Desempenho da atenção primária à saúde no estado de São Paulo, Brasil, no período de 2010-2019 / Performance of primary health care in São Paulo state, Brazil, during the period 2010-2019

Resumo O artigo apresenta uma análise do desempenho da APS no estado de São Paulo na última década, em contexto de crise econômica e retração dos investimentos em saúde. Utilizaram-se indicadores de desempenho, determinantes em saúde e sistema de saúde, em série temporal (2010 a 2019), a partir de matriz conceitual adaptada. Foram calculadas variações percentuais anuais (VPA) de cada indicador em modelo log-linear. Os indicadores de desempenho apresentaram, no geral, evolução favorável; no entanto, ocorreu piora em indicadores relacionados à qualidade do cuidado (sífilis congênita, partos cesáreos e rastreamento de câncer de colo uterino). Verificou-se, ainda, um potencial aumento das demandas ao SUS (envelhecimento da população e redução da cobertura da saúde suplementar) e aumento das despesas em saúde em contexto de redução do PIB per capita.

Abstract This article presents the results of an analysis of the performance of primary health care in São Paulo state over the last decade against a backdrop of financial crisis and health funding cuts. We conducted a time series analysis (2010-2019) of performance indicators across the following dimensions based on an adapted conceptual framework: health service performance, health system, and determinants of health. Annual percentage change was calculated for each indicator using a log-linear model. Performance across the indicators was generally positive; however, there was a decline in performance across indicators of quality of care (congenital syphilis, cesarean section rate and cervical cancer screening). The findings also show a potential rise in demand for public services (due to population aging and a reduction in the percentage of the population with private health insurance) and increase in health expenditure against a backdrop of falling GDP per capita.

Asociación de la salud cardiometabólica de preescolares y sus padres con características nutricionales y sociodemográficas familiares / Association of cardiometabolic health of preschoolers and their parents with family sociodemographic characteristics

Introducción: Existe escaso conocimiento sobre la asociación entre marcadores cardiometabólicos en preescolares con características nutricionales y sociodemográficos familiares. Objetivo: Determinar la asociación entre marcadores cardiometabólicos de preescolares y sus padres con las características nutricionales y sociodemográficas familiares. Materiales y Métodos: Estudio de corte transversal, de asociación y correlación entre variables Padre-Hijo/a de carácter multicéntrico, en el cual participaron 140 sujetos (70 preescolares y su respectivo padre o madre). Las variables fueron estado nutricional, composición corporal, fuerza prensil y presión arterial de padres/madres y sus hijos/as preescolares y variables sociodemográficas de las familias. Resultados: Existió diferencia significativa al 5% respecto de la obesidad de los padres con la de los hijos/as, se presentó correlación positiva (0,397) entre las variables "porcentaje de grasa" padres e hijos/as. En relación al "nivel de escolaridad de la madre" hubo diferencia significativa con el "porcentaje de grasa" de los hijos/as (p<0,011). Existió similarmente diferencia significativa (p=0,033) entre la variable "tener hermanos" respecto a la variable "porcentaje de grasa" de los hijos/as. Finalmente se presentó asociación entre "usa Tablet" (dispositivo audiovisual) y "presión arterial" de los hijos/as (p=0,030). La variable "usa Tablet" se asoció significativamente con la "fuerza prensil" de los hijos/as (p=0,044). Conclusiones: Padres obesos con alto porcentaje de grasa tienen hijos/as preescolares con bajo perfil cardiometabólico; las variables nivel educacional inferior de la madre y tener hermanos se asociaron a un mayor porcentaje de grasa en los hijos/as, conjuntamente el uso de Tablet en preescolares mostró mayores niveles de presión arterial y menor fuerza prensil(AU)

Introduction: Little is known about the association between cardiometabolic markers in preschoolers with family nutritional and socio- demographic characteristics. Objective: To determine the association between cardiometabolic markers in preschoolers and their parents with family nutritional and sociodemographic characteristics. Materials and methods: cross-sectional study of association and correlation between parent-child variables, multicenter, 140 subjects participated (70 preschoolers and their respective parents). The variables were nutritional status, body composition, prehensile strength and blood pressure of parents and their preschool children and sociodemographic variables of the families. Results: There was a significant difference at 5% between parents' obesity and children's obesity, with a positive correlation (0.397) between the variable "percentage of fat" parents/children. In relation to the "mother's level of schooling" there was a significant difference with the "percentage of fat" of the children (p<0.011). Similarly, there was a significant difference (p=0.033) between the variable "Having siblings" with respect to the variable "percentage of fat" of the children. Finally, there was an association between "Tablet use" (audiovisual device) and "blood pressure" of the children (p=0.030). The variable "Tablet use" was significantly associated with the "prehensile strength" of the children (p=0.044). Conclusions: Obese parents with a high percentage of fat have preschool children with a low cardiometabolic profile; the variables lower educational level of the mother and having siblings were associated with a higher percentage of fatness in children; together, the use of Tablet in preschoolers showed higher levels of blood pressure and lower prehensile strength(AU)

Cultura de segurança em unidades de terapia intensiva na perspectiva da equipe multiprofissional: Estudo multicêntrico / Cultura de seguridad en unidades de terapia intensiva en la perspectiva del equipo multiprofesional: Estudio multicéntrico / Safety Culture in intensive care units from multiprofessional team perspective: A multicenter study

Resumo Introdução: A Cultura de Segurança do Paciente é considerada um importante componente estrutural dos serviços, que favorece a implantação de práticas seguras e a diminuição da ocorrência de eventos adversos. Objetivo: Identificar os fatores associados à cultura de segurança do paciente nas unidades de terapia intensiva adulto em hospitais de grande porte da região Sudeste do Brasil. Método: Estudo transversal do tipo survey e multicêntrico. Participaram 168 profissionais de saúde de quatro unidades (A, B, C e D) de terapia intensiva adulto. Foi utilizado o questionário "Hospital Survey on Patient Safety Culture". Considerou-se como variável dependente o nível de cultura de segurança do paciente e variáveis independentes aspectos sociodemográficos e laborais. Foram usadas estatísticas descritivas e para a análise dos fatores associados foi elaborado um modelo de regressão logística múltipla. Resultados: Identificou-se associação entre tipo de hospital com onze dimensões da cultura de segurança, quanto à função a categoria profissional médico, técnico de enfermagem e enfermeiro foram relacionadas com três dimensões; o gênero com duas dimensões e tempo de atuação no setor com uma dimensão. Conclusão: Evidenciou-se que o tipo de hospital, categoria profissional, tempo de atuação no setor e gênero foram associados às dimensões de cultura de segurança do paciente.

