Avaliação da incompletude dos registros de óbitos por causas externas do Sistema de Informações sobre Mortalidade no Rio Grande do Sul, 2000-2019 / Assessment of incompleteness of Mortality Information System records on deaths from external causes in the state of Rio Grande do Sul, Brazil, 2000-2019 / Evaluación de la incompletitud de los registros de defunción por causas externas del Sistema de Información de Mortalidad en Rio Grande do Sul, Brasil, 2000-2019

Objetivo: avaliar a incompletude dos dados do Sistema de Informações sobre Mortalidade (SIM) para óbitos por causas externas (CEs) no Rio Grande do Sul, Brasil, 2000-2019. Métodos: estudo ecológico, com dados do SIM para a totalidade das CEs e, especificamente, por acidentes de transporte, homicídios, suicídios e quedas; analisou-se a tendência da incompletude via regressão de Prais-Winsten, com nível de significância de 5%. Resultados: 146.882 óbitos foram avaliados; sexo (0,1%), local de ocorrência do óbito (0,1%) e idade (0,4%) mostraram as menores incompletudes, em 2019; a proporção de incompletude apresentou tendência decrescente para local de ocorrência do óbito e escolaridade, crescente para estado civil e estável para idade e raça/cor da pele, entre todos os tipos de óbito avaliados. Conclusão: as variáveis analisadas alcançaram alto grau de preenchimento; à exceção do estado civil e da escolaridade, para as quais persistiram escores insatisfatórios para óbitos por CEs, totais e por subgrupos.

Objective: to evaluate the incompleteness of Mortality Information System (Sistema de Informações sobre Mortalidade - SIM) data on deaths from external causes (ECs) in the state of Rio Grande do Sul, Brazil, 2000-2019. Methods: This was an ecological study, using SIM data on all deaths from external causes and, specifically, from transport accident, homicides, suicides and falls; the analysis of the trend of incompleteness was performed by means of Prais-Winsten regression, with a 5% significance level. Results: A total of 146,882 deaths were evaluated; sex (0.1%), place of death (0.1%) and age (0.4%) showed the lowest incompleteness in 2019; the proportion of incompleteness showed a decreasing trend for the place of death and schooling, an increasing trend for marital status and a stable trend for age and race/skin color, among all types of death evaluated. Conclusion: the variables analyzed reached a high degree of completion; with the exception of marital status and schooling, for which unsatisfactory scores persisted for deaths from ECs, both total and by subgroups.

Objetivo: evaluar la incompletitud de los datos del Sistema de Información de Mortalidad (SIM) para las defunciones por causas externas (CEs) en Rio Grande do Sul, Brasil, 2000-2019. Métodos: estudio ecológico con datos del SIM por causas externas, totales y por accidentes de tránsito, homicidios, suicidios y caídas; se utilizó la regresión de Prais-Winsten para evaluar la tendencia de incompletitud, con un nivel de significancia del 5%. Resultados: se evaluaron 146.882 muertes; sexo (0,1%), lugar de muerte (0,1%) y edad (0,4%) mostraron menos incompletitud en 2019; la tendencia de la proporción de incompletitud disminuyó para el lugar de ocurrencia y la educación, aumentó para el estado civil y se mantuvo estable para edad y raza/color del piel para todo tipo de muertes evaluadas. Conclusión: las variables analizadas lograron alta calidad de información, con excepción del estado civil y educación, que persistieron con incompletitud insatisfactoria para las muertes por CE (total y subgrupos).

Effects of Physical Exercise on Lipid and Inflammatory Profile of Women Using Combined Oral Contraceptive: A Cross-Over Study

Abstract Background: The use of combined oral contraceptives (COC) is a risk factor for atherosclerotic disease, and physical exercise can minimize this condition. Objective: To verify if high intensity interval training (HIIT) promotes changes in the lipid and inflammatory profile of women using COC. Methods: Sequential crossover study with women aged 20-30 years, classified as irregularly active by the international physical activity questionnaire (IPAQ), when using COC. A physical-clinical assessment was performed with anthropometric measurements, VO2max, and analysis of lipid and inflammatory profile. Participants were divided into 2 groups: the initial intervention group (GII), which began practicing HIIT for 2 months, and the posterior intervention group (GIP), which remained inactive for the same period. The GII and GIP would then alternate their conditions. The collected data was divided into: Initial moment (IM), post-exercise moment (PEM) and post-inactivity (PIM). The statistical analyses were performed using the Statistical Package for the Social Sciences, adopting a significance level of p <0.05 . Results: Twelve women were evaluated. After crossing the GII and GIP data, there was a difference in the C-reactive protein values between the IM of 4 (1.6-6.3 mg/dL) vs. PEM 2 (1.5-5 mg/dL); as well as between the PEM vs. the PIM= 4 (1.5-5.8 mg/dL), with a p -value = 0.04 in the comparisons. There was no change between the "moments" of the lipid profile, although it was possible to notice a reduction in resting HR and an increase in indirect VO2max. Conclusion: The HIIT program was able to reduce the inflammatory profile, but it did not alter the lipid profile of irregularly active women using COC.

Efeitos do exercício físico sobre o perfil lipídico e inflamatório de mulheres jovens em uso de contraceptivo oral combinado: protocolo de um estudo sequencial cruzado / Effects of physical exercise on the lipid and inflammatory profile of young women using combined oral contraceptives: protocol of a crosssectional study

INTRODUÇÃO: O uso de contraceptivos orais combinados (COC) trata-se de um fator de risco para a doença aterosclerótica por comprometer o perfil lipídico e inflamatório, podendo o exercício físico minimizar essas condições. OBJETIVO: Testar a hipótese de que exercício físico pode modificar o perfil lipídico e inflamatório de mulheres em uso COC. MÉTODOS: Protocolo de um estudo sequencial cruzado com mulheres de 20 e 30 anos, irregularmente ativas, em uso de COC há pelo menos 6 meses. Realizouse uma avaliação físico-clínica (AFC) nas participantes com medidas antropométricas, VO2máx. indireto e análise do perfil lipídico e inflamatório. Na sequência separou-se as participantes em 2 grupos: O grupo intervenção inicial (GII) que iniciou praticando exercícios intervalados de alta intensidade por 2 meses, e o grupo intervenção posterior (GIP), que seguiu irregularmente ativo pelo mesmo período. Em seguida o GII e o GIP alternariam suas condições por mais 2 meses, totalizando 4 meses de acompanhamento e 3 AFC, realizadas no início, após 2 meses e ao final do estudo. As informações colhidas foram divididas em 3 momentos: Momento inicial (MI), momento pós exercício (MPE) e pós inatividade (MPI).

INTRODUCTION: The use of combined oral contraceptives (COC) is a risk factor for atherosclerotic disease because it compromises the lipid and inflammatory profile, and physical exercise can minimize these conditions. OBJECTIVE: To test the hypothesis that high intensity interval physical exercise promotes changes in the lipid and inflammatory profile of women who are irregularly active using COC. METHODS: Protocol of a crosssectional study with women of 20 and 30 years, irregularly active, using COC for at least 6 months. A physicalclinical assessment (AFC) was performed on the participants with anthropometric measurements, VO2max. analysis and analysis of the lipid and inflammatory profile. Afterwards, the participants were divided into 2 groups: the initial intervention group (GII) that started practicing high intensity interval exercises for 2 months, and the posterior intervention group (GIP), which remained irregularly active for the same period. Then the GII and GIP would alternate their conditions for another 2 months, totaling 4 months of follow-up and 3 AFC, performed at the beginning, after 2 months and at the end of the study. The information collected was divided into 3 moments: Initial moment (MI), post-exercise moment (MPE) and post-inactivity (MPI).

Microbiology of Tracheal Secretions: What to Expect with Children and Adolescents with Tracheostomies

Abstract Introduction People with tracheostomies exhibit a higher risk of colonization of the lower respiratory tract, acute tracheitis and pneumonia. Despite this, the culture of tracheal secretions is not a routine inmost hospitals, and sometimes empiric therapy is based on personal experience, which is not an ideal situation. Objective To recognize the pathogens present in the tracheal secretions collected from people up to 18 years old with tracheostomies. Methods Prospective evaluation of patients under the age of 18 of a tertiary care hospital. A standardized questionnaire was completed, and tracheal secretion aspirates were sent for microbiological cultures and antibiograms. Results Twenty patients under 18 years of age were evaluated, 65% of whom were male. The microbiological culture was positive in 90% of the patients, and the most common microorganisms found were Pseudomonas aeruginosa (55.5%) and Staphylococcus aureus (27.7%). Discussion Tracheostomized children and adolescents have respiratory tracts colonized by pathogens, the most common of which is Pseudomonas aeruginosa. These patients must undergo tracheal secretion cultures, whether they present symptoms or not, to determine if there is a correlation between the colonization and the infections. This finding could guide the adequate treatment, avoiding the inappropriate use of antibiotics and indicating the better therapy in cases of laryngeal reconstruction. Conclusion In this sample, the culture of tracheal secretions was mainly positive, and the most common agent was P. aeruginosa. We suggest the routine access to Brazilian children and adolescents tracheal secretion cultures, which could help tomake a profile of these children and guide the use of antibiotics.

