Sonia Natal - Academia.edu (original) (raw)

Papers by Sonia Natal

Research paper thumbnail of Prevalence of pulmonary tuberculosis and comparative evaluation of screening strategies in a Brazilian prison

PubMed, Jun 1, 2005

Setting: A prison (1171 male inmates) in Rio de Janeiro, Brazil. Objectives: To determine the pre... more Setting: A prison (1171 male inmates) in Rio de Janeiro, Brazil. Objectives: To determine the prevalence of active pulmonary tuberculosis (TB) and to assess the performance of several screening strategies. Design: In a cross-sectional study, all inmates underwent chest radiographic screening. Subjects with abnormal findings underwent sputum smear examination and sputum culture. Taking this strategy as the reference, we assessed three targeted screening strategies to identify TB suspects: Strategy 1: cough >3 weeks; Strategy 2: WHO score > or = 5; Strategy 3: presence of at least one potentially TB-related symptom. Results: The prevalence of TB cases was 4.6% (48/1052) and 2.7% for definite TB cases. If TB suspects identified by targeted screening had sputum smear examination alone, 37 (86.0%) of the 43 cases would have been missed by Strategy 1, 34/43 (79.1%) by Strategy 2 and 34/43 (79.1%) by Strategy 3. If TB suspects had both sputum smear examination and, for smear-negative subjects, chest radiography, respectively 28/43 (65.1%), 18/43 (41.9%) and 13/43 (30.2%) of cases would have been missed. Conclusion: All three targeted screening strategies were unreliable. Given the importance of early TB diagnosis in overcrowded and highly endemic settings, routine radiography-based screening may be warranted.

Research paper thumbnail of Programa de atenção pós-parto na atenção primária: elaboração e validação de uma matriz de análise e julgamento

Research paper thumbnail of Avaliação de guidelines para atenção pós-parto na Atenção Primária: revisão sistemática

Cadernos Saúde Coletiva, Dec 13, 2021

Research paper thumbnail of Ações de testagem rápida para o diagnóstico de infecção pelo vírus do HIV: uma revisão integrative / Rapid testing actions for the diagnosis of infection by the HIV virus: An integrative review

Brazilian Journal of Health Review, 2020

Research paper thumbnail of Fatores de predição para a resistência aos tuberculostáticos

Boletim da Campanha Nacional Contra a Tuberculose, Dec 1, 2000

Estudo caso-controle realizado nos 23 CSRJ, cujo objetivo geral foi desenvolver um modelo de pred... more Estudo caso-controle realizado nos 23 CSRJ, cujo objetivo geral foi desenvolver um modelo de predição para a resistência aos quimioterápicos que possa ser utilizado no diagnóstico, tratamento e prognóstico. Os doentes de estudo foram selecionados a partir de uma base populacional, no período de maio-iulho, 1994. A amostra foi calculada segundo SCHLESSELMAN, 1982, utilizando como parâmetros de cálculo o estudo de resistência mundial realizado pela OMS no período de 94 a 97. A base populacional (1074) foram todos os doentes que procuraram os CSMPJ, no período do estudo, a populacão alvo foram 813 doentes que apresentavaram sintomas respiratórios. Forarn incluídos 552 doentes com cultura positiva para M.tuberciilosis, e Teste de Sensibilidade, método das proporções, realizados no CRPHF. Foram excluídos 353 doentes - 99 tuberculose extrapulmonar, 157 culturas negativas, 77 culturas contaminadas, 8 culturas extraviadas e 8 falências

Research paper thumbnail of P12-5 Quelle stratégie choisir pour dépister la tuberculose en milieu carcéral hyperendémique (État de Rio de Janeiro, Brésil) ?

