Ehideé Isabel Gómez La-Rotta

This study aimed to evaluate the efficacy of the primary and booster vaccination response against COVID-19. This prospective cohort study was conducted in the Archipelago of Fernando de Noronha (Pernambuco, Brazil). A total of 350 adults (≥18 years), with and without previous SARS-CoV-2 infection, were included. Data collection occurred between May 2020 and May 2022. Serum levels of anti-SARS-CoV-2 IgG were evaluated before vaccination (T0), after the primary vaccination schedule with homologous vaccines (CoronaVac or ChAdOx1 – AstraZeneca/Oxford-Fiocruz), and after the heterologous booster dose with BNT162b2 (Pfizer-BioNTech). Detection of IgG antibodies was performed using a chemiluminescent immunoassay. Data were analyzed using GraphPad Prism 9.0 and SPSS 18.0 software, applying the Mann-Whitney and Sidak tests for longitudinal comparisons (p < 0.05). Participants were divided into two groups according to previous SARS-CoV-2 infection: infected (G1; n = 81) and not infected (G2; n = 269). In both groups, anti-SARS-CoV-2 IgG levels significantly increased after the primary vaccination scheme compared with pre-vaccination levels (p < 0.05). In G1, anti-SARS-CoV-2 IgG levels reduced after an interval between 14 and 30 days. After the booster dose with BNT162b2, anti-SARS-CoV-2 IgG levels increased and kept high for 233 days after vaccination. The decline in antibody levels observed after the primary vaccination with two homologous doses reinforces the need for a heterologous booster dose to maintain the humoral immune response.

Resumo O objetivo do artigo é analisar a tendência temporal da cobertura da Estratégia Saúde da Família e seus fatores associados nas cidades gêmeas brasileiras entre 2016 e 2020. Trata-se de um estudo ecológico retrospectivo de análise temporal sobre as 33 cidades gêmeas do Brasil. Os dados secundários foram obtidos no sistema e-Gestor Atenção Básica. Foram utilizadas variáveis relacionadas à cobertura da Estratégia Saúde da Família, ao porte populacional dos municípios, aos arcos de fronteira e à temporalidade. Na análise estatística foram utilizadas medidas descritivas, com os dados sendo arquivados, tabulados e analisados por meio do programa Excel 2019. Observou-se que o Arco Norte apresenta a maior cobertura, seguido pelo Arco Sul e Centro-Oeste, respectivamente, destacando-se as cidades gêmeas de pequeno porte populacional. Na evolução da cobertura, o Arco Sul se destaca pela tendência crescente, enquanto os arcos Norte e Centro-Oeste mostraram decréscimo no último ano de estudo. A cobertura da Estratégia Saúde da Família nas cidades gêmeas variou entre os três arcos, possivelmente devido às características sociodemográficas de cada arco e às particularidades na gestão dos serviços de atenção básica dos municípios.

This article aims to analyze the temporal trend of Family Health Strategy (FHS) coverage and its associated factors in Brazilian twin cities between 2016 and 2020. This is a retrospective ecological study of a temporal analysis conducted on the 33 twin cities of Brazil. Secondary data were collected from e-Gestor AB, and variables regarding FHS coverage, population size, border arcs, and temporality were used. Descriptive measures were used in the statistical analysis, which were arcived, tabulated, and analyzed using Microsoft Excel 2019. It was observed that the Northern arc had the highest coverage, followed by the Southern and Midwestern arcs, respectively, with small twin cities standing out in terms of population size. As regards coverage evolution, the Southern arc stood out with a growing trend, while the Northern and Midwestern arcs showed a decrease in the last year of the study. FHS coverage in twin cities varied among the three arcs, likely due to the sociodemographic characteristics of each arc and the particularities in the management of basic care services in municipalities.

