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Este estudo teve por objetivo comparar o perfil dos atendimentos realizados por um Serviço de Atendimento Móvel de Urgência (SAMU) a pessoas idosas e de pessoas idosas mais idosas. Trata-se de um estudo analítico, transversal, realizado com dados registrados nos Boletins de Atendimento Pré-hospitalar do SAMU. Os dados foram analisados por meio de frequências absolutas e relativas e a comparação de frequência, entre os grupos, pelo teste qui-quadrado. Dos 487 atendimentos realizados, 46,1% foram a pessoas idosas do sexo masculino e 53,7% do sexo feminino, 56,47% estavam na faixa etária de 60 a 79 anos e 43,33% tinham 80 anos ou mais de idade. Independentemente da idade a maioria dos chamados teve origem nos domicílios dos usuários. Destacaram-se as complicações cardiorrespiratórias e neurológicas, em ambos os grupos, como causas dos atendimentos, responsáveis pelos chamados de 39,7% dos idosos de 60 a 79 anos, e para 41,5% dos idosos que possuíam 80 anos ou mais. Conhecer o perfil epidemiológico proporciona, além de subsídios para formulação de políticas públicas, o conhecimento das demandas emergentes nos serviços de saúde.

This study aimed to compare the profile of the services provided by a Mobile Emergency Service (MMU) to elderly and elderly people. This is an analytical, cross-sectional study, carried out with data recorded in the Bulletins of Pre-Hospital Care of the SAMU. The data were analyzed by means of absolute and relative frequencies and frequency comparison between the groups by the chi-square test. Of the 487 visits, 46.1% were to elderly males and 53.7% were females, 56.47% were in the age group of 60 to 79 years and 43.33% were 80 years or older. Regardless of age, the majority of calls originated in the homes of users. Cardiorespiratory and neurological complications were highlighted, in both groups, as causes of care, responsible for the calls of 39.7% of the elderly aged 60 to 79 years, and for 41.5% of the elderly who had 80 years or more. Knowing the epidemiological profile provides, as well as subsidies for the formulation of public policies, knowledge of the emerging demands in health services.

El propósito de este estudio fue comparar el perfil de la atención brindada por un Servicio Móvil de Asistencia de Emergencia (SAMU) con las personas mayores y mayores. Se trata de un estudio analítico, transversal, realizado con datos registrados en las Boletinas de Atención Prehospitalaria SAMU. Los datos se analizaron por frecuencias absolutas y relativas y la comparación de la frecuencia entre grupos mediante la prueba qui-cuadrada. De las 487 visitas realizadas, el 46,1% fueron a hombres de edad avanzada y el 53,7% a mujeres, el 56,47% a personas de 60 a 79 años y el 43,33% a mayores de 80 años. Independientemente de la edad, la mayoría de las llamadas se originaron en las casas de los usuarios. Las complicaciones cardiorrespiratorias y neurológicas fueron destacadas, en ambos grupos, como causas de atención, responsables del llamado 39,7% de los ancianos de 60 a 79 años, y del 41,5% de los ancianos de 80 años o más. Conocer el perfil epidemiológico ofrece, además de subsidios para la formulación de políticas públicas, conocimiento de las nuevas demandas en los servicios de salud.

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Vitamin D deficiency and insufficiency as well as low serum calcium levels can trigger negative health outcomes in women of childbearing age. Therefore, we aimed to estimate the prevalence of serum vitamin D and calcium deficiencies and insufficiencies and associated risk factors in Brazilian women of childbearing age and to assess whether there are differences in prevalence according to regions of the country and the presence or absence of pregnancy. The systematic literature review was performed using the following databases: PubMed, LILACS, Embase, Scopus, and Web of Science. Cross-sectional, cohort, and intervention studies were included. Among pregnant women, the prevalence of vitamin D deficiency ranged from 0% to 27% and of vitamin D insufficiency from 33.9% to 70.4%. Among non-pregnant women, the prevalence of vitamin D deficiency ranged from 0% to 41.7% and of vitamin D insufficiency from 38.5% to 69.3%. We found a high prevalence of vitamin D deficiency and insufficiency in women of childbearing age, with insufficiency affecting more than half of these women. The highest prevalence of vitamin D deficiency and insufficiency was observed in the South region. It was not possible to assess the prevalence and factors associated with calcium deficiency.

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There is insufficient evidence on the impact of abdominal obesity (AO) on mortality in older adults. Therefore, the objective to analyze the 10-year impact of AO, assessed using different diagnostic criteria, on all-cause, cardiovascular disease (CVD), and cancer mortality in older adults. In this prospective cohort study of older adults (≥60 years), sociodemographic, lifestyle, clinical history, laboratory test, and anthropometric data were analyzed. The considered were used for AO diagnostic: waist circumference (WC) of ≥88 cm for women and ≥102 cm for men; WC of ≥77.8 cm for women and ≥98.8 cm for men; and increased waist-to-hip ratio (WHR), being the highest tertile of distribution by sex. Multivariate Cox regression and Kaplan-Meier analyses were performed. A total of 418 individuals, with an average age of 70.69 ± 7.13 years, participated in the study. In the analysis adjusted for sex and age, WHR was associated with a high risk of all-cause mortality (p = 0.044). Both cutoff points used for the WC were associated with an increased CVD mortality risk. None of the AO parameters were associated with cancer mortality. An increased WHR was associated to a higher all-cause mortality risk factor, while an increased WC was a risk factor for a higher CVD mortality in older adults.

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INTRODUCTION: No systematic reviews has synthesised data on the available evidence to determine the prevalence of calcium and vitamin D deficiencies as a public health problem globally. Therefore, this study presents a protocol for conducting a review and meta-analysis to estimate the prevalence of calcium and vitamin D serum deficiencies in women of childbearing age and stratify these data by age group, urban and rural area, world region and pregnant/non-pregnant women whenever possible. METHODS AND ANALYSIS: The systematic review protocol involves conducting a literature search in the following databases: PubMed, LILACS, Embase, Scopus and Web of Science. The selected articles will be checked thoroughly, including the references to include grey literature. Cross-sectional studies and baseline data from cohort studies or clinical and community trials conducted with women of childbearing age with representative probabilistic sampling will be included. Two independent researchers will be responsible for article selection and data extraction, and discrepancies, if any, will be dealt with by a third reviewer. Methodological quality and risk of bias will be analysed using the Grading of Recommendations, Assessment, Development and Evaluations and Joanna Briggs Institute's checklist, respectively. The heterogeneity of the estimates between studies will also be evaluated. Dissemination of the key findings from the systematic review will help identify priorities for action, establish dietary guidelines, develop health-related public policies and reduce and combat micronutrient deficiencies among women of childbearing age and their children. ETHICS AND DISSEMINATION: Formal ethical approval is not required, and findings will be published in a peer-reviewed journal. PROSPERO REGISTRATION NUMBER: CRD42020207850.

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INTRODUCTION: The development of multiple coexisting chronic diseases (multimorbidity) is increasing globally, along with the percentage of older adults affected by it. Multimorbidity is associated with the concomitant use of multiple medications, a greater possibility of adverse effects, and increased risk of hospitalisation. Therefore, this systematic review study protocol aims to analyse the impact of multimorbidity on the occurrence of hospitalisation in older adults and assess whether this impact changes according to factors such as sex, age, institutionalisation and socioeconomic status. This study will also review the average length of hospital stay and the occurrence of hospital readmission. METHODS AND ANALYSIS: A systematic review of the literature will be carried out using the PubMed, Embase and Scopus databases. The inclusion criteria will incorporate cross-sectional, cohort and case-control studies that analysed the association between multimorbidity (defined as the presence of ≥2 and/or ≥3 chronic conditions and complex multimorbidity) and hospitalisation (yes/no, days of hospitalisation and number of readmissions) in older adults (aged ≥60 years or >65 years). Effect measures will be quantified, including ORs, prevalence ratios, HRs and relative risk, along with their associated 95% CI. The overall aim of this study is to widen knowledge and to raise reflections about the association between multimorbidity and hospitalisation in older adults. Ultimately, its findings may contribute to improvements in public health policies resulting in cost reductions across healthcare systems. ETHICS AND DISSEMINATION: Ethical approval is not required. The results will be disseminated via submission for publication to a peer-reviewed journal when complete. PROSPERO REGISTRATION NUMBER: CRD42021229328.

