Escola de Saúde

Indetectabilidade sem intransmissibilidade: fragmentações do conceito entre a clínica e a vivência

Wed, 27 Aug 2025 00:00:00 GMT

Indetectabilidade sem intransmissibilidade: fragmentações do conceito entre a clínica e a vivência Cruz, Jeneson Tavares da This dissertation is the result of a study on the concept Undetectable = Untransmittable (U=U) in the lives of gay and bisexual men living with HIV (GBMLWH) who have achieved an undetectable viral load, as well as from the perspective of healthcare professionals working in two specialized HIV services located in Porto Alegre, Brazil, and its metropolitan region. The main objective was to investigate the meanings and interpretations attributed to U=U in the lives of GBMLWH, and to understand how this concept has been constructed and communicated within clinical contexts. U=U is a prevention strategy which states that people living with HIV who adhere to antiretroviral therapy (ART) and reach an undetectable viral load do not transmit the virus through sexual contact. Brazil is internationally recognized for offering ART free of charge through its public healthcare system called Sistema Único de Saúde (SUS) since 1996. In 2019, the country issued an informational note reinforcing the importance of recognizing U=U, affirming that such knowledge contributes positively to the interpersonal relationships of people living with HIV, opens new possibilities for life with the virus, and helps to combat stigma. The field research was qualitative in nature and based on the narratives of 18 participants — 11 GBMLWH and 7 healthcare professionals — which led to the development of two scientific articles. The first article, focused on the narratives of GBMLWH, discusses the meanings and interpretations of U=U in the experiences of those with an undetectable viral load. The study reveals that understanding “undetectability” does not always consistently translate into an understanding of “untransmittability.” In order for the transformative potential of the U=U message to be fully realized in combating HIV-related stigma, the article emphasizes the need for improved communication, even suggesting that the message be reframed as “U=0” to better highlight the notion of zero sexual transmission risk. The second article examines, based on the narratives of both GBMLWH and healthcare professionals, how knowledge about U=U is constructed, interpreted, and negotiated between these two groups. The study reveals a fragmented and frequently misaligned understanding of the concept, highlighting the urgent need for clearer communication and for validating the term "untransmittable" as a strategy to empower patients, promote sexual autonomy, and confront stigma. The findings suggest that although U=U is a prevention strategy capable of improving quality of life and well-being for people living with HIV, its effectiveness is limited by stigma and misinformation. Even in settings where the concept should be more solidified — such as among people with an undetectable viral load and in patient-provider relationships within specialized services — distrust and misalignment with scientific knowledge persist. There is a clear consensus regarding the goal of achieving an undetectable viral load through ART, as this preserves the immune system and prevents progression to aids. However, the second part of the equation — the condition of being untransmittable — remains poorly understood, insufficiently internalized, and ineffectively communicated in clinical environments, as if, in the end, the equation were U≠U.

Uso de cigarro eletrônico e fatores associados entre universitários da área da saúde de uma universidade de goiás: um estudo transversal

Tue, 01 Jul 2025 00:00:00 GMT

Uso de cigarro eletrônico e fatores associados entre universitários da área da saúde de uma universidade de goiás: um estudo transversal Andrade, Hélio Pinheiro de This doctoral thesis in Public Health, developed within the Graduate Program in Public Health at the University of Vale do Rio dos Sinos – UNISINOS – aimed to assess the prevalence of electronic cigarette (EC) use among university students from an institution in the state of Goiás, Brazil, and to investigate associated factors, including the relationship with the use of psychoactive substances. This was a cross-sectional, university-based study conducted using a self-administered questionnaire between October 2022 and May 2023. The results revealed a high prevalence of EC use in the past 30 days (69.1%), with a higher frequency among males and students aged 22 to 24 years. Factors such as alcohol consumption, illicit drug use (including marijuana), psychotropic medication use, and conventional cigarette smoking were strongly associated with EC use, both lifetime and recent use. Students enrolled in clinical cycle courses also showed a higher prevalence of EC experimentation. Adjusted analyses indicated significant prevalence ratios and odds ratios for these associations, reinforcing the multifactorial nature of this behavior. In conclusion, EC use among university students is part of a broader pattern of polysubstance use, highlighting the need for more effective prevention and control measures by health authorities and higher education institutions.

Risco de quedas e fatores associados em idosos comunitários residentes de São Leopoldo/RS

Fri, 29 Aug 2025 00:00:00 GMT

Risco de quedas e fatores associados em idosos comunitários residentes de São Leopoldo/RS Silveira, Eduarda Vitória Fadini This master’s dissertation from the Graduate Program in Public Health at UNISINOS aimed to investigate the prevalence and factors associated with fall risk among community-dwelling older adults in São Leopoldo. This is a cross-sectional analytical observational study, with a sample composed of 136 older adults linked to the municipal Health Care Network. Fall risk was assessed using the Timed Up and Go (TUG) test, being classified as moderate/high in 11% of the participants. Bivariate analysis identified significant associations between fall risk and fear of falling, history of falls, reduced handgrip strength, and higher SARC-F scores. In the multivariable logistic regression, poorer performance in the Five Times Sit-to-Stand Test (FTSST) and shorter distance covered in the Six-Minute Walk Test (6MWT) emerged as independent predictors of increased risk. The distinctive feature of this research lies in the unprecedented integration of multiple functional, muscular, and clinical indicators in a Brazilian community-dwelling older population, demonstrating that low-cost, simple, and applicable instruments in the daily routine of Primary Health Care can enable the early identification of older adults in situations of functional vulnerability. The originality of the study resides in translating physical performance measures into objective and feasible screening tools, providing direct support for clinical practice, intervention planning, and the design of public policies. As outcomes, the study highlights the creation of a pioneering epidemiological and functional database in Southern Brazil, the validation of clinical risk predictors, the production of a scientific article under submission to an international journal, and the training of new researchers integrated into collaborative networks. It is concluded that the findings of this dissertation have immediate practical relevance and transformative potential: by proposing accessible predictors, the study not only contributes to science but also offers concrete solutions to reduce fall risk, prevent disabilities, and promote healthy aging, with a positive impact on both the quality of life of the older population and the sustainability of health systems.

