an Educational Content Validation Instrument in Health was elaborated and validated, presenting good reliability, and may contribute to the practice of researchers and health professionals in the development of educational content.

(OR = 0.23;, time spent from home to the hospital ≥ 30 minutes (OR = 3.12; (OR = 14.75; prematurity (OR = 3.41; IntroduçãoA partir da década de 90, em virtude da redução do componente pós-neonatal da mortalidade infantil, aumentou o peso relativo às mortes ocorridas no período neonatal. Na segunda metade da década de 90, a taxa de mortalidade neonatal, em torno de 20 óbitos por mil nascidos vivos, passou a representar mais de 60% da mortalidade infantil 1,2,3 . Percebeu-se uma maior concentração desses óbitos nos primeiros dias de vida, refletindo a relação entre a assistência de saúde prestada à gestante nos períodos pré-parto e parto como também ao recém-nascido imediatamente após o nascimento na sala de parto e nas unidades neonatais 1,4 .Em relação à mortalidade neonatal precoce em crianças com peso inferior a 2.000g, apresenta valores 10 a 20 vezes maiores em estudos brasileiros, quando comparada a países desenvolvidos como a Inglaterra. Esses dados indicam uma maior dificuldade de acesso a leitos de berçários de risco ou tratamento intensivo neonatal, ou mesmo a insatisfatória qualidade da assistên-cia 1 . Vários estudos descreveram os determinantes associados à morte neonatal precoce, como prematuridade, baixo peso ao nascer e intercorrências na gestação e parto, porém estes fatores se articulam de forma complexa, sendo influenciados pelas características biológicas materna e do recém-nascido, condições sociais e da atenção ofertada pelos serviços de saúde 5,6,7,8,9 .ARTIGO ARTICLE Nascimento RM et al.

Background: Burnout syndrome (BS) is a set of psychological symptoms resulting from the interaction between chronic occupational stress and individual factors. These symptoms include emotional exhaustion, depersonalization and decreased professional satisfaction. BS is manifested in a variety of professions and is prevalent in contexts in which health professionals are required to interact directly with the public. Objective: To determine the prevalence of BS among medical students at a university in Ceará State, Brazil. Methods: Of the 517 students enrolled in their first to eighth semester in 2013, 376 (72.7%) were contacted. A socio-economic evaluation questionnaire and the Maslach Burnout Inventory -Human Services Survey (MBI-HSS) were administered. Statistical analysis was conducted using SPSS 20.0. Two groups -burnout/risk and non-burnout -were compared using the chi-square and likelihood ratio tests with a significance level of 5%. Variables with p < 0.20 were included in a multivariate analysis logistical regression model. Results: Burnout was detected in 14.9% of the students, and 57.7% showed a risk of developing the syndrome. Logistic regressions showed an association between burnout and "have failed examinations" and "have considered abandoning the course", p = 0.047 and p < 0.0001, respectively. Discussion: Psychopedagogy should be implemented to address the high prevalence of burnout in medical students.

The objective of the present study was to comparatively evaluate the concentrations of blood and salivary glucose as well as salivary flow and xerostomia in type 2 diabetic and non-diabetic patients. The mean salivary glucose level in diabetic patients was 14.03 +/-16.76 mg/dl and 6.35 +/- 6.02 mg/dl (P = 0.036) in the control group. The mean capillary blood glucose level in diabetic patients was 213 +/- 88 mg/dl, while that in non-diabetic patients was 99 +/- 14 mg/dl (P = 0.000). The mean value for resting salivary flow was 0.21 +/- 0.16 ml/min in diabetic patients and 0.33 +/- 0.20 ml/min in the control group (P = 0.002). The stimulated salivary flow was lower in the group of diabetic patients, with a mean of 0.63 +/- 0.43 ml/min, whereas the control group showed a mean of 1.20 +/- 0.70 ml/min (P = 0.000). Of the diabetic patients, 45% exhibited hyposalivation, in contrast to 2.5% of the non-diabetic patients (P = 0.000). Xerostomia was reported in 12.5% of diabetic patients and 5% of non-diabetic patients (P = 0.23). We can conclude that salivary glucose concentration was significantly higher in the experimental group and that there was no correlation between salivary and blood glucose concentrations in diabetic patients. The total salivary flow was significantly reduced in diabetic patients and there was no significant difference as to the presence of xerostomia in both groups.

OBJETIVO: Conhecer o perfil sociodemográfico e clínico de idosos atendidos em Unidade Básica de Saúde da Família. MÉTODOS: Estudo epidemiológico de corte transversal realizado em Fortaleza-CE e com amostra de 214 idosos. A técnica de coleta de dados utilizada foi a entrevista com aplicação de um formulário no período de setembro a dezembro de 2006. RESULTADOS: Os achados apresentam semelhanças com outros estudos realizados com idosos, como exemplo, a predominância do sexo feminino, todavia, revelou dados peculiares, no que diz respeito aos idosos que residem sozinhos e em famílias com três gerações. As doenças mais prevalente foram a hipertensão arterial e a osteoartrose, dados relativos ao Indice de Massa Corpórea revelaram altos percentuais de obesidade. CONCLUSÃO: A realização deste estudo forneceu indicadores para o planejamento de ações de prevenção de doenças e promoção da saúde dos idosos.

Studies on the prevalence of pressure ulcer and e.rperiences of living with elderly people with injuries during practice in long-stay institutions for the elderly have given rise to many concerns. This work aims to examine the prevalence and risk factors of pressure ulcer in the institutionalized elderly. This retrospective, quantitative study was held in a public long-stay institution for the elderly in Fortaleza, Ceará, Brazil. The sample consisted of 300 medical records of elderly from 2006 to 9009. It was used for data collection form. All ethical guidelines were followed. The most prevalent risk factors were: stroke (60%) and hypertension (74.3%). The average prevalence of pressure ulcers in the period was 18.8%, rangingfrom 11.1% to 23.2%. The recommendations for the prevention of pressure ulcers include the development of a prevention program to promote active aging

Abstract

Objectives: This study was developed to psychometrically assess the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) among women living in Fortaleza-CE-Brazil and to examine the relationship between breastfeeding self-efficacy and maternal demographic variables. Methods:This methodological study replicated the original psychometric assessment of the BSES-SF conducted in Canada. A convenience sample of 294 postpartum women were recruited.Results: The Cronbach's alpha coefficient for the BSES-SF was 0.74. Significant relationship was found between breastfeeding self-efficacy and maternal age (r=0.138; p=0.018). No relationship was found between breastfeeding self-efficacy and maternal occupation, educational level, marital status, family income or number of pregnancy suggesting BSES-SF may be a unique tool to identifying women at risk to prematurely discontinue breastfeeding. Conclusions:The BSES-SF is a valid, instrument for measuring Brazilian women's confidence in their ability to breastfeed. Study results can be used by health workers to plan interventions targeting women in most need of support to reduce premature discontinuation.