Communication in Health Sciences (CCS) is a scientific journal affiliated with the School of Public Health of the Federal District (ESP-DF), Brazil, published on a quarterly basis. The journal is dedicated to the dissemination of scientific knowledge and experiences relevant to the health field, serving as a platform for the publication of studies, analyses, and reflections that contribute to the advancement of research, health management, healthcare practice, and health education. Founded in 1990 under the title Revista de Saúde do Distrito Federal, the journal adopted the name Communication in Health Sciences in 2006, reflecting the expansion of its editorial scope and its commitment to promoting the circulation of scientific knowledge relevant to both the health system and the academic community. CCS is organized into three thematic sections. The first focuses on the Clinical and Healthcare Area, emphasizing healthcare delivery across different levels of care, including both general and specialized services. The second section addresses Public Health, encompassing studies in epidemiology, health policy, health economics, planning, management, and social sciences applied to health. The third section is dedicated to Health Education, featuring works that address educational processes and pedagogical strategies, with particular emphasis on active learning methodologies in health education.
Escola de Saúde Pública do Distrito Federal
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Challenges and communication strategies in pediatric care for hearing children of deaf parents
This study sought to understand the challenges and possibilities in medical care between pediatricians and deaf parents who use sign language in the care of children's health. The qualitative and exploratory cross-sectional research was based on semi-structured interviews with pediatricians and a CODA family. The results indicated that the lack of training in LIBRAS (Brazilian Sign Language) compromises direct communication between doctors and deaf parents, generating dependence on interpreters or family members to mediate the interaction. This scenario limits parental autonomy and can affect the accuracy of the information transmitted. Pediatricians recognized the need for the inclusion of LIBRAS in medical curricula and pointed to the use of assistive technologies as an alternative to improve accessibility. It is concluded that the training of professionals in LIBRAS and the implementation of public policies focused on accessibility are fundamental to guaranteeing more inclusive and humanized care.
Copyright (c) 2026 Comunicação em Ciências da Saúde
Implementation of theepidemiological surveillance monitoring cycle in the Federal District: an experience report
Objective: to describe the implementation process of the Monitoring Cycle (MC) in the epidemiological surveillance of the Federal District, Brazil. Methods: this is an experience report conducted between 2021 and 2025 within the Health Department of the Federal District, involving managers, technical staff, and residents. Planning workshops and four-monthly monitoring meetings were carried out using participatory methodologies and management tools to develop action plans and monitor institutional indicators. Results: the implementation occurred in three phases: planning, verification, and adjustment, resulting in the consolidation of strategic axes, formalization of an action plan, institutionalization of a periodic monitoring routine, and greater alignment among management instruments. Greater articulation between management instruments and organizational levels was observed. Challenges included staff workload, shortage of data analysis specialists, and the need to strengthen an evaluation culture. Final considerations: the MC contributed to organizing management processes, strengthening governance, and improving decision-making in epidemiological surveillance in the Federal District, highlighting the potential of monitoring as a structural component of health management within the Brazilian Unified Health System (SUS).
Monitoramento; Planejamento em saúde; Vigilância epidemiológica; Gestão em saúde; Distrito Federal.
Incidence and case fatality of dengue in the Federal District: analysis from 2014 to 2024
Objective: Estimate the incidence of dengue fever among Federal District residentes from 2014 to 2024. Method: A descriptive, ecological longitudinal retrospective study based on secondary data from Notifiable Diseases Information System (Sinan Online), temperature and precipitation, and the Social Vulnerability Index (IVS). Results: The results indicate na increase in dengue fever cases in the Federal District during the reporting period. This increase may be influenced by environmental, social, behavioral, and health access factors. Conclusion: From 2014 to 2024, the incidence of dengue fever increased significantly in the Federal District, with recurrent outbreaks recorded during this period.
From an imported case to sustaining measles elimination: an epidemiological investigation report
Objective: To describe the epidemiological investigation of an imported measles case, detailing surveillance actions, contact tracing, and prevention and control measures. Methods: Descriptive study of an epidemiological investigation, including the index case and contacts identified during the transmissibility period. Biological samples were collected. Results: Laboratory confirmation occurred on March 18, with identification of genotype D8, identical to Western Pacific strains. A total of 281 contacts were traced across multiple settings, and 98 individuals were vaccinated. Conclusion: The absence of secondary cases demonstrates the effectiveness of the response, sensitive surveillance, integrated action across response levels, and the maintenance of high vaccination coverage.
Premature mortality and social vulnerability: a study on chronic non-communicable diseases in the Federal District, 2023.
Introduction: non-communicable chronic diseases are the leading cause of morbidity and mortality in Brazil and worldwide, resulting in premature deaths and significant socioeconomic impacts. Understanding the territorial distribution of premature mortality is essential for the formulation of effective public policies. Objective: to analyze premature mortality rates due to NCDs in the Federal District according to the Social Vulnerability Index. Method: ecological study that used data from the Mortality Information System and included deaths from NCDs among individuals aged 30 to 69 years that occurred in 2023. Mortality rates were compared with the index of each administrative region to identify possible correlations. Results: it was revealed a relationship between higher premature mortality rates due to NCDs and greater social vulnerability. Conclusion: this study provides valuable information for policy planning, resource allocation, and adaptation of the healthcare network, with a focus on more vulnerable areas, aiming to reduce health inequities.
Change in the epidemiology of meningococcal and pneumococcal meningitis in the Federal District, 2010-2024
Objective: To describe the incidence and case fatality rates of meningococcal and pneumococcal meningitis and to characterize the distribution of circulating serogroups and serotypes in the Federal District between 2010 and 2024. Methods: A descriptive study based on meningitis data obtained from the Notifiable Diseases Information System (Sinan), the Central Public Health Laboratory (LACEN), and the Adolfo Lutz Institute. Results:There was a decrease in the incidence rate of Meningococcal Disease from 0.74 cases per 100,000 inhabitants in 2019 to 0.16 in 2024, while the incidence rate of pneumococcal meningitis increased from 0.34 to 0.91. Serogroup C was the most prevalent in meningococcal disease. An increase was observed in the prevalence of pneumococcal serotypes not included in the 10-valent pneumococcal vaccine, notably serotype 19A. Conclusion: There was a reversal in the frequency of bacterial etiological agents, with pneumococcal meningitis becoming predominant.The findings indicate the need to reassess the vaccination strategy.
Sociodemographic profile and epidemiological indicators of tuberculosis in the Federal District, 2015 to 2023
Objective: To describe the sociodemographic profile and epidemiological indicators of tuberculosis in the Federal District, Brazil, from 2015 to 2023. Method: Descriptive study based on secondary data from the Notifiable Diseases Information System (SINAN) and the Mortality Information System (SIM). Cases residing in the Federal District were included, excluding those with a change of diagnosis. Sociodemographic, clinical, and outcome variables were analyzed using descriptive estatistics. Results: 3.136 tuberculosis cases were reported. The incidence rate increased from 10.1 (2021) to 13.4 per 100,000 population (2023). The cure rate declined from 72.2% (2015) to 53.7% (2023), while treatment abandonment increased from 5.3% to 14.7%. TB-HIV coinfection reached 12.9% in 2023, and the proportion of cases among people deprived of liberty reached 18.8%. Conclusion: An increase in incidence and inequalities across regions and vulnerable populations was observed, reinforcing the need to strength enactive case finding, directly observed therapy, and targeted interventions.
Case Series: anaphylaxis associated with the live attenuated Dengue vaccine in the Federal District, Brazil
Objective: to describe cases of anaphylaxis associated with the attenuated dengue vaccine (TAK-003) in the Federal District, Brazil. Methods: an observational case series study including individuals who were reported in the e-SUS Notifica system between July 2023 and June 2024 and who presented anaphylaxis after receiving a dose of the live attenuated dengue vaccine TAK-003 in the Federal District. Inclusion followed the Brighton Collaboration criteria for the classification of anaphylaxis. Results: of the four cases of anaphylaxis, ages ranged from 6 to 21 years (median 11.5 years), all after the first vaccine dose. Two patients had no comorbidities; one had nephrotic syndrome and the other anxiety disorder. The interval between vaccination and symptom onset ranged from 30 to 150 minutes, with cutaneous manifestations predominating, followed by respiratory and gastrointestinal symptoms, and in one case, anaphylactic shock. Therapeutic management included the use of epinephrine in three cases. Two patients were hospitalized, and all evolved to cure without sequelae. Conclusion: anaphylaxis requires immediate recognition and treatment. The findings reinforce the importance of post-vaccination observation and team training for rapid and effective management of anaphylaxis, ensuring safety in the immunization process.
