Forty Years of HIV Research in French Guiana: Comprehend to Combat.

The drivers of the HIV epidemic, the viruses, the opportunistic infections, the attitudes and the resources allocated to the fight against HIV/AIDS, vary substantially across countries. French Guiana, at the crossroads between Amazonian South America and the Caribbean, constitutes a singular context with poor populations and rich country health funding, which has allowed researchers to gather lots of information on the particulars of our epidemic. We aimed to focus on the little known story of forty years of HIV research in French Guiana and emphasize how local research intertwined with public health action has yielded continuous progress, despite the difficult social conditions of the affected population. We searched Web of Science and associated local experts who worked through much of the epidemic in selecting the most meaningful products of local research for clinical and public health outcomes in French Guiana. Research tools and facilities included, from 1991 onwards, the HIV hospital cohort and the HIV-histoplasmosis cohort. Ad hoc studies funded by the ANRS or the European Regional Development fund shed light on vulnerable groups. The cumulative impact of prospective routine collection and focused efforts has yielded a breadth of knowledge, allowing for informed decisions and the adaptation of prevention, testing and care in French Guiana. After this overview, we emphasize that the close integration of research and public health was crucial in adapting interventions to the singular context of French Guiana.

Evaluation and economic analysis of fermented fish viscera silage in diets for tambaqui (Colossoma macropomum) and its effects on the physical quality of pellets, growth performance, health parameters.

The production of silage using fish viscera can be carried out with straightforward methods and permits the exploitation of nutrients that are usually discarded. This process fosters the concept of circular aquaculture. The aim of this study was to evaluate the inclusion of increasing levels of fish viscera silage (VS) on the physical quality of the feed pellets and their effects on their growth performance, health parameters and on economic indices when the experimental extruded feed was offered to tambaqui. A fermented fish VS produced in-house was included in increasing levels on a wet-basis in the formulation of five experimental diets (VS 0%, VS 5%; VS 10%; VS 15% and VS 20%). Juvenile tambaqui (~22.6 g) were stocked in fibreglass tanks of 700 L (n = 4; 21 fish per tank) with a recirculation system and the five experimental diets were attributed in a completely randomized design. The fish were fed with the experimental diets (to apparent satiation) for 13 weeks. At the end of the trial, no significant differences were observed for production performance. Fish fed with the highest inclusion level of VS presented the highest concentration of plasma cholesterol, but this was still within acceptable values for this species. The inclusion of fish VS in diets for juvenile tambaqui reduced the activity of the plasma ALT enzyme, confirming normal liver function. Extruded feed containing fish VS had a production cost of US$ 0.95 per kg, which does not significantly impact the economic indices. Up to 20% of fish VS can be included in the extruded feed formulation for juvenile tambaqui without impairing growth performance or affecting health parameters.

A Sustainable Diet for Tambaqui Farming in the Amazon: Growth Performance, Hematological Parameters, Whole-Body Composition and Fillet Color.

The aim of this study was to produce feed based on locally sourced ingredients for tambaqui farming in Amazon. Diets were formulated with increasing levels (0, 25, 50, 75 and 100%) of defatted black soldier fly larvae meal (BSFL) as a replacement for fish meal (FM), and cassava by-products in the same proportion (tuber residues, peel and leaves). A conventional diet (CO) was used as the control. Juvenile tambaqui (24.61 ± 1.14 g) were housed in 24 tanks in a recirculation aquaculture system. Neither diet rejection nor mortality were observed. Fish fed cassava by-products showed similar feed conversion rates (FCR 1.76); however, these values were worse than those observed in fish fed the CO (FCR 1.33). No differences were observed in the whole-body composition of the fish. The fillets of fish fed cassava by-products had a yellow color due the carotenoids present in the leaves. Dietary BSFL and cassava by-products can contribute to the sustainability of Amazonian aquaculture. Further studies with a lower proportion of cassava leaves in the diet formulation are recommended so as to ensure enhanced diet digestibility and less impact on the color of the fillets.

(Des)construção dos sentidos do trabalho: vivências de sofrimento em enfermarias de emergência hospitalar / (De)construction of the meanings of work: experiences of suffering in hospital emergency wards

Objetivo: Investigar as vivências de sofrimento no trabalho de enfermeiras em um serviço de emergência hospitalar. Métodos: Estudo qualitativo, com 15 enfermeiras de uma unidade de emergência hospitalar pública de um município da Bahia, Brasil. Os dados foram obtidos por meio de entrevistas em profundidade, analisados pelo Discurso do Sujeito Coletivo e ancorados no referencial teórico da Psicodinâmica do Trabalho. Resultados: Há sofrimento profissional no trabalho de enfermeiras em Unidade de Emergência Hospitalar e está permeado pela (des)construção dos sentidos do trabalho, do modo como este se organiza, do reconhecimento profissional, do adoecimento psíquico e das estratégias de enfrentamento desenvolvidas e que lhes estão disponíveis. Considerações finais: O sofrimento que emerge das relações do trabalho apresenta especificidades da organização e do fazer profissional em enfermagem no setor da emergência, o que compõe o contexto, as causas e as consequências do fenômeno e impacta nas distintas dimensões da vida. Descritores: Enfermagem em Emergência; Adaptação Psicológica; Saúde Mental; Saúde do Trabalhador; Serviço Hospitalar de Emergência.

