Objective: to investigate the perception of service users of an emergency unit, regarding attendance based in User Embracement with Risk Classification. Method: his descriptive-exploratory study, with a qualitative approach. The data were collected from 20 service users through an audio-recorded interview, guided by the following question: Tell me about your initial attendance, the user embracement with risk classification, which you received in this unit. Results: content analysis was undertaken with the data in thematic modality, from which two categories resulted: Risk classification as an advantage in attending emergencies; and Disagreement with the risk classification established by the professionals. Although the service users perceived User Embracement with Risk Classification as a measure which optimizes attendance in emergencies, some users disagreed with the classification made by the professionals. Conclusion: the objectives of User Embracement with Risk Classification need to be better publicized, with a view to the better acceptance of its results by society, as when classified as being of lower priority, the service users mention feeling unsafe and dissatisfied.

IntroductionSince 2020, the world has been going through a viral pandemic with a high morbidity and mortality rate along with the potential to evolve from an acute infection to post-acute and long-COVID, which is still in the process of elucidation. Diagnostic and prognostic research is essential to understand the complexity of factors and contexts involving the illness’s process. This protocol introduces a study strategy to analyse predictors, sequelae, and repercussions of COVID-19 in adults and older adults with different disease severities in the State of Paraná, Brazil.Methods and analysisA mixed-methods sequential explanatory design. The quantitative data will be conducted by an ambispective cohort study, which will explore the manifestations of COVID-19 for 18 months, with nearly 3000 participants with confirmed diagnoses of COVID-19 (reverse transcription-PCR test) between March and December of 2020, retrieved from national disease reporting databases, over 18 years old, living in a Brazilian State (Paraná) and who survived the viral infection after being discharged from a health service. Data collection will be conducted through telephone interviews, at two different occasions: the first will be a recall 12 months after the acute phase as a retrospective follow-up, and the second will be another prospective interview, with data of the following 6 months. For the qualitative step, Grounded Theory will be used; participants will be selected from the cohort population. The first sample group will be composed of people who were discharged from the intensive care unit, and other sample groups will be composed according to theoretical saturation. The qualitative data will follow the temporal design and classification of the disease provided for in the cohort.Ethics and disseminationEthics approval was granted by the State University of Maringá, under opinion number: 4 165 272 and CAAE: 34787020.0.0000.0104 on 21 July 2020, and Hospital do Trabalhador (Worker’s Hospital), which is accountable for the Health Department of the State of Paraná, under opinion number: 4 214 589 and CAAE: 34787020.0.3001.5225 on 15 August 2020. The participants will verbally consent to the research, their consent will be recorded, and the informed consent form will be sent by mail or email. Outcomes will be widely disseminated through peer-reviewed manuscripts, conference presentations, media and reports to related authorities.

Objective: To know the perception of health professionals and their families about fake news related to the COVID-19 pandemic. Method: Descriptive-exploratory study with a qualitative approach. Twenty-eight individuals participated, including seven physicians, seven nurses, and 14 family members. Data collection took place between August and October 2020, with audio-recorded interviews. After transcription, the content was analyzed using Content Analysis, thematic modality. Results: Three categories were identified: “Context of the occurrence and dissemination of fake news in times of pandemic”; “Consequences of fake news on the experience of the pandemic”; and “Coping strategies to contain/combat fake news”. Conclusion: Sociocultural, political, educational, and technological aspects influence the occurrence and dissemination of fake news, which have consequences such as: misinformation, self-medication, worsening in the professional-patient relationship, increased need for additional research, and fear in the population. To face the current situation, greater control by the State is required, with investigation and punishment of people who disseminate fake news, as well as greater awareness among the population on the subject.

