Journal Health NPEPS é uma publicação científica gerenciada pelo Grupo de Pesquisa (NPEPS) da Universidade do Estado de Mato Grosso (UNEMAT) para fomentar a discussão interdisciplinar na área da saúde.
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Educação em saúde: cuidado cultural e justiça epistêmica na integração ensino-serviço-comunidade/ Health education: cultural care and epistemic justice in the integration of teaching, service, and community/ Educación para la salud: atención cultural y justicia epistémica en la integración de la enseñanza, el servicio y la comunidade
Assistência à Saúde Culturalmente Competente
Copyright (c) 2025 Journal Health NPEPS https://creativecommons.org/licenses/by/4.0
Enfermería de práctica avanzada: el impulso que la atención primaria en salud necesita en Latinoamérica/ Advanced practice nursing: the boost primary health care needs in Latin America/ Enfermagem de prática avançada: o impulso que a atenção primária à saúde precisa na América Latina
Burnout syndrome among health students at a public institution in the Midwest
Objective: to assess the prevalence of Burnout Syndrome (BS) among students enrolled in health-related courses at a higher education institution and to correlate it with sociodemographic and health-related factors. Method: an observational, cross-sectional, descriptive, and quantitative study conducted between October and November 2024 with students from health-related programs at the institution. Data collection included the administration of a sociodemographic and health questionnaire, along with the Maslach Burnout Inventory - Student Survey. The data were analyzed using Spearman’s correlation coefficient and the Pearson chi-square test. Results: the participants were predominantly female, enrolled in the Medicine program, and in the early stages of their studies, with 19.2% showing signs of BS. A significant correlation was found between the stage of the course and participants' personal accomplishment (p=0.042; ρ=-0.283), as well as a significant association between the manifestation of BS and a history of mental health diagnoses (X²=5.056; p=0.025). Conclusion: the results highlight the presence of BS among a segment of students, emphasizing its association with the continuous use of medication and the correlation between advancing in the program and lower levels of personal accomplishment, suggesting the need for strategies to reduce student overload and promote their well-being.
Artigo Original/ Original Article/ Artículo Originale
Life style, physical activity level, physical fitness and biological maturation of quilombola students
Objective: to analyze the lifestyle, level of physical activity, physical fitness and biological maturation of quilombola schoolchildren. Method: descriptive, cross-sectional and quantitative study, carried out in quilombola communities located in the municipality of Paquetá, Piauí, Brazil. Adolescents of both sexes aged 10 to 17 years participated. Data collection was carried out through questionnaires, application of motor tests and accelerometry. Data were analyzed by Pearson's correlation and network analysis, considering p<0.05. Results: presented a negative extract for lifestyle (62.2%) and were insufficiently active (78.3%). Positive correlations were found between the level of physical activity and lifestyle (r=0.452) and between anthropometric variables (BMI and waist) and biological maturation (r=0.415 and r=0.443). A negative correlation was observed between BMI and muscular resistance (r=-0.514), waist circumference and muscular resistance (r=-0.529) and peak growth velocity deviation and muscular resistance (r=-0.431). Network analysis revealed that BMI was the most influential variable in the study. Conclusion: participants presented low lifestyle extract, low physical fitness and level of physical activity.
American tegumentary leishmaniasis in the state of Mato Grosso: Spatial analysis to identify high-risk areas and their determinants
Objective: to identify areas of high risk for the occurrence of ATL and to investigate the determinants associated with this phenomenon in the state of Mato Grosso-Legal Amazon. Method: This is an ecological study carried out in the state of Mato Grosso, Legal Amazon, Brazil, with ATL cases reported between 2010 and 2019. High-risk areas were identified using the Scan statistic, and the associated determinants were identified using a binary logistic regression model. Results: A total of 23,698 ATL cases and 17 ATL infection risk clusters in the period, with the highest relative risk (RR) of 5.52 (p< 0.001). The determinants cattle herd, largest harvest area and rainfall volume showed a positive association with high-risk areas. The municipal human development index showed a negative association. Conclusion:The results show the existence of high-risk areas for ATL in the state and suggest that there are determinants that may be influencing the occurrence and maintenance of these risk regions.