Objective: To investigate the experiences of suffering in the work of nurses in a hospital emergency service. Methods: Qualitative study with 15 nurses from a public hospital emergency unit in a municipality in Bahia, Brazil. Data were obtained through in-depth interviews, analyzed by the Collective Subject Discourse and anchored in the theoretical framework of Work Psychodynamics. Results: There is professional suffering in the work of nurses in the Hospital Emergency Unit and it is permeated by the (de)construction of the meanings of work, the way work is organized, professional recognition, psychological illness, and the coping strategies developed and available to them. Final considerations: The suffering that emerges from work relationships presents specificities of the organization and professional practice in nursing in the emergency sector, which makes up the context, causes and consequences of the phenomenon and impacts on the different dimensions of life. Descriptors: Emergency Nursing; Psychological Adaptation; Mental Health; Worker's Health; Emergency Hospital Service.

Adaptive modes of adults' men during the COVID-19: qualitative analysis under Roy model / Modos de adaptación de hombres adultos durante el COVID-19: análisis cualitativo bajo el modelo de Roy / Modos adaptativos de homens adultos durante a COVID-19: análise qualitativa sob o modelo de Roy

Objective. This study aims to understand how adult men adapt to the COVID-19 pandemic. Methods. Qualitative study involving 45 adult men residing in Brazil in 2020. Data were obtained from a Web Survey and treated using Reflective Thematic Analysis and interpreted in the light of Callista Roy's Adaptation Model. Results. The COVID-19 pandemic mobilized in men the ways of adaptation that are configured in: mobilization of the physiological-physical and regulatory dimension: adjustments in the sleep pattern, dietary pattern, and maintenance of physical activity; group self-concept identity: managing emotions; role function: self-knowledge and self-care; interdependence: adjustments in the marital relationship, family ties and paternity, investment in training and studies and control of excessive consumption of content on cell phones. Conclusion. The perception of the own vulnerability favored the entry of men into ways of adaptation in search of balance during the pandemic, motivating them to move through practices of taking care of themselves and taking care of others. Markers of psycho-emotional distress alert to adherence to new modes of care capable of promoting healthy transitions in the face of disruptions and uncertainties generated by the pandemic. This evidence can support the establishment of goals for nursing care aimed at men.

Objetivo. Comprender cómo se estructuran los modos de adaptación de los hombres adultos a la pandemia de COVID-19. Métodos. Estudio cualitativo que involucró 45 hombres adultos en Brasil en 2020. Los datos se recolectaron mediante la Encuesta Web y a continuación se sometieron al Análisis Temático Reflexivo e interpretados bajo el Modelo de Adaptación de Callista Roy. Resultados. La pandemia de COVID-19 movilizó en los hombres modos de adaptación que se configuran en: movilización de la dimensión fisiológico-física y reguladora: ajustes en el patrón del sueño, la alimentación y el mantenimiento de la actividad física; autoconcepto grupal de identidad: gestión de las emociones; función de rol: autoconocimiento y autocuidado; interdependencia: ajustes en la relación conyugal, vinculación familiar y paternidad, inversión en formación y estudios, y control del consumo excesivo de contenidos en el dispositivo móvil. Conclusión. La percepción de la propia vulnerabilidad favoreció el ingreso de los hombres a modos de adaptación en busca del equilibrio durante la pandemia, lo que los estimuló a transitar por prácticas de cuidarse a sí mismos y cuidar de los demás. Los marcadores de sufrimiento psicoemocional alertan sobre la adhesión a nuevos modos de atención capaces de promover transiciones saludables ante las disrupciones e incertidumbres generadas por la pandemia. Esta evidencia puede apoyar el establecimiento de metas para el cuidado de enfermería hacia los hombres.