Revue D Epidemiologie Et De Sante Publique, Sep 1, 2004

Research paper thumbnail of Fatores associados ao uso inapropriado do pronto atendimento

Ciencia & Saude Coletiva, Jun 1, 2021

Research paper thumbnail of Avaliação da utilização de telessaúde para apoio assistencial na atenção primária à saúde

Brazilian Journal of Health Review, 2019

Research paper thumbnail of Construção e validação dos modelos para avaliar a implantação do Teste Rápido para diagnóstico da infecção pelo HIV/ Construction and validation of models to evaluate the implementation of the Rapid Test for the diagnosis of HIV infection

Brazilian Journal of Health Review, May 24, 2021

Research paper thumbnail of Tuberculose na criança

Boletim da Campanha Nacional Contra a Tuberculose, Dec 1, 2000

Research paper thumbnail of O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states' prisons

Resumo: A alta incidência da tuberculose nas unidades prisionais, 25 vezes maior do que na popula... more Resumo: A alta incidência da tuberculose nas unidades prisionais, 25 vezes maior do que na população geral, é uma das prioridades do Programa Nacional de Controle da Tuberculose (PNCT). A avaliação de programa pode prover os gestores de uma gama de ...

Research paper thumbnail of Analysis of the implementation of the Tuberculosis Control Program in Brazilian prisons

Cadernos De Saude Publica, Mar 1, 2015

Research paper thumbnail of Avaliação de implantação do Programa de Controle da Tuberculose no município de Niterói/RJ

Research paper thumbnail of Tratamento Diretamente Supervisionado: Estratégia Para O Controle Da Tuberculose

Revista de APS, May 17, 2010

Resumo: Em 1991, a Organização Mundial de Saúde (OMS) reconheceu que a persistência da tuberculos... more Resumo: Em 1991, a Organização Mundial de Saúde (OMS) reconheceu que a persistência da tuberculose era resultado da má administração dos programas de controle, do descuido dos governos, da pobreza, do crescimento populacional e do incremento das migrações. ...

Research paper thumbnail of Implementation contexts of a Tuberculosis Control Program in Brazilian prisons

Revista De Saude Publica, 2015

OBJECTIVE: To analyze the influence from context characteristics in the control of tuberculosis i... more OBJECTIVE: To analyze the influence from context characteristics in the control of tuberculosis in prisons, and the influence from the program implementation degrees in observed effects. METHODS: A multiple case study, with a qualitative approach, conducted in the prison systems of two Brazilian states in 2011 and 2012. Two prisons were analyzed in each state, and a prison hospital was analyzed in one of them. The data were submitted to a content analysis, which was based on external, political-organizational, implementation, and effect dimensions. Contextual factors and the ones in the program organization were correlated. The independent variable was the program implementation degree and the dependent one, the effects from the Tuberculosis Control Program in prisons. RESULTS: The context with the highest sociodemographic vulnerability, the highest incidence rate of tuberculosis, and the smallest amount of available resources were associated with the low implementation degree of the program. The results from tuberculosis treatment in the prison system were better where the program had already been partially implemented than in the case with low implementation degree in both cases. CONCLUSIONS: The implementation degree and its contexts-external and political-organizational dimensions-simultaneously contribute to the effects that are observed in the control of tuberculosis in analyzed prisons.

Research paper thumbnail of Análise da implantação do Programa de Controle da Tuberculose em unidades prisionais no Brasil

Cadernos De Saude Publica, Mar 1, 2015

Research paper thumbnail of Emergência da resistência às drogas

Boletim da Campanha Nacional Contra a Tuberculose, Dec 1, 2002

Research paper thumbnail of Os desafios para o controle da tuberculose e novas perspectivas Challenges for tuberculosis control and new perspectives

Research paper thumbnail of Os desafios para o controle da tuberculose e novas perspectivas

Research paper thumbnail of Promoção da saúde no puerpério: avaliação da assistência na Atenção Primária

Espaço para a Saúde - Revista de Saúde Pública do Paraná

The objective was to evaluate healthcare actions developed by Primary Health Care (PHC) professio... more The objective was to evaluate healthcare actions developed by Primary Health Care (PHC) professionals for women in the postpartum period. An evaluative study of the implementation analysis type with a quantitative and qualitative approach was carried out in a municipality in each state in the South region of Brazil. Thirty-one puerperal women and 28 primary care professionals participated. Data analysis was performed by evaluating the degree of implementation determined by the Analysis and Judgment Matrix, followed by categorical content analysis. The results showed that one case was considered incipient implantation and the other two partial ones. A lack of physical examination during consultations, of exclusive attention to the newborn, of guidance on warning signs and common problems, and late performance of the first postpartum consultation were observed. It is concluded that physical health care must be improved by professionals to guarantee better care.