Fernanda Regina Casagrande Giachini Vitorino
Impacts on the health of informal caregivers of elderly in northern Minas Gerais
Objective: to investigate the challenges and impacts on the health of informal caregivers of elderly people in a municipality in the north of Minas Gerais. Method: descriptive and qualitative study carried out with informal caregivers. Data were collected between August and September 2024 through semi-structured interviews. Thematic analysis was used to analyze the data. Results: revealed that caregivers have difficulty reconciling care for the elderly person and their life projects. They face overload, low back pain, anxiety, insomnia, panic, anguish and worry. The care routine interferes with the availability of time to interact socially, participate in leisure moments, and dedicate themselves to self-care practices. They rely on family help during hospitalizations and home health professionals to deal with difficulties. Conclusion: the need to promote self-care strategies for caregivers and the establishment of support networks is highlighted. Likewise, managers must take responsibility for developing education and support programs for caregivers, as well as public policies that guarantee support and appreciation for these individuals.
Trajetórias de cirurgiãs quanto à equidade de gênero no ambiente de trabalho/ Trajectories of female surgeons regarding gender equity in the workplace/ Trayectorias de las cirujanas respecto a la equidad de género en el ámbito laboral
Objective: to understand the experiences of a group of female surgeons regarding the challenges and strategies to increase gender equity in the field. Method: qualitative, exploratory, ethnographic research, conducted from February to November 2023, using snowball sampling, via Google Forms®. Participants were active female surgeons living in the state of São Paulo. A semi-structured interview guide was used to explore the professionals' sociodemographic aspects and experiences. Content Analysis was used. Results: the 40- to 49-year-old age group predominated, with low ethnic and racial diversity. There were recurring reports of moral and sexual harassment and a constant need to reaffirm competence. Women reported being discouraged from choosing surgical specialties from graduation onward and suffering when opting for motherhood. Final considerations: research on female surgeons carried out in Brazil does not address the voices of these women. Their stories are important for changing the scenario of discrimination. Participants emphasize the need for mandatory institutional training on gender, effective reporting mechanisms, and greater support for family planning. Female participation in surgical specialties is limited, requiring institutional initiatives to create a more equitable and inclusive environment.
Gender inequality; Surgery; Women's health; Discrimination; Sexism
Casuística de crianças e adolescentes com dengue em serviço de referência em Santa Catarina/ Casuistry of children and adolescents with dengue fever in a reference service in Santa Catarina/ Casuística de niños y adolescentes con dengue en un servicio de referencia en Santa Catarina
Objective: to describe the clinical and epidemiological profile of children and adolescents with dengue admitted to a referral hospital in Santa Catarina. Method: observational, descriptive, and quantitative study including patients up to 15 years old, hospitalized between January 2021 and April 2023. Data were obtained from medical records and analyzed using descriptive statistics, considering clinical manifestations, warning signs, and length of stay. Results: a total of 135 cases were included, with a predominance of males (57%) and adolescents (54%). Most hospitalizations occurred in March (32.6%) and April (29.6%) of 2023. The most frequent clinical manifestations were fever (36.4%), headache (19.2%), and myalgia (16.7%). The main warning signs were vomiting (30.0%), abdominal pain (22.2%), and rash (21.3%). Length of stay was mainly concentrated between 3 and 4 days. All patients were discharged, with no need for ICU admission or recorded deaths. Conclusion: the study highlights the relevance of epidemiological surveillance and rapid response to seasonal dengue outbreaks. Early identification and appropriate management were essential for the favorable outcomes of patients.