Relação entre enfermeiros e médicos no Hospital das Clínicas da Universidade Federal de Goiás: a perspectiva do profissional de enfermagem / Profesional relaationhip between nurses and doctors at the clinical hospital of federal university of goiás: the view ofnuurses / Relacón profesioonal entre enfermeras y médicos en el hospital de la universidad federal de goiás: la visión de las enfermeras

El conflicto en la relación entre médicos y enfermeras es un tema tabú en los servicios de salud y poco discutido en la literatura. Se sabe que el conflicto entre estas dos profesiones, identificados como los principales responsables de la atención al paciente, se debe a la combinación de diversos factores que van desde la creación del equipo multidisciplinario hasta las cuestiones salariales. El estudio tiene por objeto determinar si desde el punto de vista de enfermeria, hay un conflicto en la relación con los médicos en el Hospital das Clínicas de la Universidad Federal de Goiás (HC / UFG) y los factores que intervienen. Con este fin, 82 enfermeras respondieron a un cuestionario con preguntas demográficas y sobre las variables que afectan a la relación (Escala Likert). El resultado muestra predominio del sexo femenino (89%), edad promedio 40,5 años, tiempo promedio de trabajo 11 años y horario semanal promedio de 30 horas. El análisis factorial identificó tres Fatores de Protección (División de tareas, Reconocimento y Reflex en el paciente) y tres Factores de generación de conflictos (Comunicación, Reconocimiento y Condiciones de trabajo), mientras que el conflicto esté subyacente a los procesos de trabajo y de la relación intersubjetiva. El paciente es el principal beneficiario cuando hay buena relación y las fallas en la comunicación, las condiciones de trabajo y remuneración no digna son factores de desestabilización de la relación multiprofesional.

The conflict in the relationship between doctors and nurses is a taboo subject in the health service and little discussed in the literature. It is known that the conflict between these classes, that are directly responsible for the care of the patient, is caused by the combination of diverse factors ranging from the establishment of the group of work until the salary. The research presented here aimed to verify if there is conflict in the relationship between doctors and nurses at the Clinical Hospital of the Federal University of Goiás (HC) and the factors that may promote or prevent it. An amount of 82 nurses were interviewed to study this population and the categories of variables that interfere in their relationship with other professionals. The result was a population with a prevalence of females (89%) with mean age of 40.5 years, average working time at the HC of 11 years and with weekly working hours average of 30. Factor analysis identified three protective factors (Division of tasks, Teaching hospital and Influences in the patient) and three other conflict generator factors (Communication, Recognition and working conditions), while the conflict underlies the processes related to work and personal relationship. The patient is the primary beneficiary when there is a good relation. Bad communication, non-appropriate working conditions and unworthy remuneration are destabilizing factors for the inter-professional relationship.

O conflito na relação entre médicos e enfermeiros é assunto tabu nos serviços de saúde e pouco discutido na literatura. Sabe-se que o conflito entre essas duas profissões, tidas como as principais responsáveis pelo cuidado do paciente, é causado pela associação de diversos fatores que vão desde a constituição da equipe multiprofissional até as questões salariais. O estudo pretende averiguar se, na visão da enfermagem, há conflito na relação com médicos, no Hospital das Clínicas da Universidade Federal de Goiás (HC/UFG) e os quais os fatores associados. Para tanto, 82 enfermeiros responderam a um questionário com dados demográficos e perguntas em escala Likert, sobre as variáveis que interferem na relação interprofissional. O resultado demonstra predomínio do gênero feminino (89%), idade média de 40,5 anos, tempo de trabalho médio no HC de 11 anos e carga horária semanal média de 30 horas. Da análise fatorial foram identificados três fatores de proteção (Divisão das tarefas, Influencia hospital escola e Reflexo no paciente) e três de geração de conflitos (Comunicação, Reconhecimento e Condições de trabalho), estando o conflito subjacente aos processos de trabalho e de relação intersubjetiva. O paciente é o principal beneficiado quando existe boa relação. Ruídos de comunicação, condições de trabalho inapropriadas e a remuneração indigna configuram-se como fatores desestabilizadores da relação interprofissional.