Investigação Epidemiológica das Internações por Insuficiência Renal no Brasil, entre 2019 e 2023: Estudo Ecológico

INTRODUCTION: Renal failure, characterized by loss of kidney function, compromises blood filtration and elimination of toxins. In Brazil, it is one of the main causes of hospitalization, especially due to the increase in chronic diseases and population aging. Between 2019 and 2023, the management of this condition was impacted by the COVID-19 pandemic, which overloaded the health system and influenced access to diagnosis and treatment. OBJECTIVE: This study aims to quantify and analyze the rates of hospitalizations for renal failure in Brazil. METHODOLOGY: The retrospective study with a quantitative approach used data from the SUS Hospital Information System (SIH/SUS), provided by the SUS Information Technology Department (TABNET/DATASUS). The analysis covered hospitalizations for renal failure in Brazil from January 2019 to December 2023, using descriptive statistics and tabulation in Microsoft Excel 2016 and Microsoft Word 10 spreadsheets. RESULTS AND DISCUSSION: Between 2019 and 2023, Brazil registered 631,626 hospitalizations for renal failure, with emphasis on the Southeast (293,657 cases) and Northeast (142,454) regions. The South region had 110,502 hospitalizations, followed by the Central-West (41,672) and North (43,341). The total number of hospitalizations grew over the years, from 121,671 in 2019 to 152,346 in 2023, with the impact of the pandemic reflected in the variations in hospitalizations in the intermediate years. CONCLUSION: Therefore, the analysis of hospitalizations due to kidney failure between 2019 and 2023 highlights the need for public policies that strengthen the prevention and treatment of the disease, especially in regions with less access to health services. The impact of the COVID-19 pandemic and the increase in hospitalizations in 2023 highlight the urgency of investments in infrastructure and professional training to ensure equitable care.INTRODUÇÃO: A insuficiência renal, caracterizada pela perda da função dos rins, compromete a filtração sanguínea e a eliminação de toxinas. No Brasil, é uma das principais causas de internação, especialmente devido ao aumento de doenças crônicas e ao envelhecimento populacional. Entre 2019 e 2023, o manejo dessa condição foi impactado pela pandemia de COVID-19, que sobrecarregou o sistema de saúde e influenciou o acesso ao diagnóstico e tratamento.OBJETIVO: Este estudo visa quantificar e analisar as taxas de internações insuficiência renal no Brasil. METODOLOGIA: O estudo retrospectivo com abordagem quantitativa utilizou dados do Sistema de Informações Hospitalares do SUS (SIH/SUS), fornecidos pelo Departamento de Informática do SUS (TABNET/DATASUS). A análise abrangeu internações por insuficiência renal no Brasil de janeiro de 2019 a dezembro de 2023, empregando estatística descritiva e tabulação em planilhas do Microsoft Excel 2016 e Microsoft Word 10. RESULTADOS E DISCUSSÃO: Entre 2019 e 2023, o Brasil registrou 631.626 internações por insuficiência renal, com destaque para a Região Sudeste (293.657 casos) e Nordeste (142.454). A Região Sul teve 110.502 internações, seguida pelo Centro-Oeste (41.672) e Norte (43.341). O número total de internações cresceu ao longo dos anos, de 121.671 em 2019 para 152.346 em 2023, com o impacto da pandemia refletido nas variações de internações nos anos intermediários. CONCLUSÃO: Portanto, a análise das internações por insuficiência renal entre 2019 e 2023 evidencia a necessidade de políticas públicas que reforcem a prevenção e o tratamento da doença, especialmente em regiões com menor acesso a serviços de saúde. O impacto da pandemia de COVID-19 e o aumento nas internações em 2023 destacam a urgência de investimentos em infraestrutura e capacitação profissional para garantir um atendimento equitativo

Brazilian Consensus on Photoprotection

Brazil is a country of continental dimensions with a large heterogeneity of climates and massive mixing of the population. Almost the entire national territory is located between the Equator and the Tropic of Capricorn, and the Earth axial tilt to the south certainly makes Brazil one of the countries of the world with greater extent of land in proximity to the sun. The Brazilian coastline, where most of its population lives, is more than 8,500 km long. Due to geographic characteristics and cultural trends, Brazilians are among the peoples with the highest annual exposure to the sun. Epidemiological data show a continuing increase in the incidence of nonmelanoma and melanoma skin cancers. Photoprotection can be understood as a set of measures aimed at reducing sun exposure and at preventing the development of acute and chronic actinic damage. Due to the peculiarities of Brazilian territory and culture, it would not be advisable to replicate the concepts of photoprotection from other developed countries, places with completely different climates and populations. Thus the Brazilian Society of Dermatology has developed the Brazilian Consensus on Photoprotection, the first official document on photoprotection developed in Brazil for Brazilians, with recommendations on matters involving photoprotection