Perfil socioepidemiológico de tuberculose em Mato Grosso do Sul (2018-2023)/ Socioepidemiological profile of tuberculosis in Mato Grosso do Sul (2018-2023)/ Perfil socioepidemiológico de tuberculosis en Mato Grosso do Sul (2018-2023)
Objetivo: analisar o perfil socioepidemiológico de tuberculose em Mato Grosso do Sul entre 2018 e 2023. Método: estudo epidemiológico, transversal e quantitativo, utilizando dados da Secretaria de Vigilância em Saúde e do Sistema de Informação de Agravos de Notificação referente a Mato Grosso do Sul. Aplicou-se a análise univariada para as variáveis investigadas na série histórica. Resultados: entre 9.621 casos, houve maior prevalência entre homens (63,0%), na faixa etária entre 20 e 45 anos (50,2%) e raça/cor parda (51,0%). No período, 12,8% não foram testados para HIV e 10,7% já haviam desenvolvido a síndrome da imunodeficiência adquirida. Outro destaque foi o aumento dos casos de TB simultânea à doença mental após a pandemia, com um crescimento de 154,54% de 2023 em relação a 2018. O desfecho mais frequente foi a cura (53,27%), seguido pelo abandono do tratamento (15,5%). Áreas com maior vulnerabilidade social (comunidades indígenas e regiões periféricas) apresentaram os piores indicadores de controle da doença. Conclusão: os achados realçaram desigualdades no acesso ao diagnóstico e tratamento, indicando a necessidade de estratégias mais eficazes para rastreamento e acompanhamento dos casos, tendo que considerar as particularidades socioepidemiológicos para melhores desfechos.
Tuberculosis; Epidemiological Surveillance; Risk Factors; Public Health.
Transmission ande prevention of HIV/AIDS: Alook at 12thgrade students, District of Lichinga-Mozambique
Objective: to analyze the knowledge of HIV/AIDS transmission and prevention of students in the 12th class of five Public General Secondary Schools, in the City of Lichinga, Province of Niassa. Method: this is a cross-sectional and quantitative study. A simple random sampling technique was used to select study participants. The questionnaire consisted of closed questions about HIV/AIDS and was applied to a sample of 352 students. Data were analyzed using the SPSS statistical package, version 24.0. Results: regarding the transmission of HIV/AIDS (percentage of error) Females 10.06% (n=153) had more knowledge compared to Males 18.63% (n=199). For HIV/AIDS Prevention (percentage of error) Females 14.28% (n=153) had more knowledge compared to Males 18.78% (n=199). Of those surveyed, 71.31% (n=352) knew about transmission and 66.94% (n=352) about prevention. Students have errors in their answers, with Transmission 28.69% (n=352) and 33.06% (n=352) for Prevention. Conclusion: female students had more knowledge about the transmission and prevention of HIV/AIDS when compared to male students.
Monitoring of COVID-19 in medical internship: experience of a federal university (2021-2023)/ Seguimiento del COVID-19 en el internado médico: experiencia de una universidad federal (2021-2023)/ Monitoramento da COVID-19 no internato médico em uma universidade federal brasileira (2021-2023)
Objective: to estimate the frequency of COVID-19 and clinical symptoms among medical students enrolled in internship. Method: descriptive study with a cohort of medical students at a Medical School in Brazil. Data collection lasted from March-2021 to March-2023, starting from the internship’s inception, when the monitoring team provided instructions on SARS-CoV2 transmission. An initial form was filled out, and a second form was used for weekly monitoring. Results: the study evaluated 520 medical students. The prevalence of COVID-19 was 27.59% (143/520) (suspected cases), and 12.11% (63/520) (positive test). During the monitoring period, 72.5% (377/520) were asymptomatic. Of the suspected cases, 44.05% (63/143) tested positive, 35.66% (51/143) tested negative, and 20.28% (29/143) did not have a test or did not return the weekly monitoring form. Of the students tested, 55.26% (63/114) had a confirmed diagnosis of COVID-19. Statistically significant differences were found in students’ complaints regarding fever (p=0.023), fatigue (p=0.0037), headache (p=0.042) and loss of taste (p=0.005). Conclusion: the study showed a high prevalence of COVID-19, with fever, fatigue, headache, and dysgeusia being the most important symptoms. The protocol of behavioral interventions may be effective for protecting students in any pandemic scenario.
Childhood cancer and its relationship with socio-economic and environmental indicators in Mato Grosso agribusiness
Objective: To analyze the relationship between the incidence of childhood cancer and socioeconomic indicators of agribusiness in Mato Grosso between 2007 and 2012. Method: An ecological study based on secondary data on new cancer cases reported in the Population-Based Cancer Registry and socioeconomic and environmental indicators of Gross Domestic Product per capita and the agricultural component and consumption of pesticides by municipality. The standardized average rate was calculated using the direct world population method. The normality of the variables was checked using the Kolmogorov-Smirnov test and the association between the indicators was calculated using Spearman's correlation. Results: 601 new cases were identified, 34.7% in the 15-19 age group, 53.5% male and 49.2% brown, with an average incidence rate of 5.59/100,000 inhabitants. A significant correlation was found between the average incidence rate and socioeconomic and environmental variables, with the highest coefficient being observed for general GDP (r= 0.424; p=0.001). Conclusion: The municipalities in Mato Grosso with a predominantly agribusiness economy also had a higher incidence of new cases of childhood cancer, thus indicating a significant association between the indicators.
