Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

Objective: to describe the epidemiological characteristics of the COVID-19 pandemic in a pole municipality in the health microregion, in the years 2020 and 2021. Method: descriptive and quantitative study, with an ecological approach and based on secondary data, in which the unit of analysis was a hub municipality in the health micro-region of the state of Minas Gerais. For data collection, municipal epidemiological bulletins, in the public domain, published daily by the City Hall were used. The epidemiological characteristics of interest were: number of monthly and cumulative cases, number of monthly deaths according to sex and age, and cumulative, incidence coefficients, mortality and lethality, and occupancy rate of intensive care unit beds. Results: 6,882 cases and 157 accumulated deaths were recorded, with the highest percentage of deaths (57.96%) in males and aged 60 years and over (63.69%). The incidence, mortality and lethality coefficients were, respectively, 13,175.3/100 thousand inhabitants, 300.6/100 thousand inhabitants, and 2.28%. The average monthly occupancy rate of intensive care unit beds remained above 85% during the first half of 2021, reaching 121%. Conclusion: the epidemiological indicators are similar to those of larger municipalities and/or macro-regions, and corroborate the tendency for the disease to be internalized. The data suggest the imminence of a collapse of the local health system, which did not occur thanks to non-pharmacological measures to contain the chain of transmission and, especially, to the advance of immunization.

Objective: to report the experience on the foundation, implementation, consolidation and actions of an Interdisciplinary Academic League of Gerontology. Method: this is an experience report that aims to elucidate how the foundation, implementation, consolidation and actions of the Interdisciplinary Academic League of Gerontology at URI Santiago took place. Results: The process of founding the academic league took place between September and December 2020. It was inspired by the desire of a student of the Nursing Course. The consolidation took place on the three days of October 2020, where the founding members, the objectives were defined and the League's statute was organized. And the consolidation process took place at the 1st Inauguration Ceremony of the Board of Directors and Inaugural Class. The League's actions were developed through interdisciplinary projects and activities. Conclusion: during the process of foundation, implementation, consolidation and League actions, it provided students with autonomy guided by the objectives proposed in the statute. These moments allow students to play a leading role in the context of extracurricular activities, providing the chance to develop skills such as leadership and management, with an expanded view of students together with teachers.

Objective: To analyze breastfeeding promotion strategies and factors related to early weaning among mothers, users of a Family Health Strategy in a city in the north of Minas Gerais, Brazil. Method: This is a descriptive, exploratory study of a qualitative nature carried out with 16 mothers. Data were collected between August and September 2020 through a semi-structured interview, analyzed using Content Analysis. Results: The health team encourages breastfeeding through health education and guidance during multidisciplinary care. Even knowing the importance and benefits of breastfeeding, mothers have difficulties to practice breastfeeding due to the presence of fissures and pain in the breasts. They reported early weaning due to low milk production, difficult latch on by the baby and introduction of artificial teats. Conclusions: Mothers are aware of the benefits of breastfeeding through multidisciplinary actions, but these were not enough to prevent early weaning. Widely known causes of early weaning remain rooted in the culture of mothers and it should be routine for health professionals to demystify the factors that negatively influence the promotion of breastfeeding.

EDITORIAL

Objetivo: descrever o perfil de indicações, comorbidades e complicações pós-operatórias precoces de crianças e adolescentes submetidos à traqueostomia em um hospital referência brasileiro. Método: estudo retrospectivo, transversal e quantiativo, com análise de prontuários eletrônicos de crianças e adolescentes submetidos à traqueostomia em um hospital de Botucatu, São Paulo, Brasil, no periodo de 2013 a 2019. A amostra foi comparada mediante a divisão de presença e ausência de complicações pós-operatórias precoces, no que se refere ao sexo, idade, síndrome, óbito, caráter eletivo ou de urgência/emergência e peso ao nascer. Resultados: entre 100 prontuários, 55% do sexo masculino, com média de 3,03±3,10 anos. Foram identificadas 12 diferentes síndromes em 16 pacientes. No que se refere às complicações pós-operatórias precoces, a rolha foi a mais frequente (13%), e esteve associada a presença de síndromes (p=0,01). O motivo mais identificado da traqueostomia foi a intubação orotraqueal prolongada, enquanto 44% evoluíram a óbito devido a gravidade da doença de base. Conclusão: a traqueostomia em crianças é um procedimento seguro, com indicação mais frequente por intubação prolongada, em portadores de síndromes genéticas menores de um ano de idade. Complicação como rolha é comum, associado a síndrome.

