Mortality trends due to Paracoccidioidomycosis in Brazil – 1996 to 2020

Objective: To analyze the trend in mortality from paracoccidioidomycosis (PCM) and characterize the sociodemographic profile in Brazil and its geographic regions in a 25-year time series. Methods: This is an ecological time series study. The study participants were the Brazilian population divided into age groups whose underlying cause of death was PCM. To calculate the annual percentage change (VPA) of the coefficients in the trend analysis, the Prais-Winsten regression was used. National mortality coefficients were calculated according to geographic regions, sex and age group and proportional to the other variables. Results: According to this study, there were 2,101 deaths from PCM in Brazil. The trend over the 25 years showed stable behavior in the North and Northeast regions. In the South, Southeast, and Midwest, there was a downward trend. The average mortality in Brazil was 84.04/100,000 inhab., VPA -3.29 (95% CI -2.43; -4.14). According to the analysis of sociodemographic aspects, there was a predominance of ignored schooling (764 deaths; 36%), white race/skin color (1,109; 53%), mixed marital status: married (942; 45%) and single (640; 30%), and place of death predominantly in the hospital environment (1,852; 88%). Conclusion: In Brazil and in the Southeast, South, andMidwest geographic regions, mortality from PCM showed a decreasing temporal trend. In the Northeast and North regions, the trend was stationary. The sociodemographic profile of the dying patients indicated males, adults, with low education, white, and married

Reflexos da Violência Obstétrica na saúde mental das mulheres uma Revisão Integrativa da literatura

Introduction: Obstetric violence (OB) is a problem that affects women's health and rights. Many women do not know what VO is and how to protect themselves. Objectives: To investigate the psychological impacts of VO in women, with emphasis on the identification of symptoms of psychiatric disorders such as depression and anxiety and to analyze the main scientific evidence related to VO, highlighting the prevalence, consequences and associated medical practices. Methodology: this is an Integrative Review. The literature search was carried out in the databases PubMed and BVS, using descriptors in Portuguese and English. The inclusion and exclusion criteria were applied, resulting in a final sample of 18 scientific articles, published between 2018 and 2023, in three languages: Portuguese, English and Spanish. Results: most articles (72%) were published in Portuguese, in Brazil. The most used database was the Virtual Library of Health - BVS (56%). The highest concentration of publications occurred in the last two years, with 17% in 2023 and 39% in 2022. Most of the studies were of the transversal type (33%), followed by qualitative studies (28%). Concluding considerations: obstetric violence is a reality for many women in the world, affecting their mental health and their reproductive rights. Among the most common forms of obstetric violence are disrespect, verbal, physical and psychological abuse, unnecessary interventions and discrimination. The consequences include post-partum depression, post-traumatic stress disorder, dissatisfaction with health care and loss of confidence in professionals.Introdução: a violência obstétrica (VO), é um problema que afeta a saúde e os direitos das mulheres. Muitas mulheres não sabem o que é VO e como se proteger. Objetivos: investigar os impactos psicológicos da VO em mulheres, com ênfase na identificação de sintomas de distúrbios psiquiátricos como depressão e ansiedade e analisar as principais evidências científicas relacionadas à VO, destacando a prevalência, as consequências e as práticas médicas associadas. Metodologia: trata-se de uma Revisão Integrativa. A busca na literatura foi realizada nas bases de dados PubMed e BVS, utilizando descritores em português e inglês. Foram aplicados critérios de inclusão e exclusão, resultando em uma amostra final de 18 artigos científicos, publicados entre 2018 e 2023, em três idiomas: português, inglês e espanhol. Resultados: a maioria dos artigos (72%) foram publicados em português, no Brasil. A base de dados mais utilizada foi a Biblioteca Virtual de Saúde - BVS (56%). A maior concentração de publicações ocorreu nos dois últimos anos, com 17% em 2023 e 39% em 2022. A maioria dos estudos foi do tipo transversal (33%), seguido por estudos qualitativos (28%). Considerações finais: a violência obstétrica é uma realidade para muitas mulheres no mundo, que afeta sua saúde mental e seus direitos reprodutivos. Entre as formas mais comuns de violência obstétrica estão o desrespeito, o abuso verbal, físico e psicológico, as intervenções desnecessárias e a discriminação. Entre as consequências estão a depressão pós-parto, o transtorno de estresse pós-traumático, a insatisfação com o serviço de saúde e a perda de confiança nos profissionais