ABSTRACT BACKGROUND: Urinary tract infections (UTI) are highly preventable and have significant clinical and financial impact on the patient and the health care system. OBJECTIVE: To investigate UTIs in critically ill adult patients and the relationship of antimicrobial consumption and multidrug-resistant isolate. DESIGN AND SETTING: A cohort study performed in a Brazilian tertiary-care university hospital in the city of Uberlandia (MG), located at the Federal University of Uberlandia, southeast region of the country. METHODS: We analyzed a cohort of 363 patients with first episode of UTIs from the adult intensive care unit (ICU), from January 2012 to December 2018. The daily doses of antimicrobial administered were calculated. RESULTS: The incidence rate of UTI was 7.2/1000 patient days, with 3.5/1000 patient-days of bacteriuria, and 2.1/1000 patient-days of candiduria. Of 373 microorganisms identified, 69 (18.4%) were Gram-positive cocci, 190 (50.9%) Gram-negative bacilli, and 114 yeasts (30.7%). Escherichia coli and Candida spp. were the most common. Patients with candiduria had higher comorbidity score (Charlson Comorbidity Index ≥ 3), longer length of stay (P = 0.0066), higher mortality (P = < 0.0001) severe sepsis, septic shock, and were immunocompromised when compared with patients with bacteriuria. We observed correlation between antibiotics consumption and multidrug-resistant (MDR) microorganisms. CONCLUSION: The UTIs incidence was high and was mainly caused by Gram-negative bacteria that were resistant to common antibiotics. We observed increase in the consumption of broad-spectrum antibiotics in ICU correlating with MDR microorganisms. In general, ICU-acquired candiduria may be associated with critical illness and poor prognosis. BACKGROUND (UTI system OBJECTIVE multidrugresistant multidrug isolate SETTING tertiarycare tertiary MG, MG , (MG) country METHODS 36 ICU, (ICU) 201 2018 calculated RESULTS 721000 7 2 1000 7.2/100 days 351000 3 5 3.5/100 patientdays bacteriuria 211000 1 2.1/100 37 identified 6 18.4% 184 18 4 (18.4% Grampositive Gram positive cocci 19 50.9% 509 50 9 (50.9% Gramnegative negative bacilli 11 30.7%. 307 30.7% . 30 (30.7%) spp Charlson 3, 3) P 0.0066, 00066 0.0066 0 0066 0.0066) 0.0001 00001 0001 sepsis shock (MDR CONCLUSION broadspectrum broad spectrum general ICUacquired acquired prognosis (MG (ICU 20 72100 100 7.2/10 35100 3.5/10 21100 2.1/10 18.4 (18.4 50.9 (50.9 30.7 (30.7% 0006 0.006 006 0.000 0000 000 7210 10 7.2/1 3510 3.5/1 2110 2.1/1 18. (18. 50. (50. 30. (30.7 0.00 00 721 7.2/ 351 3.5/ 211 2.1/ (18 (50 (30. 0.0 72 7.2 35 3.5 21 2.1 (1 (5 (30 0. 7. 3. 2. ( (3

ABSTRACT Objective: This study aimed to evaluate the effect of baru nuts supplementation on body composition and metabolic profile in adults with type 2 diabetes. Methods: This is a randomized, placebo-controlled, crossover trial with 30 adults with type 2 diabetes. The assay had two periods of 12 weeks each, with a washout period of 12 weeks between treatments. The subjects were randomized and received the two treatments in alternate periods: supplementation of 30g baru nuts or placebo. Anthropometry, body composition, blood pressure, blood sampling, food intake, and physical activity data were analyzed. Results: Baru nut intake reduced waist circumference (p=0.032), compared to placebo group. In the intra-group analysis, baru nut intake reduced total cholesterol (p=0.012) and LDL-c (p=0.017). Conclusion: The daily intake of baru nuts improved abdominal adiposity. Therefore, these nuts should be included in the diet to improve the health status of adults with type 2 diabetes. Objective diabetes Methods placebocontrolled, placebocontrolled controlled, controlled placebo-controlled 3 1 each g Anthropometry pressure sampling analyzed Results p=0.032, p0032 p p=0.032 , 0 032 (p=0.032) group intragroup intra analysis p=0.012 p0012 012 (p=0.012 LDLc LDL c p=0.017. p0017 p=0.017 . 017 (p=0.017) Conclusion adiposity Therefore p003 p=0.03 03 (p=0.032 p=0.01 p001 01 (p=0.01 (p=0.017 p00 p=0.0 (p=0.03 (p=0.0 p0 p=0. (p=0. p=0 (p=0 p= (p= (p