Treino parental e sua influência sobre os marcos do desenvolvimento em crianças no transtorno do espectro do autismo atendidas em caps infantil

Wed, 30 Jul 2025 00:00:00 GMT

Treino parental e sua influência sobre os marcos do desenvolvimento em crianças no transtorno do espectro do autismo atendidas em caps infantil Moura, Conceição de Maria Aguiar Barros This PhD thesis of the Postgraduate Program in Collective Health at UNISINOS aimed to analyze the effectiveness of parental training interventions of basic skills in the developmental milestones of autistic children treated at a children's CAPS. The aim was to verify whether the training carried out with the participants was effective and to analyze the developmental milestones of autistic children aged two to six, using the Operationalized Portage Inventory (IPO), before and after the interventions conducted by the parents. Article 1 presented the methodological aspects of a non-randomized clinical trial on the implementation and adaptation of an intervention protocol mediated by parents of autistic children treated at the CAPSij in a city of Maranhão. Regarding the results, it is noteworthy that the reference protocol is an appropriate instrument to guide health professionals in advising parents of autistic children, as it covers the basic skills to be taught, presented in a simple and illustrative manner and, more importantly, because it indicates the development of the target skills in children with ASD. Article 2 analyzed the effectiveness of parental basic skills training interventions on the developmental milestones of children with autism spectrum disorder (ASD) treated at a children's CAPS. Two groups were investigated (an intervention group (Group A) and a control group (Group B)), balanced in terms of the child's developmental age, race/color, family income, and the primary caregiver's level of education. The study demonstrated that children in group B presented significant differences in the comparison of scores before the beginning of the study and after the follow-up period only for the language domain (T0 = 1.32 vs. T1 = 1.53; p = 0.036). On the other hand, in group A, all development domains showed significant improvements after follow-up. In summary, the results of this thesis corroborate the effectiveness of parental training in improving the developmental milestones of children with ASD who received educational interventions over six months, demonstrating that this type of intervention can be replicated both within the SUS (Brazilian Unified Health System) and in private services that take care of autistic children. Children in the intervention group experienced significant improvements in socialization, language, cognition, self-care, and motor skills, demonstrating that parent-mediated interventions, even in public settings (SUS), are effective and can contribute to improving the lives of autistic children and their families.

Experiências de sofrimento psíquico na adolescência

Wed, 22 Oct 2025 00:00:00 GMT

Experiências de sofrimento psíquico na adolescência Nied, Camila This doctoral thesis, developed within the Graduate Program in Public Health at the University of Vale do Rio dos Sinos (UNISINOS), focused on the experiences of psychological suffering among adolescents. The research aimed to understand how adolescents experience psychological suffering and the meaning of their actions in the life-world, grounded in the sociological phenomenology of Alfred Schutz. The qualitative study was conducted in a public school in Rio Grande do Sul, Brazil, through individual interviews with 20 students aged 16 to 19, carried out in 2023. The analysis interpreted adolescents’ experiences through concepts such as biographical situation, stock of knowledge, motivations, and typifications. The project was approved by the Research Ethics Committee of UNISINOS under opinion number 6.186.778. The results unfold into two articles: the first discusses adolescents’ motivations for work — a theme that emerged significantly during interviews and analysis — while the second focuses on experiences of psychological suffering and the meaning of action in the face of such experiences. Findings from the first article revealed that adolescent work, although marked by challenges, is understood by adolescents as a possibility for autonomy, belonging, and social recognition, thus constituting a situated social action shaped by multiple motivations. The second article showed that psychological suffering mainly arises from fragile family and school relationships and is expressed through “unspeakability,” often silenced or trivialized by others. The actions mobilized in response to these experiences ranged from silence and self-injury to seeking support and developing personal ways of resignification. The convergence of the thesis findings demonstrates that adolescence should be understood as an experience situated in the life-world, rather than merely as a normative stage of development, recognizing adolescents as subjects of social action. By problematizing phenomena often treated in normative or pathologizing ways, this thesis contributes to broadening the debate on adolescence and mental health in the field of Public Health, offering insights for future research, public policies, and care practices that value adolescents’ uniqueness, strengthen qualified listening, and expand intersectoral support networks.

Universitários e a relação entre uso de drogas, assertividade, estratégias de coping, impulsividade e suporte social: um estudo misto

Thu, 12 Dec 2024 00:00:00 GMT

Universitários e a relação entre uso de drogas, assertividade, estratégias de coping, impulsividade e suporte social: um estudo misto Aguiar, Karoline Giele Martins de Global economic expansion demands increasingly qualified professionals, driving the increase in the number of young people and adults in Higher Education Institutions (HEIs), where, in addition to acquiring knowledge and skills and socializing, they may face psychological distress and the risk of drug use. This academic path, although it promotes knowledge, skills and socialization, can also lead to psychological distress and drug use. Assertiveness and coping strategies can facilitate academic adaptation, while their absence tends to induce maladaptive responses, impulsivity and, eventually, drug use, and social support, in this context, can mitigate or exacerbate these difficulties. Understanding the interactions between university students, assertiveness, coping strategies, impulsivity and social support can foster preventive and intervention strategies for promoting mental health. The thesis analyzed the constructs assertiveness, coping strategies, impulsivity and social support based on the network of interactions between these variables and drug use by university students, investigated the predictive factor of the variables in university students who are drug users and non-users, and the understanding of the aforementioned constructs from the context of university students undergoing treatment for chemical dependency. Composed of three studies, the thesis uses a mixed cross-sectional method. Study I analyzes the interaction between the dimensions of the scales: Alcohol, Tobacco and Other Substance Involvement Screening Test (ASSIST), Rathus Assertiveness Scale (RAS), Brief COPE Scale, Barratt Impulsivity Scale (BIS-11) and Social Support Scale of the Medical Outcomes Study’s Social Support Scale (MOS-SSS), through Network Analysis (RA) of 505 university students (367 used legal and/or illegal drugs and 138 did not use them). Data collection was carried out online, using Google Forms, and analyses were performed using R software, version 4.4.0. Study II, of an explanatory quantitative nature, used the instruments already mentioned in study I to investigate the predictive factor of assertiveness, coping strategies, impulsivity and social support (independent variables) in 505 university students who are drug users and non-users (dependent variable), with analysis using Poisson Regression. Finally, study III, an exploratory qualitative study, sought to deepen the understanding of the constructs in 07 university students undergoing treatment at CAPS AD III, applying the same, in addition to semi-structured interviews, with analysis supported by Thematic Analysis (Braun & Clarke, 2006). The results of the thesis indicate that assertiveness is connected to the dimensions of coping strategies, behavioral disinvestment and self-blame in university students who use drugs. Nonadaptive coping strategies, such as substance use, behavioral disinvestment and selfoccupation, combined with social interaction and motor impulsivity are factors that increase drug use. In college students undergoing treatment for Substance Use Disorder (SUD), shyness and passive and/or aggressive behaviors stand out to deal with intrapersonal and interpersonal difficulties, with drug use increasing feelings of rumination and worsening the condition. It is concluded that the college trajectory involves complex interactions that, associated with individual characteristics, can influence drug use among students. The study suggests intervention proposals addressing the studied variables as a mechanism to promote quality of life and prevent drug use among college students.

