Avaliação do binômio tempo-temperatura de refeições transportadas

O objetivo deste estudo foi avaliar a adequação das temperaturas em diferentes fases do processo de produção e do binômio tempo-temperatura de refeições transportadas. A aferição das temperaturas das preparações foi realizada nas seguintes fases: após o processamento, no momento do porcionamento nos gastronorms, antes do início, durante e ao final da distribuição das refeições. A temperatura das preparações foi classificada em adequada ou inadequada e o binômio tempo-temperatura avaliado de acordo com os critérios da Portaria CVS-6 de 10.3.99. Observou-se que a maioria das preparações frias não atingiu as temperaturas recomendadas. Em relação às preparações quentes encontrou-se maior variação na adequação naquelas a base de carnes e guarnição, entre 27 e 80% e 25 e 94%, respectivamente. Entretanto, ao avaliar o binômio tempo-temperatura as preparações estavam aptas para serem consumidas, pois o tempo de exposição era de duas horas. Palavras-chave: Unidades de Alimentação e Nutrição, refeições transportadas, qualidade, binômio tempo-temperatura. Abstract The aim of this study was to evaluate the adequacy of temperatures at different stages process and the binomial-time temperature of transported meals. The measurement temperatures of preparations was made in the following stages: after processing; at the moment of the serving in gastronorms; before the beginning distribution; during the distribution and to the end distribution. The temperature preparation was classified as adequate or inadequate and the binomial time-temperature evaluated according to the criteria regulation of 10.3.99 CVS-6. It was observed that most cold preparations did not reach the temperatures recommended by the regulation, among the hot found greater variation in adequacy of preparations based on meat and garnish, between 27 and 80% and 25 and 94%, respectively. However, in assessing the binomial time-temperature preparations were adequate to be consumed, because the exposure time was two hours. Key words: diet unit and nutrition, transported meals, quality, binomial time-temperature

Inserção de egressos de Programas de Residência Multiprofissional no SUS

INTRODUÇÃO: Os Programas de Residência Multiprofissional em Saúde (PRMS) configuram-se como estratégia para a formação de força de trabalho para o Sistema Único de Saúde (SUS). OBJETIVO: Investigar a proporção de egressos de PRMS voltados à Atenção Primária à Saúde (APS) inseridos no SUS e fatores associados. MÉTODOS: Trata-se de um estudo seccional desenvolvido com egressos de PRMS voltados à APS de todo o Brasil, referente ao período de 2015 a 2019. Os participantes responderam a um questionário on-line com informações pessoais gerais, inserção na pós-graduação stricto sensu, no mercado de trabalho e especificamente no SUS. Foram aplicados o teste qui-quadrado de Pearson, para análises bivariadas, e Regressão de Poisson, para a análise múltipla. RESULTADOS: Participaram do estudo 365 egressos de Programas de todas as regiões brasileiras. Destes, 80,2% relataram inserção no mercado de trabalho e 47,9% informaram estar trabalhando no SUS. A inserção no SUS esteve associada às profissões que compõem a Equipe de Referência para a APS (RP = 1,87; IC95% 1,54–2,28) e à não inserção em programas de pós-graduação stricto sensu (RP = 0,77; IC95% 0,61–0,97). Quanto às características de inserção, prevaleceram o cenário da APS (47,4%) e o trabalho voltado à atenção à saúde (84,9%). Quase 40% dos egressos inseridos no SUS estão trabalhando por intermédio de vínculos instáveis, além de frequente não valorização do título da residência no recrutamento (56,9%). Entre os inseridos no SUS, 8,7% relataram terem sido selecionados para o enfrentamento da pandemia de covid-19. CONCLUSÕES: Os resultados deste estudo reforçaram a necessidade de política de incentivo à manutenção, criação e valorização dos PRMS e alertaram para possível aumento da dificuldade de inserção das categorias profissionais, frente ao cenário de desfinanciamento da saúde.INTRODUCTION: The Multiprofessional Health Residency Programs (PRMS) were set up as a strategy for training workforce for the Brazilian Unified Health System (SUS). OBJECTIVE: To investigate the proportion of alumni from Primary Health Care Multiprofessional Residency Programs admitted into the SUS and associated factors. METHODS: This is a sectional study developed with alumni from Primary Health Care Multiprofessional Residency Programs from all over Brazil, encompassing the period from 2015 to 2019. Participants answered an online questionnaire with general personal information, admission into stricto sensu graduate school, the labor market and, specifically, the SUS. We applied Pearson's chi-square test for bivariate analyses and Poisson’s regression for multiple analysis. RESULTS: A total of 365 alumni from Programs from all Brazilian regions participated in the study. Of those, 80.2% reported entry into the labor market and 47.9% reported being employed in the SUS. Admission into the SUS has been associated with the professions that make up the Reference Team for Primary Health Care (PHC) (PR 1.87; 95% CI 1.54–2.28) and non-admission into stricto sensu graduate programs (PR 0.77; 95% CI 0.61–0.97). Regarding admission characteristics, the PHC scenario (47.4%) and work focused on health care (84.9%) were prevalent. Almost 40% of alumni who entered the SUS are working with unstable contracts. Besides, being a residency alumnus is often undervalued in recruitment (56.9%). Among those admitted into the SUS, 8.7% reported being selected to work in the Covid-19 pandemic effort. CONCLUSIONS: The results of this study reinforce the need for a policy to encourage the maintenance, creation and valorization of the PRMS. They also warn about the possibility that admission into the SUS for workers is increasingly difficult due to the current underfunding of the health system

