Burnout Syndrome in Selectable Athletes for the Brazilian Handball Team-Children Category.

To investigate the presence of burnout syndrome in child athlete tryouts for the Brazilian Handball Team, before and after the National Development and Technical Improvement Camp is of great interest. A correlational study, with longitudinal design of the before-and-after type, carried out with 64 male athletes in the children's category, immersed in the National Camp for Development and Improvement of Handball Technique, in the municipality of São Bernardo do Campo, São Paulo, Brazil, in December 2018. To evaluate burnout syndrome, we used the Athlete Burnout Questionnaire (ABQ). There was a statistically significant increase of the mean scores for burnout and dimensions (Physical and Emotional Exhaustion = 1.5 to 1.6; p-value < 0.001; Reduced Sense of Accomplishment = 2.7 to 2.9; p-value < 0.001; Sports Devaluation = 1.4 to 1.6; p-value < 0.001; and General Burnout = 1.9 to 2.0; p-value < 0.001). The athletes selected for the national team had lower mean scores for general burnout and dimensions (Physical and Emotional Exhaustion = 1.5; Reduced Sense of Accomplishment = 2.7; Sports Devaluation = 1.5; General Burnout = 1.9). The National Camp for Development and Technical Improvement can have a negative impact on the mental health of athletes. This event is important to select the competitors with greater ability to face the pressure and adversities present in the sport environment.

Lack of access to medications for hypertension and diabetes mellitus among aged from 2017 to 2019 in Brazil / Falta de acesso a medicamentos para hipertensão e diabetes mellitus entre idosos de 2017 a 2019 no Brasil

Objective: to identify sociodemographic and regional differences in the lack of access of aged Brazilians to medicines for hypertension and/or diabetes mellitus in the last 30 days, in the years 2017, 2018 and 2019, based on data from the Telephone-based Surveillance of Risk and Protective Factors for Chronic Diseases (VIGITEL). Methods: a population-based transversal study using data from VIGITEL. Were eligible the elderly (≥60 years) who answered affirmatively to the questions "In the past 30 days, did you have been without any hypertension medications for some time?", "In the past 30 days did you have been without any high to control diabetes for some time?", and "In the past 30 days, did you ran out of insulin?" Chisquared test was used to describe the prevalence of the outcome in accordance with the independent variables, and ajusted Poisson Regression was used to estimate the prevalence ratio and respective 95% confidence intervals (95% CI). Results: the prevalence of the outcome was 11.8% in 2017, 11.4% in 2018, and 11.2% in 2019. A higher prevalence of lack of access to medications for hypertension and diabetes mellitus was observed among elderly people of black/brown/yellow/indigenous skin color, less educated, beneficiaries of Bolsa Família, without private health plan and living in the Northeast and North regions.Conclusion: there was a small reduction in the lack of access to medication for hypertension and diabetes between 2017 and 2019. Furthermore, the results reveal inequality in access to these medicines

Objetivos: identificar diferenças sociodemográficas e regionais na falta de acesso de idosos brasileiros a medicamentos para hipertensão e/ou diabetes mellitus nos últimos 30 dias, nos anos de 2017, 2018 e 2019, com base nos dados da Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL). Métodos: estudo transversal de base populacional com dados do VIGITEL. Foram elegíveis os idosos (≥60 anos) que responderam afirmativamente às questões "'Nos últimos 30 dias, o(a) Sr.(a). ficou sem algum dos medicamentos para controlar a pressão alta por algum tempo?', 'Nos últimos 30 dias, o(a) Sr.(a). ficou sem algum dos medicamentos para controlar a diabetes por algum tempo?' e 'Nos últimos 30 dias, o(a) Sr.(a). ficou sem insulina?'". O teste qui-quadrado foi utilizado para descrever a prevalência do desfecho de acordo com as variáveis independentes e a Regressão de Poisson ajustada foi utilizada para estimar a razão de prevalência e respectivos intervalos de confiança de 95% (IC 95%). Resultados: a prevalência do desfecho foi de 11,8% em 2017, 11,4% em 2018 e 11,2% em 2019. A prevalência de falta de acesso a medicamentos para hipertensão e diabetes mellitus foi maior entre os idosos de cor da pele preta/parda/amarela/indígena, com menor escolaridade, beneficiários do Bolsa Família, sem plano privado de saúde e residentes nas regiões Nordeste e Norte. Conclusão: houve uma pequena redução na falta de acesso a medicamentos para hipertensão e diabetes entre 2017 e 2019. Além disso, os resultados revelam desigualdade no acesso a esses medicamentos

Analysis of access to health services in Brazil according to sociodemographic profile: National Health Survey, 2019. / Análise do acesso a serviços de saúde no Brasil segundo perfil sociodemográfico: Pesquisa Nacional de Saúde, 2019.

