs in medical informatics and health services research requires areas of overlapping or synergistic interest and activity among the involved faculty and, hence, in time, among the students. This is enhanced by a mixture of casual and structured contact among students from both disciplines, including social interactions. The challenges to integration are how to overcome any geographic separation that may exist in a given institution; the proper management of relationships with those sub-areas of medical informatics that have less overlap with health services research; and the need to determine how best to exploit opportunities for collaboration that naturally occur.

‣ British medicine in the Peruvian Andes: the travels of Archibald Smith M.D. (1820-1870)

Lossio,Jorge
Fonte: Casa de Oswaldo Cruz, Fundação Oswaldo Cruz Publicador: Casa de Oswaldo Cruz, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2006 Português
Relevância na Pesquisa
47.281113%
This article traces the travels of the Scottish physician Archibald Smith through the Peruvian Andes between the 1820s and 1860s. Despite his prominent role in the nineteenth-century Peruvian medical scene, almost nothing has been written on Archibald Smith. By exploring Smith's medical activities, publications, and debates, this article intends to uncover unexplored areas of Peruvian medical history, such as the animosity between local and foreign physicians during the post-Independence war era and the important role played by medical geography as a scientific discipline for redefining ethnical and regional issues.

‣ De les topografies mèdiques a la geografia de la salut : la relació institucionalitzada entre la geografia i la medicina

Mota-Moya, Pau
Fonte: Universidade Autônoma de Barcelona Publicador: Universidade Autônoma de Barcelona
Tipo: Article; info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion Formato: application/pdf
Publicado em //2006 Português
Relevância na Pesquisa
47.77597%
La geografia i la medicina són disciplines científiques amb nombrosos punts en contacte. En el present article, s’hi recullen els corrents principals que, des de la geografia, s’han apropat a temes relacionats amb la medicina, la salut i la malaltia. Per fer-ne l’anàlisi, s’han buidat sistemàticament les principals revistes internacionals i estatals de geografia, tenint en compte tots els articles que s’han publicat els darrers vint anys sobre temes que relacionessin la geografia amb la medicina i/o la salut. El resultat de l’anàlisi és un recorregut cronològic pels diferents punts de contacte entre la geografia i la medicina des de la seva institucionalització, a mitjan segle XIX, fins als nostres dies. Des de les topografies mèdiques, passant per la geografia mèdica fins a la més recent geografia de la salut, l’article recull les principals fonts teòriques i les eines metodològiques que caracteritzen cadascun d’aquests tres corrents.; La geografía y la medicina son disciplinas científicas con numerosos puntos en común. En el presente artículo, se recogen las principales corrientes que, des de la geografía, se han acercado a temas relacionados con la medicina, la salud y la enfermedad. Para realizar el análisis...

‣ DISTRIBUIÇÃO DAS PRINCIPAIS CAUSAS DE INTERNAÇÃO HOSPITALAR DE CRIANÇAS EM FAVELA E NO MUNICÍPIO DE SÃO PAULO, COMO RESULTADO DO PADRÃO DO USO DO SOLO; DISTRIBUIÇÃO DAS PRINCIPAIS CAUSAS DE INTERNAÇÃO HOSPITALAR DE CRIANÇAS EM FAVELA E NO MUNICÍPIO DE SÃO PAULO, COMO RESULTADO DO PADRÃO DO USO DO SOLO

Oliveira, Maria Aparecida de; Arteiro, Mariana Gutierres; Ribeiro, Helena
Fonte: Programa de Pós-Graduação em Geografia Humana. Universidade de São Paulo. Publicador: Programa de Pós-Graduação em Geografia Humana. Universidade de São Paulo.
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 30/12/2007 Português
Relevância na Pesquisa
47.08102%
This paper presents and discusses the results of a comparative analysis in a shanty-town; in an upper class district and in the Municipality of São Paulo, as a whole, of the distribution and of the magnitude of the ten major causes of hospital admissions of children, from one to five years old, and environmental conditions. For the analysis, National Census data from 2000 and data from Information System on hospital admissions of Sistema Único de Saúde (DATASUS) of 2001, air photos and field observation notes were used. References used were those of Medical Geography and techniques used were those of Geographical Information Systems and Statistical software. Results indicated different causes and magnitudes of hospital admissions in the Municipality of São Paulo, in Vila Andrade District and in favela Paraisópolis.; O artigo apresenta e discute os resultados da análise comparativa em área de favela, no distrito de Vila Andrade e no município de São Paulo, da relação entre a distribuição das dez causas principais de internação hospitalar de crianças, de 1 a 5 anos de idade, e as condições ambientais. Para realização da análise comparativa em três unidades espaciais foram utilizadas informações do censo demográfico 2000...

‣ Mortality after acute myocardial infarction is lower in metropolitan regions than in non-metropolitan regions

Dinh Vu, Huy; Heller, Richard F; Lim, Lynette; D'Este, Catherine; O'Connell, Rachel
Fonte: British Medical Association Publicador: British Medical Association
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
46.799897%
Study objectives - To compare inhospital mortality for acute myocardial infarction (AMI) between metropolitan and non-metropolitan hospitals after adjustment for patients' severity; to examine the role of the use of effective cardiac medications in the possible mortality difference between these types of hospital. Design - Retrospective cohort study. Setting - 47 Acute public hospitals in metropolitan and non-metropolitan areas of New South Wales, Australia, taking part in the Acute Cardiac Care Project based on medical record review. Patients - 1665 Patients with principal discharge diagnosis of AMI from February to June 1996. Main results - There was no difference in crude mortality rate (assessed as seven day mortality) between metropolitan and non-metropolitan hospitals (11.0% compared with 10.7% respectively, p=0.893). After adjustment for severity in a logistic regression model, the odds of death in non-metropolitan hospitals was significantly higher than in metropolitan hospitals (odds ratio = 1.90; 95%CI 1.21, 3.23). The addition of the use of effective cardiac medications to the model resulted in the difference between hospital type becoming non-significant (odds ratio=1.09; 95% CI 0.57, 2.07). Conclusions - Inhospital mortality in non-metropolitan hospitals was higher than that in metropolitan hospitals...

‣ Geostatistics: a common link between medical geography, mathematical geology, and medical geology

Goovaerts,P.
Fonte: Journal of the Southern African Institute of Mining and Metallurgy Publicador: Journal of the Southern African Institute of Mining and Metallurgy
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2014 Português
Relevância na Pesquisa
57.310757%
SYNOPSIS Since its development in the mining industry, geostatistics has emerged as the primary tool for spatial data analysis in various fields, ranging from earth and atmospheric sciences to agriculture, soil science, remote sensing, and more recently environmental exposure assessment. In the last few years, these tools have been tailored to the field of medical geography or spatial epidemiology, which is concerned with the study of spatial patterns of disease incidence and mortality and the identification of potential 'causes' of disease, such as environmental exposure, diet and unhealthy behaviours, economic or socio-demographic factors. On the other hand, medical geology is an emerging interdisciplinary scientific field studying the relationship between natural geological factors and their effects on human and animal health. This paper provides an introduction to the field of medical geology with an overview of geostatistical methods available for the analysis of geological and health data. Key concepts are illustrated using the mapping of groundwater arsenic concentration across eleven Michigan counties and the exploration of its relationship to the incidence of prostate cancer at the township level.