Resumen El objetivo de este artículo es analizar la tendencia temporal de la cobertura de la Estrategia Salud de la Familia y sus factores asociados en las ciudades gemelas brasileñas entre 2016 y 2020. Se trata de un estudio ecológico retrospectivo de análisis temporal sobre las 33 ciudades gemelas de Brasil. Los datos secundarios fueron obtenidos del eGestor Atención Básica, y utilizadas las variables sobre la cobertura de Estrategia de Salud de la Familia, porte poblacional, arcos de frontera y la temporalidad. En el análisis estadístico fueron utilizadas medidas descriptivas, archivadas, tabuladas y analizadas por medio del programa Excel 2019. Se observo que el arco norte presenta la mayor cobertura, seguido por el Arco Sur y Centro-Oeste, respectivamente, destacándose las ciudades gemelas de pequeño porte en términos de porte poblacional. En la evolución de la cobertura, el arco sur se destaca por una tendencia creciente, en cuanto los arcos Norte y Centro-Oeste muestran una disminución en el último año de estudio. La cobertura de la Estrategia de Salud de la Familia vario entre los tres arcos, posiblemente a las características sociodemográficas de cada arco y a las particularidades en la gestión de los servicios de atención básica de los municipios.

Introduction: A cross-sectional study on the knowledge of sexually transmitted infections (STIs) was conducted. The objective was to assess the knowledge of STIs among health sciences students and teachers in a city in the southwest of Minas Gerais, Brazil. Methodology: The data were collected through interviews of students enrolled in undergraduate health-related courses in two higher education institutions in Passos-MG. The questionnaire included questions about the demographics of the participants, as well as questions to assess knowledge about STIs. Results: The sample consisted of 690 individuals, including 470 women, 218 men, and 2 who identified themselves as the ‘other gender’. Of these, 94.3% were students and 5.7% were teachers. Among the students, 284 were from private universities and 367 were from public universities. Of the teachers, 89.7% were from public universities. The mean (standard deviation) knowledge score (on a scale of 0 to 10) of the participants was 5.44 (1.59), with a median of 5. Males had a higher mean (5.77 ± 1.61), with a median of 6; compared to females (5.27 ± 1.56), with a median of 5 (p < 0.001). In addition, teachers had a higher mean (6.26 ± 1.61), with a median of 6; compared to students (5.39 ± 1.58) with a median of 5 (p < 0.002). Conclusions: There were gaps in the knowledge of students and teachers. This is a worrying situation, and it is necessary to improve academic training on STIs and promote protected sexual relations.

Objetivo: Investigar desigualdades de raça/cor da pele e sexo com relação à qualidade de vida de pessoas que vivem com o vírus da imunodeficiência humana (HIV) em um hospital universitário brasileiro entre 2017 e 2018.

Objective: To investigate inequalities of race/skin color and sex in relation to quality of life of people living with the human immunodeficiency virus (HIV) in a Brazilian university hospital between 2017 and 2018.

