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RESUMO Neste trabalho, destacam-se aprendizados com pesquisa realizada pelo Núcleo Ecologias e Encontros de Saberes para a Promoção Emancipatória da Saúde (Neepes) em parceria com o Centro de Integração na Serra da Misericórdia (CEM) e o Movimento dos Sem Teto da Bahia (MSTB), que atuam em territórios periféricos no Rio de Janeiro e em Salvador. A pesquisa buscou apoiar e sistematizar conhecimentos e práticas emancipatórias de promoção da saúde protagonizados por essas experiências, tendo por base quatro eixos temáticos transversais: alimentação, cuidado, moradia e proteção ambiental, além de comunicação. No artigo, enfocaram-se as reflexões coletivas em relação ao primeiro eixo temático, envolvendo estratégias para promover agroecologia e soberania alimentar, com experiências de produção, circulação e acesso a alimentos saudáveis. Com base nessas reflexões, visou-se contribuir com discussões sobre Territórios Sustentáveis e Saudáveis (TSS), especialmente pelos aprendizados possibilitados com a sistematização das experiências territoriais com base na noção de Promoção Emancipatória da Saúde, que aponta para importantes aportes nas dimensões de justiça ambiental e cognitiva. Com a sistematização dessas experiências, destaca-se sua capacidade de resistir, a partir de um movimento de reexistência de saberes tradicionais e comunitários em periferias urbanas, que apontam caminhos possíveis para a construção de TSS em periferias urbanas. trabalho destacamse destacam se Neepes (Neepes CEM (CEM MSTB, MSTB , (MSTB) Salvador transversais alimentação cuidado comunicação artigo enfocaramse enfocaram temático alimentar produção saudáveis visouse visou TSS, (TSS) cognitiva destacase destaca resistir urbanas (MSTB (TSS

ABSTRACT In this work, we highlight lessons learned from research carried out by the Nucleus Ecologies and Encounters of Knowledge for Emancipatory Health Promotion (NEEPES) in partnership with the Center of Integration in Serra da Misericórdia (CEM) and the Movement of Homeless People of Bahia (MSTB), in peripheral territories in Rio de Janeiro and Salvador. The research sought to support and systematize knowledge and emancipatory practices of health promotion carried out by these experiences, based on four transversal thematic axes: food, care, housing and environmental protection, in addition to communication. The article focused on collective reflections on the first thematic axis, involving strategies to promote agroecology and food sovereignty, with experiences of production, circulation, and access to healthy food. Based on these reflections, we aim to contribute to discussions regarding the idea of Sustainable and Healthy Territories (SHT), especially through the lessons learned from the systematization of territorial experiences based on the notion of Emancipatory Health Promotion, which points to important contributions from the dimensions of environmental and cognitive justice. The systematization of these experiences highlights a movement of re-existence of traditional and community knowledge, which points to possible paths for the construction of SHT in urban peripheries. work NEEPES (NEEPES CEM (CEM MSTB, MSTB , (MSTB) Salvador axes care protection communication axis sovereignty production circulation SHT, (SHT) justice reexistence re existence peripheries (MSTB (SHT

https://doi.org/10.1590/2358-28982024e18576p

Hepatitis A vaccination coverage survey in 24-month-old children living in Brazilian capitals, 2020
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Moura, Winny Éveny Alves

; Caetano, Karlla Antonieta Amorim

; Lima, Juliana de Oliveira Roque e

; Campos, Lays Rosa

; Silva, Grazielle Rosa da Costa e

; Moraes, José Cássio de

; França, Ana Paula

; Domingues, Carla Magda Allan Santos

; Teixeira, Maria da Gloria Lima Cruz

; Teles, Sheila Araújo

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Gloria

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

Epidemiologia e Serviços de Saúde

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2024, Volume 33 N. spe2 elocation e20231162

Abstract: Pt Es En | Text: Pt Es En | PDF: Pt | PDF: Es | PDF: En

resumen está disponible en el texto completo

https://doi.org/10.1590/s2237-96222024v33e20231162.en

Vaccination coverage, hesitancy and associated factors: a household survey of a cohort of children born in 2017 and 2018 in urban areas of state capital cities in the Brazilian Northeast
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Saavedra, Ramon da Costa

; Santiago, Martha Suely Itaparica de Carvalho

; Teixeira, Maria da Glória Lima Cruz

; Antunes, Maria Bernadete de Cerqueira

; Queiroz, Rejane Christine de Sousa

; Lima, Luisa Helena de Oliveira

; Ramos Jr, Alberto Novaes

; Ferreira, Anderson Fuentes

; Maciel, Adjoane Mauricio Silva

; Barbosa, Jaqueline Caracas

; França, Ana Paula

; Domingues, Carla Magda Allan Santos

; Moraes, José Cássio de

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Glória Lima Cruz

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

Epidemiologia e Serviços de Saúde

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2024, Volume 33 N. spe2 elocation e20231298

Abstract: En Pt Es | Text: En Pt Es | PDF: En | PDF: Pt | PDF: Es

resumen está disponible en el texto completo

https://doi.org/10.1590/s2237-96222024v33e20231298.especial2.en

Agroecologia e soberania alimentar: lutas por justiça e alimentação saudável em territórios periféricos urbanos
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Palm, Juliano Luís

; Porto, Marcelo Firpo

; Fasanello, Marina Tarnowski

; Rocha, Diogo Ferreira da

; Souza, Juliana

; Santos, Ana Paula da Cruz

; Santos, Rita de Cassia Ferreira dos

Saúde em Debate

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2024, Volume 48 N. spe1 elocation e8576

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/2358-28982024e18576p

Bacillus-based probiotics on broiler chicken performance under coccidiosis and Clostridium perfringens challenge
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Berto, Rafaela

; Rohloff Junior, Nilton

; dos Santos Andrade, Thiago

; Kaufmann, Cristine

; Sartor, Heloisa

; Costa, Ana Paula Guimarães Cruz

; Comin, Gabriel Natã

; Toniazzo, Gabrielli

; de Queiroz Teixeira, Vinicius

; Naranjo, Victor Daniel

; Eyng, Cinthia

; Nunes, Ricardo Vianna

South African Journal of Animal Science

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2024, Volume 54 N. 4 Pages 509 - 523

