Cases of leprosy notified in the municipality of Parnaíba, state of Piauí, Brazil, 2007-2016

This study aimed to describe the epidemiological and clinical characteristics of leprosy cases reported in the municipality of Parnaíba, State of Piauí. This was a cross-sectional study of leprosy cases, living in Parnaíba, State of Piauí, reported to the National System of Notifiable Diseases (SINAN), from 2007 to 2016. There were 582 cases of leprosy with hyperendemic detection in the general population in 2008, 2009 and 2016; and under < 15 years of age in 2008, 2014 and 2016, with a predominance of females (53.1%), brown (62.2%), aged 20-64 years (74.7%), complete and incomplete elementary school (56.4%), housewives (20.7%), living in the urban area (87.1%), reported by primary care (69.2%). The most frequent clinical and therapeutic findings were: multibacillary operational classification (53.8%); clinical forms: undetermined (30.6%) and virchowian (24.3%); single lesion (34.8%); no affected nerves (86.7%); degree of disability zero (70.6%); bacilloscopy not performed (26.7%); therapeutic regimen 12 doses (53.7%) and no reaction (70.8%). Regarding the mode of input, predominated new case (88.8%); mode of output, cure (87.9%) and detection mode: spontaneous demand (45.8%). Out of 2,106 registered contacts, 60.6% were examined. Leprosy is endemic to Parnaíba, State of Piauí. It is noteworthy that the hyperendemic detection rates occurred during years when there was intensification of active search for contacts and cases in the population.

Cervical cancer and quality of life: an integrative review / Câncer do colo do útero e qualidade de vida: uma revisão integrativa

Objective: To analyze the publications regarding the quality of life of women with cervical cancer. Method: This is an integrative review performed in the indexed LILACS, MEDLINE and SCIELO databases. The descriptors "Quality of Life" AND "Cervical Neoplasms", "Quality of Life" AND "Woman's Health" and "Woman's Health" AND "Cervical Neoplasms" were used, in which articles published in the period from 2010-2018 that met the inclusion criteria were selected. Results: The research resulted in three articles in Lilacs, three in Medline, and five in Scielo, totaling 11 articles. The research used three questionnaires, such as EORTC QLQ-C30, WHOQOL-bref, and FACT-Cx. These instruments are the most widely used today to measure the quality of life and health conditions in broad aspects. It was observed that cervical cancer positively affects women's quality of life in social and emotional aspects. Conclusion: Quality of life, although with a positive evaluation, should encourage the formulation of public health policies aimed at improving this target audience's quality of life. The discovery of the disease brings several fears, including the thought of death. In addition, it has a physical and psychological impact on these women's lives.

Analisar as publicações referentes à qualidade de vida das mulheres acometidas pelo câncer cervical. Trata-se de uma revisão integrativa realizada nas bases de dados indexadas LILACS, MEDLINE e SCIELO. Utilizou-se os descritores "Qualidade de vida" AND "Neoplasias do colo do útero", "Qualidade de vida" AND "Saúde da Mulher" e "Saúde da Mulher" AND "Neoplasias do colo do útero", na qual foram selecionados artigos publicados no período de 2010-2018 que atendessem aos critérios de inclusão. A pesquisa resultou em três artigos na Lilacs, três na Medline e cinco na Scielo, totalizando 11 artigos. As pesquisas utilizaram três questionários, tais como: EORTC QLQ-C30, WHOQOL-bref e FACT-Cx. Esses instrumentos são os mais utilizados na atualidade para mensurar a qualidade de vida e as condições de saúde em amplos aspectos. Observou-se que o câncer cervical afeta positivamente a qualidade de vida das mulheres nos aspectos sociais e emocionais. A qualidade de vida embora com a avaliação positiva nas mulheres deva ser incentivada à formulação de políticas públicas de saúde que visem à melhora da qualidade de vida desse público-alvo. A descoberta da doença traz vários receios, entre eles, o pensamento de morte que repercute de forma física e psicológica na vida dessas mulheres.

Estratégia Saúde da Família e internações hospitalares em menores de 5 anos no Piauí, Brasil / The Family Health Strategy and hospital admissions of children under five years in Piauí State, Brazil

Internações hospitalares por algumas condições de saúde podem ser reduzidas por uma atenção primária oportuna e com qualidade, especialmente na população infantil. Analisou-se a evolução das internações hospitalares de menores de 5 anos no Piauí, Brasil, de 2000 a 2010, segundo grupos de causas (CID-10) e das internações de 2010, com base na lista brasileira de Internações por Condições Sensíveis à Atenção Primária. O objetivo foi identificar mudanças no perfil de morbidade hospitalar e discutir sua relação com a expansão da ESF no estado. O Piauí apresentou a maior expansão proporcional da ESF, alcançando a cobertura estimada de 97,2 por cento, em 2010. No período de 2000 a 2010, a frequência e as taxas de internações em menores de 5 anos foram reduzidas, porém, a proporção de hospitalizações nos principais grupos de causas se manteve ou aumentou, ao longo da década analisada. Em 2010, 60 por cento das internações em menores de 5 anos foram por causas sensíveis à atenção primária, em especial gastrenterites infecciosas, infecções respiratórias e asma.

Hospitalizations for some health conditions can be reduced by timely primary care with appropriate quality, especially in children. This study analyzed the trend in hospitalizations in children under five years of age in Piauí State, Brazil, from 2000 to 2010, according to groups of causes (ICD-10) and hospital admissions in 2010, based on the Brazilian List of Hospitalizations for Primary Care-Sensitive Conditions. The objectives were to identify changes in the hospital morbidity profile and to discuss their relationship to expansion of the Family Health Strategy (FHS) in the State. Piauí showed the highest proportional expansion of the FHS in Brazil, reaching an estimated coverage of 97.2 percent in 2010. From 2000 to 2010, there was a reduction in the hospitalization frequency and rates in children under five years, but the proportion of hospitalizations in the leading groups of causes persisted or increased during the decade. In 2010, 60 percent of hospitalizations in children under five years were for causes that are sensitive to primary care, especially infectious gastroenteritis, respiratory infections, and asthma.