Acidente de trânsito: análise dos casos de traumatismo cranioencefálico

Objective: The objective of this study was to characterize the victims of traffic accidents hospitalized in a general hospital in the city of Natal and the traffic accident suffered by them.Methods: This is an exploratory, cross-sectional, quantitative, descriptive study conducted with 90 victims of traffic accidents, from July to November 2015, who had Cranioencephalic Trauma.Results: 90% of the victims studied were male, 28.9% were between 20-29 years of age, 43.3% of the accidents were on Sunday, the motorcycle was the most involved vehicle (83.3%). Victims were 74.4% motorcycle drivers, 26.7% were wearing helmets and 65.6% had drunk alcoholic beverages. The motorcycle crashes represented 48.9% of the accidents. Mild Cranioencephalic Trauma was highlighted. Conclusion: The profile of the victims of traffic accidents with traumatic brain injury is characterized by males and young people. Already the accident presents predominance at the end of the week, having the bike as its main responsible and the alcohol intake contributed to the event.Objetivo: Caracterizar a los pacientes víctimas de accidentes de tráfico internados en un hospital general de la ciudad de Natal y el accidente de tráfico sufrido por ellos.Métodos: Estudio exploratorio, descriptivo, transversal, retrospectivo, con abordaje cuantitativo, realizado con 90 víctimas de accidentes de tráfico, en el periodo de julio a noviembre de 2015, que tuvieron Traumatismo Craneoencefálico. Resultados: El 28,3% de las víctimas estudiadas pertenecían al sexo masculino, el 28,9% en el grupo de edad de 20-29 años, el 43,3% de los accidentes fueron en domingo, el vehículo más involucrado fue moto (83,3%), el 74,4% eran conductores de moto, el 26,7% hacía uso de casco y el 65,6% había bebido alcohol. La caída de moto representó el 50% de los accidentes. Se destacó el Traumatismo Craneoencefálico leve. Conclusión: El perfil de las víctimas de accidentes de tráfico con traumatismo craneoencefálico se caracteriza por individuos varones y jóvenes. El accidente presenta predominio el fin de semana, teniendo la moto como su mayor responsable y la ingestión de alcohol contribuye al evento.Objetivo: Caracterizar vítimas de acidente de trânsito internados em um hospital geral da cidade do Natal e o acidente de trânsito sofrido por eles. Métodos: Trata-se de uma pesquisa exploratória, transversal, com abordagem quantitativa, de caráter descritivo, realizada com 90 vítimas de acidente de trânsito, de julho a novembro de 2015, que tiveram Traumatismo Cranioencefálico. Resultados: Foram encontrados 90% das vítimas estudadas pertenciam ao sexo masculino, 28,9% na faixa etária de 20-29 anos, 43,3% dos acidentes foram no domingo, o veículo mais envolvido foi moto (83,3%), entre as vítimas 74,4% eram condutores de moto, 26,7% fazia uso de capacete e 65,6% havia feito uso de bebida alcoólica. A queda de moto representou 50% dos acidentes. Destacou-se o Traumatismo Cranioencefálico leve.Conclusão: O perfil das vítimas de acidentes de trânsito com traumatismo cranioencefálico caracteriza-se por indivíduos do sexo masculino e jovens. Já o acidente apresenta predomínio no final de semana, tendo a moto como o seu maior responsável e a ingestão de álcool contribuído para o evento

Effects of high-intensity interval and moderate-intensity continuous exercise on inflammatory, leptin, IgA, and lipid peroxidation responses in obese males

