Background Brazil has the third largest prison population in the world. In 2016, the female prison population totaled 42,000, an increase of 656% over the population recorded in the early 2000s. The objective of this study was to describe the socialeconomic and reproductive health of women in Brazilian prisons, and the specific assistance received within the prison system. Methods This is a first of its kind national survey conducted in 15 female prisons in eight Brazilian states between 2014 and 2015. The sample consisted of 1327 women in closed or semi-open prison regimes. Data collection used Audio Computer-Assisted Self-Interviewing (ACASI). STATA v.15. Was use in analysis. The study was submitted to the Research Ethics Committee of the Federal University of Ceará, under CEP protocol No. 1,024,053. Results The population was overwhelmingly Black or Brown, poor and little educated. When women worked previously, they had worked as domestic servants and were the sole source of income for their families. Most were mothers, with 39% having children less than 10 years old, now in the care of others. Most were in jail for drug-related crimes. Prisons were crowded, with more than 2/3rds of the inmates sharing a cell with 6 or more inmates. Services were provide, but women had not had a cervical cancer screening within the past 3 years and breast cancer screening was not conducted. Conclusions Overall, given their backround and prison conditions they are unlikely to change the circumstances that brought them to prison in the first place.
Objetivo: Analisar os atendimentos no acolhimento com classificação de risco em uma maternidade pública terciária de Fortaleza, Ceará. Metodologia: Estudo descritivo, retrospectivo, com abordagem quantitativa, que utilizou técnica de análise documental, com amostra de 365 instrumentos para classificação de risco, realizados no setor de emergência de uma maternidade pública terciária, no período de janeiro a junho de 2016. Resultados: A maioria (57,5%) das mulheres foi classificada como pouco urgente para o atendimento, sendo classificadas com a cor verde. As principais queixas nos atendimentos foram: dor (34,5%), sangramento vaginal (17,5%) e perda de líquido (14%). Conclusão: A clientela que busca atendimento precisa ser mais bem orientada sobre os sinais e sintomas do trabalho de parto, durante as consultas de pré-natal na atenção básica.Descritores: Acolhimento; Enfermagem obstétrica; Emergência.ANALYSIS OF RISK CLASSIFICATION IN A TERTIARY PUBLIC MATERNITY OF FORTALEZAObjective: To analyze the host with risk classification in a tertiary public maternity hospital in Fortaleza, Ceará. Methodology: A descriptive, retrospective study with a quantitative approach using a documental analysis technique, with a sample of 365 instruments for risk classification, performed in the emergency sector of a tertiary public maternity hospital, from January to June, 2016. Results: The majority (57.5%) of the women were classified as not very urgent for care being classified as green. The main complaints were pain (34.5%), vaginal bleeding (17.5%) and fluid loss (14%). Conclusion: Clients seeking care need to be better informed about the signs and symptoms of labor during prenatal consultations in basic care.Descriptors: User Embracement; Obstetric Nursing; Emergencies.ANÁLISIS DEL ACOGIDA CON CLASIFICACIÓN DE RIESGO EN UNA MATERNIDAD PÚBLICA TERCIARIA DE FORTALEZAObjetivo: Analizar la acogida con clasificación de riesgo en una maternidad pública terciaria de Fortaleza, Ceará. Metodología: Estudio descriptivo, retrospectivo, con abordaje cuantitativo, que utilizó técnica de análisis documental, con muestra de 365 instrumentos para clasificación de riesgo, realizados en el sector de emergencia de una maternidad pública terciaria, en el período de enero a junio de 2016. Resultados: La mayoría (57,5%) de las mujeres fue clasificada como poco urgente para la atención siendo clasificadas con el color verde. Las principales quejas en las atenciones fueron: dolor (34,5%), sangrado vaginal (17,5%) y pérdida de líquido (14%). Conclusión: La clientela que busca atención necesita ser mejor orientada sobre los signos y síntomas del trabajo de parto, durante las consultas de prenatal en la atención básica.Descriptores: Acogimiento; Enfermería Obstétrica; Urgencias Médicas.
Objectives To estimate hypertension prevalence and associated factors among female correctional officers (FCO) in female Brazilian prisons. Methods Cross‐sectional, analytical study conducted in 15 female prisons in all five Brazilian regions between January 2014 and December 2015. The study population consisted of correctional officers with at least 6 months in the position. The sampling included 40% of FCO present in the prison during data collection, yielding 295 FCOs. Data were collected via Audio Computer‐Assisted Self‐Interview . A physical examination of participants was conducted including blood pressure, weight, and waist and hip circumference. The Odds Ratio and confidence intervals for independent factors were estimated. Results Hypertension prevalence in correctional officers was 37.9%, (95% CI 32.1‐44.0). Hypertension was associated with obesity (95% CI = 1.884‐9.947), cardiovascular disease (95% CI = 3.348‐16.724), and participation in the specific training course for the relevant position (95% CI = 1.413‐9.564). Conclusions While findings, except for the last factor, are not novel, this is the first such study conducted in Brazil. Hypertension prevalence among this pool of all female correctional officers is higher than in the average population, and FCOs associate this with the prison environment. Current training does not appear to address this problem. Especially since prison populations are growing in Brazil, this problem needs to be addressed for the health of the FCOs and the prisoners in their care.
Diagnosis and treatment of Hodgkin's lymphoma introduce a new routine, and the habitual life of the young adult is interrupted because the treatment imposes on patients withdrawing from their environment, their productive activities, their relatives and their daily life. The aim of the present study was to understand the experience of the young adult carrier of Hodgkin's lymphoma in the face of treatment. This is a qualitative study; subjects were patients diagnosed with Hodgkin's lymphoma at a reference hospital in northeastern Brazil. Inclusion criteria were being undergoing treatment or follow-up of Hodgkin's lymphoma, and aged 18 to 35 years. The information was collected through an interview at the home of each subject in the period from August and September 2015. The interviews were recorded, transcribed in full and analyzed through thematic analysis. The study was approved by the Research Ethics Committee. The subjects went through a rather individual pathway to discover the disease. After reading the interviews, the following category emerged: Impact and changes in life with cancer. They feel the impact of cancer and of the process of illness and treatment that promote physical and social changes. They reveal the coping of the disease with liveliness, and present strategies for this process, such as the support of family and friends. They recognize the existence of difficult moments and face situations of death, but they show intention to return to their daily activities and have perspectives for cure.
An amendment to this paper has been published and can be accessed via the original article.
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