Atuação do Departamento de Recursos Humanos no desempenho do setor financeiro - uma nova percepção

As profundas mudanças nos contextos financeiros, mercadológicos e tecnológicos têm resultado na necessidade de a área de Recursos Humanos (RH) reafirmar seu papel, implicando  nova ética no trabalho e demandando uma visão estratégica e global de gestão de negócio e de pessoas. Entrando nesse cenário corporativo, finanças e RH reforçaram-se em suas atuações complementares, passaram a ser estratégicas e inovadoras. Diante do exposto, este trabalho teve como objetivo caracterizar as novas perspectivas de atuação do departamento de RH com o setor financeiro. Metodologicamente, este artigo consiste basicamente na utilização de pesquisa exploratória, que se apoia em revisão, análises documentais e bibliográficas, buscando sistematizar o assunto desenvolvido por outros autores de forma a atingir os objetivos propostos. Pode-se concluir que pensar em RH na empresa moderna e do futuro, significa entender que obter excelência empresarial deve ser um trabalho realizado com e por meio das pessoas; significa realizar a gestão com a participação efetiva dos gestores de linha, da área de RH e dos empregados de nível técnico-operacional

A NEW POSSIBILITY FOR SURVEILLANCE: DO WE IDENTIFY ALL CASES OF LEPTOSPIROSIS?

A leptospirose é doença febril tipicamente subestimada em todo o mundo, principalmente em áreas que a dengue se apresenta de forma endêmica. Desta forma, há limitações importantes na compreensão do número de casos de leptospirose nessas áreas, o que proporciona maior subnotificação. Neste estudo, apresentamos estimativa de possíveis casos de leptospirose a partir de casos de dengue-símile na cidade de Fortaleza, nordeste do Brasil, durante os anos de 2008, 2010 e 2012. Os pacientes foram investigados para dengue e leptospirose utilizando testes imunoezimáticos para detecção do anticorpo, da classe IgM, específicos para cada patologia. Entre os casos suspeitos de dengue, mas que não apresentaram resultado laboratorial positivo, 10,8%; 19,2% e 30,8% foram confirmados como leptospirose nos anos de 2008, 2010 e 2012; respectivamente. Considerando os casos notificados pela vigilância de dengue e que foram, posteriormente, descartados, baseados nos resultados dos testes laboratoriais, estimamos que o número atual de casos de leptospirose pode ser de 26 a 49 vezes mais do que o detectado e notificado pelos serviços de saúde. Além disso, acreditamos que aproximadamente 20% dos casos de dengue-símile podem ser de leptospirose, em áreas onde as duas doenças ocorram de forma endêmica.Leptospirosis is a febrile disease with a typically underestimated global incidence, especially in regions where dengue is endemic. Therefore, it is difficult to accurately determine the number of leptospirosis cases in these areas, which contributes to significant under-reporting this disease. In this study, we estimated the number of possible leptospirosis cases among dengue-like cases that were reported during 2008, 2010, and 2012 in the city of Fortaleza, northeast Brazil. Patients were evaluated for dengue and leptospirosis using immunoenzymatic tests for IgM antibodies that were specific to each pathogen. Among the suspected cases of dengue that resulted as negative in laboratory tests, 10.8% (2008), 19.2% (2010), and 30.8% (2012) were confirmed to be leptospirosis. Considering the cases reported by the surveillance authority as dengue that were subsequently discarded based on the laboratory test results, we estimate that the number of actual leptospirosis cases may be 26 to 49 times higher than those diagnosed and reported by the Health Services. Furthermore, we believe that approximately 20% of dengue-like cases may be leptospirosis cases in areas where the two diseases are endemic

Uma nova possibilidade de vigilância: identificamos todos os casos de leptospirose?