Objetivo. Compreender como se estruturam os modos de adaptação de homens adultos à pandemia da COVID-19. Métodos. Estudo qualitativo que envolveu 45 homens adultos residentes no Brasil em 2020. Os dados foram obtidos de Web Survey e tratados mediante Análise Temática Reflexiva e interpretados à luz do Modelo de Adaptação de Callista Roy. Resultados. A pandemia da COVID-19 mobilizou nos homens os modos de adaptação que se configuram em: mobilização da dimensão fisiológico-física e regulatória: ajustes no padrão de sono, alimentar e manutenção da atividade física; identidade do autoconceito de grupo: gestão das emoções; função de papel: autoconhecimento e autocuidado; interdependência: ajustes no relacionamento conjugal, vinculação familiar e na paternidade, investimento na formação e estudos e controle do consumo excessivo de conteúdos no aparelho celular. Conclusão. A percepção da própria vulnerabilidade favoreceu a entrada dos homens em modos de adaptação em busca de equilíbrio durante a pandemia, motivando-os a transitar por práticas de cuidar de si e cuidar do outro. Marcadores de sofrimento psicoemocional alertam para adesão a novos modos de cuidado capazes de promover transições saudáveis diante das rupturas e incertezas geradas pela pandemia. Essas evidencias podem apoiar o estabelecimento de metas para o cuidado de Enfermagem dirigido aos homens.

SARS-CoV-2 in Brazil and Psychosocial Repercussions on Men's Health: Health Literacy Is Important.

This study aimed at analyzing the psychosocial repercussions of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic on the health of men living in Brazil. For this, we carried out a socio-historical and qualitative study, with the participation of 200 men who answered an online questionnaire. The data collected were processed in the NVIVO12® software, structured by the Collective Subject Discourse method, and analyzed from the epidemic disease theoretical framework proposed by Charles Rosenberg. Our results showed that the SARS-CoV-2 pandemic brought about repercussions of different dimensions that compromised the health of men living in Brazil. The repercussions evidenced were behavioral changes and emergence of new habits due to the pandemic; uncomfortable family situations; impaired affective and sexual relationships; harms in marital relationships; and insecurity and psychological distress. It is important to implement strategies that maximize men's health literacy, promoting better communication in terms of health, and search for help and suitable information about health/mental health.

Management technology for implementing the Systematization of Nursing Care.

OBJECTIVE: To describe the construction of a management technology aimed at implementing the Systematization of Nursing Care in nursing services. METHOD: This is a methodological, qualitative and explanatory study, based on the normative and legal framework of COFEN Resolution 358/2009. It comprised the theoretical construction of instruments for practice anchored in the literature and expertise of a group of 40 nurses, between April 2020 and June 2021. RESULTS: The technology is outlined from the dimensions of method, personnel and nursing instruments that support the Systematization of Nursing Care tripod. It consists of an explanatory model of an operational management matrix and a checklist-type instrument for follow-up/monitoring of Systematization of Nursing Care management in services. CONCLUSION: Management technology is inserted as a solution to improve organizational performance, health care, clinical decision support, planning, administration, organization of services and professional practice, and create favorable conditions for applying the Process of Nursing at its fullest.

Sociohistorical Analysis of Normative Standards of Masculinity in the Pandemic of COVID-19: Impacts on Men's Health/Mental Health.

Objective: This study aims to analyze sociohistorically how the normative patterns of hegemonic masculinity produced impacts on men's health/mental health in the context of the COVID-19 pandemic. Methods: A qualitative study from a socio-historical perspective was conducted with 50 men based on an online survey. A semistructured form was applied. The data were analyzed by the Collective Subject Discourse method, interpreted in the light of the context of epidemic disease and hegemonic masculinity. Results: The experience of the pandemic exposed the normative patterns of masculinities from the consummation of acts representative of the pandemic context, which incited men to deny the existence of COVID-19 disease and to delay the understanding and adoption of measures to protect and control COVID-19. As a repercussion, men presented conflicts in the regulation of emotions; presented emotional suppression; were more reactive; felt threatened regarding the loss of the role of family provider, virility; and revealed a sense of invulnerability, added to the weakening of self-care. Conclusion: The discourse revealed that the men's behaviors are consistent with the characteristics of hegemonic masculinity, but express signs of recognition that this behavior causes harm to themselves and their health.

Epidemiology of Urological Cancers in Brazil: Trends in Mortality Rates Over More Than Two Decades.

BACKGROUND: Considering the socioeconomic disparities and inequalities observed in the healthcare resources among the Brazilian regions, we aimed to analyze the mortality trends of urological cancers in Brazil to identify areas with differential risks. METHODS: Deaths related to prostate (PCa), bladder (BCa), kidney (KC), penile (PeC), and testis (TCa) cancers from 1996 to 2019 were retrieved from the Mortality Information System database (Brazil). Geographic and temporal patterns were analyzed using age-standardized mortality rates (ASMRs). A joinpoint regression model was used to identify changes in the trends and calculate the average annual percentage change (AAPC) for each region. RESULTS: In Brazil, the ASMRs (per 100,000 persons/year) were 11.76 for PCa; 1.37, BCa; 1.13, KC; 0.33, and PeC; 0.26, TCa over the period. Increasing mortality trends were registered for BCa (AAPC = 0.45 in men; 0.57 in women), KC (AAPC = 2.03 in men), PeC (AAPC = 1.01), and TCa (AAPC = 2.06). The PCa mortality presented a significant reduction after 2006. The Northeast and North regions showed the highest increases in the PCa mortality. The South registered the highest ASMRs for BCa and KC, but the highest increasing trends occurred in the men from the Northeast. The North presented the highest ASMR for PeC, while the South registered the highest ASMR for TCa. CONCLUSION: Differences among regions may be partly explained by disparities in the healthcare systems. Over the study period, the North and Northeast regions presented more discrepant mortality rates. Efforts should be made to ensure access to the healthcare resources for people at risk, particularly in these regions.