Abstract: En | Text: En | PDF: En

The study analyzed the impacts of two probiotics (Ecobiol® and GutCare®) on growth performance, carcass and cut yields, intestinal morphometry and lesion score, biochemical parameters, and short-chain fatty acid concentration in chickens using a challenge model combining coccidiosis vaccine and Clostridium perfringens. A total of 880 one-day-old male broilers (Cobb 500) were randomly assigned to four treatments with 10 replicates and 22 birds per experimental unit (EU). The treatments consisted of: PC: positive control with the inclusion of 80 g ton-1 of Enramax® (8% enramycin) until 35 d of age; NC: negative control without the inclusion of growth-promoting probiotic; BA: NC with the inclusion of 1000 g ton-1 of Ecobiol® (Bacillus amyloliquefaciens - CECT 5940); BS: NC with the inclusion of 500 g ton-1 of GutCare® (Bacillus subtilis - DSM 32315). Diets used maize-soybean meal in a three-phase plan. Broiler chickens on the BA and BS diets had higher feed consumption, body weight gain, and improved feed conversion efficiency at 28 and 42 d when compared to the birds in the negative control. Broiler chickens fed PC, BA, and BS diets had a higher villus height and absorption area in the jejunum at 28 d, compared to the birds in the negative control. There was more butyric acid production by the intestinal microbiota at 28 d of age in broilers on the BA diet. Supplementing with 1000 g/ton of BA and 500 g/ton of BS effectively substituted the 8% enramycin antibiotic, enhancing broiler growth during an induced intestinal challenge.

https://doi.org/10.4314/sajas.v54i4.04

Brazilian Thoracic Society recommendations for the diagnosis and monitoring of asbestos-exposed individuals asbestosexposed asbestos exposed
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Santos, Ubiratan Paula

; Algranti, Eduardo

; Capitani, Eduardo Mello De

; Prado, Gustavo Faibischew

; Carneiro, Ana Paula Scalia

; Rodrigues, Sílvia Carla Sousa

; Freitas, Jefferson Benedito Pires de

; Chate, Rodrigo Caruso

; Mizutani, Rafael Futoshi

; Castro, Hermano Albuquerque de

; Arbex, Marcos Abdo

; Ribeiro, Patrícia Canto

; Tietboehl Filho, Carlos Nunes

; Castellano, Maria Vera Cruz de Oliveira

; Leite, Guilherme Ward

; Almeida, Gustavo Corrêa de

Jornal Brasileiro de Pneumologia

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2024, Volume 50 N. 3 elocation e20240156

Abstract: En | Text: En | PDF: En

ABSTRACT Asbestos was largely used in Brazil. It is a mineral that induces pleural and pulmonary fibrosis, and it is a potent carcinogen. Our objective was to develop recommendations for the performance of adequate imaging tests for screening asbestos-related diseases. We searched peer-reviewed publications, national and international technical documents, and specialists’ opinions on the theme. Based on that, the major recommendations are: Individuals exposed to asbestos at the workplace for ≥ 1 year or those with a history of environmental exposure for at least 5 years, all of those with a latency period > 20 years from the date of initial exposure, should initially undego HRCT of the chest for investigation. Individuals with pleural disease and/or asbestosis should be considered for regular lung cancer monitoring. Risk calculators should be adopted for lung cancer screening, with a risk estimate of 1.5%. Brazil fibrosis carcinogen asbestosrelated related diseases peerreviewed peer reviewed publications documents specialists theme are 2 investigation andor monitoring 15 1.5% 1.5 1.

https://doi.org/10.36416/1806-3756/e20240156

You are what you eat: a systematic review exploring the interaction between Brazilian sand flies and their vertebrate food sources eat
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Dutra-Rêgo, Felipe

; Silva, Michelli Santos da

; Isnard, Ana Paula

; Medeiros, Jansen Fernandes

; Andrade Filho, José Dilermando

; Freire, Mariana Lourenço

Memórias do Instituto Oswaldo Cruz

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2024, Volume 119 elocation e240055

Abstract: En | Text: En | PDF: En

Sand flies play a crucial role as vectors of bacteria, viruses, and protists, with Leishmania being the most notable among them, transmitted to vertebrate hosts during blood feeding. Understanding the feeding behaviours of sand flies is imperative for gaining insights into their eco-epidemiological roles in the transmission of these infectious agents. This systematic review aimed to answer the question ‘What are the blood-feeding sources identified in Brazilian sand flies?’ to provide an analysis of their blood-feeding habits. The diverse range of at least 16 vertebrate orders identified as blood sources for 54 sand fly species across different geographic regions was summarised, and the factors potentially associated with the risk of bias in the included studies were analysed. The findings broaden the discussion concerning methods used to identify blood meal sources and shed light on the implications of sand fly feeding behaviours for the transmission dynamics of Leishmania. bacteria viruses protists them ecoepidemiological eco epidemiological agents What bloodfeeding flies? habits 1 5 summarised analysed

https://doi.org/10.1590/0074-02760240055

Hepatitis A vaccination coverage survey in 24-month-old children living in Brazilian capitals, 2020 24monthold monthold 24 month old capitals 202 2 20
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Moura, Winny Éveny Alves

; Caetano, Karlla Antonieta Amorim

; Lima, Juliana de Oliveira Roque e

; Campos, Lays Rosa

; Silva, Grazielle Rosa da Costa e

; Moraes, José Cássio de

; França, Ana Paula

; Domingues, Carla Magda Allan Santos

; Teixeira, Maria da Gloria Lima Cruz

; Teles, Sheila Araújo

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Gloria

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

Epidemiologia e Serviços de Saúde

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2024, Volume 33 N. spe2 elocation e20231162

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivo Estimar a cobertura vacinal da hepatite A em crianças de 24 meses e identificar fatores associados à ausência de vacinação. Métodos Inquérito em amostra estratificada por estratos socioeconômicos em capitais (2020-2022), com estimativa de cobertura e intervalos de confiança de 95% (IC95%) e análise de fatores pela razão de prevalência (RP) via regressão de Poisson. Resultados Nas 31.001 crianças, a cobertura da hepatite A foi de 88,1% (IC95% 86,8;89,2). Nos estratos socioeconômicos (A/B), a variável pais/responsáveis imigrantes foi associada à ausência de vacinação (RP = 1,91; IC95% 1,09;3,37); nos estratos C/D, crianças de cor amarela (RP = 4,69; IC95% 2,30;9,57), 4ª ordem de nascimento ou mais (RP = 1,68; IC95% 1,06;2,66), não frequentar creche/berçário (RP = 1,67; IC95% 1,24;2,24) e mãe com trabalho remunerado (RP = 1,42; IC95% 1,16;1,74) foram associadas à ausência de vacinação. Conclusão Cobertura da hepatite A abaixo da meta (95%), sugerindo-se considerar especificidades dos estratos sociais. 2 20202022, 20202022 2020 2022 , (2020-2022) 95 IC95 IC RP Poisson 31001 31 001 31.00 881 88 1 88,1 (IC95 86,889,2. 868892 86,8 89,2 . 86 8 89 86,8;89,2) A/B, AB A/B B (A/B) paisresponsáveis pais responsáveis 1,91 191 91 1,093,37 109337 1,09 3,37 09 3 37 1,09;3,37) CD C D C/D 4,69 469 4 69 2,309,57, 230957 2,30 9,57 30 9 57 2,30;9,57) ª 1,68 168 68 1,062,66, 106266 1,06 2,66 06 66 1,06;2,66) crecheberçário creche berçário 1,67 167 67 1,242,24 124224 1,24 2,24 1,24;2,24 1,42 142 42 1,161,74 116174 1,16 1,74 16 74 1,16;1,74 95%, (95%) sugerindose sugerindo se sociais 2020202 202 (2020-2022 IC9 3100 00 31.0 88, (IC9 889 86,889,2 86889 868 86, 892 89, 86,8;89,2 (A/B 1,9 19 093 1,093,3 10933 109 1,0 337 3,3 0 1,09;3,37 4,6 46 6 309 2,309,57 23095 230 2,3 957 9,5 5 2,30;9,57 1,6 062 1,062,66 10626 106 266 2,6 1,06;2,66 242 1,242,2 12422 124 1,2 224 2,2 1,24;2,2 1,4 14 161 1,161,7 11617 116 1,1 174 1,7 7 1,16;1,7 (95% 202020 20 (2020-202 310 31. (IC 86,889, 8688 86,8;89, 1, 1,093, 1093 10 33 3, 1,09;3,3 4, 2,309,5 2309 23 2, 9, 2,30;9,5 1,062,6 1062 26 1,06;2,6 1,242, 1242 12 22 1,24;2, 1,161, 1161 11 17 1,16;1, (95 20202 (2020-20 86,889 86,8;89 1,093 1,09;3, 2,309, 2,30;9, 1,062, 1,06;2, 1,242 1,24;2 1,161 1,16;1 (9 (2020-2 86,88 86,8;8 1,09;3 2,309 2,30;9 1,062 1,06;2 1,24; 1,16; ( (2020- 86,8; 1,09; 2,30; 1,06; (2020 (202 (20 (2

ABSTRACT Objective To estimate hepatitis A vaccination coverage in 24-month-old children and identify factors associated with non-vaccination. Methods This was a survey involving a sample stratified by socioeconomic strata in capital cities (2020-2022), with coverage estimates and 95% confidence intervals (95%CI), the factor analysis was performed using the prevalence ratio (PR) by means of Poisson regression. Results Among 31,001 children, hepatitis A coverage was 88.1% (95%CI 86.8;89.2). Regarding socioeconomic strata (A/B), the variable immigrant parents/guardians was associated with non-vaccination (PR = 1.91; 95%CI 1.09;3.37); in strata C/D, children of Asian race/skin color (PR = 4.69; 95%CI 2.30;9.57), fourth-born child or later (PR = 1.68; 95%CI 1.06;2 .66), not attending daycare/nursery (PR = 1.67; 95%CI 1.24;2.24) and mother with paid work (PR = 1.42; 95%CI 1.16;1.74) were associated with non-vaccination. Conclusion Hepatitis A coverage was below the target (95%), suggesting that specificities of social strata should be taken into consideration. 24monthold monthold 24 month old nonvaccination. nonvaccination non vaccination. 20202022, 20202022 2020 2022 , (2020-2022) 95 95%CI, 95CI CI (95%CI) PR regression 31001 31 001 31,00 881 88 1 88.1 86.889.2. 868892 86.8 89.2 . 86 8 89 2 86.8;89.2) A/B, AB A/B B (A/B) parentsguardians parents guardians 1.91 191 91 1.093.37 109337 1.09 3.37 09 3 37 1.09;3.37) CD C D C/D raceskin race skin 4.69 469 4 69 2.309.57, 230957 2.30 9.57 30 9 57 2.30;9.57) fourthborn fourth born 1.68 168 68 1.062 1062 1.06 06 1.06; .66, 66 .66 .66) daycarenursery daycare nursery 1.67 167 67 1.242.24 124224 1.24 2.24 1.24;2.24 1.42 142 42 1.161.74 116174 1.16 1.74 16 74 1.16;1.74 95%, (95%) consideration 2020202 202 (2020-2022 3100 00 31,0 88. 889 86.889.2 86889 868 86. 892 89. 86.8;89.2 (A/B 1.9 19 093 1.093.3 10933 109 1.0 337 3.3 0 1.09;3.37 4.6 46 6 309 2.309.57 23095 230 2.3 957 9.5 5 2.30;9.57 1.6 062 106 .6 242 1.242.2 12422 124 1.2 224 2.2 1.24;2.2 1.4 14 161 1.161.7 11617 116 1.1 174 1.7 7 1.16;1.7 (95% 202020 20 (2020-202 310 31, 86.889. 8688 86.8;89. 1. 1.093. 1093 10 33 3. 1.09;3.3 4. 2.309.5 2309 23 2. 9. 2.30;9.5 1.242. 1242 12 22 1.24;2. 1.161. 1161 11 17 1.16;1. (95 20202 (2020-20 86.889 86.8;89 1.093 1.09;3. 2.309. 2.30;9. 1.242 1.24;2 1.161 1.16;1 (9 (2020-2 86.88 86.8;8 1.09;3 2.309 2.30;9 1.24; 1.16; ( (2020- 86.8; 1.09; 2.30; (2020 (202 (20 (2

resumen está disponible en el texto completo

https://doi.org/10.1590/s2237-96222024v33e20231162.en

Vaccination coverage, hesitancy and associated factors: a household survey of a cohort of children born in 2017 and 2018 in urban areas of state capital cities in the Brazilian Northeast coverage factors 201 20 2
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Saavedra, Ramon da Costa

