Introduction: hospital care for indigenous children's health demands a sensitive and culturally adapted approach, recognizing the ethnic and cultural specificities of these communities. This approach is fundamental to guaranteeing the promotion of the integral well-being of indigenous children and their families, throughout the entire process, from hospitalization to hospital discharge. Objective: to analyze the dynamics of care for indigenous children at Hospital da Criança Santo Antônio (HCSA), from the perspective of health professionals. Material and Method: descriptive study, with a qualitative approach, carried out at the Hospital da Criança Santos Antônio (HCSA), located in the municipality of Boa Vista, state of Roraima. 16 professionals who work at HCSA and who provide assistance to the indigenous population directly or indirectly participated. A semi-structured interview form was used, with questions pertinent to the characterization of professionals and perception regarding indigenous health and humanization policies inserted in the hospital. The data were transcribed and, subsequently, Bardin's content analysis technique was used using the Iramuteq software. The study was submitted to the Research Ethics Committee and approved. Results: indigenous health care faces a series of challenges that directly impact the quality and effectiveness of the services provided. These include discontinuity in care, a shortage of qualified health professionals and a lack of interpreters, which makes access to adequate care difficult, mainly due to linguistic and cultural barriers. The participants' reports point to the need for courses and training aimed at health professionals, as well as the (re)planning of physical spaces aimed at the well-being and recovery of indigenous patients. Final considerations: this study reinforces the need for health managers and authorities to act assertively in the implementation of policies and programs aimed at improving indigenous health care, especially in the hospital environment.

The Coronavirus-19 causes severe acute respiratory syndrome (SARS-CoV-2). Highly infectious and transmissible, COVID-19 has had a major impact on all health systems around the world. This work analyzes the morbidity and mortality of patients intubated due to COVID-19, undergoing surgical tracheostomy from April 2020 to April 2022, identifying factors associated with a worse prognosis. This is a retrospective study, where 192 medical records were analyzed at the General Hospital of Roraima. The main related prognostic factors were age (mainly elderly patients over 60 years old) p<0,000, the need for dialysis during ICU stay (p<0,000), patients with comorbidities (especially diabetes) (p<0,05). However, other factors such as BMI, the presence of obesity, sex, and high blood pressure alone were not confirmed as prognostic factors in these cases. Although early tracheostomy is not associated with a better prognosis in all cases, it has been shown to be associated with a shorter length of stay in the ICU, with an average of 8 days and less.

The Provision of Hospital Care represents one of the foundations of the National Hospital Care Policy, and must be shaped according to the needs of the population to overcome the limitations of the disease-centered care model. Within this context, several professionals play crucial roles, with social workers standing out. This study aims to problematize how hospital care is provided to Venezuelan migrants in the social service routine of the Hospital das Clínicas Dr. Wilson Franco Rodrigues in Boa Vista/Roraima. The research, qualitative and descriptive, used methods such as documentary research and participant observation, including semi-structured interviews with social service professionals. The sample consisted of six subjects directly involved in serving Venezuelan immigrants, distributed across morning, afternoon and night shifts. Data analysis was conducted using content analysis. The documentary research helped to classify the hospital unit's actions according to the health policy for immigrant users, while also identifying the main demands of these immigrants during the period of hospitalization from 2018 to 2023. It was observed that social services played a crucial role in guaranteeing hospital care for Venezuelan migrant patients. The predominance of demand focuses on the economic vulnerability of these users, related to the scarcity of clothing and personal hygiene products, precarious housing and the need for coordination with bodies to enable access to benefits such as Bolsa Familia and Continuous Payment Benefit (BPC) . However, the need to review communication between the multidisciplinary team is highlighted, as this gap impacts the final result of user care. It is concluded that the hospital unit must improve care practices, as well as the organization and provision of hospital services. Coordination between the institutions involved for these users would provide greater resolution to the problems faced by patients, avoiding prolonged hospitalizations and dilemmas in hospital care.

Post-COVID-19 sequelae usually appear in more severe cases of the disease, especially those who have been hospitalized, however, loss or functional impairment of the individual may occur, even in milder cases that underwent treatment through medication and social isolation. The impact of post-COVID-19 patient sequelae affects their professional performance, social life and daily activities, in addition to altering their respiratory, cardiac, musculoskeletal, psychological and/or neurological systems, increasing sedentary lifestyle and, consequently, comorbidities. This study aims to analyze the consequences, the impact on the work sector, the quality of life and the full physical well-being of health professionals at the General Hospital of Roraima - HGR working in the Intensive Care Units - ICUs of both sexes. after Covid-19 contamination. The method of this research was descriptive and with a qualitative and quantitative approach, with a prospective, cross-sectional and analytical design. The technical process for preparing the research will be divided into 7 (seven) stages, from preparing the free consent form to preparing the technical product of this project. As a sample, the number of questionnaires should be 244, however, due to the difficulty in participating among employees, the change in relation to hiring those selected since the pandemic, the number of employees who met the inclusion criteria was lower, being equivalent to 143 Regarding the results, 13 analyzes were carried out seeking to compare which sex suffered the most contagion, which profession had the greatest contagion and severity, which was the most common symptom, whether specialized treatment was sought, which sequelae, comorbidity and most common pathology these employees presented after covid. -19, how is your quality and lifestyle according to your perception after the pandemic. We can therefore see that despite still needing further study, the employees at the General Hospital of Roraima presented several sequelae such as carpal pain, memory loss, weight gain and mainly anxiety and insomnia. Furthermore, a third of the sample reported that their life had changed for the worse, which would directly affect their quality of life. Knowing that improving this point in general, it is ideal to offer more specific guidance, as well as develop a project within the workplace aimed at caring for hospital employees. It is known that the introduction of physical activity, elaborate gymnastics work and even the check-up of employees would be a factor directly linked to public service. Also remembering that this care should not only apply to the workplace, but rather to the entire group of employees and their work unit.

Arboviruses are diseases caused by viruses transmitted by hematophagous arthropods and produce viremia in susceptible vertebrate hosts that, in turn, are capable of transmitting to other individuals at the time of a blood meal. Arboviruses are zoonoses maintained in wild environments where the tropical climate and anthropic factors such as deforestation, construction of dams, mining, mining and opening of roads provide a favorable environment for their maintenance and outbreaks in the North region. The state of Roraima has borders with the states of Amazonas and Pará, and countries such as Guyana and Venezuela, the latter experiencing a current humanitarian and migratory crisis with a history of reemergence of the Mayaro arbovirus. Regular studies are focused on the circulation of dengue and yellow fever, however the scarcity of data regarding other arboviruses associated with the numbers of notifications for dengue and which obtained negative results by the Central Laboratory of Public Health of the State of Roraima (LACEN-RR) for research for detection of NS1 antigen and IgM antibody by the ELISA method highlight the importance of this study in terms of expansion of the research for other viruses, since the clinical diagnosis becomes difficult because they have symptoms similar to those of dengue. The study aims to determine the arboviruses circulating in the state of Roraima (CHIKV, OROV, MAYV, ZIKV and DENV 1-4) from samples of patients with negative diagnoses for dengue through the NS1 technique performed by LACEN-RR, in the period 2020 and 2021, using RT-PCR in real time. The experimental part was carried out at the Laboratory of Emergent Viruses – LEVE of the Institute of Biology of the State University of Campinas (LEVE-IB-UNICAMP) in partnership with the Laboratory of Molecular Biology of the Federal University of Roraima (LaBMol) and had LACEN-RR as co-participating institution, where 132 samples were analyzed from the proposed years with non-reactive results for NS1 and that presented febrile syndrome and other symptoms characteristic of the disease in the acute period of the disease (up to the 5th day of the onset of symptoms) from the LACEN-RR. Knowing the greater sensitivity of the qPCR technique, the samples underwent a process of viral RNA extraction and quantification of the extracted product, and subsequently submitted to reverse transcription to obtain the cDNA. First, qPCR was performed for CHIKV, followed by OROV, MAYV, ZIKV and DENV1, 2, 3, 4. There were 3 positive results for MAY, 8 for DENV, 3 for DENV1 and 5 for DENV2. No positive samples were found for CHIK, OROV and ZIKV. It is extremely important to know the circulating arboviruses in the State of Roraima, with the help of differential laboratory diagnosis using more sensitive techniques, allowing the Health Surveillance bodies to outline strategies and actions to control emerging and reemerging arboviruses in the State of Roraima.

The Diego blood system was first described in 1955 by Miguel Layrisse in a case of perinatal hemolytic disease in a baby in Venezuela. Layrisse largely published his finds about Diegoa (Diª) antigen, evaluating its frequency in various population around the world and contributing in a very relevant way to the characterization of the Diego system. Since then, 23 antigens of the Diego system have been cataloged, most of which are of low frequency in the world population. Diego is the number 10 blood antigen system, cataloged by the International Society of Blood Transfusion, having its location in the SLC4A1 gene (band 3), on chromosome 17q21.31, with 20 exons being Diegoa (Di a ) prevalent in the South American population, Native Americans, Japanese and Chinese. The aim of this project was to establish the prevalence of the Di a antigen in the population of blood donors in Roraima, as well as to draw a socio-epidemiological profile of the tested donors. The proposed methodology was the phenotyping of the Di a antigen using blood donor plasma with anti-Di a alloantibody through immunohematological compatibility tests due to the high cost and availability of commercial serum for the phenotyping of this antigen, in a prospective cross-sectional study. Technical material such as validation protocols, validation reports and standard operating procedure were prepared with the technique used, as well as suggestions for identification and use of Di a+ red blood cell concentrates. The prevalence for the Di a antigen was 9.54% in the tested donors. Of the “O” individuals tested, there was a predominance of O+ donors, male, aged between 30 and 39 years, the most commonly found self-reported ethnicity was Caucasian and Brazilian Caucasian, the antigen most frequently was “k” and the least frequently was “Kp a” . The use of the phenotyping technique for Di a with non-commercial serum was standardized and validated, with 100% agreement between the results obtained in the screening and with tests performed with commercial serum, being effective in screening for this phenotype, allowing phenotyping of a large number of donors and contributing to prophylaxis against alloimmunization, especially for women and patients on a chronic transfusion regimen.

