MOTHERS’ FEELINGS ATTRIBUTED TO THE HOSPITALIZATION OF THEIR CHILD

Objetivou-se descrever os sentimentos de mães ao vivenciarem o internamento dos filhos. Pesquisa descritiva, qualitativa, desenvolvida em 2012 em hospital de referência pediátrica de Fortaleza-Ceará, por meio de entrevista semiestruturada com mães acompanhantes após aprovação do Comitê de Ética. A partir da análise das entrevistas, foram delimitadas duas categorias: sentimentos gerados na mãe pelo adoecimento do filho eestratégias para enfrentar o sofrimento.Evidencia-se a necessidade de maior atenção e interação, por parte dos profissionais de saúde, com as mães acompanhantes, de forma a promover cuidado humanizado, envolvendo o binômio mãe e filho.La finalidad del estudio fue describir los sentimientos de madres cuando pasaron por el internamiento de loshijos. Investigación descriptiva, cualitativa, desarrollada en 2012 en hospital de referencia pediátrica de Fortaleza, Ceará, pormedio de entrevista semiestructurada con madres acompañantes después de aprobación de la Comisión de Ética. Con base enel análisis de las entrevistas, fueron delimitadas dos categorías: Sentimientos generados en la madre por la enfermedad delhijo y Estrategias para afrontar el sufrimiento. Se evidencia la necesidad de más atención e interacción por los profesionalesde salud con las madres acompañantes, de forma a promover cuidado humanizado, involucrando el binomio madre e hijo.This study aimed to describe the feelings of mothers in experiencing the hospitalization of their child. Thisdescriptive, qualitative research was undertaken in 2012 in a hospital, a center of excellence in Pediatrics, in Fortaleza-Ceará, by means of a semi-structured interview held with mothers accompanying their children, following approval fromthe Ethics Committee. Based on the analysis of the interviews, two categories were delimited: feelings created in themother by the falling-ill of her child and strategies for coping with the suffering. The need is evidenced for greater care andinteraction on the part of the health professionals with the mothers accompanying children, so as to promote humanizedcare, involving the mother-child unit

Reflexões sobre a pandemia COVID-19 e ações de educação permanente em enfermagem num hospital

The aim was to carry out a reflection on the performance of the Permanent Education Committee in Nursing in a tertiary hospital for in-service training of the nursing staff on the care of patients with Covid-19, as well as their challenges and strategies. Theoretical-reflective study on permanent education actions on nursing care in Covid-19 in a public tertiary hospital in Ceará. Strategies adopted were the elaboration of a flowchart of paramentation / deparamentation, conducting standard operating procedure (SOP) and realistic workshops. 70 workshops were held with 313 professional nursing participants, with an average duration of two hours each. Initially, insecurity in the care of patients with Covid-19 was detected, but the workshops held enabled the acquisition of practical and safe skills in the use of PPE. However, the high turnover of these professionals, resulting from the precariousness of the bond and labor rights, was a challenge that still requires extensive political discussion, for greater appreciation of nursing, which has been strongly fighting in this pandemic.Objetivou-se realizar uma reflexão sobre a atuação da Comissão de Educação Permanente em Enfermagem em um hospital terciário para capacitação em serviço da equipe de enfermagem sobre o cuidado de pacientes com Covid-19, bem como seus desafios e estratégias. Estudo teórico-reflexivo sobre as ações de educação permanente sobre o cuidado de enfermagem em Covid-19 em um hospital público terciário do Ceará. Foram estratégias adotadas a elaboração de fluxograma de paramentação/desparamentação; feitura de procedimento operacional padrão (POP) e oficinas realísticas. Realizaram-se 70 oficinas com 313 participantes profissionais da enfermagem, com duração média de duas horas cada. Inicialmente, detectou-se insegurança no cuidado ao paciente com Covid-19, mas as oficinas realizadas possibilitaram aquisição de habilidades práticas e seguras no uso dos EPI. Entretanto, a alta rotatividade desses profissionais, decorrente da precarização do vínculo e direitos trabalhistas, foi um desafio que ainda requer ampla discussão política, para maior valorização da enfermagem, que fortemente tem lutado nessa pandemia

Avaliação da regeneração da vegetação pós-incêndio no Parque Nacional da Chapada Diamantina do Brasil através de sensoriamento remoto