Research paper thumbnail of Prevalence of pulmonary tuberculosis and comparative evaluation of screening strategies in a Brazilian prison

PubMed, Jun 1, 2005

Setting: A prison (1171 male inmates) in Rio de Janeiro, Brazil. Objectives: To determine the pre... more Setting: A prison (1171 male inmates) in Rio de Janeiro, Brazil. Objectives: To determine the prevalence of active pulmonary tuberculosis (TB) and to assess the performance of several screening strategies. Design: In a cross-sectional study, all inmates underwent chest radiographic screening. Subjects with abnormal findings underwent sputum smear examination and sputum culture. Taking this strategy as the reference, we assessed three targeted screening strategies to identify TB suspects: Strategy 1: cough >3 weeks; Strategy 2: WHO score > or = 5; Strategy 3: presence of at least one potentially TB-related symptom. Results: The prevalence of TB cases was 4.6% (48/1052) and 2.7% for definite TB cases. If TB suspects identified by targeted screening had sputum smear examination alone, 37 (86.0%) of the 43 cases would have been missed by Strategy 1, 34/43 (79.1%) by Strategy 2 and 34/43 (79.1%) by Strategy 3. If TB suspects had both sputum smear examination and, for smear-negative subjects, chest radiography, respectively 28/43 (65.1%), 18/43 (41.9%) and 13/43 (30.2%) of cases would have been missed. Conclusion: All three targeted screening strategies were unreliable. Given the importance of early TB diagnosis in overcrowded and highly endemic settings, routine radiography-based screening may be warranted.

Research paper thumbnail of Programa de atenção pós-parto na atenção primária: elaboração e validação de uma matriz de análise e julgamento

Research paper thumbnail of Avaliação de guidelines para atenção pós-parto na Atenção Primária: revisão sistemática

Cadernos Saúde Coletiva, Dec 13, 2021

Research paper thumbnail of Ações de testagem rápida para o diagnóstico de infecção pelo vírus do HIV: uma revisão integrative / Rapid testing actions for the diagnosis of infection by the HIV virus: An integrative review

Brazilian Journal of Health Review, 2020

Research paper thumbnail of Fatores de predição para a resistência aos tuberculostáticos

Boletim da Campanha Nacional Contra a Tuberculose, Dec 1, 2000

Estudo caso-controle realizado nos 23 CSRJ, cujo objetivo geral foi desenvolver um modelo de pred... more Estudo caso-controle realizado nos 23 CSRJ, cujo objetivo geral foi desenvolver um modelo de predição para a resistência aos quimioterápicos que possa ser utilizado no diagnóstico, tratamento e prognóstico. Os doentes de estudo foram selecionados a partir de uma base populacional, no período de maio-iulho, 1994. A amostra foi calculada segundo SCHLESSELMAN, 1982, utilizando como parâmetros de cálculo o estudo de resistência mundial realizado pela OMS no período de 94 a 97. A base populacional (1074) foram todos os doentes que procuraram os CSMPJ, no período do estudo, a populacão alvo foram 813 doentes que apresentavaram sintomas respiratórios. Forarn incluídos 552 doentes com cultura positiva para M.tuberciilosis, e Teste de Sensibilidade, método das proporções, realizados no CRPHF. Foram excluídos 353 doentes - 99 tuberculose extrapulmonar, 157 culturas negativas, 77 culturas contaminadas, 8 culturas extraviadas e 8 falências

Research paper thumbnail of P12-5 Quelle stratégie choisir pour dépister la tuberculose en milieu carcéral hyperendémique (État de Rio de Janeiro, Brésil) ?

Revue D Epidemiologie Et De Sante Publique, Sep 1, 2004

Research paper thumbnail of Fatores associados ao uso inapropriado do pronto atendimento

Ciencia & Saude Coletiva, Jun 1, 2021

Research paper thumbnail of Avaliação da utilização de telessaúde para apoio assistencial na atenção primária à saúde

Brazilian Journal of Health Review, 2019

Research paper thumbnail of Construção e validação dos modelos para avaliar a implantação do Teste Rápido para diagnóstico da infecção pelo HIV/ Construction and validation of models to evaluate the implementation of the Rapid Test for the diagnosis of HIV infection