Factors Associated with Emotion Regulation in Men with Internet Access Living in Brazil during the COVID-19 Pandemic.

Objective: to evaluate the factors associated with emotion regulation in men with internet access living in Brazil during the COVID-19 pandemic. Method: an epidemiological survey, conducted with 1015 men. An electronic form was applied containing sociodemographic and occupational characteristics, support and coping strategies, as well as emotional and behavioral aspects. Emotion regulation was assessed using the Emotion Regulation Questionnaire. Results: The prevalence values observed were 44.6% for Low Cognitive Reappraisal and of 47.1% for High Emotional Suppression. The following factors were identified as associated: (a) with Low Cognitive Reappraisal: being aged 30 years old or more, practicing physical activity, worrying about social distancing and having positive emotions and feelings; and (b) with High Emotional Suppression: being heterosexual, non-white race/skin color, having security support or public administration, not sanitizing food, worrying about lack of physical activity and not having negative emotions. Conclusion: the adoption of emotion regulation strategies was associated with individual, contextual and emotional/behavioral characteristics. Masculinity ideals seem to exert an influence on these relationships.

Covid-19 e as dimensões do trabalho: análise sócio-histórica dos impactos vivenciados por homens na pandemia / Covid-19 and work dimensions: a socio-historical analysis of impacts affecting men during the pandemic / COVID-19 y las dimensiones del trabajo: análisis sociohistórico de los impactos experimentados por los hombres en la pandemia

OBJETIVO: Apreender os impactos vivenciados por homens residentes no Brasil na pandemia da Covid-19 em relação às dimensões do trabalho. MÉTODO: Estudo sócio-histórico, qualitativo, realizado durante a pandemia da Covid-19 com 400 adultos e idosos residentes no Brasil. Aplicou-se um formulário on-line. Os dados foram analisados com base no Discurso do Sujeito Coletivo, interpretados à luz do Materialismo Histórico Dialético. RESULTADOS: A pandemia da Covid-19 provocou e intensificou impactos: sobrecarga provocada pelo trabalho home office; inadequações no trabalho e exposição à contaminação pelo Coronavírus; estresse e medo de ser contaminado no trabalho e de perder o emprego; dificuldade na manutenção econômica/financeira e adaptações repentinas no desempenho do trabalho. CONCLUSÃO: As dimensões do mundo do trabalho intensificaram as vulnerabilidades sociais e em saúde de homens no contexto da pandemia da Covid-19. Repercutiram em maior exposição ao SARS-CoV-2 e vivência de estressores na vida cotidiana.

OBJECTIVE: To apprehend the impacts affecting men residing in Brazil during the Covid-19 pandemic concerning work dimensions. METHOD: A socio-historical, qualitative study carried out during the Covid-19 pandemic with 400 adult and old males residing in Brazil. An on-line form was applied. Data were analyzed based on the Discourse of the Collective Subject, interpreted according to the Dialectic Historical Materialism. RESULTS: The Covid-19 pandemic did cause and intensify impacts: overload resulting from home-office jobs; inadequacies as to the work and exposition to contamination by the Coronavirus; stress and fear to be contaminated at work and losing employment; difficulties to maintain economic/financial conditions and unexpected adaptations in work performance. CONCLUSION: The dimensions of the work environment did intensify both social and health vulnerabilities for men in the context of the Covid-19 pandemic, rebounding on even higher exposure to SARS-CoV 2 and daily life stressors.

OBJETIVO: Comprender los impactos experimentados por los hombres residentes en Brasil en la pandemia de COVID-19 respecto a las dimensiones del trabajo. MÉTODO: Estudio sociohistórico, cualitativo, realizado durante la pandemia de COVID-19, con 400 adultos y personas mayores residentes en Brasil. Se aplicó un formulario online. Los datos se analizaron con base en el Discurso del Sujeto Colectivo y fueron interpretados a la luz del Materialismo Histórico Dialéctico. RESULTADOS: La pandemia de COVID-19 ha ocasionado e intensificado los impactos: sobrecarga causada por el teletrabajo; inadecuaciones en el trabajo y exposición a la contaminación por el coronavirus; estrés y miedo a contaminarse en el trabajo y a perder el empleo; dificultad en el mantenimiento económico/financiero y adaptaciones repentinas en el rendimiento del trabajo. CONCLUSIÓN: Las dimensiones del mundo del trabajo han intensificado las vulnerabilidades sociales y de salud de los hombres en el contexto de la pandemia de COVID-19. Han repercutido en una mayor exposición al SARS-CoV-2 y vivencia de estresores en la vida cotidiana.