Leptospirosis is a febrile disease with a typically underestimated global incidence, especially in regions where dengue is endemic. Therefore, it is difficult to accurately determine the number of leptospirosis cases in these areas, which contributes to significant under-reporting this disease. In this study, we estimated the number of possible leptospirosis cases among dengue-like cases that were reported during 2008, 2010, and 2012 in the city of Fortaleza, northeast Brazil. Patients were evaluated for dengue and leptospirosis using immunoenzymatic tests for IgM antibodies that were specific to each pathogen. Among the suspected cases of dengue that resulted as negative in laboratory tests, 10.8% (2008), 19.2% (2010), and 30.8% (2012) were confirmed to be leptospirosis. Considering the cases reported by the surveillance authority as dengue that were subsequently discarded based on the laboratory test results, we estimate that the number of actual leptospirosis cases may be 26 to 49 times higher than those diagnosed and reported by the Health Services. Furthermore, we believe that approximately 20% of dengue-like cases may be leptospirosis cases in areas where the two diseases are endemic.A leptospirose é doença febril tipicamente subestimada em todo o mundo, principalmente em áreas que a dengue se apresenta de forma endêmica. Desta forma, há limitações importantes na compreensão do número de casos de leptospirose nessas áreas, o que proporciona maior subnotificação. Neste estudo, apresentamos estimativa de possíveis casos de leptospirose a partir de casos de dengue-símile na cidade de Fortaleza, nordeste do Brasil, durante os anos de 2008, 2010 e 2012. Os pacientes foram investigados para dengue e leptospirose utilizando testes imunoezimáticos para detecção do anticorpo, da classe IgM, específicos para cada patologia. Entre os casos suspeitos de dengue, mas que não apresentaram resultado laboratorial positivo, 10,8%; 19,2% e 30,8% foram confirmados como leptospirose nos anos de 2008, 2010 e 2012; respectivamente. Considerando os casos notificados pela vigilância de dengue e que foram, posteriormente, descartados, baseados nos resultados dos testes laboratoriais, estimamos que o número atual de casos de leptospirose pode ser de 26 a 49 vezes mais do que o detectado e notificado pelos serviços de saúde. Além disso, acreditamos que aproximadamente 20% dos casos de dengue-símile podem ser de leptospirose, em áreas onde as duas doenças ocorram de forma endêmica

Avaliação as saúde mental e sintomas depressivos em trabalhadores de saúde hospitalar: revisão integrativa

Introduction: Mental disorders affect a considerable number of professionals who occupy the most diverse jobs. However, when we consider health workers, it is customary to view this class as people who are not affected by these illnesses, as they are part of care-promoting environments. Objective: to evaluate mental health and depressive symptoms in healthcare workers in the hospital environment. Methodology: Integrative literature review research, guided by the following steps: construction of the research question; delimitation of inclusion and exclusion criteria; choice of databases; search and selection of studies; analysis and presentation of results. Results and Discussion: 570 studies were identified, after applying the language inclusion criteria, remaining 150 studies, and then reading the titles, in which 420 articles were excluded, as they were not related to the objective of this article. The abstracts of the 150 articles selected from the analysis of the titles were read and only those that met the inclusion criteria had their abstracts investigated. After that, the number of articles mentioned previously remained, which were read in full. The research comprised 10 articles. Conclusion: Therefore, according to the research findings, it is clear that work overload, lack of adequate professional numbers, lack of quality of life, family coexistence, leisure and personal care, completely affects the lives of professionals, thus affecting the their mental health and initiating depressive symptoms, thus increasing the number of suicides among health workers.Introdução: Os transtornos mentais afetam um número considerável de profissionais que ocupam os mais diversos postos de trabalho. Entretanto, quando consideramos os trabalhadores da área da saúde, costuma-se visualizar tal classe, como pessoas que não são afetadas por esses adoecimentos, visto que se inserem em ambientes promotores de cuidados. Objetivo: avaliar a saúde mental e os sintomas depressivos em trabalhadores de saúde no ambiente hospitalar. Metodologia: Pesquisa de revisão integrativa da literatura, guiada pelas seguintes etapas: construção da questão de pesquisa; delimitação dos critérios de inclusão e exclusão; escolha das bases de dados; busca e seleção dos estudos; análise e exposição dos resultados. Resultados e Discussão: Foram identificados 570 estudos, depois da aplicação do critério de inclusão do idioma, permanecendo os 150 estudos, e em seguida a leitura dos títulos, nos quais foram excluídos 420 artigos, por não estarem relacionados ao objetivo deste artigo. Houve a leitura dos resumos dos 150 artigos selecionados a partir da análise dos títulos e somente aqueles dentro dos critérios de inclusão tiveram os resumos investigados. Após isso, permaneceram a quantidade de artigos citadas anteriormente, que foram lidos integralmente. Compuseram a pesquisa 10 artigos. Conclusão: Sendo assim, de acordo com os achados da pesquisa fica nítido que a sobrecarga de trabalho, falta de quantitativo profissional adequado, ausência da qualidade de vida, convivência familiar, lazer e cuidado pessoal, afeta totalmente a vida dos profissionais, afetando assim a saúde mental dos mesmos e iniciando sintomas depressivos, aumentando assim o número de suicídios nos trabalhadores de saúde

A NEW POSSIBILITY FOR SURVEILLANCE: DO WE IDENTIFY ALL CASES OF LEPTOSPIROSIS?

SUMMARY Leptospirosis is a febrile disease with a typically underestimated global incidence, especially in regions where dengue is endemic. Therefore, it is difficult to accurately determine the number of leptospirosis cases in these areas, which contributes to significant under-reporting this disease. In this study, we estimated the number of possible leptospirosis cases among dengue-like cases that were reported during 2008, 2010, and 2012 in the city of Fortaleza, northeast Brazil. Patients were evaluated for dengue and leptospirosis using immunoenzymatic tests for IgM antibodies that were specific to each pathogen. Among the suspected cases of dengue that resulted as negative in laboratory tests, 10.8% (2008), 19.2% (2010), and 30.8% (2012) were confirmed to be leptospirosis. Considering the cases reported by the surveillance authority as dengue that were subsequently discarded based on the laboratory test results, we estimate that the number of actual leptospirosis cases may be 26 to 49 times higher than those diagnosed and reported by the Health Services. Furthermore, we believe that approximately 20% of dengue-like cases may be leptospirosis cases in areas where the two diseases are endemic

Zika Virus Impairs Neurogenesis and Synaptogenesis Pathways in Human Neural Stem Cells and Neurons

Growing evidences have associated Zika virus (ZIKV) infection with congenital malformations, including microcephaly. Nonetheless, signaling mechanisms that promote the disease outcome are far from being understood, affecting the development of suitable therapeutics. In this study, we applied shotgun mass spectrometry (MS)-based proteomics combined with cell biology approaches to characterize altered molecular pathways on human neuroprogenitor cells (NPC) and neurons derived from induced pluripotent stem cells infected by ZIKV-BR strain, obtained from the 2015 Brazilian outbreak. Furthermore, ZIKV-BR infected NPCs showed unique alteration of pathways involved in neurological diseases, cell death, survival and embryonic development compared to ZIKV-AF, showing a human adaptation of the Brazilian viral strain. Besides, infected neurons differentiated from NPC presented an impairment of neurogenesis and synaptogenesis processes. Taken together, these data explain that CNS developmental arrest observed in Congenital Zika Syndrome is beyond neuronal cell death

High anti-SARS-CoV-2 antibody seroconversion rates before the second wave in Manaus, Brazil, and the protective effect of social behaviour measures: results from the prospective DETECTCoV-19 cohort

Background: The city of Manaus, Brazil, has seen two collapses of the health system due to the COVID-19 pandemic. We report anti-SARS-CoV-2 nucleocapsid IgG antibody seroconversion rates and associated risk factors in Manaus residents before the second wave of the epidemic in Brazil. Methods: A convenience sample of adult (aged ≥18 years) residents of Manaus was recruited through online and university website advertising into the DETECTCoV-19 study cohort. The current analysis of seroconversion included a subgroup of DETECTCoV-19 participants who had at least two serum sample collections separated by at least 4 weeks between Aug 19 and Oct 2, 2020 (visit 1), and Oct 19 and Nov 27, 2020 (visit 2). Those who reported (or had no data on) having a COVID-19 diagnosis before visit 1, and who were positive for anti-SARS-CoV-2 nucleocapsid IgG antibodies at visit 1 were excluded. Using an in-house ELISA, the reactivity index (RI; calculated as the optical density ratio of the sample to the negative control) for serum anti-SARS-CoV-2 nucleocapsid IgG antibodies was measured at both visits. We calculated the incidence of seroconversion (defined as RI values ≤1·5 at visit 1 and ≥1·5 at visit 2, and a ratio >2 between the visit 2 and visit 1 RI values) during the study period, as well as incidence rate ratios (IRRs) through cluster-corrected and adjusted Poisson regression models to analyse associations between seroconversion and variables related to sociodemographic characteristics, health access, comorbidities, COVID-19 exposure, protective behaviours, and symptoms. Findings: 2496 DETECTCoV-19 cohort participants returned for a follow-up visit between Oct 19 and Nov 27, 2020, of whom 204 reported having COVID-19 before the first visit and 24 had no data regarding previous disease status. 559 participants were seropositive for anti-SARS-CoV-2 nucleocapsid IgG antibodies at baseline. Of the remaining 1709 participants who were seronegative at baseline, 71 did not meet the criteria for seroconversion and were excluded from the analyses. Among the remaining 1638 participants who were seronegative at baseline, 214 showed seroconversion at visit 2. The seroconversion incidence was 13·06% (95% CI 11·52–14·79) overall and 6·78% (5·61–8·10) for symptomatic seroconversion, over a median follow-up period of 57 days (IQR 54–61). 48·1% of seroconversion events were estimated to be asymptomatic. The sample had higher proportions of affluent and higher-educated people than those reported for the Manaus city population. In the fully adjusted and corrected model, risk factors for seroconversion before visit 2 were having a COVID-19 case in the household (IRR 1·49 [95% CI 1·21–1·83]), not wearing a mask during contact with a person with COVID-19 (1·25 [1·09–1·45]), relaxation of physical distancing (1·31 [1·05–1·64]), and having flu-like symptoms (1·79 [1·23–2·59]) or a COVID-19 diagnosis (3·57 [2·27–5·63]) between the first and second visits, whereas working remotely was associated with lower incidence (0·74 [0·56–0·97]). Interpretation: An intense infection transmission period preceded the second wave of COVID-19 in Manaus. Several modifiable behaviours increased the risk of seroconversion, including non-compliance with non-pharmaceutical interventions measures such as not wearing a mask during contact, relaxation of protective measures, and non-remote working. Increased testing in high-transmission areas is needed to provide timely information about ongoing transmission and aid appropriate implementation of transmission mitigation measures. Funding: Ministry of Education, Brazil; Fundação de Amparo à Pesquisa do Estado do Amazonas; Pan American Health Organization (PAHO)/WHO.World Health OrganizationRevisión por pare

The impact of SARS-CoV-2 in dementia across Latin America : A call for an urgent regional plan and coordinated response

The SARS-CoV-2 global pandemic will disproportionately impact countries with weak economies and vulnerable populations including people with dementia. Latin American and Caribbean countries (LACs) are burdened with unstable economic development, fragile health systems, massive economic disparities, and a high prevalence of dementia. Here, we underscore the selective impact of SARS-CoV-2 on dementia among LACs, the specific strain on health systems devoted to dementia, and the subsequent effect of increasing inequalities among those with dementia in the region. Implementation of best practices for mitigation and containment faces particularly steep challenges in LACs. Based upon our consideration of these issues, we urgently call for a coordinated action plan, including the development of inexpensive mass testing and multilevel regional coordination for dementia care and related actions. Brain health diplomacy should lead to a shared and escalated response across the region, coordinating leadership, and triangulation between governments and international multilateral networks

Universidade e redes de atenção à saúde: uma produção de conhecimento no Sistema Único de Saúde

Prefácio de Flávio Adriano Borges MeloComo promover uma formação em saúde sensível e eticamente compromissada com a implementação e o fortalecimento do Sistema Único de Saúde? Como aproximar a formação profissional da realidade da rede de atenção à saúde local? Quais os desafios encontrados na integração entre ensino e serviços? Quais as potencialidades de aprendizagem no contexto do Sistema Único de Saúde? Neste livro são apresentados relatos produzidos por participantes do PET-Saúde e do Pró-Saúde do CCS/UFRB no município de Santo Antônio de Jesus, ao longo dos quais se busca responder a estas e outras questões relevantes para o debate nacional sobre as políticas de saúde