Spatial Distribution of Gestational Syphilis in Brazil: Socioeconomic and Health Services Inequalities.

We aimed to analyze the spatial distribution of gestational syphilis from 2008 to 2018 in Brazil and identify correlations with socioeconomic and health-care aspects. This ecological study used municipalities of Brazil as the unit of analysis. Data collection took place between June and July 2021. Data were extracted for 2008 to 2018, and information on the epidemic in animals in the country was obtained from data records. The gestational syphilis detection rate was the dependent variable, and the independent variables were the Municipal Human Development Index, the proportion of doctors per inhabitant in primary health care (PHC), and the percentage of PHC coverage. The data went through an aggregation process in 482 immediate regions of urban articulation. The global Moran's I index and the local spatial correlation indicator detected territorial clusters using GeoDa software. The gestational syphilis detection rate was distributed unevenly in the immediate regions of urban articulation between 2008 and 2018, and presented a negative spatial correlation with the Municipal Human Development Index (Moran's I = -0.243, P ≤ 0.05), the percentage of PHC coverage (Moran's I = -0.163, P ≤ 0.05), and the proportion of doctors per inhabitants in PHC (Moran's I = -0.164, P ≤ 0.05). Socioeconomic inequalities, mainly related to the availability of human resources and access to health services, are correlated with the spatial distribution of gestational syphilis in Brazil. Investments in social policies and strengthening of PHC are essential for controlling gestational syphilis.

Men's health care: concept analysis.

OBJECTIVES: To analyze the concept of men's health care and identify its essential, antecedent and consequent attributes in the health context. METHODS: This is a concept analysis structured in the theoretical-methodological framework of the Walker and Avant Model. An integrative review was carried out between May and July 2020, using keywords and descriptors: Men's Care and Health. RESULTS: The concept of men's health care is structured by 240 attributes, 14 categories, 82 antecedents and 159 consequents, from the selection of 26 published manuscripts. The design was evidenced from the dimensions: Intrapersonal, psychological and behavioral related to masculinities, interpersonal, organizational and structural, ecological, ethnoracial, cross-cultural and transpersonal. CONCLUSIONS: The concept of men's health care revealed the male specificities regarding the recognition of the place of health care and the daily exercise in the lived experience.

Men's health care: concept analysis / Cuidado de la salud de los hombres: análisis de concepto / Cuidado da saúde de homens: análise de conceito

Objective. To analyze the concept of men's health care and identify its essential, antecedent and consequent attributes in the health context. Methods. This is a concept analysis structured in the theoretical-methodological framework of the Walker and Avant Model. An integrative review was carried out between May and July 2020, using keywords and descriptors: Men's Care and Health. Results. The concept of men's health care is structured by 240 attributes, 14 categories, 82 antecedents and 159 consequents, from the selection of 26 published manuscripts. The design was evidenced from the dimensions: Intrapersonal, psychological and behavioral related to masculinities, interpersonal, organizational and structural, ecological, ethnoracial, cross-cultural and transpersonal. Conclusion. The concept of men's health care revealed the male specificities regarding the recognition of the place of health care and the daily exercise in the lived experience.

Objetivo. Analizar el concepto de cuidado de la salud de los hombres e identificar sus atributos esenciales, antecedentes y consecuencias en el contexto sanitario. Métodos. Se trata de un análisis conceptual estructurado en el marco teórico y metodológico del Modelo Walker y Avant. Se realizó una revisión integradora, mediante la utilización de palabras clave y descriptoras: Cuidado y Salud del Hombre. Resultados. El concepto de cuidado de la salud de los hombres está estructurado por 240 atributos, 14 categorías, 82 antecedentes y 159 consecuencias, originados en los 26 manuscritos publicados seleccionados. Se evidenció el delineamiento a partir de las dimensiones: Intrapersonal, psicológicas y conductuales relacionadas con las masculinidades, interpersonal, organizacional y estructural, ecológica, étnico-racial, transcultural y transpesonales. Conclusión. El concepto de cuidado de la salud de los hombres reveló las especificidades masculinas en cuanto al reconocimiento del lugar del cuidado de la salud y a su ejercicio cotidiano en la experiencia vivida.

Objetivo. Analisar o conceito do cuidado de saúde de homens e identificar respectivos atributos essenciais, antecedentes e consequentes no contexto sanitário. Métodos.Se trata de uma análise de conceito estruturado no referencial teórico-metodológico do Modelo de Walker e Avant. Se realizou uma revisão integrativa entre o mês de maio a julho de 2020, mediante a utilização de palavras chaves e descritores: Cuidado e Saúde do Homem. Resultados. O conceito de cuidado de saúde de homens está estruturado por 240 atributos, 14 categorias, 82 antecedentes e 159 consequentes, oriundos da seleção de 26 manuscritos publicados. Se evidenciou o delineamento a partir das dimensões: Intrapessoais, psicológicas e comportamentais relativas às masculinidades, interpessoais, organizacionais e estruturais, ecológicas, etnicoraciais, transculturais e transpessoais. Conclusão. O conceito de cuidado de saúde de homens revelou as especificidades masculinas quanto ao reconhecimento do lugar do cuidado de saúde e o seu exercício cotidiano na experiência vivida.

