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Workers in Primary Health Care (PHC) play a key role in coping with COVID-19, which required personal and work-flow changes, causing physical and emotional overload and stress, which could lead to Burnout Syndrome (BS). The objective of this study was to check the prevalence of BS in health professionals working in PHC in the municipality of Curitibanos, state of Santa Catarina, Brazil. The research was carried out between November 2020 and May 2021, a sociodemographic questionnaire, and the Brazilian version of the Maslach Burnout Inventory - Human Services Survey (MBI-HSS), which contains 22 questions and three dimensions - Emotional Exhaustion (EE), Depersonalization (DP) and Personal Fulfillment (PF), were applied. Data were collected and analyzed descriptively with subsequent statistical comparison. Participants were50 volunteers aged 40.1 ± 9.5 years, time in the profession of 10.8 ± 7.9 years. Results of the MBI-HSS showed the prevalence of risk was moderate for EE and high for DP and PF. However, no significant difference was detected between the MBI-HSS dimensions and sociodemographic variables. In conclusion, the prevalence of risk was 17.6+11.4 points in EE (moderate); 6.6+5.0 points in DP (moderate) and 36.8+6.6 points in RP (high), indicating that the evaluated population already demands some need for contingency or preventive care because it has a clear predisposition to BS. However, there was no statistical association with sociodemographic variables.

Anthropometric indicators enable professionals for predicting risk of falls in the elderly; however, there is a gap in literature on reference values. This study analyzes anthropometric indicators such as screening tests for falls in the elderly. Cross-sectional population-based systematic sampling was conducted through a household survey and body composition assessment. Anthropometric measurements were performed using portable electronic scale and stadiometer. Bioimpedance device was used to measure body mass index, body fat and lean body mass. Falls were evaluated in the 12 months preceding the interview as a dependent variable. Discriminatory analysis was performed for falls through the ROC curve, sensitivity, specificity, positive and negative predictive values. Overall, 275 older adults participated in this study, whose prevalence of falls was 23.6%. The average body mass index was 27.8kg/cm2 and 52.1% of individuals were overweight. Among older men, height (ROC=0.68; 95%CI 0.54-0.78) and lean body mass (ROC=0.63, 95%CI 0.58- 0.76) were associated to the occurrence of falls. When considering cutoff of 52.2kg and 166cm, sensitivity was obtained in 75% and high negative predictive values (88.1% and 89.1% respectively). For women, lean body mass (ROC=0.61, 95%CI 0.30-0.49) and body mass (ROC=0.60, 95%CI 0.53-0.72) were relevant from the optimal cutoff point of 28.9% and 57.2kg/m2. Lean body mass was more sensitive (63.2%) and body mass little more specific (64.3%), both with high negative predictive values (82.0% and 83.0%). The indicators used were able to discriminate older adults who have suffered from falls.

Evidence suggests that professionals involved in the care of the elderly suffer from stress and have an impaired quality of life. The objective of study was to evaluate the level of stress and quality of life of technicians and nursing assistants in a long-term care facility. Refinement transversal, exploratory and quantitative design used were as method. We used the Job Stress Scal and Whoqol scales and the Spearman correlation to assess the relationship of stress and quality of life, considering p

Burns cause different impacts on the individual life. Many are the problems faced by survivors, such as hypermetabolism that may persist years after the event. The aim was to assess aerobic capacity, level of physical activity and pain in adult burn victims after hospital discharge. This is a descriptive, cross-sectional study. Participants (n = 60) were adult victims of moderate to severe burns, evaluated by six-minute walk test (6MWT), Pain Scale and International Physical Activity Questionnaire (IPAQ). We applied Student’s t-test for independent samples and Mann-Whitney test for comparisons between medium and large burned; Chi-square test to compare the level of physical activity. Large burned (73%) patients prevailed among the 60 participants; there was a statistically significant trend in the distance predicted between groups (p = 0.066), with no change in performance of the aerobic capacity. 60% reported physical activity practice at least three times a week: walking, cycling and soccer. As for the level of pain, 40% reported moderate to severe persistent pain, even after complete healing of wounds. Most participants showed aerobic capacity within the normal range, despite the high body mass index reported, they reported doing physical activities of moderate intensity.

