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To describe the development and validation of a mobile application to assist health professionals in the management of patients with leprosy and surveillance of contacts in primary healthcare.A methodological and developmental study was conducted in three phases: integrative literature review, mobile application development and application validation by health professionals. The construction of the application was supported by the literature review, Nielsen's heuristics and expert validation. Five experts individually analysed the prototype draft and performed two rounds of iterations to refine their recommendations. The validation step was performed by consulting health professionals working in primary healthcare, who evaluated the application for relevance, clarity and usability using a questionnaire based on task-technology fit theory.The mobile app's content, navigation methods and interaction were refined based on the discussions with experts. Their recommendations were applied, and the mobile app was revised until the final version was approved. Content validity indexes of 0.94 (p = 0.007), 0.99 (p 0.0001) and 0.93 (p = 0.01) were obtained.The developed application is a technological tool that could assist primary healthcare providers in dealing with leprosy patients and their contacts in terms of management, planning, monitoring, evaluation, treatment and follow-up, in addition to leprosy control actions.

This study aimed to evaluate the influence of the lectin pathway proteins Mannose-binding lectin (MBL) and ficolins (FCNs) MBL and FCN3) on leprosy’s susceptibility and severity. We studied patients with a confirmed diagnosis of leprosy (n=90) and their healthy household contacts (n=79). We have also analyzed a subgroup of patients under 15 years of age (n=35), compared to their family contacts (n=20). Higher levels of FCN3 were identified in patients sample (n=90) with undetermined clinical form (419.7 ng/ml), compared to (343.8ng/ml) virchowian (p=0.033) and no disability form (381.2 ng/ml). Higher levels of FCN3 were also seen for disability grade 1 compared to grade 2 (343.2ng/ml and 327.1 ng/ml), respectively (p=0.031). In patients < 15 years of age, the highest levels of FCN3 occurred in those with undetermined clinical form (436.6 ng/ml) in comparison with dimorphic (368.7 ng/ml) and virchowian forms (321.2 ng/ml) (p=0.013). We have identified higher levels of FCN3 among disability grade 0 (386.7 ng/ml), in comparison with grade 1 (310.1 ng/ml) and 2 (268.3 ng/ml) in children patients (p=0.008) with no sequelae (399.1 ng/ml) versus leprosy reaction type 1 (299 ng/ml) (p=0.009). Patients 15 years (2.342 ng / ml) (p = 0.018). Serum MBL and FCN3 levels do not seem to influence the acquisition of M. leprae infection.Higher levels of FCN3 were associated with less severe sequelae and lower disability grade for adults and patients < 15 years old

Este estudo objetivou conhecer como as gestantes percebem a assistência pré-natal e o acolhimento na Atenção Primária à Saúde. Pesquisa qualitativa, na qual foram realizadas 21 entrevistas entre abril e julho de 2019 em uma Unidade Básica de Saúde na Região Nordeste. Pela análise de conteúdo, emergiram quatro categorias: Pré-natal e sua importância; Qualidade da assistência no pré-natal; A (in)satisfação com o acolhimento recebido; Acolhimento e mudanças necessárias. A maioria das gestantes se mostrou satisfeita e aprovou o atendimento recebido, em especial do profissional enfermeiro, tanto no aporte teórico, como em procedimentos técnicos, como no acompanhamento da vitalidade fetal e de esquemas medicamentosos. Em contrapartida, as gestantes não se encontram acolhidas na unidade de saúde, e relataram demora no atendimento e falta de empatia por parte de alguns profissionais. É de extrema importância que os profissionais envolvidos no atendimento proporcionem o apoio necessário à mulher em seu processo gravídico, desde a adesão e continuidade de seu pré-natal, até a reorganização psíquica quanto ao vínculo com o bebê, nas mudanças corporais e na retomada do planejamento familiar.

Background Congenital syphilis is an infectious disease that affects 1 million children a year worldwide. Methods The objective of this study was to describe a spatial analysis of the epidemiological characteristics of congenital syphilis in the state of Maranhão, Brazil from 2007 to 2018. This was an ecological study using data obtained in May 2020 from three Brazilian information systems. The spatial correlation was analyzed according to local and global Moran indexes. Results During the 12-y period, 1 426 177 children were born. Of these children, 3684 acquired congenital syphilis (0.26%; mean annual rate of 2.62/1000 live births) and 70 died (1.90%; mean annual rate 0.05). The clusters were statistically significant according to the global Moran index of 0.40 (p=0.01). Spearman's correlation coefficient between the rate of detection of syphilis in pregnant women and family health strategy teams was strong, positive and significant (ρ=0.73; p Conclusions The use of spatial analysis tools have made it possible to detect areas with both a greater and a lesser need for intervention, and to more effectively improve and monitor those areas to change the epidemiological profile of the disease.

