Abstract Purpose To test the feasibility, reliability, and validity of the Satisfaction with Life Scale (SWLS) in an online format in university students from a low-income region. Methods This was a psychometric study, involving a study of reliability ( n = 117) and validity ( n = 195) in university students from a region with a Gini index of 0.56. The scale was applied at two time points with an interval of 2 weeks. This scale measures satisfaction with life based on five statements and responses ranging from 1 to 7 (strongly disagree to strongly agree). We conducted the reliability assessment using temporal stability and internal consistency and construct validity assessment by internal structure solution. Results All SWLS items showed acceptable (rho > 0.30) and significant ( p < 0.05) temporal stability and acceptable internal consistency (alpha > 0.70). In construct validity (internal structure), we identified a factor with an explained variance of 59.0% in the exploratory factor analysis. Additionally, in the confirmatory factor analysis, we identified a one-factor structure solution for SWLS with an acceptable model fitting (chi-square/degrees of freedom [ X 2/df] = 6.53; Tucker–Lewis Index [TLI] = 0.991; Comparative Fit Index [CFI] = 0.996; root mean square error of approximation [RMSEA] = 0.040; standardized root mean-squared residual [SRMR] = 0.026). Conclusion The Satisfaction with Life Scale, in the online format, is a reliable and valid tool for university students in a low-income context.

SUMMARY OBJECTIVE: The aim of this study was to describe the profile of patients with oropharyngeal dysphagia in a teaching hospital in the public health system in northern Brazil. METHODS: This is a descriptive cross-sectional study. All procedures of this study were approved by the ethics committee. A convenience sample composed of participants aged >18 years, of both sexes, with any underlying pathology admitted to the medical clinic on exclusive oral feeding, alternatively enteral or gastric tube feeding (Gastrostomy), or associated by both routes, whose swallowing assessment was performed by a Speech-Language Pathologist. Data from the database/medical records were investigated from March 2020 to September 2021. RESULTS: The sample consisted of 44 patients diagnosed with oropharyngeal dysphagia, with a higher frequency of males (63.64%) aged over 60 years (70.45%). Almost half of the evaluated patients were diagnosed with neurological disorders (47.73%) and had dysphagia associated with other underlying diseases (31.82%). Excluding patients with neurological disorders, trauma/polytrauma, and respiratory disorders from the last group, some patients (11.36%) had two concomitant underlying diseases. CONCLUSION: According to the sample of this study, the profile of oropharyngeal dysphagia patients includes pneumonia, respiratory failure, bronchoaspiration, and the consequent need for ventilatory support.

SUMMARY OBJECTIVE: The aim of this study was to describe and discuss the epidemiological indicators of lip and oral cavity cancer in Brazil, in 2017, according to data from the Global Burden of Disease data. METHODS: This is a descriptive study reported according to STROBE guidelines. We identified epidemiological indicators using the Global Burden of Disease results tool. Mortality/incidence rates were described per 100,000 population. Global Burden of Disease 2017 reviews were completed using Python version 2.7, Stata version 13.1, and R version 3.3. RESULTS: In 2017, there were 5,237 deaths from the lip or oral cavity cancer in Brazil, most of them were males aged between 50 and 69 years (2,730 cases, which was equivalent to 52% of the universe of deaths resulting from this cause). Regarding the burden of lip and oral cavity cancer, per 100,000 Brazilians, we observed an incidence of 3.99, prevalence of 15.46, and mortality of 2.29 (with higher indicators in the South and Southeast regions of the country). CONCLUSIONS: Epidemiological indicators of lip and oral cavity cancer were higher in men, with higher mortality indicators in individuals aged 50–69 years, and higher rates (incidence, prevalence, and mortality) in the South and Southeast regions of Brazil. From 2002–2015, there was a reduction in mortality; however, in the period from 2015–2017, there was a resumption in the growth of this indicator.

