Objective: Identify the prevalence of anxious and depressive symptoms and their correlations with sociodemographic and occupational characteristics in university students. Method: This is census, cross-sectional and analytical study, developed with nursing students of a federal public university in the Northeast of Brazil in the months of September and October 2016. 205 university students of all the periods of the course attended the study. Beck’s inventories for anxiety and depression were applied. Results: Most of the participants were female, single, native of the state capital and living with his parents. The prevalence of depression was 30.2% and of anxiety, 62.9%. Association between the level of depressive symptoms, work, sex and leisure was identified. Conclusion: The prevalence of symptoms of anxiety and depression was quite expressive, lacking, thus, more attention to the promotion of mental health of nursing students.

Resumo Objetivo Identificar na literatura nacional e internacional, estudos sobre a eficácia de métodos não farmacológicos na redução da dor do parto. Métodos Revisão integrativa realizada nas bases de dados MEDLINE/PUBMED, SCOPUS, CINAHL, LILACS e BDENF, com recorte temporal entre os anos de 2013 a 2018, em português, inglês e espanhol. Utilizado a metodologia PICo para construir a pergunta de pesquisa e selecionar descritores controlados e não controlados, que foram combinados com os operadores booleanos “AND”, “OR” e “NOT”. Resultados Foram selecionados 19 artigos. Dentre os métodos não farmacológicos encontrados, destacam-se: a acupuntura e suas principais variações (acupressão e auriculoterapia) (29,17%), hidroterapia (25%), exercícios perineais com a bola suíça (16,67%), terapias térmicas (8,33%) e os demais métodos (20,83%). Conclusão A acupuntura e a acupressão agem tanto sobre aspectos fisiológicos da dor como sobre sua subjetividade. O banho quente de aspersão, a musicoterapia, a aromaterapia e as técnicas de respiração promovem o relaxamento e a diminuição dos níveis de ansiedade. As terapias térmicas contribuem para a analgesia local de regiões afetadas pela dor. Os exercícios na bola suíça são importantes para reduzir a dor e adotar a posição vertical, importante na progressão do trabalho de parto.

Objective: to analyze the prevalence of various anxiety disorders among mental and behavioral disorders as a cause for the leave of absence of workers in the state of Piauí. Method: transversal census-based study performed with data from the National Social Security Institute. Four-hundred twelve leaves of absence of workers due to anxiety disorders in the 2015-2016 biennium were included. Results: higher prevalence was found for mixed anxiety-depressed disorder (31.2%), followed by other anxious disorders (20.6%) and generalized anxiety (14.1%). Ages from 22 to 45 years old prevailed in the group of individuals with duration of absence greater than or equal to 41 days, with statistically significant difference (p < 0.001). There was no statistically significant association (p = 0.004) between rural activity and increased time of absence. Conclusion: the study draws attention to the prevalence of “other anxiety disorders” as the cause of leave of absence, with emphasis on mixed anxiety-depressed disorder.

RESUMO: Objetivou-se analisar a relação entre as características dos acidentes motociclísticos e a suspeita do uso de álcool. Estudo descritivo e transversal, realizado com 110 pacientes vítimas de acidentes de motocicleta atendidos em hospital de referência em urgência em uma capital do nordeste do Brasil, cujos dados foram coletados em novembro e dezembro de 2016, e analisados por meio da estatística descritiva, aplicando-se testes inferenciais. Verificou-se associações significativas entre o uso de álcool e a condição da vítima no veículo, habilitação, turno do acidente e uso de capacete. Vítimas sem capacete e que consumiram bebidas alcoólicas apresentaram prevalência maior dentre os acidentados. Os dados alertam sobre a relevância de uma fiscalização direta, efetiva e contínua por parte dos órgãos de trânsito, levando-se em consideração a insuficiência de medidas preventivas para acidentes. DESCRITORES: Acidentes de trânsito; Motocicletas; Causas externas; Ferimentos e lesões; Prevenção de acidentes. ACIDENTES COM MOTOCICLETAS: CARACTERÍSTICAS MOTORCYCLE ACCIDENTS: CHARACTERISTICS AND SUSPECTED ALCOHOL USE ABSTRACT:The present study aimed to analyze the relationship between the characteristics of motorcycle accidents and suspected alcohol use. Descriptive and cross-sectional study with 110 patients involved in motorcycle accidents assisted at an emergency hospital in a large city (state capital) in Northeastern Brazil. Data was collected in November-December 2016 and analyzed through descriptive statistics and inferential tests. Significant associations were found between alcohol consumption and injury severity, licensed or unlicensed drivers, time of the accident (night or day) and helmet use. Most victims of motorcycle accidents were not using a helmet and had consumed alcoholic beverages. The findings call attention to the need for a direct, effective and sustainable traffic crash surveillance system by the responsible bodies, given the lack of effective preventive measures. DESCRIPTORS: Traffic accidents; Motorcycles; External causes; Wounds and injuries; Accident prevention. RESUMEN: Se objetivó analizar la relación entre las características de accidentes motociclísticos y la sospecha de consumo alcohólico. Estudio descriptivo, transversal, realizado con 110 pacientes víctimas de accidentes en motocicleta atendidos en hospital de referencia en emergencias de una capital del noreste de Brasil. Datos recolectados en noviembre y diciembre de 2016, analizados mediante estadística descriptiva, aplicándose tests inferenciales. Se verificaron asociaciones significativas entre consumo de alcohol y la condición de la víctima en el vehículo, habilitación, turno del accidente y uso de casco. Las víctimas sin casco y que consumieron alcohol presentaron mayor prevalencia entre los accidentados. Los datos alertan sobre la relevancia de una fiscalización directa, efectiva y continúan por parte de los organismos de tránsito, tomándose en consideración la insuficiencia de medidas preventivas para accidentes.

