Empregabilidade e trabalhabilidade: formação e inserção do enfermeiro no mercado de trabalho / Employability and workability: training and insertion of nurses in the job market

O presente estudo objetivou identificar e descrever o processo de empregabilidade e trabalhabilidade dos egressos da graduação em Enfermagem de uma universidade do Rio de Janeiro. Trata-se de um estudo exploratório retrospectivo, descritivo, com abordagem quantitativa. Foi feito levantamento de dados pelo Google Forms enviado por e-mail. Participaram 192 egressos entre 1986 e 2018, organizados em três grupos segundo a normativa de ensino em vigor no ano de ingresso na universidade: Resolução no 4/1972 = 17; Portaria no 1.721/1994 = 41; e Diretriz Curricular Nacional no 3/2001 = 134. Identificou-se a insegurança do recém-formado nos processos de empregabilidade e busca para ingressar e se manter no mercado de trabalho, como também a trabalhabilidade vivenciado durante a carreira profissional. Conclui-se que os profissionais que se formaram com habilitação permanecem muitas vezes contidos nela. Já os generalistas buscam a área em que possam ter melhor prazer profissional, autonomia, renda e reconhecimento profissional.

Current paper identifies and describes the process of employability and workability of college-leaving graduate students in Nursing of a university in Rio de Janeiro, Brazil. Method: An exploratory, retrospective, descriptive and quantitative study of graduates in Nursing during the 1986-2018 period. Survey of data by Google Forms sent by e-mail, approved by CEP, protocol n. 3.592.160. Results: 192 students participated, organized in three groups according to university entrance norms: Resolution 4/1972 = 17; Decree 1721/94 = 41; National Curricular Guidelines 3/2001 = 134. Insecurity of the recently graduated student in the process of employability and efforts to enter and maintain themselves in the market, coupled to the workability experienced during their professional carrier. Conclusion: as a rule, professionals continued within the specific health area, whereas those with a general diploma achieved the highest satisfaction, autonomy, salaries and professional acknowledgement.

Accuracy of magnetic resonance in deeply infiltrating endometriosis: a systematic review and meta-analysis.

OBJECTIVE: To estimate the accuracy of pelvic magnetic resonance imaging (MRI) in the diagnosis of deeply infiltrating endometriosis (DIE). METHODS: A comprehensive search of the Medline, Pubmed, Lilacs, Scopus, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), Biomed Central, and ISI Web of Science databases was conducted from January 1990 to December 2013. The medical subject headings (MeSHs) and text words "deep endometriosis", "deeply infiltrating endometriosis", "DIE", "magnetic resonance", and "MRI" were searched. Studies that compared the parameters of pelvic MRIs with those of paraffin-embedded sections for the diagnosis of DIE were included. RESULTS: Twenty studies were analyzed, which included 1,819 women. Pooled sensitivity and specificity were calculated across eight subgroups: for all sites, these were 0.83 and 0.90, respectively; for the bladder, 0.64 and 0.98, respectively; for the intestine, 0.84 and 0.97, respectively; for the pouch of Douglas, 0.89 and 0.94, respectively; for the rectosigmoid, 0.83 and 0.88, respectively; for the rectovaginal, 0.77 and 0.95, respectively; for the uterosacral ligaments, 0.85 and 0.80, respectively; and for the vagina and the posterior vaginal fornix, 0.82 and 0.82, respectively. CONCLUSION: In summary, pelvic MRI is a useful preoperative test for predicting the diagnosis of multiple sites of deep infiltrating endometriosis.

Uso de tabaco e fatores associados entre alunos de uma universidade de Criciúma (SC) / Tobacco use and associated factors among students of a university of Criciúma (SC)