Since their conception, living beings need adequate nutrients for their full development and maintenance, in all stages of life. The reduction in nutritional intake usually leads to malnutrition, compromising, especially in children, their full development and in many cases, early death occurs due to secondary preventable diseases. Both in Brazil and around the world, malnutrition still has high rates, especially among populations where access to food and drinking water is not equal for everyone. In this sense, this study aimed to evaluate the nutritional profile of children under five years of age in a Special Indigenous Sanitary District in northern Brazil, seeking to assess possible correlations with preventable causes of mortality in this population. It was a retrospective study, evaluating secondary data publicly available through the Electronic Citizen Information System of the federal government, related to anthropometric and nutritional variables of the target population. The results obtained showed high concomitant rates of malnutrition and obesity. It was also observed that distance from the Headquarters exerts a direct influence on the weight and height of individuals, showing that the further away from the Headquarters, the smaller these variables, as well as the related anthropometrics. Therefore, it can be concluded in relation to the nutritional profile of the children evaluated in this work that they present both malnutrition and obesity, compromising their development and health throughout life, indicating an intense process of food transition.

Childhood and adolescence are stages of life full of transformations, highlighting physiological changes such as accelerated bone and muscle growth, where the anatomical structures of the body undergo postural accommodations and adaptations. The so-called phase of growth stifl, or change of height, with peak at 9 years in girls and 11 in boys, coincides with the school period. At this stage, muscles and tendons are not always able to keep up with bone growth, which contributes to the emergence of postural changes and spinal pain, influenced by bad postural habits acquired in the daily life of the human being. In this context, the present study aims to analyze postural and behavioral habits associated with the presence of back and neck pain of students, of both sexes, between 9 and 13 years old, in two public schools in Boa Vista/RR. This is a cross-sectional, descriptive study with a qualitative and quantitative, analytical and prospective approach, involving 170 elementary school students, which was applied through the application of BackPEI-CA (Pain and Body Posture Evaluation Instrument for Children and Adolescents), an instrument that contains images about daily behavioral and postural habits, as well as inquiries about the presence of back and neck pain in the last three months. The analysis of the results indicated a mean age of 11 (±1.2; σ 1.28) years with higher participation of girls (58.24%). About 60% of the students pointed to both back pain and neck pain, of which in more than 50% pain with moderate intensity in both cases. Among the behavioral variables studied - practice of physical activities; habit of reading and studying in bed; number of hours/days watching television, using computer, mobile phone or tablet and sleeping, only the practice of sports competitively was associated with the presence of back pain (p=0.0196). Some postural habits were correlated with back pain, such as sitting posture to write (p=0.0143) and the way of carrying the two-handle school backpack (p=0.0363). On the other hand, the sleeping position is associated with neck pain (p= 0.0013). It is noteworthy that the posture of using the sitting cell phone or tablet was correlated with both back pain (p=0.0019) and neck pain (p=zero). The influence of the family environment can be perceived since it was possible to correlate the presence of pain in the back of parents or guardians, according to the students' report, with back pain of the students themselves (p=0.0140). It is concluded that back and neck pain are related to the practice of competitive physical activity, way of sitting at the table, using the cell phone, loading school supplies, sleeping position, in addition to the influence of the family environment. These findings reinforce the importance of adequate postures in the first school years, since through postural education students can protect their body from injuries within the conditions imposed in their school and family routine. It is important to note that the BackPEI-CA questionnaire has flaws capable of inducing dubious responses.

Primary Health Care is the gateway to welcoming women, children and families, generating health for the entire community, at various times in people's lives, and the role of nursing has in its attributions the follow-up of women in the post childbirth, permeating through various approaches and themes present at this time. In this context, this study is centered on the reproductive and sexual planning of puerperal women carried out during the nursing consultation at the Basic Health Units (UBS) before, during and after the suspension of social isolation caused by the Covid 19 pandemic. , to investigate the perception of nurses on Reproductive and Sexual Planning when accompanying puerperal women at the UBS during the pandemic in Boa Vista-RR and specific objectives: To verify how the monitoring of the sexual and reproductive health of puerperal women is being developed in the face of the pandemic; Knowing the impacts of the pandemic on the service offered by nurses during reproductive and sexual planning; To understand how nurses perceive their work in the reproductive and sexual planning of puerperal women assisted in basic health units. The literature review is composed of historical context and achievements in women's health, reproductive and family planning, nursing consultation in the puerperium: integrating sexual and reproductive health and the pandemic as an impact on women's sexual and reproductive health. The study is descriptive in nature, based on a qualitative approach. The research was carried out in 12 Basic Health Units (UBS) in the municipality of BoaVista-RR, 14 nurses participated for providing care in reproductive and sexual planning in the puerperium in the face of the Covid19 pandemic scenario and the diverse demand of women assisted in the postpartum period. Via an online form on Google Forms, the socio-demographic profile of the participants and other information obtained through the semi-structured interview recorded following a pre-established script and ensuring originality during transcription are presented. Therefore, data analysis is based on Bardin's content analysis, in the form of named categories: nurse's performance in reproductive and sexual planning of puerperal women in primary health care; mothers' adherence to care: reproductive and sexual planning in the puerperium; characterization of humanized care during the puerperium; impacts of the Covid19 pandemic on the postpartum consultation; perception of the nurse in the nursing consultation with puerperal women in the context of the Covid19 pandemic. Via an online form on Google Forms, the socio-demographic profile of the participants and other information obtained through the semi-structured interview recorded following a pre-established script and ensuring originality during transcription are presented. Therefore, data analysis is based on Bardin's content analysis, in the form of named categories: nurse's performance in reproductive and sexual planning of puerperal women in primary health care; mothers' adherence to care: reproductive and sexual planning in the puerperium; characterization of humanized care during the puerperium; impacts of the Covid19 pandemic on the postpartum consultation; perception of the nurse in the nursing consultation with puerperal women in the context of the Covid19 pandemic. The results show that nurses act using strategies to provide guidance on sexual and reproductive health, support their practices in national and international official documents, complemented by informative material in physical and digital form. It is confirmed that the Covid19 pandemic interfered and influenced by limiting the care and monitoring of patients in the postpartum period. Practices with humanized care are identified since the arrival of patients at the UBS, due to concern for the comfort of the place, home visits, guidelines to meet the needs of patients. It is a fact that the accumulation of experiences and influenceable experiences in the perception of nurses for the monitoring of the sexual and reproductive health of puerperal women, it is hoped with this study, to make more visible the importance and value of the service provided by the nursing professional in this service in the unit basic healthcare.

The objective of this study was to evaluate the effects of neonatal hydrotherapy as an integrative and humanistic practice in the care of premature newborns, analyzing the physiological parameters (HR, RR, BP, SaO2, and Tax), the state of pain sensation, sleep and wakefulness, and body weight. This is a quasi-experimental clinical trial, of quantitative nature, carried out at the Neonatal Unit of the Maternal and Child Hospital Nossa Senhora de Nazareth located in the municipality of Boa Vista, capital of the State of Roraima. The sample was composed of 60 PIs. The active participation of the mother and/or father was conditioned during the 6 (six) interventions. The evaluations were performed at three moments: before the intervention, after 30 minutes and after 1 hour. In neonatal hydrotherapy the participants were wrapped with a cotton cloth in an upper and lower limb flexor posture and immersed at shoulder level in heated water (36 to 37 C) in a standard plastic bucket for the time of 10 minutes. A questionnaire was completed by the mother and/or father at the end of the last intervention to assess the availability of information and the participation, acceptance and effects observed by them. Results: the mean maternal age was 29.2 years, with a mean of 2.6 numbers of pregnancies, 4.9 prenatal visits, and 51.7% had a normal delivery. The PIs were born with a GA of 31.5 weeks, body weight of 1,671g, 58.3% were male, 60% used IMV and 88.3% NIMV. During the interventions all physiological parameters (RR, RR, SO2, BP and Tax) showed improvement or remained stable suggesting that this result is associated with the change to a behavioral state of comfort and relaxation provided by the physical properties of water. In pain assessment through the NIPS scale there was a reduction from 6.2pts pre-therapy to 0.7pts after 30 minutes and 0.2pts after one hour. Similar to what occurred in the Brazelton sleep and alertness assessment, where the pre-therapy score was 5.57pts, reducing to 2.80pts after 30 minutes and 1.2pts after one hour. It can be concluded that neonatal hydrotherapy offers benefits to premature newborns by promoting relief from pain, improving sleep quality and behavior, positively balancing physiological parameters, and favoring weight gain. The results were also positive regarding the quality of adherence by the mother and/or father, the availability of information, the applicability, and the effects observed by them during the research. It was relevant to stimulate the mother-father-baby triad bond in the care offered by the unit.

Snakebite envenomation is considered a serious public health issue, especially in tropical countries like Brazil, where it presents a high morbidity and mortality rate. Since 2017, snakebites have been classified as neglected diseases (Category A), necessitating studies to improve the understanding of these injuries and their treatments. Additionally, it's important to highlight that there are knowledge gaps when it comes to snakebite accidents in children and minors, who are treated similarly to adults without any specific treatment protocol. Clinical-epidemiological studies on snakebite envenomation face considerable challenges due to the limited accuracy of compulsory notification records, admission forms, and medical records, which often lack essential information about the accident and clinical progression. Considering this scenario, the objective of this work was to study and describe the clinical manifestations, treatments, and outcomes of snakebite envenomation in minors treated at the Rubens de Souza Bento General Hospital (HGR) in Roraima state. Although this group represents a smaller number of victims, there may be a higher severity compared to adults, which is a scarcely explored aspect in the literature. This is a retrospective, epidemiological, and descriptive study, analyzing cases of snakebite patients under the age of 18, treated at HGR from 2016 to 2021. During this period, a total of 2.305 snakebite accidents were reported through the National Notification System (SINAN), involving venomous and non-venomous snakes. Among these accidents, a detailed analysis was conducted on 75 medical records of patients aged between 12 and 17. From the profile of the underage victims, 66% were male, predominantly between 15 and 16 years old, and the lower limbs were the most frequently affected areas. The snakes from the Bothrops and Crotalus genera were the main causes of the accidents, resulting in common symptoms such as edema, pain, local bleeding, drowsiness, and ptosis. Although some complications were reported, such as compartment syndrome and acute renal failure, the number of deaths was low, with only one recorded case. The hospitalization time varied from 8 hours to 2 months, and it's important to emphasize that the administration of antivenom after the victim's admission was prompt, occurring within an interval of 30 minutes to 2 hours. Out of the 75 patients, 72 received antivenom treatment. Additionally, various antibiotics were used as prophylactic therapy, with cephalothin being the most prescribed. A relevant observation is the lack of standardization in the dilution of antivenoms in either saline solution or dextrose serum, as neither the Ministry of Health nor vaccine inserts mention this procedure. Thus, this study highlights the general aspects of snakebite victims aged between 12 and 17, demonstrating no significant differences in clinical manifestations, treatments, and outcomes when compared to the adult population. There was no identified need for a specific protocol for the care and treatment of this population. However, further studies in this area are necessary to consolidate these results and enhance the understanding of snakebite envenomation in children and adolescents.