HIV epidemic in a province of the Brazilian Amazon region: Temporal trend analysis.

BACKGROUND: Although considerable progress has been made over the last decades, human immunodeficiency virus (HIV) incidence and acquired immunodeficiency syndrome (AIDS) mortality rates have remarkably increased in the Brazilian Amazon region. Here, we employed temporal analysis to determine the impact of public policies on the HIV epidemic in the state of Pará, Brazil, which has the second highest HIV incidence rate in the Amazon region. DESIGN AND METHODS: This is an ecological study conducted in the state of Pará, employing secondary data of HIV/AIDS cases notified to the Information System for Notifiable Diseases, 2007-2018. The following epidemiological variables were collected: year of notification, municipality of residence, age, sex, education, exposure category, and HIV/AIDS diagnostic criteria. The study population was composed of 21,504 HIV/AIDS cases. The HIV/AIDS incidence rates were analyzed employing the temporal trend analysis (TTA) followed by the chi-square test and residue analysis to determine the association between the epidemiological variables and time series periods. RESULTS: A total of 50% of the notifications were composed of AIDS cases. TTA identified two periods in HIV/AIDS incidence, with stabilization of cases in the first period (G1, 2007-2012) and an upward trend in the second period (G2, 2012-2018). The most prevalent epidemiological characteristics in G2 (versus G1) were as follows: young people, brown skin color, higher schooling, and homosexuals. CONCLUSIONS: Public policy to control HIV infection in the Brazilian Amazon region has been partially effective. HIV screening tests and treatment should be made widely available to eradicate HIV infection in the Amazon region by 2030.

Cuidados de enfermería al paciente trasplantado renal: scoping review / Cuidados de enfermagem ao paciente transplantado renal: scoping review / Nursing Care for Kidney Transplant Patients: A Scoping Review

Objectives: Mapping nursing care in kidney transplant patients. Materials and method: A scoping review was conducted according to the recommendations of the Joanna Briggs Institute Reviewers' Manual. Data were collected through 13 national and international databases from December 2020 to January 2021, following scientific rigor in the selection of the material. The pre-selection was made by reading the title, abstract and introductory text in advance; the materials included in this stage were read in full to define the content for the study. Results: Fifteen studies were included. Of these, 60% are articles; dissertations, manuals, protocols, guidelines and bulletins totaled 40% of the material studied. 86.6% of the material has a quantitative approach. Regarding the methodological design, 73.3% were descriptive/transversal character studies. Regarding the mapping of nursing care, it was possible to divide them into two categories: nursing care after kidney transplantation (immediate, mediated and late) and nursing care after kidney transplantation in primary health/extra-hospital care. Conclusions: It is concluded that the study allowed mapping nursing care to kidney transplant patients in the immediate, late and primary health care periods.

Objetivos: mapear los cuidados de enfermería en pacientes trasplantados renais. Materiales y método: scoping review conducida conforme las recomendaciones del Joanna Briggs Institute Reviewers' Manual. Se recolectaron los datos por medio de 13 bases de datos nacionales e internacionales de diciembre del 2020 a enero del 2021, siguiendo rigor científico en la selección del material. La preselección se dio mediante lectura previa de título, resumen y texto introductorio; los materiales incluidos en esta etapa se leyeron en la íntegra con el fin de definir el contenido para el estudio. Resultados: se incluyeron 15 estudios. De estos, el 60 % es artículo; tesis, manuales, protocolos, directrices y boletines suman 40 % del material estudiado. El 86,6 % del material presenta enfoque cuantitativo. En cuanto al diseño metodológico, el 73,3 % son estudios de tipo descriptivos/transversales. Con relación al mapeo de los cuidados de enfermería, se logró dividirlos en dos categorías: cuidados de enfermería post trasplante renal (inmediato, mediato y tardío) y cuidados de enfermería post trasplante renal en la atención primaria a la salud/extra hospitalaria. Conclusiones: se concluye que el estudio permitió mapear los cuidados de enfermería al paciente trasplantado renal en los posoperatorios inmediato, mediato, tardío y en la atención primaria a la salud.