AimsTo identify changes in mental health status among nursing professionals in a Brazilian municipality during the COVID-19 pandemic.DesignAn observational and longitudinal study.MethodsUsing the Patient Health Questionnaire-9, the presence of depressive symptoms was evaluated among 690 nursing professionals in the city of Pelotas, Brazil, at two moments: June/July 2020 and June/July 2021.Results13.0% incidence of depressive symptoms was identified; as well as 12.2% remission; 24.1% persistence and 50.7% absence. Among the factors associated with the worst prognoses we can mention female gender, greater workload, feeling of overload, illness of family members or friends due to COVID-19 and use of psychotropic drugsConclusionsThere was significant mobility in the diagnosis of depression among the professionals studied during the period analysed, with incidence of new cases of significant depression and greater than the number of remissions. In addition to sociodemographic aspects, traumatic experiences and exposure to continuous overload were associated with persistence and incidence of new cases.Implications for the profession and/or patient careWith the advent of the COVID-19 pandemic, several studies have shown an increase in depressive symptoms among nursing professionals; however, understanding the long-term effects of this scenario is still a challenge.ImpactWhat problem did the study address? This study investigates changes in the mental health status of nursing professionals working at different care levels, taking the prevalence of screening for depression as a proxy, during a period of a year during the COVID-19 pandemic.What were the main findings? Between both data collection moments, 2020 e 2021, there was a significant percentage of professionals with persistent depression, in addition to a significant proportion of incident cases that slightly exceeded the number of remissions and the factors associated with the worst prognoses were sociodemographic aspects such as gender and emotional stressors like illness of family members or close friends due to COVID-19, in addition to those related to the organisation and support provided by the services, such as workload and feeling of overload.Where and on whom will the research have an impact? This study will impact the nursing professionals and in role of the health services in order to establishing actions that contribute to minimising the deleterious effects of the pandemic on the mental health of their Nursing teams.ImpactWhat problem did the study address? This study investigates changes in the mental health status of nursing professionals working at different care levels, taking the prevalence of screening for depression as a proxy, during a period of a year during the COVID-19 pandemic.What were the main findings? Between both data collection moments, 2020 e 2021, there was a significant percentage of professionals with persistent depression, in addition to a significant proportion of incident cases that slightly exceeded the number of remissions and the factors associated with the worst prognoses were sociodemographic aspects such as gender and emotional stressors like illness of family members or close friends due to COVID-19, in addition to those related to the organisation and support provided by the services, such as workload and feeling of overload. Where and on whom will the research have an impact? This study will impact the nursing professionals and in role of the health services in order to establishing actions that contribute to minimising the deleterious effects of the pandemic on the mental health of their Nursing teams.ImpactWhat problem did the study address? This study investigates changes in the mental health status of nursing professionals working at different care levels, taking the prevalence of screening for depression as a proxy, during a period of a year during the COVID-19 pandemic.What were the main findings? Between both data collection moments, 2020 e 2021, there was a significant percentage of professionals with persistent depression, in addition to a significant proportion of incident cases that slightly exceeded the number of remissions and the factors associated with the worst prognoses were sociodemographic aspects such as gender and emotional stressors like illness of family members or close friends due to COVID-19, in addition to those related to the organisation and support provided by the services, such as workload and feeling of overload.Where and on whom will the research have an impact? This study will impact the nursing professionals and in role of the health services in order to establishing actions that contribute to minimising the deleterious effects of the pandemic on the mental health of their Nursing teams.Reporting methodThe Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines were adopted in this study.Patient or public contributionNo Patient or Public Contribution.

O presente relato de experiência tem como objetivo refletir sobre à orientação ao recovery nos serviços comunitários de saúde mental, apontando os desafios e potências que surgiram no trabalho com usuários e familiares. As reflexões sobre o tema foram baseadas na pesquisa “Recovery: Instrumentos para sua aferição na realidade brasileira, através da adaptação transcultural do instrumento de avaliação Recovery Self-Assessment (RSA-R). Para o desenvolvimento desse estudo, seguimos a metodologia de Adaptação transcultural de instrumentos que inclui as etapas de tradução, retrotradução, avaliação por especialistas, dois estudos pilotos com usuários e familiares. Os resultados dessa experiência foram: o recovery trata-se de um construto ainda pouco explorado no Brasil, o instrumento objeto da pesquisa trouxe algumas práticas inexistentes no contexto brasileiro e que exigiam níveis altos de alfabetização por parte dos participantes. Em contrapartida, a nossa população tinha baixos níveis de escolarização, tornando a experiência ainda mais desafiante. Também, a partir de nossa incursão no campo, podemos identificar que a relação do familiar com os serviços é muito frágil. Os serviços de saúde mental no país precisam repensar suas práticas, principalmente no que diz respeito à inclusão e participação efetiva do familiar no tratamento. A partir desses resultados, destacamos a importância das avaliações de serviços de saúde mental, com a participação dos usuários e familiares, sendo um desafio na estruturação de avaliações sistemáticas dos serviços públicos.