This is a cross-sectional study conducted with pregnant women who underwent prenatal care at basic health units in São Luís City, Maranhão State, Brazil. The authors used a semistructured questionnaire to assess the socioeconomic, demographic, and clinical characteristics of pregnant women as well as the Edinburgh Scale to investigate depressive symptoms. In order to assess the association between the explanatory variable and the outcome variable, Poisson logistic regression was performed with statistical significance at p < 0.05. A total of 205 women were interviewed, most aged between 18 and 29 years (66.83%). Of this total, 74.63% had not planned their pregnancy and 26.67% had depressive symptoms. The variables unplanned pregnancy (PR = 1.41; CI = 0.99–2.00; p = 0.05) and not undergoing psychological counseling (PR = 1.42; CI = 0.51–0.83; p ≤ 0.01) correlated with depressive symptoms during pregnancy. It is thus possible to link the variables unplanned pregnancy (p > 0.05) and not undergoing psychological counseling (p = 0.001) to depression. Therefore, it is important to monitor the mental health of pregnant women, especially in situations of vulnerability.

Intestinal parasites are infections in the gastrointestinal tract, by protozoa and/or helminths and represent a public health problem, but despite this problem, less were reported than would be expected due to the COVID-19 pandemic. The objective of this study was to verify the occurrence of enteroparasites before and during the COVID-19 pandemic in patients treated at the laboratory of the Nina Rodrigues hospital, Maranhão. A cross-sectional, descriptive, and quantitative study was carried out, analyzing the exams from the years 2019 and 2020, collected from the hospital's information bank in August 2021. The data were entered into the STATA 14.0 program for analysis. In 2019, 632 exams were performed, and in 2020 a total of 161, women and middle-aged adults (31-59 years old) were the ones who most underwent exams, in relation to positive reports, 18.51% and 26.09% had at least one type of parasite in 2019 and 2020, respectively. The most frequent parasite was Entamoeba coli and 66.48% of the reports had the presence of more than one parasite, the most observed association being E. coli + Entamoeba histolytica. It is noted that despite the 2020 pandemic period, fewer fecal parasitological tests were performed compared to the 2019 period, it is possible to verify that there is a reasonable occurrence of enteroparasites in the population of Nina Rodrigues, with a high rate of individuals with biparasitism. Thus, it is necessary to implement measures aimed at diagnosing and treating those infected, and preventive measures to minimize transmission. Parasitoses intestinais são infecções no trato gastrointestinal, por protozoários e/ou helmintos e representam um agravo à saúde pública, mas apesar dessa problemática, foram notificadas menos do que seria esperado devido a pandemia da COVID-19. O objetivo desse estudo foi verificar a ocorrência de enteroparasitas antes e durante a pandemia da COVID-19 em pacientes atendidos no laboratório do hospital de Nina Rodrigues, Maranhão. Foi realizado um estudo tranversal, descritivo e quantitativo, sendo analisados os exames dos anos de 2019 e 2020, coletados do banco de informações do hospital em agosto de 2021. Os dados foram inseridos no programa STATA 14.0 para análise. Em 2019 foram realizados 632 exames, e 2020 um total de 161, as mulheres e os adultos de meia idade (31-59 anos) foram os que mais realizaram exames, em relação aos laudos positivos, 18,51% e 26,09% apresentavam pelo menos um tipo de parasita em 2019 e 2020, respectivamente. O parasita mais ocorrente foi Entamoeba coli e 66,48% dos laudos tinham a presença de mais de um parasita, sendo a associação mais observada E. coli + Entamoeba histolytica. Nota-se que apesar do período pandêmico de 2020 ter sido realizado menos exames parasitológicos de fezes em comparação o período de 2019, é possível constatar que há uma ocorrência razoável de enteroparasitas na população de Nina Rodrigues, com um alto índice de indivíduos com biparasitismo. Assim, torna-se necessário a implementação de medidas que visem o diagnóstico e o tratamento dos infectados, e medidas de prevenção para minimizar a transmissão.

Objective: This study aimed to gather data on the prevalence of microorganisms in the bloodstream. Theoretical Framework: In this topic, the fundamental theoretical bases for research on Bloodstream Infections (BSI) are presented. Epidemiological, microbiological and clinical aspects stand out, including incidence, microorganisms involved, antimicrobial resistance and clinical and economic impacts. Furthermore, the importance of systematic reviews in the synthesis and critical evaluation of available evidence is discussed. Method: This study was carried out based on a systematic bibliographic review, where data from articles published in scientific journals in the Google Scholar, Lilacs and PubMed databases were collected and selected, from 2012 to 2019. Results and Discussion: In the various articles analyzed in this review, 52 different microorganisms were found. Staphylococcus aureus and Klebsiella pneumoniae are the most prevalent in the group of microorganisms observed in positive blood cultures. Regarding gender, it was found that of the 2,210 samples corresponding to the total number of positive blood cultures in the 21 articles analyzed, 36% were positive for males and 64% for females. Research Implications: Highlights the importance of surveillance and effective control of Bloodstream Infections, especially considering the prevalence of microorganisms such as Staphylococcus aureus and Klebsiella pneumoniae, influencing health practices, public policies and hospital protocols. Originality/Value: This study contributes to the literature by gathering data on the prevalence of microorganisms in Bloodstream Infections, providing essential insights to improve prevention and control practices, directly impacting public health and patient safety.