A fim de investigar o uso de tabaco e fatores associados entre universitários do Sul do Brasil no ano de 2010, realizou-se estudo transversal com questionários autoaplicáveis. A amostra foi dividida em dois grandes grupos: área da Saúde e demais cursos. A amostra de cada grupo foi dividida de acordo com a proporção em relação ao número total de alunos. Os alunos foram selecionados do primeiro e último ano de cada curso. A análise estatística foi realizada no Software SPSS versão 17.0(r). Responderam aos questionários 584 alunos. A prevalência de tabagismo entre os acadêmicos foi de 8,9%, sendo 4,7% tabagistas ativos e 4,2% fumantes ocasionais; 2,6% declararam-se ex-fumantes. A idade média foi de 23,0 anos (±9,7), sendo 62,3% do sexo feminino. Dentre os fumantes 49% começaram a fumar por vontade própria e 27,4% por influência de amigos. A maioria declarou fumar para relaxar. Observou-se associação significativa entre o tabagismo e o uso de álcool (OR 5,80; IC95% 1,20-28,01) e de drogas ilícitas (OR 42,29; IC95% 11,45-175,1) e a existência de outros familiares fumantes (OR 4,02; IC95% 2,05-7,85). A prevalência de tabagismo encontrada neste estudo foi baixa. O tabagismo foi significativamente associado a alunos usuários de drogas ilícitas, que fazem uso de álcool e que tem algum tabagista na família.

To investigate tobacco use and associated factors among college students at a university in southern Brazil in 2010, we conducted a cross-sectional study using self-reported questionnaires. The sample was divided into two main groups: the Health area and other courses The sample number in each group was divided according to the ratio of the total number of students. Students who composed the sample were selected from the first and last year of each course. Statistical analysis was performed with SPSS version 17.0(r). 584 students responded to questionnaires. The prevalence of smoking among students was 8.9%, 4.7% were smokers and 4.2% occasional smokers; 2.6% reported they were former smokers. The average age was 23.0 years (± 9.7), 62.3% were female. Among smokers 49% started smoking on their own and 27.4% under the influence of friends. We observed a significant association between smoking and alcohol use (OR 5.80; 95%CI 1.20-28.01), illicit drugs (OR 42.29; 95%CI 11.45-175.1) and the existence of other relatives who are smokers (OR 4.02; 95%CI 2.05-7.85).The prevalence of smoking found in this study was low. Smoking was significantly associated with student drugs users, consuming alcohol and to have a smoker in the family.

Accuracy of cerebrospinal fluid Aß(1-42) for Alzheimer's disease diagnosis: a systematic review and meta-analysis.

BACKGROUND: Alzheimer's disease (AD) is the most common cause of dementia, accounting for 65-70% of all dementia cases. OBJECTIVE: We performed a systematic review and meta-analysis to estimate the accuracy of cerebrospinal fluid Aß1-42 for the diagnosis of AD. A comprehensive search of the Cochrane Library, MEDLINE, LILACS, Grey literature, and EMBASE was performed for papers published from January 1990 to August 2013. The following Medical Subject Headings (MeSH) terms were searched: "Alzheimer disease" or "AD" and "amyloid-ß" or "Aß1-42". METHODS: We included case-control and cross-sectional studies, prospective or retrospective, that evaluated Aß1-42 levels in AD. Statistical analysis was performed using REVMAN 5.2, Meta Disc, and Stata 11.0. RESULTS: A total of 804 citations were identified by the search strategy and 41 studies were included. Meta-analysis showed a sensitivity of 84.3% (95% CI: 85.6%-81%) and specificity of 79.4% (95% CI: 77.6%-81.1%). The diagnostic odds ratio was 28.9 (95% CI: 21.2-39.5). CONCLUSION: Our study demonstrated that Aß1-42 can discriminate AD from controls with good sensitivity and specificity.

A randomized clinical trial on the effects of remote intercessory prayer in the adverse outcomes of pregnancies / Ensaio clínico randomizado sobre os efeitos da oração intercessória nos desfechos adversos da gestação

The scope of this article was to investigate whether intercessory prayer (IP) influences the adverse outcomes of pregnancies. A double-blind, randomized clinical trial was conducted with 564 pregnant women attending a prenatal public health care service. The women were randomly assigned to an IP group or to a control group (n = 289 per group). They were simultaneously and randomly assigned to practice prayer off-site or not. The following parameters were evaluated: Apgar scores, type of delivery and birth weight. The mean age of the women was 25.1 years of age (± 7.4), and the average gestational age was 23.4 weeks (± 8.1). The average number of years of schooling for the women was 8.1 years (± 3.1). The women in the IP and control groups presented a similar number of adverse medical events with non-significant p. No significant differences were detected in the frequency of adverse outcomes in pregnant women who practiced IP and those in the control group.

