Objective: To estimate the prevalence of HBsAg marker in prisoners of the Brazilian prison system, correlating it to associated factors. Methods: An epidemiological, cross-sectional study was conducted in prison units with closed or semi-open regime (n=12), totaling 2,131 participant prisoners. Data were collected in an interview, followed by rapid testing for Hepatitis B (HBsAg). Simple, bivariate and multivariate descriptive analyses were carried out, with the use of logistic regression with the p value settled at 0.05. Results: The prevalence of positive HBsAg was 0.5%, with a statistically significant association with the variables "does not like to wear condoms" (ORa=3.63) and "does not know how to prevent sexually transmissible diseases" (ORa=5.02). Conclusion: The estimated prevalence was equal to or lower than that found in the general population of the country and the results proved that there are factors statistically associated with the prevalence of HBsAg positivity in the studied population. ResumoObjetivo: Estimar a prevalência do marcador HBsAg em internos de sistema prisional brasileiro, correlacionando-a a fatores associados. Métodos: Pesquisa epidemiológica, transversal, realizada nas unidades prisionais com regime fechado ou semiaberto (n=12), totalizando 2.131 internos participantes. A coleta de dados ocorreu por meio da realização de entrevista, seguida de testagem rápida para Hepatite B (HBsAg). Foram realizadas análises descritivas simples, bivariadas e multivariadas, utilizando-se a Regressão Logística com o valor de p fixado em 0,05. Resultados: A prevalência de HBsAg positivo foi de 0,5%, com associação estatisticamente significativa com as variáveis "não gostar de utilizar preservativo" (ORa=3,63) e "não saber como prevenir infecções sexualmente transmissíveis" (ORa=5,02). Conclusão: A prevalência estimada esteve igual ou menor que a encontrada na população geral do país e comprovou-se que existem fatores estatisticamente associados à prevalência de positividade do HBsAg na população estudada.

ABSTRACT ABSTRACT This study deals with the characterization of sexual violence in children seen at the Services for the Assistance of Women Victims of Sexual Violence (SAMVVIS) from 2004 to 2007 in Teresina, PI. Data collected from 229 charts indicate that the age of the children varies from less than one year up to 12 years of age. The identification of the aggressor was the neighbor (29.7%), stepfather (11.4%), father (9.4%) and uncle with 8.4%. In regards to the occupation of the aggressor, 20.35% are students, unemployed (26.85%) and retired (3.89%). It follows that there is the need for more efficiency in the policy of child protection and a need for campaigns to alert the mothers when choosing the caretakers of their daughters. Descriptors: Descriptors: Descriptors: Descriptors: Descriptors: Sexual Violence; Children; Nursing. RESUMEN RESUMEN RESUMEN RESUMEN RESUMEN El estudio trata de la caracterización de la violencia sexual en niños asistidos en el Servicio de Asistencia a las Mujeres Víctimas de Violencia Sexual (SAMVVIS) en el periodo de 2004 a 2007, en Teresina, PI. Datos verificados en 229 registros cuyos resultados indican que la edad de los niños va de menores de año hasta los 12 anos. La identificación del agresor presenta el vecino (29,7%), padrastro (11,4%), padre ( 9,4%) y tío con 8,4% . Con relación a la ocupación del agresor 20,35% son estudiantes, desempleado (26,85%) y jubilado (3,89%). Se concluye la necesidad de más efectividad en la política de protección al niño y de campañas de alerta a las madres cuanto a la elección del guardián de sus hijas.

Objective: to comprehend the mothers' experiences that had children diagnosed with microcephaly. Methods: qualitative study carried out in an assistance Reference Center for microcephaly. It was included 18 mothers of children with microcephaly. Data collect was performed through semi structured interview whose data were submitted to Contend Analysis. Results: the way the diagnostic of microcephaly was informed and the partner abandonment constituted negatives experiences. The mothers needed dispense integral care that brought intense changes with social repercussions. The participants showed worry with development of children, fear of falling ill/die, and be unable to care for the child. Conclusion: it was unveiled feelings of shock, sadness, revolt, blame and impotence after diagnostic, devaluation and rejection by partners and concern regarding growth, development and future of children.

Objective: To apprehend the social representations elaborated by older people about HIV/AIDS and to understand how they relate to the prevention of HIV infection. Method: Descriptive and qualitative research based on the Theory of Social Representations with 42 older people assisted at primary care. Data were produced through in-depth interviews with a semi-structured instrument, processed in the IRaMuTeQ software, and analyzed by means of the descending hierarchical classification. Results: Five classes emerged: “HIV/AIDS: a problem of young people”; “Quality of life improvement for people living with HIV/AIDS”; “Vulnerability to HIV/AIDS among heterosexual women in a stable union”; “HIV/AIDS Information Network: process of creation and transformation of social representations” and “Prevention versus stigma”. Final considerations: The social representations that older people have about HIV/AIDS influence the adoption of preventive measures negatively because stigma is present and HIV/AIDS is attributed to young men, and to men who have sex with other men.

