La pandemia en un hospital universitario en el norte del Brasil / The Pandemic in a University Hospital in Northern Brazil

Se vive la más reciente e importante pandemia de la historia mundial, causada por el nuevo coronavirus (SARS-CoV2), que ha tenido un impacto significativo tanto en la economía como en la salud pública y, en particular, en la salud mental de toda la sociedad brasileña. El estado de Tocantins, en el Norte de Brasil, posee un hospital universitario que recibe casos moderados de pacientes sospechosos o confirmados de COVID-19, causando un impacto significativo en el enfrentamiento del escenario actual. Este artículo propone una reflexión frente al contexto vivido, describiendo la epidemiología regional y local, así como subraya las acciones desarrolladas en el ámbito psicológico(AU)

The most recent and important pandemic in world history is being experienced, caused by the new coronavirus (SARS-CoV2), which has had a significant impact on both the economy and public health and, in particular, on the mental health of all Brazilian society. The state of Tocantins, in the North of Brazil, has a university hospital that receives moderate cases of suspected or confirmed COVID-19 patients, causing a significant impact on the confrontation of the current scenario. This article proposes a reflection on the lived context, describing regional and local epidemiology, as well as highlighting the actions developed in the psychological field(AU)

Particularities and Clinical Applicability of Saccharin Transit Time Test.

Introduction The importance of mucociliary clearance (MCC) for the respiratory system homeostasis is clear. Therefore, evaluating this defense mechanism is fundamental in scientific research and in the clinical practice of pulmonology and of associated areas. However, MCC evaluation has not been so usual due to the complexity of methods that use radiolabeled particles. Nevertheless, as an interesting alternative, there is the saccharin transit time (STT) test. This method is reproducible, simple to perform, noninvasive, does not demand high costs, and has been widely used in studies of nasal MCC. Although the STT test is widely used, there is still lack of a detailed description of its realization. Objective The present literature review aims to provide basic information related to the STT test and to present the findings of the previous studies that used this method, discussing variations in its execution, possible influences on the obtained results and limitations of the method, as well as to relate our experience with the use of STT in researches. Data Synthesis There are several factors that can alter the results obtained from STT tests, which would raise difficulties with proper interpretation and with the discussion of the results among different studies. Conclusions Saccharin transit time is a widely used method for the evaluation of nasal MCC, and therefore, the standardization related to the previous and concurrent to test orientations, and also its execution, become essential to improve its accuracy, and allow comparisons among different studies.

Particularities and clinical applicability of saccharin transit time test

Introduction: The importance ofmucociliary clearance (MCC) for the respiratory system homeostasis is clear. Therefore, evaluating this defense mechanism is fundamental in scientific research and in the clinical practice of pulmonology and of associated areas. However, MCC evaluation has not been so usual due to the complexity ofmethods that use radiolabeled particles. Nevertheless, as an interesting alternative, there is the saccharin transit time (STT) test. This method is reproducible, simple to perform, noninvasive, does notdemand high costs, and has been widely used in studies of nasalMCC. Although the STT test is widely used, there is still lack of a detailed description of its realization. Objective: The present literature review aims to provide basic information related to the STT test andto present the findings of the previous studies that usedthismethod, discussing variations in its execution, possible influences on the obtained results and limitations of the method, as well as to relate our experience with the use of STT in researches. Data Synthesis: There are several factors that can alter the results obtained from STT tests, which would raise difficulties with proper interpretation and with the discussion of the results among different studies. Conclusions: Saccharin transit time is awidely usedmethod for the evaluation of nasal MCC, and therefore, the standardization related to the previous and concurrent to test orientations, and also its execution, become essential to improve its accuracy, and allow comparisons among different studies (AU)

Motivos da não adesão de crianças à campanha de vacinação contra a influenza / Motivos de no adhesión de niños a la campaña de vacunación contra la influenza / Motives for non-adherence of children to the vaccination campaign against influenza

Objetivo: conhecer os motivos da não adesão dos pais/responsáveis de crianças à campanha de vacinação contra a influenza. Método: pesquisa quantitativa, tipo descritiva. Critérios de inclusão: pais ou responsáveis de crianças de 6 meses até 4 anos, residentes no município de Joinville. Foram entrevistados 380 responsáveis de crianças entre 6 meses e 4 anos, por meio de questionário semiaberto, em 2016, e realizada análise descritiva dos dados. Resultados: a campanha atingiu a meta, com 89% das crianças vacinadas. Os motivos da não adesão à campanha foram: medo da reação adversa (21; 51,3%); informação de que a criança estava gripada (10; 24,3%); e desconhecimento sobre a Campanha cinco (12,4%). Conclusão: a enfermagem tem papel fundamental na elaboração, planejamento e execução das campanhas de vacinação. Este estudo evidenciou a necessidade de melhorar as estratégias de educação em saúde referentes à vacinação contra o vírus da influenza e ampliar o acesso na Atenção Primária.

Objetivo: Conocer los motivos de no adhesión de padres/responsables de niños a la campaña de vacunación contra la influenza. Método: Investigación cuantitativa, descriptiva. Criterios de inclusión: Padres o responsables de niños de 6 meses a 4 años, residentes en municipio de Joinville. Fueron entrevistados 380 responsables de niños de entre 6 meses y 4 años, utilizándose cuestionario semiabierto en 2016, realizándose análisis descriptivo de los datos. Resultados: La campaña alcanzó la meta, 89% de los niños fue vacunado. Los motivos de no adhesión a la campaña fueron: Temor a reacciones adversas (21; 51,3%); información de que el niño estaba engripado (10; 24,3%); desconocimiento sobre la Campaña (5; 12,4%). Conclusión: Enfermería juega un rol fundamental planificando y ejecutando las campañas de vacunación. Este estudio evidenció necesidad de mejorar estrategias educativas en salud respecto de la vacunación contra el virus de la influenza, y de incrementar el acceso a la Atención Primaria.

Objective: get to know the reasons for non-adherence of parents/responsible caregivers of children to the vaccination campaign against influenza. Method: quantitative and descriptive research. Inclusion criteria: parents or responsible caregivers of children between six months and up to four years of age, living in the city of Joinville. Interviews were held with 380 responsible caregivers of children aged between six months and four years, using a semi-open questionnaire, in 2016, and the descriptive analysis was applied to the data. Results: the campaign reached the target, with 89% of the children being vaccinated. The reasons for non-adherence to the campaign were: fear of adverse reaction (21; 51.3%); information that the child had the flue (10; 24.3%); and not knowing about the campaign (5; 12.4%). Conclusion: nursing plays a fundamental role in the elaboration, planning and execution of vaccination campaigns. This study evidenced the need to improve the health education strategies concerning vaccination against the influenza virus and to broaden the access to Primary Health Care.