Resumen Introducción: La cultura de seguridad del paciente se considera un componente estructural importante de los servicios, que favorece la aplicación de prácticas seguras y la reducción de la aparición de acontecimientos adversos. Objetivo: Identificar los factores asociados a la cultura de seguridad del paciente en unidades de terapia intensiva adulto en hospitales de la región Sudeste del Brasil. Metodología: Estudio transversal de tipo encuesta y multicéntrico. Participaron 168 profesionales de salud de cuatro unidades (A, B, C y D) de terapia intensiva adulto. Se utilizó el cuestionario "Hospital Survey on Patient Safety Culture". Se consideró como variable dependiente el nivel de cultura de seguridad del paciente y variables independientes los aspectos sociodemográficos y laborales. Fueron usadas estadísticas descriptivas y, para analizar los factores asociados, fue elaborado un modelo de regresión logística múltiple. Resultados: Se identificó asociación entre tipo de hospital con once dimensiones de cultura de seguridad del paciente. En relación a la función, personal médico, técnicos de enfermería y personal de enfermería fueron asociados con tres dimensiones, el género con dos dimensiones y tiempo de actuación con una dimensión en el modelo de regresión. Conclusión: Se evidenció que el tipo de hospital, función, tiempo de actuación en el sector y género fueron asociados a las dimensiones de la cultura de seguridad del paciente.

Abstract Introduction: Patient safety culture is considered an important structural component of the services, which promotes the implementation of safe practices and the reduction of adverse events. Objective: To identify the factors associated with patient safety culture in adult intensive care units in large hospitals in Belo Horizonte. Method: Cross-sectional survey and multicenter study. A total of 168 health professionals from four units (A, B, C and D) of adult intensive care participated. The questionnaire "Hospital Survey on Patient Safety Culture" was used. The patient's level of safety culture was considered as a dependent variable, and sociodemographic and labor aspects were the independent variables. Descriptive statistics were used and a multiple logistic regression model was developed to analyze the associated factors. Results: An association was identified between the type of hospital and eleven dimensions of the safety culture. In terms of function, the doctors, nursing technicians, and nurse were related to three dimensions; gender with two dimensions, and time working in the sector with one dimension. Conclusion: It was evidenced that the type of hospital, function, time working in the sector, and gender were associated with the dimensions of patient safety culture.

Comunicação de más notícias em cuidados paliativos: estudo bibliométrico / Communication of bad news in palliative care: bibliometric study / Comunicación de malas noticias en cuidados paliativos: estudio bibliométrico

Os cuidados paliativos compreendem a melhora da qualidade de vida e o alívio dos sintomas de pacientes que enfrentam doenças que ameaçam a continuidade da vida e de seus familiares. Para tal, é necessário habilidade comunicativa, a fim de uma boa condução ao transmitir uma má notícia. Buscou-se compreender como se configura a produção científica nacional e internacional que aborda a comunicação de más notícias em cuidados paliativos. A pesquisa de revisão, de análise bibliométrica, analisou 25 artigos dos últimos cinco anos (entre 2016 e 2020) disponíveis na Biblioteca Virtual em Saúde (BVS/Bireme). Os resultados revelaram publicações de 134 autores em 16 periódicos de diferentes países. Parte dos estudos foi realizadacom profissionais de saúde em hospitais e apresentam abordagem quantitativa. A comunicação de más notícias ainda se mostra um desafio para profissionais, pacientes e familiares.

The palliative care comprises improving the quality of life and relieving the symptoms of patients facing illnesses that threaten the continuity of life and their families. For this, communicative ability is necessary, in order to conduct well when transmitting bad news. We sought to understand how the national and international scientific production on communication of bad news in palliative care is configured. The literature review research, based on bibliometrics, analysed 25 articles from the last five years (between 2016 and 2020) available in the Virtual Health Library (BVS/Bireme). The results revealed publications by 134 authors in 16 journals from different countries. Some of the studies were carried out with health professionals in hospitals and have a quantitative approach. Communicating bad news is still a challenge for professionals, patients and their families.

Los cuidados paliativos comprenden mejorar la calidad de vida y aliviar los síntomas de los pacientes que enfrentan enfermedades que amenazan la continuidad de vida y sus familias. Para ello es necesaria la habilidad comunicativa, a fin de poder transmitir adecuadamente las malas noticias. Buscamos comprender cómo se configura la producción científica nacional e internacional que aborda la comunicación de malas noticias en cuidados paliativos. La investigación de revisión de literatura, basada en el análisis bibliométrico, analizó 25 artículos de los últimos cinco años (entre 2016 y 2020) disponibles en la Biblioteca Virtual en Salud (BVS/Bireme). Los resultados revelaron publicaciones de 134 autores en 16 revistas de diferentes países. Parte de los estudios se realizaron con profesionales de la salud en hospitales y tienen un enfoque cuantitativo. La comunicación de malas noticias sigue siendo un desafío para profesionales, pacientes y sus familiares.

Indicadores de uso del conocimiento científico para la evaluación de las publicaciones científicas seriadas de Ciencias Sociales y Humanísticas

El escenario de las nuevas tecnologías de la información y la comunicación han transformado los modos de evaluar la publicación científica. Variedad instrumentos e indicadores impactan en los procesos de evaluación. El objetivo de este trabajo es ofrecer una valoración de los procedimientos utilizados en base al uso del conocimiento. Se evidencia a necesidad de avanzar en cuanto a indicadores que combinen métricas cuantitativas con las cualitativas que reflejen los procesos de apropiación del conocimiento y el impacto social; denominadas métricas responsables, además de velar por la calidad de la gestión, y de políticas institucionales mesuradas que guían la valoración y evaluación de la actividad científica.

The scenario of new information and communication technologies has transformed the ways of evaluating scientific publication. Variety of instruments and indicators impact the evaluation processes. The objective of this work is to offer an assessment of the procedures used based on the use of knowledge. There is a need to advance in terms of indicators that combine quantitative metrics with qualitative ones that reflect the processes of knowledge appropriation and social impact; called responsible metrics, in addition to ensuring the quality of management, and measured institutional policies that guide the assessment and evaluation of scientific activity.