The Acquired Immunodeficiency Virus (HIV) pandemic lasts forty years, generating disabilities to people living with HIV/AIDS (PLWHA) attributed to the sequelae of the disease and/or opportunistic infections. The state of Roraima (RR), triple border (Brazil-Venezuela-Guyana), faces a migratory crisis, with socioeconomic developments that need to be considered in the development of public health policies. Seeking to identify the disabilities of PLWHA, we carried out this research. Objective: To identify the prevalence of disabilities related to the condition of HIV infection in adults who have active SAE/RR (2002 to 2021). Method: Cross-sectional study of historical series, descriptive, analytical with quantitative character, in adults, Brazilians and Venezuelans, SAE/RR patients. Random sample, using a questionnaire with demographic and self-reported data, database and national information systems (SICLOM and SISCEL). Prevalence was calculated, univariate analysis was performed and the odds ratio was the measure of association used to assess the relationship between exposure to the risk factors studied and the outcome. For data analysis, we used Epiinfo 0.7, chi-square test with p ≤ 0.05 (95% CI). Results and Discussion: 173 questionnaires were applied, 36 online and 137 face-to-face with the profile consisting of a mean age of 41 years (SD +/-13.1), with a predominance of 40 to 60 years (45.09%). The age group above 40 years of age had a significant association with disabilities (p=0.005). The male sex was predominant (67.05%) and 10.98% were Venezuelans. Unemployment was 51.85% and 60% received government economic aid benefits, with no significance in terms of disability. However, the prevalence of family income below 1 minimum wage was 31.79%, with a significant association with disabilities (p=0.02). Drug use was reported by 6.94% of PLWHA and was significant in terms of the occurrence of disabilities (p=0.002). Of 

those interviewed, 6.76% had some degree of difficulty in performing Activities of Daily Living, with 19.2% having severe difficulties. In total, 22.54% of the patients reported disabilities: 17.34% had some degree of functional disability and 9.82% reported other disabilities: deafness 1.73%, amaurosis 4.62% and cognitive disability 2.89%. Undetectable viral load (VC) was observed in 83.24% of the sample and 8.67% had VC above 1,000 copies/ml, with no association with disabilities. As for CD4 T lymphocyte values, we found that 6.94% had values lower than 200 cells/mm³, with a mean value of 687.82 cells/mm³ (SD+/-438.67). As for the time of HIV diagnosis and use of ART for more than 10 years (34.1%) there was a significant association with the occurrence of disabilities (p=0.01). Just as rescue ART was associated with disabilities (p<0.05). Poor adherence to ART (32.37%) and lack of consultations (42.19%) were not predisposing factors for disabilities. History of opportunistic infections/co-infections (34.1%) and of the Central Nervous System (CNS) (12.72%), increased the risk of developing disabilities (both with p=0.000). Conclusion: We observed that being over 40 years of age, with more than 10 years of HIV diagnosis and use of ART, having a history of opportunistic and/or CNS infectious diseases were associated with a higher risk of disability. Thus, it is essential to think about health policies that implement technologies aimed at comprehensive care and monitoring of this population in view of the factors associated with disabilities.

APS is organized as the first level of care and the gateway to the SUS, composed of a multidisciplinary team working in UBS, which constitutes the first contact of the Venezuelan migrant in a puerperal state with the health networks. The present study has as objectives, to identify the care practices of reception provided by the minimum team of the UBS with the Venezuelan migrants in puerperal state, to track the factors that interfere in the development of welcoming care practices by the minimum team of the Basic Health Units with the Venezuelan migrants in a puerperal state, to propose a publishing product represented by a book chapter with an educational-assistance character aimed at professionals from the minimum team of basic health units, and to propose a didactic material characterized as na educational-assistance guide for Venezuelan migrants in a state puerperal from the care actions identified in the basic health units. The theoretical framework is divided into three topics, which are, in search of foundations to think about reception in the field of collective health, multiprofessional care for women in the puerperal state: contextualized characterizations with primary health care, and health in the context of migrations: conceptual approaches to migrant women. This is a descriptive-exploratory study of a qualitative nature, carried out in a UBS, with 46 participants from 10 FHS teams, through a recorded interview with the aid of a semi-structured script, with Bardin content analysis being carried out, using categorical tables. to represent the results. The results show that professionals carry out practices understood as welcoming through home visits, qualified listening and health guidelines. It was also identified that there are factors that interfere with the performance of care practices, being the language involving communication between the professional-patient, and the SARS-CoV-2 pandemic along with social isolation. This work can evaluate all the aspects involved during the assistance to the migrant woman in the puerperal state, by the minimum team of the ESF, and in the end the findings were compared with the literature, aiming at the contribution to the assistance of the puerperal migrant during the puerperal period. through the creation of a book chapter aimed at guidelines aimed at ESF professionals, and the elaboration of an educational guide in Spanish for Venezuelan migrant mothers. As limitations, we had the refusal by the professionals, the pandemic and the fact that it was not carried out in all UBS in the municipality of Boa Vista. It is hoped that later the present study can encourage the creation of an investigative-assistance line considering other migrant peoples in the border region, in order to singularize the reception assistance to migrant women in the puerperal period with the SUS.

The COVID-19 pandemic is still ongoing and has mobilized societies around the world in its most diverse expressions, whether in the context of individual or collective life, with immense damage to the health of individuals, to the routine of daily life, to the economy. , and specifically for health systems. In addition, it accentuated the difficulties in the provision of services by health professionals, whether in the context of the structural, organizational, and physical capacity of health units, or in the context of the psychological experience of hospital health workers in the face of the pandemic scenario. This research aimed to describe and analyze the meanings of the experiences of hospital health workers in the face of the demands and challenges imposed by the covid-19 pandemic. The research carried out was qualitative, descriptive and analytical, based on the empiricalphenomenological method, and the data were collected from phenomenological interviews carried out from 02/22/2022 to 03/08/2022 with 09 health professionals from professions (01 doctor, 01 nurse, 01 nursing technician, 01 social worker, 01 psychologist, 01 nutritionist, 01 physiotherapist, and, at the suggestion of NEP, 01 administrative assistant, and 01 stretcher worker) in a children's hospital located in the city of Boa Vista/RR. As a result, we had the description of the invariant psychological meanings present among the participants: 1. The abrupt, unpredictable and uncertain character of the covid-19 pandemic for hospital health workers, pandemic with the potential to bring serious risks to the health of the health professional; 2. The automatic taking of the perspective of risks based on the social function performed by workers in the scope of their health work, and, therefore, a structuring element of the perception that they could not exempt themselves from such responsibility; 3. Fear as a dominant emotional reaction, fostering from the perspective of illness, sequelae and deaths of family members, friends and acquaintances, opposed by a feeling of fulfillment of duty towards their work and, ultimately, towards those who needed it health care; 4. A sense of self-preservation, and preservation of people with whom workers have a strong affective bond, especially fathers, mothers, spouses and children; and, 5. The feeling of helplessness in the face of the various dimensions of life in its intersubjective character with the task, and the various repercussions at the physical, psychological and mental level. The results reached in this qualitative research are closely linked to the methodological paradigm that supports the evidence found, revealing a fine relationship between the parts and the whole of the subjects' testimonies, with special attention to the pandemic context that led thousands of people to go to the hospital services as a way of preserving their lives, with important repercussions for the lives of workers who were on the front line of care.

Chronic renal failure (CRF) is a relatively common systemic disease, which implies a reduction or limitation of the glomerular filtration capacity of the kidneys, causes accumulation of substances that should be filtered and excreted by the kidneys in the blood and leads the patient to perform the hemodialysis. The reduction or loss of renal function causes dental complications such as pallor of the mucosa, xerostomia, halitosis, uremic stomatitis, periodontal disease, enamel hypoplasia, dental erosion and tartar accumulation. Thus, the present study aimed to identify systemic clinical, socioeconomic and psychological factors associated with the need for dental treatment and use of dental prostheses in chronic renal patients undergoing hemodialysis at the Renal Clinic of the Municipality of Boa Vista/RR. This study was approved by the UFRR Research Ethics Committee, being a prospective, observational, descriptive study with documental research and oral clinical examination of 84 patients, from July 2021 to December 2021. The variables evaluated were: sex, age, race/color, marital status, education, occupation, family income, duration of hemodialysis treatment in months, and the number of decayed, filled and missing teeth, oral hygiene habits, frequency of tooth brushing and flossing . As a technological product, an oral health manual was prepared and an event was held at the Renal Clinic, aiming at guidance on oral health care for patients with CRF and health professionals who work in the area of hemodialysis. Regarding the results , of the 84 patients who were examined in the research, 60.7% were male and 39.3% were female. Of all the individuals evaluated, 32.2% were between 50-59 years of age, representing the highest concentration in this age group. It was found that the greater the age, the more missing teeth the patients have evaluated, and this relationship is directly proportional (r=0.53 and p<0.05). As for race, 55.9% represented the mixed race, with most patients being evaluated. Regarding education, approximately 87% of the evaluated patients had a high school level or below and 13%, representing the minority, had higher education. Furthermore, it was observed that the lower the education levels, the more decayed and filled teeth appeared (p<0.05). Most of the evaluated patients brush their teeth 2x or more a day, totaling a percentage of 86.9%. Regarding hemodialysis time, the longer the hemodialysis time presented, the greater the number of filled teeth (p<0.05). We can therefore conclude that the patients examined had, for the most part, a significant number of missing, decayed and filled teeth, a phenomenon associated with age, low education, time on hemodialysis and also , probably, the difficulty of accessing a public dental service. or private. Thus, with the early loss of dental elements, more than half of compromised patients need to use total or partial removable dentures to recover their masticatory and aesthetic functions, demonstrating the need for greater dental care.