Eventos Supostamente Atribuíveis à Vacinação
Estimates of measles vaccination coverage in children: a comparative study in the Federal District
Objective: to describe and compare the estimates of measles vaccination coverage among children residing in the Federal District obtained through a household survey with those derived from the administrative information system. Methods: observational, analytical, comparative, cross-sectional study in children aged 15 months. Results: a significant discrepancy of 11.44% was observed between the vaccination coverage estimates from the two information sources. Conclusions: the findings may indicate that administrative data tend to overestimate vaccination coverage compared with survey data.
Vertical transmission of Chagas disease in the Federal District from 2020 to 2024
Objective: To describe the notification and follow-up status of children born to mothers with chronic Chagas disease between 2020 and 2024. Methods: A descriptive cross-sectional study conducted in the Federal District (DF), including children of mothers with chronic Chagas disease detected during prenatal care between 2020 and 2024, aged up to 2 years, 11 months, and 29 days at the time of notification as a suspect disease case in the Sinan system. Results: There was an increase in notifications and follow-up of children exposed to Chagas disease. However, failures related to notification and lack of follow-up persist, indicating weaknesses in compliance with national guidelines for the elimination of vertical transmission. All tested children had negative results, and no cases of vertical transmission were identified. Conclusion: The findings highlight the need for ongoing continuing education of health professionals, improved integration between services, and the inclusion of vertical transmission of Chagas disease in the priority maternal and child health agendas of the Federal District.
Chagas disease; Vertical transmission of infectious diseases; Trypanosoma cruzi; Congenital infection.
Doença de Chagas; Transmissão vertical de doenças infecciosas; Trypanosoma cruzi; infecção congênita.
Characterization of notifications in the Hospital Epidemiological Surveillance Network of the Federal District: analysis of the participation of Emergency Care Units and private hospitals, 2023-2024
Objective: To characterize the volume, epidemiological profile, and quality of compulsory disease and condition reports according to type of reporting facility in the Hospital Epidemiological Surveillance Network of the Federal District, Brazil (Reveh-DF), from 2023 to 2024. Methods: Descriptive study using data from SINAN and SIVEP-Gripe. Notification volume, epidemiological profile, variable completeness, and timeliness of data entry and case closure were assessed. Chi-square tests were applied for comparisons (p<0.05). Results: The Reveh-DF accounted for 49.9% (261,038) of all notifications in the Federal District during the two-year period, with 34.6% (90,472) from Emergency Care Units (UPAs) and 22.1% (57,774) from private hospitals. The 2024 dengue epidemic concentrated 81.7% of total notifications and drove a 214.7% expansion in private sector reporting, whose notificatory diversity remained limited beyond this condition. UPAs showed the highest completeness for race/skin color (91.9% in 2023; 95.8% in 2024) and the best timely data entry rates (99.1% in 2023), with a decline in 2024 consistent with operational overload from the dengue epidemic. Private hospitals recorded the greatest deterioration in race/skin color completeness across the network (51.1% in 2023; 40.7% in 2024). Education completeness was critically low across all facilities, with a notable gap between UPAs (4.5%) and public hospitals (36.9%) in 2023 (p<0.001). Conclusion: The expanded Reveh-DF model successfully integrated emergency care units and the private sector into epidemiological surveillance, broadening the network's reach. However, private sector integration still presents relevant data quality gaps, indicating the need for differentiated training and supervision strategies to consolidate this model.
Temporal trend of violence against women residing in the Federal District, Brazil, 2009–2024
Objective: To analyze the temporal trend of notification and mortality rates due to violence against women aged 25 to 59 years residing in the Federal District, from 2009 to 2024. Methods: Ecological time-series study with data from the Notifiable Diseases Information System and the Mortality Information System (1). The trend was analyzed using Prais–Winsten regression, estimating the annual percentage change (APC) and 95% confidence intervals (2). Results: A significant increasing trend was observed in the rates of physical, psychological, and sexual violence, and suicide attempts. Suicide mortality showed a moderate increasing trend, while homicide mortality showed a significant decreasing trend. Conclusion: The findings show an increase in non-lethal violence and a reduction in lethal violence, reinforcing the importance of epidemiological surveillance.