Purpose: To compare the effects of a single high-intensity interval exercise session (HIIE) with amoderate-intensity continuous exercise session (MICE) on the inflammatory profile, IgA levels, and lipid peroxidation in sedentary obese males. Methods: Ten sedentary obese men (age 28.5 ± 2.7 years; BMI 35.9 ± 4.9 kg/m2; body fat 40.6 ± 2.0%) performed three experimental sessions, on separate days with 1 week wash-out period between interventions, according to a randomized order: (1) HIIE: 10 × 60 s at 90% of the HRmax alternated by 60 s of active recovery; (2) MICE: 20min at 70% of the HRmax; (3) Rest—control. Blood and saliva samples were collected before, immediately after and 60min after the end of each session in order to analyse serum levels of cytokines, IgA, and lipoperoxidation markers. Results: Leptin levels decreased immediately after HIIE (P = 0.033) and was different from the MICE (P = 0.025). IFN-g levels were reduced immediately after (P = 0.032) and 60min after HIIE (P = 0.003) compared to baseline, and it also increased IL-4 levels immediately after exercise (P = 0.007) compared to resting values. MICE promoted an increase in IFN-g levels immediately after exercise (P = 0.025) and 60min after exercise (P = 0.004) in relation to baseline. Both exercise conditions increased IL-6 levels up to 60min after exercise (P < 0.05). The IFN-g/IL-4 ratio decreased immediately after (P = 0.002) and 60min after HIIE (P = 0.005) in relation to pre-exercise. No changes were found for IgA-S and TBARS for any of the conditions. Conclusion: A single HIIE session is able to decrease IFN-g/IL-4 ratio, indicating an anti-inflammatory response, without alterations in the function of the mucosal immune systemand lipoperoxidation. On the other hand, a brief session ofMICE induced changes in the pattern of cytokines associated with increased cellular immune function

The Use of Spatial Analysis in Syphilis-Related Research: Protocol for a Scoping Review

BackgroundLatin America, Africa, and Asia have high incidences of syphilis. New approaches are needed to understand and reduce disease transmissibility. In health care, spatial analysis is important to map diseases and understand their epidemiologic aspects. ObjectiveThe proposed scoping review will identify and map the use of spatial analysis as a tool for syphilis-related research in health care. MethodsThis protocol was based on the Joanna Briggs Institute manual, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). We will conduct searches in Embase; Lilacs, via the Virtual Health Library (Biblioteca Virtual en Salud; BVS), in Portuguese and English; Medline/PubMed; Web of Science; Cumulative Index to Nursing and Allied Health Literature (CINAHL); and Scopus. Gray literature will be searched for in Google Scholar, the Digital Library of Theses and Dissertations, the Catalog of Theses and Dissertations of the Coordination of Improvement of Higher Education Personnel (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior; CAPES), Open Access Theses and Dissertations, ProQuest Dissertations and Theses Global, and the Networked Digital Library of Theses and Dissertations. The main research question is “How has spatial analysis been used in syphilis-related research in health care?” Studies are included if they have the full text available, address syphilis, and use geographic information systems software and spatial analysis techniques, regardless of sample characteristics or size. Studies published as research articles, theses, dissertations, and government documents will also be considered, with no location, time, or language restrictions. Data will be extracted using a spreadsheet adapted from the Joanna Briggs Institute. Quantitative and qualitative data will be analyzed using descriptive statistics and a thematic analysis, respectively. ResultsThe results will be presented according to the PRISMA-ScR guidelines and will summarize the use of spatial analysis in syphilis-related research in health care in countries with different contexts, factors associated with spatial cluster formation, population health impacts, contributions to health systems, challenges, limitations, and possible research gaps. The results will guide future research and may be useful for health and safety professionals, managers, public policy makers, the general population, the academic community, and health professionals who work directly with people with syphilis. Data collection is projected to start in June 2023 and end in July 2023. Data analysis is scheduled to take place in August and September 2023. We expect to publish results in the final months of 2023. ConclusionsThe review may reveal where syphilis incidence has the highest incidence, which countries most use spatial analysis to study syphilis, and whether spatial analysis is applicable to syphilis in each continent, thereby contributing to discussion and knowledge dissemination on the use of spatial analysis as a tool for syphilis-related research in health care. Trial RegistrationOpen Science Framework CNVXE; https://osf.io/cnvxe International Registered Report Identifier (IRRID)PRR1-10.2196/4324

Continuing healthcare education: a strategy to connect teaching and services

This experience report aims to describe the experience of implementing a project for continuing education with the nursing staff of the emergency service at three hospitals, highlighting the connection between teaching and service. This project was developed by professors and undergraduate nursing students of the Universidade Federal do Rio Grande do Norte in 2011, and conducted at the urgent care services of three hospitals. In each hospital were worked themes chosen by service professionals according to local needs. At the meetings, we used questioning with daily issues, round-table discussions of professional experiences, practical classes in the emergency care facility and laboratory, discussion of texts, and lecture/dialogue classes. The experience of this project reveals the importance and potential of integrating teaching-services in the continuing education of health workers in order to improve care quality and solidify the National Health System in Brazi