La pandemia COVID-19 y la administración de la salud: el caso de la región Puno / The COVID-19 pandemic and health administration: the case of the Puno Regione / A pandemia de COVID-19 e a administração da saúde: o caso da região de Puno

El objetivo de la investigación fue analizar el impacto de la pandemia del COVID-19 en la administración de los servicios de salud y en la atención al paciente, caso de la región Puno, reflejados en los indicadores del sistema de gestión de calidad en cuanto al manejo de recursos desde los distintos puntos o pilares elementales dentro de la administración de salud. Materiales y métodos. se amparó bajo una investigación documental observacional con diseño de análisis descriptivo. La muestra proviene de un análisis que se llevó a cabo en 31 indicadores de actividad (IA) pertenecientes a 7 áreas del Servicio. En su mayoría, estos indicadores experimentaron un aumento tanto en marzo (20%) como en abril (25%). Conclusiones: indican que se observó un incremento en los ensayos clínicos relacionados con el tratamiento del SAR-Cov-2, los cuales abarcaron las unidades de cuidados intensivos (UCI) y las salas de urgencias (SU). Esto incluyó la dispensación de dosis individuales y el inicio y preparación de las salas de urgencias.

The objective of the research was to analyze the impact of the COVID-19 pandemic on the administration of health services and patient care, in the case of the Puno region, as reflected in the indicators of the quality management system in terms of resource management from the different points or elemental pillars within the health administration. Materials and methods. was based on an observational documentary research with a descriptive analysis design. The sample comes from an analysis carried out on 31 activity indicators (AI) belonging to 7 areas of the Service. Most of these indicators experienced an increase in both March (20%) and April (25%). Conclusions indicate that an increase was observed in clinical trials related to SAR-Cov-2 treatment, which spanned intensive care units (ICU) and emergency rooms (ED). This included single-dose dispensing and ED initiation and preparation.

O objetivo da investigação foi analisar o impacto da pandemia da COVID-19 na administração dos serviços de saúde e na assistência aos doentes na região de Puno, tal como se reflecte nos indicadores do sistema de gestão da qualidade em termos de gestão de recursos a partir dos diferentes pontos ou pilares básicos da administração da saúde. Materiais e métodos. baseou-se numa investigação documental observacional com um desenho de análise descritiva. A amostra provém de uma análise efectuada sobre 31 indicadores de atividade (IA) pertencentes a 7 áreas do Serviço. A maioria destes indicadores registou um aumento tanto em março (20%) como em abril (25%). Conclusões. indicam que houve um aumento dos ensaios clínicos relacionados com o tratamento do SAR-Cov-2, que abrangeu as unidades de cuidados intensivos (UCI) e os serviços de urgência (SU). Isto incluiu a distribuição de doses únicas e a iniciação e preparação de EDs.

Propuesta de indicadores para la selección de atletas en poomsae para el alto rendimiento. Validación práctica

La investigación propuesta, en el área de selección de talentos en el alto rendimiento, específicamente en la modalidad de poomsae, en su evento free style, representa un estudio estratégico, pues se encontraron limitaciones en el proceso de selección en dicha modalidad deportiva. Por lo que este trabajo presentó como objetivo evaluar los indicadores técnicos para la selección de atletas con respecto a la modalidad de poomsae en su evento free style. Esta selección se realiza acorde con las exigencias reglamentarias competitivas actuales, aplicadas por la Federación Mundial de este deporte. Se utilizaron métodos de nivel teórico inductivo-deductivo, analítico-sintético, así como histórico y del nivel empírico, la revisión documental y la medición. Se midieron los ángulos de los indicadores propuestos, a través del software biomecánico Kinovea. La técnica estadística utilizada fue el procesador estadístico SPSS 20. Se definieron y evaluaron de forma práctica los indicadores flexibilidad (splits central, lateral izquierdo, lateral derecho) con una media de 10.25 puntos; técnicas de pateo (pateos básicos, mantención, pateos con giro en el aire) con resultados de media de 2.5; 1,9 y 1.87 puntos; saltos acrobáticos (saltos en horcajadas, saltos en splits izquierdo, saltos en splits derecho) y los elementos acrobáticos con resultados de media de 8.69 y 2.21 puntos, para el proceso de selección de las escuelas de iniciación deportiva escolar en la modalidad de poomsae en su evento free style.

A pesquisa proposta, na área de seleção de talentos no alto rendimento, especificamente na modalidade poomsae, em sua prova de estilo livre, representa um estudo estratégico, uma vez que foram encontradas limitações no processo de seleção na referida modalidade esportiva. Portanto, este trabalho apresentou o objetivo de avaliar os indicadores técnicos para seleção de atletas no que diz respeito à modalidade poomsae em sua prova de estilo livre. Esta seleção é feita de acordo com os requisitos regulamentares competitivos em vigor, aplicados pela Federação Mundial desta modalidade. Foram utilizados métodos de nível teórico indutivo-dedutivo, analítico-sintético, bem como de nível histórico e empírico, revisão documental e mensuração. Os ângulos dos indicadores propostos foram medidos através do software biomecânico Kinovea. A técnica estatística utilizada foi o processador estatístico SPSS 20. Os indicadores de flexibilidade (abertura central, lateral esquerda, lateral direita) foram definidos e avaliados de forma prática com média de 10,25 pontos; técnicas de chutes (chutes básicos, segurar, chutes com giro no ar) com resultados médios de 2,5; 1,9 e 1,87 pontos; saltos acrobáticos (saltos de passada, saltos divididos à esquerda, saltos divididos à direita) e elementos acrobáticos com resultados médios de 8,69 e 2,21 pontos, para o processo seletivo das escolas de iniciação esportiva escolar na modalidade poomsae em sua prova de estilo livre.