Objetivos: mapear os cuidados de enfermagem em pacientes transplantados renais. Materiais e método: scoping review conduzida conforme as recomendações do Joanna Briggs Institute Reviewers' Manual. Os dados foram coletados por meio de 13 bases de dados nacionais e internacionais de dezembro de 2020 a janeiro de 2021, seguindo rigor científico na seleção do material. A pré-seleção se deu mediante a leitura prévia de título, resumo e texto introdutório; os materiais incluídos nessa etapa foram lidos na íntegra a fim de definir o conteúdo para o estudo. Resultados: foram incluídos 15 estudos. Destes, 60 % são artigos; dissertações, manuais, protocolos, diretrizes e boletins somaram 40 % do material estudado. 86,6 % do material apresenta abordagem quantitativa. Quanto ao desenho metodológico, 73,3 % eram estudos de tipo descritivos/transversais. Quanto ao mapeamento dos cuidados de enfermagem, pôde dividi-los em duas categorias: cuidados de enfermagem pós- transplante renal (imediato, mediato e tardio) e cuidados de enfermagem pós- transplante renal na atenção primária à saúde/extra-hospitalar. Conclusões: conclui-se que o estudo permitiu mapear os cuidados de enfermagem ao paciente transplantado renal nos pós-operatórios imediato, mediato, tardio e na atenção primária à saúde.

Prevalence of complications associated with the use of a peripherally inserted central catheter in newborns: A systematic review protocol.

BACKGROUND: The improper handling of a peripherally inserted central catheter (PICC) in newborns (NBs) may result in mechanical and infectious complications. AIM: The aim of this systematic review (SR) is to estimate the prevalence of complications associated with the use of PICC in NBs. METHODS: We will utilize PubMed, Embase, CENTRAL, Web of Science, Scopus, Cochrane Library, CINAHL, and Google Scholar for the databases search. There will be no restrictions on the search for languages, and observational studies will be selected wherein the prevalence rate of complications associated with the use of PICC in NBs has been presented or can be calculated. The systematic review will follow the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Two reviewers will independently select studies and assess their eligibility using predefined criteria. Using standardized forms, two other reviewers will independently extract data from each included study, and the random-effects pooled prevalence will be calculated in the meta-analysis with the respective 95% confidence intervals. The methodological quality of the studies will be assessed using the modified Newcastle-Ottawa Scale. Review Manager V.5.3.5 will be used for the qualitative and quantitative synthesis. A protocol was developed and published on PROSPERO (Registration number CRD42020211983). EXPECTED RESULTS: This SR will show the prevalence of complications caused by the inadequate management of PICC in NBs, which is information considered important for clinical practice improvement.

Avaliação da conformidade de utilização de um protocolo para identificação de pacientes / Evaluación de la conformidad de utilización de un protocolo para la identificación de pacientes / Evaluation of Conformity with Using a Patient Identification Protocol

Introdução: A segurança do paciente tem sido uma temática debatida com grande repercussão mundial. Dentre as metas internacionais para aperfeiçoar a qualidade do cuidado, proporcionando segurança, tem-se a identificação dos pacientes. O erro de identificação do paciente interfere nos cuidados de saúde de modo negativo, uma vez que potencializa a ocorrência de falhas, e algumas fatais. Objetivo: Avaliar a conformidade de utilização de protocolo de identificação de pacientes em um hospital de doenças infectocontagiosas. Métodos: Estudo quantitativo, descritivo, prospectivo, com casuística de 680 oportunidades. A coleta de dados ocorreu no período de outubro de 2017 a abril de 2018 em um hospital de referência de doenças infectocontagiosas Nordeste do Brasil, por meio do preenchimento leito-à-leito. Para a análise comparativa utilizou-se o teste Qui-quadrado com intervalo de confiança de 95 porcento e significância de 5 porcento. Resultados: A conformidade geral foi de 88,88 porcento. A avaliação do protocolo sobre as variáveis obteve maior conformidade na etapa Presença da Pulseira (94 porcento) e menor na etapa Condições da Pulseira (82 porcento). Conclusão: Foi estabelecido um diagnóstico situacional frente a implantação do protocolo de identificação, identificando aspectos vulneráveis que merecem ser revistos para melhoria contínua da qualidade e segurança dos pacientes(AU)