Should obesity be associated with worse urinary continence outcomes after robotic-assisted radical prostatectomy? a propensity score matching analysis

ABSTRACT Purpose: To analyze the association between obesity and urinary incontinence rate in men submitted to robot-assisted radical prostatectomy (RARP) in a high-volume cancer center. Materials and Methods: We reported 1.077 men who underwent RARP as the primary treatment for localized prostate cancer from 2013 to 2017. Patients were classified as non-obese (normal BMI or overweight) or obese men (BMI ≥30kg/m2). They were grouped according to the age, PSA level, D'Amico risk group, Gleason score, ASA classification, pathological stage, prostate volume, salvage/adjuvant radiotherapy, perioperative complications, and follow-up time. Urinary continence was defined as the use of no pads. For the analysis of long-term urinary continence recovery, we conducted a 1:1 propensity-score matching to control confounders. Results: Among the obese patients, mean BMI was 32.8kg/m2, ranging 30 - 45.7kg/m2. Only 2% was morbidly obese. Obese presented more comorbidities and larger prostates. Median follow-up time was 15 months for the obese. Complications classified as Clavien ≥3 were reported in 5.6% of the obese and in 4.4% of the non-obese men (p=0.423). Median time for continence recovery was 4 months in both groups. In this analysis, HR was 0.989 for urinary continence recovery in obese (95%CI=0.789 - 1.240; p=0.927). Conclusions: Obese can safely undergo RARP with similar continence outcomes comparing to the non-obese men when performed by surgeons with a standardized operative technique. Future studies should perform a subgroup analysis regarding the association of obesity with other comorbidities, intending to optimize patient counseling.

Adaptive modes of adult men during COVID-19: qualitative analysis under Roy's model.

OBJECTIVES: This study aims to understand how adult men adapt to the COVID-19 pandemic. METHODS: Qualitative study involving 45 adult men residing in Brazil in 2020. Data were obtained from a Web Survey and treated using Reflective Thematic Analysis and interpreted in the light of Callista Roy's Adaptation Model. RESULTS: The COVID-19 pandemic mobilized in men the ways of adaptation that are configured in: mobilization of the physiological-physical and regulatory dimension: adjustments in the sleep pattern, dietary pattern, and maintenance of physical activity; group self-concept identity: managing emotions; role function: self-knowledge and self-care; interdependence: adjustments in the marital relationship, family ties and paternity, investment in training and studies and control of excessive consumption of content on cell phones. CONCLUSIONS: The perception of the own vulnerability favored the entry of men into ways of adaptation in search of balance during the pandemic, motivating them to move through practices of taking care of themselves and taking care of others. Markers of psycho-emotional distress alert to adherence to new modes of care capable of promoting healthy transitions in the face of disruptions and uncertainties generated by the pandemic. This evidence can support the establishment of goals for nursing care aimed at men.

Should obesity be associated with worse urinary continence outcomes after robotic-assisted radical prostatectomy? a propensity score matching analysis.

PURPOSE: To analyze the association between obesity and urinary incontinence rate in men submitted to robot-assisted radical prostatectomy (RARP) in a high-volume cancer center. MATERIALS AND METHODS: We reported 1.077 men who underwent RARP as the primary treatment for localized prostate cancer from 2013 to 2017. Patients were classified as non-obese (normal BMI or overweight) or obese men (BMI ≥30kg/m2). They were grouped according to the age, PSA level, D'Amico risk group, Gleason score, ASA classification, pathological stage, prostate volume, salvage/adjuvant radiotherapy, perioperative complications, and follow-up time. Urinary continence was defined as the use of no pads. For the analysis of long-term urinary continence recovery, we conducted a 1:1 propensity-score matching to control confounders. RESULTS: Among the obese patients, mean BMI was 32.8kg/m2, ranging 30 - 45.7kg/m2. Only 2% was morbidly obese. Obese presented more comorbidities and larger prostates. Median follow-up time was 15 months for the obese. Complications classified as Clavien ≥3 were reported in 5.6% of the obese and in 4.4% of the non-obese men (p=0.423). Median time for continence recovery was 4 months in both groups. In this analysis, HR was 0.989 for urinary continence recovery in obese (95%CI=0.789 - 1.240; p=0.927). CONCLUSIONS: Obese can safely undergo RARP with similar continence outcomes comparing to the non-obese men when performed by surgeons with a standardized operative technique. Future studies should perform a subgroup analysis regarding the association of obesity with other comorbidities, intending to optimize patient counseling.

