Objective: To analyze the time trend, spatial distribution, and the cases of human immunodeficiency virus/acquired immunodeficiency syndrome cases with social determinants of health. Methods: Ecological and analytical study, carried out based on the cases of human immunodeficiency virus/acquired immunodeficiency syndrome notified in a state in the Brazilian Midwest, from 2009 to 2018. The study used descriptive analysis, polynomial regression, and geospatial analysis. Results: In 10 years, there were 9,157 notifications, growing each year. There was a growing trend for both sexes (p<0.001, r2=0.94). The City Human Development Index was related to the higher number of cases (city of notification, p=0.01; and city where the person lives, p=0.02). The highest concentration was in cities that house health macro-regions. Conclusion: Social determinants have a relationship with the time trend and the spatial distribution of cases and can direct strategies for prevention and care.
Objective: to know health professionals’ perceptions about care actions provided to children with Congenital Zika Virus Syndrome and their families. Methods: this is a qualitative study, carried out in a capital of center-western Brazil, based on the Unified Health System theoretical precepts. Data were collected in September and October 2020, through audio-recorded interviews with 12 health professionals from a specialized service and submitted to analysis of content, thematic modality. Results: the implementation of care actions with these children occurs through multidimensional assessment of children and their families, use of the Unique Therapeutic Project, therapeutic interventions for the development of children and the communication and exchange of interprofessional and family experiences, in addition to considering professionals’ prior knowledge and their search for it. Final considerations: children with CZS and their families need individualized, frequent, integrated and continuous care.
Conflitos de interesse: nada a declarar. ResumoObjetivo: Analisar os fatores associados ao óbito em pessoas com HIV/Aids. Método:Estudo epidemiológico e analítico, realizado a partir das notificações de HIV/Aids do estado de Mato Grosso do Sul, no período de 2009 à 2018. Os dados foram analisados por meio de estatística descritiva, análise de sobrevida via método de Kaplan-Meier e regressão de Cox.Resultados: Foram analisadas 8.712 notificações, com taxa de sobrevida de 86% ao longo dos 10 anos. Os fatores associados ao óbito foram:sexo masculino (=1,22; p=0,006), cor da pele parda (=1,30; p=0,012), oito anos ou menos de estudo (=1,57; p=0,000), e possível transmissão sexual mediante relação com mulheres (=2,72; p=0,000) ou com ambos -homens e mulheres (=2,24; p=0,002) e utilização de drogas injetáveis (=2,57; p=0,016).Conclusão: Características sociais, culturais e comportamentais podem contribuir para redução da sobrevida das pessoas com HIV/Aids. Esses fatores sinalizam especificidades a serem consideradas no planejamento assistencial e monitoramento dos casos, em especial no que concerne à necessidade de busca ativa, monitoramento contínuo, além de intervenções que envolvam mudanças de comportamento.
Objectives: to understand the meaning of aging for caregivers of senile elderly people. Methods: qualitative study carried out with 12 caregivers of elderly people registered in the Home Care Service, adopting the Explanatory Model of Kleinman’s Disease as a theoretical framework. Data were collected from April to June 2019, through semi-structured, audio-recorded interviews, carried out at home and submitted to content analysis. Results: taking care of senile elderly people triggers reflections on aging that sometimes lead to a new meaning of this process, besides stimulating the recognition of the factors that influence it, with emphasis on the life history, occupation and deleterious behaviors adopted throughout life. Final Considerations: the care experience influences the meaning attributed to aging, favoring: the identification of modifiable and non-modifiable aspects and behaviors that make it healthy; reflection on aging itself, with a new meaning of habits and behaviors to be adopted.
Objetivo: conhecer a percepção de familiares quanto ao cuidado e acompanhamento ao lactente de alto risco, pelos profissionais de saúde ao longo do primeiro ano de vida. Materiais e Método: estudo de natureza qualitativa, realizado com sete cuidadores familiares de lactentes estratificadas como alto risco, em um município do interior do Brasil. Os dados foram coletados por meio de entrevista audiogravadas no domicilio, no período de agosto a setembro de 2018. Posteriormente a transcrição, as falas foram submetidas a análise modalidade temática. Resultados: Os participantes apontaram que as orientações oferecidas no momento da alta, favoreceram a insegurança frente as ações de cuidados básicos. Ademais, o acompanhamento na Atenção Primária a Saúde foi referido como fator facilitador do cuidado, embora a visita domiciliar tenha se apresentado como uma lacuna de atuação dos profissionais. Conclusão: O cuidado ao lactente de alto risco trás desafios para a família e a necessidade da oferta de informações quanto a realização de cuidados básicos e a necessidade de acompanhamento pelos profissionais de saúde
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