Objectives: to assess the attributes of Primary Health Care from the perspective of health professionals, comparing services in the Special Indigenous Health District and the Municipal Health Offices. Methods: a cross-sectional study in the Upper Rio Negro region, State of Amazonas, with 116 professionals. The data were collected through the Primary Care Assessment Tool. Scores were categorized (≥ 6.6) - strong orientation and (<6.6) - low orientation. The chi-square and maximum likelihood test for crossover analysis. The comparison between professionals the Kruskal-Wallis Test. Results: a higher overall score was observed in the Indigenous Health District (7.2). The same trend was observed individually in the essential and derived attributes. Conclusions: this work may support strategies that positively impact the management model and work processes from the perspective of strengthening the primary care offered to the population from Rio Negro.

demographics, injury patterns, and resource utilization of GSW victims in the teenage population. Methods: A retrospective review of the National Trauma Data Bank was performed. Using ICD-9-CM E-Codes, variables were created to identify all patients between 13 and 19 years old who sustained firearm-related injuries between 2010-2015. Bivariate and multivariate statistical analyses were used to analyze the demographics, clinical details, and substance use of the study population. Outcomes studied included mortality, ventilation days, intensive care unit (ICU) length of stay (LOS), Injury Severity Score/Abbreviated Injury Scale (ISS/AIS) and location of the GSW incident. Results: During the study period, 34,855 patients between the ages of 13 and 19 were admitted to the hospital following a GSW. The plurality of patients, 17,092 (49%), identified as Black and 4593 (13%) patients identified as White (non-Hispanic). Compared with the White teens, the Black teens demonstrated increased odds of sustaining a GSW outside of the home (OR 3.0, 95% CI 2.8-3.3, P<0.0001), whereas the White teens were more likely to sustain a GSW at home (OR 3.8, 95% CI 3.6-4.1, P<0.0001). A positive screening for alcohol was identified more often in White teens compared to the Black teens (10% vs. 9%, P¼0.01). Substance use, as indicated by a positive drug screen, was identified in the same rates between the Black teenager populations compared to the White teenager populations (20% vs. 20%, P¼0.38). The mortality of Black teens was higher in the ED compared to White teens (3.3% vs. 2.5%, P¼0.01) and they also spent more time in the ED (234.8 minutes vs. 168.7 minutes, P<0.0001). Black teens spent more days in the ICU (5.2 vs. 5.1, P<0.0001) and were more likely to be on a ventilator (4.7 vs. 4.0, P<0.0001) compared to their White counterparts. The White teenage population was sent to the ICU at a higher rate compared to their Black counterparts (20% vs. 13%, P¼<0.0001) and to the operating room directly from the ED (31% vs. 29%, P¼0.01). It was further seen that over 22% of the White teens (95% CI 21.3-23.8) and 15% of the Black teens (95% CI 14.9-16.0) displayed an ISS/AIS of 20 or greater. Conclusion: This study highlights a significant public health concern that Black teens are four times more likely to have experienced a firearm-related injury compared to their White counterparts. Furthermore, their injuries are more likely to be outside of the home, serious, fatal and require longer stays in the ED and ICU. White teenagers are more likely to sustain GSWs inside of the home, have positive screens for alcohol use, have a higher ISS/AIS score and require emergent operation. Future research and interventions are needed to improve neighborhood safety, treat substance use disorders, develop interventions to reduce gun violence, and eliminate disparities in firearm-related injuries.

ABSTRACT Objectives: to compare the metabolic, anthropometric, tobacco and alcohol consumption indicators considered as risk factors for cardiovascular diseases, as well as the demographic and socioeconomic characteristics between indigenous from Rio Negro, Sateré-Mawé, mixed-race/black and white people living in the city of Manaus. Methods: a cross-sectional observational study guided by the STROBE tool. There was a sample of 191 adults of both sexes. Anthropometric measurements, blood pressure and biochemical analyzes were performed. Statistical test was applied to cross color/race/ethnicity variable with the investigated variables. Results: indigenous had better metabolic and anthropometric indicators related to cardiovascular diseases than mixed-race/black and white, as well as Sateré-Mawé in relation to Rionegrinos (from Rio Negro). Conclusions: the main differences were obesity, dyslipidemia, pre-systemic arterial hypertension/systemic arterial hypertension, and increased circumferences, with a worse situation for mixed-race/black people. The findings indicate differences in risk factors between race/color and ethnicity groups evaluated.

Abstarct Objective: to analyze the quality of life of kidney transplant receivers in the State of Amazonas. Method: a cross-sectional, descriptive study, performed with 222 individuals after renal transplantation registered in a private clinic and in a health public ambulatory. Data collection took place through structured interviews where the quality of life was measured by the Kidney Disease Quality of Life - Short Form. Descriptive statistics were used for data analysis. Results: the quality of life scores found ranged from 36.5 to 83.1. The quality of life domains, specifics of renal disease, have proved to be superior to generic ones. The most compromised were work situation; sleep; physical function and emotional function, with scores of 36.5; 53.7; 52.4; 55.1, respectively, and correlated moderately and significantly with each other. Conclusion: the majority (63.2%) of the quality of life domains obtained high scores and the specific component of renal disease had higher scores than the generic component.

O e-book volume 2 é continuidade da obra: Enfermagem no Cuidado à Saúde de Populações em Situação de Vulnerabilidade. Na mesma perspectiva, apresenta os desafios para atenção e cuidado em saúde a grupos heterogêneos, indivíduos, famílias e comunidades vivendo em situação de vulnerabilidade, com foco em pesquisa e/ou experiências enfrentadas na atenção a estes grupos.A temática da obra proposta foi pensada pelos pesquisadores do Grupo de Estudos e Pesquisa em Saúde com Populações em Situação de Vulnerabilidade na Amazônia (GEPSVAM), vinculado aos seus respectivos