The factors related to the pandemic, have been presented as stressors, do not qualify the whole society to its effects. Thus, there is a need to investigate how these factors affect the mental health of health professionals, which is a line of confrontation in facing the pandemic. This is a descriptive study, with type and qualified analysis, and not a probabilistic descriptive study. It aimed to identify levels of depression, anxiety and in health professionals who provide assistance in the period of health emergency due to the new coronavirus in Boa VistaRR. Its public target was health professionals (nurses, medical technicians, therapists, pharmacists, psychologists and social workers) during the pandemic period in health institutions in Boa Vista-RR. Data collection was carried out in two stages, an analysis using the Depression, Anxiety and Stress Scale. In the other stage, an individualized interview was carried out. The data collected through the DASS-21 were tabulated in Microsoft Excel® 2010 spreadsheets, and analyzed in the SPSS 23.0 program. And the data collected in the interviews were examined based on Minayo's thematic analysis proposal. Participation was voluntary and in accordance with the Free and Informed Consent Term. The research was approved by the Research Ethics Committee of the Federal University of Roraima, under protocol number 4.421.472. The sample consisted of 252 health professionals, 70.63% female, 42.86% single, with a mean age of 36.18 ± 8.2 years and 39.68% are nursing technicians. As for the levels of severity of depression (81.6%), anxiety (68.7%) and stress (90.5%), we can observe a predominance of the normal level for the three, with 0.4% presenting the level of severe depression severity, severe (4.4%) and very severe (1.2%) level of anxiety, and 5.9% of cases had a mild level of stress. Regarding the interviews, there were several reports that presented psychological suffering, such as fear related to infection, disease transmission, death, work and schedule overload, lack of information, professional and social pressure and demand, the use of PPE, which consequently caused sadness, insomnia, discouragement, changes in appetite and weight, irritability, tension and exhaustion. Thus, it was observed that there is a distinction between the data collected through the DASS-21 scale and the interview data. And although the psychological suffering of these professionals is considerable, it was observed that most were able to develop or adhere to coping measures to be able to deal with all these factors. However, the pandemic continues, so it is suggested to continue the studies, expanding the samples to verify how these individuals are living with this virus, this disease and all the consequences caused as a result of them and the pandemic.

Leprosy is an infectious disease caused by the microorganism Mycobacterium leprae, an obligate cellular parasite that infects peripheral nerves, leading to a high disabling power due to neural impairment. 129 new cases of leprosy were detected in 2017. In the same year, the state showed indicators for monitoring the elimination of the disease contrary to those recommended. In this scenario, the participation of the immune system in the pathogenesis of leprosy is highlighted, in order to understand the mechanisms involved in the development of the disease, which is characterized by distinct and varied clinical and immunological aspects, associated with the ability of the host to develop different immune responses against M leprosy. The aim of this study is to describe the epidemiological profile of leprosy in Roraima and review the immune response of patients affected by the disease. This is an epidemiological, descriptiveobservational, quantitative approach, cross-sectional, time series, retrospective and document-based study, using consolidated information generated in the Notifiable Diseases Information System (SINAN) in the period from 2001 to 2021 and, additionally, a literature review seeking to review the immune response mechanism (innate and adaptive) in leprosy. The collected data were organized in Microsoft Excel® 2010 spreadsheets and received statistical treatment using the Statistical Package for the Social Sciences IBM (SPSS IBM) version 23.0, through descriptive analysis of the data, using measures of central tendency for the variables quantitative (mean and standard deviation) and frequency distribution (simple and relative) for qualitative variables. To analyze statistical correlations, non-parametric tests were performed in bivariate analyzes (chisquare, G test and Fisher's exact test); linear regressions and projections, considering p-value ≤ 0.05 and 95% confidence interval. This project did not require submission for approval by the Ethics Committee in Research involving Human Beings of the Federal University of Roraima (CEP∕UFRR), since there will be no direct involvement with patients and their identities. In the period considered for the study, 4133 cases of leprosy were reported, of which 3448 (83.4%) were new cases, 351 (8.5%) transfers, 125 (5.0%) relapses, 205 (5.0%) %) other forms of ticket and 4 (0.1%) the type of ticket was not informed. Among the new cases, males predominated (62.7%), the age group from 20 to 39 years old (38.3%) was the most affected, of mixed race (59.9%), up to 7 years old. of study (61.2%) at the time of diagnosis. Regarding the clinical characteristics, there was a higher frequency of patients diagnosed as MB (60.8%), with 2 to 5 lesions (32.1%) and GIF 0 (61.3%). In general, it was observed that during the study period there was an improvement in the endemic condition of the state, however, classifications such as very high, hyperendemic and precarious for new cases detected, cure rates and GIF 2 evaluated in the diagnosis remained in the last four years. This situational diagnosis will help health professionals and managers in Roraima in planning strategic interventions focused on surveillance, care and elimination of leprosy as a public health problem.

This study is part of the research project entitled “Monitoring and feasibility of human, animal and environmental interventions in the control of tungiasis in indigenous communities”, funded by the so-called CNPq/MS-SCTIE-Decit Nº 22/2019-Research on Communicable and Neglected Diseases, and reports the occurrence of tungiasis specifically in the Kulaipoipu community, Yanomami Indigenous Land (TIY), Auaris base, in Roraima. In the data provided by the Yanomami Special Indigenous Health District (DSEI-Y) in May 2022, tungiasis records totaled 173 cases, 111 of which were restricted to the Auaris base (64%), where the research was carried out. This is an observational, cross-sectional, descriptive, quantitative study designed to identify the occurrence of tungiasis in the Kulaipoipu community, at the Auaris base. Data collection was carried out collaboratively by a multidisciplinary team composed of an indigenous health agent acting as an interpreter, an entomologist, a nursing technician, a nurse, a dermatologist and a veterinarian. Through home visits, three aspects were addressed: human, animal and environmental measures. All residents present in the community at the time of collection were evaluated and interviewed, totaling 116 patients. The presence of animals in the residences and the soil around the houses were also analyzed. Five cases of tungiasis were identified (4.3% of the population evaluated), which, according to data provided by the DSEI, represents a 400% increase in cases when compared to the only case recorded in 2021. All cases of the research were children (100%), mostly male (80%). It was possible to observe that 100% of the affected patients had pets in their homes. Of the houses with confirmed tungiasis, 80% (n=4) had severe infestation of soil contamination by Tunga, the remaining 20% (n=1) were classified as mild infestation. When the comparison was performed using Fisher's exact test, there was no statistical significance proving that the severe contamination of the soil was conditioned to the presence or absence of animals. Furthermore, the Tungiáse occurrence was not affected by the sex, gender, presence of animals and type of house of the residents of the Kulaipoipú community. Although no statistical relation was identified between the occurrence of tungiasis and human, environmental and animal variables, it was proven that the disease continues to affect the population of the community of Kulapoipú, showing the need to carry out joint actions aimed at interrupting the chain of infection. disease transmission.

Public policies are formulated to meet the demand of a public, aiming to address or solve a problem understood as collectively relevant. The Federal Public Servant Occupational Health and Safety Policy (PASS) emerged from the need to establish a nationwide health system, which would standardize the execution of activities, the available structure and the granting of benefits based on equity and universality of rights, aiming to positively impact the health of federal public servants. However, the PASS was built with central guidelines of a normative nature, but with its decentralized implementation, with each body responsible for its execution. To achieve this policy, one of the actions was the development of the Integrated Subsystem of Servant Health Care (SIASS), as a strategy to articulate resources and propose measures for implementation. Therefore, this research aimed to analyze how PASS, through the use of SIASS, is being carried out at the Federal University of Roraima (UFRR), an institution that uses this subsystem since 2012. The research had a qualitative and descriptive approach, through the use of semi-structured interviews for data collection, having as participating subjects the occupants of management positions at UFRR and the units responsible for the health of servers, as well as bibliographic and documentary research. The thematic categories used in the data collection instruments were: conceptions about the health of the server, conceptions about the PASS and conceptions about the SIASS. As for the treatment of data, this was done through Bardin's Content Analysis. As for the results, the Health Expertise and Health Care axes are being implemented almost to the fullest. On the other hand, the Health Surveillance and Promotion axis is far from reaching the ideal, mainly from the perspective of the interviewees, which is due to the lack of budgetary resources and personnel to carry out various actions. For this, some possible proposals to be financed and executed by the UFRR management were suggested, with a focus on reducing the main health problems and the incidence of illness among servers. This and other notes are contained in the technical report, delivered to the Dean and the Dean of Personnel Management as a technical product of this research work.

In Brazil, the right to health claimed by indigenous peoples dialogues with different regulatory frameworks, including the Alma-Ata Declaration, which proposes and values primary health care (PHC) as a promoter of greater access and a way to minimize inequalities in health. Within the scope of the Unified Health System (SUS), the indigenous health care subsystem (SASI) and the Health Care Policy for Indigenous Peoples (PNASPI) were created as a strategy to guarantee access to health for indigenous peoples. PNASPI provides differentiated attention to indigenous populations based on sociocultural diversity and the epidemiological and logistical particularities of these peoples, focusing on the development of PHC with guarantee of comprehensive care. The object of study of this work was based on the understanding that the health conditions of indigenous peoples remain little known and that studies that document this situation are still scarce. Recognizing the magnitude of the impact of mental health problems on indigenous populations is of paramount importance for understanding and the process of building actions based on differentiated care for indigenous populations. To obtain subsidies for this reflection, I produced a mapping of different paths, including some instances that discuss and relate to indigenous health. The dissertation presented here is structured and subdivided into three topics: the first where I address the indigenous health conferences and existing health policies, in the second topic I address my experience and my trajectory as a health counselor and in the third and last topic, I seek to portray the policies aimed at psychosocial care for indigenous peoples.