The proposed research, in the area of talent selection in high performance, specifically in the poomsae modality in its free style event, represents a strategic study, since limitations were found in the selection process in said sporting modality. Therefore, this work presented the objective of evaluating the technical indicators for the selection of athletes with respect to the poomsae modality in its free style event. This selection is made in accordance with the current competitive regulatory requirements, applied by the World Federation of this sport. Theoretical level methods like inductive-deductive, analytical-synthetic and historical were used and from the empirical level, documentary review and measurement, and the angles of the proposed indicators were measured through the Kinovea biomechanical software. The statistical technique used was the SPSS 20 statistical processor. There were defined and evaluated in a practical way the indicators of flexibility (central, left lateral, right lateral splits ) with an average of 10.25 points; kicking techniques (basic kicks, holding, kicks with spin in the air) with average results of 2.5; 1.9 and 1.87 points; acrobatic jumps (stride jumps, left split jumps , right split jumps ) and acrobatic elements with average results of 8.69 and 2.21 points, for the selection process of school sports initiation schools in the poomsae modality in their free style event .

El diagnóstico pedagógico personalizado del luchador, en la etapa de perfeccionamiento básico

Conocer las manifestaciones del comportamiento del luchador en la etapa inicial de ejecución del entrenamiento deportivo permite caracterizar, proyectar y controlar el proceso, con una dirección científica. Por ello la presente investigación plantea como objetivo proponer indicadores para el diagnóstico pedagógico personalizado del luchador, en la etapa de perfeccionamiento básico y lograr la efectividad en la formación integral de su personalidad. Ante la situación presentada se realizaron observaciones al comportamiento de los luchadores en el ambiente familiar, escolar, social y deportivo; además de encuestas y entrevistas que permitieron caracterizar el proceso investigado y pronosticar los posibles resultados, para luego desarrollar una eficiente intervención formativa. Las conclusiones derivadas del estudio y análisis de los resultados evidenciaron que los indicadores de diagnóstico pedagógico personalizado del luchador, en la etapa de perfeccionamiento básico contribuyeron con efectividad, en la formación integral de su personalidad.

Conhecer as manifestações do comportamento do lutador na etapa inicial do treinamento esportivo permite caracterizar, projetar e controlar o processo, com uma direção científica. Por essa razão, o objetivo desta pesquisa é propor indicadores para o diagnóstico pedagógico personalizado do lutador, na etapa de aperfeiçoamento básico, e alcançar a eficácia na formação integral de sua personalidade. Diante da situação apresentada, foram feitas observações do comportamento dos lutadores no ambiente familiar, escolar, social e esportivo; além de pesquisas e entrevistas que permitiram caracterizar o processo investigado e prever os possíveis resultados, para então desenvolver uma intervenção formativa eficiente. As conclusões derivadas do estudo e da análise dos resultados mostraram que os indicadores do diagnóstico pedagógico personalizado do lutador, na etapa de aperfeiçoamento básico, contribuíram efetivamente para a formação integral de sua personalidade.

Knowing the manifestations of the wrestler's behavior in the initial stage of sports training execution allows to characterize, project and control the process, with a scientific direction. Therefore, the objective of this research is to propose indicators for the personalized pedagogical diagnosis of the wrestlers, in the basic improvement stage and to achieve effectiveness in the comprehensive formation of his personality. Given the situation presented, observations were made of the behavior of the wrestlers in the family, school, social and sports environment; in addition to surveys and interviews that allowed to characterize the investigated process and predict possible results, to then develop an efficient training intervention. The conclusions derived from the study and analysis of the results showed that the personalized pedagogical diagnosis indicators of the wrestler, in the basic improvement stage, contributed effectively to the comprehensive formation of his personality.

Evaluación del grado de envejecimiento poblacional mediante la razón de masculinidad ponderada

Introducción: Los indicadores demográficos básicos constituyen una operación estadística, conformada por una colección de indicadores que permiten analizar la incidencia de los fenómenos demográficos básicos en una sociedad. Objetivo: Diseñar un indicador, a partir del índice de masculinidad, para la evaluación del envejecimiento poblacional a través de una escala jerárquica. Métodos: Se realizó un estudio ecológico, que incluyó a cualquier población con información existente desde la edad 0 hasta un grupo abierto final de 75 y más años, subdivididos por grupos quinquenales y sexo. La muestra fue seleccionada por muestreo simple aleatorio. Entre las medidas descriptivas figuraron la media aritmética, la mediana, la desviación típica y los percentiles; asimismo, fueron aplicadas la prueba de bondad de ajuste de Kolmogorov-Smirnov, la curva de la característica operativa del receptor, el índice de Youden, el coeficiente de correlación de Pearson, el coeficiente kappa como medida de concordancia y la prueba de la Χ2 de independencia. Resultados: Existió una concordancia buena o elevada con el índice de Sundbarg y una alta correlación con todos los indicadores de envejecimiento, excepto con el índice de dependencia. Conclusiones: La razón de masculinidad ponderada proporciona una excelente medición del grado de envejecimiento de una población, siempre que el intervalo de edad final sea de 75 años y más.

Introduction: Basic demographic indicators constitute a statistical operation, conformed by a collection of indicators that allow analyzing the incidence of the basic demographic phenomena in a society. Objective: To design an indicator, taking the masculinity index as a starting point, for the evaluation of population ageing through a hierarchical scale. Methods: An ecological study was carried out that included any population with existent information, from the age 0 to a final open group of 75 years and over, subdivided by five-year groups and sex. The sample was selected by random simple sampling. The mean arithmetic, medium arithmetic, typical deviation and percentiles were among the descriptive measures; also, the Kolmogorov-Smirnov test for goodness of fit, the receiver operating characteristic curve, Youden index, Pearson correlation coefficient, kappa coefficient as a measure of concordance and chi-square test of independence were applied. Results: A good or high concordance existed with the Sundbarg index and a high correlation with all the aging indicators, except the dependence index. Conclusion: The pondered masculinity ratio provides an excellent measuring of the aging degree in a population, whenever the final age interval is 75 years and over.