Relações entre resiliência e sofrimento mental em acadêmicos da Educação Superior

Fri, 26 Dec 2025 00:00:00 GMT

Relações entre resiliência e sofrimento mental em acadêmicos da Educação Superior Delbem, Henrique Yung This thesis investigated the relationships between resilience, mental health, and substance use in higher education students, under the framework of the Multisystemic Model of Resilience (MSMR). The research was structured into three studies that furthered the understanding of this phenomenon. Study 1 consisted of a narrative literature review of the last 25 years, which established the thesis theoretical framework, justified the adoption of the MSMR, and synthesized the state of the art on the subject. The findings indicate that resilience consistently acts as a protective factor against psychological distress. Study 2, a quantitative and crosssectional study, analyzed a sample of 357 university students, mapping the correlations between dimensions of resilience (MSMR-I), indicators of psychological distress (COREOM), substance use (AUDIT), and sociodemographic variables. Sociodemographic and contextual factors were found to be important moderators, with external resilience associated with higher income and White ethnicity, and internal resilience associated with more positive health behaviors. Study 3, a quantitative and longitudinal investigation, followed 169 medical students over two academic semesters, analyzing the temporal evolution of these variables and their interrelationships using network analyses and regression models. The most salient finding from the longitudinal study reveals an incongruity in the adaptive process: although the students' global resilience increased over time, indicators of emotional distress (complaints and symptoms) also significantly worsened. This result suggests that in highstress environments, the development of resilience resources may occur as an adaptive mechanism that does not necessarily translate into subjective well-being, thereby imposing a psychosocial cost. It is concluded that resilience is a dynamic and multisystemic process. Its effective promotion in higher education requires social and institutional interventions focused on creating healthy academic environments and strengthening support systems (external resilience), rather than approaches centered exclusively on the individual.

O papel das crenças na violência conjugal e impactos na saúde mental

Tue, 27 May 2025 00:00:00 GMT

O papel das crenças na violência conjugal e impactos na saúde mental Lemos, Dayse Chaves The aim of this dissertation was to analyze the role of beliefs about intimate partner violence in the occurrence of violence and its impacts on mental health. This dissertation is composed of three empirical articles. The first qualitative and exploratory study aimed to investigate beliefs about intimate partner violence through a focus group. The results revealed three central axes of beliefs: 1) the influence of culture, gender, and masculinity on the acceptance of violence; 2) transgenerationality and the naturalization of violence; and 3) justifications for the occurrence of violence. The second quantitative study aimed to identify the level of agreement with these beliefs, compare the perspectives of men and women, and verify which sociodemographic characteristics could predict higher levels of agreement with the beliefs. The results showed low levels of agreement with beliefs legitimizing violence, but men presented higher levels of agreement with these beliefs than women (p<0.05). The third study, of a correlational nature, sought to analyze the level of agreement with the beliefs and verify possible associations with perpetration and victimization in relationships and their impact on mental health. The results showed low levels of agreement with the beliefs, but high rates of violence and an association between the occurrence of intimate partner violence and mental illness. The dissertation findings reveal an initial scenario of transformation in beliefs about violence, which still does not seem to be reflected in changes in violent behavior in intimate relationships

A qualidade da relação líder-membro e a saúde mental de trabalhadores do Rio Grande do Sul

Thu, 27 Mar 2025 00:00:00 GMT

A qualidade da relação líder-membro e a saúde mental de trabalhadores do Rio Grande do Sul Lanzarin, Bruna Santini Within organizations, workers develop interpersonal relationships, especially the leadermember relationship, in which the leader directs and influences the work of his subordinate. This relationship can affect the worker's mental health, producing positive or negative effects for them. Therefore, the present study aims to investigate the association between the quality of the leader-member relationship and the health and mental illness of workers in Rio Grande do Sul. It will be a quantitative study, with a cross-sectional approach and a descriptive correlational design. A sample of 404 workers from the state of Rio Grande do Sul is estimated, led for at least 6 months by the same leader. The following instruments will be used for data collection: 1) Sociodemographic Data Sheet; 2) Multidimensional Leader-Member Exchange; 3) Depression, Anxiety and Stress Scale (DASS-21); and 4) Continuum Mental Health Scale. For data analysis, reliability assessments of the instruments, descriptive analyses, Person or Speman correlations and multiple regression analyzes will be carried out. It is hoped, through this study, to expand knowledge about the leader-member relationship and its effects on workers' mental health, in order to help guide the work of professionals who work in institutional contexts.

Avaliação da atividade antimicrobiana da nanoemulsão do óleo essencial das folhas da Cúrcuma Longa L

Thu, 28 Aug 2025 00:00:00 GMT

Avaliação da atividade antimicrobiana da nanoemulsão do óleo essencial das folhas da Cúrcuma Longa L Kirsten, Camila Nedel

Prática de suplementação de micronutrientes em pacientes com síndrome metabólica e obesidade: análise da ingestão dietética e conduta profissional

Fri, 29 Aug 2025 00:00:00 GMT

Prática de suplementação de micronutrientes em pacientes com síndrome metabólica e obesidade: análise da ingestão dietética e conduta profissional Soyer, Aline de Brito Metabolic Syndrome (MS) is characterized by a cluster of interrelated risk factors, including abdominal obesity, hyperglycemia, hypertension, and dyslipidemia, and is associated with an increased risk of type 2 diabetes (T2DM), cardiovascular events, and mortality. Obesity and T2DM are chronic conditions with high prevalence and significant impact on public health. Despite frequently excessive caloric intake, individuals with these conditions may present deficiencies in essential micronutrients, such as magnesium, zinc, and selenium, which play key roles in metabolic, inflammatory, and antioxidant processes. This study aimed to evaluate micronutrient supplementation practices in patients with obesity and/or metabolic syndrome through the analysis of dietary intake and professional practices. In addition, it discusses the influence of nutritional ecology and the mismatch between modern diets and ancestral human physiology in the rising prevalence of nutritional deficiencies. Among the main methodologies employed, 18 adult patients diagnosed with obesity and/or metabolic syndrome answered the Food Frequency Questionnaire (ELSA-Brazil – reduced version) and another instrument assessing health status. For 17 health professionals (physicians and nutritionists), a structured questionnaire was applied to map clinical practices related to micronutrient screening and supplementation. The main findings revealed dietary intakes below the recommendations for all micronutrients assessed. Principal Component Analysis (PCA) and heatmap visualization indicated heterogeneous dietary patterns among participants. Regarding professional practice, there was wide variability in prescription strategies, administration routes, and criteria for evaluating treatment response, with no standardized protocols in place. Taken together, these findings suggest a high risk of subclinical deficiencies and highlight the need for personalized and standardized nutritional strategies, as well as training of health professionals for the appropriate management of these patients.