Sleep is conceptualized as a physiological state of animals and humans, where, within a period of 24 hours - circadian cycle - occurs, alternating with waking states. It is regulator of human homeostasis. Thus, the condition of partial or total sleep deprivation is associated with the development of pathologies. The professions with the highest risk for deprivation and possible sleep disorders are related to high levels of demand, stress and shift alternation. Among them are health professionals, who may have their endogenous biological rhythms altered, even occasionally, due to desynchronization of the sleep-wake cycle. This work investigated the pattern and quality of sleep in health professionals approved in day and night work schedules. The study is cross-sectional, descriptive and statistical. The methodology was simple random, where the instruments were self-applied through the Google Forms platform, totaling 159 valid forms for analysis. The factors potentially linked to the quality of sleep of health professionals were performed through descriptive analyzes (quantitative variable) and grouping of observed frequencies (variables of a qualitative nature. The study site was the General Hospital of Roraima. It was used a sociodemographic characterization form, followed by the instruments: Pittsburgh Sleep Quality Index, Morning and Evening Individuals Identification Questionnaire by Horne and Ostberg (1976) and Epworth Sleepiness Scale. association analyzes were performed using the chi-square (χ2) test, in which the expected and observed frequencies of each event were considered to verify χ2 adherence. The  analyzes were performed using the Prisma GraphPad software, version 9.1.4. aim to compare night and day groups, but assess sleep quality trends in the total sample set. The average age of the participants was 36.8 years, 71.5% female, 84.2% of the total universe submitted to the night shift work system, and 79.9% have more than one job. The results determined by the Pittsburg General Index (PI), observing the significant association (p<0.05), showed that 89% of health professionals did not have good sleep quality, of which 38% were characterized with poor quality, and 51% suggestive of sleep disorders. In the Chronotype assessment, the grouping of individuals evaluated showed that 54% of the professionals studied had an Intermediate chronotype, 35% Morning and 11% Evening. There was a tendency towards a decrease in sleep quality in all Chronotype classes, as the percentages of participants who found poor sleep quality or suggestive of a sleep disorder were higher. Thus, this work contributed to the study of sleep in Roraima. From this, it is expected to disseminate behavioral changes from psychoeducation on sleep, increasing adherence to measures of protective factors, such as sleep hygiene, since sleep problems have an impact on public health. The technological product of this work presented information to fulfill the role of psychoeducation about sleep among professionals and the general public.

A saúde óssea, a estrutura e a função esquelética são essenciais para o ser humano. A formação e manutenção da estrutura esquelética é um processo dinâmico que ocorre ao longo da vida no qual a substituição de minerais e outros fatores essenciais são feitos de forma regular e precisa. Numerosos são os fatores que contribuem para essa manutenção e a sua regulação é feita através de uma complexa interação. Geralmente, a perda mineral óssea não provoca sintomas específicos. Assim, uma grande perda óssea ou indução e progresso da osteopenia ou osteoporose são um processo silencioso. Isso, eventualmente, é motivo de grande preocupação para a maioria dos pacientes que não costumam realizar exames de rotina para manutenção da saúde. Além disso, tais condições assintomáticas, muitas vezes são ignoradas também por médicos. O presente estudo foi realizado no Estado de Roraima, Brasil, em pacientes do sexo masculino (>40 anos) para avaliar a possível aplicação da radiografia panorâmica como medida diagnóstica alternativa na detecção de osteopenia e osteoporose. Adicionamente, pesquisamos sobre a higiene oral dos participantes. Diante disso, foi realizada uma pesquisa baseada em um questionário autoavaliativo, seguido de um estudo radiográfico detalhado e registro do Índice Cortical Mandibular (ICM) e Índice Mentoniano. Posteriormente, foram feitas observações estatísticas para uma análise descritiva e descoberta de possíveis fatores responsáveis pelos valores obtidos nos índices aferidos. Os resultados obtidos sugerem que, para a amostra do estudo de 112 participantes, e considerados 25 parâmetros, a idade foi um fator importante (P 0,00456) juntamente com o uso de escovas de dentes não compartilhada com membros da família (P 0,01265) e troca regular de escova de dentes (P 0,0293). Esses fatores foram significativamente influentes nos desfechos do ICM (P 0,06645), enquanto esses mesmos parâmetros não foram significativamente influentes nos resultados do IM. Os resultados descritivos sugerem que a osteopenia e a osteoporose foram dominantes entre os pacientes, confirmados pela análise radiográfica. Assim, a radiografia panorâmica odontológica pode ser considerada como uma alternativa eficaz no diagnóstico da osteoporose. No entanto, devem ser avaliados mais estudos com maior número de participantes sobre diversas populações e fatores associados diversos.

O câncer deve ser analisado como um problema de saúde pública que atinge indivíduos de todas as idades e em todos os continentes. Quando o paciente oncológico não apresenta uma possibilidade curativa aborda-se o tratamento do cuidado paliativo. Há necessidade de cuidar também do cuidador familiar que assume seu papel, função que pode gerar vários sentimentos. Este estudo teve como objetivo examinar as vivências psicológicas constituidoras da experiência do cuidador familiar de pacientes em cuidados paliativos oncológicos, na perspectiva da Fenomenologia. A pesquisa realizada foi de caráter qualitativo, descritivo e analítico, na perspectiva de análise o método fenomenológico-psicológico-empírico. Os dados foram coletados na enfermaria da Unidade de Alta Complexidade de Oncologia de Roraima e foram entrevistados dez cuidadores familiares de pacientes em cuidados paliativos. Como resultado tivemos quatro constituintes sendo elas: o ato de cuidar pelos familiares como escolha; preservando o autocontrole e o medo do futuro; estar ao lado do paciente até o fim e sua rede de apoio para o enfrentamento e espiritualidade como sentido de força e enfrentamento. Na análise identificou-se duas estruturas psicológicas que se fizeram presentes em todos os participantes: estruturas afetivas e estruturas religiosas. Os cuidadores familiares demonstraram que na tomada de sua decisão cada um deles se tornaram protagonista de suas ações, buscando sentido na sua missão em cuidar. Ser cuidador familiar não é uma tarefa fácil, cabe além de ajudar a realizar as tarefas do cotidiano, ter o papel de estimular e não deixar que o paciente se entregue a tristeza e a desesperança. Muitos buscam mostrar-se fortes perante seus entes queridos e alguns omitem seus próprios sentimentos como estratégia para auxiliar seus familiares. A rede de apoio representada pelas comunidades de familiares, amigos e profissionais de saúde, foi identificada como uma fonte de força que ajuda o cuidador a vivenciar os momentos difíceis. Através da espiritualidade e religiosidade o cuidador familiar encontra forças e sentido para conseguir enfrentar todo o processo de adoecimento e finitude de seu familiar. A temática busca auxiliar as equipes, que tem um papel fundamental no cuidado oferecido ao paciente e promover autocuidado para os cuidadores familiares.

Introdução: A Sífilis é uma doença milenar que vem prevalecendo sobre todas as tentativas de sua eliminação, mesmo com diagnóstico e tratamento acessível e disponível no SUS. Objetivos: Verificar o conhecimento, as práticas e as atitudes dos profissionais pré-natalistas no manejo da sífilis na gestação que atuam na Atenção Primária de Boa Vista, identificar as principais barreiras para implantação dos protocolos assistenciais e as estratégias para o controle desse agravo na gestação. Método: Trata-se de um estudo transversal e avaliativo, realizado entre outubro de 2020 e fevereiro de 2021, com 67 médicos e enfermeiros, representando 78,8% dos profissionais que atendiam aos critérios de seleção. Para a coleta de dados foi utilizado um questionário eletrônico, contendo 43 questões sobre o tema abordado. Foi realizada uma análise descritiva dos dados, através de software excel por meio de distribuição de frequência. O estudo foi aprovado pelo comitê de ética sob parecer nº 31936220.2.0000.5302. Resultados: Entre os participantes do estudo 73% eram enfermeiros e 26% médicos. Os resultados indicaram falhas nos conhecimentos, atitudes e práticas dos profissionais de saúde relacionadas ao baixo conhecimento sobre as características da doença, sobre a transmissão vertical, definição de casos, controle de cura da doença, tratamento da gestante e abordagem e tratamento dos parceiros. Dificuldades no acesso das gestantes ao pré-natal e demora no retorno de VDRL para a UBS também foram relatadas. As principais barreiras percebidas pelos profissionais estiveram relacionadas principalmente ao usuário, seguidas pelo serviço e também ao profissional, além do impacto no serviço de diagnóstico e acompanhamento dos casos causado pela pandemia da Covid-19. Os participantes indicaram que a melhoria da assistência deve estar relacionada ao início precoce do pré-natal, tratamento dos parceiros, educação em saúde, treinamentos adequados para o profissional e acesso a situação epidemiológica da sífilis gestacional e congênita do município. Conclusão: Apesar da disponibilidade de diagnóstico e tratamento nas unidades básicas de saúde, pode-se concluir que as gestantes com sífilis não estão recebendo assistência adequada, frente ao constante e crescente número de casos ao longo dos anos, sendo necessário repensar os processos de trabalho, o contexto organizacional e novas ferramentas de educação continuada para os profissionais da ESF, visando proporcionar assistência pré-natal de qualidade para essas gestantes. O estudo pode contribuir com subsídios para o planejamento em saúde na assistência pré-natal a gestante com sífilis, que podem ajudar na formulação e fortalecimento de novas estratégias de combate ao agravo podendo assim apoiar no controle e diminuição da sífilis congênita no município de Boa Vista.

The increase in the consumption of foods from Japanese cuisine is growing in Brazil and has a great influence on the adoption of a healthy lifestyle. Raw fish, such as sashimi, require extra attention, as it is a food that, due to its characteristics, poses a high risk to public health. In this context, it is important to adopt measures at all stages of the production chain to ensure the hygienic and sanitary quality of this product, especially because it is prepared manually and has direct contact with the sushiman's bare hands, which can lead to the increase the incidence of pathogens in the food and even make it unsuitable for consumption. Due to the current moment of pandemic, companies have intensified the availability of the delivery service, however, even though food cannot transmit covid, care is needed both in terms of the spread of the virus and in relation to the quality of this product and its innocuousness health because it is a product of raw animal origin, without effective heat treatment. However, due to the lack of information regarding the hygienic-sanitary quality of this product and the need to ensure safety to the population of Boa Vista, the aim of this study was to evaluate the potential health risk represented by the consumption of sashimi through a system of "delivery". The results obtained were compared with the parameters recommended by the resolution of ANVISA - RDC No. 331/2019, complemented by IN No. 60/2019. All samples analyzed presented Aerobic Mesophilic Microorganisms, Aerobic Psychotrophic Microorganisms, Pseudomonas spp and Staphylococcus sp., with populations ranging from 5.1 x 104 to 5.0 x 106, 4.8 x103 to 3.3 x 107, 1, 3 x 104 to 3.5 x 106 and 2.2 x 102 to 4.0 x 103 CFU/25g, respectively. It was concluded that most sashimi samples had unsatisfactory hygienic-sanitary parameters, and its consumption is a potential health risk, especially for immunosuppressed people, children, elderly and pregnant women. With regard to the delivery and pandemic system, it was noted that delivery people are not adequately complying with the requirements of protection measures against Covid-19. Thus, the moment of delivery of the product can also be a risk to public health.