Keywords: Neoplasms; Child health; Adolescent health; Pesticides.
Exercício físico e educação em saúde na fibromialgia/ Physical exercise and health education in fibromyalgia/ Ejercicio físico y educación para la salud en la fibromialgia
Copyright (c) 2024 Journal Health NPEPS https://creativecommons.org/licenses/by/4.0
Evaluation of labels and quality control of plant drugs and extracts of Cynara scolymus L.
Objective: to analyze the labeling and quality control of artichokes as a vegetable drug sold in Belém do Pará and its extracts. Method: field study, experimental, descriptive, with a qualitative and quantitative approach. Three samples of plant drugs were characterized through labeling analysis, organoleptic evaluation, determination of foreign matter, solid content, ash content and solubility. Then, hydroalcoholic and soft extracts were obtained, which were evaluated for organoleptic characterization, solid content, pH, density and by high-performance thin layer chromatography (CCDAE). Results: plant drug labels met around 66% of the criteria. The samples presented a characteristic color and odor, a substantial amount of foreign elements, very poorly soluble in water and soluble in ethanol. The solids and ash contents were 7.94 ± 2.96; 5.92 ± 1.20 and 5.26 ± 0.40 and pH 6.85 ± 0.01; 6.81 ± 0.06 and 6.81 ± 0.06 for samples A, B and C, respectively. The organoleptic evaluation of the extracts showed color, appearance and odor characteristic of the plant and the extracting solvent. The density was 0.87g/mL in all samples. The CCDAE revealed the presence of flavonoids, phenolic compounds and anthraquinones. Conclusion: the analysis highlighted the need to improve the labeling and quality control of commercialized plant drugs, highlighting the importance of standardization to ensure safety and efficacy in therapeutic use.
Profile’s analysis of the Pre-Exposure Prophylaxis for HIV users in the city of Blumenau, Santa Catarina
Objective: To understand the sociodemographic, clinical and behavioral profiles of participants in the Pre-Exposure Prophylaxis Program (PrEP) for HIV prevention in Blumenau-SC, in addition to verifying the need to adapt the target population to access this medication in the city. Methods: Cross-sectional, descriptive, retrospective, quantitative research of secondary data obtained from CEDAP, accessed in 2022 and 2023, of PrEP participants in the municipality. Results: 276 people elected to take PrEP, of which 89.1% were male, homosexual (69.2%), aged between 30 and 39 years old (46.4%), self-reported white (92%) , with 12 or more years of study (85.5%). In the first consultation, 31.6% denied using condoms, 27.5% claimed previous use of PEP and 75% said they had up to 10 sexual partners. Of the laboratory analyses, 40.9% of users had reactive VDRL after 30 days of starting PrEP. Conclusion: It was observed that MSM predominated in the search for prophylaxis and there was low demand among the socially vulnerable population. PrEP users had low rates of screening laboratory changes, but a high incidence of reactive VDRL after 30 days of treatment.
