ABSTRACT
Considerando a implantaçäo do Programa Nacional de Educaçäo e Controle da Hipertensäo Arterial em Salvador, em 1990, e a disponibilidade de dados sobre a freqüência da medida da pressäo arterial em primeiras consultas de adultos para o ano de 1982, foram determinadas as diferenças entre estas medidas e as obtidas em 1991, pós-implantaçäo do programa. Os dados foram obtidos dos prontuário médicos dos pacientes adultos de diferentes modalidades assistenciais em censo parcial no dia 15/5/91. Dos 846 adultos atendidos, a PA foi medida em 29,1//, porém, em relaçäo aos mesmos serviços analisados em 1982, a freqüência de medidas atingiu 35,9//, resultando num incremento de 92,0// na freqüência, quando comparada aos 18,7// observados em 1982. Os serviços do Estado, vinculados ao Sistema Unico de Saúde (SUS), apresentaram o pior desempenho, com freqüências reduzidas em 10,7//, em relaçäo a 1982. Também os hospitais sem fins lucrativos, conveniados ao SUS, apresentram baixo desempenho. Pacientes com diagnósticos mal-definidos e os questionados sobre história prévia de hipertensäo arterial tiveram a PA medida em 85,4// e 83,3// dos casos, respectivamente. Os autores discutem a baixa freqüência das medidas pós-implantaçäo do programa e sugerem estratégias para reverter a situaçäo
Subject(s)
Humans , Male , Female , Adult , Blood Pressure Determination/statistics & numerical data , Brazil , Program Evaluation , Age Factors , Hypertension/diagnosis , National Health ProgramsABSTRACT
This study was carried out in order to compare differences in blood pressure measurements (BPM) before and after the implementation of the program of hypertension control in Salvador, Brazil. Data concerning BPM following the program were obtained from medical records of all 846 adult patients who were seen in a first consultation basis in 5/16/91 in 23 health services. Data for the 1982 year-before the program--were published in 1984. Both studies had the same methodology. In 1991 the BP was measured in 29.1% of the 846 patients. Taking into account the same services included in both studies, the frequency of BPM in 1991 reached 35.9%, 92.0% more than the 18.7% observed in 1982. Lower frequencies of BPM were seen in the State health services all showing reduction in the BPM frequencies as compared to 1982 data. The two hospitals associated to the "Sistema Unico de Saúde" had a bad performance. Patients with ill defined diseases and those surveyed about previous history of hypertension reached the highest frequencies of BPM (85.4 and 83.3% respectively). Strategies in order to improve the BPM in the routine medical work as contributor to the reduction of morbidity and mortality by the complications of hypertension are suggested.
Subject(s)
Blood Pressure Determination/statistics & numerical data , Hypertension/prevention & control , Program Evaluation , Adult , Age Factors , Brazil , Female , Humans , Male , National Health ProgramsABSTRACT
This paper analyses the different categories of violent death and other injuries occurred in Bahia. In Brazil, traffic accidents, homicides and suicides correspond to the third most common cause of death. Besides, violent acts tend to increase the emergency health services demand. The data were collected from the written press covering all the homicides, grave injuries and notified rapes during 1989. Police violence appeared as responsible for the death of a high proportion (24%) of young males, followed by the disagreement between criminals (18.6%). In relation to females, the quantitative dimension of crimes are lower, more diffused and registered in the family environment. The data point to the importance of male domination in the interpretation of those domestic violent acts. Resisting the ideology of women's inferiority means avoiding both injuries and homicides - a complex task for Brazilian society.