RESUMO: Objetivo: Avaliar o efeito da suplementação com amêndoa de baru sobre a composição corporal e perfil metabólico de adultos com diabetes Mellitus tipo 2. Métodos: Este é um estudo randomizado, placebo-controlado, crossover com 30 adultos com diabetes Mellitus tipo 2. O ensaio clínico foi dividido em dois períodos de 12 semanas cada, com um washout de 12 semanas entre os tratamentos. Os sujeitos foram randomizados e receberam dois tratamentos em períodos alternativos: suplementação com 30 g de amêndoa de baru ou placebo. Foram coletados dados referentes à antropometria, composição corporal, pressão arterial, amostras de sangue, ingestão de alimentos e práticas de atividade física. Resultados: A ingestão de amêndoa de baru reduziu a circunferência da cintura (p=0,032), em comparação com o grupo placebo. Na análise intragrupo, a ingestão de amêndoa de baru também reduziu o colesterol total (p=0,012) e LDL-c (p=0,017). Conclusão: A ingestão diária de amêndoa de baru melhorou a adiposidade abdominal, portanto, deve ser incluída na dieta para a melhora do estado de saúde de adultos com diabetes Mellitus tipo 2. RESUMO Objetivo 2 Métodos randomizado placebocontrolado, placebocontrolado placebo controlado, controlado placebo-controlado 3 1 cada alternativos antropometria arterial sangue física Resultados p=0,032, p0032 p p=0,032 , 0 032 (p=0,032) intragrupo p=0,012 p0012 012 (p=0,012 LDLc LDL c p=0,017. p0017 p=0,017 . 017 (p=0,017) Conclusão abdominal portanto p003 p=0,03 03 (p=0,032 p=0,01 p001 01 (p=0,01 (p=0,017 p00 p=0,0 (p=0,03 (p=0,0 p0 p=0, (p=0, p=0 (p=0 p= (p= (p

ABSTRACT Introdução O treinamento combinado é mais eficiente do que a modalidade isolada com relação aos indicadores de risco cardiometabólico. Objetivos Avaliar o efeito do volume de treinamento em circuito sobre indicadores antropométricos e bioquímicos com risco de doenças cardiometabólicas em mulheres com excesso de peso. Métodos Trinta e duas participantes foram submetidas a 24 semanas de treinamento em circuito, com pesos livres combinados com exercício aeróbico. O volume de treinamento durante as 24 semanas foi utilizado para distribuir as mulheres nos grupos: atividade física de volume moderado (AVM), atividade física de baixo volume (AVB) e controle (CON). Os índices antropométricos massa corporal, índice de massa corporal (IMC), circunferência de cintura (CC), relação cintura-quadril (RCQ), glicemia, insulina, resistência à insulina (HOMA-IR), colesterol total (CT), triglicerídeos, HDL-c e LDL-c, foram avaliados no início do programa e depois de 12 e 24 semanas. Resultados Não houve interação entre o volume de treinamento e o tempo para nenhuma das variáveis estudadas, mas o tempo de intervenção influenciou a massa corporal (p = 0,013) e o IMC (p = 0,012), e o tempo de participação tendeu a reduzir a massa corporal (p = 0,063) e o IMC (p = 0,062), depois de seis meses de intervenção. O volume de atividade física afetou o HDL-c (p = 0,037), sendo significativo (p = 0,030) na comparação entre AVM e CON. Adicionalmente, verificou-se tendência de redução HDL-c depois seis meses de intervenção (p = 0,073), sendo a menor redução observada no AVM, que indica o papel protetor de atividade física de volume moderado na redução dessa fração lipídica. A associação entre o volume de atividade física e o tempo de participação mostrou melhora clínica do colesterol total (χ2= 5,453, p = 0,02), com maior probabilidade de atingir valores clinicamente adequados de AVM (OR = 0,126; IC de 95% 0,019 – 0,827). Conclusão O volume de treinamento atenuou os fatores de risco cardiometabólico em mulheres com excesso de peso. Nível de evidência II; Estudos terapêuticos - Investigação dos resultados do tratamento.