O esporte em Ilhéus e a consolidação do Instituto Geográfico e Histórico da Bahia (1921) / El deporte en Ilhéus y la consolidación del Instituto Geográfico e Histórico de Bahia (1921) / Sport in Ilhéus and the consolidation of the Geographical and Historical Institute of Bahia (1921)

Este estudo explora a ocorrência do primeiro torneio intermunicipal baiano de futebol de 1921 e sua relação com a campanha para a construção do Instituto Geográfico e Histórico da Bahia (IGHB). A investigação tem por base a análise de periódicos da época e o diálogo com a bibliografia sobre o tema. A narrativa evidencia como a participação do município de Ilhéus no evento representou uma oportunidade para afirmar seu compromisso com os ideais de modernização e civilização, valorizados pela sociedade baiana da época. Também averiguou-se como essa participação contribuiu para o processo de consolidação do esporte em Ilhéus e sua aproximação com o cenário esportivo da capital do estado. (AU)

Este estudio analiza el primer torneo intermunicipal de fútbol del estado de Bahia, realizado en 1921, y su relación con la campaña para la construcción del Instituto Geográfico e Histórico de Bahia (IGHB). La investigación se basa en el análisis de publicaciones periódicas de la época y en el diálogo con la bibliografía sobre ese tema. La narrativa muestra cómo la participación del municipio de Ilhéus en el evento representó una oportunidad para reafirmar su compromiso con los ideales de modernización y civilización, valorados por la sociedad de Bahia en ese momento histórico. Se trata de conocer cómo esta participación contribuyó con el proceso de consolidación del deporte en Ilhéus y con su acercamiento al escenario deportivo de la capital del estado. (AU)

This paper discusses the relationship between the first intercity soccer tournament of the state of Bahia held in 1921, and the campaign for the construction of the Geographical and Historical Institute of Bahia (IGHB). The research is based on an analysis of periodicals of that time and on the literature related to that topic. The narrative shows how the participation of the municipality of Ilhéus in the event offered an opportunity to assert its commitment to the ideals of modernization and civilization, which were valued by Bahia's society at that time. It was also investigated how this participation contributed to the consolidation process of the sport in Ilhéus and its approximation to the sports scenario of the state capital. (AU)

Significados e metáforas da covid-19 na experiência de homens adultos que tiveram a doença / Significados y metáforas del covid-19 en la experiencia de los hombres adultos que han tenido la enfermedad / Meanings and metaphors of covid-19 in the experience of adult men who have had the disease

Objetivo: compreender os significados e metáforas da Covid-19 na experiência de homens que tiveram a doença. Método: estudo qualitativo, realizado em ambiente virtual envolvendo 75 homens adultos, residentes no Brasil, sobreviventes da Covid-19, recrutados nas redes sociais Facebook® e Instagram®. Os dados foram coletados em resposta a um instrumento disponibilizado no Google Forms®. Os dados foram submetidos à análise lexical e à análise temática, e interpretados à luz da socioantropologia da doença. Resultados: do conteúdo temático emergiram três categorias: Percepção de vulnerabilidade à morte; As dores dos sintomas da doença e do isolamento; e Significados atribuídos à doença e ao adoecer. Conclusão: os homens elaboram metáforas da Covid 19 como um mal que os surpreende, desestrutura suas vidas e os isola. Posicionam-na como um sujeito perigoso de tal forma que a discriminação provoca mais sofrimento do que as manifestações clínicas.

Objetivo: Comprender los significados y las metáforas de Covid-19 en la experiencia de los hombres que han tenido la enfermedad. Método: Estudio cualitativo, realizado en un ambiente virtual con 75 hombres adultos, residentes en Brasil, supervivientes de la Covid-19, reclutados en las redes sociales Facebook® e Instagram®. Los datos se recogieron en respuesta a un instrumento disponible en Google Forms®. Los datos se sometieron a un análisis léxico y a un análisis temático y se interpretaron a la luz de la socioantropología de la enfermedad. Resultados: del contenido temático surgieron tres categorías: Percepción de vulnerabilidad ante la muerte; Los dolores de los síntomas de la enfermedad y el aislamiento; y Significados atribuidos a la enfermedad y al proceso enfermar. Conclusión: Los hombres elaboran metáforas de la Covid-19 como un mal que les sorprende, les desestructura la vida y les aísla. Ella es posicionada como un sujeto peligroso, de tal manera que la discriminación provoca más sufrimiento que las manifestaciones clínicas.

Objective: To understand the meanings and metaphors of Covid-19 in the experience of men who have had the disease. Method: Qualitative study, conducted in a virtual environment involving 75 adult men, living in Brazil, Covid-19 survivors, recruited in the social networks Facebook® and Instagram®. Data were collected by responding to an instrument made available on Google Forms®. The data were subjected to lexical and thematic analysis and interpreted in the light of the Socio Anthropology of illness. Results: three categories emerged from the thematic content: Perception of vulnerability to death; The pains of the symptoms of illness and isolation; and Meanings attributed to the illness and getting sick. Conclusion: Men elaborate metaphors of Covid-19 as an evil that surprises them, disrupts their lives, and isolates and positions them. They put it as a dangerous subject in the way that discrimination causes more suffering than clinical manifestations.