CLINICAL PROFILE OF BEDRIDDEN PATIENTS BELONGING TO THE TERRITORY OF A FAMILY HEALTH STRATEGY
Objetivo: Analizar y comparar el perfil clínico de pacientes encamados con úlceras por presión (PPL) y pacientes con integridad cutánea preservada. Métodos: Se realizó un estudio transversal, analítico y descriptivo en una Estrategia de Salud de la Familia (ESF) en la ciudad de Uruguaiana/RS. Se recogieron datos de 29 pacientes utilizando escalas específicas e información demográfica, que se analizaron descriptivamente mediante un paquete estadístico. Resultados: Predominaron las pacientes del sexo femenino, blancas, con baja escolaridad, siendo los hijos los principales cuidadores. También se encontró que el estado de encama, el uso de laxantes y pañales eran recurrentes. En cuanto a las características de las lesiones, el 64,3% tenían un tamaño inferior a 4 cm², con pérdida parcial del grosor de la piel que afectaba a la epidermis y/o dermis en el 57,1% de los casos. El tratamiento más prevalente fue el uso de hidrocoloides, en el 35,7% de los casos, siendo prescrito por enfermeras en el 78,6% de las situaciones. Conclusión: Los datos obtenidos permiten a la enfermería realizar prácticas de promoción de la salud y prevención de enfermedades, con el objetivo de reducir comportamientos y factores de riesgo para el desarrollo de lesiones, además de proporcionar cuidados asertivos a los pacientes con heridas.
PERMANENT HEALTH EDUCATION IN THE EFFECTIVENESS OF THE FAMILY HEALTH STRATEGY: A PROFESSIONAL PERSPECTIVE
Objective: To analyze how professionals in the Family Health Strategy understand Permanent Health Education within their work context to strengthen the care resolution provided to the population; and to identify challenges and possibilities for strengthening Permanent Health Education practices in the Family Health Strategy. Method: A qualitative approach was adopted, with a critical perspective, involving 21 professionals working in a municipality in Bahia. A semi-structured interview was conducted and analyzed using Bardin's content analysis. Results: Most participants demonstrated a satisfactory understanding of the importance of Permanent Health Education in improving care resolution. However, the experiences are primarily focused on courses and training. Regarding challenges and possibilities, the role of managers and the healthcare team in developing shared responsibility in care production, with an emphasis on community participation, was highlighted. Final considerations: It is necessary to encourage the development of Permanent Health Education practices, as they enable improvements in the quality of care provided, strengthening and enhancing the production of care.
Comportamento suicida entre universitários de minorias sexuais: estudo transversal/ Suicidal behavior among sexual minority college students: a cross-sectional study/ Comportamiento suicida entre estudiantes universitarios de minorías sexuales: estudio transversal
Objetivo: analisar a prevalência e os fatores associados ao comportamento suicida entre universitários de minorias sexuais. Método: estudo transversal, analítico e quantitativo, realizado em uma Instituição de Ensino Superior privada do Centro-Oeste brasileiro, entre maio e julho de 2023. A coleta de dados utilizou um questionário sociodemográfico e o MINI módulo C para avaliação do comportamento suicida. Aplicou-se o teste de Qui-quadrado de Pearson (X²) para verificar associações entre variáveis dependentes e independentes, adotando-se nível de significância p<0,05. Resultados: a maioria dos participantes era composta por mulheres, com cor de pele não branca (62,3%), solteiras (84,5%), praticantes de alguma religião (84,0%) e com vínculo empregatício (51,0%). Em relação à orientação sexual, 8,9% se declararam bissexuais, 4,3% homossexuais e 0,3% assexuais. Homossexuais e assexuais apresentaram associação estatisticamente significativa com ideação suicida passiva (p=0,019 e p=0,004, respectivamente), enquanto bissexuais mostraram associação com ideação suicida passiva (p<0,001), ativa (p=0,004), planejamento (p<0,001) e tentativa (p=0,004). Conclusão: verificou-se comportamento suicida entre universitários de minorias sexuais, especialmente entre bissexuais.