Hoje, os arbovírus são reconhecidos como um grande e reincidente problema de saúde pública mundial. São transmitidos por artrópodes de características hematófagas, sendo os principais vetores os mosquitos dos gêneros Culex e Aedes. As arboviroses endêmicas em regiões específicas no Brasil são a Dengue, Febre Oropouche e Febre Mayaro. A Febre Zika e a Febre de Chikungunya, que iniciaram seu ciclo há menos tempo no país, também estão presentes. Objetivo geral: Caracterizar o perfil epidemiológico das arboviroses notificadas no Estado de Roraima entre os anos de 2015 e 2020. Metodologia: Foi um estudo ecológico, do tipo descritivo e analítico, de temporalidade retrospectiva e de abordagem quantitativa, realizado no Estado de Roraima. A população deste estudo é composta pelos pacientes notificados no Sistema de Informação de Agravos de Notificação com Dengue, Zika ou Chikungunya notificados em Roraima no período de 2015 a 2020. Foram coletados dados sociodemográficos e clínicos dos pacientes elencados para o estudo, a partir da Ficha de Notificação DENGUE/CHIKUNGUNYA e também a Ficha de Notificação para ZIKA do Sistema de Informação de Agravos de Notificação (SINAN), obtidos e compilados em banco de dados pela Controladoria Geral de Vigilância em Saúde (CGVS). Quanto aos dados ambientais, foram coletados dados referentes à temperatura e ao índice pluviométrico de todos os anos da série histórica, que foram ser obtidos através do  Instituto Nacional de Pesquisas Especiais. Os dados entomológicos serão compostos pelos indicadores do Levantamento Rápido de Índices para o Aedes aegypti fornecidos pela CGVS. Foram realizadas análises de estatística descritiva e inferencial levando em conta a natureza das variáveis e correlações. Este trabalho possui aprovação do Comitê de Ética em Pesquisa da Universidade Federal de Roraima. Resultados e Discussão: O número de casos notificados de Dengue, Chikungunya e Zika em Roraima, no período de 2015 a 2020, teve o total de 28.010. Considerando os critérios pré-estabelecidos, o número de casos validados para a pesquisa foi de 5.914, sendo 33,98% (Dengue), 61,98% (Chikungunya) e 4,02% (Zika). As infecções pelo vírus da Dengue se fizeram presente em todos os municípios de Roraima. Bonfim, apresentou a maior taxa de incidência analisada no período Sobre Chikungunya, a cidade de Boa Vista foi a mais afetada. Em relação à Zika, o município de Mucajaí teve o maior número de casos. Sobre os casos de Dengue, o sexo feminino se fez predominante. O grupo étnico em maior número foi o “pardo”. A faixa etária mais afetada pelo vírus da Dengue foi a de pessoas com idade entre 20 e 34. Quanto à escolaridade, os indivíduos com ensino médio completo sobressaíram-se. Os indivíduos infectados pelo vírus Chikungunya tiveram um perfil sociodemográfico semelhante à Dengue. Nos casos de Zika possível foi observar a ausência de pessoas do grupo étnico “amarelo”, entretanto as demais características foram parecidas com as outras arboviroses. A febre, mialgia, cefaleia, dor nas costas e artralgia foram os sintomas mais relevantes em todas. Conclusão: Percebe-se uma quantidade considerável de campos em branco, o que sugere falha nos registros e compromete as descrições e análises estatísticas.

The numerical expressiveness of migrants has been a constant in the state of Roraima, with this, it is understood the need for special attention to be offered to Venezuelan women in a situation of migration and/or refuge in the pregnancy-puerperal period, since there is great probability of finding themselves in a state of psychological and physical vulnerability and fragility, considering that their country of origin did not offer adequate health monitoring, which can negatively affect the health situation of the mother and fetus. Knowing this, this research sought to investigate the characteristics of perinatal outcome and its relationship with the quality of prenatal care in the context of maternal and child health in a population of Venezuelan migrants. The research has as its methodological trajectory a documentary study of a descriptive, analytical and retrospective type, with a quantitative approach. The study was carried out in the postpartum hospitalization sectors of the reference hospital for the maternal and child population, located in Boa Vista-RR. The study population are Venezuelan puerperal women aged between 18 and 50 years, with a single pregnancy and who presented pregnancy with usual risk. Exclusion criteria are indigenous postpartum women, twin pregnancy and medical records and/or the pregnant woman's card that do not have the relevant information for the research. According to sample calculation, it consisted of 272 participants. Data collection took place between October 2020 and June 2021 and the tool used to collect the information were medical records and cards of pregnant women hospitalized in the postpartum maternity hospital. A form was constructed containing sociodemographic variables, referring to prenatal care and perinatal outcome. Data were tabulated in Microsoft Excel® spreadsheets and descriptive statistics and inferential statistical tests were applied: Pearson's chi-square, Yates' chi-square with correction, Kruskal-Wallis and Posthoc Dunn's test. Analyzes were performed using Prisma GraphPad software version 9.1.2 and Software Jamovi version 1.8. This study was submitted to the Research Ethics Committee of the Federal University of Roraima (CEP-UFRR) and approved under opinion nº 4,306,389. The participants' sociodemographic profile data were: Predominant age between 21 and 29 years (n=167; 61.4%); Single (n=220; 80.9%); homeworkers (n=240; 88.2%); place of residence in Boa Vista (n=241; 88.6%); Monthly income from 0 to 1 minimum wage (n=231; 84.9%); schooling Completed High School (n=152; 55.9%), showing statistically significant in the inferential tests. Prenatal care was classified as adequate, inadequate and intermediate, and later comparisons were made with pregnancy outcomes and sociodemographic data, with the following statistically significant results: Respiratory Discomfort (p-value 0.01); Neonatal ICU (p-value 0.03); Neonatal resuscitation (p-value 0.004), concluding that prenatal care had an influence on these outcomes. The results found came to support decision-making based on science and evidence for the care of migrants in the state of Roraima, encouraging activities that promote the engagement of pregnant Venezuelans in prenatal care, giving them autonomy and educating them about reproductive and sexual health and family planning. Thus, the rates of negative neonatal and perinatal outcomes will be significantly reduced.

De cidadãos do mundo a refugiados políticos, milhares de migrantes venezuelanos cruzam a fronteira brasileira a partir do Estado de Roraima em busca de melhores condições de sobrevivência. Acreditando que a população pediátrica é a fatia mais vulnerável do processo migratório e a que mais utiliza os serviços de saúde, esta pesquisa teve como objetivo avaliar o perfil de adoecimento de 221 crianças internadas no único hospital de referência ao atendimento pediátrico do Estado de Roraima, de gestão municipal. Com o propósito de comparar o estado de saúde de crianças de origens brasileira e venezuelana, foram levantadas informações a respeito das condições sociodemográficas e clínicas delas. Foi realizado um estudo observacional, descritivo, de corte transversal, por meio de revisão documental no prontuário e por meio de informações extraídas de um formulário respondido pelos participantes da pesquisa. A amostra constitui-se de 145 pais e/ou responsáveis legais pelas crianças internadas de nacionalidade brasileira e 76 de nacionalidade venezuelana. Para análise dos dados, foi utilizada estatística descritiva com comparação de médias amostrais utilizando o teste t de Student ou teste de Mann-Whitney e com comparação das proporções de variáveis categóricas utilizando o teste do χ-quadrado. Os dados foram tabulados e analisados utilizando-se o software SPSS. Nos resultados foram encontradas diferenças estatisticamente significativas na comparação de proporções de todas as características sociodemográficas avaliadas, com exceção da escolaridade do responsável, demonstrando que crianças de origem venezuelana experimentam piores determinantes sociais de saúde. Em relação ao perfil clínico, apenas duas variáveis demonstraram diferença estatística significativa (média do peso de nascimento e idade da criança), expondo uma caracterização clínica bem semelhante entre os dois grupos em comparação. Os motivos das hospitalizações foram semelhantes, assim como a prevalência de ICSAP (Internações por Condições Sensíveis à Atenção Primária). Ademais, em relação à acessibilidade dos serviços de saúde em Roraima, observaram-se diferenças estatísticas significativas em relação a uma possível menor cobertura da atenção primária à saúde entre as crianças de origem venezuelana, e uma maior percepção de demora no atendimento ao utilizar o SUS em Roraima entre os pais e/ou responsáveis pela criança de origem brasileira. Conclui-se, diante deste cenário, que existem iniquidades em saúde na comparação das duas populações do estudo, sendo que somente o avanço da estrutura dos serviços de saúde no Estado de Roraima talvez não seja suficiente para garantir saúde e condições equânimes para a inserção social dos migrantes venezuelanos. Faz-se necessário, então, estabelecer políticas que diminuam as desigualdades sociais entre os indivíduos, independentemente de nacionalidade.

