Abstract Objective Takayasu arteritis (TAK) is a rare chronic granulomatous vasculitis that affects large vessels and usually begins in women of childbearing age, so it is not uncommon for pregnancies to occur in these patients. However, there is limited information about these pregnancies, with reports of adverse maternal and obstetric outcomes. The objective of this study is to evaluate adverse maternal, fetal and neonatal events in pregnant patients with TA. Methods This is a cross-sectional study with retrospective data collection. We reviewed 22 pregnancies in 18 patients with TAK, according to the American College of Rheumatology criteria, that were followed up in a high-risk prenatal clinic specialized in systemic autoimmune diseases and thrombophilia (PrAT) at Hospital Universitário Pedro Ernesto, from 1998 to 2021. Results In twenty-two pregnancies, the mean age of patients was 28.09 years and the mean duration disease was 10.9 years. Of the 18 patients with TAK studied, only one had the diagnosis during pregnancy and had active disease. All other patients had a previous diagnosis of TAK and only 3 had disease activity during pregnancy. Twelve patients (66.6%) had previous systemic arterial hypertension and eleven (61.1%) had renal involvement. Among maternal complications, eight patients (36.3%) developed preeclampsia and six (27.2%) had uncontrolled blood pressure without proteinuria, while 10 (45%) had puerperal complications. Four (18.1%) births were premature, all due to severe preeclampsia and eight newborns (34.7%) were small for gestational age. When all maternal and fetal/neonatal outcomes included in this study were considered, only 6 (27.2%) pregnancies were uneventful. Conclusion Although there were no maternal deaths or pregnancy losses in this study, the number of adverse events was considerably high. Hypertensive disorders and small for gestational age newborns were more common than general population, while the number of patients with active disease was low. These findings suggest that pregnancies in patients with TAK still have several complications and a high-risk prenatal care and delivery are necessary for these patients.

This study was designed to determine the seroprevalence of herpes simplex virus type 2 (HSV-2) and to evaluate its association with age, sex as well as other demographic and behavioural factors in 150 human immunodeficiency virus (HIV) positive adults patients attending the general medical outpatient ward for routine care of Niterói, state of Rio de Janeiro, Brazil. Serum samples were screened for HSV-2 antibodies using an indirect ELISA. Eighty-three patients were men (mean age: 38.8) and 67 were women (mean age: 35.4). The estimated prevalence of HSV-2 was 52% (95% CI: 44-60%) and it was higher among men (53%) than among women (50.7%). Overall, the age of first sexual intercourse and past history of genital herpes were associated with HSV-2 seropositivity. Analysis by gender disclosed significant association of number of lifetime sex partners only among men. Although HSV-2 antibodies were frequent in the study group, genital herpes was reported by 21.8% of the HSV-2 positive subjects, indicating low awareness of the HSV-2 infection. These results may have public health importance for Brazil as the high rate of HSV-2 infection may act as a cofactor of HIV transmission.

Estudo qualitativo que aborda o cuidado executado por "cuidadores" do Programa de Internação Domiciliar (PID) em Betim/MG. Buscando caracterizaros cuidadores domiciliares, analisar suas percepções sobre o ato de cuidar, verificar fatores que interferem e relações estabelecidas entre cuidador / pessoa cuidada / demais familiares, realizou-se entrevista durante visita domiciliar. A análise de discurso (Fiorin, 1993) foi utilizada para construção das categorias empíricas que revelam ser os cuidadores, na sua maioria, familiares, mulheres, idade média 42 anos, baixo nível de escolaridade, trabalho doméstico como única ocupação. Relataram que o ato de cuidar envolve técnica, dever e dedicação. Destacaram dificuldades financeiras, desgaste físico e emocional. As relações do cuidarenvolvem sentimentos de prazer, satisfação e de impotência frente às necessidades e sofrimento do "ser cuidado". Conclui-se que a internação domiciliar favorece a humanização do cuidado, apontando a necessidade de orientação técnica, preparo emocional dos cuidadores e apoio da instituição de saúde.

This is a qualitative study about the care provided by "caregivers" enrolled in the Home Care Program in Betim, Minas Gerais. Interviews were held during home visits in order to identify characteristics of home care providers, analyze their perception about health care, verify factors which interfere in home care and relationships which are established between caregiver / person cared for / other family members. Discourse analysis (Fiorin, 1993) was used to build the empirical categories which revealed that most of the caregivers are family members, women, average age of 42 years, limited schooling, mostly housewives. The subjects sampled reported that the act of caring involves technique, duty and dedication. They referred to financial difficulties, physical and emotional stress. The relationships established during care involved feelings of pleasure, satisfaction and helplessness in the face of the needs and sufferings of the person cared for. The authors concluded that home care fosters more humane care, but requires technical guidance and emotional training for the caregivers and support from the health institution.

