The objective of the study was to evaluate the prevalence and factors associated with Burnout Syndrome (BS) in Primary Health Care (PHC) nursing professionals from the state of Bahia, Brazil. A multicentre, cross-sectional population-based study was conducted in a cluster sample among 1125 PHC Nursing professionals during the years 2017 and 2018. We used a questionnaire that included sociodemographic, labor and lifestyle variables and the Maslach Burnout Inventory scale to identify BS. The associations were evaluated using a robust Poisson regression with the hierarchical selection of the independent variables. The prevalence of BS was 18.3% and the associated factors were ethnicity (prevalence ratio (PR) = 0.62, confidence interval (CI) 95% = 0.47–0.83), residence (PR = 2.35, CI 95% = 1.79–3.09), economic situation (PR = 1.40, CI 95% = 1.06–1.86), satisfaction with current occupation (PR = 1.75, CI 95% = 1.31–2.33), (PR = 1.60, CI 95% = 1.23–2.08), rest (PR = 1.83, 95% CI = 1.41–2.37), technical resources and equipment (PR = 1.37, CI 95% = 1.06–1.77), night shift (PR = 1.49, CI 95% = 1.14–1.96), physical activity practice (PR = 1.72; CI 95% = 1.28–2.31), smoking (PR = 1.82, CI 95% = 1.35–2.45), and satisfaction with physical form (PR = 1.34, CI 95% = 1.01–179). Strategies are needed to prevent BS, with an emphasis on implementing worker health programs in the context of PHC.

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Background: Periodontitis and the Triglyceride/High Density Lipoprotein Cholesterol (TG/HDL-C) ratio have both been associated with cardiovascular disease, metabolic syndrome, and obesity. Additionally, the ratio is a possible substitute for predicting insulin resistance. This study investigated the association between periodontitis, its severity levels (exposures), and the TG/HDL-C ratio (outcome). Methods: A cross-sectional study of public health service users in Brazil considered socioeconomic-demographic characteristics, lifestyle behavior, and general and oral health conditions. Anthropometric measurements and blood pressure were also measured. Systemic biomarker data were obtained, as well as assessment of periodontal diagnosis and its severity. The TG/HDL-C ratio was calculated using the serum triglyceride level over HDL cholesterol and the cut-off point, TG/HDL-C ≥2.3 serving as the cutoff indicting dyslipidemia. Logistic and linear regressions were used to statistically analyze the data.Results: A total of 1011 participants were included, with 84.17% having periodontitis and 49.85% having a TG/HDL-C ratio ≥2.3. For individuals with periodontitis, the odds of TG/HDL-C ratio ≥2.3 were 1.47 times greater than in those without periodontitis (OR Adjusted = 1.47, 95% CI: 1.02-2.14). Similar results were found for those with moderate and severe periodontitis, with a slight increase in the measurement magnitude with disease severity. Conclusion: A positive relationship between periodontitis and the TG/HDL-C ratio ≥2.3 was found, suggesting a possible association with periodontal disease severity.

O câncer constitui-se como umas das morbidades que mais assolam a população em todo o mundo e é a causa de morte de milhões de pessoas. Nesse sentido, o presente estudo teve por objetivo detectar associações entre distúrbios do sono e outros fatores aos Transtornos Psíquicos Menores (TPM) em indivíduos com câncer atendidos em uma clínica especializada no interior da Bahia, Brasil.   Realizou-se um estudo transversal com 205 indivíduos diagnosticados com algum tipo de câncer, que estavam sendo atendidos na Unidade de Alta Complexidade em Oncologia (UNACON), em que foi traçado o perfil sociodemográfico, de condição de saúde e estilo de vida dos participantes a partir de um formulário por meio de entrevista. O desfecho foi determinado conforme a presença do Transtorno Psíquico Menor (TPM). Foram obtidas frequências simples e relativas e a comparabilidade entre os grupos foi feita com o teste qui-quadrado de Pearson ou Exato de Fisher, com nível de significância de 5%.   Houve o predomínio do sexo feminino, prevalência de TPM de 63,44% entre as mulheres (p=0,04), sedentarismo, baixa escolaridade, renda e presença de doença crônica instalada.  O estudo demonstrou associação positiva e estatisticamente significante entre a insônia e o transtorno psíquico menor, além de outros fatores encontrados que se associam a ocorrência desses transtornos. Tal inquérito foi realizado entre indivíduos em tratamento antineoplásico, que pode ser considerado mais um fator para agravos físicos e psicológicos na vida dessas pessoas.

