To analyze the economic evaluations in health for the treatment of obesity in adults published in the world literature between 2009-2019. Methods. Systematic review applying the Denmark Email List Cochrane, PRISMA and CHEERS guidelines for health economics studies. The completeness, reproducibility and methodological quality of the information selection and extraction protocol was guaranteed. A qualitative synthesis was performed by frequency by type of economic evaluation. Results articles were screened and only Denmark Email List met the protocol criteria, the majority from the United States , mainly with cost-utility studies and cost descriptions. People with multiple comorbidities were included, the most common of which was diabetes.
The most evaluated interventions were surgical and the most frequent outcomes were Denmark Email List weight reduction and quality-adjusted life years. The most frequent evaluation perspective was that of the third payer and the most used time horizon was the short term for interventions Denmark Email List directed at lifestyle and long term for surgical ones. Conclusion. Microeconomic studies for the treatment of obesity have increased in recent years; Denmark Email List however, gaps persist such as the low application of non-surgical interventions, partial or cost-effectiveness evaluations, and analysis from a social perspective. These constitute important axes for evidence-based health practices and decision-making relating the health benefits to the costs involved.
Epidemiological characteristics of human leptospirosis in Saint Lucia
Describe the epidemiological characteristics of human Denmark Email List leptospirosis cases in Saint Lucia between 2010 and 2017, and determine if there was a link between the number of cases, rainfall, and temperature. A retrospective analytical study was conducted to describe the seasonal pattern of human leptospirosis cases reported to the Ministry of Health of Saint Lucia between Denmark Email List . Confirmed cases of leptospirosis were analyzed according to age, sex, seasonal character and geographic distribution. The incidence of the disease was calculated and the relationship between the number of cases and the geographical distribution, rainfall and temperature was evaluated. Leptospirosis has a seasonal distribution in Saint Lucia, with outbreaks arising after periods of increased rainfall and flooding; for example, after tropical Denmark Email List storms and hurricanes. Saint Lucia and other Caribbean countries need to improve surveillance for leptospirosis as climate change increases the likelihood of flooding after periods of frequent and heavy rainfall.
Obstacles to the application of the recommendations for the care of normal delivery
Identify possible obstacles to the application of the recommendations made in the National Guidelines for the Care of Normal Delivery in Brazil based on the best evidence available worldwide. Denmark Email List Methods. A rapid review of six databases was carried out in March / April 2019. Secondary studies published in Spanish, English or Portuguese were selected on obstacles of any kind that could be related to the application of the recommendations contained in the Guidelines. Results. 23 documents were included Denmark Email List (21 systematic reviews and 2 clinical practice guidelines). The obstacles identified were grouped into 52 categories based on their similarity in meaning and then reorganized into nine thematic groups: Denmark Email List delivery care model, human resource management, beliefs and knowledge, gender relations, health services management, attitudes and behaviors, communication, socioeconomic conditions, and political interests.