Doenças e agravos de notificação compulsória; Violência contra a mulher; Análise de situação de saúde; Políticas públicas de saúde.
Epidemiological profile of confirmed pertussis cases in residents of the Federal District, Brazil - 2006 to 2024
Objective: To describe the epidemiological profile of confirmed pertussis cases among residents of the Federal District, Brazil, between 2006 and 2024. Method: A descriptive ecological study based on data from the Notifiable Diseases Information System (Sinan). Confirmed cases were analyzed according to sex, age group, vaccination status, signs and symptoms, complications, confirmation criteria, and outcome. Incidence and case fatality rates were calculated using official population estimates for the study period. Results: Between 2006 and 2024, a total of 3,464 suspected pertussis cases were reported, of which 1,130 were confirmed among residents of the Federal District. The highest proportion of cases occurred in children under one year of age (61.2%). Incidence showed two peaks during the study period: in 2014 (8.8 cases per 100,000 inhabitants) and in 2024 (8.1 cases per 100,000 inhabitants). In 2024, an increase in incidence was observed among individuals aged 5–14 years and 15–29 years. Sixteen deaths were recorded, resulting in an overall case fatality rate of 1.4%, all occurring in infants under one year of age, predominantly unvaccinated or with incomplete vaccination schedules. Clinical confirmation predominated until 2023, whereas in 2024 laboratory confirmation became more frequent. Conclusion: Pertussis remained continuously present in the Federal District throughout the study period, with the greatest impact among infants under one year of age. The recent increase in cases and the shift in age distribution highlight the importance of epidemiological monitoring and strengthening laboratory surveillance.
Pertussis. Morbidity and Mortality. Epidemiology
Programmatic evaluation and the experience of students and professors in higher nursing education
Objective: To explore students' and faculty members' perceptions of programmatic assessment, identifying its weaknesses, strengths, and contributions to improving the evaluation process. Method: A descriptive, cross-sectional, quantitative study involving students and faculty from a public undergraduate nursing program. Data were collected through a structured questionnaire. Results: A total of 27 faculty members and 73 students participated. Key strengths identified included the clarity of the concept, the alignment between educational objectives and assessment tools, and the overall coherence of the approach. Participants noted that the principles of programmatic assessment support the development of professional competencies through feedback while applying multiple evaluators and tools to assist decision-making. However, areas for improvement were also highlighted, such as scoring methods, transparency, subjectivity, and the need for more informative assessments to enhance teaching methods and curricular design. This analysis underscores the importance of continuous review. Conclusion: Overall both, faculty and students, reported a positive perception of programmatic assessment.
Copyright (c) 2025 Comunicação em Ciências da Saúde
Reading and Interpretation of Imaging Exams by Nurses
Objetivo: identificar condutas de enfermeiros relacionadas aos exames de imagem e descrever a importância do preparo teórico-prático desse profissional em imaginologia. Métodos: pesquisa qualitativa, realizada por meio de grupo focal e roteiro semiestruturado, com residentes de enfermagem em ortopedia e traumatologia. A coleta de dados foi gravada, transcrita e analisada através da Análise de Bardin, e categorizada pelo software IRaMuTeQ®,utilizando-se a Classificação Hierárquica Descendente e Similitude. Resultados: observou-se escassez na capacitação de enfermeiros na leitura de exames de imagem. Os residentes relataram a necessidade de ter esse ensino durante sua formação para suprir as dificuldades durante a assistência ao paciente. Portanto, há a necessidade de inclusão de um novo componente curricular na residência: Imaginologia na Assistência de Enfermagem. Conclusão: a análise de exames de imagem por enfermeiros não é uma abordagem comum no meio científico, mas o preparo na leitura de imagens pode contribuir para a rotatividade do serviço.
