Objectives: to describe the trend of preventable neonatal mortality due to interventions by the Unified Health System in Brazil from 2000 to 2018, according to groups of causes of death and maternal residence. Methods: mixed ecological study with data from the Mortality Information System and Information System on Live Births. The analysis occurred based on the number and rates of avoidable neonatal mortality, polynomial regression models by least squares method and thematic maps. Results: the avoidable neonatal mortality rate decreased from 10.98 in 2000 to 6.76 per 1,000 live births in 2018. Preventable causes prevailed due to adequate care for women during pregnancy, childbirth, fetus and newborn. Deaths from preventable causes from health promotion actions during pregnancy increased in Maranhão (p=0.003) and the Federal District (p=0.001) and remained stable in nine states. There was stability in the rates of mortality due to delivery in Maranhão, Piauí and Amazonas. The causes avoidable by actions with the newborn showed a decreasing trend, except for Roraima where there was stability. Conclusions: there are inequalities in trends of avoidable neonatal mortality rates in the states second according to the group of causes and the need to improve access to and quality of maternal and child health care in these places

The menopause is associated with a tendency to gain weight. Several alterations in fat deposits occur, leading to changes in the distribution of body fat. There are strong indications that, in middle age, obesity is associated with increased mortality. This study set out to determine the factors associated with the prevalence of overweight and abdominal obesity in postmenopausal women in a population-based study in Brazil.

Background: Human Papillomavirus (HPV) infection is particularly burdensome for women infected with human immunodeficiency virus (HIV), which increases their risk of developing cervical lesions and cancer (CC). We conducted a molecular study of the distribution of cervical HPV genotypes and the risk factors for this infection in HIV-infected Brazilian women. Findings: Cervical and endocervical samples for Papanicolaou screening and HPV detection were collected from 178 HIV-infected women using highly active antiretroviral therapy (HAART) of Maringá city/Brazil. Risk factors were assessed using a standardized questionnaire, and the data regarding to HIV infection from medical records. HPV was detected by polymerase chain reaction (PCR), and genotyping using PCR-restriction fragment length polymorphism analysis. HIV infection was well controlled, but women with a current CD4+ T lymphocyte count between 200–350 cells/mm³ (37.6%) had a two-fold greater risk of HPV infection than those with > 350 cells/mm³ (26.4%). HPV was associated with parity ≥3, hormonal contraceptive use and current smoker. HPV infection occurred with high frequency (46.6%) but a low frequency of cervical abnormalities was detected (7.30%), mainly low-grade squamous intraephitelial cervical lesions (LSIL) (84.6%). A high frequency of multiple HPV infections was detected (23.0%), and the most frequent HPV genotype was HPV-72 (6.7%), followed by −16, -31 and -51 (6.14% each). Conclusions: We showed that HAART use does not protect HIV-infected women from HPV, but appear to exert some protection against cervical lesions development. This study provides other important information about risk factors and cervical HPV in HIV-infected women, which can contribute to planning protocols.

Group B streptococcus (GBS) or Streptococcus agalactiae can colonize the gastrointestinal and genitourinary tracts and has been considered one of the most important risk factors for the development of neonatal disease. The present study evaluated the antimicrobial susceptibility of GBS isolates from pregnant women who were attended at a public health service in Northern Paraná, Brazil. A descriptive analytical cross-sectional study was performed with 544 pregnant women, at ≥ 35 weeks of gestation. One hundred and thirty-six GBS isolates from pregnant women were tested for antimicrobial susceptibility. All of the GBS isolates showed susceptibility to the drug that is most frequently used for intrapartum prophylaxis: penicillin. Resistance to clindamycin and erythromycin was detected, thus decreasing the options of prophylaxis in women who are allergic to penicillin. Additional studies should be conducted to increase the knowledge of GBS sensitivity profile to antimicrobials in other health centers.

Resumo Objetivo: Verificar a associação do burnout com workaholism e qualidade de vida entre docentes de mestrado e/ou doutorado em enfermagem. Métodos: Estudo transversal realizado com docentes permanentes vinculados aos Programas de Pós-Graduação da área da Enfermagem de 47 universidades públicas das cinco regiões do Brasil. Entre julho e dezembro de 2018, convidou-se 919 docentes, dos quais 368 responderam a quatro questionários: caracterização sociodemográfica, de saúde e ocupacional, Maslach Burnout Inventory – Human Services Survey, Dutch Work Addiction Scale e [...] Resumo Objetivo: Verificar a associação do burnout com workaholism e qualidade de vida entre docentes de mestrado e/ou doutorado em enfermagem. Métodos: Estudo transversal realizado com docentes permanentes vinculados aos Programas de Pós-Graduação da área da Enfermagem de 47 universidades públicas das cinco regiões do Brasil. Entre julho e dezembro de 2018, convidou-se 919 docentes, dos quais 368 responderam a quatro questionários: caracterização sociodemográfica, de saúde e ocupacional, Maslach Burnout Inventory – Human Services Survey, Dutch Work Addiction Scale e