The aim of this study was to verify the benefits of an exercise program on functional capacity and balance in elderly community. A longitudinal study was conducted with 11 female subjects with mean age 77 (SD = 13) years. All individuals were evaluated at the beginning and at the end of the study by ‘Berg’ Balance Scale and ‘Timed Up and Go’ Test. Initially, the participants answered a questionnaire about the socio-demographics aspects, health conditions, falls and physical activity practice. Then, the subjects were submitted to a program of exercises for balance, strengthening and stretching muscles. The results of the ‘Berg’ Scale ranged from 46 to 56 points before the intervention, and from 50 to 56, after the intervention (p = 0.01). Individuals older than 75 years old had a better improvement (p = 0.04). In the ‘Timed Up and Go’ Test the percentage of improvement was 8.2% ( = 13.1; SD= 11.7). The exercise program showed a positive effect in improving risk factors of falls in the elderly community.Objetivo deste estudo foi verificar os benefícios de um programa de exercícios físicos na capacidade funcional e equilíbrio de idosos. Foi realizado um estudo longitudinal com a participação de 11 indivíduos do gênero feminino, com idade média de 77 anos (DP = 13). Todos foram avaliados no início e final do estudo pela Escala de Equilíbrio de Berg e pelo teste Timed Up and Go. Inicialmente, as participantes responderam um questionário por meio de entrevista, que abordava aspectos sociodemográficos, condições de saúde, quedas e prática de atividade física. Na sequência, as idosas foram submetidas a um programa de exercícios de treino de equilíbrio, fortalecimento e alongamentos musculares. Os resultados da escala de Berg variaram de 46 a 56 pontos, antes da intervenção e de 50 a 56 após a intervenção (p = 0,01). Os sujeitos com mais de 75 anos tiveram melhora superior (p = 0,04). No teste Timed Up and Go o percentual de melhora foi de 8,2% ( = 13,1; DP = 11,7). O programa de exercícios desenvolvido apresentou efeito positivo na melhora dos fatores de risco de quedas em idosos.

The functional incapacity is defined by the difficulty in developing daily life activities or even the impossibility of performing them. The purpose of the study was to analyze the functional incapacity of elderly who are forced to stay at home due to their physical limitations. A hundred and four individuals above the age of 60 years old, participated in this study. All of them are from the inclusion area of the UBS ( Health Basic Unit) from the Housing Development Ruy Virmond Carnascially, northern area of Londrina/PR. As for the data gathering, it was used a demographic questionnaire and the Functional Autonomy Measurement System, an instrument which consists of 29 aspects divided in five skills: Daily Life Activity; Mobility; Communication; Mental Function and Instrumental Daily Life Activity. For the statistical treatment it was used the program Epi Info 6.04b and the software Excel of Microsoft. The sample consisted predominantly of elderly women with an average age of 75,8 to 81 years old. In relation to the daily life activities, the elderly showed to be dependent mainly in the bath: 29 (27,9%), in their personal care: 22 (21,1%), and hygiene: 22 (21,1%). In terms of mobility, 28 (26,9%) mentioned incapacity in relation to walking outside. The eyesight was considered the biggest problem among the elderly, 60 (57,7%) mentioned to have difficulties and needed aid/supervision. In relation to instrumental daily life activity, to go shopping and using the telephone obtained the highest percentage of dependence: 53,8% and 42,3%, respectively. The results showed the need of effective strategies for the prevention and rehabilitation of the functional decline. A incapacidade funcional é definida pela presença de dificuldade no desempenho de atividades da vida cotidiana ou mesmo pela impossibilidade de desempenhá-las. O objetivo do estudo foi avaliar a incapacidade funcional de idosos restritos ao domicílio. Participaram deste estudo 104 idosos acima de 60 anos, da área de abrangência da Unidade Básica da Saúde(UBS) do Conjunto Habitacional Ruy Virmond Carnascialli, Região Norte da cidade de Londrina/PR. Para a coleta de dados, foi utilizado um questionário sócio-demográfico e o Functional Autonomy Measurement System, instrumento composto por 29 aspectos divididos em cinco domínios: Atividade de Vida Diária, Mobilidade, Comunicação, Função Mental e Atividade Instrumental de Vida Diária. Para o tratamento estatístico dos dados, foi utilizado o programa Epi Info 6.04b e software Excel da Microsoft. A amostra constituiu-se predominantemente por idosos do gênero feminino e com média de idade de 75,8 ± 8,1 anos. Em relação às atividades de vida diária, os idosos mostraram-se dependentes principalmente no banho 29 (27,9%), no cuidado pessoal 22 (21,1%) e higiene 22 (21,1%).No domínio mobilidade a maior incapacidade foi em relação a locomoção externa 28 (26,9%). A visão foi o item mais comprometido entre os idosos, sendo que 60 (57,7%) referiram ter dificuldade ou precisarem de auxílio/supervisão. Já em relação à atividade instrumental de vida diária, fazer compras e utilizar o telefone foram as atividades que obtiveram a maior porcentagem de dependência, 53,8% e 42,3% respectivamente. Os resultados mostraram a necessidade de estratégias efetivas para a prevenção e reabilitação do declínio funcional.