Métricas de los artículos publicados en la revista científica Finlay, 2011-2022 / Metrics of the articles published in the Finlay journal, 2011-2022

RESUMEN Objetivo: Caracterizar los artículos publicados en la revista científica Finlay durante el periodo 2011-2022. Materiales y métodos: Se realizó un estudio observacional, descriptivo, bibliométrico sobre los artículos publicados en la revista científica Finlay. El universo estuvo conformado por 525 artículos. No se aplicó técnicas de muestreo. Las variables analizadas fueron cantidad de artículos, año de publicación, cantidad y procedencia de los autores, tipo, temática central de los artículos, tipo de estudios, cantidad de referencias y referencias con cinco años de antigüedad, cantidad de citas por artículos y recibidas por la revista por años. Se aplicó la estadística descriptiva e indicadores bibliométricos. Resultados: Destacó el año 2021, con 60 investigaciones (11,38 %). Predominaron los artículos con tres autores (155; 29,52 %); sobresalió Cienfuegos, con 1074 autores (59,40 %), y prevalecieron los artículos originales (AO) (243; 46,28 %). El mayor índice de Price (IP) (0,80) lo presentaron las imágenes en la medicina (IM). Dentro de los AO, sobresalieron las investigaciones con metodología de enfoque observacional-descriptivo (225 artículos publicados, equivalente a un 92,59 % respecto al total de AO). Destacaron investigaciones relacionadas con enfermedades cardiovasculares (116; 22,09 %). Se recibieron 4870 citas, con predominio del año 2017, con un número de citas corregidas (NCC) de 38,3; mientras que, en el año 2020, hubo 3,27 de factor de impacto (FI). Conclusiones: La revista Finlay constituye un órgano científico para la difusión de resultados investigativos con amplios logros y experiencias en la gestión editorial. Su crecimiento ha sido exponencial en cuanto a la cantidad de artículos publicados, con predominio en el año 2021. En sus números se recogen investigaciones que muestran la colaboración entre autores tanto nacionales como extranjeros, y en donde se resalta los resultados de los investigadores del territorio. Al respecto, las temáticas son referentes a problemas de salud que se recogen en los programas de salud prioritarios para el sector, fundamentados en investigaciones originales en mayor medida, y aparejado a un crecimiento de las citas recibidas en especial en el 2017.

ABSTRACT Objective: To characterize the articles published in the Finlay journal during the period between 2011 and 2022. Materials and methods: An observational, descriptive, bibliometric study was carried out on the articles published in the Finlay journal. The universe consisted of 525 articles. Sampling techniques were not used. The analyzed variables were number of articles, year of publication, number of authors, origin of the authors, type of article, main theme of the articles, type of study, number of references, number of 5-year-old references, number of citations per article and number of citations received by the journal per year. A descriptive statistics and bibliometrics were used. Results: The year 2021 stood out with 60 research works (11.38 %). Articles with three authors prevailed (155; 29.52 %), Cienfuegos stood out with 1,074 authors (59.40 %) and original articles (OA) predominated (243; 46.28 %). Images in medicine (IM) had the highest Price's Index (0.80). Among the OA, research works with an observational-descriptive approach prevailed (225 published articles, which accounted for 92.59 % out of the total number of OA). Research related to cardiovascular diseases predominated (116; 22.09 %). A total of 4,870 citations were received, most of them from 2017, with a number of corrected citations (NCC) of 38.3. Meanwhile, the year 2020 had an impact factor (IF) of 3.27. Conclusions: The Finlay journal is a scientific body for the dissemination of research results with extensive achievements and experiences in editorial management. Its growth has been exponential in terms of the number of articles published, prevailing the year 2021. Its issues include research works that show the collaboration between national and foreign authors, highlighting the results of the Cienfuegos province's researchers. In this regard, the topics focus on health problems that are included in the sector's priority health programs, based on original research to a greater extent and coupled with a higher number of citations received especially in 2017.

Stellate Ganglion Block as an Adjunctive Intervention for Chronic Subjective Tinnitus： Efficacy and Predictive Indicators / 中山大学学报(医学科学版)

ObjectiveTo explore the efficacy and predictive indicators of stellate ganglion block （SGB） as an adjunctive intervention for chronic subjective tinnitus and accumulate experience for the application of SGB in the clinical treatment of tinnitus. MethodsA retrospective review was conducted on the data of chronic subjective tinnitus patients who received SGB intervention， with unsatisfactory outcomes otherwise. Pure tone audiometry （PTA）， tinnitus loudness evaluation and Pittsburgh sleep quality index （PSQI） were used. The tinnitus handicap inventory （THI） scores were compared before and after SGB intervention. Correlation analysis and linear regression equations were employed to identify the potential indicators predicting the effectiveness of SGB intervention. Statistical analysis was performed by SPSS 24.0 software. ResultsBy April 2023， a total of 107 patients with chronic subjective tinnitus had undergone SGB intervention， including 67 male and 40 female， with a mean age of （45.32±11.40） years old and an average tinnitus history of （20.32±24.64） months ［16 （12~20）］. Only 7 patients （6.54%） quitted the intervention for personal reasons， which demonstrated good compliance with the intervention. No patients experienced adverse reactions such as infection at the injection site， hematoma， nerve injury， local anesthetic intoxication and so on， which revealed good safety. After SGB intervention， THI scores decreased to below 36 points in 77 patients and decrease by 10 points or more in 12 of the remaining patients， with a total effective rate of 89%. A paired sample t-test showed a significant difference in THI scores before and after SGB intervention （t=15.575， P<0.001）， indicating good improvement. Pearson correlation analysis suggested that pre-intervention THI scores and subjective tinnitus loudness were significantly positively correlated with the improvement level of THI scores （P<0.05）. Further stepwise linear regression analysis found that "pre-intervention THI scores" had statistical significance （P<0.001）， with a regression coefficient of 0.308， predicting a 17.4% improvement level in THI scores. ConclusionsDue to its good and safe short-term effects， SGB intervention can be used as a supplementary option for chronic subjective tinnitus when other interventions are not ideal， especially for patients with higher THI scores. However， further research is needed to clarify the long-term efficacy and underlying mechanisms， in order to establish a more solid theoretical basis for SGB intervention in the treatment of subjective tinnitus.

Maternal and perinatal health indicators from 2019 to 2022: Data from the POGS Nationwide Statistics System / Philippine Journal of Obstetrics and Gynecology

Objectives@#The objectives of this study were to present maternal and perinatal health indicators for the years 2019–2022. @*Methodology@#This is a cross-sectional review that analyzed data on maternal and perinatal health indicators, generated from submissions of POGS-accredited hospitals (training and service) from January 2019 to December 2022. The data were compared to the national data obtained from official public documents published by the Philippine Statistics Authority in 2022 and 2023.@*Results@#The number of member hospitals has steadily increased over the years, and compliance rates have been consistently over 85%. The total number of registered cases and live births declined in 2020 and 2021, but has increased to prepandemic levels in 2022. The primary cesarean section (CS) rates remained above 20%, with the highest rate noted in 2021 (25.5%). The top three-most common indications for primary CS were dysfunctional labor, fetal distress, and malpresentation. Stillbirth, perinatal, and maternal mortality rates showed an increase from 2019 to 2022, with peak rates registered for the year 2021. The top five causes of maternal death are: medical complications, hemorrhage, hypertension, infection, and others (unspecified). The case fatality rate among pregnant patients with confirmed COVID-19 infection was 1.18%.@*Conclusion@#From 2019 to 2021, there was a decline in the number of registered cases and live births, and an increase in the primary CS rates, maternal mortality ratio, perinatal death rates, and stillbirth rates. This may be explained by the prevailing social, health, and economic impact of the COVID-19 pandemic during these years.

Hematological Indicators of Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency in Malaria-Infected Individuals

@#Introduction: Malaria, a life-threatening infectious disease caused by Plasmodium parasites, continues to be a major global health concern, particularly in regions with high transmission rates. This retrospective cohort study aimed to investigate the hematological indicators of G6PD deficiency in individuals infected with malaria. The study utilized medical records and laboratory test results to analyze the hematological parameters and markers in individuals with confirmed malaria and G6PD deficiency. Methods: Data were collected from the laboratory unit of Mosul Teaching Hospitals in Ninevah Province, Iraq, from March 2021 to November 2022. The study population consisted of individuals diagnosed with malaria and with available G6PD deficiency test results. G6PD deficiency was determined by measuring the G6PD enzyme activity in the patient’s blood. Hematological parameters, including complete blood counts, platelet counts, and red blood cell indices, were recorded using a laboratory information system. Results: The study population exhibited a relatively low prevalence of G6PD deficiency, with no significant differences observed in age or gender distribution between individuals with and without G6PD deficiency. The distribution of malaria types did not differ significantly between the two groups. However, patients with G6PD deficiency showed a significantly higher monocyte count, indicating a potential association between G6PD deficiency and altered monocyte response during malaria infection. The clinical significance of this finding requires further investigation. Conclusion: This study sheds light on the hematological indicators of G6PD deficiency in individuals infected with malaria. The findings suggest a potential relationship between G6PD deficiency and altered monocyte response during malaria infection.

Progress in the effect of blood indicators on retinopathy of prematurity / 国际眼科杂志(Guoji Yanke Zazhi)

Retinopathy of prematurity(ROP), an abnormal vascular proliferative retinopathy of prematurity, is a serious condition that can lead to retinal detachment or blindness. With the development of neonatal medicine, the survival rate of low birth weight and low gestational age infants has been increasing, as well as the incidence of ROP. Therefore, studying ROP's pathogenesis and influencing factors is of great clinical importance. Numerous studies have been conducted on the risk factors for ROP, including gestational age, oxygen intake, mode of delivery, neonatal bronchopulmonary dysplasia, and the use of surfactants. At present, it is widely accepted both at home and abroad that preterm birth, low birth weight, and high oxygen concentration after birth are independent risk factors for ROP. In recent years, more and more scholars have found that abnormalities in blood indicators in preterm infants may be associated with the development of ROP. This article reviews the effects of platelets, haemoglobin, blood glucose, inflammatory cells, and lipids on ROP, providing a reference for identifying and preventing risk factors for ROP.

Description of core performance measures and indicators of patient safety used by select government and private hospitals in the Philippines

Background@#In 2008, the Department of Health (DOH) issued Administrative Order 2008-0023 that called for an “effective and efficient monitoring system that will link all patient safety initiatives”. However, there are still no explicit and harmonized targets to measure effectiveness and to provide benchmarks that assess whether previous efforts were helpful. @*Objective@#The study aimed to describe the status of patient safety performance measures and indicators on the international patient safety goals (IPSGs) in select hospitals in the Philippines. @*Methods@#Descriptive, cross-sectional design was used to investigate currently used performance measures and indicators. Data collection included administration of a Hospital Patient Safety Indicators Questionnaire (HPSIQ) that summarized the currently used patient safety measures and indicators in the sampled Level 2 and level 3 hospitals and triangulation by review of documents such as hospital databases, protocols on reporting, and manuals for information gathering regarding patient safety. Performance measures were categorized using the Donabedian framework. Core indicators were identified through review of standards that cut across the six IPSGs and evaluation of overarching processes and concepts in patient safety. @*Results@#Forty-one level 2 and 3 hospitals participated in the study. Most performance indicators were process measures (52%), while structure (31%) and outcome measures (17%) accounted for the rest. There is an obvious lack of structural requirements for patient safety in the hospitals included in this study. Less than half the hospitals surveyed implement risk assessment and management consistently. Reporting of events, near- misses, and patient safety data are widely varied among hospitals. Data utilization for quality improvement is not fully established in many of the hospitals. Patient engagement is not integrated in service delivery and performance measurement but is crucial in promoting patient safety. @*Conclusion@#Mechanisms to improve hospitals’ capacity to monitor, anticipate, and reduce risk of patient harm during the provision of healthcare should be provided. Having a unified set of definitions and protocols for measurement will facilitate reliable monitoring and improvement. Leadership and governance, both internal (e.g., hospital administrators) and external (e.g., DOH) that recognize a data-driven approach to policymaking and improvement of service delivery are crucial in promoting patient safety

Construction of performance management system for pharmacy department of tertiary public hospitals under new situation / 中国药房

OBJECTIVE To provide reference for improving the work efficiency of staff and promoting the discipline construction of pharmacy department. METHODS By analyzing the current situation of performance management in the pharmacy department of our hospital， the key successful factors were sorted out， strategic decoding was carried out and key performance indicators were extracted. The quarterly and annual performance appraisal forms were formulated for the departments of pharmacy warehouse， outpatient pharmacy， ward pharmacy， clinical pharmacy department， prescription examination center， laboratory and other departments； the performance management information platform was built. The work efficiency and output of each department were compared half a year before and after the implementation of the performance management plan. RESULTS After the implementation of the program， the average queuing time for drug collection in the outpatient department was shortened from 5 minutes to 3 minutes， the average number of dispensing infusion bags per hour in the pharmacy intravenous admixture services increased from 50 bags to 60 bags， and antibacterial use density of the hospital decreased from 42.7 DDD（defined daily doses） to 40.2 DDD. The number of academic papers published had increased from 8 to 10， and the satisfaction of clinical departments with ward pharmacies increased from 85% to 95%. CONCLUSIONS The performance management system has been successfully established in pharmacy department of our hospital， which can improve the enthusiasm of pharmacists， reflect the value of pharmaceutical care， and promote the discipline construction of pharmacy.

