RESUMEN El objetivo de la investigación fue validar el instrumento "Impacto de evento". Por su naturaleza fue de enfoque cuantitativo, no experimental y transversal en el diseño. La muestra fue probabilística obtenida por cálculo muestral fue de 361 profesionales de la salud, que trabajaron de manera presencial durante la pandemia, quienes participaron de manera voluntaria. Luego del análisis psicométrico como, la correlación ítem total, análisis factorial de componentes con rotación ortogonal y Alpha de Cronbach la escala quedó compuesta con 22 reactivos distribuidos en dos dimensiones: intrusión y evitación. Se concluyó que se ha obtenido una escala válida para evaluar el impacto de evento en la muestra estudiada.

ABSTRACT The objective of the research was to validate the "Event Impact" instrument. It was quantitative in nature, non-experimental and cross-sectional in design. The sample was probabilistic obtained by sample calculation was 361 health professionals, who worked in person during the pandemic, who participated on a voluntary basis. After the psychometric analysis such as total item correlation, component factor analysis with orthogonal rotation and Cronbach's Alpha, the scale was composed of 22 items distributed in two dimensions: intrusion and avoidance. It was concluded that a valid scale was obtained to evaluate the impact of the event in the sample studied.

Toxigenic types of Clostridium perfringens are significant causative agents of enteric disease in domestic animals, although type E is presumably rare, appearing as an uncommon cause of enterotoxemia of lambs, calves and rabbits. We report herein the typing of 23 C. perfringens strains, by the polymerase chain reaction (PCR) technique, isolated from small intestine samples of bovines that have died suddenly, after manifesting or not enteric or neurological disorders. Two strains (8.7%) were identified as type E, two (8.7%) as type D and the remainder as type A (82.6%). Commercial toxoids available in Brazil have no label claims for efficacy against type E-associated enteritis; however, the present study shows the occurrence of this infection. Furthermore, there are no recent reports on Clostridium perfringens typing in the country.

Mycobacterium was verified in animals from a Brazilian dairy herd, a total of 42 samples from 30 cows were submitted to culture and the isolated strains were analyzed by two polymerase chain reaction (PCR), the first specific for species belonging to the Mycobacterium complex (MTBC) and the other for differentiating M. tuberculosis from M. bovis. Twenty seven samples (64.3%) from 18 animals (60%) were positive for mycobacteria by culture, including samples from 15 retrofaryngeal lymphnodes (55.5%), 9 prescapular lymphnodes (33.3%), 2 lungs (7.4%), and 1 liver (3.7%). All isolated colonies were confirmed by PCR to contain MTBC organisms, and were identified as M. bovis by the same methodology.

CONTEXTO: A subjetividade da dor gera uma grande dificuldade para a elaboração de um método único de avaliação e de fácil aplicação na clínica diária. Os métodos para a avaliação da dor no período neonatal devem ser válidos, seguros, confiáveis, úteis e exeqüíveis.OBJETIVO: verificar a validade do Sistema de Codificação da Atividade Facial Neonatal (NFCS), Escala de Dor para o RN (NIPS), freqüência cardíaca (FC) e saturação de oxigênio (SatO2) para a avaliação da dor no recém-nascido (RN). TIPO DE ESTUDO: prospectivo, duplo-cego e randomizado. LOCAL: maternidade de nível secundário. PARTICIPANTES: 70 RN a termo saudáveis, com punção venosa para bilirrubina, divididos em dois grupos: P (n=33) recebeu um estímulo doloroso (punção) e F (n=37) um desagradável (fricção na mão). INTERVENÇÃO: observação do NFCS, da NIPS, da FC e da SatO2, antes (PRÉ), durante (T0) e 1(T1), 3(T3), 5(T5) e 10(T10) minutos após P ou F. MENSURAÇÃO: testes não paramétricos (significância: p<0.05). RESULTADOS: a mediana do NFCS e da NIPS foi maior no Grupo P em T0, T1 e T3. Mais RN do Grupo P apresentaram NFCS >2 e/ou NIPS >3 em T0, T1 e T3. A FC foi inferior no Grupo P em T1. A SatO2 manteve-se, em média, acima de 90% nos dois grupos. CONCLUSÕES : o NFCS e a NIPS são válidos para a avaliação da dor aguda no RN a termo. A FC e a SatO2 devem ser utilizadas como coadjuvantes.

CONTEXT: The subjectivity of pain causes enormous difficulties in evaluating neonatal pain with a single, practical and easy-to-apply tool. Pain evaluation in the neonatal period should be performed by valid, safe, useful and feasible methods. OBJECTIVE: To evaluate the validity of the Neonatal Facial Coding System (NFCS), Neonatal Infant Pain Scale (NIPS), heart rate (HR) and O2 saturation (O2 sat) for neonatal pain assessment. DESIGN: Prospective, double-blind randomized trial. SETTING: A secondary level maternity hospital. PARTICIPANTS: 70 healthy neonates requiring bilirubin dosage were randomly assigned to receive a venous puncture (P: n=33, BW 3.2kg, SD 0.6; GA 39wk, SD 1; 59h of life, SD 25) or an alcohol swab friction (F: n=37; BW 3.1kg, SD 0.5; GA 39wk, SD 1; 52h of life, SD 17). INTERVENTION: All measurements were taken prior to (PRE), during (T0), and 1(T1), 3(T3), 5(T5) and 10(T10) minutes after the procedure. MEASUREMENTS: A neonatologist evaluated NFCS, NIPS, HR and O2 sat by pulse oxymetry. RESULTS: Median NFCS and NIPS results at T0, T1 and T3 were higher in P group, compared to F. More P neonates presented NFCS >2 and/or NIPS >3 at T0, T1 and T3. HR was lower in P group at T1. Average O2 sat was above 90% during the whole study period in both groups. CONCLUSION: NFCS and NIPS are suitable instruments for neonatal pain evaluation. Heart rate and O2 saturation can be used only as auxiliary methods.