Adequacy of nutritional therapy in critically ill patients
Objective: to evaluate the impact of enteral nutritional therapy on the clinical outcome of critically ill patients admitted to an Intensive Care Unit. Method: prospective, observational study, carried out by evaluating patients admitted to an Intensive Care Unit, aged 18 years or over, undergoing exclusive Enteral Nutritional Therapy, and collecting sociodemographic data in electronic medical records. Results: 80 patients were included, mostly adults (53.75%) and 68.8% male. Among non-survivors there was a prevalence of elderly people, patients who had an energy adequacy less than 80% and an average amount of calories and proteins infused lower than the established goal. Furthermore, diarrhea, a sign of dietary intolerance, has also been associated with mortality. Conclusion: Nutritional Therapy impacts the clinical outcome of critically ill patients, although it is necessary to consider other interfering factors to improve the quality of the associations.
Analysis of the health needs of patients with cystic fibrosis in Brazil
Introduction: Cystic Fibrosis (CF) is an autosomal recessive genetic disease with multisystem involvement, characterized by the dysfunction of the CFTR protein. CF has mobilized patients and their families to form support associations in several countries. Objectives: to identify health needs and assess the level of knowledge of patients with CF, their families, and healthcare professionals about the disease. Methodology: descriptive cross-sectional study with a sample of 242 individuals. Two structured questionnaires were applied, the data of which were analyzed, and the identified health needs were classified into biological, subjective, socioeconomic, cultural, and environmental dimensions. Results: patients and their families have a relatively high level of knowledge about the disease, while non-medical healthcare professionals show significant knowledge gaps. Conclusion: the identified knowledge gaps were addressed through suggestions for health education actions and public policies, contributing to the improvement of the quality of life of patients with CF.
Audiological Evaluation of Public Servants of the Federal District Exposed to Occupational Noise
Objective: to evaluate Noise-Induced Hearing Loss (NIHL) in workers from the Federal District. Method: a total of 1,959 public servants monitored by the Hearing Health Program of Federal District Secretariat of Economy between 2017 and 2022 were assessed. Results: the prevalence of NIHL was 16.7%, most frequently observed among road activity technicians and drivers. Statistical analysis showed a significant protective effect from the use of hearing protectors (p < 0.05). There was a 78.9% increase in the use of Personal Protective Equipment (PPE) between the first and last consultations. Conclusion: the study highlights the importance of prevention and monitoring of auditory health among noise-exposed workers. Although preventive measures are being implemented, NIHL remains a significant issue, reinforcing the need for more effective hearing protection policies.
The management of health in Brazil's capital: 35 years of history
Introduction: democratic health management in the Federal District is challenged by the absence of municipalities and administrative centralization. Objective: to analyze the implementation of democratic health management in the Federal District through the Health Councils. Method: retrospective documentary research examining federal and district regulations since 1990. Results: the consolidation of the Federal District Health Council (CSDF) was proved. Regional Health Councils show weaknesses, being absent in 62% of the Administrative Regions, with deliberations approved by the superintendent. The structuring of the Health Superintendencies, disconnected from the Regional Administrations, and the absence of binding mechanisms for public participation indicate centralized decision-making in the district government, contrary to the decentralization and social control principles established in the SUS. The creation of a parallel management committee, without coordination with the Councils, reinforces this centralization. Conclusion: it is necessary to strengthen the Regional Health Councils by amending the CSDF resolution to allow their decisions to be approved directly by the SESDF.
Proposals for changes in drug price regulation in Brazil
Introduction: Since 2003, drug prices have been regulated by the Drug Market Regulation Chamber (CMED) in Brazil, but lately there are several dissatisfactions about the pricing of innovative drugs. Objective: to describe the main points in debate in the Draft Public Consultation (CP) SEAE No. 02/2021 and the Bill (PL) No. 5,591/20. Methodology: exploratory and descriptive method, with a systematization of the topics addressed in the responses to the Draft CP and the PL. Results: it was mentioned that there are many drugs considered as omitted cases by the current price regulation, that the creation of a category for innovative drugs, will not, by itself, be able to bring more innovative drugs to the market and that there is a need for greater alignment between the National Health Surveillance Agency and CMED. Conclusion: regulation must be dynamic and capable of absorbing market changes.
