Avaliação da qualidade de vida de portadores de insuficiência renal crônica em diálise renal

Aim:To evaluate the quality of life of people with Chronic Renal Failure (CRF) in hemodialysis treatment through the KDQOL-SFTM. Methods: Study descriptive - analytical, quantitative, with KDQOL-SFTM, in 32 patients with CRF. The answers to the questions of the questionnaire were distributed in a dichotomous scale and Likert scales, with the number of points ranging from ten to three. Results: The highest scores were the areas: the stimulation of the hemodialysis team (98, 44), sexual function (94.14) and symptoms and problems (76.04). The lowest were: burden of renal disease (12.34), physical function (23.44) and social support (30.21). Conclusion: The aspects that most affect the quality of life of these people encourage reflection about better planning and integral care by the health team, in order to attain a life of higher quality.Objetivo: Evaluar la calidad de vida de las personas con Insuficiencia Renal Crónica (IRC) en hemodiálisis, a través de KDQOL TM-SF. Métodos: Estudio descriptivo, analítico y cuantitativo, utilizando como instrumento para recolectar datos el KDQOL- SF TM, en una muestra de 32 pacientes con insuficiencia renal crónica. Las respuestas a las preguntas del cuestionario se distribuyeron en una escala dicotómica y en escalas tipo Likert, con puntuación que va desde diez hasta tres. Resultados: Las puntuaciones más altas fueron en los campos: estímulo del equipo de hemodiálisis (98, 44), función sexual (94,14) y síntomas y problemas (76,04). Los menores encontrados: sobrecarga de la enfermedad renal (12.34), función física (23,44) y apoyo social (30,21). Conclusión: Los aspectos principales que afectan a la calidad de vida de estas personas hacen reflexionar sobre un cuidado más planificado e integral que será prestado por el equipo de salud, médica, lo que permitirá vivir con más calidad.Objetivo: Avaliar a qualidade vida de pessoas com Insuficiência Renal Crônica (IRC) em tratamento hemodialítico, através do KDQOL-SF TM. Métodos: Estudo descritivo-analítico, quantitativo, utilizando como instrumento de coleta de dados o KDQOL- SF TM, numa amostra de 32 pacientes com IRC. As respostas para as questões do questionário foram distribuídas em uma escala dicotômica e em escalas tipo Likert, com número de pontos variando entre dez e três. Resultados: Os maiores escores foram nos domínios: estímulo da equipe de hemodiálise (98, 44), função sexual (94,14) e sintomas e problemas (76,04). Os menores corresponderam: sobrecarga da doença renal (12,34), função física (23,44) e suporte social (30,21). Conclusão: Os aspectos que mais interferem na qualidade de vida dessas pessoas permitem reflexões a respeito de um cuidado mais planejado e integral  a ser prestado pela equipe de saúde, permitindo um viver com mais qualidade

Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study

: The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS® v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI