Alcohol consumption and sleep disorders are both prevalent and relevant problems among college students, but the relationship between these conditions is unclear. This study aimed to analyze the association between alcohol-related problems and sleep in first-year college students from Brazil, Chile, and Spain. Cross-sectional analyses were performed with data from three independent studies with first-year college students from each country. The risk of alcohol-related problems (RARP) and sleep quality and duration were self-reported using mixed methods. Pooled odds ratios (p-OR) and 95% confidence intervals (95% CI) of suboptimal sleep quality and of short (< 7 h) and long (> 8 h) sleep duration were estimated according to RARP adjusting for the main confounders. Of the 1830 students included (31.2% Brazilian, 42.2% Chilean, and 26.6% Spanish), 61.6% were female, and the mean age was 20.0 ± 3.6 years. Overall, 25.0% and 9.9% of the students were classified as intermediate and high RARP, respectively. In the combined results for the three countries, intermediate-to-high RARP was associated with a higher likelihood of suboptimal sleep quality (p-OR: 1.24; 95% CI: 1.00 to 1.52; I 2 heterogeneity statistics: 43.0%), regardless of sociodemographic and lifestyle covariates and of self-rated health. The frequency of alcohol consumption was not associated with sleep quality or sleep duration. In this multicountry pooled analysis, first-year college students at risk of alcohol-related problems were more likely to report worse sleep quality. The coexistence of alcohol-related problems and sleep disorders could potentiate its adverse health effects among these young adults. Keywords Alcohol use • Sleep • College students • International study • EpidemiologyAlcohol consumption is a widely spread practice around the world. Approximately half of the global adult population is currently drinker, especially in the Americas and Europe, where prevalence rates are 54.1% and 59.9%, respectively (WHO, 2018). Although young people's drinking reflects the drinking behavior of the adult population, the prevalence * Teresa Balboa-Castillo
Propõe-se com o presente estudo, descrever a evolução das ações da atenção primária em saúde e correlaciona-las às hospitalizações por condições sensíveis a esse nível de atenção. Trata-se de um estudo ecológico, retrospectivo e analítico, a partir de dados secundários. Foram objetos de estudo a abrangência populacional das eSF, PACS e número de NASF, além das internações por condições sensíveis a atenção primária, no Paraná e suas cinco maiores cidades. Utilizou-se o modelo de correlação de Pearson, a fim de investigar a relação entre as variáveis. Observou-se tendência crescente na abrangência das eSF em todos os locais do estudo. Houve decréscimo importante no número de ICSAP no período estudado, bem como correlação estatística negativa com o a ampliação da cobertura das ações da APS no estado do Paraná.
Objetivo: Descrever o perfil dos erros de dispensação identificados através da instituição da conferência de tiras de medicamentos pelo farmacêutico hospitalar, e quantificar as discrepâncias geradas pelo indicador, em um hospital de alta complexidade do Estado do Paraná, no ano de 2015. Método: Estudo transversal e retrospectivo dos erros de dispensação que foram evitados pelo farmacêutico. Uma vez identificadas, as discrepâncias foram classificadas e contabilizadas, gerando um indicador do processo de trabalho (número de erros evitados/número de tiras dispensadas x 100). Posteriormente, fora realizada uma Análise de Pareto, a fim de priorizar ações de resolução de problemas. Resultados: Obteve-se um total de 27.980 prescrições, as quais originaram 48.451 tiras de medicamentos, no período estudado. Os erros de dispensação encontrados durante a conferência das tiras pelo farmacêutico somaram 1.453. O índice de erros de dispensação foi de 3 erros a cada 100 tiras. Os erros que ocorreram com maior frequência foram falta de medicamento prescrito e troca de horário do medicamento, representando juntos 61% da totalidade dos erros, sendo os mesmos erros identificados na análise no Diagrama de Pareto, como os principais alvos de intervenção na melhoria dos processos. Conclusão: A ocorrência de erros encontrada através do indicador “Índice de Erros de Dispensação” foi considerada baixa, frente aos dados encontrados na literatura. Através da Análise de Pareto, foi possível identificar os erros mais frequentes, para posterior planejamento de ações de melhoria, com vistas ao aumento da segurança do paciente.
Poor sleep quality and low or no free-time physical activity (FTPA) practice are highly prevalent among university students, but the association between these conditions is still unclear. This cross-sectional study analyzed the relationship between FTPA and sleep quality. An online questionnaire was conducted with university students from a public university in southern Brazil in 2019. The weekly frequency of FTPA was self-reported, and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Logistic regression and ANCOVA models were performed and adjusted for confounders. Among the 2,626 students analyzed, 52.2% did not practice the FTPA, and 75.6% had poor sleep quality (PSQI > 5). In the adjusted analysis, practicing FTPA 4–7 times/week was associated with poor sleep quality (odds ratio = 0.71; 95% confidence interval = 0.52, 0.97) compared with not practicing FTPA. In addition, those who practiced FTPA had significantly lower means of the global PSQI, subjective sleep quality and duration, sleep disturbances, and daytime dysfunction scores than those who did not practice FTPA. In conclusion, the FTPA may contribute to better sleep quality among university students.
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