Abandono de Recém-Nascidos e Parto Anônimo: Percepções dos Profissionais de Enfermagem / Newborn Abandonment and Anonymous Birth: Perceptions of Nursing Professionals

OBJETIVO: Este estudo buscou conhecer a percepção dos profissionais de Enfermagem de uma Unidade Hospitalar do setor de obstetrícia sobre o parto anônimo e o abandono de recém-nascidos. METODOLOGIA: A pesquisa é qualitativa e foi baseada na busca de informações a partir do olhar dos profissionais de enfermagem atuantes em uma Unidade Hospitalar de Santarém, estado do Pará. Os dados foram coletados através de entrevista com profissionais de Enfermagem do setor de obstetrícia, utilizando a análise de conteúdo de Minayo. RESULTADOS: Verificou-se que as percepções dos profissionais de enfermagem divergem bastante sobre as temáticas estudadas assim como o desconhecimento do tema. CONCLUSÃO: Verificou-se que os profissionais de saúde pautam suas práticas em busca do vínculo do binômio mãe-filho, estimulando e aprofundando esta relação, assim afastando a possibilidade da implantação do parto anônimo

Direct antiviral therapy for treatment of hepatitis C: A real-world study from Brazil

Introduction and objectives: Direct antiviral agents (DAAs) including sofosbuvir (SOF), daclatasvir (DCV), simeprevir (SIM) and ombitasvir, paritaprevir and dasabuvir were introduced 2015 in Brazil for treatment of hepatitis C virus (HCV) infection. The aims of this study were to assess effectiveness and safety of HCV treatment with DAA in real-life world in a highly admixed population from Brazil. Materials and methods: All Brazilian reference centers for HCV treatment were invited to take part in a web-based registry, prospectively conducted by the Brazilian Society of Hepatology, to assess outcomes of HCV treatment in Brazil with DAAs. Data to be collected included demographics, disease severity and comorbidities, genotype (GT), viral load, DAA regimens, treatment side effects and sustained virological response (SVR). Results: 3939 patients (60% males, mean age 58 ± 10 years) throughout the country were evaluated. Most had advanced fibrosis or cirrhosis, GT1 and were treated with SOF/DCV or SOF/SIM. Overall SVR rates were higher than 95%. Subjects with decompensated cirrhosis, GT2 and GT3 have lower SVR rates of 85%, 90% and 91%, respectively. Cirrhosis and decompensated cirrhosis in GT1 and male sex and decompensated cirrhosis in GT3 were significantly associated with no SVR. Adverse events (AD) and serious AD occurred in 18% and 5% of those subjects, respectively, but less than 1% of patients required treatment discontinuation. Conclusion: SOF-based DAA regimens are effective and safe in the heterogeneous highly admixed Brazilian population and could remain an option for HCV treatment at least in low-income countries