O cuidado e a saúde revelados pelas lentes de adolescentes: um olhar necessário à Rede de Atenção à Saúde do Município de São Leopoldo/RS

Tue, 30 Mar 2021 00:00:00 GMT

O cuidado e a saúde revelados pelas lentes de adolescentes: um olhar necessário à Rede de Atenção à Saúde do Município de São Leopoldo/RS Berlitz, Betina

Adaptação e evidências de validade do questionário Children’s Social Behavior Questionnaire - CSBQ

Tue, 29 Aug 2023 00:00:00 GMT

Adaptação e evidências de validade do questionário Children’s Social Behavior Questionnaire - CSBQ Ferreira, Luiza Mattos Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder, whose core symptoms are characterized by changes in social interactions and communication, restricted interests and repetitive behaviors. Despite the high prevalence of this disorder, there is still a lack of instruments available in Brazil, particularly for mild cases, implying a delay in diagnosis. The present dissertation has two studies with the objective of adapting and obtaining evidence of validity of the Children's Social Behavior Questionnaire (CSBQ) instrument for use in the Brazilian context. In Study I, the process of adapting the instrument is described, with stages of translation, back-translation, assessment of the pertinence and clarity of the items by expert judges and the target audience (family members of children and adolescents). In Study II, two collections were carried out, one through an online survey and the other with 20 relatives of children with a clinical diagnosis of ASD, obtaining evidence of instrument validity data through clinical criteria and convergence with other instruments. The internal consistency of the general scale and the factors assessed by the questionnaire were analyzed. Finally, it is expected that the adapted version and evidence of validity of the Brazilian version of the CSBQ instrument can help identify ASD symptoms in individuals at different levels of the disorder, facilitating access to their treatment.

Determinantes da não retenção de usuários de um serviço de HIV e AIDS do Rio Grande do Sul: um estudo de caso-controle

Fri, 19 Mar 2021 00:00:00 GMT

Determinantes da não retenção de usuários de um serviço de HIV e AIDS do Rio Grande do Sul: um estudo de caso-controle Soares, Cassiana Borges OBJECTIVE: To know the determinants of non-retention in health care of people living with HIV and / or AIDS (PLWHA) in a specialized service in Porto Alegre, Rio Grande do Sul. METHODS: Case-control study among PLWHA over 18 years of age retained and not retained in continued health care, in 2018. A total of 344 medical records, 86 cases and 258 matched controls per year of admission to the clinic were analyzed. Variables with p ≤ 0.20 in the bivaried analysis were taken for multivariate analysis, exposures with p ≤ 0.05 were considered associated with the outcome. Poisson regression was used, according to a hierarchical model of analysis. RESULTS: Being unemployed, having a history of homelessness and being an alcohol user were significantly associated with non-retention. Among the clinical factors, having other diseases remained associated with the outcome as a protective factor. CONCLUSION: The findings of this study showed the association of nonretention with factors of social vulnerability and explained that social inequalities implied in reducing the maintenance of these individuals in longitudinal care. Therefore, it is essential that the SDH be taken into account when dealing with the HIV epidemic.

Trabalho docente e saúde mental de professores do ensino privado do Rio Grande do Sul/Brasil: análises a partir da Psicologia Positiva

Mon, 24 Jun 2019 00:00:00 GMT

Trabalho docente e saúde mental de professores do ensino privado do Rio Grande do Sul/Brasil: análises a partir da Psicologia Positiva Santos, Anelise Schaurich dos Private education teachers are a professional category exposed to intense demands, which often are not accompanied by sufficient job resources. This can make educators sick, which helps explain the fact that most studies with this category focus on the negative aspects of teaching work. In order to help overcome the mental illness perspective in this category, this thesis aimed to analyze the influence of personal characteristics, job demands and job resources on the subjective wellbeing of teachers from private educational institutions in Rio Grande do Sul/Brazil. It is organized in three studies. The first is a qualitative study focused on job resources that contribute to the optimization of teacher wellbeing. The second is a quantitative study that, examining personal characteristics, Job Demands-Resources present in teaching work, verified the profile of educators more and less mentally healthy. The third study, also quantitative, aimed to know the relationships between mental health, Job Demands-Resources, Work Engagement and personal characteristics of teachers. There are indications that main job resource to face difficulties in teaching work is the establishment and maintenance of positive relationships with colleagues, managers and students. It is suggested the development and implementation of interventions for private education teachers from the references of Positive Psychology, in order to strengthen the personal strengths of educators and the healthy aspects of teaching work.

Sensibilidade moral e a formação ética do estudante de medicina

Sun, 06 Apr 2025 00:00:00 GMT

Sensibilidade moral e a formação ética do estudante de medicina Abreu, Melissa Carvalho Martins de This thesis, developed in the Postgraduate Program in Public Health at the Universidade do Vale do Rio dos Sinos (UNISINOS), aimed to investigate the health conditions of university students in the health area at the Mineiros and Trindade campuses of the Centro Universitário Mineiros-UNIFIMES, Goiás, in 2022. All students signed a Free and Informed Consent Form. It is expected that the study will contribute to gathering information about the ethical formation of medical students and the influence of the hidden curriculum on their socialization so that they can avoid these events. Based on this, the thesis presents two articles: (I) Moral Sensitivity and the Ethical Formation of Medical Students, a qualitative study; (II) a cross-sectional study that explores the relationship between moral sensitivity and the hidden curriculum, through the application of statistical tests. The study sample consisted of 128 medical students who were taking the mandatory internship. The first article was a qualitative study, through focus group discussion, aimed at understanding the aspects that influence ethical training during college among medical students in the last two years of the course. In this study, it was observed that teaching was considered theoretical and abstract, not guided by reflection on clinical practice, and the methodologies used were not active. The ethical climate in the practice locations was demonstrated by competition with other professionals, with hostility and conflict. The attitude of the preceptor doctors was one of continuous criticism and devaluation of the students. These situations point to the influence of the hidden curriculum, hindering the formation of moral sensitivity in the ethical training of medical students. The second article, which is part of the umbrella project of the doctoral group, is university-based and whose data collection was through a self-administered, standardized and pre-tested questionnaire. Data collection took place in the classroom and the questionnaire included questions about moral sensitivity and the hidden curriculum. Training was provided to a team to help administer the questionnaire, unfortunately they did not fulfill the commitment. A pilot test was carried out. Afterwards, I applied the questionnaires at the Mineiros Unit, in practically all classes, and another colleague applied them to two classes. A third colleague applied the questionnaires at the Trindade Unit. All data was coded. Data entry was done using EpiData version 3.1 software, in double entry. Afterwards, the typing was compared with original forms in order to eliminate typing errors. Data consistency and analysis were performed using Statano software. In July 2024, we performed a statistical analysis of the data. The results were not satisfactory, that is, p was insignificant. Therefore, we raised the hypothesis of submitting the collection of more data to the ethics committee again. In other words, applying the questionnaire again to current medical internship students and thus adding them to the previous group. The ethics committee approved it and the questionnaires were applied and coded. However, typing was not performed and this information was not entered into the database. To develop this second article, we used a cross-sectional study, with a quantitative approach, with the application of two selfadministered questionnaires: the Moral Sensitivity Questionnaire (MSQ) and the Hidden Curriculum Questionnaire (C³), answered by 128 students enrolled in the 9th semester or later. The data were subjected to descriptive statistical analysis (mean and standard deviation), internal consistency assessment by Cronbach's alpha and bivariate correlation tests, with the aid of SPSS software. This research did not show significant data. It will be necessary to increase the N in order to achieve significance. Therefore, we decided to conduct a study of the demographic profile of the Moral Sensitivity of Medical Students in internships. We used data from the database to conduct this survey. This study indicated that the demographic profile is predominantly female, white, single, without children and without paid work, and identifies as Catholic. The mean moral sensitivity was 3.581 (SD +/- 0.42) and was correlated with religion (p = 0.0009), with greater sensitivity among non-Catholics, with a mean of 3.76 (SD +/- 0.39). The questionnaire was divided into six dimensions: “Respect for patient autonomy” with a mean of 4.49 (SD +/- 0.5), “Modified autonomy” with a mean of 3.792 (SD +/- 0.82), “Moral conflict” with a mean of 2.896 (SD +/- 0.69), “Professional knowledge” with a mean of 2.810 (SD +/- 0.83), “Moral meaning” with a mean of 3.884 (SD +/- 0.65), “Teamwork” with a mean of 3.618 (SD +/-0.72). The variables that demonstrated an association were students who have children in relation to the “modified autonomy” dimension, and religion in relation to “modified autonomy”, “moral conflict” and “teamwork”. The study concluded that among the six dimensions assessed by the MSQ questionnaire, the one that presented the greatest moral sensitivity was “Respect for Patient Autonomy”, while “Professional Knowledge” obtained the lowest average, which suggests that technical mastery is not yet sufficiently integrated with ethical principles in the training process. Among the sociodemographic variables analyzed, religion was the one that was most associated with moral sensitivity, with an impact on three dimensions of the questionnaire, indicating that personal values interfere in the ethical construction of students. These findings reinforce the need for curricula that articulate technical knowledge and ethical training in an inseparable way, incorporating personal experiences, listening spaces and reflective practices in the clinical environment.

Sono e obesidade em mulheres trabalhadoras no sul do Brasil: comparação temporal entre dois estudos transversais (2017/2022)

Thu, 24 Apr 2025 00:00:00 GMT

Sono e obesidade em mulheres trabalhadoras no sul do Brasil: comparação temporal entre dois estudos transversais (2017/2022) Silva, Janaína Cristina da Objective: To investigate and compare the association between poor sleep quality and night work, as well as the association between sleep deprivation and obesity in working women, a comparative study between the years 2017 and 2022. Methods: This is a repeated survey comparing two independent samples of working women within the same company group, located in Southern Brazil, with a five-year interval (2017: n = 399; 2022: n = 399). Poor sleep quality was identified using the Pittsburgh Sleep Quality Index (PSQI > 5), sleep deprivation was determined by usual sleep duration (≤ 5 hours) with or without self-reported use of sleep medications in the past month, while obesity was assessed and defined through the measurement of Body Mass Index (BMI ≥ 30 kg/m²). Prevalence ratios (PR) and their 95% confidence intervals (CI 95%) were obtain using Poisson regression with robust variance. Results: The mean age of the samples was 35.7 ± 9.1 years in 2017 and 34.2 ± 9.9 years in 2022. The prevalence of poor sleep quality increased (p = 0.007) from 2017 (58.3%, 95% CI: 53.4–63.2%) to 2022 (67.7%, 95% CI: 63.0–72.3%), while the prevalence of sleep deprivation was 27.6% (95% CI: 23.2–32.0) and 24.3% (95% CI: 20.1–28.5), respectively, in 2017 and 2022, with no significant difference between the periods. The prevalence of obesity was 29.0% (95% CI: 24.5–33.5) and 30.6% (95% CI: 26.0–35.1). Night shift workers had a 30% higher likelihood of poor sleep quality in 2017 and a 25% higher likelihood in 2022, compared to day shift workers. Moreover, workers with sleep deprivation had a 70% higher likelihood of being obese compared to those without sleep deprivation. Conclusion: Our findings demonstrated a high prevalence of poor sleep quality, sleep deprivation, and obesity in working women. Promoting research on sleep-related factors in the occupational environment, especially among shift-working women, should be consider in the development of strategies for the prevention and control of health issues such as obesity.

Mortalidade em pessoas vivendo com HIV e AIDS no Rio Grande do Sul no período de 2011 a 2021: tendência e causas básicas de morte

Wed, 30 Apr 2025 00:00:00 GMT

Mortalidade em pessoas vivendo com HIV e AIDS no Rio Grande do Sul no período de 2011 a 2021: tendência e causas básicas de morte Soares, Cassiana Borges

Suporte social e saúde mental em pessoas privadas de liberdade

Thu, 16 Jan 2025 00:00:00 GMT

Suporte social e saúde mental em pessoas privadas de liberdade Georg, Pâmela People deprived of liberty face challenging conditions, such as overcrowding and limited access to fundamental rights provided for in criminal legislation, but not always guaranteed by structural barriers and social stigmas. Social support is essential throughout the prison cycle, functioning as a bridge between the prison environment and the outside world, promoting balance and mental health. Family visits stand out as the main support mechanism. The dissertation covers two studies on social support in the prison context. The first, qualitative, interviewed five men deprived of their liberty, exploring their perceptions about the support they received. The categorical analysis identified three main axes — family, friends and significant others — highlighting the role of visits, emotional support and the fear of being forgotten. Exchanging letters also emerged as a form of support in the context of friendships. The second study, quantitative and descriptive, analyzed 64 participants, comparing the levels of mental suffering (depression, stress and anxiety) between those who received visitors and those who did not. The results showed a weak relationship between social support and mental suffering, but revealed that inmates who received visits perceived a greater support network. The findings reinforce the importance of policies that encourage visits and positive contacts, aiming for well-being and social reintegration.

