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

NON-PHARMACOLOGICAL THERAPIES TO IMPROVE THE QUALITY OF LIFE OF CHRONIC KIDNEY PATIENTS UNDER HEMODIALYSIS: A SCOPE REVIEW PROTOCOL

Objetivo: Mapear e descrever na literatura científica as estratégias não farmacológicas que contribuem com a qualidade de vida dos pacientes renais crônicos em hemodiális

Enfrentamento e desafios da Atenção Primária à Saúde diante da mortalidade por causas externas em idosos: Protocolo de scoping review

este trabalho tem como objetivo mapear, descrever e sistematizar as evidências científicas do que foi feito sobre enfrentamento e os desafios da Atenção Primária à Saúde frente à mortalidade por causas externas em idoso

Fatores determinantes da mortalidade infantil em Unidade de Terapia Intensiva: protocolo de revisão de escopo

Um estudo baseado em uma revisão de escopo que tem por objetivo: Mapear e caracterizar os estudos científicos a cerca dos fatores determinantes que causam a mortalidade infantil em UTIs, de modo que englobem crianças até um ano de idade

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