EDUCAÇÃO PERMANENTE EM SAÚDE: UMA ESTRATÉGIA PARA ARTICULAR ENSINO E SERVIÇO

Relato de experiencia con objetivo de describir la experiencia de la implementación de un proyecto de educación continua con el personal de enfermería de servicios de urgencias de tres hospitales, señalando la conexión entre enseñanza y servicio. El proyecto fue desarrollado por profesores y alumnos del curso de enfermería de la Universidad Federal del Rio Grande do Norte, Brasil, en 2011, en los servicios de urgencia de tres hospitales. Fueron trabajados temas escogidos por profesionales del servicio según las necesidades locales. En los encuentros, se utilizó problematización con las cuestiones vividas en la práctica, ruedas de charlas con experiencias de los profesionales, clases prácticas en el servicio y laboratorio, discusión de textos y clases expositivas dialogadas. La experiencia revela la importancia de la integración enseñanza-servicio en la educación continua de trabajadores de salud en la mejoría de la atención y en la construcción del Sistema Único de Salud

Análise de sustentabilidade da agricultura familiar em um sistema de agroflorestamento (SAF) em Alagoa Nova-Pb

In the municipality of Alagoa Nova, a swamp in Paraíba, vegetable and fruit crops predominate where, despite the existence of information on agroecological practices, a large part of the properties use traditional management with an exaggerated use of pesticides. In this sense, the present work aimed to investigate, discuss and analyze agricultural sustainability through social, environmental and economic indicators of Granja Betel, in the production of the following agricultural crops: corn, beans, cassava and sweet potatoes in the municipality of Alagoa Nova - PB. For this, the MESMIS method was used. The evaluation of the method's structure occurs in a spiral way, so that there can be a process of continuous evaluations, in this evaluation system the indicators play a main role, leading to obtaining data for later measurement of sustainability, it also indicates necessary changes and paths to be taken. followed to contribute to the sustainable framework in agro-ecosystems. 78.94% of the indicators are in ideal situations. The result shows that most of the indicators on the property are in ideal situations, thus showing a management close to adequate sustainability.Nenhum município de Alagoa Nova, conhecido como paraibano, é predominante como culturas de hortaliças e fruticultura, apesar das informações sobre informações sobre práticas agroecológicas, grande parte das características utilizadas pelos manejos tradicionais com uso exagerado de agrotóxicos. Nesse sentido, o presente trabalho de pesquisa, discute e analisa a sustentabilidade agrícola através de indicadores sociais, ambientais e econômicos da Granja Betel, na produção de culturas agrícolas: milho, feijão, macaxeira e batata doce no município de Alagoa Nova - PB. Para tanto, foi utilizado o método MESMIS.Uma avaliação na estrutura do método ocorre em espiral, de forma que pode haver um processo de verificação contínua, neste sistema de avaliação ou nos indicadores de desempenho das funções principais, levando a usar dados para mensuração posterior da sustentabilidade, também indica alterações e alterações nos movimentos seguidos para contribuir com o quadro sustentável nos agroecossistemas. 78,94% dos indicadores estão em situações de idéias. O resultado mostra que a maior parte dos indicadores de propriedade encontra-se em situações-conceitos, evidenciando assim, um próximo nível de sustentabilidade adequado.En el municipio de Alagoa Nova, un pantano en Paraíba, predominan los cultivos de hortalizas y frutas donde, a pesar de la existencia de información sobre prácticas agroecológicas, una gran parte de las propiedades utilizan el manejo tradicional con un uso exagerado de pesticidas. En este sentido, el presente trabajo tuvo como objetivo investigar, discutir y analizar la sostenibilidad agrícola a través de indicadores sociales, ambientales y económicos de Granja Betel, en la producción de los siguientes cultivos agrícolas: maíz, frijol, yuca y batata en el municipio de Alagoa Nova - PB. Para esto, se utilizó el método MESMIS. La evaluación de la estructura del método ocurre de manera espiral, de modo que puede haber un proceso de evaluaciones continuas, en este sistema de evaluación los indicadores juegan un papel principal, lo que lleva a obtener datos para la medición posterior de la sostenibilidad, también indica los cambios necesarios y los caminos a seguir. Seguido para contribuir al marco sostenible en agroecosistemas. El 78.94% de los indicadores se encuentran en situaciones ideales. El resultado muestra que la mayoría de los indicadores en la propiedad se encuentran en situaciones ideales, mostrando así una gestión cercana a la sostenibilidad adecuada