Perfil de usuários e modos de frequentar um espaço de saúde mental infantil / Profile of users and ways of attending a child mental health service

O objetivo deste trabalho foi traçar o perfil dos usuários de um serviço de saúde mental, que atende crianças e suas famílias, em Salvador (Bahia). Realizou-se um estudo quantitativo, com identificação de frequências e cruzamento entre as variáveis: sexo, idade, arranjo familiar, modo de chegada ao serviço, motivo da procura e número de vezes que frequentou. Os dados foram colhidos na ficha de acompanhamento de 619 crianças que chegaram ao serviço durante o período de 2012 a 2016. Os resultados indicam a predominância de crianças do sexo masculino (63,2%), entre as idades de seis e dez anos (40,9%), pertencentes a famílias nucleares (47,2%), encaminhadas por outras instituições (48,9%). Dentre as famílias que chegaram ao serviço, 71,5% explicitaram a existência de queixas. "Problemas de comportamento" foi o motivo de procura mais recorrente entre meninos (46,77%), também presente em 26 % das meninas. No que tange à frequência observou-se que 60,5% das crianças e seus familiares retornaram ao serviço após o primeiro encontro, sendo que apenas 10% frequentaram mais de 10 encontros. Os resultados vão ao encontro de publicações anteriores e avançam ao trazer dados sobre temas pouco abordados na literatura, como o padrão de frequência dos usuários, apontando a necessidade de novas pesquisas

The objective of this work was to outline the profile of the users of a mental health service, which serves children and their families, in Salvador (Bahia). A quantitative study was carried out, with frequency identification and cross-checking between the variables: gender, age, family arrangement, mode of arrival, reason for searching and number of times. The data were collected in the follow-up form of 619 children who arrived in the service during the period of 2012 to 2016. As results, the predominance of male children (63.2%) between the ages of six and ten years (40.9%), belonging to nuclear families (47.2%), sent by other institutions (48.9%). Among the families that arrived at the service, 71.5% explained the existence of complaints. Behavior problems were the reason for a more recurrent demand among boys (46.77%) and also present in 26% of the girls. About 60.5% of the children and their families returned to service after the first meeting, with only 10% attending more than ten meetings. The results are in line with previous publications and are advancing by bringing data about topics that are not widely discussed in the literature, such as the frequency pattern of users, pointing the need of new research

Conocimiento y perfil de uso de la biblioteca Cochrane en médicos asistentes a un congreso de Medicina Interna / Knowledge and use profile of the Cochrane library in doctors attendees of an Internal Medicine congress

Introducción: las Revisiones Sistemáticas (RS) son herramientas para practicar Medicina Basada en la Evidencia. La Colaboración Cochrane genera RS, pero el conocimiento y uso de la Biblioteca Cochrane (BC) es heterogéneo. Nuestro objetivo fue describir el nivel de conocimiento y el perfil de uso de la BC entre asistentes a una Conferencia Mundial de Medicina Interna (WCIM). Método:estudio transversal vía encuesta electrónica entre asistentes al XXXI WCIM, recabando información demográfica de los participantes; su conocimiento, acceso y usos de la BC. Resultados: 413 asistentes aceptaron participar y 198 (47,9 por ciento) de 24 países respondieron. 91,4 por ciento eran Latinoamericanos, 50,5 por ciento eran internistas. El conocimiento de la BC fue del 96,5 por ciento. El 76% de quienes respondieron usaban la BC al menos una vez al mes. No encontramos diferencias en la frecuencia de uso según edad o ámbito académico. Las principales razones para utilizar RS-BC fueron: toma de decisiones clínicas (67,6 por ciento), actualización (64,2 por ciento) y docencia (31,8 por ciento); 46 por ciento consideraron la BC muy útil para sus propósitos. Los <35 años utilizaban significativamente más la BC para guiar las decisiones clínicas que los >35 años (70 por ciento vs 53 por ciento, p: 0,017). Quienes consideraron muy útil la BC la utilizaron significativamente más para propósitos docentes (41 por ciento vs. 24 por ciento, p: 0,019) y toma de decisiones clínicas (79 por ciento vs. 58 por ciento, p: 0,003) que quienes la declararon como a veces útil o no útil. Hubo también diferencias estadísticamente significativas en la distribución del acceso a la BC según región geográfica (p: 0,001). Conclusiones: encontramos un alto nivel de conocimiento de la BC entre los asistentes a WCIM. Los usuarios describen un uso frecuente para diversos propósitos, considerándola útil para estos. (AU)

Introduction: Systematic Reviews (SR) are tools for practicing Evidence Based Medicine. Cochrane Collaboration generates SRs, but awareness and uses of Cochrane SR, changes over time and across different countries and medical specialties. We aimed to describe awareness and user's profile of Cochrane Library (CL) SR among attendants to a World Conference of Internal Medicine (WCIM). Methods: Cross sectional online survey study among attendants to the XXXI WCIM asking about demographic information, awareness of, access to and uses of CL-SRs. Results: 413 attendants to WCIM volunteered to participate and 198 (47.9 percent) from 24 countries replied; 91.4 percent) were from Latin-America. Mean age was 37 years and 50.5 percent) were general internists or internal medicine subspecialists. Awareness of the CL was 96.5 percent). The frequency of CL-SR use was at least once a month for 76 percent) of responders. We found no difference in frequency of use according to age or academic setting. Main reasons to use CL-SR were: guide clinical decisions (67.6 percent)), personal update (64.2 percent) and teaching (31.8 percent)); 46 percent) considered CL-SR very useful to their purposes. People <35y used CL-SR significantly more for guiding clinical decisions than those >35y (70 percent) vs 53 percent), p: 0.017). Users who considered CL-SR very useful use it significantly more for teaching purposes (41 percent) vs 24 percent), p: 0.019) and for clinical decision-making (79 percent) vs 58 percent), p: 0.003) than those declaring CL-SR as sometimes useful or not useful. Also there was statistically significant difference in distribution of access to CL by geographic region (p: 0.001). Conclusions: We found high awareness of CL-SRs among attendants to WCIM. Users describe frequent use, for several purposes and find it helpful for their purposes; however, access varied across regions. (AU)