Diagostic Profile of cervical lesions by cytology, colposcopy, and biopsy in Southern Mozambique referral Hospital
Objective: To describe the profile of cervical lesions in women diagnosed by histopathological exams and the treatment of precancerous lesions of the cervix. Method: A cross-sectional and quantitative study conducted at the Provincial Hospital of Xai-Xai, Gaza, Mozambique, with data from patients diagnosed with cervical lesions between 2018 and 2022. Women aged 25 to 64, referred due to altered results in visual inspection with acetic acid (VIA >75%), were included. Participants underwent Papanicolaou, colposcopy, biopsy, and loop electrosurgical excision procedure (LEEP). Results: The average age was 40.3 years, and 98.3% of participants were housewives. Of the 633 women, 97.5% underwent colposcopy, with 81.1% showing low and high-grade lesions. Cytology revealed 70.7% of normal cases, 10.9% HSIL, 6.8% LSIL, and 4.8% ASC-US. Of the 117 biopsies, 59.8% showed moderately differentiated squamous cell carcinoma, 9.4% invasive carcinoma, and 4.3% adenocarcinoma. Treatment with LEEP was performed in 62.7% of the women, with more than half diagnosed with LSIL (50.9%). Conclusion: The study highlights the complexity of diagnosis, with the majority of women diagnosed with moderately differentiated squamous cell carcinoma. It emphasizes the importance of early detection of precancerous lesions
Cervical cancer, Cytology, Colposcopy, Biopsy
Hospitalizations due to abortion at the Unified Health System: trends according to skin color, Brazil, 2012-2021
Objectives: to estimate the hospitalization rates due to abortion in the Unified Health System (SUS), according to skin color and analyze temporal trends from 2012-2021. Methods: Hospitalization rates were calculated according to skin color and presented per 10,000 person-years. Trends were analyzed via Prais-Winsten autoregressive modeling. Results: The highest coefficients were observed in people of mixed color, regardless of the type of abortion, with average rates of 43.69/10,000 (All Types), 22.5/10,000 (Spontaneous) and 20.9/10,000 (Other Types). Hospitalizations due to ‘Medical Reasons’ were below 0.5 events per 10,000 person-years. Trends in the ‘Spontaneous Abortion’ and ‘All Types’ groups are declining regardless of skin color. A worrying result involved abortion due to 'Medical Reasons' with stationary (isolated) or increased (group) rates, with a variation of 1.79% per year and a 95% confidence interval of 0.36% to 3.23 %. Conclusions: From 2012 to 2021, there was 1 hospitalization due to abortion in the SUS for every 14 live births in Brazil. Brown women experienced the highest rates, but with a clear downward trend. Despite the scarcity of indications for intentional termination of pregnancy in Brazil, the procedure continues to be regularly offered and hospitalizations are on the rise in the country.
Physiotherapy in childbirth care: implementation of recording material in an Obstetric Center
Objective: To develop and implement a standard operating protocol (SOP) and a hospital routine record sheet, based on scientific evidence, which specifically addresses the role of physiotherapy in childbirth care, in an Obstetric Center in the city of Parnaíba - PI. Method: This is a descriptive, interventional, analytical study with a sample of 400 parturients and 7 physiotherapists. Results: The average age was 25.5 (± 0.49) years and 37.6 (±0.76) weeks for gestational age. The most common behaviors used by physiotherapists during labor were: diaphragmatic breathing (52.7%); decubitus changes (33.22%); guidance on labor (30.49%) and encouraging upright postures (26.12%). As important outcomes, 87.88% progressed to vaginal delivery with the use of the most upright/inclined posture (56.56%); a labor time of up to 6 hours in 53.74% of parturients and 7.27% episiotomy. Conclusion: The recording material can be considered a valuable tool for the work of physiotherapists in maternity wards, as well as enabling the institution to improve data control and effectively demonstrate indicators that justify this role.
The epidemiological panorama of hospitalizations by acute diarrhea in Mato Grosso, Brazil, 2014-2023
Objective: to present the epidemiological panorama of hospitalizations for acute diarrhea in Mato Grosso and the role of Primary Health Care in combating the disease. Method: descriptive, cross-sectional and quantitative study, selecting data from 6,713 patients hospitalized for acute diarrhea between 2014 and 2023. Variables included: sociodemographic data, character and evolution of hospitalization. Blank and ignored data were excluded. Statistical analysis was performed using frequency tables, using the 95% confidence interval using the Wilson method. Bivariate categorical associations were obtained by calculating the prevalence ratio, considering the 95% confidence interval and p<0.05, using the Mantel-Haenszel x2 test. Results: the highest frequencies among those hospitalized were: female, age group 1-4 years, mixed race, residents of the central-north macroregion, hospitalization time of 2 days, with diagnoses sensitive to Primary Health Care and no death. The associations showed that those aspects were related to a longer hospitalization time and death as an outcome, with statistical significance. Conclusion: It was concluded that precarious sociodemographic situations negatively influence the epidemiology of hospitalizations for acute diarrhea in Mato Grosso and Primary Health Care has an important role in managing the disease.