; Santiago, Martha Suely Itaparica de Carvalho

; Teixeira, Maria da Glória Lima Cruz

; Antunes, Maria Bernadete de Cerqueira

; Queiroz, Rejane Christine de Sousa

; Lima, Luisa Helena de Oliveira

; Ramos Jr, Alberto Novaes

; Ferreira, Anderson Fuentes

; Maciel, Adjoane Mauricio Silva

; Barbosa, Jaqueline Caracas

; França, Ana Paula

; Domingues, Carla Magda Allan Santos

; Moraes, José Cássio de

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Glória Lima Cruz

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

Epidemiologia e Serviços de Saúde

Journal Metrics
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2024, Volume 33 N. spe2 elocation e20231298

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivo Estimar a cobertura vacinal e analisar fatores sociodemográficos associados à não vacinação em crianças nascidas vivas em 2017 e 2018 nas capitais do Nordeste brasileiro. Métodos Realizou-se inquérito domiciliar com amostragem por conglomerados, entre 2020 e 2022, para estimar cobertura e hesitação vacinal. Fatores associados à não vacinação foram analisados usando-se regressão logística para calcular odds ratio (OR) e seus intervalos de confiança (IC95%). Resultados A capital com menores coberturas vacinais foi Natal, com < 75,0% para a maioria dos imunizantes; Teresina apresentou coberturas ≥ 90,0% em todos os imunizantes. Dos entrevistados, 99,1% (IC95% 98,9;99,3) acreditavam que vacinas são importantes para a saúde; 95,4% (IC95% 95,0;95,8) confiavam nos imunobiológicos distribuídos pelo governo; e 79,6% (IC95% 78,8;80,3) não tinham medo de reações adversas. Residir em estrato socioeconômico mais alto (OR ajustado: 1,34 – IC95% 1,20;1,50) foi fator associado à não vacinação. Conclusão As baixas coberturas destacam a necessidade de entender melhor as especificidades regionais e as desigualdades sociais. 201 brasileiro Realizouse Realizou se conglomerados 202 2022 usandose usando OR IC95%. IC95 IC . (IC95%) Natal 750 75 0 75,0 imunizantes 900 90 90,0 entrevistados 991 99 1 99,1 (IC95 98,999,3 989993 98,9 99,3 98 9 3 98,9;99,3 saúde 954 95 4 95,4 95,095,8 950958 95,0 95,8 8 95,0;95,8 governo 796 79 6 79,6 78,880,3 788803 78,8 80,3 78 80 78,8;80,3 adversas ajustado 134 34 1,3 1,201,50 120150 1,20 1,50 20 50 1,20;1,50 sociais IC9 7 75, 90, 99, (IC9 999 98,999, 98999 989 98, 993 98,9;99, 95, 095 95,095, 95095 950 958 95,0;95, 79, 880 78,880, 78880 788 78, 803 80, 78,8;80, 13 1, 1,201,5 12015 120 1,2 150 1,5 2 5 1,20;1,5 (IC 98,999 9899 98,9;99 09 95,095 9509 95,0;95 88 78,880 7888 78,8;80 1,201, 1201 12 15 1,20;1, 98,99 98,9;9 95,09 95,0;9 78,88 78,8;8 1,201 1,20;1 98,9; 95,0; 78,8; 1,20;

ABSTRACT Objective To estimate vaccination coverage and analyze sociodemographic factors associated with non-vaccination in children born in 2017 and 2018 in the state capitals of Northeast Brazil. Methods A household survey using cluster sampling was conducted from 2020-2022 to estimate vaccination coverage and hesitancy. Factors associated with non-vaccination were analyzed using logistic regression to calculate Odds Ratios (OR) and their Confidence Intervals (95%CI). Results Natal was the capital with the lowest vaccination coverage, below 75.0% for most immunizers. Teresina had rates equal to or greater than 90.0% for all vaccines. Among those interviewed, 99.1% (95%CI 98.9;99.3) believe that vaccines are important for health; 95.4% (95%CI 95.0;95.8) trust immunobiologicals and 79.6% (95%CI% 78.8;80.3) are not afraid of reactions. Belonging to the highest socioeconomic stratum (adjusted OR: 1.34 – 95%CI 1.20;1.50) was as a factor associated with non-vaccination. Conclusion Low coverage highlights the need for a better understanding of regional specificities and social inequalities. nonvaccination non 201 Brazil 20202022 2020 2022 2020-202 hesitancy OR (OR 95%CI. 95CI CI . 95 (95%CI) 750 75 0 75.0 immunizers 900 90 90.0 interviewed 991 99 1 99.1 98.999.3 989993 98.9 99.3 98 9 3 98.9;99.3 health 954 4 95.4 95.095.8 950958 95.0 95.8 8 95.0;95.8 796 79 6 79.6 95%CI% 78.880.3 788803 78.8 80.3 78 80 78.8;80.3 reactions adjusted 134 34 1.3 1.201.50 120150 1.20 1.50 20 50 1.20;1.50 nonvaccination. vaccination. inequalities 2020202 202 2020-20 7 75. 90. 99. 999 98.999. 98999 989 98. 993 98.9;99. 95. 095 95.095. 95095 950 958 95.0;95. 79. 880 78.880. 78880 788 78. 803 80. 78.8;80. 13 1. 1.201.5 12015 120 1.2 150 1.5 2 5 1.20;1.5 202020 2020-2 98.999 9899 98.9;99 09 95.095 9509 95.0;95 88 78.880 7888 78.8;80 1.201. 1201 12 15 1.20;1. 20202 2020- 98.99 98.9;9 95.09 95.0;9 78.88 78.8;8 1.201 1.20;1 98.9; 95.0; 78.8; 1.20;

resumen está disponible en el texto completo

https://doi.org/10.1590/s2237-96222024v33e20231298.especial2.en

10.

