This study aims to investigate the relationship between spirituality, religiosity (S/R), mental health and quality of life in a vulnerable population in the Pantanal wetlands of Brazil. A total of 129 individuals were interviewed. We examined mental health (Hospital Anxiety and Depression Scale), quality of life (SF-12), spirituality (self-spirituality rating scale), religiosity (DUREL) and R/S opinions. Individuals had high levels of spirituality, non-organizational and intrinsic religiosity, but low levels of religious attendance. Most participants said they would like to have their faith addressed by a health professional and that this approach would strengthen their trust on the doctors. Higher levels of spirituality were associated with less anxiety (β = - 0.236, p < 0.01) and depressive symptoms (β = - 0.398, p < 0.001); higher levels of non-organizational religiosity were associated with less anxiety (β = - 0.250, p < 0.01) and depressive symptoms (β = - 0.351, p < 0.001); and higher levels of intrinsic religiosity were associated with less depressive symptoms (β = - 0.315, p < 0.001). Quality of life was not associated with any religious/spiritual measures.

Aim To evaluate the prevalence and risk factors of H. pylori infection in the pediatric and adult population seen at a public hospital in São José do Rio Preto, SP, Brazil. Methods This is a retrospective study that evaluated 2406 medical records of children, adolescents, and adults with dyspeptic symptoms who underwent upper gastrointestinal endoscopy. H. pylori diagnosis and demographic and clinical-pathological features were recorded. Results A total of 852 subjects were H. pylori positive, with an overall prevalence of infection of 35.4%, occurring mainly in adults over 40 years of age, and a 24.7% prevalence considering only children and adolescents. No association was observed between H. pylori infection and risk factors. However, the H. pylori positive individuals showed a higher frequency of pangastritis (p < 0.01), severe lesions (p = <0.001), and erosive lesions (p = 0.04). The bacterium was eradicated in 83.5% (127) of the patients who received the standard therapy. Conclusions The prevalence of H. pylori detected in a public service in São José do Rio Preto, SP, Brazil, is as expected for developed countries, showing growing rates with increasing age. As H. pylori infection occurs during childhood, screening programs for detection and prevention in the pediatric population are important to reduce the prevalence of this infection in adults.

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Introdução: O aumento de acidentes de trânsito nas grandescidades vem chamando a atenção de gestores e profissionaisde saúde. Objetivos: Investigar o perfil de vítimas de trânsitoencaminhadas a uma unidade de pronto atendimento (UPA)e analisar se os serviços de assistência (SAMU e corpo debombeiros) estavam triando adequadamente os usuáriossegundo as ações da unidade. Casuística e métodos: Duzentose quatorze vítimas de acidente de trânsito foram incluídasnesta pesquisa, durante um ano de acompanhamento naunidade de saúde. Após o acolhimento dos casos pela equipede saúde, esses foram categorizados segundo tipo de acidente,queixa principal e meio de chegada à unidade. Os dadosforam analisados na ótica descritiva (média, desvio-padrão epercentual) e inferencial (teste de qui-quadrado). Resultados:Das intercorrências analisadas, 43% envolveram motocicletase 26% colisões motocicletas x carro. Os homens representarama maioria dos acidentados. Sobre a ação dos serviços deassistência, 105 casos foram assistidos preliminarmente pelocorpo de bombeiros e 59 pelo SAMU. A maioria dos casosapresentou resolutividade na unidade de pronto atendimento,apontando triagem adequada dos serviços à unidade.Conclusão: Este estudo confirmou uma alta prevalência deacidentes de trânsito envolvendo homens motociclistas. A altaresolutividade dos casos na unidade de pronto atendimentoreforça a importância deste serviço de saúde nos casos que nãodemandam uma assistência de complexidade hospitalar