ABSTRACT Objective: To identify the relationship between ICTs use, anxiety, alcohol and tobacco consumption among junior high school adolescents in Puebla, Mexico. Method: Descriptive correlational design, targeting 1670 adolescents through the finite population formula, getting a sample of 301 participants and using a stratified random sampling with proportional allocation at the stratum size. DENA Questionnaire and Hamilton Anxiety Scale were applied (HAS). Results: The average use of ICTs was 84.36, from which, the Internet (M=16.72, SD=4.6) and cellphones (M=15.52, SD=5.0) were the most used. Anxiety scored 14.36 (SD=9.9). The prevalence of alcohol consumption during the last year was 44.9% and tobacco 26% during the last month. There is a relationship between the use of ICTs and anxiety, as well as between the cellphone use and alcohol consumption. Discussion: The use of these media represents a virtual reality that stimulates excessive manipulation, substances consumption and favors the presence of anxiety symptoms. Conclusion: There is a relationship between the ICTs, anxiety, alcohol consumption among junior high school students of the State of Puebla.

Objetivo: revisar na literatura as possibilidades reabilitadoras para pacientes com erosão dental. Método: screening da literatura que seguiu os princípios do check list SANRA. A pesquisa foi realizada nas bases de dados da BVS (LILACS e BBO), Scielo, Cochrane Library e via buscador de pesquisa PubMed. Foram incluídos estudos na língua inglesa, relatos de casos clínicos disponíveis na íntegra. Foram realizadas buscas por artigos publicados até fevereiro de 2022 e sem restrição cronológica. Resultados: entre 44 artigos identificados, 10 foram selecionados. A maioria dos estudos (40%) foram publicados no Brasil, seguido dos Estados Unidos (20%) e Itália (20%). As possibilidades de reabilitação identificadas foram o uso de coroas de cerâmica, laminados cerâmicos e restauração direta com resina composta. Conclusão: foi possível verificar que a reabilitação dos elementos dentários com materiais diretos (resinas compostas) ou indiretos (cerâmica ou cerômeros) tem demonstrado resultados satisfatórios, conforme os casos clínicos investigados.

Objective: analyze and predict cervical cancer incidence and mortality rates, using time series models. Method: ecological study, carried out in the capital Matogrossense. The incidence data were from the Population Based Cancer Registry, from 2000 to 2012, and mortality data, from 1981 to 2018, obtained from the Mortality Information System. And analyzed by the ARIMA and HOLT models. Results: the series of the incidence rate of carcinoma in situ, the appropriate model was the AR (1). Estimated projections (2013-2014) fluctuated between 15,54 and 16,45 per hundred a thousand women. In the invasive cervixl series, the model was Holt’s, and the predictions (2013-2014), with values between 11,28 to 8,9 per 100 thousand women. In the mortality rate, the satisfactory model was ARMA (1,1), whose predictions (2019-2020) fluctuated between 9,46 and 9,62 per 100 thousand women. Conclusion: in the three cases, the predicted rates presented levels close to those observed, indicating that the models allowed estimating and predicting, in an adequate way. It was also possible to observe a slight increase in in situ cancer and a decline in the incidence of invasive cancer, while mortality showed stability in the results and predictions. Descriptors: ARIMA; Cervical Cancer; Incidence; Mortality; Holt's method.

Objetivo: conhecer os níveis de depressão e sintomas depressivos em angolanos com HIV. Método: estudo descritivo e misto, com estratégia exploratória sequencial, em período pré-pandêmico em um hospital público de Angola. Realizou-se entrevistas semiestruturadas, com aplicação do Inventário de Depressão de Beck. Para fins de análise, considerou o conceito de depressão a partir da classificação internacional de doenças. Resultados: prevaleceu depressão leve a moderada para ambos os sexos e estado civil. No G1, a maioria além da tristeza ou infelicidade não conseguem suportar a angústia, alguns verbalizam ter consciência de que os choros não os levará a ter vida anterior desta realidade. Agora se sentem irritados o tempo todo e não sentem mais prazer nas coisas como antes. No G2, expressaram ideias e sentimentos suicidas, estavam desanimados quanto ao futuro, percebem-se fracassados mais do que uma pessoa sem a doença, e adiam a tomada de decisão mais do que o costume. Conclusão: embora não tenha prevalecido formas severas (graves) de depressão, a ocorrência de sintomas negativos em variadas esferas da vida pode evoluir, especialmente no contexto angolano.

Feco-oral diseases account for the largest number of notifications of morbidities recorded in the Indigenous Health Care Information System (SIASI), with diarrhea being the third cause of infant mortality, caused mainly by inadequate sanitation and hygiene conditions, which motivated the construction of the National Program for Access to Potable Water in Indigenous Lands (PNATI), which aims to universalize access to potable water in indigenous communities to provide water in adequate quantity and quality and contribute to improving the health of this population. The objective is to implement new water supply systems and repair existing ones, mobilizing government resources and strategic partners. The PNATI implementation methodology has actions planned for the next 20 years and intends, based on the improvement of the internal management of the Special Indigenous Sanitary Districts, to expand the control of water quality, carry out training on infrastructure management and the connection between water, sanitation and public health for system operators and the indigenous population. The program started in 2022 and is already showing the first results through training in some communities in the north of the country, promoting dialogue between indigenous peoples, health and sanitation professionals.