Política de Saúde Bucal no Brasil: transformações e rupturas entre 2018-2021 Brasil 20182021 2018 2021 2018-202 2018202 201 202 2018-20 201820 20 2018-2 20182 2 2018-
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Santos, Lília Paula de Souza

; Lima, Ana Maria Freire de Souza

; Chaves, Sônia Cristina Lima

; Vilela, Débora Maria Oliveira Cruz

; Valente, Ana Paula Portugal Chagas

; Rossi, Thaís Regis Aranha

Ciência & Saúde Coletiva

Journal Metrics
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may 2023, Volume 28 N. 5 Pages 1575 - 1587

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Analisou-se a implementação da Política de Saúde Bucal no Brasil no período 2018-2021, através das ações institucionais, implantação dos serviços, resultados alcançados e financiamento federal. Estudo de monitoramento, a partir da análise documental e de dados secundários, obtidos em sites institucionais, sistemas de informações governamentais e notícias publicadas por entidades odontológicas. Todos os indicadores de resultados monitorados apresentaram expressiva redução dos valores entre 2020-2021, com agravamento desde 2018, como a cobertura da primeira consulta odontológica e ação coletiva de escovação dental supervisionada, que chegou a 1,8% e 0,02% em 2021, respectivamente. Observa-se uma queda do financiamento federal nos anos 2018-2019 (8,45%), com crescimento em 2020 (59,53%) e nova diminuição em 2021 (5,18%). O período analisado foi marcado por crise econômica e política, agravadas pela crise sanitária, decorrente da pandemia do COVID-19. Contexto que influenciou o funcionamento dos serviços de saúde no Brasil. No caso particular da saúde bucal, verificou-se progressiva e acentuada redução dos resultados, ainda que a implantação dos serviços de atenção básica e especializada tenha se mantido estável. Analisouse Analisou 20182021, 20182021 2018 2018-2021 institucionais monitoramento secundários odontológicas 20202021, 20202021 2020-2021 supervisionada 18 1 8 1,8 002 0 02 0,02 respectivamente Observase Observa 20182019 2019 2018-201 8,45%, 845 8,45% , 45 (8,45%) 202 59,53% 5953 59 53 (59,53% 5,18%. 518 5,18% . 5 (5,18%) política sanitária COVID19. COVID19 COVID 19. 19 COVID-19 bucal verificouse verificou estável 2018202 201 2018-202 2020202 2020-202 1, 00 0,0 2018201 2018-20 84 8,45 4 (8,45% 20 59,53 595 (59,53 51 5,18 (5,18% COVID1 COVID-1 201820 202020 2020-20 0, 2018-2 8,4 (8,45 2 59,5 (59,5 5,1 (5,18 COVID- 20182 20202 2020-2 2018- 8, (8,4 59, (59, 5, (5,1 2020- (8, (59 (5, (8 (5 (

Abstract This study analyzed the implementation of Brazil’s National Oral Health Policy during the period 2018-2021, covering institutional actions, implementation of public dental services, results achieved, and federal funding. We conducted a retrospective descriptive study using documentary analysis and secondary data obtained from institutional websites, government information systems, and reports published by dental organizations. The findings show a significant reduction in funding between 2020 and 2021 and declining performance against indicators since 2018, such as coverage of first dental appointments and group supervised tooth brushing, which stood at 1.8% and 0.02%, respectively, in 2021. Federal funding dropped in 2018 and 2019 (8.45%), followed by an increase in 2020 (59.53%) and decrease in 2021 (-5.18%). The study period was marked by economic and political crises aggravated by the COVID-19 pandemic. This context influenced the functioning of health services in Brazil. There was a sharp reduction in performance against oral health indicators, while performance in primary health care and specialized care services remained stable. Brazils Brazil s 20182021, 20182021 2021, 2018-2021 actions achieved websites systems organizations 202 brushing 18 1 8 1.8 002 0 02 0.02% respectively 201 8.45%, 845 8.45% , 45 (8.45%) 59.53% 5953 59 53 (59.53% 5.18%. 518 5.18% . 5 (-5.18%) COVID19 COVID 19 COVID-1 pandemic stable 2018202 2018-202 20 1. 00 0.02 84 8.45 4 (8.45% 59.53 595 (59.53 51 5.18 (-5.18% COVID1 COVID- 201820 2018-20 2 0.0 8.4 (8.45 59.5 (59.5 5.1 (-5.18 20182 2018-2 0. 8. (8.4 59. (59. 5. (-5.1 2018- (8. (59 (-5. (8 (5 (-5 ( (-

https://doi.org/10.1590/1413-81232023285.14002022

11.

Política de Saúde Bucal no Brasil: transformações e rupturas entre 2018-2021
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Santos, Lília Paula de Souza

; Lima, Ana Maria Freire de Souza

; Chaves, Sônia Cristina Lima

; Vilela, Débora Maria Oliveira Cruz

; Valente, Ana Paula Portugal Chagas

; Rossi, Thaís Regis Aranha

Ciência & Saúde Coletiva

Journal Metrics
- Sobre o periódico
- SciELO Analytics

may 2023, Volume 28 N. 5 Pages 1575 - 1587

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-81232023285.14002022

12.

Contribution of public oral pathology services to the diagnosis of oral and oropharyngeal cancer in Brazil
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LOUREDO, Brendo Vinicius Rodrigues

; CURADO, Maria Paula

; PENAFORT, Paulo Victor Mendes

; DE ARRUDA, José Alcides Almeida

; ABREU, Lucas Guimarães

; MESQUITA, Ricardo Alves

; PINTO-JÚNIOR, Décio dos Santos

; ABRAHÃO, Aline Corrêa

; ANDRADE, Bruno Augusto Benevenuto de

; AGOSTINI, Michelle

; MORAES, Renata Mendonça

; ANBINDER, Ana Lia

; DOURADO, Pedro Henrique Silva

; SANTOS, Teresa Cristina Ribeiro Bartholomeu dos

; PIRES, Fábio Ramoa

; BORDIGNON, Natalia Cristina Trentin

; GONDAK, Rogério Oliveira

; DE OLIVEIRA, Marcia Gaiger

; CARRARD, Vinicius Coelho

; MARTINS, Manoela Domingues

; SOUSA-NETO, Sebastião Silvério

; ARANTES, Diego Antônio Costa

; MENDONÇA, Elismauro Francisco

; CIESLAK-SANCHES, Silvia Roberta

; ANTUNES, Daniella Moraes

; AMARAL-SILVA, Gleyson Kleber do

; MANIERI, Patricia Rubia

; RAMALHO, Luciana Maria Pedreira

; DOS SANTOS, Jean Nunes

; LEONEL, Augusto César Leal da Silva

; PEREZ, Danyel Elias da Cruz

; VERHEUL, Hannah Carmem Carlos Ribeiro Silva

; BARROSO, Keila Martha Amorim

; RODRIGUES, Flávia Luiza Santos

; GONZAGA, Amanda Katarinny Goes

; FERNANDES, Romana Renery

; DE SOUZA, Lélia Batista

; SOUZA, Lucas Lacerda de

; PONTES, Flávia Sirotheau Corrêa

; PONTES, Hélder Antônio Rebelo

; SILVA, Caroline Alfaia

; CÂMARA, Jeconias

; LIBÓRIO-KIMURA, Tatiana Nayara

; SANTOS-SILVA, Alan Roger

; LOPES, Márcio Ajudarte

; ALMEIDA, Oslei Paes de

; ROMAÑACH, Mário José

; VARGAS, Pablo Agustin

Brazilian Oral Research

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2023, Volume 37 elocation e126

