Liver Donations and Transplants in the State of Paraná, Brazil.

BACKGROUND: The increase in the waiting list for a liver and the high mortality rate of patients with terminal liver disease represent serious public health problems in Brazil. OBJECTIVE: To analyze donations and liver transplants in the State of Paraná, Brazil. METHOD: A cross-sectional study was carried out with data from 3931 reports of deaths due to brain death and 8146 solid organ transplants made available by the State Transplant System of Paraná between 2011 and 2016. The data related to donation and liver transplantation were analyzed using descriptive statistics and inference. RESULTS: A total of 751 (28.9%) liver donations were carried out. Of these, the greatest chance of effectiveness occurred in patients younger than 50 years OR: 1.94 (CI: 1.60-2.34; P < .01) and male OR: 1.27 (CI: 1.06-1.52; P < .01). A total of 720 (8.8%) liver transplants were performed, most of which were funded by the Unified Health System. There was a significant increase in donations and liver transplants over the years. CONCLUSION: Donor numbers and liver transplants increased in the State but did not meet the need for the waiting list within the analyzed period.

Organ and Tissue Donations for Transplants in the Macroregional North of Paraná, Brazil.

BACKGROUND: Few studies have analyzed the results of the organ and tissue donation process for transplants. OBJECTIVES: To analyze donations of organs and tissues for transplants in the Macroregional North of Paraná. MATERIAL AND METHODS: Cross-sectional and retrospective study, using data from 7383 death certificates of eligible donors notified in 2015 by 16 hospitals accredited to the Organ Procurement Organization. The data were analyzed using the prevalence ratio (PR) and the Wald test. RESULTS: Among the 934 eligible donors, the prevalence of effective donations was 23.4% (219) Among the 582 organs and tissues donated, corneas were predominant. Organs became available for donation from younger individuals (PR = 0.992), due to brain death (PR = 2.482), notified by the type III Intra-Hospital Organ and Tissue Donation Commissions for Transplants (PR = 2.016), which took place in intensive care units (PR = 1.471). The relatives interviewed were the partners and/or children (PR = 0.469), and the interviews were held by the nurse (PR = 1.324). CONCLUSION: Effective donations were able to take place through proper organizational structure and trained human resources, highlighting the role of the nurse in the optimization of the organ and tissue donation process for transplants.

Causas da aposentadoria por invalidez de servidores públicos / Causes of disability retirement of public servants

Objetivo: identificar o perfil sociodemográfico e ocupacional de servidores, as causas da aposentadoria por invalidez e dos óbitos. Método: estudo transversal desenvolvido com servidores aposentados por invalidez de uma universidade pública do Sul do Brasil, no período de janeiro de 2000 a fevereiro de 2015. Utilizou-se um instrumento contendo questões sobre perfil sociodemográfico e ocupacional, motivos da aposentadoria e causas dos óbitos. Resultados: população constituída por 78 servidores, destes 28% foram a óbitos. Verificou-se que 57,1% eram do sexo masculino. A maioria dos indivíduos que se aposentaram exerciam suas funções laborais no âmbito hospitalar. As causas da aposentadoria estiveram relacionadas aos transtornos mentais e comportamentais, doenças cerebrovasculares, lesão de esforços repetitivos e demência na doença de Alzheimer. Apenas um óbito esteve relacionado com a causa da aposentaria. Conclusões: é preciso implementar intervenções para promover a saúde, prevenir doenças, diminuir aposentadorias precoces e por consequência melhorar a qualidade de vida.

Objective: to identify the causes of disability retirement and the relation to death. Method: this isa cross-sectional descriptive study that was developed with retired employees by disability of apublic university in the South of Brazil, from January 2000 to February 2015. A questionnaire wasused, which contained sociodemographic and occupational questions, retirement reasons and causesof death. Results: the population consisted of 78 employees, 28% died. It was found that 57.1% weremale and 42.9% female. Most of the individuals who retired exercised their job roles in the hospitalsetting. The causes of retirement were related to mental and behavioral disorders, cerebrovascular diseases, repetitive strain injury and dementia in Alzheimer's disease. Only one death was relatedto the cause of retirement. Conclusions: it is necessary to implement interventions to promotehealth, prevent diseases, reduce early retirement and, consequently, improve quality of life.