How to cite this article: Magalhães RLB, Teles SA, Reis RK, Galvão MTG, Gir E. Low completion rate of hepatitis B vaccination in female sex workers.Rev Bras Enferm [Internet]. 2017;70(3):489-94. DOI: http://dx.doi.org/10.1590/0034-7167-2016-0567Submission: 10-24-2016 Approval: 11-04-2016 ABSTRACT Objective: to assess predictive factors for noncompletion of the hepatitis B vaccination schedule in female sex workers in the city of Teresina, Northeastern Brazil. Method: 402 women were interviewed and, for those who did not wish to visit specialized sites, or did not know their hepatitis B vaccination status, the vaccine was offered at their workplaces. Bi-and multivariate analyses were performed to identify potential predictors for noncompletion of the vaccination schedule. Results: of the 284 women eligible for vaccination, 258 (90.8%) received the second dose, 157/258 (60.8%) and 68/258 (26.3%) received the second and third doses, respectively. Working at clubs and consuming illicit drugs were predictors for noncompletion of the vaccination schedule. Conclusion: the high acceptability of the vaccine's fi rst dose, associated with low completion rates of the vaccination schedule in sex workers, shows the need for more persuasive strategies that go beyond offering the vaccine at their workplaces. Descriptors: Sex workers; Immunization; Hepatitis B; Women; Vulnerable Populations. RESUMO Objetivo: avaliar fatores preditores de não completude do esquema vacinal contra hepatite B em mulheres que se prostituem em Teresina, Nordeste do Brasil. Método: Um total de 402 mulheres foi entrevistado e, para as que se negaram a irem a lugares especializados, ou desconheciam sua situação vacinal contra hepatite B, a vacina foi oferecida no local do trabalho. Análises bi e multivariadas foram realizadas para identifi car potenciais preditores de não completude do esquema vacinal. Resultados: Das 284 mulheres elegíveis para vacinação, 258 (90,8%) receberam a primeira dose, 157/258 (60,8%) e 68/258 (26,3%) receberam a segunda e terceira doses. Trabalhar em boates e consumir drogas ilícitas foram preditores de não completude do esquema vacinal (p<0,05). Conclusão: A elevada aceitabilidade da primeira dose da vacina, associada à baixa completude do esquema vacinal em profi ssionais do sexo, evidencia a necessidade de estratégia mais persuasiva que vá além da oferta da vacina no local de trabalho. Descritores: Profi ssionais do Sexo; Imunização; Hepatite B; Mulheres; População Vulnerável. RESUMEN Objetivo: Evaluar factores predictores del no completamiento del esquema de vacunación contra la hepatitis B en mujeres que se prostituyen en Teresina, noreste de Brasil. Método: Fueron entrevistadas 402 mujeres. Para las que se negaron a ir a lugares especializados o desconocían su situación de vacunación contra la hepatitis B, la vacuna fue ofrecida en lugar de trabajo. Fueron efectuados análisis multivariados para identifi car potenciales predictores del no completamiento del esquema de vacunación. Resultados: de las 284 mujeres elegibles p...

Objective To identify symptoms of COVID-19 in adults in the scientific literature. Method Systematic review of studies published from December 1, 2019 to April 21, 2020 from the Scopus, Web of Science and PubMed databases, in order to answer the following research question: “What are the symptoms caused by COVID-19 in adults?” using the keywords “Symptoms”, “Clinical Manifestations”, “Coronavirus”, “COVID-19”. Results Of the total 105 references, 13 references that addressed the symptoms of COVID-19 were selected. Fever and normal or dry cough were symptoms present in all studies. Conclusion The symptoms identified in adult patients were fever, normal or dry cough, headache, pharyngalgia, dyspnea, diarrhea, myalgia, vomiting, sputum or expectoration, anxiety or chest pain, fatigue, nausea, anorexia, abdominal pain, rhinorrhea, runny nose or nasal congestion, dizziness, chills, systemic pain, mental confusion, hemoptysis, asthma, taste disorder, smell disorder, belching and tachycardia.