Extrapulmonary tuberculosis in children and adolescents: descriptive study in a reference hospital in southern Brazil
Objective: To describe cases of Extrapulmonary Tuberculosis (TBEP) in children and adolescents treated at a pediatric hospital in southern Brazil, between 2011-2021. Methods: Descriptive observational study, which included cases of PETB in patients aged up to 15 years, with ICDs A15, A16, A18 and A19. Cases of Central Nervous System Tuberculosis (CNS TB) were analyzed in a secondary study to this one. The study was approved by the institution's Research Ethics Committee (CEP) under opinion number 5,310,955. Results:The research sample consisted of 14 cases. Six cases of PETB (42.9%) were associated with pulmonary TB, seven (50.0%) were cases of PETB not associated with PTB and one (7.1%) was miliary TB. Conclusion:Predominance of females, aged between 11 and 15 years, whose likely place of contagion was indoors. Half of the cases were exclusively extrapulmonary TB. Among the extrapulmonary sites, the most affected in number was the pleura, followed by lymph nodes and intestine. Cough, weight loss and lymphadenopathy were the main symptoms presented.
Qualidade do sono e sonolência de estudantes de diferentes ciclos de medicina/ Sleep quality and sleepiness among students from different cycles of medical school/ Calidad del sueño y somnolencia en estudiantes de diferentes ciclos de medicina
Objetivo: avaliar a qualidade do sono e sonolência de estudantes de diferentes ciclos de medicina. Método: estudo quantitativo e descritivo realizado com 285 estudantes de medicina da Universidade Regional de Blumenau, em março de 2024. Os dados foram coletados remotamente, por meio de um questionário estruturado que incluiu o Índice de Qualidade de Sono de Pittsburgh e a Escala de Sonolência Epworth. Aplicou-se a estatística descritiva, com distribuição de frequências por sexo e ciclo, e posterior teste de hipótese (p<0,005). Resultados: identificou 67,7% com sonolência anormal e 65,8% com qualidade de sono ruim. A comparação por sexo não revelou diferenças significativas nos escores gerais de qualidade do sono, sugerindo que homens e mulheres apresentam padrões semelhantes. Estudantes que afirmaram consumir bebidas energéticas relataram demorar mais para dormir (p=0,003), sentir muito calor (p=0,037), tomar remédios para dormir (p=0,003), ter episódios de desorientação (p=0,003) e ter a maior probabilidade de cochilar conversando (p=0,000). Por outro lado, quem afirmou não consumir, indicam dormir mais horas por noite (p=0,000). Conclusão: os acadêmicos de medicina não possuem qualidade de sono e sonolência adequada, em especial aqueles que consomem bebidas energéticas.
Cross-cultural adaptation of the meaning of food in life questionnaire (MFLQ): brazilian portuguese version
Objective:To cross-cultural adapt the MFLQ questionnaire to be used in Brazil. Method: The study followed the steps proposed by Ferrer et al (1996). Results: The review committee’s analysis adhered to methodologic recommendations considering conceptual, semantic, cultural and idiomatic equivalences, with positive outcomes. Semantic evaluation was conducted with 19 volunteers. Regarding the questionnarie’s comprehension, 80,62% of respondents indicated perfect understanding, according to the Numeric Verbal Scale. No adjustments to the questionnaire was necessary, leading to the Final Portuguese Version. Pretesting was completed with 17 subjects registered in a Family Health Strategy, and there were no questions related to the comprehension or responses. Conclusion: The cross-cultural adaptation was successfully achieved. An intercultural equivalence was confirmed, maintaining clear understanding of the context. Following validation, the adapted version of the questionnaire will be available for use.