Abstract: En | Text: En | PDF: En

Abstract This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients’ histopathological records. Of the 120,010 oral and maxillofacial biopsies (2010-2019), 6.9% (8,321 cases) were diagnosed as lip (0.8%, 951 cases), oral cavity (4.9%, 5,971 cases), and oropharyngeal (1.2%, 1,399 cases) SCCs. Most cases were from Brazil’s Southeast (64.5%), where six of the OMPLs analyzed are located. The predominant profile of patients with lip and oral cavity SCC was Caucasian men, with a mean age over 60 years, low schooling level, and a previous history of heavy tobacco consumption. In the oropharyngeal group, the majority were non-Caucasian men, with a mean age under 60 years, had a low education level, and were former/current tobacco and alcohol users. According to data from the Brazilian National Cancer Institute, approximately 9.9% of the total lip, oral cavity, and oropharyngeal SCCs reported over the last decade in Brazil may have been diagnosed at the OMPLs included in the current study. Therefore, this data confirms the contribution of public OMPLs with respect to the important diagnostic support they provide to the oral healthcare services extended by the Brazilian Public Health System. (OMPLs SCC. . (SCC) crosssectional cross sectional North, North (North Northeast CentralWest, CentralWest Central West, West Central-West South. South South) 201 120010 120 010 120,01 20102019, 20102019 , (2010-2019) 69 6 9 6.9 8,321 8321 8 321 (8,32 0.8%, 08 0 (0.8% 95 cases, 4.9%, 49 4 (4.9% 5971 5 971 5,97 1.2%, 12 1 2 (1.2% 1399 399 1,39 Brazils s 64.5%, 645 64.5% 64 (64.5%) located men years level consumption group nonCaucasian non formercurrent former users Institute 99 9.9 Therefore System (SCC 20 12001 01 120,0 2010201 (2010-2019 6. 8,32 832 32 (8,3 0.8% (0.8 4.9% (4.9 597 97 5,9 1.2% (1.2 139 39 1,3 64.5 (64.5% 9. 1200 120, 201020 (2010-201 8,3 83 3 (8, 0.8 (0. 4.9 (4. 59 5, 1.2 (1. 13 1, 64. (64.5 20102 (2010-20 8, (8 0. (0 4. (4 1. (1 (64. (2010-2 ( (64 (2010- (6 (2010 (201 (20 (2

https://doi.org/10.1590/1807-3107bor-2023.vol37.0126

13.

Chikungunya virus infection in the southernmost state of Brazil was characterised by self-limited transmission (2017-2019) and a larger 2021 outbreak selflimited self limited 20172019 2017 2019 (2017-2019 202 2017201 201 (2017-201 20 201720 (2017-20 2 20172 (2017-2 (2017- (2017 (201 (20 (2 (
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Gregianini, Tatiana Schäffer

; Salvato, Richard Steiner

; Barcellos, Regina Bones

; Godinho, Fernanda Marques

; Ruivo, Amanda Pellenz

; de Melo, Viviane Horn

; Schroder, Júlio Augusto

; Martiny, Fernanda Letícia

; Möllmann, Erica Bortoli

; Favreto, Cátia

; Baethgen, Ludmila Fiorenzano

; Ferreira, Vithoria Pompermaier

; de Lima, Lívia Eidt

; Piazza, Cláudia Fasolo

; Machado, Taís Raquel Marcon

; Becker, Irina Marieta

; Ramos, Raquel Rocha

; Frölich, Guilherme Carey

; Rossetti, Alana Fraga

; Almeida, Lucas da Cunha

; Rodrigues, Tahiana Machado Antunes

; Bragança, Isabella Tabelli

; Campos, Aline Alves Scarpellini

; Manzoni, Verônica Baú

; Machado, Lais Ceschini

; da Silva, Luisa Maria Inácio

; de Oliveira, André Luiz Sá

; Paiva, Marcelo Henrique Santos

; Nunes, Zenaida Marion Alves

; de Almeida, Paula Rodrigues

; Demoliner, Meriane

; Gularte, Juliana Schons

; da Silva, Mariana Soares

; Filippi, Micheli

; Pereira, Vyctoria Malayhka de Abreu Góes

; Spilki, Fernando Rosado

; da Veiga, Ana Beatriz Gorini

; Wallau, Gabriel Luz

Memórias do Instituto Oswaldo Cruz

Journal Metrics
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2023, Volume 118 elocation e220259

Abstract: En | Text: En | PDF: En

BACKGROUND Chikungunya is a mosquito-borne virus that has been causing large outbreaks in the Americas since 2014. In Brazil, Asian-Caribbean (AC) and East-Central-South-African (ECSA) genotypes have been detected and lead to large outbreaks in several Brazilian states. In Rio Grande do Sul (RS), the southernmost state of Brazil, the first cases were reported in 2016. OBJECTIVES AND METHODS We employed genome sequencing and epidemiological investigation to characterise the Chikungunya fever (CHIKF) burden in RS between 2017-2021. FINDINGS We detected an increasing CHIKF burden linked to travel associated introductions and communitary transmission of distinct lineages of the ECSA genotype during this period. MAIN CONCLUSIONS Until 2020, CHIKV introductions were most travel associated and transmission was limited. Then, in 2021, the largest outbreak occurred in the state associated with the introduction of a new ECSA lineage. CHIKV outbreaks are likely to occur in the near future due to abundant competent vectors and a susceptible population, exposing more than 11 million inhabitants to an increasing infection risk. mosquitoborne mosquito borne 2014 Brazil AsianCaribbean Asian Caribbean AC (AC EastCentralSouthAfrican East Central South African (ECSA states RS, , (RS) 2016 (CHIKF 20172021. 20172021 2017 2021. 2021 2017-2021 period 2020 limited Then lineage population 1 risk 201 (RS 2017202 202 2017-202 20 201720 2017-20 2 20172 2017-2 2017-

https://doi.org/10.1590/0074-02760220259

14.

