BackgroundTruck drivers work under conditions that predispose them to a high prevalence of risk factors for the development of cardiovascular disease (CVD); however, these factors have not been fully evaluated and are not usually considered to be within the scope of health or labor services.MethodsAn observational cross-sectional study was conducted on 250 long-distance truck drivers; the drivers were all male and were aged 18-60 years. The clinical evaluation consisted of an assessment of social habits and demographic data and an evaluation of risk factors for CVD at 3 time points separated by a one-week interval. To assess the associations with risk factors were used univariate and multivariate analysis. The suitability of the final model fit was assessed via the Hosmer-Lemeshow test. The significance level was set at 5%.ResultsAmong all of the subjects, the prevalence of physical inactivity was 72.8%; consumption of alcoholic beverages, 66.8%; routine use of some type of stimulant during work activities, 19.2%; and smoking, 29%. Only 20.8% had a healthy weight, and 58.2% had an abdominal circumference greater than 102 cm. A diagnosis of arterial hypertension was confirmed in 45.2%, and abnormal glucose levels were detected in 16.4%. Although some of the truck drivers were aware of these conditions, most were not taking specific medications. The logistic regression analysis shows that the odds of hypertension and abnormal glucose levels were increased in truck drivers with abdominal obesity. Age and the family history of premature CVD also increased the chances of hypertension and the abnormal blood glucose levels were related to II or III grade obesity.ConclusionLong-distance truck drivers showed a high prevalence of a cluster of cardiovascular risk factors; these risk factors make the drivers highly susceptible to the development of CVD. The associated risk factors, low compliance with drug treatment, and unique features of this profession suggest that traditional precautions are not sufficient to change this scenario.

Objective: To evaluate the quality of life of people with chronic wounds and to compare this index with clinical parameters. Method: A cross-sectional study conducted between July 2014 and February 2015, evaluating people with chronic wounds in outpatient care during a nursing consultation, in the city of Guarapuava, Paraná. Quality of life was assessed by the Quality of Life Index - wounds version. Data were analyzed using the Mann Whitney test and T-test. Results: 53 people participated. The mean quality of life score was 22.65±3.08. The most significant scores in the analyzes were the family domain (27.71±2.94) with the highest mean score, and the health domain (18.91±4.58) had the lowest. Pain in walking (p=0.031) and using pain medication (p=0.002) presented a significant relation with overall score. There was a significant difference between the groups for the items pain at rest (p=0.022), pain in moving (p=0.006), using pain medication (p<0.001) and presence of infection (p=0.004), in the rest item (p=0.015) in the socioeconomic domain, and type of wound (p=0.05) and rest (p=0.041) in the psychological domain. Conclusion: The overall Quality of Life Index and by domains was classified as good and very good, where the family domain was better evaluated to the deriment of the health domain due to the clinical parameter of pain.

RESUMENEl nuevo milenio trae consigo para el Brasil, la realidad del envejecimiento de la población y con él, el aumento de los casos de enfermedades crónicas, entre ellas el cáncer. Con la intención de comprender cómo los pacientes oncológicos, en tratamiento quimioterapéutico por ocurrencia de metástasis, vivencian la posibilidad de la muerte, realizamos siete entrevistas con pacientes de una clínica de oncología, situada en un pequeño municipio del Estado del Paraná. Para el análisis de las entrevistas, utilizamos algunas ideas del referencial filosófico de Martin Heidegger. De ese análisis, la muerte emergió de varios modos: implícitamente; como un fenómeno natural, vivido en la impersonalidad, por la muerte del otro; como fenómeno presente en la existencia. La condición de ser-con-el-otro permitió que la muerte se develase por medio de palabras, acciones y de la mirada, que al mismo tiempo acoge y denuncia; en la relación con los profesionales de salud, a través de los modos de cuidar casi siempre inauténticos. DESCRIPTORES ABSTRACTThe new millennium brings along a new reality to Brazil: population aging, and with it an increase in cases of chronic diseases, among them cancer. With the purpose of understanding how oncological patients under chemotherapeutic treatment due to the metastasis experience the possibility of dying, seven interviews with patients from an oncology clinic were carried out in a small town in the state of Paraná. In order to analyze these interviews, ideas from Martin Heidegger's philosophical reference were used. From this analysis, death showed itself in different ways: implicitly; as a natural phenomenon, experienced in an impersonal way through someone else's death; as a phenomenon that permeates life. The ithappens-to-the-other condition made possible to unveil death through words, actions and looks, which at the same time shelter and denounce; and through the relation with the health professionals through caring forms almost always unauthentic. KEY WORDSNeoplasm metastasis. Attitude to death. Death. Patients.

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Estado nutricional de idosos, avaliados em domicílio, com dificuldade de acesso ao serviço de atenção básicaNutritional status of elderly, valued at home, with limited access to primary care services ResumoIntrodução: O aumento da expectativa de vida representa uma conquista social, mas pode ocasionar aumento no número de idosos dependentes, inseridos tanto no meio social quanto no familiar. A redução nos custos com assistência hospitalar e institucional é um dos motivos da permanência de idosos incapacitados em suas próprias casas, tornando o suporte domiciliar uma necessidade. O processo de avaliação da saúde de idosos engloba análises de aspectos clínicos e psicossociais, sendo o estado nutricional uma das condições clínicas de maior importância, devido a sua relação com a morbi-mortalidade dessa população. Objetivo: Verificar, em domicílio, o estado nutricional de idosos com dificuldade de acesso à unidade de saúde, por meio de diferentes instrumentos de avaliação nutricional. O estudo foi realizado com 18 idosos, de ambos os sexos, matriculados na Unidade de Saúde da Família -PSF Dourados, no Município de Guarapuava-PR, que recebiam visita regular de agente comunitário de saúde. Resultados: Grande parte dos idosos apresentava algum grau de desnutrição, e a avaliação por meio de medidas antropométricas foi mais acurada do que a realizada pela miniavaliação nutricional. Conclusão: Conclui-se que, independentemente do instrumento de análise utilizado, houve alta prevalência de desnutrição, e que a avaliação nutricional de idosos, realizada em domicílio, é potente ferramenta de avaliação e intervenção em seu estado nutricional. Palavras