Stigma experienced by men diagnosed with COVID-19 / Estigma experimentado por hombres diagnosticados con COVID-19 / Estigma vivenciado por homens diagnosticados com COVID-19

ABSTRACT Objective: to analyze the stigma characteristics perceived in the experience of men who had COVID-19. Method: this qualitative study involved men living in Brazil, diagnosed with COVID-19, who answered semi-structured questions in an online form. Data were subjected to thematic and lexical analysis, interpreted in the light of the stigma theory. Results: 92 men, adults, cisgender, heterosexual, of mixed race/color, belonging to middle class, living in the urban area, with higher education participated. The stigma characteristics evidenced were the occurrence of leave, perception of impolite treatment, use of labels and discrimination by co-workers, family members, neighbors and even healthcare professionals, with consequences for the psycho-emotional dimension. Final considerations: discrimination and exclusion derived from stigma surprised men marked by class and gender privileges, little used to being downgraded in interactions when compared to other groups.

RESUMEN Objetivo: analizar las características del estigma percibido en la experiencia de hombres que experimentaron COVID-19. Método: estudio cualitativo con hombres residentes en Brasil diagnosticados de COVID-19, quienes respondieron preguntas semiestructuradas en forma online. Los datos fueron sometidos a un análisis temático y léxico, interpretados a la luz de la teoría del estigma. Resultados: participaron 92 hombres, adultos, cisgénero, heterosexuales, de raza/color morena, pertenecientes a la clase media, residentes en el área urbana, con educación superior. Las características del estigma evidenciadas fueron la ocurrencia de bajas, percepción de trato descortés, aplicación de etiquetas y discriminación derivada de compañeros de trabajo, familiares, vecinos e incluso profesionales de la salud, con consecuencias para la dimensión psicoemocional. Consideraciones finales: la discriminación y la exclusión derivada del estigma sorprendió a los hombres marcados por privilegios de clase y género, poco acostumbrados a ser degradados en las interacciones, en comparación con otros grupos.

RESUMO Objetivo: analisar as características do estigma percebidas na experiência de homens que vivenciaram a COVID-19. Método: estudo qualitativo, que envolveu homens residentes no Brasil diagnosticados com COVID-19, os quais responderam a questões semiestruturadas em formulário online. Os dados foram submetidos à análise temática e lexical, interpretados à luz da teoria do estigma. Resultados: participaram 92 homens, adultos, cisgêneros, heterossexuais, de raça/cor parda, pertencentes à classe média, residentes na área urbana, com nível superior. As características do estigma evidenciadas foram aocorrência de afastamento, percepção do tratamento descortês, aplicação de rótulos e discriminação advindas de colegas de trabalho, familiares, vizinhos e até mesmo profissionais de saúde, com consequências para a dimensão psicoemocional. Considerações finais: discriminação e exclusão derivada do estigma surpreenderam homens marcados por privilégios de classe e gênero, pouco habituados a serem rebaixados nas interações, quando comparado a outros grupos.

Management technology for implementing the Systematization of Nursing Care / Tecnología de gestión para la implementación de la Sistematización de la Atención de Enfermería / Tecnologia gerencial para implementação da Sistematização da Assistência de Enfermagem

ABSTRACT Objective: To describe the construction of a management technology aimed at implementing the Systematization of Nursing Care in nursing services. Method: This is a methodological, qualitative and explanatory study, based on the normative and legal framework of COFEN Resolution 358/2009. It comprised the theoretical construction of instruments for practice anchored in the literature and expertise of a group of 40 nurses, between April 2020 and June 2021. Results: The technology is outlined from the dimensions of method, personnel and nursing instruments that support the Systematization of Nursing Care tripod. It consists of an explanatory model of an operational management matrix and a checklist-type instrument for follow-up/monitoring of Systematization of Nursing Care management in services. Conclusion: Management technology is inserted as a solution to improve organizational performance, health care, clinical decision support, planning, administration, organization of services and professional practice, and create favorable conditions for applying the Process of Nursing at its fullest.

RESUMEN Objetivo: Describir la construcción de una tecnología de gestión dirigida a implementar la Sistematización de la Atención de Enfermería en los servicios de enfermería. Método: Estudio metodológico, cualitativo y explicativo, sustentado en el marco normativo y legal de la Resolución COFEN nº 358/2009. Comprendió la construcción teórica de instrumentos para la práctica anclados en la literatura y la experiencia de un grupo de 40 enfermeros, entre abril de 2020 y junio de 2021. Resultados: La tecnología se perfila a partir de las dimensiones de método, personal e instrumentos de enfermería que sustentan el trípode de la Sistematización de la Atención de Enfermería. Consiste en un modelo explicativo de matriz de gestión operativa y un instrumento tipo checklist para el seguimiento/monitoreo de la gestión de la Sistematización de la Atención de Enfermería en los servicios. Conclusión: La tecnología gerencial se inserta como una solución para mejorar el desempeño organizacional, el cuidado de la salud, el apoyo a la decisión clínica, la planificación, la administración, la organización de los servicios y la práctica profesional, y crear condiciones favorables para la aplicación del Proceso de Enfermería en su plenitud.

