Introdução: considerada uma doença de grande relevância à Saúde Pública, a meningite cujo alicerce fisiopatológico é a inflamação grave das meninges. Materiais e métodos: pesquisa descritiva, transversal, retrospectiva realizada por meio do SINAN em 2020 e 2021. Resultados: em quantitativos de casos, em 2021, a Meningite Asséptica (MV) apresentou-se com 42% (n= 1.938), seguido da Meningite não especificada (MNE), com 20% (n= 938) e a meningite por outras bactérias (MB) com 17% (n= 786). E, respectivamente, MV= 374, MNE= 174 e MB= 137 casos em 2021; em 2020 o sexo masculino apresentou 58% (n= 2.690) de casos, o feminino percentuando 41% (n= 1.900), respectivamente, 55% (n= 459), e 44% (n= 372) de casos de meningite em 2021; foram registrados 9,71% (n= 442) de mortes, e 68,64% (n= 3.123) de altas, em 2020. Em 2021, respectivamente, tiveram 11,07% (n= 92), e 60,53% (n= 503); pacientes com escolaridade do “1ª a 4ª incompleta do EF”, “5ª a 8ª incompleta do EF” e “EM completo”, respectivamente, apresentaram, 4,16% (n= 191), 5,59% (n= 257) e 7,80% (n= 358) em 2020, já em 2021, respectivamente, 4,45% (n= 37), 5,53% (n= 46) e 6,9% (n= 58) casos de meningite; a faixa etária de 20 a 39 anos, apresentaram 22,3% (n= 1.026), crianças com menos de 1 ano de idade, com 22,2 % (n= 1.021), e de 40-59 anos, registraram 17,8% (n=819) de casos de meningite em 2020; zona urbana marcou 87% (n= 4.012) de diagnósticos positivos, na zona rural, com 4,8% (n= 221), em 2020, em 2021 essa informação foi subnotificada. Conclusão: Vale ressaltar a importância da atuação das equipes multiprofissionais de saúde na tratativa de casos de meningite.
Objective: to describe the process for the elaboration and validation of a digital educational booklet intended for health professionals on the correct use of Personal Protective Equipment in the context of COVID-19. Method: a methodological study conducted between June and September 2020, operationalized in three stages: 1ststage: bibliographic survey; 2ndstage: elaboration of the booklet with the graphic designer to help in the development process of the technology; 3rdstage: content validation of the booklet by specialists through the Delphi technique. The validation was performed by 35 health and biology professionals and the local for selection of these was the Lattes Platform, using the Delphi technique in two rounds. The Content Validation Index was considered an acceptance criterion, with an agreement ≥ 0.78 among the judges being considered a good level. Results: the first version of the booklet obtained a global Content Validation Index of 0.79. There were suggestions for improvement that were accepted and, after the Delphi 2 phase, there was the resubmission of the booklet; it presented a global Content Validation Index of 0.99. Conclusion: the booklet was validated regarding its content and is compatible with its intended purpose, being important for the promotion of knowledge about the correct procedure to put on this equipment so that prevention measures are effective and shared.
Introdução: O HIV/AIDS é uma doença infectocontagiosa que acomete as células, T CD4, de defesa do organismo humano. Metodologia: O presente perfil epidemiológico de HIV/AIDS desenvolvido trata-se de um estudo transversal, no qual os presentes pesquisadores observaram os dados coletados e salvos do programa DataSUS e SINAN. Resultados: Observamos que em 2021 foram registrados 13.501 novos casos de HIV/AIDS no Brasil, desse total o sexo masculino notificou 71,8% (n= 9.705), o sexo feminino com 28,6% (n= 3.789); a população adepta da sexualidade Heterossexual registrou percentual de 18,7% (n= 2.536), em segundo lugar os homossexuais com cerca de 10,5% (n= 1.423) por HIV/AIDS; as idades de 40 a 59 anos com percentual de 21,6% (n= 2.923), 25 a 29 anos notificou 17,4% (n= 2.350) e 30 a 34 anos, com percentual de 15,1% (n= 2.045); a Região Sudeste, com 37,2% (n= 5.032), o Nordeste, com 22% (n= 2.982), e a Região Sul, percentuando 17,7% (n= 2.401) dos casos notificados; Os estados São Paulo, Rio de Janeiro e Rio Grande do Sul, notificaram os maiores casos da doença, na qual, respectivamente, seus percentuais de contagio foram: 18,3% (n= 2.484), 10,4% (n= 1.414) e 7,9% (n= 1.067). Conclusão: Observamos que o sexo masculino foi o mais acometido, pela alta taxa de subnotificação na categoria de exposição, ficou impossível de revelar qual maior taxa de incidência do vírus nessa variável. Casos confirmados na faixa etária igual e superior a 60 anos preocupam autoridades da saúde pública e alerta para um possível “envelhecimento da epidemia”.
INTRODUCTIONThe use of safe and effective contraception is the need of the hour in India, which has one of the world's largest and fastest growing population.1 Contraceptive advice is a vital component of good community health. An ideal contraceptive should suit an individual's personal, social, and medical needs. Socio-economic factors and education are some of the factors that play an important role in family planning acceptance. There are approximately 40 million women in India who would prefer to avoid becoming pregnant but are not practicing any form of contraception. In the Indian scenario, women have no role in making of reproductive decisions. According to NFHS-3, around 30% of the fertility in India was unwanted, indicating a huge gap between the demand and supply of family planning measures. The unmet need for contraception in the country as a whole is about 13%. The unmet need is high among women aged 15-19 years, and among those aged 20-24 years (15% for spacing and over 6% for limiting). Depot Medroxy Progesterone Acetate, or DMPA is a progestin-only method of contraception. It is a 3-monthly intramuscular injectable that delivers 150 mg of medroxyprogesterone acetate in microcrystalline suspension form that delays absorption of the hormone after the injection. It provides long acting, effective and reversible contraception.3 It is accepted by women who cannot remember to take OC pills regularly and by those who do not wish to insert an IUD. Theoretical concerns with early postpartum administration of DMPA remain that of infant safety, premature inhibition of lactation and its metabolic effects on mother. Studies indicate that ABSTRACT Background: The use of safe and effective contraception is the need of the hour in India, which has one of the world's largest and fastest growing population. Contraceptive advice is a vital component of good community health. Methods: The present study was conducted in one of the premier teaching medical institute of Mumbai. The aim of this study was to assess the acceptance and compliance of DMPA (Depot Medroxy Progesterone Acetate) among women attending family planning OPD. The study was conducted over the period of 3 years. Meticulous follow up was kept for all the women recruited in the study. Results: The study concluded that DMPA is highly effective contraceptive with low failure rate, when women are effectively counselled. Also, it should be made freely and easily available through health care facilities. Conclusions: It should be available as a first line method to all who wish to opt for reversible methods of contraceptive.
Objective: To develop and validate a terminological subset of the International Classification for Nursing Practice for COVID-19 patients in critical care. Method: This is a methodological study, which followed the guidelines of the Brazilian method, using the Basic Human Needs as a theoretical model. Content validation was performed by 25 specialist nurses using the Delphi technique. Results: A total of 73 diagnoses and their respective nursing results were prepared. Of these, 62 statements had a Content Validity Index ≥ 0.80, with the need for oxygenation having the highest number of statements. Of the 210 nursing interventions developed, and after suggestions from experts, 150 interventions reached an index ≥ 0.80 and comprised the terminological subset. Conclusion: The terminological subset developed showed statements that were validated by specialist nurses and, therefore, are relevant to the nurse's clinic in the critical care scenario associated with Covid-19.
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