Objective: to verify the effectiveness of nursing orientation provided to families of patients in the immediate post-operative following cardiac surgery before the first visit to the post-anesthesia care unit, in decreasing anxiety levels, compared to the unit's routine orientation.Method: open randomized clinical trial addressing family members in the waiting room before the first visit in the immediate post-operative period. The family members assigned to the intervention group received audiovisual orientation concerning the patients' conditions at the time and the control group received the unit's routine orientation. Outcome anxiety was assessed using the STAI-State. Results: 210 individuals were included, 105 in each group, aged 46.4 years old on average (±14.5); 69% were female and 41% were the patients' children. The mean score obtained on the anxiety assessment in the intervention group was 41.3±8.6, while the control group scored 50.6±9.4 (p<0.001). Conclusion: a nursing intervention focused on providing guidance to families before their first visit to patients in the immediate post-operative period of cardiac surgery helps to decrease the levels of anxiety of companions, making them feel better prepared for the moment. ReBEC (Brazilian Clinical Trials Registry) and The Universal Trial Number (UTN), No. U1111-1145-6172.

Background There are many inequalities in terms of prevention and treatment for pregnant women with HIV and exposed children in low and middle-income countries. The Brazilian protocol for prenatal care includes rapid diagnostic testing for HIV, compulsory notification, and monitoring by the epidemiological surveillance of children exposed to HIV until 18 months after delivery. The case is closed after HIV serology results are obtained. Lost to follow-up is defined as a child who was not located at the end of the case, and, therefore, did not have a laboratory diagnosis. Lost to follow-up is a current problem and has been documented in other countries. This study analyzed factors associated with loss to follow-up among HIV-exposed children, including sociodemographic, behavioral, and health variables of mothers of children lost to follow-up. Methods This historical cohort study included information on mothers of children exposed to HIV, born in Porto Alegre, from 2000 to 2017. The research outcome was the classification at the end of the child's follow-up (lost to follow-up or not). Factors associated with loss to follow-up were investigated using the Poisson regression model. Relative Risk calculations were performed. The significance level of 5% was adopted for variables in the adjusted model. Results Of 6,836 children exposed to HIV, 1,763 (25.8%) were classified as lost to follow-up. The factors associated were: maternal age of up to 22 years (aRR 1.25, 95% CI: 1.09–1.43), the mother’s self-declared race/color being black or mixed (aRR 1.13, 95% CI: 1.03–1.25), up to three years of schooling (aRR 1.45, 95% CI: 1.26–1.67), between four and seven years of schooling (aRR 1.14, 95% CI: 1.02–1.28), intravenous drug use (aRR 1.29, 95% CI: 1.12–1.50), and HIV diagnosis during prenatal care or at delivery (aRR 1.37, 95% CI: 1.24–1.52). Conclusion Variables related to individual vulnerability, such as race, age, schooling, and variables related to social and programmatic vulnerability, remain central to reducing loss to follow-up among HIV-exposed children.

