Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-04-03T22:22:49Z No. of bitstreams: 1 SamaraIsabelaMaiaDeOliveira_DISSERT.pdf: 1784979 bytes, checksum: b34f948642b206c54a12e4d4583fcf0c (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-04-11T18:05:37Z (GMT) No. of bitstreams: 1 SamaraIsabelaMaiaDeOliveira_DISSERT.pdf: 1784979 bytes, checksum: b34f948642b206c54a12e4d4583fcf0c (MD5) / Made available in DSpace on 2017-04-11T18:05:37Z (GMT). No. of bitstreams: 1 SamaraIsabelaMaiaDeOliveira_DISSERT.pdf: 1784979 bytes, checksum: b34f948642b206c54a12e4d4583fcf0c (MD5) Previous issue date: 2016-12-15 / A s?filis ? uma doen?a infecciosa que permanece como um dos principais agravos de notifica??o a ser enfrentado em ?mbito global. No contexto materno-infantil relaciona-se a efeitos delet?rios a partir da transmiss?o vertical e exp?e o bin?mio m?e e filho a riscos como o aborto e a morte perinatal. Desse modo, a??es efetivas para o controle da doen?a devem ser realizadas no pr?-natal, em momento oportuno, para garantir a preven??o da forma cong?nita da doen?a. Neste sentido, esta pesquisa objetiva analisar as notifica??es de s?filis gestacional e cong?nita e os fatores relacionados ? transmiss?o vertical. Trata-se de uma pesquisa de abordagem quantitativa epidemiol?gica, tipo seccional, de dados secund?rios, realizado no ano de 2016. A amostra foi composta a partir dos crit?rios de elegibilidade e totalizou 129 notifica??es de s?filis em gestantes e 132 notifica??es para s?filis cong?nita no per?odo entre junho de 2011 e dezembro de 2015, no Munic?pio de Natal/RN. A coleta de dados ocorreu entre os meses de maio a agosto por meio do banco do Sistema de Informa??o de Agravos de Notifica??o. Os dados foram analisados pela estat?stica descritiva e inferencial. Os testes Qui-Quadrado, T-Student e Fisher foram utilizados para verificar as associa??es entre as vari?veis de interesse. A pesquisa recebeu parecer favor?vel pelo Comit? de ?tica da Universidade Federal do Rio Grande do Norte, sob o n?mero 1.449.134 e Certificado de Apresenta??o para Aprecia??o ?tica 53305315.3.0000.5537. No per?odo investigado foi observado um incremento de casos notificados no ano de 2012. O perfil materno registrado aponta mulheres com idade m?dia de 24,78 anos, pardas (70,5%), residentes na zona urbana (95,3%) do Munic?pio de Natal. A an?lise do pr?-natal identificou predom?nio do diagn?stico materno no terceiro trimestre gestacional (69%) e presen?a de testes n?o trepon?micos reagentes em 94,6% das mulheres no momento do parto. No tocante ao tratamento materno, apenas 1,6% destas mulheres foram registradas com esquema de tratamento adequado e 16,3% dos parceiros foram tratados concomitantemente ?s gestantes. Nos desfechos relativos ?s crian?as, 78,8% foram registradas como assintom?ticas, contudo, essa vari?vel apresentou signific?ncia estat?stica quando relacionada ? titula??o do teste n?o trepon?mico materno e ? realiza??o de tratamento antes do parto. Na an?lise espacial por georreferenciamento, foi identificado o predom?nio de casos nos bairros Quintas e Felipe Camar?o, ambos assistidos pelo Distrito Sanit?rio Oeste do munic?pio. Os resultados apontam, al?m disso, para lacunas importantes nos processos de vigil?ncia epidemiol?gica quanto ao preenchimento das notifica??es no que versa a informa??es ignoradas e em branco. A an?lise da notifica??o da s?filis gestacional e cong?nita, possibilitou concluir que a transmiss?o vertical esteve relacionada a perdas de oportunidades diagn?sticas e terap?uticas. A elabora??o de estrat?gias para detec??o precoce e ades?o ao tratamento da doen?a devem ser adotadas, tendo em vista o fortalecimento da assist?ncia e a quebra na cadeia da transmiss?o vertical da s?filis. Ressalta-se a necessidade de qualifica??o profissional para notifica??o da doen?a e amplia??o no fornecimento de informa??es ? vigil?ncia epidemiol?gica, a fim de possibilitar a continuidade da an?lise ao agravo. / Syphilis is an infectious disease that remains as one of the major reporting aggravations to