Camila Drumond Muzi

Trend of mortality rates for gastric cancer in Brazil and regions in the period of 30 years (1980-2009)

CONTEXT The most recent global estimate revealed the presence of about one million new cases of stomach cancer for the year 2008, setting itself as the fourth most common cause of cancer. OBJECTIVE The present study aims to assess the trend of mortality from stomach cancer in Brazil according to regions between 1980 and 2009. METHODS Data on deaths from stomach cancer were obtained from the Mortality Information System, and the demographic data, from the Brazilian Institute of Geography and Statistics. The rates of mortality were standardized by age according to world population. The trend curves were calculated for Brazilian regions by sex. The technique used was polynomial regression and joinpoint. RESULTS The tendency for males and females is similar in all regions, although the magnitude is higher among men in all places. Regions Midwest, South, Southeast tended to decline, while the Northern region showed no significant trend, and the Northeast tended to increase. CONCLUSION It is therefore a need to evaluate public health policies for gastric cancer aimed at the demographic transition (change of urbanization and lifestyle) that is occurring throughout the country.

Evolution of thyroid cancer mortality in adults in Brazil

OBJECTIVE To assess the trend of thyroid cancer mortality in Brazil between 1980 and 2010. MATERIALS AND METHODS An ecological study of time series. Mortality rates for thyroid cancer adjusted by age according to gender were calculated between 1980 and 2010. Data were analyzed by three distinct strategies: polynomial regression, joinpoint analysis, and moving averages. RESULTS Over 70% of deaths occur in the elderly, regardless of sex. Among young adults, the mortality rate is low, with no difference between men and women. Among mature adults and elderly, mortality is increasing, and significantly, for women. There is a trend of decreasing mortality in all female adults and overall population, and in males and 40-59 years and overall population, both excluding the elderly, with statistical significance. CONCLUSION Knowledge about trends allows setting priorities and allocating resources toward positive changes in this scenario in the Brazilian population.

Análise da tendência da mortalidade masculina no Rio de Janeiro: contribuição da enfermagem

Objective: To analyze trends in mortality among men in the city of Rio de Janeiro, by group of causes between 1996 and 2011. Methods: A descriptive study of time series using data of male deaths among residents in the city of Rio de Janeiro, in the period 1996-2011, for large groups of causes. Data were analyzed with Excel 2010 and Statistical Package for Social Sciences software (SPSS) version 22.0. Results: The mortality trend by large groups of causes among men in the city of Rio de Janeiro is decreasing, with differences between groups of causes. However, these men remain ill over the years. Conclusion: The National Mens Health Policy should be more sensitive to this reality, offering health care that is able to more fully recognize the health needs of this audience.Objective: To analyze trends in mortality among men in the city of Rio de Janeiro, by group of causes between 1996 and 2011. Methods: A descriptive study of time series using data of male deaths among residents in the city of Rio de Janeiro, in the period 1996-2011, for large groups of causes. Data were analyzed with Excel 2010 and Statistical Package for Social Sciences software (SPSS) version 22.0. Results: The mortality trend by large groups of causes among men in the city of Rio de Janeiro is decreasing, with differences between groups of causes. However, these men remain ill over the years. Conclusion: The National Mens Health Policy should be more sensitive to this reality, offering health care that is able to more fully recognize the health needs of this audience.

Urbanidade e mortalidade por cânceres selecionados em capitais brasileiras, 1980-2009

O grau de urbanizacao de cada estado interfere no prognostico do câncer, ja que, quanto mais urbanizado o espaco, maior o acesso a saude. O objetivo deste estudo e analisar a tendencia de mortalidade por câncer de mama, prostata e colo de utero por locais selecionados, de acordo com o grau de urbanizacao, no periodo de 1980 e 2009. Para tanto, foram calculadas as taxas de mortalidade, padronizadas para a populacao mundial, por câncer de mama, prostata e colo de utero para os estados brasileiros selecionados por meio do grau de urbanizacao e suas respectivas capitais nos anos estudados. Nao houve diferenca quanto a evolucao da taxa de mortalidade para câncer de mama e prostata entre os estados e capitais mais urbanizados e os menos urbanizados, pois em ambos foi crescente. Nos estados mais urbanizados a taxa media foi maior do que nos menos urbanizados, indicando maior numero de obitos nestas regioes, e relacao inversa foi observada para o câncer do colo de utero. Observa-se que o aumento gradativo dessa taxa reforca a necessidade de acoes especificas, como as previstas no Pacto pela Vida, e agrega informacoes peculiaridades acerca da organizacao da dinâmica de diagnostico e tratamento do câncer no pais.