OBSTETRIC AND NEONATAL ADVERSE EVENTS AND ASSOCIATION WITH CARE MODELS: A COHORT STUDY MODELS
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Ribeiro, Kelly da Silva Cavalcante

; Magalhães, Adriana Simão

; Avelino, Ana Heloíza Granja

; Ramos, Matheus da Cruz Silva

; Santos, Paula Wendy Andrade dos

; Fonseca, Rodrigo Augusto Gonçalves

; Barros, Ângela Ferreira

Texto & Contexto - Enfermagem

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2023, Volume 32 elocation e20230079

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivo: analisar a prevalência de práticas na atenção ao parto, eventos adversos obstétricos e neonatais e sua associação com modelos assistenciais em três serviços de saúde públicos. Método: estudo coorte prospectivo realizado com 548 binômios, puérperas e seus recém-nascidos, cuja gestação foi de risco habitual e o parto vaginal, internados em três serviços públicos, sendo um com modelo de assistência exclusivo por enfermeiras obstetras (serviço A), um com modelo colaborativo com atuação de médicos e enfermeiras obstetras (serviço B) e um com modelo de assistência exclusiva médica (serviço C). Inicialmente, foi realizada uma entrevista com as participantes e um segundo contato foi realizado após 42 dias do parto para complementar a coleta do desfecho evento adverso. Resultados: no serviço A, nenhuma mulher foi submetida à manobra de Kristeller, episiotomia, incentivos a puxos dirigidos ou mais de um toque vaginal por hora. Enquanto, no serviço C, 19,3%, 39,9%, 77,1% e 26,3% das mulheres foram submetidas a essas intervenções, respectivamente. Os eventos adversos ocorreram em 19,2% dos binômios. A ocorrência dos eventos adversos foi associada ao não uso do partograma (p=0,001; OR: 11,03; IC: 2,64-45,99) e episiotomia (p=0,042; OR: 1,72; IC: 1,02-2,91). A probabilidade média de apresentar algum evento adverso foi de 5% no serviço A, 21% no serviço B e 24% no serviço C. Conclusão: os eventos adversos apresentaram menor probabilidade média de ocorrência no serviço com atuação exclusiva de enfermeiras obstetras, no qual se identificou maior aplicação das recomendações para assistência ao parto e nascimento. Objetivo públicos Método 54 binômios recémnascidos, recémnascidos recém nascidos, nascidos recém-nascidos , A) C . C) Inicialmente 4 Resultados Kristeller hora Enquanto 193 19 3 19,3% 399 39 9 39,9% 771 77 1 77,1 263 26 26,3 intervenções respectivamente 192 2 19,2 p=0,001 p0001 p 0 001 (p=0,001 OR 11,03 1103 11 03 IC 2,6445,99 2644599 2,64 45,99 64 45 99 2,64-45,99 p=0,042 p0042 042 (p=0,042 1,72 172 72 1,022,91. 102291 1,02 2,91 02 91 1,02-2,91) 5 21 24 Conclusão nascimento 19,3 39,9 7 77, 26, 19, p=0,00 p000 00 (p=0,00 11,0 110 6445 2,6445,9 264459 264 2,6 4599 45,9 6 2,64-45,9 p=0,04 p004 04 (p=0,04 1,7 17 022 1,022,91 10229 102 1,0 291 2,9 1,02-2,91 39, p=0,0 p00 (p=0,0 11, 644 2,6445, 26445 2, 459 45, 2,64-45, 1, 1,022,9 1022 10 29 1,02-2,9 p=0, p0 (p=0, 2,6445 2644 2,64-45 1,022, 1,02-2, p=0 (p=0 2,644 2,64-4 1,022 1,02-2 p= (p= 2,64- 1,02- (p

ABSTRACT Objective: to analyze the prevalence of practices in childbirth care, obstetric and neonatal adverse events and their association with care models in three public health services. Method: this is a prospective cohort study carried out with 548 dyads, postpartum women and their newborns, whose pregnancy was of usual risk and vaginal birth, admitted to hospital in three public services, one with an exclusive care model by nurse-midwives (service A), one with a collaborative model involving obstetric doctors and nurses (service B) and one with an exclusive medical care model (service C). Initially, an interview was carried out with participants, and a second contact was carried out 42 days after birth to complement the collection of the adverse event outcome. Results: in service A, no woman underwent the Kristeller maneuver, episiotomy, directed pushing or more than one vaginal examination per hour. Meanwhile, in service C, 19.3%, 39.9%, 77.1% and 26.3% of women underwent these interventions, respectively. Adverse events occurred in 19.2% of the dyads. Occurrence of adverse events was associated with not using partograph (p=0.001; OR: 11.03; CI: 2.64-45.99) and episiotomy (p=0.042; OR: 1.72; CI: 1. 02-2.91). The mean probability of experiencing an adverse event was 5% in service A, 21% in service B and 24% in service C. Conclusion: adverse events had a lower mean probability of occurrence in the service exclusively operated by nurse-midwives, in which greater application of recommendations for labor and birth care was identified. Objective services Method 54 dyads newborns nursemidwives nurse midwives A , A) C . C) Initially participants 4 outcome Results maneuver hour Meanwhile 193 19 3 19.3% 399 39 9 39.9% 771 77 1 77.1 263 26 26.3 interventions respectively 192 2 19.2 p=0.001 p0001 p 0 001 (p=0.001 OR 11.03 1103 11 03 CI 2.6445.99 2644599 2.64 45.99 64 45 99 2.64-45.99 p=0.042 p0042 042 (p=0.042 1.72 172 72 022.91. 02291 02 2.91 91 02-2.91) 5 21 24 Conclusion nursemidwives, midwives, identified 19.3 39.9 7 77. 26. 19. p=0.00 p000 00 (p=0.00 11.0 110 6445 2.6445.9 264459 264 2.6 4599 45.9 6 2.64-45.9 p=0.04 p004 04 (p=0.04 1.7 17 022 022.91 0229 291 2.9 02-2.91 39. p=0.0 p00 (p=0.0 11. 644 2.6445. 26445 2. 459 45. 2.64-45. 022.9 29 02-2.9 p=0. p0 (p=0. 2.6445 2644 2.64-45 022. 02-2. p=0 (p=0 2.644 2.64-4 02-2 p= (p= 2.64- 02- (p

