Objectives: to identify the frequency and factors associated with the non-realization of puerperal consultations in women resident of a medium-sized municipality in Brazil. Methods: a prospective cohort study based on data collected in two time points, the first 48h and after the 42nd day post-childbirth. In order to analyze data, proportions were compared using the chi-square test, and the adjusted analysis was performed using Poisson regression, according to a predetermined hierarchical model. Significance level was set at 5%. Results: of the 572 women included in the study, 24.8% did not perform puerperal consul-tations. The factors associated with the non-realization of puerperal consultations were: lower income (1 st tercile PR= 2.01; CI95%= 1.21-3.33 – 2 nd tercile PR= 1.94; CI95%=1.17-3.20) and schooling (≤ 8 years PR= 2.00; CI95%= 1.24-3.24), comorbidities during preg-nancy (PR= 1.45; CI95%= 1.01-2.09), realization of antenatal care in the public service (PR= 1.74; CI95%= 1.18-2.58) and non-use of contraceptive methods (PR= 3.10; CI95%=1.86-5.16). Conclusions: puerperal revision does not seem to be valued in the antenatal care, mainly in the public health system. An important inequality was identified in the provision of this service, since women more prone to recurring pregnancy and with lower income and schooling were the ones that least returned to the puerperal consultation.

This study aimed to analyze the presence of adequate infrastructure and work process in primary health care for the diagnosis, management, and treatment of syphilis in Brazil in 2012, 2014, and 2018. This is a cross-sectional, nationwide study with data from the three cycles of the Program for Improvement of Access and Quality of Basic Healthcare (PMAQ-AB): 2012 (Cycle I), 2014 (Cycle II), and 2018 (Cycle III). Two outcomes were assessed: adequate infrastructure and work process. The independent variables were macroregion, municipality size, Municipal Human Development Index (HDI-M), and coverage of the Family Health Strategy (FHS). Variance-weighted least squares regression was used to estimate annual changes in percentage. In total, 13,842 primary basic health units (UBS) and 17,202 professional health care teams were assessed in Cycle I; 24,055 UBS and 29,778 teams in Cycle II, and 28,939 UBS and 37,350 teams in Cycle III. About 1.4% of UBS had adequate infrastructure in Cycle I; 17.5% had in Cycle II; and 42.7% had in Cycle III. Adequate work process also increased in the three cycles, ranging from 47.3% in Cycle I to 45.5% in Cycle II and 75.4% in Cycle III. However, inequities are observed, considering that richer regions and larger municipalities, with higher HDI-M and lower FHS coverage improved the most. The low prevalence of adequate infrastructure and work process for the care of patients with syphilis in Brazil reflects a significant weakness in the Brazilian health system.

Objetivo: avaliar a atenção psicossocial pela ótica do familiar do paciente esquizofrênico.Metódo: estudo correlacional com 40 familiares no Centro de Atenção Psicossocial III de Londrina-PR, entre 2015 e 2016. Foram obtidas variáveis relacionadas à caracterização sociodemográfica e das escalas de avaliação da sobrecarga e de satisfação de familiares. Os dados foram analisados com medidas de tendência central e de correlação.Resultados: 24 cuidadores eram mulheres, 23 eram casados e a idade média foi 46 anos. A média de satisfação foi 4,37, a média global para a sobrecarga objetiva foi 2,26 e a sobrecarga subjetiva foi de 2,09.Conclusão: Embora muito satisfeitos, diferenças nos escores de sobrecarga revelaram que os familiares recebem bom suporte psicoeducativo, mas a sobrecarga gerada pela preocupação com o ente familiar é o aspecto que mais gera sorimento. Tais resultados podem nortear o enfermeiro no direcionamento das ações de suporte aos familiares, reduzindo a sobrecarga familiar.

OBJETIVO: descrever a metodologia utilizada no estudo, a amostra e a prevalência dos sintomas da fase aguda da infecção de acordo com variáveis socioeconômicas. MÉTODOS: estudo transversal realizado em Rio Grande com indivíduos infectados pela covid-19 no período de dezembro de 2020 a março de 2021. Foram investigados 19 sintomas presentes durante a fase aguda da infecção e analisados, em separado e em categorias de “0-4”, “5-9” e “10 ou mais”, de acordo com sexo, idade e classe econômica. RESULTADOS: 2.919 pessoas fizeram parte da amostra. Os sintomas mais prevalentes foram fadiga (73,7%), dor de cabeça (67,2%), perda de paladar (65,9%), perda de olfato (63,9%) e dores musculares (62,3%). Com relação a ocorrência de sintomas estratificado por sexo, todos os sintomas, exceto tosse produtiva, foram estatisticamente maiores no sexo feminino. Referente à idade, verificou-se que dor de cabeça, dor/desconforto para respirar, perda de paladar, perda de olfato, fadiga, dor de garganta, congestão nasal, diarreia, dores articulares e dores musculares foram estatisticamente maiores entre os adultos (18-59 anos). Quanto a classe econômica, a prevalência dos sintomas falta de ar, dor/desconforto para respirar, alteração de sensibilidade e dores articulares apresentaram aumento linear conforme a redução da classe econômica. CONCLUSÃO: os resultados deste estudo permitiram identificar os sintomas mais frequentes na fase aguda da covid-19 e sua distribuição nos grupos, fornecendo dados para implementação de políticas públicas pelos gestores e respaldo para os profissionais de saúde na assistência a essa população.

COVID-19 is an infection in which symptoms may persist after the acute phase. The aim of the present study was to verify the prevalence and factors associated with COVID-19 and to describe the main residual symptoms after 6–10 months of infection in individuals from the extreme south of Brazil. This was a cross-sectional study of 2919 individuals older than 18 diagnosed by RT‒PCR with COVID-19 in the city of Rio Grande/RS, Brazil, from December 2020 to March 2021 who were symptomatic, with data collected by telephone interview or home visit. The COVID-19 outcome was obtained from the sum of all symptoms that the individual claimed to continue having at the time of the interview, ranging from zero to 19. For the crude and adjusted analyses, we used Poisson regression with robust adjustment of variance calculating prevalence ratios (PRs) and their respective 95% confidence intervals. The adjusted analysis was performed by means of a hierarchical model built in four levels. The significance level adopted was 5%, and the analyses were performed with the statistical package Stata 16.1. The prevalence of COVID-long was 48.3% (95% CI 46.5; 50.1). The most prevalent residual symptoms were fatigue, memory loss, loss of attention, headache, loss of smell, muscle pain and loss of taste. The groups more likely to develop COVID-19 were female, exhibited anxiety, hypertension, heart problems, diabetes mellitus, musculoskeletal problems, respiratory problems, previous morbidities and hospitalization in a ward or ICU. Physical activity and self-perception of good and very good health were protective factors for the outcome. When adjusted, female gender, anxiety, morbidities and who were hospitalized remained associated with the outcome, while self-perception of good and very good health had a lower probability. This study showed that almost half of the individuals in the sample developed long COVID after 6–9 months of infection. Among the associated factors, female individuals and those with chronic conditions stand out, demanding the creation of public policies to promote integral and continued assistance to these individuals.