Este artigo tem por objetivo investigar se a oração intercessória influencia os desfechos adversos das mulheres grávidas. Foi realizado ensaio clínico randomizado duplo-cego com uma população de 564 gestantes que frequentavam Serviço de pré-natal de serviço público de saúde. As gestantes foram aleatoriamente designadas para grupo de intercessão ou grupo controle (n = 289 por grupo). Foram avaliados os seguintes parâmetros: índice de Apgar, tipo de parto, peso ao nascer. A idade média das mulheres foi de 25,1 anos (±7,4) e a idade gestacional média foi de 23,4 semanas (± 8,1). A média de anos de escolaridade foi de 8,1 anos (± 3,1). As mulheres que receberam intervenção (Oração intercessória) e grupo controle exibiram um número similar de eventos adversos, com p não significativo. Não encontramos diferença significativa entre os desfechos adversos na gestação entre os grupos que receberam oração intercessória e no grupo controle.

A randomized clinical trial on the effects of remote intercessory prayer in the adverse outcomes of pregnancies.

The scope of this article was to investigate whether intercessory prayer (IP) influences the adverse outcomes of pregnancies. A double-blind, randomized clinical trial was conducted with 564 pregnant women attending a prenatal public health care service. The women were randomly assigned to an IP group or to a control group (n = 289 per group). They were simultaneously and randomly assigned to practice prayer off-site or not. The following parameters were evaluated: Apgar scores, type of delivery and birth weight. The mean age of the women was 25.1 years of age (± 7.4), and the average gestational age was 23.4 weeks (± 8.1). The average number of years of schooling for the women was 8.1 years (± 3.1). The women in the IP and control groups presented a similar number of adverse medical events with non-significant p. No significant differences were detected in the frequency of adverse outcomes in pregnant women who practiced IP and those in the control group.

Prevalence of human papillomavirus in breast cancer: a systematic review.

OBJECTIVE: We performed a systematic review and meta-analyses to estimate the prevalence of human papillomavirus (HPV) in breast carcinoma and to explore the reasons for the ongoing controversies about this issue. MATERIALS AND METHODS: A comprehensive search of the Cochrane Library, MEDLINE, CANCERLIT, LILACS, and EMBASE databases was performed for papers published from January 1990 to January 2011. The medical subject heading terms were searched for the following: breast neoplasm, breast lesions, breast cancer, and HPV or human papillomavirus. Statistical analysis was performed using REVMAN 5.0. RESULTS: Twenty-nine primary studies, including 2211 samples, were analyzed. Overall, HPV prevalence in patients with breast cancer was 23.0% (95% CI, 21.2%-24.8%). The prevalence of HPV ranged from 13.4% (95% CI, 10.2%-16%) in Europe to 42.9% (95% CI, 36.4%-49.4%) in North America and Australia. The prevalence of HPV in controls was 12.9%. Combinations of 9 case-control studies showed that breast cancer was associated with HPV (odds ratio, 5.9; 95% CI, 3.26-10.67). CONCLUSION: We found a high prevalence of HPV DNA in breast cancer. There is strong evidence to suggest that HPV has an important role in the development of breast cancer.

Razão de mortalidade materna na região sul do Brasil no período de 1996 a 2005 / Maternal mortality ratio in southern Brazil from 1996 to 2005

Objetivo: avaliar a mortalidade materna na região Sul do Brasil, do período de 1996 a 2005. Métodos: estudo ecológico descritivo, avaliando-se todas as mortes maternas de mulheres entre 10 e 49 anos no banco de dados do DATASUS. Resultados: a Razão de Mortalidade Materna foi de 59,48/100.000 nascidos vivos. A avaliação do banco de dados fornecido para o estudo evidenciou que 63% dos óbitos maternos ocorreram por causas diretas, sendo as etiologias mais frequentes as doenças hipertensivas, e hemorrágicas O puerpério foi o período menos frequente de mortes maternas sendo que a grande maioria dos casos ocorreram em ambiente hospitalar. Conclusão: esses resultados demonstram a deficiência da saúde pública e a necessidade de desenvolver-se programas que visem melhorar a qualidade da assistência médica durante a gestação, o parto e o puerpério além de criar estratégias eficazes pra se prevenir a morte materna, uma vez que a grande maioria desses óbitos são passíveis de prevenção.