SUMMARY OBJECTIVE: This study aimed to suggest a care protocol for foreign-body ingestion, address the clinical aspects, and identify the ingested object, severity, and professional conduct. METHODS: This is a qualitative study. We used books and original articles published in national and international journals (BIREME, SCIELO, LILACS, and MEDLINE/PubMed) in Portuguese, Spanish, and English. RESULTS: The ingestion of a radiolucent object should be evaluated radiographically and with endoscopy for cases with symptoms of impaction and radiolucent objects. Coins are the most commonly involved foreign bodies. In asymptomatic patients, it often requires only a conservative form of management. Ingestion of batteries, magnets, and sharp objects carries a high risk of serious clinical complications and should have an endoscopic or surgical approach. In view of this, each pediatric emergency service, based on these recommendations, has the possibility to develop an individual protocol to identify and remove the ingested foreign body. CONCLUSIONS: Protocol of care for foreign-body ingestion in children depends on the object ingested, time of ingestion, symptoms, and local epidemiological context. This study provides some suggestions for decision-making in the conduct of health professionals.

SUMMARY OBJECTIVE: The aim of this study was to assess the quality of primary health care services through self-reports by caregivers of children and adolescents living in quilombola communities in Brazil. METHODS: This is a cross-sectional study in accordance with the STROBE (STrengthening the Reporting of OBservational studies in Epidemiology). Exposure variables included sociodemographic characteristics; and outcome variable was the quality of primary health care offered to quilombola children and adolescents. RESULTS: A total of 68 individuals participated in the survey. Quilombolas have a low income, a lower level of education, do not work, and receive government benefits. Our results showed that the quality of primary health care, measured by the experience of caregivers of quilombola children and adolescents, generally presents satisfactory values. CONCLUSION: The quality of primary health care has generally satisfactory values. However, as these results differ from most studies, more research should be conducted.

O objetivo foi estimar o percentual de pessoas privadas de liberdade no Espírito Santo, Brasil, infectados com o SARS-CoV-2 e apresentar os fatores associados ao resultado positivo. Trata-se de um inquérito sorológico, realizado entre os dias 31 de agosto e 4 de setembro de 2020, nas 34 unidades prisionais do estado. Realizou-se uma entrevista e testes sorológicos para detecção de IgG e IgM no grupo estudado. Foram avaliadas 844 pessoas privadas de liberdade, 265 testaram positivo para COVID-19, indicando uma prevalência de 31,64% (IC9%%: 28,44-34,83). Observou-se associação estatística entre resultado positivo e localização do presídio na região norte (p = 0,001), regime de prisão fechado (p = 0.002) e sexo masculino (p = 0.005). Destaca-se ainda que todos os sintomas foram observados em menor frequência no grupo dos positivos, assim como uma baixa prevalência de comorbidades (0 a 7,1%). Os resultados permitiram conhecer as características dessa população vulnerável a fim de direcionar ações de saúde.

The study aimed to estimate the proportion of prison inmates in the state of Espírito Santo, Brazil, with SARS-CoV-2 infection and to present factors associated with positive test result. This was a serological survey conducted from August 31 to September 4, 2020, in the state’s 34 prison units. An interview and serological tests were performed for detection of IgG and IgM in the group. A total of 844 prison inmates were assessed, 265 of whom tested positive for COVID-19, indicating 31.64% prevalence (95%CI: 28.44-34.83). Statistically significant associations were seen between positive test and location of the prison in the north of the state (p = 0.001), closed imprisonment (p = 0.002), and male gender (p = 0.005). All symptoms were observed less frequently in the group that tested positive, and there was a low prevalence of comorbidities (0 to 7.1%). The results revealed the characteristics of this vulnerable population and can help target health measures.

El objetivo fue estimar el porcentaje de personas privadas de libertad en Espírito Santo, Brasil, infectadas con el SARS-CoV-2 y presentar factores asociados al resultado positivo. Se trata de una encuesta serológica, realizada entre los días 31 de agosto y 4 de septiembre de 2020, en las 34 unidades carcelarias del estado. Se realizó una entrevista y tests serológicos para la detección de IgG e IgM en el grupo estudiado. Se evaluaron a 844 personas privadas de libertad, 265 dieron positivo en COVID-19, indicando una prevalencia de 31,64% (IC95%: 28,44-34,83). Se observó una asociación estadística entre resultado positivo y localización del presidio en la región norte (p = 0,001), régimen de prisión cerrado (p = 0,002) y sexo masculino (p = 0,005). Se destaca incluso que todos los síntomas fueron observados en menor frecuencia en el grupo de los positivos, así como una baja prevalencia de comorbilidades (0 a 7,1%). Los resultados permitieron conocer las características de esa población vulnerable, con el fin de dirigir acciones de salud.