This study had the purpose of determining the frequency of musculoskeletal symptoms in musicians of the Symphonic Orchestra of the State University of Londrina. 45 musicians took part in this study answering a self-administered questionnaire with the following aspects: personal data, job-factor survey, symptom related to work, treatment and its consequences. As for the analysis of the variables the quisquare Test was used with Yates correction and the Test of Fisher. Of the 45 musicians studied, 82,2% were men and with an average age of 39,56 years old. Of all the researched musicians, 77,8% reported the presence of musculoskeletal symptoms during the last twelve months and 71,1% in the last seven days. The highest prevalence was in the following anatomical areas: shoulders, neck, spine, hands and wrists. The present study found a high prevalence of musculoskeletal symptoms in musicians who play string and wind instruments. Due to the symptoms, 33,3% of the professionals lost days of work. The present study found a high prevalence of musculoskeletal symptoms not only during the last twelve months but also during the last seven days that preceded the answering of the questionnaire, mainly in the spine and shoulders area. These symptoms can be related to physical and emotional loads. Taking the results into account, the elaboration and implantation of strategies to soften the workload and to avoid disorders are necessary. Este estudo teve o propósito de verificar a freqüência de sintomas músculo-esqueléticos em músicos da Orquestra Sinfônica da Universidade Estadual de Londrina. Participaram do estudo 45 músicos que responderam um questionário auto-aplicável, que trata dos seguintes aspectos: dados pessoais, atividades profissionais, sintomatologia relacionada ao trabalho, tratamento realizado e conseqüências da sintomatologia. Para a análise das variáveis, foram utilizados o Teste de qui-quadrado com correção de Yates e o Teste de Fisher. Dos 45 músicos estudados, 82,2% constituíram-se indivíduos do gênero masculino e com uma média de idade de 39,56 anos. Do total de músicos pesquisados, 77,8% relataram apresentar sintomas músculo-esqueléticos nos últimos doze meses e 71,1% nos últimos sete dias. As regiões anatômicas mais acometidas foram: ombros, coluna cervical, coluna dorsal e punhos e mãos. Verificou-se um maior predomínio de sintomatologia em músicos que tocam corda e sopro. Em decorrência da sintomatologia apresentada, 33,3% dos profissionais relataram ter perdido dias de trabalho. O presente estudo encontrou uma elevada prevalência de sintomas músculo-esqueléticos em músicos da OSUEL, com referência tanto aos últimos doze meses quanto aos últimos sete dias precedentes à auto-aplicação do questionário, principalmente na região de coluna e ombros. Esses sintomas podem estar relacionados às cargas físicas e emocionais da própria atividade profissional. Diante dos resultados encontrados, faz-se necessária a elaboração e implantação de estratégias para amenizar a carga de trabalho e evitar agravos.

The aim of this study was to verify the benefits of an exercise program on functional capacity and balance in elderly community. A longitudinal study was conducted with 11 female subjects with mean age 77 (SD = 13) years. All individuals were evaluated at the beginning and at the end of the study by ‘Berg’ Balance Scale and ‘Timed Up and Go’ Test. Initially, the participants answered a questionnaire about the socio-demographics aspects, health conditions, falls and physical activity practice. Then, the subjects were submitted to a program of exercises for balance, strengthening and stretching muscles. The results of the ‘Berg’ Scale ranged from 46 to 56 points before the intervention, and from 50 to 56, after the intervention (p = 0.01). Individuals older than 75 years old had a better improvement (p = 0.04). In the ‘Timed Up and Go’ Test the percentage of improvement was 8.2% (= 13.1; SD= 11.7). The exercise program showed a positive effect in improving risk factors of falls in the elderly community.

O objetivo deste estudo foi analisar os custos do curso de graduação em Medicina da Universidade Estadual de Londrina. Foi realizado um estudo de caso, prospectivo, com levantamento das horas de dedicação dos professores às atividades acadêmicas e de gerenciamento do curso e número de docentes equivalentes a regime de tempo integral. No levantamento das informações utilizou-se o Cost Construction Model, e a coleta dos dados foi realizada por meio de análise documental e entrevistas. Esta metodologia permite separar custos instrucionais e custos compartilhados, de maneira a deixar claras eventuais diferenças de custo relacionadas ao desenho curricular. Foi realizada a identificação das despesas totais, alocação nas atividades-base, apoio efins, e distribuição das despesas diretas e indiretas por meio do sistema de absorção. Participaram das atividades do curso 222,2 equivalentes a professores de regime de 40 horas. O total de "horas contato" foi de 52.284. As atividades da primeira à quarta série implicaram um custo geral de R$ 855.586,74 e de R$ 1.629,025.93 para os dois anos de internato. Incluindo-se o custo compartilhado equivalente ao curso de Medicina do hospital universitário, o custo total do curso foi estimado em R$ 15.643.660,89, e o custo aluno/ano foi de R$ 31.162,67, o equivalente a US$ 10,633.86. Este valor, apesar de cenários diversos e metodologias de apuração diferentes, está aquém dos custos estimados em universidades estrangeiras ou mesmo brasileiras.