Histological biomarkers and microbiological parameters of an estuarine fish from the Brazilian Amazon coast as potential indicators of risk to human health.

This study aimed to isolate and identify pathogenic bacteria in the intestinal tract, skin, and muscles of Sciades herzbergii; detect histopathological changes in the gill and liver; and use these biomarkers for the assessment of potential risks to human health. Fish were sampled during the rainy and dry seasons at two points in São Marcos Bay, Maranhão, Brazil: Ilha dos Caranguejos (IC) and Porto Grande (PG). Isolation and quantification were carried out using COLItest®. Colonies were subjected to identification and phenotypic investigation of antimicrobial resistance using Vitek®. Gill and liver samples were subjected to routine histological examination. The results indicated the presence of Klebsiella pneumoniae and Escherichia coli, the latter of which showed phenotypic resistance to norfloxacin and gentamicin. Fish caught at PG exhibited more extensive gill and liver damage than fish caught at IC. The findings suggest that histological changes in target organs of S. herzbergii may be influenced by infection with pathogenic bacteria.

Correlation between baropodometric variables, disability, and intensity of low back pain in pregnant women in the third trimester.

BACKGROUND: Growth of uterus, enlargement of breasts and weight gain result from the development and growth of the fetus during pregnancy. The posture and the displacement of the center of gravity change. OBJECTIVE: Correlate baropodometric variables with low back pain in pregnant women in the third trimester of pregnancy. METHODS: This is a cross-sectional analytical study conducted in São Luís (MA, Brazil). For data collection, we used a form containing sociodemographic and clinical data, Oswestry Disability Questionnaire for disability evaluation of the lumbar spine, Numerical Rating Scale to measure pain intensity, and baropodometric evaluation. RESULTS: Twenty-five pregnant women took part in the study. There was a significant and positive correlation (r = 0.404, p = 0.045) between functional disability and hindfoot pressure and a significant and negative correlation (r = -0.404, p = 0.045) between functional disability and plantar pressure in the forefoot of the right foot. In addition, there was a positive and significant correlation between the intensity of pain and the contact area on the left (r = 0.504, p = 0.010) and right (r = 0.509, p = 0.009) foot. CONCLUSION: There is a relation between disability and plantar pressure and between pain intensity and area of contact of feet in pregnant women.

Avaliação do clima de segurança do paciente entre profissionais de enfermagem / Evaluación del clima de seguridad del paciente entre profesionales de enfermería / Assessment of patient safety climate among nursing professionals

RESUMEN Objetivo: Evaluar el clima de seguridad desde la perspectiva de los profesionales del equipo de enfermería que trabajan en las clínicas médicas y quirúrgicas de dos hospitales en el interior del estado de Maranhao, Brasil, después de realizar un entrenamiento sobre la seguridad del paciente. Material y método: Estudio con enfoque cuantitativo post-intervención que reclutó a 105 profesionales de enfermería que trabajaban en las clínicas médicas y quirúrgicas de dos hospitales. Después de una capacitación sobre la seguridad del paciente se aplicó el Cuestionario de Actitudes de Seguridad (SAQ). Resultados: Las puntuaciones de cada dominio de SAQ en las clínicas médicas y quirúrgicas de Açailândia e Imperatriz, respectivamente, fueron: clima de trabajo en equipo, 54,67 y 63,43; clima de seguridad, 57,25 y 53,99; satisfacción laboral, 81,67 y 80,59; percepción del estrés, 46,40 y 66,51; percepción de la gestión hospitalaria, 57,27 y 54,03; condiciones de trabajo, 57,27 y 51,02. En una escala con una puntuación máxima de 100 y una puntuación aceptable de 75, la puntuación final de la SAQ fue de 58,75 en Açailândia y 60,43 en Imperatriz, que se consideran bajas. Conclusión: Se identificaron deficiencias graves en el clima de seguridad con puntuaciones inferiores a 75 y la necesidad de aplicar eficazmente los protocolos de seguridad del paciente.

RESUMO Objetivo: Avaliar o clima de segurança sob a perspectiva dos profissionais da equipe de enfermagem, atuantes nas clínicas médica e cirúrgica de dois hospitais do interior do estado do Maranhão, Brasil, após realização de uma capacitação sobre segurança do paciente. Material e método: Estudo com abordagem quantitativa do tipo pós-intervenção que recrutou 105 profissionais de enfermagem atuantes nas clínicas médica e cirúrgica de dois hospitais. Após uma capacitação sobre segurança do paciente aplicou o Safety Attitudes Questionnaire (SAQ). Resultados: Os escores por cada domínio do SAQ nas clínicas médica e cirúrgica em Açailândia e Imperatriz respectivamente foram: clima de trabalho em equipe, 54,67 e 63,43; clima de segurança, 57,25 e 53,99; satisfação no trabalho, 81,67 e 80,59; percepção de estresse, 46,40 e 66,51; percepção da gerência do hospital, 57,27 e 54,03; condições de trabalho, 57,27 e 51,02. Em uma escala com escore máximo de 100 e aceitável de 75, o escore final do SAQ foi 58,75 em Açailândia e 60,43 em Imperatriz, que são considerados baixos. Conclusão: Identificaram-se graves deficiências no clima de segurança com escores abaixo de 75 e a necessidade da implantação, eficaz, dos protocolos de segurança do paciente.

ABSTRACT Objective: To evaluate the safety climate from the perspective of nursing team professionals working in the medical and surgical clinics of two hospitals in the interior of the state of Maranhão, Brazil, after conducting a training on patient safety. Materials and methods: Study with quantitative post-intervention approach that recruited 105 nursing professionals working in the medical and surgical clinics of two hospitals. After a training on patient safety, the Safety Attitudes Questionnaire (SAQ) was applied. Results: The scores for each SAQ domain in the medical and surgical clinics in Açailândia and Imperatriz, respectively, were: teamwork climate, 54.67 and 63.43; safety climate, 57.25 and 53.99; job satisfaction, 81.67 and 80.59; stress perception, 46.40 and 66.51; perception of hospital management, 57.27 and 54.03; working conditions, 57.27 and 51.02. On a scale with a maximum score of 100 and an acceptable score of 75, the final score of the SAQ was 58.75 in Açailândia and 60.43 in Imperatriz, which are considered low. Conclusion: Serious deficiencies in the safety climate were identified with scores below 75 and the need for effective implementation of patient safety protocols.