Age-related risk factors with nonfatal traffic accidents in urban areas in Maringá, Paraná, Brazil.

OBJECTIVE: The present study aimed to analyze the factors associated with the occurrence of nonfatal traffic accidents regarding age. METHODS: A retrospective, transversal, and analytical study was carried out in the municipality of Maringá, Paraná, Brazil, based on data from Boletins de Ocorrência de Acidente de Trânsito ("Police Occurrence Bulletins"; BOATs). Following probability sampling, the sociodemographic aspects, logistics, environmental conditions, and time of occurrence of 418 cases of accidents were analyzed. The age of the victims was considered to be the dependent variable. The data were analyzed using descriptive statistics and bivariate, multivariate, and variance analysis, considering a confidence interval of 95% and a significance level of 5% (P <.05). RESULTS: Results revealed that young people (15-29 years) were twice as likely to be hospitalized due to severe injuries. Young motorcyclists had a 2.5 times greater chance of suffering accidents (P <.001); the use of other vehicles such as cars, bicycles, buses, and trucks represented a protective factor for this group (P <.05). Multiple logistic regression revealed that the main predictors for the occurrence of accidents were being single, having over 8 years of education, having had a driver's license for less than 3 years, roads with low luminosity, and driving at night. CONCLUSIONS: Demographic, environmental, and logistical factors were associated with morbidity due to traffic accidents among young people. These results challenge society and policy makers to create more effective strategies to minimize this serious public health problem.

[Occupational stress: evaluation of intensive care nurses who work at nighttime]. / Estresse ocupacional: avaliaçao de enfermeiros intensivistas que atuam no período noturno.

Descriptive, cross-sectional study, which aimed to evaluate the stress level of nighttime intensive care nurses. The Bianchi Stress Scale was applied to 26 (100%) nurses from five hospitals. In data analysis, the Pearson Chi-square test was used and it was noticed that the stress among nurses in a public (3.36 points) and private facility (3.02 points) was classified at the median level and there was no statistical significance (p = 0.90) forr stress, according to the type of institution. Variables that most contributed to the occurrence of stress were: working conditions (nighttime work closed and critical unit), patient severity, management activities associated with care. It was concluded that the workplace was positively associated with the stress in nurses working at nighttime and that its onset and effects can be minimized through improvements in the structure and organization of the place where the healthcare providers work.

[Profile and process of the care provided to high-risk newborns in southern Brazil]. / Perfil e processo da assistência prestada ao recém-nascido de risco no Sul do Brasil.

OBJECTIVE: To describe newborns at risk and check the process of care provided by the High Risk Newborn Surveillance Program in Maringá-PR. METHODS: Data were collected from medical records and monitoring sheets of a stratified sample consisting of 505 newborns at risk, born in 2007. Maternal and neonatal care were analyzed descriptively using Statistica 7.1 software. RESULTS: The program only considered biological risks as inclusion criteria, whether they appeared alone (63.2%) or associated (36.8%). Regarding mothers, 71.5% were adults, 78.2% had > 8 years of schooling, 57.2% were single parents, 55.3% had an unpaid occupation, 69.5% had > 6 prenatal visits, 87.3% had a single baby, and 65.4% had a C-section. Regarding newborns at risk, 51% were male, 50.3% had low birth weight, 51.5% were full term, 95.8% without congenital anomalies, and 90.3% with 5th minute scores > 7. Regarding care provided to children at risk, 69.5% were accompanied by the Program, 71% of the medical records were located, for 82.6% there were no home visits, 8.9% received > 12 medical consultations, 33.1% had not received any guidance, 5.8% were hospitalized, 18.7% were weighed > 12 times, and 19.8% presented full immunization records. CONCLUSION: It is necessary to reorganize primary care to ensure integral care and for ongoing monitoring of the bio-psychosocial development and growth of children at risk.

[Using correspondence analysis to evaluate information records of the risk newborns]. / Análise de correspondência para avaliação dos registros das informações dos recém nascidos de risco.

This study aims to analyze in different information systems the quality of the information on infants enrolled in the High-Risk Newborn Vigilance Program. This is a cross-sectional study with quantitative analysis. Data was collected from the following forms and charts: the Newborn Montoring Form; Information System of Primary Care Forms, A and C; and forms of 505 children at risk in 23 Basic Health Units (UBS). Correspondence Analysis and Ascendant Hierarchical Classification were used to analyze data. The positive aspects observed refer to the adequacy of records. The results show that the quality of the activity records was adequate in 30% of UBS (Basic Units of Health), suggesting training and professional development of physicians and nurses referred to services and assistance programs, and complete records of routine home visits.