Validation of nursing interview based on Marjory Gordon's Functional Health Patterns
Objective: To validate a nursing interview based on Marjory Gordon's Health patterns. Material and Methods: The Delphi Method was used in two rounds of evaluation. Sociodemographic variables of the nurses were considered. The content (relevance, specificity, reliability, usefulness and satisfaction of the interview), appearance (vocabulary, structure, design, clarity of language, item wording, length and ease of completion) and time of application were validated. A Likert scale was used: Strongly Disagree, Partially Disagree, Partially Agree and Strongly Agree. The evaluation of time was considered in minutes. Result: first round with items mostly in Strongly Agree. Minor modifications were suggested to the content of inclusion, not exclusion, to the patterns of: Nutritional-metabolic, Elimination, Activity-exercise, Sleep-rest and Cognitive-perceptual, most of the suggestions were incorporated. In the second round, most of the evaluators placed the content criterion in the category totally agree and partially agree, all opinions are favorable to the content and design of the instrument, they do not contribute modifications to the filling guide. Conclusion: The nursing interview is an optimal tool for obtaining information from the client in the assessment stage of the nursing process.
Self-efficacy for abstinence and temptation among users in nursing care specializing in chemical dependency
Objective: To assess self-efficacy for abstinence and temptation to use psychoactive substances among users being monitored by a nursing care program specializing in drug addiction. Method: Cross-sectional, descriptive study with a quantitative approach. The sample consisted of 17 users, who answered a questionnaire containing sociodemographic information, patterns of substance use and treatment, assessment of self-efficacy for abstinence and temptation to use psychoactive substances. Results: The participants were adult men, white, educated, with formal employment and income, had social and family support, and were alcohol and tobacco users. High levels of self-efficacy for abstinence were identified in the overall assessment of the scale (3.7/SD 1.2) and in the Worries factor (3.9/SD 1.1). The overall evaluation of the temptation scale was 2.4 (SD 1.4), with the highest averages in the Negative emotions (2.5/ SD 1.5) and Abstinence/impulse (2.5/ SD 1.5) factors. Conclusion: The findings can be a tool to help nurses draw up more effective intervention plans to prevent relapse.
Substance-Related Disorder; Psychiatric nursing; Health care models.
Emergência em saúde pública no Rio Grande do Sul: evento climático extremo e o impacto da leptospirose/ Public health emergency in Rio Grande do Sul: extreme weather event and the impact of leptospirosis/ Emergencia de salud pública en Rio Grande do Sul: evento climático extremo y el impacto de la leptospirosis
Keila de Cássia Ferreira de Almeida Silva
Content validation of the PPESMA protocol – checklists for the nursing process in mental health care, alcohol and other drugs
Objective: validate the content of the Ppesma-Checklists protocol for the nursing process in mental health care, alcohol and other drugs. Method: methodological study, with content validation technique, conducted at the end of 2019 the beginning of 2020, with the participation of 8 nurses who validated the Protocol PPESMA - Checklists, through the built instrument, regarding structure, coherence, scientific language, Update, readability, operating, adequacy, clarity, grammatical and spelling review For data analysis, descriptive statistics were used, calculation of the percentage of agreement (PC) and the Content Validity Indexes (CVIs) and Multiple Kappa (K) were used. Results: the content of the PPESMA-Checklists protocol showed a PC between 90% and 100%, Content Validity Index (CVI) between 0.9 and 1.00 for the items evaluated, as well as general CVI and a Multiple Kappa coefficient equal to 0.98. Conclusion: PPESMA-Checklists appears to be an instrument with the potential to be used in mental health, alcohol and other drugs in the context of the northern Brazilian region.
X-linked agammaglobulinemia in a pediatric patient: a case report
Objective: To report the case of a patient with X-linked agammaglobulinemia (ALX), an Inborn Immunity Error, often associated with variants in the Bruton's tyrosine kinase (BTK) protein gene, responsible for the B cells maturation. Method: To perform in this observational, descriptive study, with a single case report, data collection was carried out through an active search of medical records, after consent. Subsequently, the information collected was organized according to the CARE checklist. Results: A 10-year-old male patient complains of recurrent pneumonia and growth retardation. Through clinical and laboratory investigation, were noticed reduced levels of IgA (<0.10), IgM (20 mg/dl) and IgG (76 mg/dl), low B lymphocytes (2%) and a positive genetic test for the presence of variants in the BTK gene, leading to the diagnosis of ALX. Treatment consisted of intravenous immunoglobulin replacement, enabling a significant improvement in symptoms and serum immunoglobulin levels. Conclusion: Early diagnosis is essential and doctors must know how to identify warning signs and complement them with tests, such as blood counts, immunological evaluation and genetic tests, to confirm the condition and guide treatment effectively.