RESUMO Objetivo: Descrever a construção de uma tecnologia gerencial voltada à implementação da Sistematização da Assistência de Enfermagem em serviços de enfermagem. Método: Estudo metodológico, qualitativo e explicativo, sustentado no referencial normativo e legal da Resolução COFEN nº 358/2009. Compreendeu a construção teórica de instrumentos para a prática ancorados na literatura e na expertise de um grupo de 40 enfermeiros, entre os meses de abril de 2020 e junho de 2021. Resultados: A tecnologia está delineada a partir das dimensões método, pessoal e instrumentos de enfermagem que sustentam o tripé da Sistematização da Assistência de Enfermagem. É constituída por um modelo explicativo de uma matriz de gestão operacional e de um instrumento do tipo checklist para o acompanhamento/monitoramento da gestão da Sistematização da Assistência de Enfermagem nos serviços. Conclusão A tecnologia gerencial se insere como uma solução para melhorar a performance organizacional, a atenção à saúde, o apoio às decisões clínicas, o planejamento, a administração, a organização dos serviços e a prática profissional, e criar condições favoráveis para a aplicação do Processo de Enfermagem em sua plenitude.

Stigma experienced by men diagnosed with COVID-19.

OBJECTIVE: to analyze the stigma characteristics perceived in the experience of men who had COVID-19. METHOD: this qualitative study involved men living in Brazil, diagnosed with COVID-19, who answered semi-structured questions in an online form. Data were subjected to thematic and lexical analysis, interpreted in the light of the stigma theory. RESULTS: 92 men, adults, cisgender, heterosexual, of mixed race/color, belonging to middle class, living in the urban area, with higher education participated. The stigma characteristics evidenced were the occurrence of leave, perception of impolite treatment, use of labels and discrimination by co-workers, family members, neighbors and even healthcare professionals, with consequences for the psycho-emotional dimension. FINAL CONSIDERATIONS: discrimination and exclusion derived from stigma surprised men marked by class and gender privileges, little used to being downgraded in interactions when compared to other groups.

Cuidado ao paciente com delirium na unidade de terapia intensiva: o olhar do enfermeiro / Care for patients with delirium in the intensive care unit: the nurse's view

Objetivo:analisar o cuidado ao paciente com delirium na Unidade de Terapia Intensiva através do olhar do enfermeiro. Metodologia: estudo qualitativo, exploratório e descritivo, realizado em duas UTI adulto de um hospitalar público, Bahia, Brasil. Participaram do estudo 12 enfermeiros que atenderam aos critérios de inclusão. Os dados foram coletados através de entrevista semiestruturada e analisados por meio da análise de conteúdo. Resultados: os resultados foram organizados em categorias os quais revelam que os aspectos do cuidado ao paciente com delirium envolvem atuar, perante aprevenção do delirium, o uso de instrumentos para sua identificação, as intervenções para o cuidado direcionado ao paciente e as facilidades e dificuldades do enfermeiro no cuidado ao paciente com delirium em UTI.Conclusão: o cuidado ao paciente com delirium envolve medidas de prevenção,uso de instrumentos para a sua identificação e ações farmacológicas e não farmacológicas parao seu tratamento. Ademais, o cenário de atuação revela facilidades e dificuldades relacionadas à aproximação com a temática, estando o suporte fornecido pelo serviço de saúde para sua atuação, como desfavorável e o conhecimento, como facilitador/dificultador para o manejo do delirium

Objective: to analyze the care for patients with delirium in the Intensive Care Unit through the eyes of the nurse. Methodology: qualitative, exploratory, and descriptive study carried out in two adult ICUs of a public hospital in Bahia, Brazil. Twelve nurses who met the inclusion criteria participated in the study. Data were collected through semi-structured interviews and analyzed using content analysis. Results: the results were organized into categories which reveal that the aspects of care for patients with delirium involve acting before the prevention of delirium, the use of instruments for its identification, the interventions for the care directed to the patient, and the facilities and difficultiesof nurses in the care of patients with delirium in the ICU. Conclusion: care for patients with delirium involves preventive measures, the use of instruments for its identification, and pharmacological and non-pharmacological actions for its treatment. Also, the performance scenario reveals facilities and difficulties related to approaching the theme, with the support provided by the health service for its performance, as unfavorable and knowledge, as a facilitator/hindrance for the management of delirium