RESUMEN Objetivo: analizar la prevalencia de prácticas en la atención del childbirth, eventos adversos obstétricos y neonatales y su asociación con los modelos de atención en tres servicios públicos de salud. Método: estudio de cohorte prospectivo realizado con 548 binomios, puérperas y sus recién nacidos, cuyo embarazo fue de riesgo habitual y childbirth vaginal, hospitalizados en tres servicios públicos, uno con modelo de atención exclusiva por enfermeras obstétricas (servicio A), otro con modelo colaborativo. modelo con la labor de médicos y enfermeras obstetras (servicio B) y otro con un modelo de asistencia médica exclusiva (servicio C). Inicialmente se realizó una entrevista a los participantes y se realizó un segundo contacto a los 42 días del nacimiento para complementar la recopilación del resultado del evento adverso. Resultados: en el servicio A ninguna mujer fue sometida a maniobra de Kristeller, episiotomía, pujo dirigido o más de un examen vaginal por hora. Mientras tanto, en el servicio C, el 19,3%, 39,9%, 77,1% y 26,3% de las mujeres se sometieron a estas intervenciones, respectivamente. Los eventos adversos ocurrieron en el 19,2% de los binomios. La aparición de eventos adversos se asoció con la no utilización del partographa (p=0,001; OR: 11,03; IC: 2,64-45,99) y episiotomía (p=0,042; OR: 1,72; IC: 1,02-2,91). La probabilidad promedio de experimentar un evento adverso fue del 5% en el servicio A, del 21% en el servicio B y del 24% en el servicio C. Conclusión: los eventos adversos tuvieron menor probabilidad promedio de ocurrencia en el servicio operado exclusivamente por enfermeras obstétricas, en el que se identificó mayor aplicación de las recomendaciones de asistencia al childbirth y nacimiento. Objetivo salud Método 54 binomios nacidos , A) colaborativo C . C) 4 Resultados Kristeller hora tanto 193 19 3 19,3% 399 39 9 39,9% 771 77 1 77,1 263 26 26,3 intervenciones respectivamente 192 2 19,2 p=0,001 p0001 p 0 001 (p=0,001 OR 11,03 1103 11 03 IC 2,6445,99 2644599 2,64 45,99 64 45 99 2,64-45,99 p=0,042 p0042 042 (p=0,042 1,72 172 72 1,022,91. 102291 1,02 2,91 02 91 1,02-2,91) 5 21 24 Conclusión 19,3 39,9 7 77, 26, 19, p=0,00 p000 00 (p=0,00 11,0 110 6445 2,6445,9 264459 264 2,6 4599 45,9 6 2,64-45,9 p=0,04 p004 04 (p=0,04 1,7 17 022 1,022,91 10229 102 1,0 291 2,9 1,02-2,91 39, p=0,0 p00 (p=0,0 11, 644 2,6445, 26445 2, 459 45, 2,64-45, 1, 1,022,9 1022 10 29 1,02-2,9 p=0, p0 (p=0, 2,6445 2644 2,64-45 1,022, 1,02-2, p=0 (p=0 2,644 2,64-4 1,022 1,02-2 p= (p= 2,64- 1,02- (p

https://doi.org/10.1590/1980-265x-tce-2023-0079en

15.

Sobre gestar e parir uma criança com a Síndrome Congênita do Zika Vírus: um estudo de caso
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Alves, Maria José Cremilda Ferreira

; Melo, Ana Paula Lopes de

; Valongueiro, Sandra

; Santos, Mariana Olívia Santana dos

Saúde e Sociedade

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2022, Volume 31 N. 3 elocation e210828pt

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Este artigo busca analisar o contexto de gestação, pré-natal e parto de uma criança com Síndrome Congênita do Zika (SCZ). É um estudo exploratório qualitativo, tipo estudo de caso único, delineado a partir de entrevista em profundidade realizada com uma mãe de criança diagnosticada com SCZ em Pernambuco. A análise dos dados ocorreu mediante a categorização do conteúdo da entrevista em quatro núcleos temáticos: contexto da descoberta da gestação; condições da assistência ao pré-natal e ao parto; condições de diagnóstico e assistência à criança; e sentimentos envolvidos na descoberta da gestação e do diagnóstico da síndrome. Esse caso sinaliza falhas no planejamento reprodutivo e na assistência ao pré-natal e parto; despreparo dos profissionais de saúde; e mudanças significativas na rotina da família, que implicam escolhas difíceis num contexto de deficitária assistência pública à saúde. A epidemia da SCZ revelou problemas que vão além do controle vetorial do mosquito. O panorama atual escancara vulnerabilidades dessas famílias, intensificadas com o surgimento e as consequências da covid-19, o que tem exposto ainda mais as fragilidades da atenção integral à saúde da mulher e a necessidade de manter uma rede articulada e resolutiva na assistência e vigilância em saúde.

Abstract This study analyzes the context of pregnancy, prenatal care and birth of children with Congenital Zika Syndrome (CZS). A single case exploratory study was conducted with a mother of a child diagnosed with CZS in Pernambuco, Brazil. Data were collected by an in-depth interview and content was categorized into four themes: discovery of pregnancy; conditions of prenatal and childbirth care; conditions of diagnosis and childcare; and feelings involved in the pregnancy discovery and syndrome diagnosis. This case study highlights failures in reproductive planning and in prenatal and childbirth care; unpreparedness of health professionals; and significant changes in the family’s routine, which imply difficult choices under a deficient public health care. CZS epidemic uncovered problems that go beyond mosquito vector control. The current scenario highlights the vulnerabilities of these families, intensified by the emergence and consequences of COVID-19, which has further exposed the weaknesses of women’s comprehensive health care and the need to maintain an articulated and resolute network in health care and surveillance.

https://doi.org/10.1590/s0104-12902022210828pt

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