Objective: Evaluating the evidence of hypertension prevalence among indigenous populations in Brazil through a systematic review and meta-analysis. Methods: A search was performed by two reviewers, with no restriction of date or language in the databases of PubMed, LILACS, SciELO, Virtual Health Library and Capes Journal Portal. Also, a meta-regression model was designed in which the last collection year of each study was used as a moderating variable. Results: 23 articles were included in the review. No hypertension was found in indigenous populations in 10 studies, and its prevalence was increasing and varied, reaching levels of up to 29.7%. Combined hypertension prevalence in Indigenous from the period of 1970 to 2014 was 6.2% (95% CI, 3.1% -10.3%). In the regression, the value of the odds ratio was 1.12 (95% CI, 1.07 -1.18; p <0.0001), indicating a 12% increase every year in the probability of an indigenous person presenting hypertension. Conclusion: There has been a constant increase in prevalence despite the absence of hypertension in about half of the studies, probably due to changes in cultural, economic and lifestyle habits, resulting from indigenous interaction with non-indigenous society. DESCRIPTORSHypertension; Indigenous Population; Prevalence; Review.Hypertension prevalence among indigenous populations in Brazil: a systematic review with meta-analysis Prevalência de hipertensão arterial em indígenas do Brasil: uma revisão sistemática com meta-análise Prevalencia de hipertensión arterial en indígenas de Brasil: una revisión sistemática con meta-análisis

BackgroundThe Brazilian indigenous population is currently undergoing a process of epidemiological transition regarding the occurrence of communicable diseases, malnutrition and non-communicable chronic diseases. Chronic non-infectious diseases are the most common causes of death worldwide, and hypertension is one of the main cardiovascular risk factors. Thus, the main objective of this paper was to evaluate the prevalence of cardiovascular risk factors, with an emphasis on hypertension, in the Mura Indians living in the municipality of Autazes in the northern Brazilian state of Amazonas.MethodsThis cross-sectional study was conducted among 455 natives (57.8% women, 42.2 ± 16.7 years) selected by simple random sampling. Sociodemographic variables, habits and lifestyles, anthropometric data, fasting glycaemia and lipid profiles were evaluated. Blood pressure was measured with a validated automatic device. Values of p ≤ 0.05 were considered significant.ResultsThe prevalence of hypertension was 26.6%. The other cardiovascular risk factors were as follows: increased waist-hip ratio (85.1%); increased neck circumference (60.2%); increased waist circumference (48.6%); overweight (57.1%); physical inactivity (52.7%); use of alcoholic beverages (40.2%); high total cholesterol (27.5%); increased triglycerides (23.5%); smoking (20.4%); and diabetes mellitus (3.0%). In relation to non-hypertensive individuals, indigenous hypertensive individuals were (p ≤ 0.05) older and had a higher proportion of individuals living with partners and individuals who were retired, as well as a lower level of schooling and higher family income. The indigenous people living in urban areas had a higher prevalence of hypertension than did those living in rural areas. In relation to habits and lifestyles, hypertensive Indians had a lower prevalence of smoking, higher frequency of the use of animal fat during meal preparation, lower frequency of vegetable oil use and lower frequency of salt addition to already-prepared meals. An assessment of anthropometric variables and laboratory markers showed that the hypertensive indigenous individuals had higher values of body mass index, neck circumference, waist circumference, visceral fat, Conicity Index, and body fat than did the non-hypertensive individuals.ConclusionThe prevalence of hypertension and other important cardiovascular risk factors in the Mura Indians was high. This finding is probably due to the adoption of inappropriate habits and lifestyles.