Tendências modernas da gerência do trabalho da enfermagem: o caso das cooperativas

This article introduces the issue of nursing work management from a theoretical and conceptual perspective by raising some implications for the management of organizations, as well as its impact on work relationships and, consequently, on the workers health. The main results about ways and modalities of cooperative companies bring about the consideration that proposals of positive changes in the category run contrary to progress. Indecent work conditions, poor quality assistance and low compensation make up the main negative factors in this work process. Therefore, it is urgent to resume the discussion of what one expects from nursing for the future.El presente articulo introduce la problematica de la gerencia del trabajo en Enfermeria a partir de una perspectiva teorico conceptual, levantando algunas implicaciones para la gerencia de las organizaciones, asi como su impacto en las relaciones de trabajo y, consecuentemente, para la salud del trabajador. Los principales resultados sobre formas y modalidades de cooperativas traen a reflexion que la propuesta de cambias positivos en la categoria sigue en la mano opuesta al progreso. Condiciones indignas de trabajo, asistencia de poca calidad y remuneracion baja, constituyen principales factores negativos de este proceso de trabajo. Urge, por tanto, retomar la discusion de 10 que se espera de la Enfermeria para los proximos tiempos.

Equivalência semântica da versão em português do instrumento Memorial Symptom Assessment Scale (MSAS) para avaliar sintomas em pacientes oncológicos

Equivalencia semântica da versao em portugues do instrumento Memorial Symptom Assessment Scale (MSAS) para avaliar sintomas em pacientes oncologicos

Equivalência de itens e semântica da versão brasileira do EORTC QLQ-FA13

Conceptual equivalence of items and semantic equivalence in the Brazilian version of the EORTC QLQ-FA13

Equivalência conceitual de itens e semântica da versão brasileira do instrumento EORTC QLQ-ELD14 para avaliação de qualidade de vida em idosos com câncer

Objective: to describe the process of semantic equivalence, the first stage in the validation of the EORTC QLQ-ELD14 instrument for Brazilian Portuguese. Method: Direct and independent translations of the instrument into Portuguese were carried out and validated by a meeting of experts to generate a synthesis version. The version chosen was submitted to reverse translations into English, and the form was pre-tested with patients. At the conclusion of the process, a summary version was presented. The pre-test and the final version of the instrument were applied to a total of 28 patients at a high complexity oncology treatment center. Result: after completion of the first round of pretesting, some adjustments for the next phase of the study were necessary by the expert committee. Palavras-Chave: Idoso. Neoplasias. Qualidade de Vida. Comparação Transcultural. http://dx.doi.org/10.1590/1981-22562017020.160024

Quality of information given to surgical patients with abdominal cancer

OBJECTIVES To evaluate the need for information in patients with abdominal neoplasms. METHODS The sample consisted of 100 patients hospitalized in a surgical ward for patients with abdominal neoplasms at the National Institute of Cancer José de Alencar Gomes da Silva / INCA, in the period between June and December 2016. To collect the data, the Brazilian Portuguese version of the European Organization for Research and Treatment of Cancer (EORTC) information module questionnaire (QLQ-INFO25) was used. RESULTS In general, for most items, the patients showed satisfaction with the amount of information received. The items referring to the disease, examinations, treatment and general information stand out, with an average score of more than 80%. For some items, however, there is dissatisfaction with the amount of information received, especially those related to the cause of the disease, aspects of out-of-hospital and home care, different places of care and aspects of self-help, with a satisfaction level of less than 40. CONCLUSIONS Despite the high level of satisfaction with the information received, it was observed that almost all patients would like more information, which makes us recommend that, as part of the care, the information offered to these patients about the treatment and the evolutionary process of the disease should be enhanced.

Tendência para o câncer de fígado e vias biliares na Região Norte do Brasil

O câncer e uma doenca que pode vir aparecer em qualquer parte do corpo, comumente em pessoas que ficam expostas constantemente aos fatores de risco especificos. O Câncer do Figado e um tumor maligno que se origina a partir de celulas que compoem o figado. O objetivo do estudo e entender o porque a regiao norte que manteve durante anos um indice de mortalidade mais elevado do que o indice nacional, comeca a ter uma reducao. Foram coletados dados sobre mortalidade por câncer do figado e das vias biliares da Regiao Norte do Brasil do SIM (Sistema de Informacao de Mortalidade). Os dados dos graficos confirmaram os indices elevados e recentemente a queda, alem de mostrar a prevalencia em homens atraves do risco relativo calculado em cima da razao de mortalidade padronizada. Esta queda pode ser associada a campanha de vacinacao contra um dos principais fatores de risco deste tipo de câncer, que e a hepatite B.