Objective: to assess maternal mortality in Southern Brazil, the period from 1996 to 2005. Methods: an ecological descriptive study, assessing all the maternal deaths of women between 10 and 49 years in the database of DATASUS. Results: the Ratio of Maternal Mortality was 59.48 per 100,000 live births. The evaluation of the database provided for the study showed that 63% of maternal deaths occurred due to direct, and the most frequent etiologies hypertensive diseases, hemorrhagic and infectious period of puerperal respectively. The most common period in which the maternal deaths has occurred during pregnancy, childbirth or abortion and the vast majority of cases occurred in hospitals. Conclusion: these results demonstrate the deficiency of public health and the need to develop programs that improve the quality of medical care during pregnancy, delivery and puerperium and create effective strategies for preventing maternal deaths is because the large most of these deaths are likely to prevention.

Laparoscopic approach of a unicornuate uterus with noncommunicating rudimentary horns.

Background. Müllerian duct malformations delineate a miscellaneous group of congenital anomalies that result from arrested development, abnormal formation, or incomplete fusion of the mesonephric ducts. Case. This paper describes the diagnosis and management of a noncommunicating rudimentary horn complicated by severe pelvic pain and associated endometriosis. Conclusion. This condition was diagnosed by laparoscopy and hysteroscopy examination. Operative videolaparoscopy proved to be a successful approach for the treatment of this congenital Müllerian anomaly.

Frequência de anormalidades nos exames de Papanicolaou em usuárias do Sistema Único de Saúde em Criciúma - 2004

Introdução:O teste de Papanicolaou é consideradoaltamente sensível. Sua precisão em diagnosticar os casosverdadeiros de lesões cervicais pré-neoplásicas eneoplásicas tem sido descrita entre 75% a mais de 90%dos casos. Os resultados falso-negativos, mo entanto,são responsáveis por cerca de 10% dos casos de câncerinvasivo.Objetivo: Analisar freqüência das lesõesprecursoras de câncer cervical entre as citologiasoncóticas coletadas na rede pública de Criciúma, no anode 2004.Metodologia: Estudo tranversal descritivo, com umaamostra de 424 mulheres. O processo de amostragemfoi estratificado proporcional à faixa etária.Resultados: A idade média das mulheres da amostrafoi de 36,5 anos (±14,86 anos) e aproximadamente 40%delas não completou o ensino fundamental. 79% dasmulheres já havia realizado o exame de Papanicolaou,63% não utilizava anticoncepcional oral. Dos examesrealizados 60,5% apresentaram material satisfatório. Afreqüência de ASCUS ou mais foi de 3,8%.Conclusão: A frequência de alterações citológicasencontradas no presente estudo foi de 3,8%, em ordemdecrescente de acordo com a gravidade da lesão. Afreqüência do relato da realização de Papanicolaou préviofoi adequado conforme os 80% recomendados pelaOrganização Mundial de Saúde.

Introduction: the Pap test is considered highlysensitive. Its accuracy in diagnosing the cases of truepre-invasive cervical lesions and cancer has beenreported between 75% to over 90% of cases. The falsenegativeresults however, are responsible for about 10%of cases of invasive cancer.Objective: to analyze the frequency of the precursorslesions of the cervical cancer in Pap test between usersof Public Health in Criciúma in 2004.Methods: sectional study with 424 women. Thesampling was stratified proportionally to age.Results: the average age of the women in the samplewas 36.5 years old (±14.86 ). Approximately 40% ofthem studied in an Elementary school or below, 79% ofthe women realized Previous Pap test, 63% did not usethe Oral contraceptive. In Pap test 60.5% showedsatifactory material. The ASCUS or more frequency was3.8% (16/425).Conclusion: the frequency of citological alterationfound in this study was of 3.8%, in decreasing orderaccording to the lesion severity. The frequency of thePap test realization was appropriate acording to therecommend by the World Health Organization (80%).

[Human papillomavirus and cervical neoplasia]. / Papilomavírus humano e neoplasia cervical.