O objetivo foi estimar o percentual de pessoas privadas de liberdade no Espírito Santo, Brasil, infectados com o SARS-CoV-2 e apresentar os fatores associados ao resultado positivo. Trata-se de um inquérito sorológico, realizado entre os dias 31 de agosto e 4 de setembro de 2020, nas 34 unidades prisionais do estado. Realizou-se uma entrevista e testes sorológicos para detecção de IgG e IgM no grupo estudado. Foram avaliadas 844 pessoas privadas de liberdade, 265 testaram positivo para COVID-19, indicando uma prevalência de 31,64% (IC9%%: 28,44-34,83). Observou-se associação estatística entre resultado positivo e localização do presídio na região norte (p = 0,001), regime de prisão fechado (p = 0.002) e sexo masculino (p = 0.005). Destaca-se ainda que todos os sintomas foram observados em menor frequência no grupo dos positivos, assim como uma baixa prevalência de comorbidades (0 a 7,1%). Os resultados permitiram conhecer as características dessa população vulnerável a fim de direcionar ações de saúde.

The study aimed to estimate the proportion of prison inmates in the state of Espírito Santo, Brazil, with SARS-CoV-2 infection and to present factors associated with positive test result. This was a serological survey conducted from August 31 to September 4, 2020, in the state’s 34 prison units. An interview and serological tests were performed for detection of IgG and IgM in the group. A total of 844 prison inmates were assessed, 265 of whom tested positive for COVID-19, indicating 31.64% prevalence (95%CI: 28.44-34.83). Statistically significant associations were seen between positive test and location of the prison in the north of the state (p = 0.001), closed imprisonment (p = 0.002), and male gender (p = 0.005). All symptoms were observed less frequently in the group that tested positive, and there was a low prevalence of comorbidities (0 to 7.1%). The results revealed the characteristics of this vulnerable population and can help target health measures.

El objetivo fue estimar el porcentaje de personas privadas de libertad en Espírito Santo, Brasil, infectadas con el SARS-CoV-2 y presentar factores asociados al resultado positivo. Se trata de una encuesta serológica, realizada entre los días 31 de agosto y 4 de septiembre de 2020, en las 34 unidades carcelarias del estado. Se realizó una entrevista y tests serológicos para la detección de IgG e IgM en el grupo estudiado. Se evaluaron a 844 personas privadas de libertad, 265 dieron positivo en COVID-19, indicando una prevalencia de 31,64% (IC95%: 28,44-34,83). Se observó una asociación estadística entre resultado positivo y localización del presidio en la región norte (p = 0,001), régimen de prisión cerrado (p = 0,002) y sexo masculino (p = 0,005). Se destaca incluso que todos los síntomas fueron observados en menor frecuencia en el grupo de los positivos, así como una baja prevalencia de comorbilidades (0 a 7,1%). Los resultados permitieron conocer las características de esa población vulnerable, con el fin de dirigir acciones de salud.

Resumo: Introdução: A discussão sobre a grade curricular dos cursos da área da saúde torna-se relevante para a proposição de estratégias de ensino que promovam o desenvolvimento de habilidades colaborativas. Tal condição possibilitará uma mudança na cultura de atenção à saúde, principalmente, para as demandas da pessoa idosa. Objetivo: Avaliar as competências colaborativas adquiridas por graduandos em uma disciplina de gerontologia. Método: Trata-se de um estudo qualitativo, realizado com estudantes dos cursos de Enfermagem, Medicina e Nutrição de uma universidade pública, que cursaram uma disciplina optativa com enfoque interprofissional, em 2019. A coleta de dados incluiu a realização de um grupo focal e a aplicação de uma entrevista semiestruturada. Os dados foram analisados por meio da Análise de Conteúdo. Resultados: Nove alunos avaliados relataram o desenvolvimento de competências colaborativas, como trabalho em equipe, comunicação eficiente e planejamento de cuidado integral à pessoa idosa. Conclusão: As expressões individualizadas dos alunos participantes deste estudo nos fazem acreditar que a aprendizagem interprofissional se qualifica como uma oportunidade para desenvolver as competências colaborativas.