Mesmo com o avanço alcançado por meio de pesquisas em relação às formas de prevenção e tratamento, as Infecções Sexualmente Transmissíveis (IST) persistem como um sério problema de saúde pública devido ao seu alto poder de disseminação. Uma das populações consideradas vulneráveis ao acometimento pelas ISTs são os profissionais do sexo devido ao comportamento de risco, a citar a multiplicidade de parceiros, a baixa adesão ao uso do preservativo, o uso de álcool e outras drogas ilícitas. Soma-se, ainda, a dificuldade de acesso aos serviços de saúde enfrentados por esse segmento populacional. Este estudo objetivou investigar a prevalência do diagnóstico das ISTs (HIV, Sífilis, Hepatite B e Hepatite C), o conhecimento, as percepções e as crenças dos profissionais do sexo em Boa Vista, Roraima. Trata-se de um estudo transversal, descritivo, analítico, de caráter quantitativo. A pesquisa, ocorreu no mês de agosto de 2018 em pontos de prostituição nas proximidades da Feira do Passarão através da aplicação de instrumentos que coletaram dados sociodemográficos, o conhecimento sobre as ISTs e uma escala de crenças que avaliou as crenças e percepções acerca das ISTs. Além disso, também foram realizados testes rápidos para detecção de HIV/AIDS, Sífilis, Hepatite B e C. Para a realização da estatística descritiva e analítica foram utilizados os programas Microsoft Excel e Epi Info. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa envolvendo Seres Humanos da Universidade Federal de Roraima (CEP∕UFRR) sob o parecer nº 2.962.053. A amostra deste estudo foi constituída por 72 profissionais do sexo, prevalecendo o sexo feminino (97,2%), na faixa etária de 18 a 28 anos (68%), raça/cor parda (51,4%), nacionalidade venezuelana (90,3%), residente no bairro Caimbé (77,8%), solteiro (58%), com 7 a 12 anos de estudo (59,7%), renda familiar de até mil reais (77,8%) e religião católica (38,9%). A prevalência da infecção por ISTs foi de 13,8%, sendo 12,5% diagnósticos de Sífilis e 1,4% de HIV, todos no sexo feminino. Verificou-se que a maior prevalência de casos de IST ocorreu na faixa etária de 41 a 60 anos, dentre as solteiras, com baixo nível de escolaridade (nunca tinham estudado), com raça/cor não informada na pesquisa, naquelas que não informaram a renda e que não tinham religião. Quanto ao nível de conhecimento sobre as ISTs, a maioria dos participantes foi classificada com um nível de conhecimento médio. Em relação às crenças e percepções, prevaleceram as crenças consideradas neutras, as quais devem ser melhoradas para se tornar protetivas. Nenhuma variável testada apresentou associação significativa estatisticamente com o desfecho diagnóstico positivo para IST. Conclui-se, portanto, que as ISTs nos profissionais do sexo são um fenômeno complexo e multidimensional, influenciado pelas características sociais, econômicas, culturais e que as principais medidas para modificar esse cenário devem ser voltadas a prevenção, o acesso aos serviços de saúde, detecção precoce e tratamento oportuno.

Introdução: A sífilis surgiu como uma doença reemergente no Brasil. Visto que, essa patologia já havia sido controlada, porém, voltou a apresentar iminente ameaça à saúde da população. É importante identificar os fatores pertinentes ao ressurgimento da sífilis no país. Sendo assim, o Ministério da Saúde, criou o Sistema de Informação de Agravos de Notificação (SINAN), a fim de contribuir para a democratização de importantes informações concernentes as notificações e investigações de casos de patologias e agravos no país. No Brasil, desde 2010, a notificação dos casos de sífilis tem sido obrigatória. Objetivos: Conhecer o perfil epidemiológico da sífilis adquirida no estado de Roraima, no período de 2010 a 2018. Metodologia: O presente estudo foi realizado a partir da avaliação dos casos de sífilis notificados no estado de Roraima, no período de 2008 a 2018, tais dados foram obtidos no SINAN-NET e Boletim Epidemiológico de Sífilis, do Departamento de Doenças de Condições Crônicas e Infecções Sexualmente Transmissíveis (DCCI), da Secretaria de Vigilância em Saúde (SVS), do Ministério da Saúde (MS). A amostra do estudo incluiu 2.334 casos notificados de sífilis em 15 municípios de Roraima. A análise dos dados foi realizada utilizando-se o MS Excel e o QGIS. Foram avaliados fatores sociodemográficos e espaciais para atingir o objetivo do presente estudo. Resultados: Verificou-se que a maioria (59,90%) dos casos pertenciam à faixa etária sexualmente reprodutiva de 20 a 39 anos, seguida de 40 a 59 anos (20,95%). Cerca de 36,46% (851 casos) não registraram o nível de escolaridade, no entanto, a maioria dos casos foi registrado com a escolaridade de ensino médio completo (26,30%). A maior parte dos casos foi a raça "parda" (69,24%). Os casos de sífilis foram mais concentrados em Boa Vista, capital de Roraima. Observou-se que, em 2014, houve um aumento significativo na notificação de casos, que continuou até 2018. O município de Boa Vista voltou a ter maior incidência média de 2008 a 2018 (53,75% casos/100000 habitantes). A distribuição espacial mostrou que a incidência é maior nos municípios que fazem linha nas rodovias que dão acesso à fronteira sul do Brasil (BR-174). Conclusão: A maior incidência de casos sífilis foi encontrada nos municípios de Boa Vista e Pacaraima. Sua adjacência com a rodovia estadual que dá acesso aos estados do Sul do Brasil pode ser um dos fatores responsáveis pelo ressurgimento dos casos de sífilis nessas áreas. Outro fator relevante é o fluxo migratório de estrangeiros pelas fronteiras Brasil-Venezuela e Brasil-Guiana.

A pesquisa deste trabalho emerge da realidade mostrada em vários estudos que indicam que apesar dos direitos da pessoa com deficiência estarem previstos em vários dispositivos da legislação brasileira, como a Constituição Federal de 1988, a Lei de Diretrizes e bases (LDB), além da Lei Brasileira de Inclusão (LBI); suas garantias, reconhecim

ento e aceitação ainda não estão consolidados em muitos espaços, inclusive no espaço educacional. Outro ponto relevante desta pesquisa é em relação à evolução de valores elencados, evocados, assumidos quando se trata e lida com a educação inclusiva, pois esta temática remonta a todos os valores buscados dentro de uma sociedade tais como fraternidade, igualdade, respeito, amor, justiça, entre outros valores. Versando por todos os valores morais almejados numa nação. Diante disso, teve-se como objetivos analisar como a inclusão se institui na Universidade Federal de Roraima, a partir de saberes inscritos em documentos administrativos do núcleo Construir, e através de entrevista para saber como os discentes com deficiência são contextualizados em espaços de formação no ensino superior, dentro da UFRR. Em relação à pesquisa documental referente ao quantitativo de alunos matriculados na Universidade Federal de Roraima, no ano de 2019 há um total de 122 alunos com deficiência matriculados na instituição; sendo que deste total 104 possuem a matrícula ativa e 18 tiveram sua matricula cancelada no ano em questão. Quanto à acessibilidade, a UFRR oferece: Rampas nas calçadas, banheiros adaptados, ônibus adaptado para cadeirantes, sendo que os demais ônibus possuem cadeira de rodas; placas informativas em braile no Campus Paricarana e adequações de acessibilidade em novas obras de construções ou reformas. Sobre as entrevistas: Todos os entrevistados consideram a atuação do Núcleo Construir excelente. Foi unânime também as respostas sobre a inclusão na UFRR, afirmando ser a instituição um espaço regularmente inclusivo, que possui sim empenho em se tornar referencia no quesito inclusão. A Divisão de Acessibilidade Núcleo Construir desenvolve diversas ações de apoio aos alunos com deficiência tais como: Recepção de calouros, mediação dos alunos com seus respectivos cursos; contato e visita domiciliar, escuta, acolhimento e orientação; parcerias com instituições que atuam na área de acessibilidade; projetos de extensão com o objetivo de contribuir para a melhoria da aprendizagem, saúde e qualidade de vida dos discentes, bem como a conscientização da comunidade universitária. Acredita-se que, nos quesitos inclusão, contexto social e comprometimento educacional, pessoal e profissional, a UFRR tem fortes indícios de ser uma promissora formadora e transformadora de atitudes e ideias e construtora de cidadania dentro do contexto educacional. De modo geral, os resultados obtidos nesta pesquisa promovem maiores e melhores reflexões acerca da inclusão.

O estado nutricional de crianças indígenas é determinado por fatores biológicos e socioeconômicos, configurando-se como fator importante no perfil de saúde da população infantil, por influenciar direta e indiretamente os índices de morbimortalidade, especialmente nos primeiros anos de vida. Objetivou-se descrever o estado nutricional de crianças indígenas menores de cinco anos do polo-base Morro do DSEI Leste de Roraima, além de realizar caracterização sociodemográfica e clínica, identificar fatores de risco para o déficit nutricional e elaborar estratégias que auxiliem no monitoramento nutricional desta população. Trata-se de uma pesquisa quantitativa de desenho exploratório, descritivo, de corte transversal, com base em dados secundários norteada pelo Guideline Strengthening the Reporting of Observational Studies in Epidemiology - STROBE. Os dados foram tabulados no programa Microsoft Excel 2010 e analisados utilizando o software “Statistical Package for the Social Sciences” (SPSS) versão 21, utilizando-se estatística descritiva e inferencial. A amostra contou com 235 crianças, com predominância do sexo masculino (54,04%), a média foi 29,2 meses, com desvio padrão de 17,7 meses, filhos e filhas de mães cuja escolaridade alcança, em sua maioria, o ensino fundamental (43,83%) e médio (42,13%). Mais da metade dessas mães (53%) não recebe nenhum tipo de benefício social, porém, cerca de (47%) são atendidas ou pelo programa Bolsa Família ou pelo programa de distribuição de leite. Quanto às características clínicas, identificou-se que 57,46% das crianças estudadas não ingeriam leite materno. A maioria das crianças não foi suplementada com sulfato ferroso,  contudo, 73% em idade adequada, foram suplementadas com vitamina A. A quase totalidade das crianças não apresentou doenças (1,28%) ou agravos de saúde (0,85%). Acerca do estado nutricional, observou-se na classificação de peso para idade que 7,24% das crianças apresentavam déficit nutricional, 92% possuíam peso adequado e apenas 0,8% foram classificadas com sobrepeso; enquanto que na classificação de altura para idade, os níveis de desnutrição aferidas por déficit estatural foram importantes, totalizando 20,42%. Outrossim, 78,72% das crianças encontravam-se com estatura adequada para idade, e 0,85% possuíam altura elevada para idade. Não foram identificadas correlação entre fatores clínicos e o estado nutricional de crianças indígenas analisadas, o que também impossibilitou o estabelecimento de fatores de risco. Dessa forma, demonstrou-se a existência concomitantemente de dois distúrbios nutricionais: déficit nutricional e sobrepeso, com maior importância para o primeiro. Os achados visam contribuir para a melhoria do serviço de saúde ofertado à população indígena, e colaborar com o monitoramento do estado nutricional de crianças indígenas, principalmente aquelas com déficit nutricional.