ABSTRACT Introduction Combined training is more effective than an isolated modality in reducing cardiometabolic risk indicators. Objective To evaluate the effect of circuit training volume on anthropometric and biochemical risk indicators for cardiometabolic diseases in overweight women. Methods Thirty-two participants underwent 24 weeks of circuit training with free weights combined with aerobic exercise. The training volume during the 24 weeks was used to distribute the women into moderate-volume physical activity (MVA), low-volume physical activity (LVA) and control (CON) groups. Anthropometric indices (body mass, body mass index (BMI), waist circumference (WC), waist-hip ratio (WHR)), blood glucose, insulin, insulin resistance (HOMA-IR), total cholesterol (TC), triglycerides, HDL-c, and LDL-c were evaluated at the beginning of the program and after 12 and 24 weeks. Results There was no interaction between training volume and time for any of the variables studied, but the intervention time influenced body mass (p=0.013) and BMI (p=0.012), and there was a tendency for participation time to reduce body mass (p=0.063) and BMI (p=0.062) after six months of intervention. The volume of the physical activity affected HDL-c (p=0.037), being significant (p=0.030) in the comparison between the MVA and CON groups. Additionally, there was a downward trend in HDL-c after six months of intervention (p=0.073), with a smaller reduction observed in the MVA group, indicating a protective role of moderate physical activity in the reduction of this lipid fraction. The association between physical activity volume and participation time resulted in a clinical improvement in total cholesterol (χ2 = 5.453, p = 0.02), with a higher probability of reaching clinically adequate values in the MVA group (OR = 0.126; 95%CI 0.019 - 0.827). Conclusion Training volume improved cardiometabolic risk factors in overweight women. Level of evidence II; Therapeutic Studies - Investigating the Results of Treatment.

RESUMEN Introducción El entrenamiento combinado es más eficiente que la modalidad aislada en indicadores de riesgo cardiometabólico. Objetivo Evaluar el efecto del volumen de entrenamiento en circuito sobre indicadores antropométricos y bioquímicos con riesgo de enfermedades cardiometabólicas en mujeres con sobrepeso. Métodos Treinta y dos participantes se sometieron a 24 semanas de entrenamiento en circuito con pesos libres combinados con ejercicio aeróbico. El volumen de entrenamiento durante las 24 semanas se utilizó para distribuir a las mujeres en los grupos: actividad física de volumen moderado (AVM), actividad física de volumen bajo (AVB) y control (CON). Se evaluaron los índices antropométricos masa corporal, índice de masa corporal (IMC), circunferencia de la cintura (CC), relación cintura-cadera (RCC), glucemia, insulina, resistencia a la insulina (HOMA-IR), colesterol total (CT), triglicéridos, HDL-c y LDL-c al inicio del programa y después de las semanas 12 y 24. Resultados No hubo interacción entre el volumen y el tiempo de entrenamiento para ninguna de las variables estudiadas, pero el tiempo de intervención influyó en la masa corporal (p=0,013) y en el IMC (p=0,012), y el tiempo de participación tendió a reducir la masa corporal (p=0,063) y el IMC (p=0,062), después de seis meses de intervención. El volumen de actividad física afectó al HDL-c (p =0,037), siendo significativo (p=0,030) en la comparación entre AVM y CON. Además, hubo una tendencia a la reducción del HDL-c después de seis meses de intervención (p=0,073), observándose la menor reducción en AVM, lo que indica el papel protector de la actividad física de volumen moderado en la reducción de esta fracción lipídica. La actividad física y el tiempo de participación mostraron una mejora clínica en colesterol total (χ2 = 5,453, p = 0,02), con mayor probabilidad de alcanzar valores clínicamente adecuados de AVM (OR = 0,126; IC95% 0,019 – 0,827). Conclusión El volumen de entrenamiento atenuó los factores de riesgo cardiometabólico en mujeres con sobrepeso. Nivel de Evidencia II; Estudios terapéuticos: investigación de los resultados del tratamiento.

This article presents results of a research carried out through a continuing education program, with pedagogues working in basic education, in schools in the city of Curitiba and its metropolitan region. Through the construction of a memorial, we sought to recognize in their life history experiences that contributed to the construction of the professional identity of the school pedagogue. The study, with a hermeneutic phenomenological focus, analyzed the life stories of 17 pedagogues, observing experiences and learning that along their trajectory, in different spaces of socialization, from basic education, through academic training and, mainly, professional performance contributed to the professionality of the school pedagogue. The reports indicate that family references, childhood experiences, such as school-related games, and the reference of good teachers in basic education were important for the choice of profession. In turn, experiences with colleagues in different professional contexts contributed to the development of behaviors, skills, attitudes and values that define ways of being in the profession. It is evident that learning in the family and professional context influenced the choice for the profession of pedagogue and the way they currently understand and perform the function, that is, elements that constitute the professional identity.

