Letramento em saúde dos profissionais de um Programa de Residência Multiprofissional em Saúde

Objetivo: avaliar as condições do letramento em saúde de profissionais inseridos em Programa de Residência Multiprofissional em Saúde. Método: Estudo transversal analítico, realizado com 88 profissionais residentes, utilizando a versão brasileira do Health Literacy Questionnaire. Foi avaliada a confiabilidade e a correlação das médias dos escores das escalas com as variáveis sociodemográficas. Resultados: os resultados indicam que as mulheres cuidam mais da saúde e têm melhor suporte social. Os mais jovens têm facilidade de interagir com os profissionais de saúde e de navegar no sistema de saúde. As potencialidades identificadas foram a capacidade de identificar confiáveis fontes de informação e serem “exploradores de informação”. As limitações estão relacionadas ao não envolvimento com os próprios cuidados de saúde e a não usarem o sistema de saúde. Conclusão: O estudo colabora para divulgar a temática entre os profissionais residentes, possibilitando a reflexão sobre as competências e habilidades necessárias no cuidado em saúde

Bioclimatic zoning for quails in the rain season in the state of Paraíba, Brazil

This work aimed to perform bioclimatic zoning based on the temperature and humidity index (THI) for quails from the 3rd to the 5th week of life during the rainy season in the state of Paraíba, Brazil, in order to identify the most suitable mesoregions among the Zona da Mata, Agreste, Borborema and Sertão for the breeding of these birds and to propose mitigating measures for the thermal comfort of the animals. The monthly air temperature and relative humidity data for calculating the THI were obtained from conventional meteorological stations of the National Meteorological Institute of the Brazilian federal government from 1961 to 2015, in turn making maps with the spatial distribution of the index. The index ranged from 71 to 76 in the various mesoregions of Paraíba, with Agreste being the best mesoregion for breeding quails from the 3rd to the 5th week of life, thus providing a thermal comfort zone for birds and only requiring a few corrective measures in their facilities, when necessary, followed by the Sertão, Zona da Mata and Borborema mesoregions

Clinical and Virological Descriptive Study in the 2011 Outbreak of Dengue in the Amazonas, Brazil

<div><p>Background</p><p>Dengue is a vector-borne disease in the tropical and subtropical region of the world and is transmitted by the mosquito <i>Aedes aegypti</i>. In the state of Amazonas, Brazil during the 2011 outbreak of dengue all the four Dengue virus (DENV) serotypes circulating simultaneously were observed. The aim of the study was to describe the clinical epidemiology of dengue in Manaus, the capital city of the state of the Amazonas, where all the four DENV serotypes were co-circulating simultaneously.</p><p>Methodology</p><p>Patients with acute febrile illness during the 2011 outbreak of dengue, enrolled at the Fundação de Medicina Tropical Dr. Heitor Viera Dourado (FMT-HVD), a referral centre for tropical and infectious diseases in Manaus, were invited to participate in a clinical and virological descriptive study. Sera from 677 patients were analyzed by RT-nested-PCRs for flaviviruses (DENV 1–4, Saint Louis encephalitis virus-SLEV, Bussuquara virus-BSQV and Ilheus virus-ILHV), alphavirus (Mayaro virus-MAYV) and orthobunyavirus (Oropouche virus-OROV).</p><p>Principal Findings</p><p>Only dengue viruses were detected in 260 patients (38.4%). Thirteen patients were co-infected with more than one DENV serotype and six (46.1%) of them had a more severe clinical presentation of the disease. Nucleotide sequencing showed that DENV-1 belonged to genotype V, DENV-2 to the Asian/American genotype, DENV-3 to genotype III and DENV-4 to genotype II.</p><p>Conclusions</p><p>Co-infection with more than one DENV serotype was observed. This finding should be warning signs to health authorities in situations of the large dispersal of serotypes that are occurring in the world.</p></div

Phylogenetic tree of DENV-1.

<p>The neighbor-joining tree was constructed based on the prM-C genome region and sequences were compared to sequences retrieved from Gene-Bank (NCBI, USA). Sequences from this study are marked with dots. Only boot-strap values above 75% are shown in the figure.</p

Phylogenetic tree of DENV-4.

<p>The neighbor-joining tree was constructed based on the prM-C genome region and sequences were compared to sequences retrieved from Gene-Bank (NCBI, USA). Sequences from this study are marked with dots. Only boot-strap values above 75% are shown in the figure.</p

Laboratory findings of dengue patients associated with classification of dengue severity.

<p>*<i>p</i><0.05 is considered statistically significant. Comparisons between severe dengue patients to Dengue with/without warning signs patients.</p

Dengue co-infection prevalence and associated variables.

<p>Odds Ratio (OR) were calculated by Chi-squared test.</p

Clinical aspects of dengue patients associated to the infecting virus serotype and co-infection.

<p>*<i>p</i><0.05 is considered statistically significant. Comparison of co-infected patients to mono-infected patients.</p

Clinical presentation of dengue in co-infected patients.

<p>I: dengue without warning signs; II: dengue with warning signs; III: severe dengue; M: male; F: female; Y: yes; N: No; ND: no data.</p