Sintomas emocionais na díade: repercussões nas relações conjugais e coparentais

Fri, 01 Nov 2024 00:00:00 GMT

Sintomas emocionais na díade: repercussões nas relações conjugais e coparentais Fidelis, Daiana Quadros This thesis aimed to investigate the relationships between emotional symptoms in the dyad, marital quality, and coparenting in couples from nuclear and remarried families with children aged 6 to 11 years. It is a quantitative, cross-sectional, explanatory study. A total of 174 adults aged between 20 and 51 years (M = 39.1; SD = 5.76) participated, of which 81.5% (n = 141) resided in the state of Rio Grande do Sul. The instruments used were: a sociodemographic questionnaire, CI-PA, GRIMS, ERC, DASS-21, and R-DAS. The research was approved by the Ethics Committee of the University of Vale do Rio dos Sinos (UNISINOS) and was conducted online through an electronic form on the Microsoft Forms platform. The results were organized into three empirical studies: 1. Impact of personal, marital, and coparental characteristics on couples' psychological distress; 2. Relationships between marital quality, dyadic adjustment, and coparenting: a comparative study; 3. The repercussions of mental health on marital and coparental quality in parents with children aged 6 to 11. The findings support the notion that emotional health impacts couples, regardless of family configuration, causing a spillover effect into subsystems. The importance of further studies on the topic and the relevance of the findings for advancing the field of Psychology is emphasized.

Primeiros socorros na escola: proposição de uma Unidade Temática para a Educação Física na 1ª fase do Ensino Fundamental em Trindade-GO

Thu, 29 Aug 2024 00:00:00 GMT

Primeiros socorros na escola: proposição de uma Unidade Temática para a Educação Física na 1ª fase do Ensino Fundamental em Trindade-GO Andrade, Hederson Pinheiro de The Physical Education curriculum in basic education is recognized as a privileged space to address health-related issues, emphasizing the need to include First Aid content. In light of the frequent accidents in schools and the insufficient knowledge of society in providing initial care, the proposal of a Thematic Unit on First Aid in the school curriculum emerges as an innovative response to meet educational guidelines and promote a positive impact on the lives of students and the community. This study aims to develop a Thematic Unit on First Aid in the Physical Education Curriculum Matrix for students in the first phase of Elementary School in Trindade-GO; to explore the existing content on First Aid in the Physical Education Curriculum Matrix for these students; to identify in the literature the most frequently taught First Aid topics for schoolchildren; and to formally submit the proposal to the Municipal Education Council of Trindade-GO for its official approval and subsequent incorporation into the school curricula. This methodological study was conducted in four stages: the first stage involved documentary research on the Physical Education Curriculum Matrix adopted in the municipality; the second stage comprised a literature review to identify the most frequent First Aid topics for schoolchildren; the third stage focused on developing the Thematic Unit on First Aid in the Physical Education Curriculum Matrix; and the fourth stage involved submission to the Municipal Education Council of Trindade-GO. Consequently, the study resulted in the creation of a Thematic Unit on First Aid in the Physical Education Curriculum Matrix for students in the first phase of Elementary School in Trindade-GO. According to the Coordination for the Improvement of Higher Education Personnel (CAPES), this work is classified as Stratum T1 under subtypology (4): Process/technology and non-patentable product/material: Technique development. Incorporating these topics into municipal curriculum guidelines is essential to addressing local demands and contributing to the formation of citizens prepared to intervene in emergency situations.

Validação de mercado através da escuta de profissionais quanto a aplicabilidade do teste não treponêmico para sífilis: rapidisifi

Tue, 30 Apr 2024 00:00:00 GMT

Validação de mercado através da escuta de profissionais quanto a aplicabilidade do teste não treponêmico para sífilis: rapidisifi Passos, Bruna Pelegrini dos Abstract: Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum, subspecies pallidum. Throughout the course of the disease, distinct characteristics alternate between periods of latency and periods of activity based on the observation of signs and symptoms. Many individuals are asymptomatic, which facilitates transmission. The use of rapid tests has been an important strategy for quick and effective diagnosis. Investigating the perspectives of healthcare professionals working in the field is relevant for market prospecting in the development of new technologies. Objective: to validate the market by listening to healthcare professionals and health managers regarding the applicability of rapid non-treponemal syphilis testing in their professional activities and to generate a technical report based on the study. Method: qualitative, exploratory, and descriptive study conducted with nursing professionals through individual, semi-structured interviews. Data analysis was performed using the content analysis method proposed by Bardin. Results: three categories emerged: 1. Relevance of performing rapid tests for clinical decision-making; 2. Current flow in decision-making; 3. Importance of performing non-treponemal rapid tests for syphilis detection. Final considerations: The study may highlight a clear applicability of the product by the interviewed professionals, based on the interview reports.

Aderência de idosos participantes da oficina de ginástica coreografada de um programa de ação social

Wed, 18 Jun 2014 00:00:00 GMT

Aderência de idosos participantes da oficina de ginástica coreografada de um programa de ação social Bianchi, Silvana

Avaliação da alimentação oferecida e do estado nutricional de idosos institucionalizados em clínicas de longa permanência no Sul do Brasil

Thu, 19 Dec 2013 00:00:00 GMT

Avaliação da alimentação oferecida e do estado nutricional de idosos institucionalizados em clínicas de longa permanência no Sul do Brasil Seibel, Raquel

Efeitos da suplementação pós-exercício de proteína e carboidrato no dano muscular em indivíduos sedentários: revisão sistemática

Tue, 17 Dec 2013 00:00:00 GMT

Efeitos da suplementação pós-exercício de proteína e carboidrato no dano muscular em indivíduos sedentários: revisão sistemática Lupion, Raquel de Oliveira

Fatores associados à prevalência de quedas em pacientes hospitalizados: uma revisão integrativa