be addressed globally. In the maternal-infant context it is related to deleterious effects from the vertical transmission and exposes the mother-child binomial to risks such as abortion and perinatal death. Thus, effective actions to control the disease must be performed in prenatal care, in a timely manner, to ensure the prevention of the congenital form of the disease. In this sense, this research aims to analyze the reports of gestational and congenital syphilis and the factors related to vertical transmission. This is a cross-sectional, epidemiological, epidemiological approach to secondary data, conducted in 2016. The sample was composed of eligibility criteria and totaled 129 reports of syphilis in pregnant women and 132 reports for congenital syphilis in the period Between June 2011 and December 2015, in the Municipality of Natal / RN. Data collection occurred between May and August through the Database of the Notification of Injury Information System. Data were analyzed by descriptive and inferential statistics. The Chi-square, T-Student, and Fisher tests were used to verify the associations between the variables of interest. The research received a favorable opinion by the Ethics Committee of the Federal University of Rio Grande do Norte under number 1,449,134 and Certificate of Presentation for Ethical Appraisal 53305315.3.0000.5537. In the period under investigation, there was an increase in reported cases in the year 2012. The registered maternal profile indicates women with a mean age of 24.78 years, browns (70.5%), living in the urban area (95.3%) of the Municipality from Natal. The prenatal analysis identified a predominance of maternal diagnosis in the third gestational trimester (69%) and presence of non-treponemal reactive tests in 94.6% of the women at the time of delivery. Regarding maternal treatment, only 1.6% of these women were registered with an adequate treatment regimen and 16.3% of the partners were treated concomitantly with the pregnant women. In the outcomes related to the children, 78.8% were registered as asymptomatic, however, this variable presented statistical significance when related to the titration of the non-treponemal maternal test and to the pre-delivery treatment. In the spatial analysis by geo - referencing, the predominance of cases in Quintas and Felipe Camar?o neighborhoods, both assisted by the Sanitary District West of the municipality, was identified. The results point, moreover, to important gaps in the epidemiological surveillance processes regarding the filling of notifications regarding unknown and blank information. The analysis of the notification of gestational and congenital syphilis made it possible to conclude that vertical transmission was related to loss of diagnostic and therapeutic opportunities. The development of strategies for early detection and adherence to treatment of the disease should be adopted, with a view to strengthening care and breaking down the vertical syphilis transmission chain. The need for professional qualification for notification of the disease and extension in the provision of information to epidemiological surveillance is emphasized, in order to allow the continuity of the analysis to the disease.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-09-05T19:56:01Z No. of bitstreams: 1 LidiaMariaCostaAraujoMagalhaes_DISSERT.pdf: 1291807 bytes, checksum: 13d365211a04f1ad84978d09c6fd54af (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-09-15T23:43:49Z (GMT) No. of bitstreams: 1 LidiaMariaCostaAraujoMagalhaes_DISSERT.pdf: 1291807 bytes, checksum: 13d365211a04f1ad84978d09c6fd54af (MD5) / Made available in DSpace on 2017-09-15T23:43:49Z (GMT). No. of bitstreams: 1 LidiaMariaCostaAraujoMagalhaes_DISSERT.pdf: 1291807 bytes, checksum: 13d365211a04f1ad84978d09c6fd54af (MD5) Previous issue date: 2017-07-04 / Os Indicadores de Sa?de do Trabalhador (IST) s?o par?metros relevantes para o planejamento de a??es, com vistas ? vigil?ncia em Sa?de do Trabalhador. No Brasil, as a??es de Sa?de e Seguran?a no