Introducción: La seguridad del paciente ha sido un tema muy debatido. Entre los objetivos internacionales para perfeccionar la calidad del cuidado, proporcionando seguridad, se tiene la identificación de los pacientes. La identificación errónea del paciente interfiere con la atención médica de manera negativa, ya que potencializa la aparición de fallas, algunas de ellas fatales. Objetivo: Evaluar la conformidad de uso de protocolo de identificación de pacientes en un hospital de enfermedades infectocontagiosas. Métodos: Estudio cuantitativo, descriptivo, prospectivo, con casuística de 680 oportunidades. La recolección de datos ocurrió en el período de octubre de 2017 a abril de 2018 en un hospital de referencia de enfermedades infectocontagiosas Nordeste de Brasil, por medio del llenado del protocolo cama por cama. Para el análisis comparativo se utilizó la prueba Qui-cuadrado con intervalo de confianza del 95 por ciento y significancia del 5 por ciento. Resultados: La conformidad general fue de 88,88 por ciento. La evaluación del protocolo sobre las variables obtuvo mayor conformidad en la etapa Presencia de la Pulsera (94 por ciento) y menor en la etapa Condiciones de la Pulsera (82 por ciento). Conclusión: Se estableció un diagnóstico situacional frente a la implantación del protocolo de identificación, identificando aspectos vulnerables que merecen ser revisados para la mejora continua de la calidad y seguridad de los pacientes(AU)

Introduction: Patient safety has been a widely discussed topic. Patient identification is among the international objectives for improving the quality of care while providing safety. Patient misidentification interferes negatively with medical care, since it potentiates the appearance of failures, some of them fatal. Objective: To evaluate conformity with the patient identification protocol in a hospital for infectious/contagious diseases. Methods: Quantitative, descriptive and prospective study with a case series of 680 opportunities. Data collection was performed in the period from October 2017 to April 2018, in a reference hospital for infectious/contagious diseases in northeastern Brazil, by filling out the protocol bed by bed. For the comparative analysis, the Chi-square test was used, with a confidence interval of 95 percent and significance of 5 percent. Results: General conformity was 88.88 percent. The evaluation of the protocol over the variables obtained greater conformity in the stage Presence of the bracelet (94 percent) and less in the stage Conditions of the bracelet (82 percent). Conclusion: A situational diagnosis was established in face of the implementation of the identification protocol, identifying vulnerable aspects that deserve to be reviewed for the continuous improvement of the quality and safety of the patients(AU)

Perfil de accidentes de trabajo que involucran a profesionales de enfermería en el ámbito de Cuidados Intensivos / Perfil de acidentes de trabalho envolvendo profissionais de enfermagem no ambiente da Terapia Intensiva / Profile accidents involving nurses in the Intensive Care environment

Estudio descriptivo, transversal, con abordaje cuantitativo, cuyo objetivo era identificar las características sociodemográficas y el perfil de los accidentes de trabajo entre los 45 enfermeros de una Unidad de Cuidados Intensivos. Los datos revelaron un predominio del sexo femenino (80%) en el rango de edad de 29-39 años (51,1%), promedio 34,6 años (± 8,1), el 64,4% de los trabajadores estaban casados, 66.7% eran técnicos de enfermería y ejercían sus funciones en el turno de noche (48,9%). El perfil de los accidentes mostró que la parte lesionada del cuerpo con mayor frecuencia eran los dedos (35,6%), siendo el encapuchado de la aguja el factor desencadenante (48,8%). Se concluye que los enfermeros estuvieron expuestos a riesgos laborales, siendo el perfil de los accidentes relacionados con el manejo de materiales perforantes y cortantes. Estos resultados refuerzan la necesidad y ofrecen subvenciones para que se implanten programas de formación dirigidos al personal de enfermería (AU)

Estudo descritivo, transversal com abordagem quantitativa, que teve por objetivo identificar as características sociodemográficas e o perfil dos acidentes de trabalho entre os 45 profissionais de enfermagem de uma Unidade de Terapia Intensiva. Os dados revelaram predominância do sexo feminino (80%), compreendidos na faixa etária de 29 a 39 anos (51,1%), média de 34,6 anos (± 8,1), 64,4% dos trabalhadores eram casados, 66,7% eram técnicos de enfermagem e exerciam as suas funções em turno noturno (48,9%). O perfil dos acidentes revelou que a região corporal lesionada com mais frequência foram os dedos (35,6%), sendo o reencape de agulhas o fator desencadeante (48,8%). Conclui-se que os profissionais de enfermagem estavam expostos a riscos ocupacionais, sendo o perfil dos acidentes relacionados a manipulação de materiais perfurantes e cortantes. Esses achados reforçam a necessidade e oferecem subsídios para que sejam implementados programas de capacitação voltados à equipe de enfermagem

Descriptive, transversal study with a quantitative approach, aimed at identifying sociodemographic characteristics and profile of work accidents among 45 nurses of ICU. The data revealed a predominance of females (80%) in the age range 29-39 years (51.1%), average 34.6 years (± 8.1), 64.4% of workers were married, 66.7% were nursing technicians and exercised its functions in night shift (48.9%). The profile of the accidents showed that the injured body part with the fingers were more frequently (35.6%), the recapping of the needle trigger (48.8%). It is concluded that nurses were exposed to occupational hazards, and the profile of accidents related to handling perforating and cutting materials. These findings reinforce the need and offer subsidies for training programs for nursing staff to be deployed (AU)