Tue, 25 Apr 2017 00:00:00 GMT

Fatores associados à prevalência de quedas em pacientes hospitalizados: uma revisão integrativa Bopsin, Patricia dos Santos Worldwide, falls represent a major public health problem and can have serious consequences for the health of the individual. In the hospital environment, falls are the main cause, known, of incidents. This is an integrative review, with the objective of identifying the factors associated with the prevalence of falls in hospitalized patients. In order to perform the data collection, the following descriptors were used: Accidents by fall, Nursing and Patient Safety plus the Boolean marker "AND" and the search was performed through indexed journals in the databases of the Virtual Health Library, Scientific Electronic Library Online and Nursing Database. The inclusion criteria for this study were articles, except for integrative reviews, published between 2008 and 2017. A total of 506 articles were found after the analysis and in compliance with the inclusion criteria, resulting in a pre-selection of 81 articles. The final sample consisted of six articles that addressed satisfactorily the guiding question: what is being produced in the Brazilian literature about the prevalence of falls in hospitalized patients? After reading the articles in full, the analysis was based on two themes that emerged, which are: main factors related to falls and failures that contribute to the occurrence of falls. It was possible to identify that the factors associated with falls, comes from the prevalence in adult patients with variability in age between 55 and 87 years. The female gender, decreased visual acuity, walking difficulties and the environment as a factor of relevance for the occurrence of the damage are highlighted, and for many patients the use of multiple medications increases the prevalence of falls. Concerning the safety of the It is paramount for the institutions to turn their attention to the theme, since a large number of patients are affected daily by falls, and most of them could be avoided.

Orientações relativas ao aleitamento materno durante o pré-natal: uma revisão integrativa

Thu, 13 Mar 2014 00:00:00 GMT

Orientações relativas ao aleitamento materno durante o pré-natal: uma revisão integrativa Luque, Marina Nardino This is an integrative review aimed to identify and analyze the national scientific production, published between the years 2003 to 2013 about the guidelines provided to pregnant women during prenatal regarding breastfeeding. Data collection was conducted based on LILACS, SciELO and BDENF using descriptors of breastfeeding, prenatal and nursing. It was selected seven articles that met the inclusion criteria for the study. The results show that there are gaps in breastfeeding regarding to prenatal care, suggesting needs of actions in health and new strategies by nursing professionals in order to improve the rates of breastfeeding.

Cuidado integral durante o trabalho de parto em ambiente hospitalar na perspectiva de Jean Watson: uma revisão integrativa

Thu, 14 Oct 2021 00:00:00 GMT

Cuidado integral durante o trabalho de parto em ambiente hospitalar na perspectiva de Jean Watson: uma revisão integrativa Sengik, Sara Ariana Machado Boff Sberze Introduction: Midwifery nursing has care technologies in order to favor natural childbirth, helping to prevent and correct possible dystocia in the collaborative model, as well as acting on pain during labor and delivery. It works with a focus on comprehensive care, whose scientific foundation can be found in the Theory of Human Care by Jean Watson, an American theorist and professor. Objective: To analyze the scientific production regarding care technologies in obstetric nursing care used during labor in a hospital environment from the perspective of Jean Watson. Method integrative literature review, carried out between March and April 2021 through a search in the LILACS, SCIELO and BDENF databases. Fifteen original articles were selected from 2016 to 2021. Results: The articles were organized into 3 categories: care and comprehensiveness of nursing care; limitations for care; and training as a promotion of care. Studies address nursing care through the use of nonpharmacological methods for pain relief and few advance towards comprehensive care, considering the interpersonal relationship between the nurse and the parturient. Furthermore, elements that hinder care were identified. In the training programs in obstetric nursing, the adoption of good practices based on scientific evidence was evidenced, despite some invasive interventions still present. Conclusion: The elements of human care from Watson's Theory (body, mind and spirit) are verified during nursing care during labor. Research that addresses nursing care focused on the anatomy and physiology of childbirth is recommended, considering emotional aspects and the interpersonal relationship between the nurse and the parturient.

O papel da vitamina D na síndrome metabólica

Fri, 06 Dec 2013 00:00:00 GMT

O papel da vitamina D na síndrome metabólica Antonini, Maria Aparecida Zaffonato

A visão dos enfermeiros em relação à importância do plano de parto: uma revisão integrativa

Thu, 14 Oct 2021 00:00:00 GMT

A visão dos enfermeiros em relação à importância do plano de parto: uma revisão integrativa Reinheimer, Marcia Valdilene

Práticas humanizadoras utilizadas durante o trabalho de parto e parto em uma instituição hospitalar – percepção de puérperas

Mon, 01 Jul 2013 00:00:00 GMT

Práticas humanizadoras utilizadas durante o trabalho de parto e parto em uma instituição hospitalar – percepção de puérperas Brun, Luisa Franzon

Análise da qualidade nutricional de dietas de emagrecimento publicadas em revistas não científicas

Thu, 19 Dec 2013 00:00:00 GMT

Análise da qualidade nutricional de dietas de emagrecimento publicadas em revistas não científicas Baelz, Katiele Objectives: To assess and compare the nutritional composition of diets for weight loss published in scientific journals not in accordance with current dietary recommendations. Methods: This was a cross-sectional study. Twelve volumes of scientific journals not belonging to three publishers, all on a monthly basis, for the female audience, published from December 2012 to March 2013 were analyzed. Statistical analysis was performed using the chi -square and t-student tests. Quantitative variables were described by mean and standard deviation or median and interquartile rang. Categorical variables were described by absolute and relative frequencies. The level of significance was set at 5 % ( p ≤ 0.05 ) and analyzes were performed using SPSS version 18.0 . Results: twelve magazines that resulted in seventeen stories with sixty six options menus, totaling sixteen diets with caloric intake ranging from 530.66 to 1575.01 Kcal / day were analyzed. The recommended carbohydrate diets (p = 0.010) and fiber ( p = 0.003) and significantly lower than recommended insufficient amounts of vitamin D ( p = 0.001) , folate (p < 0.001) , calcium (p < 0.001) and iron (p < 0.001). The protein content of the diets, in % , was above the normal ( p < 0.001 ) in all diets . Regarding lipids and total cholesterol, the differences were not significant. Conclusions: The observed inadequacies in the diets published in scientific journals do not allow us to state that eating plans have not reached the daily recommendations for the target audience. Not reaching the middle of many important for maintaining health nutrients nutritional recommendations, which turns out not to be possible to include them within the concept of “healthy diet”.

Instituição especializada em idosos com doença de Alzheimer: cuidando de AZ

Mon, 20 Oct 2014 00:00:00 GMT

Instituição especializada em idosos com doença de Alzheimer: cuidando de AZ Oliveira, Josiane dos Santos

Atuação das enfermeiras obstétricas no cenário da obstetrícia brasileira - uma revisão integrativa

Tue, 18 Aug 2015 00:00:00 GMT

Atuação das enfermeiras obstétricas no cenário da obstetrícia brasileira - uma revisão integrativa Silva, Joseane Vanessa dos Santos da

O envelhecimento na percepção de idosos em atendimento domiciliar – home care

Wed, 15 Mar 2017 00:00:00 GMT

O envelhecimento na percepção de idosos em atendimento domiciliar – home care Zen, Jaqueline

Imagem corporal e transtorno de compulsão alimentar periódica em adolescentes de Sombrio – SC

Mon, 16 Dec 2013 00:00:00 GMT

Imagem corporal e transtorno de compulsão alimentar periódica em adolescentes de Sombrio – SC Gründler, Jaqueline Nunes Valerim Objective: To estimate the prevalence of Binge Eating Disorder and associate it with body self-image and nutritional status of adolescents aged 10 to 14 years old from public schools in Sombrio – SC. Methods: An observational cross-sectional study with 386 adolescents. Sociodemographic information, the Binge Eating Disorder and body image were collected through the Questionnaire on Eating and Weight Patterns –Revised and Scale Silhouettes. To assess nutritional status was used the Mass Index Corporal/Age.3 Tostatistical analysis, was used the Pearson’s chi-square test, considering the results as statistically significant at p <0.05.Results: The sample consisted mostly of females (52.3%), aged 10-12 years old. Prevalence of binge eating disorder on this sample was 3.4%. 84.2% were eutrophic adolescents, followed by 13% with overweight. There was an association between the presence of binge eating disorder and variable nutritional status, body image and self-image of adolescents assigned to parents. No statistically significant differences werefound when relating the binge eating disorder and sociodemographic variables. There was also no relationship between body self-image of adolescents with nutritional status and maternal self-image. Conclusions: The adolescent evolutionary monitoring works as an indispensable tool for the early detection of nutritional disorders. Other studies should be developed aiming the origins of eating disorders and proposing effective and permanent actions in school and social environment in healthcare facilities within communities.

Adoçantes não calóricos: influência na saciedade e no ganho de peso

Thu, 28 Nov 2013 00:00:00 GMT

Adoçantes não calóricos: influência na saciedade e no ganho de peso Salazar, Gabriela Soranço Changes in dietary patterns are directly correlated with increased incidence of obesity. Recent years have grown to supply and consumption of foods with low energy, plus artificial sweeteners as a way to control weight. It is believed that the use of products diets or replacement of sucrose by these sweeteners, for nondiabetic individuals, help in weight reduction by reducing the energy keeping the sweet taste of foods. However, there is no consensus on the evidence about the effectiveness of these products promote the loss and/or maintenance of body weight. Studies suggest that the use of non-caloric sweeteners could generate compensation or increased energy intake, and reduce the basal metabolism and increase adiposity. Thus, this review aims to clarify the influence of non-caloric sweeteners in the mechanisms related to satiety, energy metabolism and in the long-term these impacts on weight gain.

Avaliação da aptidão física de idosos saudáveis no município de São Leopoldo

Wed, 18 Jun 2014 00:00:00 GMT

Avaliação da aptidão física de idosos saudáveis no município de São Leopoldo Severo, Edson Luís

Transmissão vertical do HIV em um município da região metropolitana de Porto Alegre/RS: um estudo de caso-controle

Fri, 26 Jul 2024 00:00:00 GMT

Transmissão vertical do HIV em um município da região metropolitana de Porto Alegre/RS: um estudo de caso-controle Teloken, Jéssica da Silva This dissertation aims to evaluate the vertical transmission (MT) of HIV and associated factors in exposed children living in the municipality of Viamão, between 2000 and 2023. We chose to carry out this topic due to the lack of studies that describe the situation of HIV MT in the municipality and the importance of this result for the implementation of contextualized measures that assist in the health care of exposed children. A case and control study was developed with data from the population of pregnant women and children exposed to HIV, using the National Disease Notification System (SINAN) database, HIV Pregnant database, with demographic variables of the pregnant woman, detection of infection of HIV, prenatal care and childbirth and information on the pregnant woman's anti-HIV test, use of antiretroviral therapy (ART) during pregnancy and childbirth, newborn exams and their evolution, including outcome. Missing information was investigated in the database of exposed children (SINAN Aids in children under 13 years of age) based on the variable mother's name, common to both banks as well as among adults reported as cases of HIV/Aids (SINAN HIV) . Information on CD4 and viral load in the pre-delivery period was obtained from the logistical control system for laboratory tests (SISCEL). Missing data on ART initiation were obtained from the Medication Logistics Control System (SICLOM) and number of prenatal consultations in the Live Birth Control System (SINASC). The cases were all pregnant women with children who acquired HIV infection during pregnancy, childbirth or breastfeeding in the municipality and period studied. Four controls were drawn using random numbers for each period, for each case, matched by year of diagnosis. STATA software was used for statistical analysis. A bivariate analysis was performed with the variables using Pearson's chi-square test and variables with p<0.2 in the bivariate analysis were included in the logistic regression model. In Pearson's chi-square test, the variables that showed statistical significance with HIV VT were use of prophylactic ART (p<0.01) and time of use of prophylactic ART (p<0.001). The results of the logistic regression showed that the duration of ART use during pregnancy remained associated with HIV VT, mainly at the expense of the category that did not use ART, where women who did not use ART are 7 times more likely to have HIV. outcome of TV to HIV in relation to those who used it. The age of the pregnant woman was associated in the model and shows that younger pregnant women are less likely to have the outcome of VT and HIV compared to pregnant women aged 40 or over. It was concluded that HIV VT is more likely to occur in pregnant women who did not adhere to ART during pregnancy, even with adherence to prenatal care, and demonstrates that quality prenatal care, with adequate structure and qualified professionals for the companionship and development of pregnancy is an important factor in changing the scenario found and reducing HIV VT rates.

Ocorrência e fatores associados à hipertensão arterial autorreferida em adultos brasileiros: uma coorte prospectiva

Fri, 27 Sep 2024 00:00:00 GMT

Ocorrência e fatores associados à hipertensão arterial autorreferida em adultos brasileiros: uma coorte prospectiva Carvalho, Ana Paula de