Objetivo: Relatar a experiência de enfermeiros na utilização de uma tecnologia móvel para o cuidado de enfermagem a usuários na atenção primária e especializada durante a pandemia da COVID-19. Metodologia: Utilizou-se o método de sistematização de experiências proposto por Holliday, que possibilitou a reconstrução reflexiva da experiência coletiva vivida, por meio de cinco etapas para a explanação da experiência. Resultados: Possibilitou a elaboração de novas ferramentas para o acompanhamento de usuários atendidos pelos serviços de saúde por meio de tecnologias remotas que mediaram a assistência de enfermagem. Conclusões: O uso de tecnologia móvel possibilitou a continuidade da assistência de enfermagem durante a pandemia da COVID-19, de modo que o cuidado pode ser levado aos usuários vulneráveis, sem que houvesse o comprometimento da saúde no atual contexto epidemiológico em que a doença está em pleno processo de propagação e disseminação.Descritores: Tecnologia da Informação; Cuidados de Enfermagem; Pandemias; Infecções por Coronavírus.MOBILE TECHNOLOGY FOR NURSING CARE DURING THE COVID-19 PANDEMIC: EXPERIENCE REPORTObjective: To report the experience of nurses in the use of mobile technology for nursing care for users in primary and special care during the COVID-19 pandemic.Methodology: Use the method of systematization of experiments studied by Holliday, which enabled the reflexive reconstruction of the collective experience lived, through five steps for an explanation of the experience. Results: It enabled the development of new tools for monitoring users served by health services through remote technologies that mediate nursing care. Conclusions: The use of mobile technology makes it possible to recover nursing care during a COVID-19 pandemic, the way care can be taken to vulnerable users, without interruption or health compromise in the current epidemiological context in which the disease is in progress full process of propagation and dissemination.Descriptors: Information technology; Nursing care; Pandemics; Coronavirus infections.TECNOLOGÍA MÓVIL PARA LA ATENCIÓN DE ENFERMERÍA DURANTE LA PANDEMIA COVID-19: INFORME DE EXPERIENCIAObjetivo: Informar sobre la experiencia de enfermeros en el uso de una tecnología móvil para la atención de enfermería para los usuarios de atención primaria y especial durante la pandemia de COVID-19. Metodología: utilice el método de sistematización de experimentos estudiados por Holliday, que permitió la reconstrucción reflexiva de la experiencia colectiva vivida, a través de cinco pasos para una explicación de la experiencia. Resultados: permitió el desarrollo de nuevas herramientas para monitorear a los usuarios atendidos por los servicios de salud a través de tecnologías remotas que median la atención de enfermería. Conclusiones: El uso de una tecnología móvil permite recuperar la atención de enfermería durante una pandemia de COVID-19, la forma en que se puede prestar atención a los usuarios vulnerables, sin interrupción o compromiso de salud em el contexto epidemiológico actual em el que la enfermedad está en progreso proceso completo de propagación y difusión.Descriptores: Tecnología de la información; Cuidado de enfermería; Pandemias; Infecciones por coronavirus.

O presente trabalho teve o propósito de investigar as ocorrências de afastamentos laborais decorrentes de transtornos mentais entre os servidores da Prefeitura Municipal de Manaus – PMM, registrados pela Junta Médica do Município, no período de janeiro a dezembro de 2011. Encontrou-se, após a análise documental, dados de extrema significância que convergem com inúmeros estudos os quais assinalam a natureza do trabalho como fator de risco para o adoecimento mental. Verificou-se, através dos mesmos, que os transtornos mentais estão entre as maiores causas de afastamentos das atividades laborais, especialmente entre os servidores da área da saúde e da educação, representando 10% do total de licenças concedidas em 2011. Esses achados poderão subsidiar futuros estudos que tenham como foco a promoção de saúde e a qualidade de vida desses profissionais, constituindo-se em um grande desafio para os gestores públicos.