Abstract: Introduction: The discussion about the curriculum of health area courses becomes relevant for the proposal of educational strategies that promote the development of collaborative skills. This situation will enable a change in the culture of health care, especially for the demands of the older adults. Objective: To assess the collaborative skills acquired by undergraduate students attending the Gerontology discipline. Method: This is a qualitative study, carried out with students from the Nursing, Medicine, and Nutrition courses of a public university, who took an optional course with an interprofessional focus in 2019. Data collection included the conduction of a focus group and the application of a semi structured interview. The data were analyzed using the Content Analysis technique. Results: Nine students were evaluated, and they reported the development of collaborative skills, such as teamwork, effective communication, and the planning of comprehensive care for the older adults. Conclusion: The individualized expressions of the students participating in this study make us believe that interprofessional learning qualifies as an opportunity to develop collaborative skills.

RESUMO Objetivo Identificar os principais fatores de risco para a síndrome metabólica e sua relação com a percepção da qualidade de vida em colônias pesqueiras brasileiras. Métodos Incluímos 77 participantes com idade > 18 anos. Síndrome metabólica e qualidade de vida foram os principais desfechos do estudo. Consideramos nível de significância < 0,05 e todos os procedimentos foram aprovados pelo comitê de ética. Resultados A maioria dos participantes é do sexo masculino, solteiros, classe econômica D-E, carga horária trabalhada de 6 a 8 horas, tempo de serviço de 1 a 5 anos e dedicados exclusivamente à pesca. Conclusão: Perímetro abdominal e pressão arterial foram os critérios mais frequentes e de maior contribuição para a síndrome metabólica. Apesar de a qualidade de vida apresentar maior escore para o domínio relações sociais, neste estudo, o domínio físico foi o único associado a outra observação, na qual observamos correlação significativa com a pressão arterial sistólica.

ABSTRACT Objective To identify the main risk factors for metabolic syndrome and its relationship with the perception of quality of life in Brazilian fishing colonies. Methods We included 77 participants aged > 18 years. Metabolic syndrome and quality of life were the main study outcomes. We considered a significance level < 0.05 and all procedures were approved by the ethics committee. Results Most participants are male, single, economic class D-E, working hours of 6 to 8 hours, length of service from 1 to 5 years, and dedicated exclusively to fishing. Conclusion Abdominal perimeter and blood pressures were the most frequent criteria and the greatest contribution to metabolic syndrome. Although quality of life had a higher score for the social relationship domain, in this study, the physical domain was the only one associated with another observation, in which we observed a significant correlation with systolic blood pressure.

RESUMEN Objetivo Identificar los principales factores de riesgo del síndrome metabólico y su relación con la percepción de la calidad de vida en las colonias pesqueras brasileñas. Métodos se incluyeron 77 participantes mayores de 18 años. El síndrome metabólico y la calidad de vida fueron los principales resultados del estudio. Se consideró un nivel de significancia <0.05 y todos los procedimientos fueron aprobados por el comité de ética. Resultados La mayoría de los participantes son hombres, solteros, clase económica D-E, jornada laboral de 6 a 8 horas, antigüedad de 1 a 5 años y dedicados exclusivamente a la pesca. Conclusión La circunferencia de la cintura y la presión arterial fueron los criterios más frecuentes y la mayor contribución al síndrome metabólico. Aunque la calidad de vida tuvo una puntuación más alta para el dominio de relaciones sociales, en este estudio, el dominio físico fue el único asociado con otra observación, en la que observamos una correlación significativa con la presión arterial sistólica.

Abstract Aim: To evaluate the chronic effects of resistance training on resting blood pressure, handgrip strength, gait speed, and Timed Up and Go test (TUG) in normotensive and hypertensive elderly individuals. Methods: Experimental study based on TREND. Hypertensive patients were diagnosed by an independent doctor. Before and after 12 weeks of progressive resistance training, we evaluated blood pressure, heart rate, body composition, Timed Up and Go test, gait speed, and handgrip strength. Results: Sample consisted of 41 participants divided into two groups (normotensive n = 28; hypertensive n = 13). We observed significant values in the reduction of blood pressure levels only in the group of hypertensive participants. In functionality outcomes, we observed significant values in all tests and both groups. Outcomes contemplate effect sizes ranging from small to moderate. Conclusion: Progressive resistance training lowers resting blood pressure levels, increases handgrip strength, and improves physical functional performance. Although the normotensive group did not show a reduction in blood pressure levels, an improvement was observed in the functional physical tests.

