Tattooing and body piercing may be visible markers to identify adolescents whose lifestyle may put them at a higher risk for morbidity and mortality. In 664 Brazilian adolescents we found 8.4% of body modifications. Further, sexual experience, illicit drug, alcohol consumption, and anti-HBc positivity were independently associated with them. These data suggest the potential risk of tattooing/body piercing in our youths.

In order to evaluate the seroepidemiology and response to Butang® vaccine in adolescents from low income families in Central Brazil, blood samples of 664 adolescents were tested for hepatitis B surface antigen (HBsAg), hepatitis B core antibody (anti-HBc), and hepatitis B surface antibody (anti-HBs) markers, and multiple logistical regression analysis was carried out to determine variables associated with hepatitis B virus (HBV) infection markers. Further, three 20 µg Butang® vaccine doses were offered to all susceptible individuals (n = 304). Among those who accepted them (n = 182)Hepatitis B virus (HBV) has been considered a global health problem. This has been cause of acute and chronic hepatitis, cirrhosis, and cancer of the liver (Mast et al. 2005). It is estimated 2 billion people have been infected and that more than 350 million of individuals are chronic carriers of HBV worldwide (Hou et al. 2005). Also, this infection has been answerable for 520,000 deaths each year (EASL 2003).In high endemic regions, hepatitis B is transmitted mainly by vertical or horizontal mode. In contrast, in low and intermediate endemic regions, it is disseminated generally by sexual and parenteral via (Hou et al. 2005, Mast et al. 2005 whereas an increase of HBV positivity throughout the adolescence and early adulthood was showed (Dominguez et al. 2000, Cisneros-Castolo et al. 2001, Gaze et al. 2002. During this period of life individuals are more susceptible to risk behaviors such as illicit drug use, alcohol abuse, multiple partners, and sexually transmitted diseases (Lawrence & Goldstein 1995, Miranda et al. 2005). Also, a higher risk of hepatitis B has been observed in economically disadvantaged adolescents (Porto et al. 1994, Silveira et al. 1999, Clemens et al. 2000, Gandolfo et al. 2003. Hepatitis B vaccination is the most effective strategy for HBV prevention. In Brazil, it has been available in private clinics since the beginning of 1990s, but due the elevated cost of doses only individuals with better socioeconomic conditions could be vaccinated. In 1999, in compliance with WHO recommendations (WHO 2003) the Brazilian Public Health Authorities implemented the universal hepatitis B vaccination for newborns and infants, and more recently it was extended for adolescents.Actually several countries manufacture the hepatitis B vaccines. This should play a role in the cost of doses and to improve the worldwide hepatitis B vaccine coverage, mainly in developing regions (Vryheid et al. 2000). Butang® is a Brazilian hepatitis B recombinant vaccine (Ioshimoto et al. 1999). It has been provided free of charge by health public services since 2001. However, there is still few informations about the immunogenicity of this vaccine in different groups (Baldy et al. 2004, Martins et al. 2004.In order to assist decisions on strategies for hepatitis B vaccination in a target group of the Brazilian immunization program, an investigation was carried out to evaluate the prevalence and risk factors for HBV infection, the adherence to and the...

Objectives: To identify useful terms for nursing practice in the care of people with leprosy and to cross-mapp the identified terms with the ICNP® terms. Method: A descriptive, documentary study that included publications of the Ministry of Health in the area of leprosy launched between 2002 and 2017. The terms identified in these publications were extracted and underwent a normalization proces and then, were cross-mapped with terms of the ICNP® version 2015 for the identification of constant and non-constant terms in this terminology. Results: In total, were extracted 1,177 terms, of which 26.76% were equal, 4.59% similar, 4.26% were broader, 19.62% were more restricted, and 44.77% were totally different from the ICNP® terms. Conclusions: The large number of terms identified and not included in the ICNP® show the need for its expansion in order to contemplate the phenomena of clinical practice more effectively and allow better representation of nursing care for people with leprosy.