Objective: to analyze the wearing of identification wristbands in newborns admitted in a public maternity hospital, regarding patient safety. Method: descriptive study, of the survey type, carried out in a reference public maternity hospital, through observations and interviews. Two hundred and sixty newborns were included. Results: 15.4% of the newborns had no identification wristbands, and 18% of the wristbands had data that did not match with the medical records. 90.9% of the wristbands were easily accessible for checking; however, in 80.9% of the cases, the wristband was not checked before the nursing procedures, and the mother or caregiver was not instructed on wearing the wristband in 76.8% of respondents. Conclusion and implications for practice: there should be training of the nursing team and other health professionals on the placement and daily checking of wristbands, considering international protocols and recommendations regarding patient safety.

Introduction: mental and behavioral disorders (MBD) are among the main causes of lost workdays. Anxiety disorders are the second cause of work absenteism. Objective: to identify and analyze evidence available in literature about work absenteism due to anxiety disorders. Methods: integrative literature review, with no publication year limits and with controlled subject headings, using the following databases: Latin American and Caribbean Literature on Health Sciences (Lilacs), Medical Literature Analysis and Retrieval System Online (Medline) and Nursing Database (BDENF). Results: the final selection consisted of 13 articles, the oldest published in 2006 and the most recent in 2016. Work absences due to anxiety disorders had as main risk factors the environment and working conditions, with a negative impact for both, the worker's and the employer's health. Discussion: evidence indicates a high prevalence of anxiety disorders as cause of work absenteeism and of the high demand for increasing social security costs. Knowing the worker's illness profile contributes to identify the MBD risk factors, and helps in proposing intervention strategies aimed at reducing work absenteism.Os autores declaram que o estudo não foi subvencionado e que não há conflitos de interesses.Os autores informam que o trabalho não é baseado em tese ou dissertação e não foi apresentado em eventos científicos.

RESUMO Objetivo: Analisar os afastamentos laborais de trabalhadores por transtornos mentais e comportamentais. Método: Estudo transversal, censitário, realizado por meio dos dados do banco de dados do Instituto Nacional do Seguro Social, com todos os registros de trabalhadores, nos meses de junho e julho de 2017. Os dados foram analisados com o uso da estatística descritiva e testes inferenciais. Resultados: A amostra foi de 2.449 trabalhadores. Os trabalhadores que se afastaram por transtornos mentais e comportamentais eram, majoritariamente, mulheres, com idade entre 31 e 40 anos e renda inferior ou igual a um ou dois salários mínimos. Os transtornos de humor foram a principal causa do primeiro e segundo afastamento. O ramo de atividade urbana foi considerado um fator de risco para mais de um afastamento (p<0,05). Os seguintes transtornos foram fortemente associados a mais de um afastamento no trabalho (p<0,001): transtorno de humor; esquizofrenia; transtornos esquizotípicos e delirantes; transtornos relacionados ao uso de substâncias psicoativas; transtornos relacionados ao estresse; e transtornos somatoformes. Conclusão: Espera-se estimular os empregadores a investirem nos aspectos relacionados à saúde mental dos seus trabalhadores, com vistas a promover a saúde e evitar o afastamento laboral.

Background There is limited to no evidence of the prevalence and incidence rates of inflammatory bowel disease (IBD) among Indigenous peoples. In partnership with Indigenous patients and family advocates, we aimed to estimate the prevalence, incidence, and trends over time of IBD among First Nations (FNs) since 1999 in the Western Canadian province of Saskatchewan. Methods We conducted a retrospective population-based study linking provincial administrative health data from the 1999-2000 to 2016-2017 fiscal years. An IBD case definition requiring multiple health care contacts was used. The prevalence and incidence data were modeled using generalized linear models and a negative binomial distribution. Models considered the effect of age groups, sex, diagnosis type (ulcerative colitis [UC], Crohn disease [CD]), and fiscal years to estimate prevalence and incidence rates and trends over time. Results The prevalence of IBD among FNs increased from 64/100,000 (95% confidence interval [CI], 62-66) in 1999-2000 to 142/100,000 (95% CI, 140-144) people in 2016-2017, with an annual average increase of 4.2% (95% CI, 3.2%-5.2%). Similarly, the prevalence of UC and CD, respectively, increased by 3.4% (95% CI, 2.3%-4.6%) and 4.1% (95% CI, 3.3%-4.9%) per year. In contrast, the incidence rates of IBD, UC, and CD among FNs depicted stable trends over time; no statistically significant changes were observed in the annual change trend tests. The ratio of UC to CD was 1.71. Conclusions We provided population-based evidence of the increasing prevalence and stable incidence rates of IBD among FNs. Further studies are needed in other regions to continue understanding the patterns of IBD among Indigenous peoples.