Este artículo presenta los resultados de una investigación realizada a través de un programa de educación permanente, con profesores que actúan en la educación básica, en las escuelas de la ciudad de Curitiba y su área metropolitana. A partir de la construcción de un memorial, buscamos reconocer, en la historia de vida, sus vivencias que contribuyeron para la construcción de la identidad profesional del pedagogo escolar. El estudio, con un enfoque fenomenológico hermenéutico, analizó las historias de vida de 17 pedagogos, observando experiencias y aprendizajes que, a lo largo de su trayectoria, en diferentes espacios de socialización, desde la educación básica, pasando por la formación académica y, principalmente, el desempeño profesional, contribuyeron a la profesionalidad del pedagogo escolar. Los relatos indican que las referencias familiares, las experiencias de la infancia, como los juegos relacionados con la escuela y la convivencia con buenos maestros en la educación básica fueron importantes para la elección de la profesión. A su vez, las experiencias con colegas en diferentes contextos profesionales influyeron en el desarrollo de comportamientos, habilidades, actitudes y valores que definen formas de ser y estar en la profesión. Se evidencia que el aprendizaje en el contexto familiar y profesional influyó en la elección por la profesión de pedagogo y en la forma en que actualmente entienden y ejercen la función, es decir, elementos que constituyen la identidad profesional.

Este artigo apresenta resultados de uma pesquisa realizada por meio de um programa de formação continuada, com pedagogos atuantes na educação básica, em escolas do município de Curitiba e região metropolitana. A partir da construção de um memorial, buscou-se reconhecer, na história de vida, suas experiências que contribuíram para a construção da identidade profissional do pedagogo escolar. O estudo, de enfoque fenomenológico hermenêutico, analisou as histórias de vida de 17 pedagogos, observando-se experiências e aprendizagens que, ao longo da trajetória, nos diferentes espaços de socialização, desde a educação básica, passando pela formação acadêmica e, principalmente, atuação profissional, contribuíram para a profissionalidade do pedagogo escolar. Os relatos indicam que referências familiares, experiências da infância, como brincadeiras relacionadas à escola, e o convívio com bons professores na educação básica foram importantes para a escolha da profissão. Por sua vez, experiências com os colegas em diferentes contextos de atuação profissional exerceram influência no desenvolvimento de comportamentos, habilidades, atitudes e valores que definem maneiras de ser e estar na profissão. Evidencia-se que as aprendizagens no contexto familiar e profissional exerceram influências na escolha pela profissão de pedagogo e no modo como compreendem e exercem a função atualmente, ou seja, elementos que constituem a identidade profissional.

ABSTRACT Objective: To evaluate the effect of curcumin supplementation on the body compositions and biochemical parameters of Brazilian women with high waist circumferences. Materials and methods: This is a blind, randomized, placebo-controlled clinical trial conducted in 2016 with 35 Brazilian women with high waist circumference (WC). In total, 80 participants were randomized [38 in the placebo group (PG) and 42 in the supplemented group (SG)], but at the end of the protocol, 20 individuals in the PG and 15 in the SG were evaluated. The sample consumed one capsule of curcumin (500 mg/day) (Curcumin C3 Complex®) or a placebo for 90 days. Body weight, height, body mass index, WC, body fat, fat free mass, fasting glucose (FG), lipid profile [triglycerides (TGs), total cholesterol (TC), HDL-c and LDL-c], physical activity level and food intake (energy, carbohydrate, total fat and protein) data were evaluated before and after the intervention. Results: Curcumin supplementation reduced body mass (p < 0.040) but did not alter other anthropometric parameters or body composition (p ≥ 0.050). In relation to the biochemical profile, the SG saw reductions in FG (p < 0.001), TGs (p < 0.001) and TC (p = 0.001) compared with the PG. At the baseline and during the intervention, the practice of physical activity and food intake did not differ between the SG and PG (p ≥ 0.050). Conclusion: Curcumin supplementation improved the blood glucose and lipid profile of Brazilian women with high WC, without altering body composition. New studies with larger sample sizes and longer durations are important for identifying more robust data regarding the proposal of this work.

