Infecção e óbitos de profi ssionais da saúde por COVID-19: revisão sistemática Infection and death in healthcare workers due to COVID-19: a systematic review Infección y muerte de profesionales de la salud por COVID-19: revisión sistemática

Study objectives To determine the prevalence of obstructive sleep apnea (OSA) in adults with Down syndrome (DS), to investigate factors related to OSA severity and to identify which sleep questionnaire is the most appropriate for the screening of OSA in this population. Methods Cross-sectional study that consecutively included 60 adults with DS. All patients underwent type III polysomnography and clinical and laboratory data were collected; sleep assessment questionnaires were applied. Multiple linear regression models evaluated the associations between OSA severity (measured by the respiratory event index-REI) and clinical and laboratory data and sleep questionnaires (Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, BERLIN and STOP-Bang questionnaires). Results Results show that 60 (100%) adults with DS had OSA, with moderate-severe OSA identified in 49 (81.6%). At the multivariate linear regression, REI significantly correlated with hematocrit levels, BMI and STOP-Bang questionnaire (SBQ) results (P <0.001). The positive STOP-Bang �3 points) showed 100% of sensitivity (95%CI: 92.75-100%), 45.45% of specificity (95%CI: 16.75-76.62), positive predictive value of 89.09% (95%CI: 82.64-93.34%), negative predictive value of 100%, accuracy of 90% (95%CI: 79.49-96.24%) and OR of 24.29.

Resumo O objetivo deste artigo é avaliar a adesão às boas práticas de atenção ao parto e nascimento, entre médicos, enfermeiros e residentes dos programas de residência em obstetrícia, dos hospitais públicos do Distrito Federal (DF). Estudo transversal do tipo inquérito aplicado a profissionais em 11 hospitais públicos do DF de janeiro a março de 2015. Instrumento com 20 questões sociodemográficas e 39 itens do tipo escala Likert. Para análise estatística, os profissionais foram separados em 4 grupos (enfermeiros, enfermeiro residentes, médicos e médicos residentes). Foram também avaliados os escores de cada hospital estudado. A dimensão processo de trabalho apresentou os maiores escores em relação as demais dimensões. Na comparação entre os grupos e entre os hospitais não foram observadas diferenças significativas em nenhuma das dimensões. A maioria dos profissionais estimula o parto natural. É necessário reforçar as ações para maior adesão às boas práticas de atenção ao parto, tanto na organização da rede de serviços quanto nas atitudes e valores da formação dos novos profissionais de saúde.

Study objectives To assess the patient safety culture in Primary Health Care (PHC) setting after the transition to the Family Health Strategy (FHS) model in a Brazilian metropolitan area and compare the results between the categories of health care professionals. Methods A cross-sectional study including 246 workers from primary health care services in Federal District, Brazil. Data collection took place from October to December 2019 through the Medical Office Survey on Patient Safety Culture (MOSPSC) application. Patient safety culture was considered positive when the score was above 60%. For comparisons between the categories of health care professionals’, the ANOVA and Kruskal-Wallis test were used for composite percent positive scores, and Pearson’s chi-square or Fishers exact test for frequency and percentage of positive responses. Results The overall MOSPSC composite percent positive score was 49.9%. Among the 12 dimensions, only three showed a positive patient safety culture: Teamwork (73.1%), Organizational learning (62.9%), and Patient care tracking/follow-up (60.1%). The percentage of positive responses on overall quality assessment (78.1%) and overall patient safety assessment (78.0%) showed a positive evaluation. There was no significant difference in the composite percent positive score of overall MOSPSC (p = 0.135) and the percentage of positive responses on overall patient safety assessment (p = 0.156) between the categories of health care professionals. Overall quality assessment showed a significant difference between job roles (p < 0.001), in which nursing /health care technicians showed a significantly lower score than other job roles. Conclusion The patient safety culture assessment showed a weakness in the patient safety in the PHC services. The MOSPSC and nine of its dimensions presented a negative safety culture assessment, regardless of the high scores in the overall patient safety and quality assessments.

That is an quasi-experimental study that aims to improve and make portable an existing method for projecting light points to estimate geometrical properties of a cavity. A computer vision system was developed in order to process input images and calculate volume and depth of a cavity in a plain surface. An error of 1,51% for depth and -10,42% for volume occurred. So this is an adequate method for estimating geometrical properties of cavities with accuracy errors compatible with those errors described in the literature.