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Resumo: O presente trabalho teve como objetivo desenvolver uma Ferramenta de Apoio para Acolhimento e Acompanhamento (FAAA) do cuidado para mulheres vítimas de violência sexual atendidas no Pronto Atendimento de Ginecologia e Obstetrícia (PAGO) do Hospital de Clínicas da Universidade Federal do Paraná (HC-UFPR). Trata-se de uma pesquisa metodológica. A coleta de dados foi realizada no primeiro semestre de 2020, inicialmente foi realizado uma revisão integrativa. Posteriormente, deu-se a elaboração da ferramenta propriamente dita, subdividida em etapas de ajuste textual, revisão, diagramação, ilustração e impressão. Para elaboração da ferramenta foi construído um diário de campo. A equipe de pesquisadoras, ilustradoras e revisora de texto, foi composta por mulheres, ressaltando o "lugar de fala". As reuniões foram no formato onlines, sendo estes espaços de diálogos para toda a equipe envolvida. Na revisão integrativa, a análise do conjunto de artigos revelou três categorias temáticas, sendo elas: a abordagem da temática na graduação em enfermagem, a atuação da enfermeira no enfrentamento à violência sexual contra a mulher e a abordagem acerca da educação permanente e da qualificação profissional da equipe de enfermagem. Em um contexto mais amplo, a assistência de Enfermagem tem papel crucial, sendo importante torná-la centro do processo de acolhimento e de escuta qualificada, a fim de garantir um ambiente harmonioso onde a mulher possa estabelecer confiança com a enfermeira. A arte do acolher é apontada como recurso para mudanças, para ressignificação dessa mulher frente à violência imposta. A Ferramenta de Apoio para o Acolhimento e Acompanhamento (FAAA) do cuidado a mulheres vítimas de violência sexual aqui elaborada tornou-se algo pessoal, como um "diário" onde a mulher possa escrever seus sentimentos e, concomitantemente, ser um instrumento de acompanhamento multiprofissional. O estudo concluiu que a FAAA foi construída com base nos Protocolos de Atendimento às Vítimas de Violência Sexual, nas diretrizes e políticas de enfrentamento da violência contra a mulher nos pontos norteadores propostos por estudo com enfermeiras (os) no enfrentamento da violência sexual contra a mulher com enfoque no psicossocial e não somente no biológico.

Abstract: The present work aimed to develop a Support Tool for Reception and Monitoring (FAAA) of care for women victims of sexual violence treated at the Emergency Department of Gynecology and Obstetrics (PAID) of the Hospital de Clínicas of the Federal University of Paraná (HC-UFPR) ). It is a methodological research. Data collection was carried out in the first half of 2020, initially an integrative review was carried out. Subsequently, the tool itself was elaborated, subdivided into stages of textual adjustment, revision, diagramming, illustration and printing. For the elaboration of the tool, a field diary was built. The team of researchers, illustrators and proofreader was composed of women, emphasizing the "place of speech". The meetings were in the online format, with these spaces for dialogue for the entire team involved. In the integrative review, the analysis of the set of articles revealed three thematic categories, namely: the approach to the theme in undergraduate nursing, the role of the nurse in confronting sexual violence against women and the approach to permanent education and professional qualification of the nursing team. In a broader context, nursing care has a crucial role, and it is important to make it the center of the welcoming and qualified listening process, in order to guarantee a harmonious environment where the woman can establish trust with the nurse. The art of welcoming is seen as a resource for change, for the re-signification of this woman in the face of imposed violence. The Support Tool for the Reception and Monitoring (FAAA) of care for women victims of sexual violence developed here has become something personal, like a "diary" where the woman can write her feelings and, at the same time, be an instrument of multiprofessional monitoring . The study concluded that the FAAA was built based on the Protocols for Assistance to Victims of Sexual Violence, on the guidelines and policies for combating violence against women in the guiding points proposed by a study with nurses in combating sexual violence against women with a focus on psychosocial and not only in the biological.

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