Spatial distribution of malaria and primary healthcare in Cametá and Tucuruí, Pará state, Brazil.

INTRODUCTION: Malaria cases in Brazil are concentrated in the Amazon region. In the state of Pará, malaria is considered an endemic disease, and the population has different levels of exposure, which contributes to different types of occurrence in the municipalities. METHODOLOGY: A descriptive, cross-sectional, and ecological study was conducted using data from the Malaria Epidemiological Surveillance System of the municipalities of Cametá and Tucuruí, PA, Brazil, from 2014 to 2018; the Brazilian Institute of Geography and Statistics; and the National Registry of Health Institutions of the Ministry of Health. Statistical and spatial analyses of epidemiological, laboratory and public health service coverage variables were performed using the Bioestat 5.0 and ArcGis 10.5 software. RESULTS: 11,381 Malaria cases were reported in the two municipalities. The highest percentage of case notifications was reported in brown-skinned men aged from 19 and 59 years, and who had primary education levels. The predominant occupations were farming and livestock in Cametá and domestic activity in Tucuruí. The most common diagnostic examination used was a thick blood smear, and Plasmodium vivax was the species most often encountered. The percentage of primary care coverage increased during the study period. The spatial distribution of the disease was not homogeneous, and there were clusters of cases with different densities in Cametá and Tucuruí. CONCLUSIONS: Malaria is a public health problem in the municipalities of Cametá and Tucuruí, because of its transmission dynamics and variable spatial distribution as well as the coexistence of factors that favor the exposure of resident populations to epidemiological situations, thus reflecting health inequities.

Relação de Trabalho entre Enfermeiros Obstétricos e Doulas na Assistência ao Parto / The work relationship between obstetric nurses and doulas in assistance to childbirth / La relación de trabajo entre enfermeros obstétricos y doulas en la asistencia al parto

Objetivo: O estudo objetiva descrever a relação de Enfermeiros Obstétricos e Doulas na assistência ao trabalho de parto e parto. Métodos: Estudo qualitativo, descritivo e prospectivo, realizado no Centro de Parto Normal localizado em Castanhal, com sete Enfermeiras Obstétricas e três Doulas. Os dados foram coletados entre dezembro/2017 e maio/2018, por meio de entrevista semiestruturada e Análise de Conteúdo de Bardin. Resultados: Emergiram as seguintes categorias: Assistência holística à gestante; A Enfermagem Obstétrica e as Doulas: o desafio no entrecruzar de práticas; Associação de práticas na assistência ao parto normal. Conclusão: Apesar dos relatos evidenciados de conflitos entre as Doulas e as Enfermeiras Obstétricas, é possível identificar uma boa relação na associação de práticas proporcionando benefícios à parturiente. (AU)

Objective: The study aims to describe the relationship between Obstetric Nurses and Doulas in assisting labor and delivery. Methods: A qualitative, descriptive and prospective study, carried out with seven Obstetric Nurses and three Doulas. Data were collected between Dec 2017 to May 2018, through a semi-structured interview and Bardin Content Analysis. Results: The speeches were classified into the following categories: Holistic care for pregnant women; Obstetric Nursing and Doulas: the challenge in the intertwining of practices; Association of practices in assisting normal delivery. Conclusion: Despite the evidences of conflicts between the Doulas and the Obstetric Nurses, it is possible to identify a good relation in the association of practices providing benefits to the parturient. (AU)

Objetivo: El estudio objetivó describir la relación de Enfermeros Obstétricos y Doulas en la asistencia al trabajo de parto y parto. Métodos: Estudio cualitativo, descriptivo y prospectivo, realizado en el Centro de Parto Normal ubicado en Castanhal, con siete Enfermeras Obstétricas y tres Doulas. Los datos fueron recolectados entre diciembre/2017 y mayo/2018, por medio de entrevista semiestructurada y Análisis de Contenido de Bardin. Resultados: Se plantearon las siguientes categorías: Asistencia holística a la gestante; La Enfermería Obstétrica y las Doulas: el desafío en el entrecruzar de prácticas; Asociación de prácticas en la asistencia al parto normal. Conclusion: A pesar de los relatos evidenciados de conflictos entre las Doulas y las Enfermeras Obstétricas, es posible identificar una buena relación en la asociación de prácticas proporcionando beneficios a la parturienta. (AU)

Análise do grau de autonomia de residentes em uma Instituição de Longa Permanência / Analysis of elderly autonomy degree of residents in Long Term Care / Análisis del grado de autonomía de residentes en una Hogares para Ancianos

Estudo descritivo/quantitativo realizado no período de novembro e dezembro de 2015. A coleta de dados se deu com 22 institucionalizados por meio da aplicação das escalas de Katz e Lawton & Brody. Constatou-se predomínio da independência para AVD (81,8%) na escala de Katz, divergindo da escala de Lawton & Brody, que evidenciou grau moderadamente dependente (81,8%) para atividades instrumentais de vida diária. Haja vista os dados, observa-se que o grau de funcionalidade exige maior atenção visando à qualidade de vida no envelhecimento.

Descriptive/quantitative study accomplished between November and December of 2015. The data collection has been made with 22 institutionalized people by applying of Katz and Lawton & Brody scales. As became evident the independence to Activities of Daily Living (ADL) (81,8%) in Katz scale diverging of Lawton & Brody scale that showed low function, dependent (81,8%) to Activities Of Daily Living (IADL). Considering the data of functionality degree observed that it requires greater attention aiming aging quality.

Estudio descriptivo/cuantitativo cumplido entre noviembre y diciembre de 2015. Los datos fueron recolectados con 22 institucionalizado mediante la aplicación de las escalas de Katz y Lawton y Brody.  Observado predominio de la independencia de las AVD (81,8%) en la escala de Katz que divergen de Lawton y Brody escala que mostraron moderadamente grado dependiente (81,8%) para AIVD. En vista de los datos se observa que el grado de funcionalidad requiere mayor atención que buscan calidad en el envejecimiento.