RESUMOObjetivo: buscou-se analisar a tendência da mortalidade por desnutrição em menores de 5 anos residentes no Brasil. Método: trata-se de estudo ecológico, de séries temporais, sobre mortalidade por desnutrição em crianças brasileiras menores de cinco anos, de 2003 a 2016. Coletaram-se os dados em maio de 2018 pelo Sistema de Informações sobre Mortalidade. Realizaram-se análises de tendência e regressão polinomial. Apresentam-se os resultados em tabelas e figura. Resultados: verificou-se tendência decrescente da mortalidade por desnutrição em todas as regiões do Brasil (p<0,001). Averiguou-se que as regiões Norte e Nordeste apresentaram as maiores taxas de mortalidade, enquanto as regiões Sul e Sudeste as menores. Constatou-se que os maiores índices estaduais foram Mato Grosso do Sul, Alagoas e Pernambuco (2003-2007); Roraima, Amazonas e Acre (2008-2012 e 2013-2016). Conclusão: observou-se tendência decrescente da desnutrição infantil no Brasil, mas com diferenças regionais indicando a necessidade de atenção às especificidades de cada região. Descritores: Desnutrição; Mortalidade Infantil; Política Pública; Transtornos da Nutrição Infantil; Serviços de Saúde da Criança; Saúde da Criança.ABSTRACT Objective: to analyze the mortality trend due to malnutrition in children under 5 living in Brazil. Method: this is an ecological time-series study on mortality due to malnutrition in Brazilian children under five years of age, from 2003 to 2016. Data were collected in May 2018 through the Mortality Information System. Polynomial regression and trend analyzes were performed. The results are shown in tables and figures. Results: there was a decreasing mortality trend due to malnutrition in all regions of Brazil (p <0.001). The North and Northeast regions had the highest mortality rates, while the South and Southeast regions had the lowest mortality rates. The highest indices were in the states of Mato Grosso do Sul, Alagoas and Pernambuco (2003-2007); Roraima, Amazonas and Acre (2008-2012 and 2013-2016). Conclusion: there was a downward trend in infant malnutrition in Brazil, but with regional differences, indicating the need to pay attention to the specificities of each region. Descriptors: Malnutrition; Infant Mortality; Public Policy; Child Nutrition Disorders; Child Health Services; Child Health. RESUMEN Objetivo: se buscó analizar la tendencia de la mortalidad por desnutrición en menores de 5 años residentes en Brasil. Método: se trata de un estudio ecológico, de series temporales, sobre mortalidad por desnutrición en niñas brasileras menores de cinco años, de 2003 a 2016. Se recogieron los datos en mayo de 2018 por el Sistema de Informaciones sobre Mortalidad. Se realizaron análisis de tendencia y regresión polinomial. Los resultados se presentaron en tablas y figuras. Resultados: se verificó una tendencia decresciente de la mortalidad por desnutrición en todas las regiones de Brasil (p<0,001). Se averiguó que las regiones Norte y Nordeste presentaron las mayores tasas de mortalidad, mientras las regiones Sur y Sudeste tuvieron las menores. Se constató que los mayores índices estaduales fueron Mato Grosso do Sul, Alagoas y Pernambuco (2003-2007); Roraima, Amazonas y Acre (2008-2012 y 2013-2016). Conclusión: se observó una tendencia decresciente de la desnutrición infantil en Brasil, pero con diferencias regionales indicando la necesidad de atención a las especificidades de cada región. Descriptores: Desnutrición; Mortalidad Infantil; Política Pública; Trastornos de la Nutrición del Niño; Servicios de Salud del Niño; Salud del Niño.

Objetivo: Analisar o cuidado de enfermagem ao idoso em diversos cenários de um hospital geral, com ênfase no preparo profissional, limites e particularidades das práticas assistenciais. Método: Pesquisa exploratória de natureza descritiva, com abordagem qualitativa, realizada em um hospital universitário público, por entrevista aberta, com 15 profissionais de enfermagem que executavam cuidados a pacientes idosos. Resultado: Identificou-se que o cuidado de enfermagem ao idoso hospitalizado enfrenta limites e dificuldades de distintas origens; que o cuidado de enfermagem ao idoso hospitalizado requer atenção peculiar imposta pelas características do envelhecimento; e que o cuidado de enfermagem ao idoso hospitalizado é facilitado pela prática colaborativa. Conclusão: Foram apontadas distintas dificuldades no cuidado de enfermagem a idosos hospitalizados, assim como a necessidade de uma assistência direcionada a especificidades do indivíduo idoso e o quanto a colaboração interprofissional permite um cuidado mais individualizado e efetivo para essa população.