Trabalho (SST) para servidores p?blicos federais foram normatizadas de acordo com a Pol?tica de Aten??o ? Sa?de e Seguran?a do Trabalho (PASS). O objetivo deste estudo ? conhecer os IST, com foco na Per?cia Oficial em Sa?de e Exame M?dico Peri?dico dos servidores da Universidade Federal do Rio Grande do Norte. Trata-se de um estudo explorat?riodescritivo, transversal, de abordagem quantitativa e natureza retrospectiva, com dados referentes ao per?odo de 2011 a 2015, na cidade de Natal/RN. Quanto ao absente?smo por doen?a, o perfil dos servidores se caracterizou por predom?nio do sexo feminino, com idade de 51 a 60 anos, ocupante de cargos de n?vel m?dio e fundamental. Ao longo da s?rie hist?rica, observou-se que o n?mero de dias perdidos de trabalho por servidor e a frequ?ncia de licen?as aumentaram, apesar da diminui??o do ?ndice de Dura??o do Absente?smo (IDA) e estabiliza??o da Frequ?ncia de Trabalhadores com Licen?a M?dica (FTLM). No que se refere ?s causas do absente?smo, prevaleceram doen?as respirat?rias (25,6%), osteomusculares (16,2%) e infecciosas e parasit?rias (13,0%) entre as licen?as de curta dura??o e, para os afastamentos homologados atrav?s de avalia??o pericial, predominaram as doen?as osteomusculares (18,4%), transtornos mentais (17,2%) e doen?as respirat?rias (9,2%). Quanto ? ades?o dos servidores ? realiza??o do EMP, foi decrescente, com maior percentual no ano de 2012 (35,3%). Durante o per?odo analisado, 5.186 servidores realizaram o EMP, e a maioria (60,6%) apresentou peso n?o ideal; 41,1% s?o sedent?rios; 33,2% t?m dislipidemia; 29,0% s?o etilistas; 3,2%, tabagistas; 5,9%, diab?ticos; 16,4% referiram ru?do elevado no local de trabalho; 27,8%, ilumina??o inadequada e 35,9%, mobili?rio de trabalho inadequado. Diante dos resultados, observa-se a necessidade de manuten??o e fortalecimento da PASS e, consequentemente, implementa??o de estrat?gias de impacto positivo para a SST. / The Occupational Health Indicators (OHI) are relevant parameters for planning actions aimed at the surveillance on Occupational Health. In Brazil, Occupational Health and Safety (HOS) actions for federal public servants were standardized according to the Occupational Safety and Health Care Policy (PASS in Portuguese). The objective of this study is to know the OHI focused on the Official Health Expertise and the Periodical Medical Examination (PME) of the servants of the Federal University of Rio Grande do Norte. This is an exploratory-descriptive and cross-sectional research, with a quantitative approach and a retrospective nature, with data relating to the period from 2011 to 2015, in the city of Natal/RN. As for the absenteeism due to disease, the profile of the servants licensed for health treatment was characterized by the predominance of women aged between 51 and 60 years and working at medium and elementary-level positions. Throughout the historical series, the number of lost days of work per servant and the frequency of leaves increased, although the Absenteeism Duration Index (ADI) decreased and the Frequency of Workers with Medical Leave (FWML) kept stable. Regarding the causes of absenteeism, there was a prevalence of respiratory diseases (25.6%), musculoskeletal diseases (16.2%) and infectious and parasite diseases (13.0%) among the short-time leaves. Musculoskeletal diseases (18.4%), mental disorders (17.2%) and respiratory diseases (9.2%) prevailed in relation to leaves approved by means of expert evaluation. As for the adhesion of the servers to the PME, it was decreasing, with a higher percentage in the year 2012 (35.3%). During the analyzed period, 5,166 servers performed the PME and the majority (60.6%) presented nonideal weight, 41.1% were sedentary, 33.2% had dyslipidemia, 29.0% were alcoholic, 3.2% were smokers, 5.9% diabetics, 16.4% reported high noise in the workplace, 27.8% inadequate lighting and 35.9% inadequate work furniture. In view of the results, there is need to maintain and strengthen the PASS and, consequently, to implement positive impact strategies for HOS.