Abstract Background: Poor flexibility is a predictor of reduced physical activity. The association between trunk flexibility and cardiovascular risk factors (CVRFs) is not well understood. Objective: To identify the prevalence of CVRFs and their association with trunk flexibility in individuals participating in a community-based health education program. Methods: Volunteers (51 men, 48 women) aged 20-85 years old, participants in a community-based health education program in the city of Santo Antônio de Goiás, Brazil, were selected for this study. Anthropometric measures including body mass, height, body mass index (BMI), waist circumference (WC) and waist/height ratio (WHtR) were evaluated. Physical activity level was evaluated based on leisure activity participation, and trunk flexibility was evaluated by the sit and reach test. Data distribution was assessed using the Shapiro-Wilk test; Pearson's chi-square or Fisher's exact and Student t tests were performed for comparisons. To analyze the association between trunk flexibility and concomitant CVRFs, Spearman’s correlation test and linear regression were employed. Statistical significance was defined as p < 0.05. Results: 7.2% of the volunteers had no CVRF, 10.3% had only one CVRF and 82.5% had two or more CVRFs, with no differences between sexes. Increased abdominal adiposity, as assessed by WHtR (p = 0.0097), and systemic arterial hypertension (p = 0.0003) were the most prevalent CVRFs, with differences between age groups. A strong negative correlation was found between mean trunk flexibility and the number of concomitant CVRFs (r = -0.96, p < 0.0028). Conclusion: The strong negative correlation between trunk flexibility and concomitant CVRF indicates an increased risk for cardiovascular events. Therefore, trunk flexibility measurement may be an additional tool for health promotion and prevention of cardiovascular and associated diseases in community health programs.

Abstract Background: Among anthropometric measures for assessing adiposity-related risk, waist circumference (WC) is simple and fast to perform. Cut-off values for WC proposed by the International Diabetes Federation (IDF), and the Adult Treatment Panel III of the National Cholesterol Education Program (NCEP-ATP III) are categorized by gender and are not age-specific. Objective: To analyze the association between WC and cardiometabolic risk factors in adult women. Methods: A total of 164 healthy adult women were grouped by WC according to IDF and NCEP-ATP III cutoff values. Continuous variables were described as mean ± standard deviation or median (interquartile range). The Shapiro-Wilk test was used to assess the normality of data. Variables were analyzed by unpaired Student's t-test, Mann-Whitney U and Kruskal-Wallis tests. The correlation of WC categories with systolic (SBP) and diastolic (DBP) blood pressure, fasting blood glucose, high-density lipoprotein cholesterol (HDL-c), and triglycerides were examined by Spearman's rho correlation coefficient and linear regression analysis. A p value < 0.05 was considered statistically significant. Results: Increased WC showed a significant correlation with SBP, DBP, glucose, HDL-c, and triglycerides. In bivariate linear regression, approximately 63.0 % of the variability of SBP (≥ 130 mmHg) among the age group 20-40 years was predicted by increased WC according to both criteria. Conclusion: A WC above 80 cm in women aged 20-40 years strongly predicted variability in SBP, calling attention to the importance of measuring WC for the monitoring and prevention of cardiovascular and metabolic diseases in women in this age group.

Introducción: Las alteraciones en el perfil lipídico, glucémico y hemodinámico pueden aumentar el riesgo de enfermedades crónicas y mortalidad. Objetivo: Asociar los parámetros metabólicos, antropométricos y el consumo de alimentos de mujeres adultas brasileñas. Métodos: Se realizó un estudio transversal con 34 mujeres brasileñas de 20 a 59 años. Se recogieron datos sobre el consumo de alcohol, tabaco, ejercicio, presión arterial, antropometría y consumo de alimentos. También se evaluaron la hemoglobina glicosilada y las fracciones lipídicas. Resultados: Se encontró una asociación positiva entre el consumo de energía y los valores de masa corporal (ß = 0.377, p = 0.028) y la circunferencia de la cintura (ß = 0.373, p = 0.030), y entre el consumo de proteínas y el porcentaje de grasa corporal (ß = 0.368, p = 0.032).También hubo una influencia positiva de la circunferencia de la cintura en los valores de hemoglobina glicosilada (ß = 0.401, p = 0.019), y el HDL-c estuvo directamente influenciado por el consumo de proteínas (ß = 0.573, p = 0.013) e inversamente por el consumo de grasas (ß = -0.597, p = 0.010). Conclusión: La antropometría, el perfil metabólico y el consumo de alimentos se asociaron entre las mujeres adultas brasileñas evaluadas.

Introduction: Alterations in the lipid, glycemic and hemodynamic profile may increase the risk of developing chronic diseases and mortality. Objective: Associate the metabolic and anthropometric parameters and food intake of Brazilian adult women. Methods: A cross-sectional study was conducted with 34 Brazilian women aged 20-59 years old.Alcohol consumption, smoking, physical exercise, blood pressure, anthropometric and food intake data were collected. Glycated hemoglobin and lipid fractions were also evaluated. Results: There was a positive association between energy consumption and body mass (ß= 0.377, p = 0.028) and waist circumference (ß = 0.373, p = 0.030), and between protein intake and body fat percentage (ß = 0.368, p = 0.032). There was also a positive association between waist circumference and the values of glycated hemoglobin (ß = 0.401, p = 0.019), and HDL-cholesterol was influenced directly by protein intake (ß = 0.573, p = 0.013) and inversely by lipid intake (ß = -0.597, p = 0.010). Conclusion: Anthropometry, metabolic profile and food intake were associated among the Brazilian adult women evaluated.