Objetivos: avaliar o fluxo assistencial do programa de prevenção do câncer de colo de útero de uma unidade de Estratégia Saúde da Família. Metodologia: estudo descritivo transversal, com uma amostra de 1031 mulheres, cadastradas em uma unidade de saúde do município de Sapucaia do Sul-RS. A coleta de dados ocorreu entre 2012 e 2015, em fichas de cadastro do SUS e livro de registros de exames citopatológicos e inseridos em planilha eletrônica. A análise, segundo estatística descritiva, foi feita no software Excel® 2010. Resultados: 1031 mulheres tinham idade média de 43,17 anos. Dessas, em 64,5%, não havia registro de realização do exame preventivo do câncer uterino no período dos três anos de intervalo preconizados para a realização do exame. Conclusão: a cobertura do exame citopatológico está muito aquém do preconizado, sendo evidente a necessidade de aprimoramento das ações de rastreamento do câncer uterino.Descritores: Colo do Útero; Programas de Rastreamento; Teste de PapanicolauCOVERAGE OF THE PAPANICOLAOU TEST IN AN UNIT OF THE BRAZILIAN’S FAMILY HEALTH STRATEGYObjectives: evaluate the assistance flow of the cancer prevention program for cervical a unit of the Family Health Strategy, a health program of the Brazilian government, Methods: Descriptive cross-sectional study with a sample of 1,031 women registered at the health care unit in Sapucaia do Sul, southern of Brazil.. Data were collected from registration forms of the Brazilian Unified Health System, and record books of Papanicolaou tests from 2012 to 2015, and data was entered into spreadsheet . The analysis, according to descriptive statistics, was made in Excel 2010 software. . Results: They shown that mean age was 43.17 years for the 1,031 women under study. Of these, 64.5% did not undergo preventive exams for uterine cancer throughout the period of the 3-year interval recommended for women to undergo the exam. Conclusion: The coverage of the Papanicolaou test is much lower than recommended, with an evident need to improve screening for uterine cancer.Descriptors: Cervix Uteri; Mass Screening; Papanicolaou Test.COBERTURA DE LA PRUEBA DE PAPANICOLAOU EN UNA UNIDAD DE LA ESTRATÉGIA DE SALUD DE LA FAMILIAObjetivos: evaluar el flujo de la asistencia del programa de prevención del câncer del cáncer de cuello uterino adoptado por una unidad de la Estrategia de Salud de la Familia, un programa de salud del gobierno brasileño.. Métodos: Estudio descriptivo transversal con una muestra de 1.031 mujeres registradas en la unidad de salud en el municipio de Sapucaia do Sul, sur de Brasil. La recolección de datos ocurrió entre 2012 y 2015, en fichas de catastro del Sistema Único de Salud y libros de registro de pruebas de Papanicolaou y los datos introducidos en la hoja de cálculo. El análisis, de acuerdo con la estadística descriptiva, se hizo en el software Excel 2010. Resultados: Las 1.031 mujeres tenían edad media de 43,17 años. De estas, el 64,5% no habían realizado el examen preventivo de cáncer uterino en el período de los tres años de intervalo preconizados para la realización del examen. Conclusión: La cobertura de la prueba de Papanicolaou está muy por debajo del recomendado, siendo evidente la necesidad de perfeccionamiento de las acciones de tamizaje de cáncer uterino.Descriptores: Cuello del Útero; Tamizaje Masivo; Prueba de Papanicolaou.

Background: There are many inequalities in terms of prevention and treatment for pregnant women with HIV and exposed children in low and middle income countries. The Brazilian protocol for prenatal care includes rapid diagnostic testing for HIV, compulsory notification, and monitoring by the epidemiological surveillance of children exposed to HIV until 18 months after delivery. The case is closed after HIV serology results are obtained. Loss to follow-up is defined as a child who was not located at the end of the case, and, therefore, did not have a laboratory diagnosis. Loss to follow-up is a current problem and has been documented in other countries. This study analyzed the incidence of loss to follow-up of children exposed to HIV and the sociodemographic, behavioral and health variables of associated pregnant women. Methods: This historical cohort study included information on pregnant women living with HIV and the outcome of the child’s exposure to HIV. The association between predictors and the child’s outcome as a loss to follow-up was investigated using the Poisson Regression model. Relative Risk calculations were performed. The significance level of 5% was adopted for variables in the adjusted model. Results: Between 2000 and 2017, of 6,836 children exposed to HIV, 1,763 (25.8%) were classified as loss to follow-up. The factors associated were: maternal age of up to 22 years (aRR 1.25, 95% CI: 1.09-1.43), the mother’s self-declared race/color being black or mixed (aRR 1.13, 95% CI: 1.03-1.25), up to three years of schooling (aRR 1.45, 95% CI: 1.26-1.67), between four and seven years of schooling (aRR 1.14, 95% CI: 1.02-1.28), intravenous drug use (aRR 1.29, 95% CI: 1.12-1.50), and HIV diagnosis during prenatal care or at delivery (aRR 1.37, 95% CI: 1.24-1.52). Conclusion: Variables related to the individual, social and programmatic vulnerability of pregnant women were evidenced.