Nursing and sexuality: integrative review of papers published by the Latin-American Journal of Nursing and Brazilian Journal of Nursing

This study departs from the assumption that studies addressing sexuality in the field of nursing present changes and broaden the scope of discussion to include gender and sexual rights, although a strong tendency to link sexuality to its biological aspects is still observed. This study identifies the state-of-the-art of studies addressing sexuality published by two international journals: Latin American Journal of Nursing and The Brazilian Journal of Nursing. The sources were papers published in both periodicals over a period of ten years (from 1998 to 2007). In a universe of 1,894 searched abstracts, 29 mentioned the word ‘sexuality’. The results confirm this study’s assumption showing that the studies addressing sexuality from the perspective of nursing published by these two journals broaden the understanding on the subject as they incorporate categories such as gender, but also excessively link sexuality to its biological aspects.Esta investigación partió del supuesto de que los estudios sobre sexualidad realizados por la Enfermería presentan cambios y amplían la perspectiva sobre la realidad al incluir género y derechos sexuales, a pesar de que permanezca una fuerte tendencia en la vinculación de la sexualidad a sus aspectos biológicos. El objetivo del estudio fue identificar el estado del arte de las publicaciones sobre sexualidad en dos periódicos de circulación internacional: Revista Latino Americana de Enfermería/RLAE y Revista Brasileña de Enfermería/REBEn. Las fuentes fueron artículos publicados en ambos periódicos en el período de diez años (1998 a 2007). En un universo de 1894 resúmenes consultados fueron identificados 29 que contenían en el título, palabras clave o el resumen de la palabra sexualidad. Los resultados confirman el supuesto del estudio demostrando que la producción sobre sexualidad por la Enfermería divulgada en esos dos periódicos, al mismo tiempo en que amplía la comprensión sobre la temática al incorporar categorías como género, mantiene la vinculación excesiva de la sexualidad a sus aspectos biológicos.Esta pesquisa partiu do pressuposto de que os estudos sobre sexualidade, realizados pela Enfermagem, apresentam mudanças e ampliam o olhar sobre a realidade ao incluir gênero e direitos sexuais, embora permaneça forte tendência para a vinculação da sexualidade aos seus aspectos biológicos. O objetivo do estudo foi identificar o estado da arte das publicações sobre sexualidade em dois periódicos de circulação internacional: Revista Latino-Americana de Enfermagem/RLAE e Revista Brasileira de Enfermagem/REBEn. As fontes foram artigos publicados em ambos os periódicos, no período de dez anos (1998 a 2007). Em um universo de 1894 resumos consultados, foram identificados 29 que traziam no título, palavras-chave, ou resumo a palavra sexualidade. Os resultados confirmam o pressuposto do estudo, demonstrando que a produção sobre sexualidade pela Enfermagem, divulgada nesses dois periódicos, ao mesmo tempo em que amplia a compreensão sobre a temática ao incorporar categorias, como gênero, mantém vinculação excessiva da sexualidade aos seus aspectos biológicos

Current management of the gastrointestinal complications of systemic sclerosis.

Systemic sclerosis is a multisystem autoimmune disorder that involves the gastrointestinal tract in more than 90% of patients. This involvement can extend from the mouth to the anus, with the oesophagus and anorectum most frequently affected. Gut complications result in a plethora of presentations that impair oral intake and faecal continence and, consequently, have an adverse effect on patient quality of life, resulting in referral to gastroenterologists. The cornerstones of gastrointestinal symptom management are to optimize symptom relief and monitor for complications, in particular anaemia and malabsorption. Early intervention in patients who develop these complications is critical to minimize disease progression and improve prognosis. In the future, enhanced therapeutic strategies should be developed, based on an ever-improving understanding of the intestinal pathophysiology of systemic sclerosis. This Review describes the most commonly occurring clinical scenarios of gastrointestinal involvement in patients with systemic sclerosis as they present to the gastroenterologist, with recommendations for the suggested assessment protocol and therapy in each situation