Resumo A platinosomose é uma hepatopatia causada por Platynosomum illiciens(= P. fastosum) (Trematoda: Dicrocoelidae), que ocorre principalmente em felinos domésticos e selvagens de áreas tropicais e subtropicais. O objetivo deste trabalho foi verificar a ocorrência de P. illiciens em gatos domésticos do município de Araguaína, Tocantins, Brasil, por meio de necrópsia e exames coproparasitológicos, bem como avaliar o uso de diferentes técnicas no diagnóstico de P. illiciens em gatos domésticos e verificar a associação da parasitose com características individuais dos felinos. O estudo foi realizado em 54 gatos com diferentes idades, machos e fêmeas. O percentual de infecção foi de 33,3% (IC= 21,1% - 47,5%), a carga parasitária observada foi de 09-509, a intensidade média de 151,7 e a abundância média de 50,5 trematódeos por animal. As fêmeas apresentaram maior chance de infecção do que os machos (OR=5,00; P=0,017). O teste coproparasitológico que demonstrou maior sensibilidade e especificidade foi o de sedimentação espontânea. O presente estudo faz o primeiro relato da ocorrência de P. illiciens em gatos no estado do Tocantins, região Norte do Brasil.

Abstract Platynosomiasis is a hepatopathy caused by Platynosomum illiciens(= P. fastosum) (Trematoda: Dicrocoelidae), which occurs mainly in domestic and wild cats in tropical and subtropical areas. The objective of this study was to verify the occurrence of P. illiciens infection in domestic cats in the city of Araguaína, Tocantins, Brazil, using necropsy and coproparasitological tests. Additionally, we aimed to evaluate the use of two different techniques to diagnose P. illiciens infection in domestic cats and verify whether this parasitism was associated with individual feline characteristics. For this, 54 cats of different ages were analyzed. The percentage of infection was 33.3% (CI = 21.1-47.5%), parasite load was 9-509, mean intensity was 151.7, and mean abundance was 50.5 trematodes per animal. The risk of infection was higher for females than for males (OR = 5.00; P = 0.017). The spontaneous sedimentation coproparasitological test demonstrated the greatest sensitivity and specificity in diagnosing P. illiciens. This study is the first to report the occurrence of P. illiciens in cats in the state of Tocantins, northern Brazil.

RESUMO O Núcleo de Apoio à Saúde da Família (Nasf) foi criado em 2008 para fortalecer a Atenção Básica no Brasil. Em Goiânia (GO), foi implantado cinco equipes em uma região do município. O objetivo do estudo foi analisar o processo de implantação do Nasf em Goiânia a partir das percepções dos seus profissionais e gestores. Realizaram-se entrevistas, e os dados foram analisados a partir da técnica de análise temática. Conclui-se que o apoio matricial, a contratação de profissionais efetivos e a realização do processo formativo trouxeram avanços para o Nasf em Goiânia, embora com desafios frente às condições de trabalho e às resistências das Equipes de Saúde da Família.

ABSTRACT The Support Center for Family Health (Nasf) was created in 2008 to strengthen Primary Health Care in Brazil. In Goiania (GO), it was implanted five teams in a municipal area. The aim of the study was to analyze the deployment process of the Nasf in Goiania from the perceptions of its employees and managers. Interviews were conducted, and the data were analyzed from the technique of thematic analysis. If conclude that the matrix support, the recruitment of effective professionals and the accomplishment of the educational process brought advances to the Nasf in Goiania, although with challenges due to working conditions and the Family Health Teams' resistances.

RESUMO O Núcleo de Apoio à Saúde da Família (Nasf) foi criado em 2008 para fortalecer a Atenção Básica no Brasil. Em Goiânia (GO), foi implantado cinco equipes em uma região do município. O objetivo do estudo foi analisar o processo de implantação do Nasf em Goiânia a partir das percepções dos seus profissionais e gestores. Realizaram-se entrevistas, e os dados foram analisados a partir da técnica de análise temática. Conclui-se que o apoio matricial, a contratação de profissionais efetivos e a realização do processo formativo trouxeram avanços para o Nasf em Goiânia, embora com desafios frente às condições de trabalho e às resistências das Equipes de Saúde da Família.

ABSTRACT The Support Center for Family Health (Nasf) was created in 2008 to strengthen Primary Health Care in Brazil. In Goiania (GO), it was implanted five teams in a municipal area. The aim of the study was to analyze the deployment process of the Nasf in Goiania from the perceptions of its employees and managers. Interviews were conducted, and the data were analyzed from the technique of thematic analysis. If conclude that the matrix support, the recruitment of effective professionals and the accomplishment of the educational process brought advances to the Nasf in Goiania, although with challenges due to working conditions and the Family Health Teams' resistances.

O objetivo deste trabalho foi investigar as condições de vida e os itinerários terapêuticos de duas populações quilombolas do Estado de Goiás (Almeidas - comunidade rural e Jardim Cascata - comunidade urbana). Foi realizada uma pesquisa de caráter quanti-qualitativo, com utilização de questionário familiar, entrevista semiestruturada com informantes-chave e observação participante. Foram feitas quatro visitas em cada comunidade nos anos de 2010 e 2011. Em relação às características gerais das comunidades, elas se assemelham entre si e entre populações de baixa renda em geral devido ao baixo nível de escolaridade, de renda e carência de saneamento básico. Os itinerários terapêuticos mobilizam saberes populares, religiosos e os conhecimentos biomédicos por meio do serviço público de saúde. Em Almeidas, são utilizadas, de forma seguida ou simultânea, a automedicação caseira e alopática. Uma senhora muito conhecida na região é responsável pelos tratamentos caseiros. No Jardim Cascata, os moradores utilizam principalmente a automedicação com remédios alopáticos, e os postos de saúde do bairro frequentemente estão sem profissionais para realizar o atendimento. As redes de apoio familiar são mais intensas em Almeidas do que no Jardim Cascata. Nas duas comunidades, os serviços de saúde estão, frequentemente, fechados devido à rotatividade de profissionais e precária infraestrutura. As duas comunidades apresentam determinações históricas que denunciam a falta de atenção pública e marginalização da população pobre.

The aim of this study was to investigate living conditions and therapeutic paths of two quilombola communities residing in the State of Goiás: Almeidas (rural community), Jardim Cascata (urban community). We conducted a quantitative and qualitative study through questionnaire, semi-structured interviews with key informants and observation of reality. Four visits were made to each community in the years 2010 and 2011. Concerning to the general characteristics, the communities presented a low level of education, low income and lack of basic sanitation. People at those communities mobilize popular, religious and biomedical knowledge in their treatments. At Almeidas, people self medicate using homemade and conventional medication simultaneously. There is an elderly lady who prepares homemade treatments. The people at Jardim Cascata use mainly conventional self-medication. Family support networks are more intense in Almeidas than Jardim Cascata. In both communities, health services are often closed due staff turnover and poor infrastructure. Moreover, the two communities have historical determinations based to a lack of attention from the public sector and marginalization of the poor population.

O objetivo deste trabalho foi investigar as condições de vida e os itinerários terapêuticos de duas populações quilombolas do Estado de Goiás (Almeidas - comunidade rural e Jardim Cascata - comunidade urbana). Foi realizada uma pesquisa de caráter quanti-qualitativo, com utilização de questionário familiar, entrevista semiestruturada com informantes-chave e observação participante. Foram feitas quatro visitas em cada comunidade nos anos de 2010 e 2011. Em relação às características gerais das comunidades, elas se assemelham entre si e entre populações de baixa renda em geral devido ao baixo nível de escolaridade, de renda e carência de saneamento básico. Os itinerários terapêuticos mobilizam saberes populares, religiosos e os conhecimentos biomédicos por meio do serviço público de saúde. Em Almeidas, são utilizadas, de forma seguida ou simultânea, a automedicação caseira e alopática. Uma senhora muito conhecida na região é responsável pelos tratamentos caseiros. No Jardim Cascata, os moradores utilizam principalmente a automedicação com remédios alopáticos, e os postos de saúde do bairro frequentemente estão sem profissionais para realizar o atendimento. As redes de apoio familiar são mais intensas em Almeidas do que no Jardim Cascata. Nas duas comunidades, os serviços de saúde estão, frequentemente, fechados devido à rotatividade de profissionais e precária infraestrutura. As duas comunidades apresentam determinações históricas que denunciam a falta de atenção pública e marginalização da população pobre.

The aim of this study was to investigate living conditions and therapeutic paths of two quilombola communities residing in the State of Goiás: Almeidas (rural community), Jardim Cascata (urban community). We conducted a quantitative and qualitative study through questionnaire, semi-structured interviews with key informants and observation of reality. Four visits were made to each community in the years 2010 and 2011. Concerning to the general characteristics, the communities presented a low level of education, low income and lack of basic sanitation. People at those communities mobilize popular, religious and biomedical knowledge in their treatments. At Almeidas, people self medicate using homemade and conventional medication simultaneously. There is an elderly lady who prepares homemade treatments. The people at Jardim Cascata use mainly conventional self-medication. Family support networks are more intense in Almeidas than Jardim Cascata. In both communities, health services are often closed due staff turnover and poor infrastructure. Moreover, the two communities have historical determinations based to a lack of attention from the public sector and marginalization of the poor population.

Introduction Surveillance of nosocomial infections (NIs) is an essential part of quality patient care; however, there are few reports of National Healthcare Safety Network (NHSN) surveillance in neonatal intensive care units (NICUs) and none in developing countries. The purpose of this study was to report the incidence of NIs, causative organisms, and antimicrobial susceptibility patterns in a large cohort of neonates admitted to the NICU during a 16-year period. Methods The patients were followed 5 times per week from birth to discharge or death, and epidemiological surveillance was conducted according to the NHSN. Results From January 1997 to December 2012, 4,615 neonates, representing 62,412 patient-days, were admitted to the NICU. The device-associated infection rates were as follows: 17.3 primary bloodstream infections per 1,000 central line-days and 3.2 pneumonia infections per 1,000 ventilator-days. A total of 1,182 microorganisms were isolated from sterile body site cultures in 902 neonates. Coagulase-negative staphylococci (CoNS) (34.3%) and Staphylococcus aureus (15.6%) were the most common etiologic agents isolated from cultures. The incidences of oxacillin-resistant CoNS and Staphylococcus aureus were 86.4% and 28.3%, respectively. Conclusions The most important NI remains bloodstream infection with staphylococci as the predominant pathogens, observed at much higher rates than those reported in the literature. Multiresistant microorganisms, especially oxacillin-resistant staphylococci and gram-negative bacilli resistant to cephalosporin were frequently found. Furthermore, by promoting strict hygiene measures and meticulous care of the infected infants, the process itself of evaluating the causative organisms was valuable.

O objetivo foi avaliar os fatores de risco para doenças crônicas não transmissíveis (DCNT) em indivíduos atendidos no Programa de Educação Nutricional da Faculdade de Educação Física, da Universidade Federal de Goiás. Participaram 79 sujeitos, sendo 65 adultos e 14 adolescentes. Dados socioeconômicos, hábitos de vida e doen ças prévias foram coletados por meio de anamnese, o hábito alimentar (HA) foi avaliado por um questionário de frequência alimentar e os índices antropométricos utilizados foram o índice de massa corporal (IMC) e circunferência da cintura (CC). A prevalência de sobrepeso e obesidade na população foi de 42,9% (n = 27) e a média da CC dos adultos foi de 82,67 ± 12,49, sendo que 45,1% apresentavam risco aumentado ou muito aumentado para doenças cardiovasculares. Aproximadamente 88,6% da população relatou a existência de DCNT na família. Dos avaliados, 75,0% praticavam exercícios físicos regularmente. Aqueles que eram tabagistas ingeriam álcool frequentemente e os sujeitos não fumantes eram os que mais praticavam atividade física. Em relação ao HA, a ingestão de frutas e hortaliças é realizada por 36,7% e 63,3% dos participantes ao menos uma vez/dia, respectivamente. Conclui-se que os avaliados possuem alta prevalência de exposição a, pelo menos, um fator de risco para DCNT.

The scope of this work was to evaluate the risk factors for chronic non-communicable diseases (CNCDs) in subjects treated in the Nutrition Education Program of the School of Physical Education of the Federal University of Goiás. The number of individuals evaluated was 79, namely 65 adults and 14 adolescents. Socio-economic data, lifestyle and previous diseases were recorded by using anamnesis, the feeding habits (FH) were assessed by a food frequency questionnaire and the anthropometric indexes used were body mass index (BMI) and waist circumference (WC). The prevalence of overweight and obesity in the population was 42.9% (n = 27) and the average WC of adults was 82.67 ± 12.49, and 45.1% had increased or very increased risk of cardiovascular diseases. About 88.6% of the population reported the existence of CNCDs in the family. Most of the people (75%) exercised regularly. Those who smoked also drank alcohol frequently, and those that did not smoke were the ones that exercised more. The intake of fruit and vegetables is practiced by 36.7% and 63.3% of participants at least once a day, respectively. The conclusion reached is that the population studied had a high prevalence of exposure to at least one risk factor for CNCDs.