Objective: Identify condom use in people living with HIV/AIS attended at a Specialized Care Service in STD/ HIV/AIDS and associate it with sociodemographic and behavioral variables. Methods: Cross-sectional study, involving 300 people living with HIV/AIDS between 18 and 66 years of age. Student’s t-test was used for intergroup comparison. The association between condom use and the sociodemographic and behavioral factors was verified using Pearson’s correlation tests and its effect was measured through the odds ratio. Results: It was observed that 79.3% of the participants reported using condoms in sexual relations. Single people had less chance of using condoms than married women. And not revealing the HIV positive status to the partner increases the chances of using the condom. Conclusion: Condom use is frequent among people living with HIV/AIDS, even when they do not reveal the positive serum status to their partners, but a significant part of the single people have unprotected sexual practices. Objetivo: Identificar o uso de preservativo em pessoas que vivem com HIV/AIDS atendidas em um Serviço de Assistência Especializado em DST/HIV/AIDS e associá-los a variáveis sociodemograficas e comportamentais. Métodos: Estudo transversal, realizado com 300 pessoas vivendo com HIV/AIDS com idade entre 18 e 66 anos. O teste t Student foi utilizado para comparação entre os grupos. A associação entre o uso de preservativo e os fatores sociodemograficos e comportamentais foi verificada por meio dos testes de correlação de Pearson e medida seu efeito por meio da razão de chance. Resultados: Observou-se que 79,3% dos participantes relataram o uso do preservativo nas relações sexuais. Os solteiros tinham menor chance de usarem o preservativo que os casados. E não revelar a sorologia HIV positiva para o parceiro, aumenta as chances de usar o preservativo. Conclusão: O uso do preservativo é uma prática frequente entre as pessoas que vivem com HIV/AIDS, mesmo quando não revelam a sorologia positiva aos parceiros, porém uma parcela significativa de pessoas solteiras têm práticas sexuais desprotegidas.

Objetivou-se identificar o perfil dos óbitos por tuberculose pulmonar em um município do nordeste brasileiro durante o período de 2005-2014. Trata-se de um estudo descritivo, exploratório, documental, com abordagem quantitativa, realizado por meio do Sistema de Informação sobre Mortalidade na qual a amostra foi composta por 37 óbitos cuja causa básica foi por tuberculose pulmonar. O tratamento dos dados se deu por meio de estatística descritiva simples. Houve prevalência de óbitos com idade média de 60 anos, predomínio da forma pulmonar, sem menção de confirmação bacteriológica ou histológica (81,0%), sexo masculino (65,0%), raça/cor parda (67,0%), estado civil solteiro (51,0%), parcela predominante apresentou ensino médio completo (32,0%) e aposentados (32,0%). Observou-se ainda que a maioria dos óbitos ocorreu no hospital (73,0%), com assistência médica antes do óbito (76,0%), sendo a maior parcela atestada por médico assistente (38,0%) e a maioria absoluta dos óbitos (94,0%) não foi submetida à necropsia. A presente investigação revelou o perfil de uma população fatalmente atingida pela tuberculose pulmonar, evidenciando aspectos epidemiológicos importantes a serem considerados em termos de gestão e organização dos serviços de saúde para a equidade no acesso, desenvolvimento social e intensificação das ações de controle da doença.

SANTOS NETO, Marcelino ; OLIVEIRA, Marcos Roberto de Matos ; SANTOS, Floriacy Stabnow ; OLIVEIRA, Francisca Jacinta Feitoza de ; COSTA, Ana Cristina Pereira de Jesus ; FERREIRA, Adriana Gomes Nogueira. Comissoes de controle de infeccao hospitalar do interior do Maranhao, Brasil. Journal of Management and Primary Health Care, v. 5, n. 1, p. 26-32, 2014.

Submitted by Rosivalda Pereira (mrs.pereira@ufma.br) on 2018-06-13T21:06:05Z No. of bitstreams: 1 Breast cancer prevention in women treated at Primary Care Unit.pdf: 197497 bytes, checksum: 60287fc0c9ccbbd2845c112d6a1b56a8 (MD5) Made available in DSpace on 2018-06-13T21:06:05Z (GMT). No. of bitstreams: 1 Breast cancer prevention in women treated at Primary Care Unit.pdf: 197497 bytes, checksum: 60287fc0c9ccbbd2845c112d6a1b56a8 (MD5) Previous issue date: 2015 FAPEMA Objective: to describe the profile of women treated at Primary Care Unit and identify the attitudes toward early detection of breast cancer. Methods: exploratory and descriptive research conducted with 40 women aged over 20 years, after nursing consultation. Results: it was verified that a share of participants presented risk factors for breast cancer, especially menarche before age 12, 57% (n=23); no breast examination during the consultation, 70% (n=28); and never have done breast examination, 57.5% (n=23). As for performing the self-examination, 80% (n=32) of women said they knew how to do it, of which 65.5% reported performing it monthly, 12.5% never did it, and 23% of women over 40 years did not undergo mammography. Conclusion: we highlight the need to develop effective educational interventions addressing the risk factors and early detection of breast cancer in the health services. _________ RESUMO: Objetivo: descrever o perfil de mulheres atendidas em Unidade Básica de Saúde e identificar as atitudes relacionadas à detecção precoce do câncer de mama. Métodos: pesquisa exploratória e descritiva, realizada com 40 mulheres com idade acima de 20 anos, após a consulta de enfermagem. Resultados: evidenciaram que parcela das participantes possuía fatores de risco para o câncer de mama, principalmente menarca antes dos 12 anos 57% (n=23), em 70% (n=28) as mamas não foram examinadas no momento da consulta e 57,5% (n=23) informaram nunca o ter realizado. Sobre a realização do autoexame, 80% (n=32) das mulheres disseram saber fazer, dessas 65,5% afirmaram realizá-lo mensalmente, 12,5% nunca o ter realizado e 23% das mulheres acima de 40 anos não realizaram mamografia. Conclusão: destaca-se a necessidade do desenvolvimento de intervenções educativas efetivas direcionadas aos fatores de riscos e detecção precoce do câncer de mama nos serviços de saúde.