Clinical Efficacy Evaluation of Tanreqing Injection Combined with Ceftazidime in Treatment of Phlegm Heat Obstructing Lung Syndrome in Acute Exacerbation of Chronic Obstructive Pulmonary Disease / 中国实验方剂学杂志

ObjectiveTo explore the effect of Tanreqing injection combined with Ceftazide on the clinical efficacy， lung function， and laboratory inflammatory index of patients suffering from phlegm heat obstructing lung syndrome in acute exacerbation of chronic obstructive pulmonary disease （AECOPD）. MethodFrom June 2021 to June 2023， 76 patients diagnosed with phlegm heat obstructing lung syndrome in AECOPD were enrolled in the respiratory and critical medical department of Jieshou Hospital of Traditional Chinese Medicine. They were randomly divided into a control group and an observation group with 38 cases each. The control group used Ceftazidime intravenous drip and other conventional oxygen inhalation and antispasmodic treatment measures of western medicine. The observation group received Tanreqing injection intravenous drip based on the treatment of the control group， with a course of 10 days. The changes of laboratory indicators such as hs-CRP， calcitonin （PCT）， and interleukin-6 （IL-6） before and after treatment were analyzed， and the improvement of forced expiratory volume in the first second （FEV1）， forced vital capacity （FVC）， one second rate （FEV1/FVC）， assessment and improvement of the British Medical Research Society’s dyspnea index （mMRC）， self-evaluation test of chronic obstructive pulmonary disease patients （CAT）， and traditional Chinese medicine syndrome score was compared. In addition， the total effective rate between the two groups after treatment was compared. ResultAfter treatment， the hs-CRP， PCT， IL-6， FEV1， FVC， FEV1/FVC， mMRC， CAT scores， and traditional Chinese medicine syndrome evaluation of both groups improved （P<0.01）. After treatment， compared with the control group， the observation group showed more significant improvements in hs-CRP， PCT， IL-6， FEV1， FVC， FEV1/FVC， mMRC， CAT scores， and traditional Chinese medicine syndrome evaluation， and the difference was statistically significant （P<0.05，P<0.01）. The total clinical effective rate of the control group was 86.84% （33/38）， while that of the observation group was 94.74% （36/38）. The therapeutic effect of the observation group was better than that of the control group （χ2=8.471， P<0.05）. ConclusionTanreqing injection combined with Ceftazidime has obvious efficacy in the treatment of phlegm heat obstructing lung syndrome in AECOPD， which is better than the treatment of Ceftazidime antibiotics alone. It can reduce the risk of acute exacerbation， alleviate clinical symptoms， and delay the decline of lung function.

Benthic community ecology for Algerian river Seybouse

Abstract The Seybouse is the second largest river basin in Algeria, hosting an important biodiversity and providing various ecosystem services. This watershed is highly influenced by agricultural and industrial activities, which threaten its biodiversity and ecosystem integrity. The use of benthic macroinvertebrates as biological indicators has a long tradition in developed countries and integrated into all assessments of the ecological quality of river systems. However, the macroinvertebrates of many North African regions are still not well studied, including those of the Seybouse river. The aim of this study is to assess the inventory and ecological role of benthic macroinvertebrates in inland waters of the Seybouse River and determine the impact of pollution on their spatial distributions. We sampled the benthic macrofauna of Wadi Seybouse and its affluents using regular surveys in three sites, of which one was in the upper Seybouse Bouhamdane in Medjez Amar and two in the middle Seybouse. Between December 2019 and May 2020, 10 physico-chemical parameters (pH, EC, OD, water speed, NO3, Salinity, NO2, MES, turbidity, depth) were measured in order to establish a health state diagnosis of these aquatic ecosystems. The complementary biological approach by the analysis of populations of macroinvertebrates identified 7482 individuals and 40 taxa divided into five classes: Crustaceans which were the most dominant, insects with the main orders (Ephemeroptera, Diptera, Trichoptera, Heteroptera and Odonata), Molluscs, Nematodes and Annelids. The physico-chemical analyzes and the application of the organic pollution indices indicated a strong to excessive pollution for all sites, especially in Seybouse upstream

Resumo O Seybouse é um rio no nordeste da Argélia, é o segundo maior rio, tem uma área de captação de cerca de 6.500 km2 que acolhe cerca de 1,5 milhões de habitantes. Importantes atividades agrícolas e industriais são desenvolvidas nesta bacia hidrográfica. O uso de macroinvertebrados bentônicos como indicadores biológicos tem uma longa tradição em países desenvolvidos e está integrado em todas as avaliações da qualidade ecológica dos sistemas fluviais. O objetivo deste estudo foi revisar o inventário e o papel ecológico dos macroinvertebrados bentônicos nas águas interiores do rio Seybouse e determinar o impacto da poluição em suas distribuições. Resultados semelhantes foram relatados para outros países e rios argelinos. Este estudo enfoca a macrofauna bentônica de Wadi Seybouse e seus afluentes. Foram prospectados 03 locais, um no alto Seybousse Bouhamdane em Medjez Amar e dois no meio Seybousse Salah Salah Salah e Oued Zimba. Entre dezembro de 2019 e maio de 2020, dez parâmetros físico-químicos (pH, CE, DO, velocidade da água, NO3, Salinidade, NO2, MES, turbidez, deth) foram medidos para estabelecer um diagnóstico do estado de saúde desses ecossistemas aquáticos. A abordagem biológica complementar pela análise de populações de macroinvertebrados identificou 7.482 indivíduos e 40 táxons divididos em cinco classes: Crustáceos que são os mais dominantes, Insetos com as ordens principais (Ephemeroptera, Diptera, Trichoptera, Heteroptera e Odonata), Moluscos, Nematóides e Anelídeos. As análises físico-químicas e a aplicação dos índices de poluição orgânica, indicaram uma poluição forte a excessiva para todos os locais especialmente Salah Salah Salah.