Resumo Objetivo Analisar a duração do aleitamento materno e os fatores associados ao desmame total de crianças de seis a 23 meses e 29 dias de idade residentes no município de Cruzeiro do Sul, na Amazônia Ocidental Brasileira. Métodos Estudo transversal, realizado durante a Campanha Nacional de Multivacinação em 2016 e Contra a Influenza em 2017. A amostra foi calculada por conglomerados. A coleta de dados foi efetuada com as mães ou os responsáveis de 679 crianças que compareceram às campanhas de vacinação e responderam a um questionário. Utilizou-se a análise de sobrevivência de Kaplan-Meier e, para os fatores associados ao desmame total, a regressão de Cox. Para todos os testes estatísticos, foi considerado um nível de significância de 5%. Resultados O aleitamento materno foi praticado por 65,3% das crianças, cuja média de idade foi de 13,7 meses (DP± 4,9 meses). O tempo médio de desmame total foi de 16,7 meses (IC95%: 16,06 - 17,36) e a mediana de 22 meses, sendo a probabilidade de tempo de aleitamento materno até dois anos em 49,7%. Os fatores associados ao desmame total foram o tempo da experiência anterior em amamentação menor que seis meses, não praticar o aleitamento materno na primeira hora de vida, uso de chupeta e mamadeira. Conclusão A duração do aleitamento materno foi abaixo do recomendado. Os fatores associados ao desmame total de crianças entre 6 e 23 meses estão relacionados à experiência materna prévia, ao início precoce da prática de amamentação e ao uso de bicos artificiais.

Abstract Objective To analyze the duration of breastfeeding and the factors associated with total weaning of infants aged six to 23 months and 29 days living in the municipality of Cruzeiro do Sul, in the Brazilian Western Amazon. Methods A cross-sectional study conducted during the National Multi-Vaccination Campaign in 2016 and Against Influenza in 2017. The sample was estimated by clusters. The data was collected with the mothers or guardians of 679 infants who attended vaccination campaigns and answered a questionnaire. Kaplan-Meier survival analysis was used, and Cox regression was used for the factors associated with total weaning. A 5% significance level was considered for all statistical tests. Results Breastfeeding was practiced by 65.3% of the infants, whose mean age was 13.7 months (SD± 4.9 months). The mean total weaning time was 16.7 months (95% CI: 16.06 - 17.36) and the median of 22 months, which is the probability of duration of breastfeeding up to two years old in 49.7%. The factors associated with total weaning were previous breastfeeding experience for less than six months, not breastfeeding in the first hour of life, pacifier use and bottle-feeding. Conclusion The duration of breastfeeding was below the recommended. The factors associated with total weaning of infants between six and 23 months are related to previous maternal experience, early initiation of breastfeeding and the use of artificial nipples.

Resumen Objetivo Analizar la duración de la lactancia materna y los factores asociados al destete total de niños de seis meses a 23 meses y 29 días de edad que viven en el municipio de Cruzeiro do Sul, en la Amazonía Occidental Brasileña. Métodos Estudio transversal, realizado durante la Campaña Nacional de Multivacunación en 2016 y Contra la Influenza en el 2017. La muestra fue calculada por conglomerados. La recopilación de datos se realizó con las madres o los responsables de 679 niños que asistieron a las campañas de vacunación y respondieron un cuestionario. Se utilizó el análisis de supervivencia de Kaplan-Meier y, para los factores asociados al destete total, la regresión de Cox. Para todas las pruebas estadísticas se consideró un nivel de significación del 5 %. Resultados La lactancia materna se practicó en el 65,3 % de los niños, cuyo promedio de edad fue de 13,7 meses (DP± 4,9 meses). El tiempo promedio de destete total fue de 16,7 meses (IC95 %: 16,06 - 17,36) y la mediana de 22 meses, con una probabilidad de tiempo de lactancia materna hasta los dos años del 49,7 %. Los factores asociados al destete total fueron el tiempo de una experiencia anterior de lactancia inferior a seis meses, no practicar la lactancia materna en la primera hora de vida, uso de chupete y de mamadera. Conclusión La duración de la lactancia materna estuvo por debajo de lo recomendado. Los factores asociados al destete total de niños entre 6 y 23 meses están relacionados a experiencias maternas previas, al inicio precoz de la práctica de la lactancia y al uso de tetinas artificiales.