Trata-se do relato de experiência do ensino da Teoria de Orem e da CIPE® em uma disciplina da área de saúde coletiva na graduação em enfermagem. Estratégias desenvolvidas incluíram exposição oral dialogada sobre a Teoria Geral do Autocuidado e da CIPE® e sua aplicação no cuidado de enfermagem, além da sua utilização no ensino clínico no atendimento a pessoas com hanseníase, diabetes e hipertensão arterial, mediante a realização de consultas de enfermagem supervisionadas e apresentação de estudo de caso. A Teoria de Orem foi facilmente recebida, mas a CIPE® teve resistência inicial, superada ao término das atividades de práticas clínica.Descritores: Enfermagem em Saúde Comunitária, Terminologia, Vocabulário, Educação em Enfermagem.Challenges for implementing CIPE® in the Collective Health teaching: Experience ReportThis work describes the experience of the teaching of Orem's Theory and CIPE® (International Classification for Nursing Practice) in a subject of the collective health area in the undergraduate course of Nursing. The strategies developed comprised an speech on the General Theory of Self-Care and CIPE® and their application in the nursing care, besides their use in the clinical teaching in the service of people with Hansen's' disease, diabetes, and high blood pressure, through supervised nursing consultations and presentation of case study. The Orem's Theory was easily accepted; however CIPE® was originally seen with some resistance, which was overcome at the end of the clinical practice activities.Descriptors: Community Health Nursing, Terminology, Vocabulary, Nursing Education.Desafíos para la introducción de la CIPE® en la enseñanza de Salud Colectiva: Relato de ExperienciaSe trata del relato de experiencia de la enseñanza de la Teoría de Orem y de CIPE® en una disciplina del área de salud colectiva en la graduación en enfermería. Estrategias desarrolladas incluyeron exposición oral dialogada sobre la Teoría General del Autocuidado y de la CIPE® y su aplicación en el cuidado de enfermería, además de su utilización en la enseñanza clínica en la atención a personas con lepra, diabetes e hipertensión arterial, mediante la realización de consultas de enfermería supervisadas y la presentación de estudio de caso. La Teoría de Orem fue fácilmente recibida, pero la CIPE® sufrió resistencia inicial, superada al término de las actividades de práctica clínica.Descriptores: Enfermería en Salud Comunitaria, Terminología, Vocabulario, Educación en Enfermería.

Objetivo: Analisar o perfil de diagnósticos de enfermagem em pessoas com hanseníase, utilizando a teoria de Orem e a Classificação Internacional para a Prática de Enfermagem (CIPE®). Método: Estudo transversal, descritivo, incluiu 24 pessoas com hanseníase, em atendimento ambulatorial. A coleta de dados ocorreu mediante consultas de enfermagem, à luz da teoria de Orem, utilizando- se entrevista e exame clínico. Resultados: O processo de elaboração dos diagnósticos de enfermagem foi apoiado em raciocínio clínico, no modelo de sete eixos da CIPE® e na ISO 18.104. As inferências diagnósticas foram validadas por três juízes. Conclusão: Foram identificados 60 diagnósticos de enfermagem, sendo 51,6% classificados como requisitos de autocuidado de desvio da saúde. O perfil de diagnósticos indica demandas de autocuidado específicas desta população e a necessidade de intervenções organizadas no sistema apoio e educação.

Os adolescentes costumam serem vulneráveis a comportamentos de risco para aquisição de doenças sexualmente transmissíveis (DST). O início precoce da atividade sexual, a multiplicidade de parceiros, o uso esporádico de preservativo, o consumo de bebida alcoólica e drogas ilícitas têm sido considerados preditores para as DST. Para identificar os comportamentos de risco para as DST, 223 adolescentes escolares de uma região de baixa renda adjacente à área metropolitana de Goiânia foram entrevistados durante novembro e dezembro de 2003. Verificou-se que neste grupo a média de idade da primeira relação sexual foi de 14,9 anos, sendo a média de parceiro sexual igual a quatro. O uso irregular ou não uso de preservativos foi relatado por 44,1% dos indivíduos. Quase a totalidade (80,7%) dos adolescentes relatou consumo de bebida alcoólica e 13,9% uso de drogas ilícitas. Verificou-se ainda uma diferença estatisticamente significativa destes comportamentos em relação ao gênero. Gravidez foi reportada por 14% das adolescentes. Os achados deste estudo sugerem um elevado risco de doenças sexualmente transmissíveis e evidenciam a necessidade urgente de programas de saúde para este grupo alvo.1 Acadêmico(a) da Faculdade de Enfermagem (FEN) da Universidade Federal de Goiás (UFG). Goiânia, (GO).

Discrimination and limited access to healthcare services in remote areas can affect vaccination coverage. Therefore, this study aimed to estimate vaccination coverage for children living in quilombola communities and rural settlements in the central region of Brazil during their first year of life and to analyze the factors associated with incomplete vaccination. An analytical cross-sectional study was conducted on children born between 2015 and 2017. The percentage of children who received all vaccines recommended by the National Immunization Program in Brazil by 11 months and 29 days was used to calculate immunization coverage. Children who received the following vaccines were considered as having a complete basic vaccination schedule: one dose of BCG; three doses of Hepatitis B, of Diphtheria-Tetanus-Pertussis (DPT), of Haemophilus influenzae type b (Hib), and of Poliovirus (Polio); two doses of Rotavirus, of 10-valent pneumococcal (PCV10), and of Serogroup C meningococcal conjugate (MenC); and one dose of Yellow Fever (YF). Measles-mumps-rubella (MMR) and other doses recommended at or after 12 months were not included. Consolidated logistic regression was used to identify factors associated with incomplete vaccination coverage. Overall vaccination coverage was 52.8% (95% CI: 45.5–59.9%) and ranged from 70.4% for the Yellow Fever vaccine to 78.3% for the Rotavirus vaccine, with no significant differences between the quilombola and settler groups. Notably, the likelihood of incomplete general vaccination coverage was higher among children who did not receive a visit from a healthcare professional. Urgent strategies are required to achieve and ensure health equity for this unique and traditionally distinct group with low vaccination coverage.

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