Estudio calitativo que trata del cuidado ejecutado por "cuidadores"del Programa de Internación Domiciliar(PID) en Betim/MG. Se busca caracterizara los cuidadores domiciliares, analizar sus percepciones sobre el hecho de cuidar, verificar factores que interfieren y las relaciones establecidas entre cuidador / persona cuidada / demás familiares, mediante la realización de entrevistas durante la visita domiciliar. El análisis del discurso (FIORIN, 1993) se utilizó para construir las categorías empíricas que revelan que los cuidadores, en su gran mayoría, son familiares, mujeres, edad mediana 42 años, bajo nivel de escolaridad y se dedican al trabajo doméstico como única ocupación. Relataron que la acción de cuidar requiere técnica, deber y dedicación. Destacaron dificultades financieras, desgaste físico y emocional. Las relaciones de cuidar involucran sentimientos de placer, satisfacción e impotencia frente a las necesidades y sufrimiento del "ser cuidado". Se concluye que la internación domiciliar favorece la humanización del cuidado y apunta hacia la necesidad de una orientación técnica, preparo emocional de los cuidadores y apoyo de la institución de salud.

This is a qualitative study about the care provided by "caregivers" enrolled in the Home Care Program in Betim, Minas Gerais. Interviews were held during home visits in order to identify characteristics of home care providers, analyze their perception about health care, verify factors which interfere in home care and relationships which are established between caregiver / person cared for / other family members. Discourse analysis (Fiorin, 1993) was used to build the empirical categories which revealed that most of the caregivers are family members, women, average age of 42 years, limited schooling, mostly housewives. The subjects sampled reported that the act of caring involves technique, duty and dedication. They referred to financial difficulties, physical and emotional stress. The relationships established during care involved feelings of pleasure, satisfaction and helplessness in the face of the needs and sufferings of the person cared for. The authors concluded that home care fosters more humane care, but requires technical guidance and emotional training for the caregivers and support from the health institution.

Estudio calitativo que trata del cuidado ejecutado por "cuidadores"del Programa de Internación Domiciliar(PID) en Betim/MG. Se busca caracterizara los cuidadores domiciliares, analizar sus percepciones sobre el hecho de cuidar, verificar factores que interfieren y las relaciones establecidas entre cuidador / persona cuidada / demás familiares, mediante la realización de entrevistas durante la visita domiciliar. El análisis del discurso (FIORIN, 1993) se utilizó para construir las categorías empíricas que revelan que los cuidadores, en su gran mayoría, son familiares, mujeres, edad mediana 42 años, bajo nivel de escolaridad y se dedican al trabajo doméstico como única ocupación. Relataron que la acción de cuidar requiere técnica, deber y dedicación. Destacaron dificultades financieras, desgaste físico y emocional. Las relaciones de cuidar involucran sentimientos de placer, satisfacción e impotencia frente a las necesidades y sufrimiento del "ser cuidado". Se concluye que la internación domiciliar favorece la humanización del cuidado y apunta hacia la necesidad de una orientación técnica, preparo emocional de los cuidadores y apoyo de la institución de salud.

Estudo qualitativo que aborda o cuidado executado por "cuidadores" do Programa de Internação Domiciliar (PID) em Betim/MG. Buscando caracterizaros cuidadores domiciliares, analisar suas percepções sobre o ato de cuidar, verificar fatores que interferem e relações estabelecidas entre cuidador / pessoa cuidada / demais familiares, realizou-se entrevista durante visita domiciliar. A análise de discurso (Fiorin, 1993) foi utilizada para construção das categorias empíricas que revelam ser os cuidadores, na sua maioria, familiares, mulheres, idade média 42 anos, baixo nível de escolaridade, trabalho doméstico como única ocupação. Relataram que o ato de cuidar envolve técnica, dever e dedicação. Destacaram dificuldades financeiras, desgaste físico e emocional. As relações do cuidarenvolvem sentimentos de prazer, satisfação e de impotência frente às necessidades e sofrimento do "ser cuidado". Conclui-se que a internação domiciliar favorece a humanização do cuidado, apontando a necessidade de orientação técnica, preparo emocional dos cuidadores e apoio da instituição de saúde.

This study analyses the "reception" process as a strategy for reorganization of nursing care in basic health services of Belo Horizonte. It uses a qualitative approach through semi-structured interviews and field observation applied to nursing professionals. Five nursing auxiliaries and five degree-nurses, from three health centers, were interviewed. The data pointed out the lack of qualification of nursing auxiliaries as to the proposals for reorganization of assistance. The importance of management for team integration was shown as crucial. One could notice that such practice signalizes the reorganization of the health work process, allowing the implementation of nursing care in direction of humanized assistance.

O estudo analisa o processo do acolhimento como estratégia de reorganização da assistência de enfermagem nos serviços básicos de saúde de Belo Horizonte. Utiliza uma abordagem qualitativa através de entrevista semi-estruturada e observação em campo aplicada aos profissionais de enfermagem. Foram entrevistados cinco auxiliares de enfermagem e cinco enfermeiros de três centros de saúde. Os dados demonstraram insuficiente capacitação dos auxiliares em face das propostas de reorganização da assistência. Verificou-se a importância da gerência para a integração da equipe. Conclui-se que esta prática sinaliza a reorganização do processo de trabalho em saúde, permitindo a implementação da atenção de enfermagem em busca de uma assistência humanizada.