Objetivo: Evaluar las dimensiones de la cultura de seguridad del paciente desde la perspectiva del equipo de enfermería en un hospital público de maternidad.Método: Estudio transversal realizado en un hospital público de maternidad con 69 profesionales de enfermería, de junio a agosto de 2017, aplicando el cuestionario de la Encuesta hospitalaria sobre cultura de seguridad del paciente.Resultados: El promedio de puntajes positivos varió de 33.0% a 69.6%, y las mejores evaluaciones fueron en las dimensiones: aprendizaje organizacional, trabajo en equipo entre unidades y respuestas no punitivas al error. Las evaluaciones más frágiles incluyen: transferencias internas y cambio de turno, además de la frecuencia de los eventos informados. Conclusión: El estudio señaló una cultura de seguridad débil en todas las áreas. Por lo tanto, destaca la importancia de planificar estrategias específicas para lograr una cultura de seguridad de calidad para el binomio madre / hijo. Objetivo: evaluar las dimensiones de la cultura de seguridad del paciente desde la perspectiva del equipo de enfermería en un hospital público de maternidad. Método: Un estudio transversal realizado en un hospital público de maternidad con 69 profesionales de enfermería, de junio a agosto de 2017, utilizando el cuestionario de la Encuesta sobre cultura de seguridad del paciente. Resultados: la media de los puntajes positivos varió de 33.0% a 69.6%, con las mejores evaluaciones en las siguientes dimensiones: aprendizaje organizacional, trabajo en equipo entre unidades y respuestas no punitivas al error. De las evaluaciones con mayores debilidades, destacan las siguientes: transferencias internas y turnos, además de la frecuencia de los eventos informados. Conclusión: El estudio apunta a la cultura de seguridad débil en todas las áreas. Por lo tanto, resalta la importancia de planificar estrategias específicas para lograr una cultura de seguridad con calidad para el binomio madre / hijo. Objective: To evaluate the dimensions of patient safety culture from the perspective of the nursing team in a public maternity hospital.Method: Cross-sectional study conducted in a public maternity hospital with 69 nursing professionals, from June to August 2017, through the application of the Hospital Survey on Patient Safety Culture.Results: The average of positive scores ranged from 33.0% to 69.6%, and the best evaluations were made in the following dimensions: organizational learning, teamwork between units, and non-punitive responses to the error. The most fragile evaluations were made in: internal transfers and shift reports, in addition to the frequency of reported events. Conclusion: The study pointed to a weak safety culture in all areas, and indicated that planning targeted strategies in order to achieve quality safety culture for the mother/child binomial is important Objetivo: Avaliar as dimensões da cultura de segurança do paciente na perspectiva da equipe de Enfermagem, em uma maternidade pública. Método: Estudo transversal realizado em uma maternidade pública, com 69 profissionais de Enfermagem, no período de junho a agosto de 2017, mediante aplicação do questionário Hospital Survey on Patient Safety Culture.Resultados: A média dos escores positivos variou de 33,0 % a 69,6%, sendo que as melhores avaliações foram nas dimensões: aprendizado organizacional, trabalho em equipe entre as unidades e respostas não punitivas ao erro. Das avaliações com maiores fragilidades, destacam-se: transferências internas e passagem de plantão, além da frequência de eventos relatados. Conclusão: O estudo apontou para a cultura de segurança sem nenhuma área de força em todas as áreas. Assim, evidencia a importância do planejamento de estratégias direcionadas, a fim de alcançar a cultura de segurança com qualidade para o binômio mãe/filho.

Objective: to identify the use of hepatitis B vaccine and risk practices among female sex workers. Methods: cross-sectional research using the Respondent Driven Sampling methodology. One-hundred and fifty-three sex workers were studied. Results: risk practices were related to the early onset of sexual activity, multiple partners with up to 17 clients per week 34 (22.2%), lack of use of condom 9 (5.9%), 124 (81.0%) shared sharps and 53 (34.6%) reported no vaccine against hepatitis B. Conclusion: sex workers found themselves exposed to various risk situations to the hepatitis B virus, due to the lack of immunization schedule, sexual precocity, multiple sex partners lack of use of condom, habit of sharing sharp objects. It is urgent to invest in health promotion with guidance on the importance of the vaccine, the adoption of protective measures and increased access of sex workers to health facilities. Descriptors: Hepatitis B Vaccines; Women; Sex Workers.Objetivo: identificar o uso da vacina contra hepatite B e práticas de risco entre mulheres profissionais do sexo. Métodos: pesquisa transversal, utilizando-se a metodologia Respondent Driven Sampling. Foram estudadas 153 profissionais do sexo. Resultados: as práticas de risco foram relacionadas ao início precoce de atividades sexuais, múltiplas parceiros com até 17 clientes por semana 34(22,2%), sem uso do preservativo 9(5,9%), 124(81,0%) compartilhavam objetos cortantes e 53(34,6%) não reportaram vacina contra hepatite B. Conclusão: as profissionais do sexo encontravam-se expostas a várias situações de risco ao vírus da hepatite B, em função da falta de esquema vacinal, precocidade sexual, múltiplos parceiros sexuais sem uso de preservativo, compartilhamento de objetos cortantes. Urge investir na promoção da saúde, com orientação sobre a importância da realização da vacina, adoção de medidas protetivas e ampliação do acesso das profissionais do sexo às unidades de saúde.