Empathy in dentistry of the Family Health Strategy
Introduction: Empathy in clinical practice is the ability to understand the patient's perspective, recognizing their emotions and needs. Objective: This study aimed to analyze the barriers and facilities for developing empathy among dentists from the Family Health Strategy (ESF) in vulnerable areas of Campo Grande, Mato Grosso do Sul. Methods: 14 interviews were carried out between March and June 2024, structured by the Theoretical Domains Framework (TDF). Using Bardin's content analysis and the IRaMuTeQ® software, the responses were categorized by the "COM-B" model. Results: Capacity (understanding the concept and training), and Opportunity (infrastructure and work management) emerged as barriers. Motivation (listening, dialogue, mood regulation) were identified as facilities. Conclusion: It is concluded that CDs are motivated to be empathetic, but the current work process can affect the professional-user relationship.
Antimicrobial effect of Plantago Major L. extract against Streptococcus mutans related to dental caries
Objective: to evaluate the efficacy of Plantago major L. extract against Streptococcus mutans, a bacterium associated with biofilm formation and the development of dental caries, seeking natural alternatives to conventional methods of caries control. Method: experimental study using bioautography and broth microdilution to analyze the antimicrobial activity of the extract, with chlorhexidine as a comparison substance. Results: Plantago major presented consistent inhibition halos with a mean diameter of 12.5±1.2 mm, compared to 18.3±1.5 mm for chlorhexidine, and statistical analyses confirmed its efficacy (p<0.05), demonstrating its potential as a natural therapeutic agent. Conclusion: Plantago major extract showed promise as an alternative in the control of dental caries, with a lower risk of side effects, encouraging the exploration of phytotherapeutic therapies and supporting future clinical research focused on oral health and the fight against antimicrobial resistance.
Self-medication: reality among medical students?
Objective: to evaluate the behavior of medical students in relation to self-medication in a public health education institution in the Federal District. Methods: this is a quantitative cross-sectional descriptive study, carried out through the application of a structured questionnaire to medical students at the institution under study. The data were analyzed by descriptive statistics and the results were expressed with 95% confidence intervals. Results: 209 students participated in the study, of which 88.5% reported practicing self-medication. The analysis by grade of the course indicated an incidence of 93.9%, 90.3%, 75.6%, 92.1% and 90.9%, respectively, among students from the 1st to the 4th year and internship. The most commonly used medications were analgesics and antipyretics (83.4%). Among those who reported self-medication, 93.0% stated that they intend to continue with the practice. Conclusion: the incidence of self-medication among the medical students analyzed is high and requires intervention, especially from educational institutions.
Analysis of Personality and Quality of Life of Medical Students Participating in a Cohort
ABSTRACT OBJECTIVES: This study aims to associate quality of life, focusing on the Beck Inventory indices, with the personality profile of medical students based on the Five-Factor Model from a Higher Education Institution. METHODS: Data on the personality traits and depression levels of 101 medical students from two diferente classes were collected in 2020 and 2022. CONCLUSIONS: In class 1, depression prevalence was observed at 17% and 15% in the first and third years, respectively. The results revealed a predominance of traits such as agreeableness, openness to experience, and conscientiousness among the students. It was noted that men exhibited a 46% higher vulnerability to depression compared to women. These findings align with previous studies highlighting the prevalence of stress, depression, and anxiety among medical students, as well as the role of personality traits in contributing to negative outcomes.
Educação Médica/Education, Medical; Personalidade/Personality; Qualidade de Vida/Quality of Life;
Mother-to-child HIV transmission in Federal District: profile of infected children and barriers to solution
Aiming to understand the dynamics of vertical transmission of HIV in the Federal District, medical records of 37 children and adolescents vertically infected with the virus, born in the study area and followed by the pediatric team of a referral center, were analyzed. Most were diagnosed before 18 months of age through RNA viral quantification. A significant proportion of mothers did not adequately use antiretroviral prophylaxis during pregnancy and, to a lesser extent, during labor. Rapid testing detected infection in some mothers (5/37) but was non-reactive in others (6/37). Most births occurred via vaginal delivery, and a substantial number of participants (16/37) were breastfed. In the majority of cases, maternal diagnosis occurred postpartum. These findings highlight the need to improve detection, support, and case retention to advance the elimination of vertical HIV transmission
Infectious Disease Transmission, Vertical
Transmissão Vertical de Doenças Infecciosas
Evidences for not using the Hospital Information System to estimate the incidence of injuries
OBJECTIVE: To assess the reliability of the Hospital Information System (SIH) in estimating the incidence of health conditions for the general population or hospital admissions by comparing it with the Mortality Information System (SIM). METHODS: Comparable datasets were collected from the HIS and MIS regarding deaths that occurred in hospitals between 2008 and 2020 using the Ministry of Health's TABNET interface. RESULTS: Data on 10,872,624 in-hospital deaths were obtained from the MIS and 5,991,342 from the HIS between 2008 and 2020, resulting in an accuracy of 55.1% (95% CI: 55.08% to 55.13%). This pattern is consistently observed at different levels with statistical significance (p < 0.001). Analyses by groups of ICD-10 codes showed varying differences. CONCLUSION: Despite the regular use of HIS data to infer population incidences, this method is not recommended due to substantial underreporting.