Objective: Know the profile and leadership style of managers of Basic Health Units (BHU). Theoretical Framework: The 2017 National Primary Care Policy (NPCP) suggested the inclusion of managers in BHU to perform technical-managerial functions, based on the manager's assessment and according to the needs of the territory and coverage of Basic Care (BC). Method: Descriptive, cross-sectional and quantitative research, carried out in the municipality of Barcarena, in the state of Pará. The sample was 22 AB managers, carried out from October 2022 to May 2023. The data obtained from a questionnaire with sociodemographic and of experiences in Primary Health Care (PHC) and another on leadership style, the Multifactorial Leadership Questionnaire (MLQ). Results and Discussion: Most BC managers are female (86.4%), aged 20 to 39 (54.5%), married (59.1%), with higher education (90.9%) in Nursing (59 .1%) and 50.0% have a postgraduate degree at Lato sensu level and have a temporary employment relationship (59.1%). They had previous experience in management (59.1%) and had experience in PHC (72.7%). Regarding leadership styles, transformational leadership was more self-perceived (m=3.33) and was statistically significant (p=0.020), as an attribute, motivational inspiration (m=3.67). Research Implications: This study is one of the few works involving research focused on the leadership profile of BC managers. Originality/Value: This study contributes to the literature by understanding the aspects associated with the leadership style of BC managers, and the relationship between leadership and the guidance suggested by the 2017 NPCP.

Introduction: Acute respiratory infections are one of the main causes of morbidity and mortality in Brazil. Pneumonia is largely responsible for this high rate, and children are the most affected age group. Objective: To characterize the clinical and epidemiological profile of children infected with respiratory syncytial virus (RSV) and human rhinovirus (HR) treated at public hospitals in the city of São Luís, Maranhão, Brazil. Methods: Retrospective research with a quantitative approach carried out using the medical records of 1,658 pediatric patients from March 2020 to March 2021 admitted to three public hospitals. Collection was a check list aiming to obtain sociodemographic information, symptomatology, exams, treatment, and outcome (viral panel). The Chi-square test was performed for the association between the variable viral panel and the clinical and epidemiological data, with p<0.20. For Poisson regression fitted for significant variables,a p<0.05 was adopted. Results: 91.93% of cases were caused by RSV, with 83.87% occurring in São Luís (p=0.02 when associated with the viral panel), frequent in women (56.45%), and prevalent in the age group between two to 11 months (46.77%). Cough (91.94%) and fever (75.81%) were the most common signs and symptoms. Abdominal pain was statistically associated with the viral panel (p=0.02). Prematurity was the most frequent comorbidity (9.68%). Imaging, X-ray (54.84%), laboratory tests, blood count (93.55%) are the most common. Antibiotic therapy was used in 96.77%, and all cases led to death, associated with hemorrhage (96.77%). However, the fitted regression analysis showed no association between RSV and HR and clinical and epidemiological variables. Conclusion: RSV is an agent that causes severe respiratory infections in children and infants. It circulated during the COVID-19 pandemic period, making it extremely important to differentiate between the agents. The data obtained make it possible to plan effective strategies for the prevention, control, and treatment of these diseases, avoiding the abusive use of medication and reducing morbidity and mortality rates in children.

As doenças por alimentos são causadas por microrganismos patogênicos que invadem o organismo através da ingestão de alimentos contaminados. São considerados uma ameaça à saúde humana e à economia de indivíduos, famílias e nações. Dentre os microrganismos patogênicos merecem destaque o Clostridium botulinium, causador do botulismo, Salmonella typhi causadora da febre tifoide e Víbrio cholerae causador da cólera. O presente artigo tem o objetivo de sistematizar e analisar as características sociodemográficas relacionadas às doenças selecionadas. Averiguando suas implicações toxicológicas e expondo uma visão geral de cada doença. Caracterizado como um estudo descritivo e explicativo com abordagem quantitativa, cujas variáveis coletadas foram de casos confirmados, região geográfica, os tipos de evolução, faixa etária, gênero, raça, zona residencial e grau de escolaridade. Sendo realizado um levantamento de 74 casos de botulismo, 36 de cólera e 5492 de febre tifoide, registrados no Brasil entre os anos de 2001 e 2014. As regiões norte e nordeste têm o maior percentual de casos confirmados, 2741 e 2489, respectivamente. Verifica-se que o processo de urbanização desordenado e a necessidade de produção de alimentos prontos para o consumo, em grande escala, contribuiu para o aumento da incidência de doenças como o botulismo e a cólera. E a diminuição dos casos da febre tifoide nos últimos anos pode estar relacionada ao melhoramento do saneamento básico. PALAVRAS-CHAVE: Botulismo; Brasil; Cólera; Febre Tifoide.