Mortalidad por tumores malignos

El cáncer constituye un serio problema de salud para la humanidad, ocupa la primera causa de morbimortalidad a nivel mundial y una de las principales causas de muerte en Cuba. Se realizó un estudio descriptivo, retrospectivo, con el objetivo de describir la mortalidad por tumores malignos en el municipio Yara, en el período enero-junio de 2022. El universo quedó constituido por 262 fallecidos y la muestra del estudio lo constituyeron los 54 fallecidos con código de causa básica de muerte por tumores malignos en el período de tiempo antes señalado, datos obtenidos a través del registro primario de defunciones del Departamento de estadística del Centro Municipal de Higiene y Epidemiología. Se utilizaron métodos de estadística descriptiva principalmente el porcentaje, se confeccionaron cuadros de distribución de frecuencia, Se determinaron las tasas de mortalidad bruta y por causa. En el período analizado ocurrieron 54 defunciones por tumores malignos, el grupo de edad más afectado fueron los mayores de 75, predominó el sexo masculino, el área de salud "Luis Enrique de la Paz Reina" aportó el mayor número de fallecidos, la zona rural prevaleció sobre la urbana, las localizaciones más frecuentes: próstata, pulmón, colon-recto, el mayor número de las defunciones ocurrieron en el domicilio. En el municipio Yara los tumores malignos ocupan la segunda causa de mortalidad, el mayor número de fallecidos ocurrió en pacientes de la tercera edad, el tumor de próstata fue el más representativo.

Cancer represents a serious health problem for humanity. It occupies the first cause of morbimortality world wide, and one of the main causes of death in Cuba. A descriptive, retrospective study was conducted in the municipality of Yara, in the period January-June 2022.The objective of this research was to describe mortality due to malignant tumors. The universe was constituted by 262 deceased. The sample of the study was constituted by the 54 deceased with code of the basic cause of death by malignant tumors in the aforementioned period. These data were obtained through the primary register of deaths of the Department of Statistics of the Municipal Center of Hygiene and Epidemiology. Descriptive statistical methods were used, mainly percentages. Frequency distribution tables were prepared, and crude mortality rates and mortality rates by cause were determined. During the period analyzed, 54 deaths occurred due to malignant tumors. The most affected age group was those older than 75 years, the male sex predominated. The "Luis Enrique de la Paz Reina" health area contributed the highest number of deaths. The rural area prevailed over the urban area. The most frequent locations were: prostate, lung and colon-rectum. The highest number of deaths occurred at home. In the municipality of Yara, malignant tumors are the second cause of mortality. Moreover, the highest number of deaths occurred in elderly patients, and prostate tumor was the most representative.

O cancro representa um grave problema de saúde para a humanidade. Ocupa a primeira causa de morbimortalidade em todo o mundo, e uma das principais causas de morte em Cuba. Foi realizado um estudo descritivo e retrospetivo no município de Yara, no período de janeiro a junho de 2022, como objetivo de descrever a mortalidade por tumores malignos. O universo foi constituído por 262 falecidos. A amostra do estudo foi constituída pelos 54 falecidos com código da causa básica de morte por tumores malignos no período supracitado. Estes dados foram obtidos através do registo primário de óbitos do Departamento de Estatística do Centro Municipal de Higiene e Epidemiologia. Foram utilizados métodos estatísticos descritivos, principalmente percentuais. Foram elaboradas tabelas de distribuição de freqüência e determinadas as taxas brutas de mortalidade e as taxas de mortalidade por causas. Durante o período analisado, ocorreram 54 mortes por tumores malignos, sendo o grupo etário mais afetado o dos maiores de 75 anos e predominando o sexo masculino. A área de saúde "Luis Enrique de la Paz" foi a que contribuiu com o maior número de mortes. A zona rural prevaleceu sobre a zona urbana. As localizações mais frequentes foram: próstata, pulmão e cólon-reto. O maior número de mortes ocorreu no domicílio. No município de Yara, os tumores malignos são a segunda causa de mortalidade. Alémdisso, o maior número de óbitos ocorreu em pacientes idosos, sendo o tumor de próstata o mais representativo.

Influência dos indicadores socioeconômicos na distribuição dos casos suspeitos de dengue no município de São Carlos-SP / Influence of socioeconomic indicators on the distribution of suspected dengue

Resumo O estabelecimento definitivo do Aedes aegypti nas Américas está associado às mudanças ambientais, urbanização desorganizada, ausência de água e saneamento básico e deslocamentos populacionais, definindo, assim, a trajetória da doença. O objetivo deste estudo foi analisar a distribuição espacial dos casos suspeitos de dengue e a relação com indicadores socioeconômicos no município de São Carlos-SP. Trata-se de estudo ecológico, realizado nesse município, em que foram utilizados dados secundários do Sistema de Informação sobre Agravos de Notificação no período de 2016 a 2017 e do Instituto Brasileiro de Geografia e Estatística do Censo Demográfico de 2010. Os dados foram analisados por meio da Análise de Componentes Principais pelo software Statistica 12.0 e os mapas temáticos foram gerados pelo software Arcgis versão 10.5. Os resultados mostraram elevadas taxas de casos suspeitos de dengue em áreas de ponderação com condições sociais adequadas e taxas reduzidas em áreas de ponderação com iniquidades sociais. Concluiu-se que o perfil de casos suspeitos por dengue na população de São Carlos não está relacionado a baixos indicadores socioeconômicos, uma vez que a dinâmica e a mobilidade populacional relacionadas ao elevado fluxo de universitários podem influenciar no padrão de distribuição espacial da doença.

Abstract The definitive establishment of Aedes aegypti in the Americas is associated with environmental changes, disorganized urbanization, lack of water and basic sanitation and population displacement, thus defining the trajectory of the disease. The aim of this study was to analyze the spatial distribution of the dengue suspected cases and understand its correlation with the socioeconomic indicators in the city of São Carlos (SP). This is an ecological study, carried out at the São Carlos (SP). Secondary data from the Information System on Notifiable Diseases in the period from 2016 to 2017 and from the Brazilian Institute of Geography and Statistics of the 2010 Demographic Census were used. The data were analyzed using Principal Component Analysis (ACP) by the software Statistica 12.0 and the thematic maps were generated by the software Arcgis version 10.5. The results showed high rates of suspected dengue cases in areas with adequate social conditions and reduced rates in areas with worst social condition. It was concluded that the outline of suspected dengue cases in the population of São Carlos (SP) is not related to low socioeconomic indicators, once the population dynamics and mobility related to the high flow of university students can influence the pattern of spatial distribution of the disease.