Therapeutic workshops in the Care of teenagers in psychic suffering
Objective: to identify changes provided by therapeutic workshops in the care of adolescents experiencing severe psychological distress. Method: a qualitative, descriptive, and exploratory study of observational nature. Data collection through in-depth interviews using a semi-structured script. Fifteen adolescents aged between 13 and 17, participants in therapeutic workshops at the CAPSi - Child and Adolescent Psychosocial Care Center in Sobradinho, Federal District, took part in the study. Data analysis was conducted using the IramuteqTM software and Bardin’s Content Analysis. Results: four thematic categories emerged: the importance of therapeutic workshops as part of the therapeutic plan; activities carried out in the workshops; behavioral changes perceived through workshop participation; and responses to “Why am I at the CAPSi?” Results: the workshops facilitated emotional expression, improved self-esteem, and enhanced social interaction, contributing to the development of bonds and the strengthening of psychosocial skills. These effects were more pronounced among participants with longer engagement in the workshops. Conclusion: therapeutic workshops proved to be effective for promoting autonomy and citizenship among adolescents, contributing to coping with daily difficulties.
Guided Endodontics in the Treatment of Root Canal with Dystrophic Pulp Calcification
Introduction: guided endodontics is a safer technique for treating teeth with root canal obliteration. Objective: to use guides made by 3D printing for endodontic treatments that would require more time and risks through conventional treatment. Method: intraoral scanning performed on iTero Element® 1 and the tomographic examination were combined in the SkyBlue Plan® and Blender for Dental® virtual planning software to design the guide, which was subsequently printed on the 3D printer (Flashforge®, Hunter). Result: case report describing guided endodontics in the treatment of the root canal of an upper canine with dystrophic pulpal calcification and chronic apical periodontitis. Conclusion: although there was a slight deviation of the conduit's light, the use of the guide allowed quick and safe access to the root canal, and after eighteen months, bone repair of the periapical lesion was observed in a tomographic examination.
Objective: to analyze the challenges involved in implementing the Family Health Strategy (FHS) in the Federal District of Brazil, considering both advances and setbacks in Primary Health Care (PHC). Methodology: qualitative approach, including a literature review, document analysis, and the examination of interviews with health managers and professionals drawn from previous research. Results: the implementation of the FHS has been hindered by the dominance of the traditional biomedical model, underfunding of the Unified Health System (SUS), and resistance to organizational change. Notable advances include the expansion of FHS coverage; however, persistent challenges remain, such as the shortage of teams and tensions between public and private management models. Conclusion: consistent public policies and investment in professional training are essential to consolidating a health system centered on the individual, family, and community. It underscores the need to overcome ideological and structural resistance to ensure the universality and comprehensiveness of SUS.
Genotyping of human papillomavirus in women with abnormal Pap Smears
Objective: to evaluate the frequency and relationship of human papillomavirus (HPV) with altered vaginal cytology. Method: 319 women aged 25 years or older with altered cytology were selected and submitted to real-time polymerase chain reaction technique. Results: the samples were divided into two groups without and with previous cervical treatment. The frequency of HPV positive was 71% and 47%, respectively. The predominant high-risk HPVs were: 16, 58, 52 and 53. HPV16 and multiple infection were more prevalent between 25 and 35 years of age. High-grade intraepithelial lesions were associated with HPV16 in both groups and HPV53 in the treatment group. Conclusion: the high prevalence of HPV in the samples, the persistence of HPV16, and the association of HPV53 and multiple infections should be considered for genotyping to identify lesions early.