ObjectiveTo evaluate Candida parapsilosis candidaemia in a neonatal unit over 7 years.DesignCase series study.SettingA 2000-bed tertiary-care university hospital at São Paulo, Brazil.ParticipantsNeonates hospitalised in a 63-bed neonatal unit.Primary and secondary outcome measuresWe evaluated the incidence of C parapsilosis fungemia in a neonatal unit from 2002 through 2008 and the main microbiological, clinical and epidemiological aspects of this disease in neonates. During the study period an outbreak occurred, an infection control programme was implemented, and isolates from blood and hand healthcare workers (HCWs) were submitted to molecular typing.ResultsDuring 7 years, there were 36 cases of C parapsilosis fungaemia and annual incidence varied from 0 to 19.7 per 1000 admissions. Evaluating 31 neonates with fungemia, the mean age at diagnosis was 19 days. All children except for one were premature; all had received total parenteral nutrition and all but one had used central venous catheter. Three neonates had received antifungal treatment previously to the diagnosis. Thirty-day mortality was 45%. Only lower birthweight was associated with mortality. C parapsilosis species complex was isolated from hand cultures in eight (11%) of the HCWs (one isolate was identified as C orthopsilosis). By molecular typing no HCW isolate was similar to any of the blood isolates.ConclusionsThe incidence of C parapsilosis fungemia in a neonatal unit varied widely over 7 years. We observed in our series a higher death rate than that reported in European countries and the USA.

O curso de medicina tem sido apontado como fator de risco para o desenvolvimento de sintomas depressivos e ansiosos nos estudantes. O objetivo foi estimar a prevalência de sintomas depressivos e ansiosos em acadêmicos de medicina em uma universidade pública. Trata-se de um estudo descritivo, realizado com estudantes de uma universidade pública. Foram utilizados questionário sociodemográfico, Inventário de Depressão de Beck e Inventário de Ansiedade de Beck. Participaram 33 estudantes com idade entre 20 e 25 anos de idade, maioria do sexo feminino, solteiros e que não moram com a família. A maioria participa de alguma atividade de lazer. A prevalência de sintomas depressivos foi de 27,3% e de ansiedade foi de 54,48%. Encontramos maior relação de sintomas de depressão e ansiedade no sexo feminino, nos que moram longe da família e usam a internet/redes sociais. Tocar instrumentos musicais, praticar atividade física, leitura extracurricular, ir ao cinema foram apontados como fatores de proteção. Esse estudo mostrou que sintomas de depressão e ansiedade são comuns nos estudantes de medicina e os fatores de proteção e de risco precisam ser considerados durante a graduação.

Congenital toxoplasmosis in primary health care: the importance of prevention in the control of a neglected diseaseToxoplasmose congênita na atenção primária à saúde: importância da prevenção no controle de uma doença negligenciada Toxoplasmosis congénita en la atención primaria de salud: importancia de la prevención en el control de una enfermedad unmet

Monitoring activities are fundamental in deepening knowledge, especially in the area of health. This work aims to report the experience of academic monitoring activities performed for the discipline of Human Anatomy of the Medicine Course of UFG/REJ, highlighting the contribution provided by monitoring in the formation and consolidation of content by the students monitored and the monitors themselves. During this project, great adherence of the students to the monitoring activities was noticed, which demonstrates the appreciation and interest in learning the discipline. With the monitoring, the students had more time to review the cadaveric and synthetic pieces to study and reinforce what was seen during the classes, since the knowledge of the practical, palpable part of the structures is of fundamental importance for the construction of anatomical knowledge. Thus, the help of the monitor with the clarification of doubts and greater constancy in the repetition of the contents taught in class facilitates the learning, making it more understandable to the students assisted.

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