OBJECTIVE: to describe the access to and utilization of health services among the Brazilian population according to sociodemographic characteristics, based on the 2019 National Health Survey (Pesquisa Nacional de Saúde - PNS). METHODS: this was a cross-sectional descriptive study based on a PNS sample; the prevalence and respective confidence intervals of data stratified by sex, schooling, age and national macro-region of residence were calculated; data were analyzed using Stata software version 16.1. RESULTS: a total of 293,725 individuals were interviewed; males showed lower proportion of medical consultations (66.6%) and were less likely to seek care (17.6%); among those living in the North region, 69.1% had medical consultations; 16.5% of individuals with low level of education obtained medication through the Brazilian Popular Pharmacy Program. CONCLUSION: the results reinforce iniquities in access to and utilization of health services, in addition to the need for monitoring indicators in order to guide health policies in Brazil.

Perfil e distribuição espacial de óbitos por COVID-19 no município de Rio Grande/RS em 2020 / rofile and spatial distribution of COVID-19 deaths in the municipality of Rio Grande/RS in 2020

Objetivo: Descrever o perfil de óbitos por COVID-19 no município de Rio Grande, Rio Grande do Sul, Brasil. Metodologia: Trata-se de um estudo transversal, descritivo, com dados oriundos do banco de óbitos da Vigilância Epidemiológica, registrados no período de março a dezembro de 2020. Resultados: Dos 194 óbitos, a maioria era do sexo masculino (63,4%), com 60 anos ou mais (82,5%), de cor da pele branca (82,5%), residentes na região central histórica do município (11,3%). Quanto à ocupação, a maior ocorrência de óbitos foi entre os aposentados (69,5%), seguido por comerciante ou autônomo (17,7%). Com relação às morbidades, 38,7% tinha cardiopatias, 29,4% hipertensão arterial sistêmica, 28,0% diabetes mellitus e praticamente a metade dos indivíduos tinha multimorbidade (49,0%). Conclusões: Com a identificação do perfil de óbitos por COVID-19 no município de Rio Grande no período de março a dezembro de 2020, esses dados podem contribuir para auxiliar os gestores no planejamento de ações estratégicas e educativas de prevenção e combate à COVID-19, principalmente no direcionamento de grupos prioritários nas campanhas de vacinação (AU)

Objective: Describe the COVID-19 death profile in the city of Rio Grande, Rio Grande do Sul, Brazil. Methods: This is a cross-sectional descriptive study using data from the Epidemiological Surveillance service deaths database of deaths notified from March to December 2020. Results: Of the 194 deaths, most were male (63.4%), aged 60 years or more (82.5%), of white skin color (82.5%), and living in the central historic district of the city (11.3%). With regard to occupation, the highest occurrence of deaths was among retirees (69.5%), followed by tradesmen or the self-employed (17.7%). Regarding morbidities, 38.7% had heart disease, 29.4% hypertension, 28.0% diabetes mellitus, and practically half of the individuals had multiple morbidities (49.0%). Conclusions: We identified the profile of COVID-19 deaths in the city of Rio Grande in the period from March to December 2020. These data can help health service managers to plan strategic and educational actions to prevent and combat COVID-19, mainly by targeting priority groups in vaccination campaigns

Análise do acesso a serviços de saúde no Brasil segundo perfil sociodemográfico: Pesquisa Nacional de Saúde, 2019 / Análisis del acceso a los servicios de salud en Brasil según perfil sociodemográfico: Encuesta Nacional de Salud, 2019 / Analysis of access to health services in Brazil according to sociodemographic profile: National Health Survey, 2019