Human papillomavirus (HPV) has been established as an important etiological factor for the development of cervical cancer. This DNA virus primarily infects the epithelium and can induce benign and malignant lesions of the mucous membranes and skin. Some HPVs are considered high risk due to their role in malignant progression of cervical tumors. Genital HPV infections are common and usually transient among young sexually active women. Only a small fraction of infected women develop cervical cancer, implying the involvement of environmental and genetic cofactors in cervical carcinogenesis. Classification, virology, pathology, natural history, epidemiological features of genital HPV infection, and future prospects for cervical cancer prevention with HPV vaccines will be reviewed here.

Papilomavírus humano e neoplasia cervical: [revisão] / Human papillomavirus and cervical neoplasia: [revision]

Human papillomavirus (HPV) has been established as an important etiological factor for the development of cervical cancer. This DNA virus primarily infects the epithelium and can induce benign and malignant lesions of the mucous membranes and skin. Some HPVs are considered high risk due to their role in malignant progression of cervical tumors. Genital HPV infections are common and usually transient among young sexually active women. Only a small fraction of infected women develop cervical cancer, implying the involvement of environmental and genetic cofactors in cervical carcinogenesis. Classification, virology, pathology, natural history, epidemiological features of genital HPV infection, and future prospects for cervical cancer prevention with HPV vaccines will be reviewed here.

O papilomavírus humano (HPV) é um fator etiológico bem estabelecido para o câncer cervical. Esse vírus de DNA infecta primariamente o epitélio e pode induzir lesões benignas ou malignas na pele e na mucosa. Alguns HPVs são considerados de alto risco, responsáveis pela progressão das lesões precursoras até câncer cervical. A infecção genital pelo HPV é comum em mulheres jovens e geralmente é transitória. Uma pequena proporção de mulheres infectadas desenvolve câncer cervical, implicando o envolvimento de fatores ambientais e fatores genéticos na carcinogênese. Essa revisão aborda a estrutura viral, classificação e patologia do HPV, história natural e fatores de risco para neoplasia cervical e perspectivas futuras com a vacina anti-HPV.

Cobertura do Teste de Papanicolaou em usuárias do SUS em Criciúma - Sul do Brasil / Pap test coverage smear in users of public health in Criciúma – South of Brazil

Objetivo: Estimar a prevalência da realização do teste de Papanicolaou, entre usuárias do SUS em Criciúma.Métodos: Estudo transversal com 420 mulheres entre 18 e 60 anos, usuárias do SUS de Criciúma-SC. Resultados: 356 (84,77%) da mulheres haviam realizado o exame Papanicolaou. . Das 420 mulheres entrevistadas, 69% tinham companheiro fixo; 50% não completaram o ensino fundamental; 78% utilizavam algum método anticoncepcional. A maioria das mulheres que já realizaram o exame preventivo, o fizeram por conta própria.Citam-se como fatores de risco entre aquelas que não realizaram o teste: mulheres solteiras, viúvas ou separadas(RP=2,98, IC 5%:1,88-4,73) e mulheres que usam DIU, preservativo masculino, tabela, laqueadura, coito interrompido, vasectomia, outros métodos ou nenhum (RP=1,79, IC 95%: 1,03-3,10). Conclusão: A situação marital estável e a utilização de anticoncepcional oral são fatores protetores para a realização do exame de Papanicolaou.

Objective: To establish the women prevalence submitted to a previous screening Pap smear in users ofpublic health in Criciúma-SC.Methods: This was a cross-sectional study with 420 women between 18 and 60 years old, users of public health in Criciúma-SC. Results: 64 women (15,23%) have not made Pap smear testing in the previous 3 years or they have never made it. From 420 interviewed women, 69% have a steadymarital status; 50% have not completed the basic education; 78% have taken some king of contraceptive method. The great part of women who have submit to a Pap smear, have made by them selves. The risk factors for non-realization of Pap test are: single, separated orwidowers women (RP=2.98, CI 95%: 1.88-4.73) and who IUD users, condoms, the ones who make their owncontrols, female sterilization, interrupted coitus, vasectomy, and other coitus-dependent contraceptives or none of them (RP=1.79, CI 95%:1.03-3.10).Conclusion: The stable marital situation and contraceptives methods use are protector factors to take Pap smear test.