Understanding fire dynamics in vegetation is essential for assessing the impacts caused by wildfire action, especially because biomass burning in ecosystems has been indicated as one of the main factors that impact climate and biodiversity. A current alternative to detecting fire via satellite data is cloud processing platforms such as Google Earth Engine (GEE). Given this context, this work aims to assess the degree of vegetation regrowth after a wildfire in an area included in the Chapada Diamantina National Park (Bahia - Brazil) based on applying the Normalized Burn Ratio (NBR) in Landsat Surface Reflectance Tier 1 data sets. The images were accessed and processed on the GEE platform. The NBR index was more sensitive to the pre-and post-fire displacements of the pixels affected by the fires between the Landsat NIR and SWIR image bands. We found that the NBR mean values decreased immediately after the fire occurrence in the entire study area. Then, following the wildfire, the NBR mean values returned to conditions similar to those that preceded the fire. We can conclude that the plant biomass had already recovered considerably nine months after the fire when checking the NBR values. Therefore, this study points out the need to better understand the wildfire dynamics in the Chapada Diamantina National Park region and the impact associated with these events, with respect to fire ecology.A compreensão da dinâmica do fogo na vegetação é essencial para avaliar os impactes causados pela ação dos incêndios florestais, especialmente porque a queima de biomassa nos ecossistemas tem sido indicada como um dos principais fatores que impactam o clima e a biodiversidade. Uma alternativa atual para detetar incêndios através de dados de satélite são as plataformas de processamento em nuvens, como o Google Earth Engine (GEE). Dado este contexto, o presente trabalho visa avaliar o grau de recuperação da vegetação após um evento de incêndio numa área incluída no Parque Nacional da Chapada Diamantina (Bahia - Brasil) com base na aplicação da Razão de Queimada Normalizada (NBR) em conjuntos de dados Landsat Surface Reflectance Tier 1. As imagens foram acessadas e processadas na plataforma GEE. O índice NBR revelou-se mais sensível aos deslocamentos pré e pós-fogo dos pixels afetados pelos incêndios entre as bandas de imagem Landsat NIR e SWIR. Verificou-se que os valores médios do NBR diminuíram imediatamente após a ocorrência do incêndio em toda a área de estudo. Após o incêndio, os valores médios do NBR foram apontando no sentido do retorno a condições similares àquelas que o precederam, indicando os valores de NBR que a biomassa vegetal, nove meses após o incêndio, já apresentava uma considerável recuperação. Neste sentido, este estudo demonstra a necessidade de se conhecer melhor a dinâmica dos incêndios na região do Parque Nacional da Chapada Diamantina e os impactes associado a estes eventos, no que respeita à ecologia do fogo

Avaliação da regeneração da vegetação pós-incêndio no Parque Nacional da Chapada Diamantina do Brasil através de sensoriamento remoto

Understanding fire dynamics in vegetation is essential for assessing the impacts caused by wildfire action, especially because biomass burning in ecosystems has been indicated as one of the main factors that impact climate and biodiversity. A current alternative to detecting fire via satellite data is cloud processing platforms such as Google Earth Engine (GEE). Given this context, this work aims to assess the degree of vegetation regrowth after a wildfire in an area included in the Chapada Diamantina National Park (Bahia - Brazil) based on applying the Normalized Burn Ratio (NBR) in Landsat Surface Reflectance Tier 1 data sets. The images were accessed and processed on the GEE platform. The NBR index was more sensitive to the pre- and post-fire displacements of the pixels affected by the fires between the Landsat NIR and SWIR image bands. We found that the NBR mean values decreased immediately after the fire occurrence in the entire study area. Then, following the wildfire, the NBR mean values returned to conditions similar to those that preceded the fire. We can conclude that the plant biomass had already recovered considerably nine months after the fire when checking the NBR values. Therefore, this study points out the need to better understand the wildfire dynamics in the Chapada Diamantina National Park region and the impact associated with these events, with respect to fire ecology.A compreensão da dinâmica do fogo na vegetação é essencial para avaliar os impactes causados pela ação dos incêndios florestais, especialmente porque a queima de biomassa nos ecossistemas tem sido indicada como um dos principais fatores que impactam o clima e a biodiversidade. Uma alternativa atual para detetar incêndios através de dados de satélite são as plataformas de processamento em nuvens, como o Google Earth Engine (GEE). Dado este contexto, o presente trabalho visa avaliar o grau de recuperação da vegetação após um evento de incêndio numa área incluída no Parque Nacional da Chapada Diamantina (Bahia - Brasil) com base na aplicação da Razão de Queimada Normalizada (NBR) em conjuntos de dados Landsat Surface Reflectance Tier 1. As imagens foram acessadas e processadas na plataforma GEE. O índice NBR revelou-se mais sensível aos deslocamentos pré e pós-fogo dos pixels afetados pelos incêndios entre as bandas de imagem Landsat NIR e SWIR. Verificou-se que os valores médios do NBR diminuíram imediatamente após a ocorrência do incêndio em toda a área de estudo. Após o incêndio, os valores médios do NBR foram apontando no sentido do retorno a condições similares àquelas que o precederam, indicando os valores de NBR que a biomassa vegetal, nove meses após o incêndio, já apresentava uma considerável recuperação. Neste sentido, este estudo demonstra a necessidade de se conhecer melhor a dinâmica dos incêndios na região do Parque Nacional da Chapada Diamantina e os impactes associados a estes eventos, no que respeita à ecologia do fogo

