SUMMARY OBJECTIVE: To evaluate the prevalence of burnout syndrome (BS) in physicians working during the COVID-19 pandemic in Paraíba and to investigate the association between BS and the sociodemographic and labor variables of these professionals. METHODS: This was a cross-sectional study including physicians who were active during the pandemic in Paraíba, whether they were on the front line (group 1) or not (group 2). Sociodemographic and labor variables were collected, and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) questionnaire was applied. RESULTS: A total of 126 physicians were included, including 82 who were on the front line. Among the professionals with results compatible with BS, 85.5% were in group 1, compared with 14.5% in group 2, and this difference was statistically significant. At the 5% level, the variables associated with BS were age (24–33 years), not having children, working on the front line, working in the COVID-19 ICU, being on duty, and having contracted COVID-19. CONCLUSIONS: This case series found a positive association between the development of BS and medical action on the front line of the COVID-19 pandemic in Paraíba.

Abstract HIV-1 mother-to-child transmission (HIV-1 MTCT), is an important cause of children mortality worldwide. Brazil has been traditionally praised by its HIV/Aids program, which provides free-of-charge care for people living with HIV-1. Using public epidemiology and demographic databases, we aimed at modeling HIV-1 MTCT prevalence in Brazil through the years (1994-2016) and elaborate a statistical model for forecasting, contributing to HIV-1 epidemiologic surveillance and healthcare decision-making. We downloaded sets of live births and mothers' data alongside HIV-1 cases notification in children one year old or less. Through time series modeling, we estimated prevalence along the years in Brazil, and observed a remarkable decrease of HIV-1 MTCT between 1994 (10 cases per 100,000 live births) and 2016 (five cases per 100,000 live births), a reduction of 50%. Using our model, we elaborated a prognosis for each Brazilian state to help HIV-1 surveillance decision making, indicating which states are in theory in risk of experiencing a rise in HIV-1 MTCT prevalence. Ten states had good (37%), nine had mild (33%), and eight had poor prognostics (30%). Stratifying the prognostics by Brazilian region, we observed that the Northeast region had more states with poor prognosis, followed by North and Midwest, Southeast and South with one state of poor prognosis each. Brazil undoubtedly advanced in the fight against HIV-1 MTCT in the past two decades. We hope our model will help indicating where HIV-1 MTCT prevalence may rise in the future and support government decision makers regarding HIV-1 surveillance and prevention.

RESUMO Os sistemas de informação têm o propósito de auxiliar os gestores nas tomadas de decisões. O e-SUS AB facilita e contribui para a organização do trabalho dos profissionais de saúde na Atenção Básica. O presente artigo tem o objetivo de apresentar o processo de implantação e desenvolvimento do e-SUS AB no Distrito Sanitário IV de João Pessoa (PB), em 2014. Trata-se de um estudo descritivo, na forma de relato de experiência, o qual aponta as dificuldades e qualidades do sistema. Conclui-se que os esforços para reestruturação do sistema só serão efetivos com o apoio dos envolvidos na implantação, na utilização e no aprimoramento do Sistema de Informação em Saúde da Atenção Básica (Sisab) e da estratégia e-SUS AB.

ABSTRACT Information systems are intended to assist managers in decision making. The e-SUS AB facilitates and contributes to the organization of the work of health professionals in Primary Care. This article aims to present the process of implementation and development of the e-SUS AB in the Health District IV of João Pessoa (PB), in 2014. This is a descriptive study, in the form of experience report, which points out the difficulties and qualities of the system. We conclude that efforts to the restructuring of the system will only be effective with the support of those involved with the implementation, the use and improvement of the Information System of Primary Health Care (Sisab) and the strategy e-SUS AB.

RESUMO Os sistemas de informação têm o propósito de auxiliar os gestores nas tomadas de decisões. O e-SUS AB facilita e contribui para a organização do trabalho dos profissionais de saúde na Atenção Básica. O presente artigo tem o objetivo de apresentar o processo de implantação e desenvolvimento do e-SUS AB no Distrito Sanitário IV de João Pessoa (PB), em 2014. Trata-se de um estudo descritivo, na forma de relato de experiência, o qual aponta as dificuldades e qualidades do sistema. Conclui-se que os esforços para reestruturação do sistema só serão efetivos com o apoio dos envolvidos na implantação, na utilização e no aprimoramento do Sistema de Informação em Saúde da Atenção Básica (Sisab) e da estratégia e-SUS AB.

ABSTRACT Information systems are intended to assist managers in decision making. The e-SUS AB facilitates and contributes to the organization of the work of health professionals in Primary Care. This article aims to present the process of implementation and development of the e-SUS AB in the Health District IV of João Pessoa (PB), in 2014. This is a descriptive study, in the form of experience report, which points out the difficulties and qualities of the system. We conclude that efforts to the restructuring of the system will only be effective with the support of those involved with the implementation, the use and improvement of the Information System of Primary Health Care (Sisab) and the strategy e-SUS AB.