Systemic Arterial Hypertension (SAH) can generate complications such as stroke, myocardial infarction, kidney disease, arteriosclerosis, loss of vision, erectile dysfunction and cognitive dysfunction. Among people who know they suffer from hypertension, 50% use medication and of those only 45% have their blood pressure kept under control. SAH is a multifactorial clinical condition characterized by elevated and sustained blood pressure levels (BP, where systolic BP ≥ 140 mmHg and diastolic BP ≥ 90 mmHg). Faced with sparse investigative studies on the causes of SAH in individuals, the dictates of the pharmaceutical industry and the use of in vitro or inconclusive clinical studies, this paper presents the state of the art about the treatment of SAH based on a multifaceted view, including aspects about the physiology of SAH, food and PANC as alternatives for the prevention and control of SAH, as well as an approach on the importance of scientific rigor in the manufacture of medicines.

Introduction: The metabolic syndrome is characterized by multiple disorders, and the in periodontitis, inflammation occurs in the tissues supporting the tooth, where in this process it is believed that the migration of oral bacteria and byproducts to the circulatory system occurs, with a systemic spread of inflammatory mediators. This study aims to verify the effect of periodontitis on the occurrence of the metabolic syndrome. Method: Cross-sectional study with 90 users of the Family Health Unit from Vale do Cambonas in Salvador-BA. Questionnaires were applied, physical / anthropometric and dental evaluation were performed, record of the results of laboratory tests was registered and evaluation of medical records. Data analysis: A bivariate and stratified analysis was performed, obtaining means and standard deviation for continuous variables, absolute and relative frequency for all variables, and multiple conditional logistic regression was performed to obtain the final model adjusted for potential confounders. Results: In the final sample 46,67% of participants had metabolic syndrome according NECP-ATP III criterion and 30, 00% had periodontitis. From those, 20.00% had severe periodontitis, 10% moderate periodontitis and none with mild periodontitis, according to the criterion proposed by Gomes-Filho et al. (2018). There was statistical significance in the association between periodontitis and MetS (ORcrude = 2.58, 95% CI [1.02 - 6.55]) / (ORadjusted = 2.63, 95% CI [1.01 - 6.80]) and severe periodontitis and MetS (ORcrude = 3.86, 95% CI [1.24 - 11.98]) / (ORadjusted = 4.14, 95% CI [1.29-13.29]). Conclusion: The main findings of this study indicate a positive association between periodontitis and metabolic syndrome, with a higher effect when the exposure was severe periodontitis.

Background: Maternal hyperglycemia, periodontitis, and adverse gestational outcomes are important health problems. The present study investigated the hypothesis that periodontitis and the glycemic level of mothers may have opposing influences on birth weight (BW). This study evaluated the effect of high glycemic levels, albeit within the normal range, on the association between periodontitis and low birth weight (LBW).Methods: A total of 732 women took part in this case-control study; 172 were mothers of children with LBW <2,500 g, and 560 were mothers of children with BW ≥2,500 g. The BW of newborns was obtained from medical records, and information on socioeconomic-demographic, lifestyle behavior were obtained through interviews. Glycated hemoglobin (HbA1c) levels were evaluated, and full-mouth periodontal examination was carried out within 7 days postpartum. Hierarchical and logistic regression analysis evaluated the effect of glycemic levels on the association between periodontitis and LBW by subgroups, estimating odds ratios (OR) with 95% confidence intervals (95% CI).

Introdução: Diversas políticas foram criadas com o intuito de resgatar o cuidado humanizado no processo saúde-doença, porém, é necessária uma implicação individual dos profissionais para alcançar essa humanização. Objetivo: Analisar a percepção da humanização na ótica do profissional enfermeiro (a) e do usuário. Materiais e métodos: Trata-se de uma pesquisa de campo, com abordagem qualitativa exploratória, realizada no Hospital Dom Pedro de Alcântara em Feira de Santana-BA, durante o mês de outubro de 2019. Foi aplicado um questionário a cinco enfermeiros (as) e seis usuários internados no setor da oncologia. Resultados e Discussões: Após leitura dos questionários semiestruturados, os dados foram extraídos e agrupados de acordo com as respostas e apresentados em duas tabelas de forma que o leitor possa compreender o perfil sociodemográfico dos (as) enfermeiros (as) e dos usuários participantes. Além disso, foram organizadas quatro categorias de assuntos (Percepção da humanização; Formação acadêmica e humanização; Humanização em prática; Olhar sobre o enfermeiro) que emergiram nas respostas dos participantes no formato de quadros para favorecer a organização de fragmentos dos discursos, e em seguida discutidas à luz de literatura pertinente. Conclusão: A percepção da humanização nas diferentes visões que o presente estudo buscou investigar revela que há uma grande diferença sob o olhar do profissional enfermeiro (a) em relação ao usuário.