Introdução: O planejamento familiar consiste em um conjunto de ações que orientam sobre saúde sexual e reprodutiva, espaçamento e número de filhos, opções de métodos contraceptivos e demais assuntos relacionados. Sua condução deve respeitar os direitos que toda mulher, homem e/ou casal possuem de escolher de forma livre e por meio da informação, sem discriminação, coerção ou violência como planejar sua família. Objetivo: Investigar as relações entre planejamento reprodutivo e fatores associados em mulheres cadastradas ou não na Estratégia Saúde da Família do Município de Boa Vista-RR. Método: Estudo transversal e descritivo, realizado entre 7 a 29 de setembro de 2020, por meio da disponibilização de questionário eletrônico contendo 13 questões sobre o assunto abordado na pesquisa. O público-alvo foi composto por mulheres residentes no município de Boa Vista/RR, desde que com idade entre 18 e 49 anos. Os dados foram analisados no software Stata v.15. A análise descritiva contemplou cálculo de frequências para variáveis categóricas e de medidas de posição e dispersão para variáveis quantitativas. Na análise inferencial foram aplicados os testes de associação exato de Fisher ou qui-quadrado de Pearson, a depender da distribuição das variáveis. O nível de significância adotado foi de 5%. O estudo foi aprovado em Comitê de Ética em Pesquisa, sob parecer nº 4.054.425. Resultados: Participaram 247 mulheres, predominantemente na faixa etária de 29 a 39 anos (43,72%), com ensino superior completo (49,80%) e casadas (38,46%). A maioria não era beneficiária do Programa Bolsa Família (94,33%) e possuía renda entre um e dois salários mínimos (21,86%). Das participantes, 24,7% não possuíam filhos. Dentre as que eram mães, a maior parcela tinha um ou dois filhos e a maioria (44,53%) informou que nenhum de seus filhos foi planejado, não sendo identificada associação com a renda. Apenas 10,93% das mulheres não estava familiarizadas com o termo planejamento familiar e 58,30% relataram participação em ações desse âmbito, majoritariamente em Unidades Básicas de Saúde. A presença de filhos não planejados ocorreu majoritariamente em mulheres com renda entre um e dois salários mínimos. A possibilidade de realizar procedimento de aborto foi cogitada majoritariamente por mulheres com idade entre 29 e 39 anos (46,15%) e solteiras (41,03%). Em média, as participantes conheciam 7,78 (±3,3) métodos contraceptivos e utilizavam 1,12 (±0,93). Os mais utilizados foram: camisinha masculina e/ou feminina (38,06%), pílula (19,84%) e injeção (12,96%). A participação em ações de planejamento familiar mostrou associação significativa com o uso de três métodos: camisinha masculina e/ou feminina (p=0,038), laqueadura tubária (p=0,001) e vasectomia (p=0,016). Conclusão: O estudo permitiu evidenciar possibilidades de melhorias na realização do planejamento familiar no município de Boa Vista, principalmente quanto ao provimento de educação em saúde sobre gravidez não planejada, procedimentos de aborto e uso adequado de métodos contraceptivos, especialmente a camisinha, por seu papel na prevenção de ISTs.

Cientes que a alimentação e o estado nutricional são vitais para  o desenvolvimento infantil e a qualidade de vida da criança, o presente estudo tem por objetivo avaliar o estado nutricional de crianças na primeira infância participantes do Programa Social Família que Acolhe (FQA), no período de março de 2019, em Boa Vista, Roraima. A pesquisa caracteriza-se como descritiva exploratória com delineamento transversal e abordagem quantitativa, onde a população avaliada foram crianças de 2 aos 3 anos e 11 meses de idade, de ambos os sexos ( n = 1.040), atendidas pela rede municipal de creches Casas Mãe, formada por trinta e três núcleos integrantes do programa FQA, distribuídas em doze bairros da zona oeste do município de Boa Vista. Foram analisados os dados dos prontuários,  referentes a peso, altura, idade, sexo. Utilizou-se como avaliador os índices antropométricos estabelecidos pela OMS e validados pelo SISVAN: peso-para-idade (P/I), estatura-para-idade(E/I) e peso-para-estatura (P/E) Índice de Massa Cóporea (IMC). Os resultados observados mostram a caracterização do estado nutricional das crianças do sexo masculino (n = 547) e feminino (n = 493). As médias gerais de Peso (kg), Estatura (m) e Índice de Massa Corpórea (IMC), mesmo com mínimas variações, mostraram-se similares entre todas as crianças, fato que justifica o agrupamento dos dois sexos avaliados nas mesmas categorias especificadas pela OMS, quanto aos valores de escore z dos índices antropométricos testados (IMC, P/I, P/E e E/I). O índice P/E do total de crianças, 84,6% estavam eutróficas, 10,8% em risco de sobrepeso, 2,9% com sobrepeso, 1,1% com obesidade se somado no total 14,8% das crianças apresentaram riscos nutricionais com excesso de peso, ficando suscetíveis no futuro ao desenvolvimento de doenças crônicas não transmissíveis como diabetes mellitus tipo 2, hipertensão arterial e doenças cardiovasculares. Conclui-se o fechamento desse estudo reforçando a necessidade de um trabalho de educação nutricional com os pais para uma alimentação mais equilibrada das crianças e consequentemente o acompanhamento nutricional para manutenção do bom estado de saúde durante toda fase do desenvolvimento infantil. Enfatiza-se também a implementação de políticas públicas que atuem o mais precocemente naqueles que são os principais determinantes do excesso de peso.

O processo de envelhecimento reduz as funções biológicas, influencia nos aspectos relacionados à resposta do organismo aos medicamentos, fato que pode desencadear reações adversas e ainda comprometer o estado nutricional e acarretar em modificação da composição corporal. Com base no exposto, o objetivo deste estudo foi avaliar o estado nutricional e o uso de medicamentos em idosos residentes em uma Instituição de Longa Permanência em Boa Vista-RR.  Para tanto, foi conduzido um estudo de corte transversal, com delineamento descritivo e abordagem quantitativa. Para realizar a caracterização sociodemográfica, clínica e farmacoterapêutica dos idosos, foi utilizado um instrumento de coleta de dados elaborado previamente pelas pesquisadoras. Para a avaliação do estado nutricional foi aplicada a Mini Avaliação Nutricional (MAN) completa em dezembro de 2018. Os fármacos prescritos foram classificados segundo a Anathomical Therapeutic Chemical (ATC) e as interações potenciais teóricas entre fármacos e suplementos alimentares com alimentos/nutrientes segundo a base de dados informatizada Micromedex®.  A pesquisa foi realizada com 27 idosos de ambos os sexos, que residiam na instituição há mais de 30 dias durante o período da coleta de dados. Desses, 88,9% eram do sexo masculino, com prevalência de 44,4% na faixa etária de 70 a 79 anos. O tempo médio de institucionalização foi de 6,1 anos (±7,1). Na avaliação nutricional, verificou-se a prevalência de 66,7% de idosos com risco de desnutrição. Em relação às doenças que afetam os idosos institucionalizados, houve uma média de 2,7 (±1,5) diagnósticos. A Hipertensão Arterial Sistêmica foi o diagnóstico mais prevalente, porém os medicamentos mais consumidos foram os que atuam no sistema nervoso, sendo a dipirona (59,3%) o fármaco com maior frequência de prescrição entre os idosos. Quanto às interações potenciais entre fármacos e suplementos alimentares com alimentos/nutrientes, os dados evidenciaram 182 possíveis interações, que se distribuíram em 44 tipos diferentes de combinações entre  fármacos e nutrientes. Destacaram-se, as interações classificadas com nível de intensidade menor (47,2%), de início rápido (61,0%) e com boa qualidade na documentação (57,7%). A toranja foi o alimento de maior prevalência envolvida nas interações, com potencial de interagir com 10 fármacos distintos, quatro destes com ação no sistema cardiovascular. Esses resultados reforçam a importância da avaliação multidimensional ao idoso, com constante revisão dos esquemas terapêuticos, além do estabelecimento de medidas de promoção e/ou reabilitação da saúde, por meio de uma equipe interdisciplinar, que deve estar preparada para identificar e intervir nos problemas de saúde associados à fragilidade dos idosos institucionalizados

Com o avanço da idade é quase inevitável a presença de diversas comorbidades. Esse perfil tem como consequência o início ou aumento da quantidade de medicações administradas. O atendimento adequado a pessoa idosa é um desafio para os profissionais visto que uma assistência sem as devidas precauções é uma das principais causas do aumento do número de internações e riscos evitáveis, onerosidade para a saúde pública e sofrimento ao paciente. Esta pesquisa avaliou as prescrições de medicamentos considerados inapropriados para idosos (MPI) em uma instituição de longa permanência na cidade de Boa Vista, Roraima. Trata-se de um estudo transversal, descritivo, quantitativo e documental. A coleta de dados foi realizada no período de junho a novembro de 2018 e para análise estatística, utilizaram-se os programas R 3.6.1., Statistic 7.0.e Epi-info 7.3.5. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da Universidade Federal de Roraima sob o parecer nº 3.0066.517. Considerando os critérios de inclusão, foram avaliadas as prescrições de 25 idosos residentes na instituição. Foi utilizado o Consenso Brasileiro de Medicamentos Impróprios (2016) para classificação dos medicamentos inapropriados. Observou-se que a maioria dos idosos da instituição possuíam as seguintes características: 88,0% eram do sexo masculino, com média de idade igual a 77,2 (± 9,0) anos, tempo de institucionalização de 5,9 (± 6,7) anos, 64,0% possuíam algum grau de dependência para atividades diárias II ou III, com média de 3,6 (± 2,3) diagnósticos e 72,0% dos idosos utilizando mais de 10 medicamentos. Dos 113 medicamentos prescritos, 37 foram identificados como medicamentos inapropriados. Dos MPI, os medicamentos do Sistema Nervoso foram de maior prevalência (37,8%; n=14) seguido de Trato Alimentar e Metabólico (24,3%; n=9), os medicamentos mais prescritos aos idosos no período foram omeprazol (64%; n=16) e AAS (40,0%;n=10). Constatou-se uma associação estatística do uso destes medicamentos com o grau de dependência (p=0,03), maior número de diagnósticos (p=0,02) e medicamentos (p=0,00). Foram encontradas também 62 interações diferentes entre os medicamentos inapropriados, sendo 30,6% (n=19) consideradas de risco leve, 50,0% (n=26) de risco moderado e alto (27,4%; n=17). Espera-se que os resultados desta pesquisa auxiliem os profissionais de saúde para melhor adequação as prescrições prevenindo riscos e garantindo uma melhor qualidade de vida a esse grupo populacional. Considera-se importante atentar aos idosos com as variáveis significativas por serem considerados grupo de risco para prescrição de medicamentos inapropriados.