Cláudia Silva Marinho

The involvement of graduate students in editorial activities has proven to be an essential strategy for developing more critical, autonomous, and academically prepared professionals. In the field of nursing, this experience gains relevance due to the need to strengthen national and regional journals, as exemplified by the Graduate Program in Nursing and Health at the Federal University of Bahia, which encourages student participation in a nursing journal based in Bahia. This experience includes manuscript review, editorial meetings, supervised evaluations, scientific dissemination, and thematic planning, enabling the development of technical, editorial, and leadership skills. Beyond fostering innovation, belonging, and collaborative networks, such practice enhances institutional visibility and contributes to early professionalization.

Background: COVID-19 occurred in successive waves driven by different SARS-CoV-2 variants and shaped by vaccine availability and public health measures. This study analyzes differences in clinical characteristics and outcomes of hospitalized patients across three waves in Brazil. Methods: This retrospective cohort study included adult COVID-19 patients admitted to 41 hospitals across six Brazilian states from March 2020 to August 2022. Data on demographics, clinical characteristics, and outcomes were collected from medical records and compared across three pandemic waves. Categorical variables were analyzed using Chi-square or Fisher’s exact tests, with post hoc Z tests and Bonferroni correction. Continuous variables were analyzed using Analysis of Variance (ANOVA) with Tukey’s test or Kruskal-Wallis with Dunn’s test and Bonferroni correction. Results: Among 18,632 patients, 37% were hospitalized during the first wave, 55% in the second, and 8% in the third. The median age decreased during the second wave but increased in the third (60 vs 58 vs 66 years; P < 0.001). A higher proportion of patients with three or more comorbidities were admitted during the third wave (15.9% vs 11.9% vs 20.6%; P < 0.001). Anosmia, ageusia, and fever were less frequently reported in the third wave ( P < 0.001). Intensive care unit admissions (38.7% vs 37.1% vs 25.5%; P < 0.001) and in-hospital mortality (21.3% vs 23.7% vs 18.2%; P < 0.001) declined throughout the pandemic. Conclusion: Clinical manifestations and outcomes evolved across the pandemic waves. The third wave demonstrated fewer chemosensory symptoms, lower severity at admission, and reduced mortality, despite an older and more comorbid patient population. Graphical

Objective: To identify sociodemographic factors associated with the level of activity of military police officers at work.

Objetivo: identificar factores sociodemográficos asociados al nivel de actividad de los policías militares en el trabajo.

Objetivo: identificar os fatores sociodemográficos associados ao nível de atividade de policiais militares no trabalho.

Objectives: to evaluate the risk of postoperative complications in cardiac patients. Methods: an evaluative study using the Tuman Score on medical records of 70 adult patients who underwent cardiac surgery at a University Hospital. The R for Windows software was used for the analyses. Descriptive statistics and bivariate analysis were employed to verify the association between the risk score and complications. The relative risk between the Tuman Score and postoperative complications was obtained through Quasi-Poisson regression, with a 95% confidence interval. Results: the majority of the patients were male (58.57%), aged between 41-64 years (50%), who underwent myocardial revascularization (50%). These patients were associated with a lower risk of postoperative complications (p=0.003), (p=0.008), and (p=0.000), respectively. High-risk patients had pulmonary complications (RR=1.32, p=0.002) and neurological complications (RR=1.20, p=0.047). Conclusions: preoperative risk assessment promotes qualified care to reduce postoperative complications.

RESUMO Objetivos: avaliar o risco de complicações pós-operatórias em pacientes cardíacos. Métodos: pesquisa avaliativa, utilizando o Escore de Tuman, em prontuários de 70 pacientes adultos submetidos a cirurgia cardíaca em um Hospital Universitário. Foi utilizado o software R for Windows para as análises. A estatística descritiva e a análise bivariada foram utilizadas para verificar a associação entre escore de risco e complicações. O risco relativo entre o Escore de Tuman e as complicações pós-operatórias foi obtido por meio de regressão Quasi-Poisson, com intervalo de confiança de 95%. Resultados: predominou paciente do sexo masculino (58,57%), com idades entre 41-64 anos (50%), que realizaram Revascularização do Miocárdio (50%), e esses foram associados ao menor risco de complicações pós-operatórias (p=0,003), (p=0,008) e (p=0,000), respectivamente. Os pacientes de alto risco tiveram complicações pulmonares (RR=1,32 e p=0,002) e complicações neurológicas (RR=1,20 e p=0,047). Conclusões: a avaliação dos riscos pré-operatórios promove uma assistência qualificada para reduzir as complicações pós-operatórias.

O Diabetes Mellitus (DM) possui altos índices de morbimortalidade devido às suas complicações. Objetivo:Analisar a prevalência de amputações em indivíduos com DM, atendidos em um centro de referência em Salvador, Bahia. Método: Estudo transversal, com dados de 160 prontuários pessoas adultas com diabetes que sofreram ou não amputação, atendidos no serviço ambulatorial especializado. A análise dos dados foi realizada através do programa Statistical Package for the Social Sciences®. Os resultados são apresentados em frequências absolutas e relativas, teste χ2 e exato de Fisher, quando adequados, considerando significância de 5%. Resultados: A prevalência de amputação foi de 53,75%. Mostrou-se associada ao sexo masculino (p=0;00), tempo de diagnóstico de DM maior que 10 anos (p=0,046) e comorbidades metabólicas (p=0,047). Conclusão: As altas taxas de amputações no sexo masculino em idade produtiva, laboral, revelam a necessidade de controle do DM e suas comorbidades, assim como prevenção de lesões de pele que levam à amputação.

Diabetes Mellitus (DM) has high rates of morbidity and mortality due to its complications. Objective: To analyze the prevalence of amputations in individuals with DM treated at a referral center in Salvador, Bahia. Method: Cross-sectional study, with data from 160 medical records adult people with diabetes who suffered or not amputation, attended at the specialized outpatient service. Data analysis was performed using the Statistical Package for the Social Sciences®. The results are presented in absolute and relative frequencies, χ2 test and Fisher’s exact test, when appropriate, considering significance of 5%. Results: The prevalence of amputation was 53.75%. It was associated with male gender (p=0;00), time since diagnosis of DM greater than 10 years (p=0.046) and metabolic comorbidities (p=0.047). Conclusion: The high rates of amputations in males of productive and working age reveal the need to control DM and its comorbidities, as well as prevention of skin lesions that lead to amputation.