Perfil epidemiológico da hanseníase no município de Divinópolis, Minas Gerais, 2011 a 2019

Objetivo: Analisar o perfil epidemiológico da hanseníase no município de Divinópolis, Minas Gerais, entre os anos de 2011 a 2019. Método: Trata-se de um estudo ecológico, descritivo, que utilizou dados secundários disponíveis em acesso aberto na Sala de Apoio à Gestão Estratégica e no Departamento de Informática do Sistema Único de Saúde referentes aos casos confirmados e notificados da hanseníase de residentes no município de Divinópolis, Minas Gerais, no período de 2011 a 2019. Resultados: No período do estudo foram notificados 57 casos de hanseníase, todos em pessoas acima de 20 anos, sendo a maioria em homens (50,9%), de raça/cor parda (49,1%) e com ensino fundamental incompleto (26,3%). A forma clínica predominante foi a dimorfa (38,4%) seguido pela tuberculoide (29,8%), classificação operacional multibacilar (56,2%), sendo que a maioria dos casos (93%) deram entrada no Sistema de Informação de Agravos de Notificação (SINAN) como caso novo. Quanto à avaliação do grau de incapacidade física no diagnóstico, 7% (n=4) dos casos foram notificados com grau 2. No que se refere ao tipo de saída, 87,9% dos casos tiveram alta por cura. Conclusão: Os dados epidemiológicos apontam que o diagnóstico da hanseníase em Divinópolis está sendo realizado tardiamente, o que contribui para manutenção de uma prevalência oculta.Objective: to analyze the epidemiological profile of leprosy in the municipality of Divinópolis, Minas Gerais, between the years 2011 to 2019. Method: this is an ecological, descriptive study, which used secondary data available in open access in the Strategic Management Support Room and the Department of Informatics of the Unified Health System regarding the confirmed and notified cases of leprosy of residents in the municipality of Divinópolis, Minas Gerais, in the period from 2011 to 2019. Results: during the study period, 57 cases of leprosy were reported, all in people over 20 years old, mostly in men (50.9%), of brown race/color (49.1%) and with incomplete elementary school education (26.3%). The predominant clinical form was dimorphic (38.4%) followed by tuberculoid (29.8%), multibacillary operational classification (56.2%), and most cases (93%) were entered in the Sistema de Informação de Agravos de Notificação (SINAN) as new cases. As for the evaluation of the degree of physical disability at diagnosis, 7% (n=4) of cases were reported as grade 2. Regarding the type of output, 87.9% of cases were discharged for cure. Conclusion: the epidemiological data indicate that the diagnosis of leprosy in Divinópolis is being made late, which contributes to the maintenance of a hidden prevalence

SIGNIFICADO DO CUIDADO ÀS CRIANÇAS VÍTIMAS DE VIOLÊNCIA NA ÓTICA DOS PROFISSIONAIS DE SAÚDE

Objetivou-se descrever os significados do cuidado atribuídos por profissionais na atenção a crianças vítimas de maus tratos.Trata-se de pesquisa descritiva de natureza qualitativa, realizada com 14 profissionais em uma emergência pediátricade hospital de Fortaleza, no período de março a junho de 2010, por meio de entrevista semiestruturada. Nos resultados,identificaram-se duas categorias: “sentimentos e sofrimento do profissional de saúde” e “limitações à prática profissional nocuidar de crianças violentadas”. Dentre os sentimentos expressos, estava a compaixão em relação às crianças maltratadas,sendo esta um motivador profissional. Aqueles considerados negativos foram indignação e ira contra o agressor. Concluiu-seque o cuidar de crianças vítimas de violência constitui um desafio para os profissionais de saúde dos serviços de emergência,por envolver aspectos biopsicossociais que ultrapassam a lesão corporal propriamente dita e o universo hospitalar

Effect of reading an educational booklet about sickle cell disease on family members' knowledge

Objective: to analyze the effect of reading an educational booklet about sickle cell disease related to family members’ knowledge. Methods: quasi-experimental study, with 20 children´s family members with sickle cell disease. A form was used before and 30 days after medical consultation (pre- and post-test). The booklet was given to the family member on the day of the consultation. Analysis was performed using Statistical Package for the Social Science version 20 with the Shapiro-Wilk, Student’s t, McNemar’s chi-square and Odds Ratio statistical tests. Results: all participants were female, mostly mothers aged 20 to 30 years with high school education. The analysis revealed increase in the number of correct answers after reading the booklet with statistical significance (p<0.001). Conclusion: the reading of the booklet and the strategies used to encourage it contributed to increase the knowledge of family members about some disease aspects, enabling them to better deal with this disease

COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≤ 18 years: 69, 48, 23; 85%), older adults (≥ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P &lt; 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake