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- ItemFatores associados a dengue com sinais de alarme, dengue grave e hospitalização em gestantes, no estado do Espírito Santo, 2015 a 2019(Universidade Federal do Espírito Santo, 2024-09-04) Santana, Lutigardes Bastos; Vicente, Creuza Rachel ; https://orcid.org/0000-0003-0182-7969; http://lattes.cnpq.br/0530544422426629; Miranda, Angelica Espinosa Barbosa; https://orcid.org/0000-0002-5556-8379; http://lattes.cnpq.br/5842271060162462; https://orcid.org/0000-0003-0394-0113; http://lattes.cnpq.br/8230705343293533; Silveira, Mariângela Freitas da; https://orcid.org/0000-0002-2861-7139; http://lattes.cnpq.br/6133785957603045; Prado, Thiago Nascimento do ; https://orcid.org/0000-0001-8132-6288; http://lattes.cnpq.br/6388559394015871Introduction: Dengue is a viral disease transmitted by the Aedes aegypti mosquito, prevalent in tropical and subtropical areas. Some groups are more susceptible to developing severe forms of the disease, including pregnant women, postpartum women, and children under one year of age. During pregnancy, early diagnosis of dengue can be difficult not only due to its varied clinical spectrum and similarity to other infectious diseases, but also due to the possibility of confusion with physiological changes during pregnancy. Objective: To identify whether there is an association between dengue with warning signs, severe dengue, and hospitalization of pregnant women notified with dengue, aged 15 to 49, in Espírito Santo, from 2015 to 2019. Methods: Cross-sectional study of cases of pregnant women aged 15 to 49, notified with dengue, by clinical, epidemiological, and laboratory criteria, in the state of Espírito Santo, using data from the Notifiable Diseases Information System (SINAN). The outcomes of dengue with warning signs, severe dengue, hospitalization and death were evaluated. Since the outcome variables were not frequent, they were grouped for analysis purposes in a single group. The independent variables of the study were age, gestational period, race/color, education, time of seeking care, final classification and clinical evolution, clinical signs for dengue with warning signs and severe dengue, and symptoms and pre-existing diseases. Results: Among the 1,020 pregnant women who participated in the study, 88.6% were reported with dengue, 10.7% with dengue with warning signs and 0.7% with severe dengue. Most of the pregnant women reported were between 20 and 34 years old (68.4%), 49.4% were black or brown and 35.6% had between 8 and 11 years of education. Considering the evolution of the case, there were no deaths among the group analyzed, and as for hospitalization, it was recorded that 9.8% were hospitalized, while 59.4% were not hospitalized and 30.8% had the information ignored. The highest proportion of hospitalizations occurred in the third trimester of pregnancy (4.7%), followed by the second (3%) and first (1.9%) trimesters. Pregnant women in the third trimester were twice as likely to develop severe forms of dengue compared to the first trimester (OR 2; CI 1.2-3.33; p = 0.08), and there was a greater chance of hospitalization in cases where there was a late search for care (OR 2.24; CI 1.41-3.56; p = 0.01). Conclusions: Pregnant women in the third trimester and those who sought care late had a higher risk of serious complications and hospitalization due to dengue. These findings highlight the need for early intervention and strict monitoring to reduce the risks associated with dengue during pregnancy
- ItemSíndrome de Burnout e a enfermagem: estudo ecológico de séries temporais no Brasil(Universidade Federal do Espírito Santo, 2025-02-07) Dutra, Vanessa Meira de Sousa; Soares, Magda Ribeiro de Castro; https://orcid.org/0000-0001-5582-6780; http://lattes.cnpq.br/6810603722774269; https://orcid.org/0009-0004-3840-0656; Sena, Tereza Raquel Ribeiro de; Sarti, Thiago Dias; Guzmán, Ivan Robert EnríquezThe subject of this research is the Burnout Syndrome. General objective: To analyze the temporal trend of Burnout Syndrome (BS) in Brazilian adults and nurses from 2014 to 2023. Method: Ecological study with a temporal series perspective of BS, between 2014 and 2023, in the adult Brazilian population and specifically for nurses. Using aggregated secondary data, from the database of the Department of Informatics of the Unified Health System - Datasus, an agency linked to the Brazilian Ministry of Health. Results: Through this study, it was noted that Work-Related Mental Disorders (WRMD), as well as BS, are prevalent among females, for the Brazilian adult population and among nurses. In terms of age range, notifications of new cases did not present statistically significant differences for the brazilian adult population or among nurses.The time trend showed a breach in linearity for WRMD notifications among Brazilian adults, with two delimited time spans, from 2014 to 2020 and from 2020 to 2023, the latter having a more robust annual percentage change (APC). The percentage of BS in the WRMD showed a breach of linearity in a different period, with the time intervals delimited as 2014 to 2019 and 2019 to 2023, the second interval also showing a more significant increase. When analyzing the occupation of nurses, a single time frame was observed from 2014 to 2023 with no changes between VPA or VPMA. Conclusion: WRMD, especially BS, currently represents a latent challenge in the labor reality, where the escalation of illnesses in the Brazilian working population is propitiated, representing a challenge to public policies regarding health, work, and social security.
- ItemPercepção de estresse entre mulheres residentes no município de Vitória e os fatores associados(Universidade Federal do Espírito Santo, 2024-08-08) Silva, Adriana Geraldina Vicente da; Leite, Franciéle Marabotti Costa; https://orcid.org/0000-0002-6171-6972; http://lattes.cnpq.br/7170760158919766; https://orcid.org/0009-0008-6018-3474; Miguez, Fernanda Garcia Gabira; Tavares, Fábio Lucio; Camboin, Franciele FoschieraObjective: To analyze the levels of perceived stress among women living in the city of Vitoria, and its association with socioeconomic, clinical and life experience characteristics. Methodology: this is a cross-sectional, population-based study carried out in the city of Vitória, Espírito Santo. The sample consisted of 1086 women aged 18 years or over who had or had an intimate partner in the last 24 months. Independent variables: socioeconomic, behavioral and clinical characteristics. The outcome was perceived stress levels, assessed using the instrument entitled Perceived Stress Scale. All analyzes were performed using the Stata statistical program version 17.0. Results: younger women, those who have no religion, those who receive financial assistance from the government, those who do not practice physical activity, those who smoke or have smoked throughout their lives and have some comorbidity, have higher stress averages. An association was also found between the perception of stress and exposure to sexual abuse during childhood, and violence by an intimate partner during life and during the period of the Covid-19 pandemic. Conclusion: there is a significant association between the perception of stress and socioenonic, behavioral and clinical characteristics, as well as with exposure to sexual abuse during childhood, intimate partner violence, during life and during the period of the COVID-19 pandemic.
- ItemCultura de segurança do paciente em serviços de terapia renal substitutiva do Espírito Santo(Universidade Federal do Espírito Santo, 2024-10-21) Reis, Jamile Mendes dos; Wandekoken, Kallen Dettman; https://orcid.org/0000-0002-2326-4880; http://lattes.cnpq.br/2246036523711929; Portugal, Flávia Batista; https://orcid.org/0000-0002-4425-2627; http://lattes.cnpq.br/1876697154549534; https://orcid.org/0000-0002-3385-4390; http://lattes.cnpq.br/8111470847079667; Santos, Marcos Vinicius Ferreira dos; https://orcid.org/0000-0001-9788-660X; http://lattes.cnpq.br/3361334188486592; César, Márcia Peixoto ; https://orcid.org/; http://lattes.cnpq.br/4966157266541398Introduction: Renal replacement therapy services have characteristics that safety related events, such as the use of complex technologies and invasive procedures and invasive procedures. The safety culture in these hemodialysis services is considered to be an organizational indicator that determines a pattern of behavior and commitment to patient safety. Objective: To analyze the culture of patient safety from the perspective of professionals who working in renal replacement therapy services in Espírito Santo. Method: A cross-sectional, quantitative and exploratory study was carried out with 158 professionals from 2021 to 2023, from eleven public and private hemodialysis clinics in Espírito Santo clinics in Espírito Santo. For data collection, the Safety Attitudes Questionnaire (SAQ) was used to collect data. To check the distribution of distribution, the Kolmogorov and Smirnov test was used and, for abnormal data distribution, the distribution, the Kruskal-Wallis test was used. The comparison between domains and professional category was carried out using the Kruskal-Wallis test, followed by Duncan's multiple comparisons test. Results: The culture of patient safety culture in renal replacement therapy services in Espírito Santo was positive with a total SAQ score of 80.7. The perception of culture and by domain differed statistically from each other in all of the questions. The study revealed satisfactory scores in the domains of job satisfaction and working satisfaction and working conditions in all the units evaluated, although it did identified unsatisfactory results in the domain related to the climate of perceived stress of stress. Conclusion: The patient safety culture in renal replacement therapy therapy services was positive and could have a direct influence on the safe practices and behaviors safe behaviors adopted by professionals
- ItemViolência & diversidade: estudo com escolares LGBT+ da Região Metropolitana da Grande Vitória, Espírito Santo(Universidade Federal do Espírito Santo, 2025-03-11) Alves, Micael Franco; Leite, Franciéle Marabotti Costa; https://orcid.org/0000-0002-6171-6972; https://buscatextual.cnpq.br/buscatextual/busca.do; http://lattes.cnpq.br/7170760158919766; Carvalho, Amâncio Antônio Sousa; Tavares, Fábio lūcio; Sacramento, Weverton Pereira do; Almeida, Márcia Valéria de SouzaIntroduction: Violence against LGBT+ adolescents represents a serious public health issue, significantly affecting their physical, psychological, and social well-being. This population is more vulnerable to various forms of violence, including bullying, physical aggression, and discrimination in school and family environments. Objective: To estimate the prevalence of violent experiences among LGBT+ adolescents in the metropolitan region of Vitória, Espírito Santo, and analyze their epidemiological profile. Methods: This is a cross-sectional, descriptive study conducted in 63 public and private schools in the region, with a sample of 949 adolescents aged 14 to 19 years. Data were collected through self-administered electronic questionnaires and analyzed statistically using relative frequencies and 95% confidence intervals. Results: Bullying prevalence was 67.8%, with 13.0% motivated by sexual orientation, and cyberbullying was reported by 11.5%. Condom use was higher during the first sexual intercourse (50.7%) than in the most recent one (40.2%). Current alcohol use was reported by 47.2%, cigarette use by 9.1%, and drug use by 15.1%. The findings revealed high prevalences of emotional abuse (78.6%), physical abuse (55.2%), and sexual abuse (49.8%). Exposure to violence was significant in both domestic and community environments, with 45.1% of adolescents reporting having witnessed beatings outside their homes. Conclusion: The findings highlight the high prevalence of violence and childhood adversities among LGBT+ adolescents and emphasize the need for inclusive public policies and intervention strategies to promote safe and equitable environments for LGBT+ youth