Objetivo: descrever o acesso e a utilização de serviços de saúde na população brasileira segundo características sociodemográficas, de acordo com a Pesquisa Nacional de Saúde (PNS) 2019. Métodos: estudo descritivo transversal, a partir de amostra da PNS; foram calculadas as prevalências e respectivos intervalos de confiança dos dados, estratificados por sexo, escolaridade, idade e macrorregião nacional de residência; os dados foram analisados utilizando-se o software Stata versão 16.1. Resultados: foram entrevistados 293.725 indivíduos; os do sexo masculino apresentaram menores proporções de consulta médica (66,6%) e de procura por atendimentos de saúde (17,6%); entre aqueles residentes na região Norte, 69,1% realizaram consulta médica; 16,5% dos indivíduos menos escolarizados obtiveram medicamentos pelo Programa Farmácia Popular. Conclusão: os resultados reforçam as iniquidades no acesso e na utilização dos serviços de saúde, além da necessidade de monitoração dos indicadores, para orientar políticas de saúde no Brasil.

Objetivo: describir el acceso y uso de servicios de salud en la población brasileña según indicadores sociodemográficos de la Encuesta Nacional de Salud (Pesquisa Nacional de Saúde - PNS) 2019. Métodos: estudio descriptivo transversal con base en muestra de la PNS. Se calcularon prevalencias e intervalos de confianza para datos estratificados por sexo, escolaridad, edad y macrorregión. Datos analizados en el software Stata versión 16.1. Resultados: 293.725 personas fueron entrevistadas; personas de sexo masculino tenían menor proporción de consulta médica (66,6%) y buscaban menos atención médica (17,6%). Entre los residentes en región Norte, 69,1% acudió a consulta médica. 16,5% de las personas con menor nivel educativo obtuvieron medicamentos mediante el Programa de Farmacia Popular. Conclusión: los resultados refuerzan las inequidades en uso y acceso a servicios de salud en Brasil y la necesidad de monitorear indicadores para orientar políticas de salud.

Objective: to describe the access to and utilization of health services among the Brazilian population according to sociodemographic characteristics, based on the 2019 National Health Survey (Pesquisa Nacional de Saúde - PNS). Methods: this was a cross-sectional descriptive study based on a PNS sample; the prevalence and respective confidence intervals of data stratified by sex, schooling, age and national macro-region of residence were calculated; data were analyzed using Stata software version 16.1. Results: a total of 293,725 individuals were interviewed; males showed lower proportion of medical consultations (66.6%) and were less likely to seek care (17.6%); among those living in the North region, 69.1% had medical consultations; 16.5% of individuals with low level of education obtained medication through the Brazilian Popular Pharmacy Program. Conclusion: the results reinforce iniquities in access to and utilization of health services, in addition to the need for monitoring indicators in order to guide health policies in Brazil.

Evaluation of the functional capacity and quality of life of children and adolescents during and after cancer treatment.

OBJECTIVE: To evaluate the functional capacity and quality of life of children and adolescents during cancer treatment and post-treatment. METHODS: Cross-sectional study of patients during cancer treatment and post-treatment, assessed by the 6-minute walk test (6MWT) and the Pediatric Quality of Life ™ questionnaire (cancer module). RESULTS: Sixty-five patients, aged 11.2±3.5 years, mostly males (50.8%) and white (90.8%), with high incidence of hematological cancers (81.5%) participated in the study. The performance in the 6MWT was 23.1% inferior comparing the mean predicted and achieved (584.3±5 and 447.7±78.6 m, respectively). The percentage difference between the predicted and achieved 6MWT, and the different phases of cancer treatment were significantly different between patients in treatment (73.7±12.8) and post-treatment (84.5±9.1). When grouped by the different diagnoses, it was possible to observe that the distance covered by the patients with leukemia showed results closer to that predicted (80.7±11.7). Regarding the health-related quality of life questionnaire (HRQL), the child's perception (78.0±14.56) was better than that reported by their parents (72.4±17.74). However, when we compared HRQL with the 6MWT, there was no association between them (p=0.597). CONCLUSIONS: Children and adolescents undergoing cancer treatment or post-treatment showed a 23% deficit in functional capacity. In relation to HRQL results, children's perception was higher than that of their parents.