RESUMO Objetivo: avaliar os níveis tensionais e fatores associados à hipertensão arterial de usuários atendidos em um serviço de pronto atendimento à saúde. Método: trata-se de um estudo quantitativo, descritivo, exploratório, transversal, com 100 usuários. Avaliaram-se os fatores com a regressão logística binária, com valores significativos de p≤0,20, e, os resultados se apresentam em tabelas e figuras, discutidos posteriormente com a literatura. Resultados: encontrou-se que a média dos níveis tensionais dos homens foi de PAS 130,6 (20,0) mmHg e PAD 78,9 (12,2) mmHg e das mulheres de PAS 119,5 (22,9) mmHg e PAD 71,4(11,4) mmHg. Verificou-se que a prevalência de hipertensão foi de 26,0% (IC95% 17,0–35,0) entre os homens (32%) e nas mulheres (20%) e a hipertensão arterial referida foi de 10% (IC95% 4,0–16,0). Conclusão: revela-se que os níveis tensionais dos homens foram mais elevados que entre as mulheres e a prevalência de hipertensão arterial foi maior do que a estimada para a população brasileira. Descritores: Pressão Arterial; Hipertensão; Pacientes Ambulatoriais; Estilo de Vida; Doenças Cardiovasculares; Fatores de Risco.ABSTRACTObjective: to evaluate the blood pressure levels and factors associated with arterial hypertension of users attended at a prompt health care service. Method: this is a quantitative, descriptive, exploratory, cross-sectional study with 100 users. The factors with binary logistic regression, with significant values of p≤0.20, were evaluated, and the results are presented in tables and figures, discussed later with the literature. Results: the mean of the men's blood pressure levels was found to be SBP 130.6 (20.0) mmHg and DBP 78.9 (12.2) mmHg and SBP 119.5 (22.9) mmHg and PAD 71.4 (11.4) mmHg. The prevalence of hypertension was 26.0% (CI95% 17.0-35.0) among men (32%) and women (20%), and hypertension was 10% (IC95 % 4.0-16.0). Conclusion: it is shown that men's blood pressure levels were higher than among women and the prevalence of arterial hypertension was higher than that estimated for the Brazilian population.  Descriptors: Arterial Pressure; Hypertension; Outpatients; Life Style; Cardiovascular Diseases; Risk Factors.RESUMENObjetivo: evaluar los niveles tensionales y factores asociados a la hipertensión arterial de usuarios atendidos en un servicio de pronta atención a la salud. Método: se trata de un estudio cuantitativo, descriptivo, exploratorio, transversal, con 100 usuarios. Se evaluaron los factores con la regresión logística binaria, con valores significativos de p≤0,20, y, los resultados se presentan en tablas y figuras, discutidos posteriormente con la literatura. Resultados: se encontró que el promedio de los niveles tensionales de los hombres fue de PAS 130,6 (20,0) mmHg y PAD 78,9 (12,2) mmHg y de las mujeres de PAS 119,5 (22,9) mmHg y PAD 71,4 (11,4) mmHg. Se verificó que la prevalencia de hipertensión fue del 26,0% (IC95% 17,0-35,0) entre los hombres (32%) y en las mujeres (20%) y la hipertensión arterial referida fue del 10% (IC95) Conclusión: se revela que los niveles tensionales de los hombres fueron más elevados que entre las mujeres y la prevalencia de hipertensión arterial fue mayor que la estimada para la población brasileña. Descriptores: Presión Arterial; Hipertensión; Pacientes Ambulatorios; Estilo de Vida; Enfermedades Cardiovasculares; Factores de Riesgo.

Intimate partner violence (IPV) is configured as any form of violent behavior committed both at home and in any intimate relationship of affection, regardless of cohabitation, which can impact the psychological health of people who are affected. Therefore, this study sought to evaluate the evidence on the prevalence of depression in people who experienced violence by intimate partners through a systematic review with meta-analysis. Searches were carried out in the PubMed, LILACS, SciELO and Virtual Health Library databases. Fifteen articles were included and it was possible to identify that the prevalences were varied, with minimum rates of 5.7% up to a maximum of 79.4%. It was concluded that according to the added value, there is a positive correlation so that the occurrence of violence by intimate partners can generate the occurrence of depression. The review therefore indicates the need for preventive and health promotion actions, especially with regard to mental health.

Resumo Objetivo identificar fatores associados ao enfrentamento da pandemia da COVID-19 por pessoas idosas com e sem comorbidades. Método estudo descritivo, transversal, com pessoas idosas (n=569), entre 60 e 80 anos, com ou sem comorbidades, nas cinco regiões do Brasil. Coleta de dados com questionário virtual e análise com base na estatística descritiva e inferencial. Resultados os resultados mostram que 351, (61,68%), referem comorbidade. Houve associação significativa entre os grupos nas variáveis: faixa etária (p=0,017), realizar alguma atividade laboral (p≤0,001), pensamento da possibilidade de ser infectado pelo novo coronavírus (p≤0,001), concordar com medidas de prevenção adotadas para o distanciamento social (p≤0,001), se informar por outro meio de comunicação além da televisão (p≤0,001). Conclusão e implicações para a prática os idosos com comorbidades pensam na possibilidade de ser infectado pelo novo coronavírus, concordam mais com as medidas de distanciamento social e se informam mais. Nesse sentido, indica-se a realização de pesquisas com ênfase nos idosos sem comorbidade, para direcionar melhor os cuidados de saúde em tempos de pandemias.

Objectives: to analyze knowledge production adherence from a master’s course in nursing in the Amazon to care and health demands in the region, with an emphasis on neglected tropical diseases and traditional populations in the Amazon. Methods: a descriptive study, with a quantitative approach and documentary basis, analyzing dissertations defended in a Graduate Program in Nursing at the Universidade do Estado do Pará in association with the Universidade Federal do Amazonas, from 2012-2019. A descriptive statistical analysis was performed. Results: of the 105 dissertations analyzed, 30 (28.6%) were related to neglected tropical diseases. Of these, 11 (10.5%) dealt with Chagas disease, leishmaniasis, tuberculosis, malaria, and leprosy. Traditional populations in the Amazon participated in only 11 (10.5%) studies. Conclusions: knowledge production in a master’s course has adherence to care and health demands in the region; however, it needs to enhance its production to strengthen its identity.