Brazilian Journal of Health Review, May 24, 2021

Research paper thumbnail of Tuberculose na criança

Boletim da Campanha Nacional Contra a Tuberculose, Dec 1, 2000

Research paper thumbnail of O programa de controle da tuberculose em unidades prisionais de dois estados brasileiros Tuberculosis control program in two Brazilian states' prisons

Resumo: A alta incidência da tuberculose nas unidades prisionais, 25 vezes maior do que na popula... more Resumo: A alta incidência da tuberculose nas unidades prisionais, 25 vezes maior do que na população geral, é uma das prioridades do Programa Nacional de Controle da Tuberculose (PNCT). A avaliação de programa pode prover os gestores de uma gama de ...

Research paper thumbnail of Analysis of the implementation of the Tuberculosis Control Program in Brazilian prisons

Cadernos De Saude Publica, Mar 1, 2015

Research paper thumbnail of Avaliação de implantação do Programa de Controle da Tuberculose no município de Niterói/RJ

Research paper thumbnail of Tratamento Diretamente Supervisionado: Estratégia Para O Controle Da Tuberculose

Revista de APS, May 17, 2010

Resumo: Em 1991, a Organização Mundial de Saúde (OMS) reconheceu que a persistência da tuberculos... more Resumo: Em 1991, a Organização Mundial de Saúde (OMS) reconheceu que a persistência da tuberculose era resultado da má administração dos programas de controle, do descuido dos governos, da pobreza, do crescimento populacional e do incremento das migrações. ...

Research paper thumbnail of Implementation contexts of a Tuberculosis Control Program in Brazilian prisons

Revista De Saude Publica, 2015

OBJECTIVE: To analyze the influence from context characteristics in the control of tuberculosis i... more OBJECTIVE: To analyze the influence from context characteristics in the control of tuberculosis in prisons, and the influence from the program implementation degrees in observed effects. METHODS: A multiple case study, with a qualitative approach, conducted in the prison systems of two Brazilian states in 2011 and 2012. Two prisons were analyzed in each state, and a prison hospital was analyzed in one of them. The data were submitted to a content analysis, which was based on external, political-organizational, implementation, and effect dimensions. Contextual factors and the ones in the program organization were correlated. The independent variable was the program implementation degree and the dependent one, the effects from the Tuberculosis Control Program in prisons. RESULTS: The context with the highest sociodemographic vulnerability, the highest incidence rate of tuberculosis, and the smallest amount of available resources were associated with the low implementation degree of the program. The results from tuberculosis treatment in the prison system were better where the program had already been partially implemented than in the case with low implementation degree in both cases. CONCLUSIONS: The implementation degree and its contexts-external and political-organizational dimensions-simultaneously contribute to the effects that are observed in the control of tuberculosis in analyzed prisons.

Research paper thumbnail of Análise da implantação do Programa de Controle da Tuberculose em unidades prisionais no Brasil

Cadernos De Saude Publica, Mar 1, 2015

Research paper thumbnail of Emergência da resistência às drogas

Boletim da Campanha Nacional Contra a Tuberculose, Dec 1, 2002

Research paper thumbnail of Os desafios para o controle da tuberculose e novas perspectivas Challenges for tuberculosis control and new perspectives

Research paper thumbnail of Os desafios para o controle da tuberculose e novas perspectivas

Research paper thumbnail of Promoção da saúde no puerpério: avaliação da assistência na Atenção Primária

Espaço para a Saúde - Revista de Saúde Pública do Paraná

The objective was to evaluate healthcare actions developed by Primary Health Care (PHC) professio... more The objective was to evaluate healthcare actions developed by Primary Health Care (PHC) professionals for women in the postpartum period. An evaluative study of the implementation analysis type with a quantitative and qualitative approach was carried out in a municipality in each state in the South region of Brazil. Thirty-one puerperal women and 28 primary care professionals participated. Data analysis was performed by evaluating the degree of implementation determined by the Analysis and Judgment Matrix, followed by categorical content analysis. The results showed that one case was considered incipient implantation and the other two partial ones. A lack of physical examination during consultations, of exclusive attention to the newborn, of guidance on warning signs and common problems, and late performance of the first postpartum consultation were observed. It is concluded that physical health care must be improved by professionals to guarantee better care.