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Painel de monitoramento do NMN em Sergipe: subsídios para redução da mortalidade infantil

2026-01-01T00:00:00Z

Título: Painel de monitoramento do NMN em Sergipe: subsídios para redução da mortalidade infantil Autor(es): Teixeira, Luciana Alice Santana Abstract: Introduction: Neonatal NMN (NNM) is an important indicator of severe neonatal morbidity and contributes to understanding the determinants of infant mortality. The analysis of cases that nearly resulted in death but survived makes it possible to identify weaknesses and strengths in maternal and child healthcare. In the state of Sergipe, systematic monitoring of this outcome is still limited, hindering the implementation of prevention strategies. Objective: To monitor NNM cases in Sergipe, identifying epidemiological patterns, associated risk factors, and priority areas for intervention. Methods: A descriptive study based on secondary data from the Live Birth Information System (SINASC), referring to all live births in Sergipe between 2011 and 2023. The definition of NNM followed pragmatic criteria widely used in the literature: Apgar score < 7 at the 5th minute, birth weight < 1500 g, and gestational age (GA) < 32 weeks. Prevalence ratios (PR) and 95% confidence intervals (CI) were calculated, analyzing maternal, gestational, neonatal, and obstetric variables. For the development of the interactive dashboard, functionalities provided by Streamlit version 1.51.0 and the Python programming language version 3.14 were used through a virtual environment (venv). Results: The prevalence of NNM in the state of Sergipe was 14,200 cases, with a rate of 33.7 NNM per thousand live births, and the municipality of Malhada dos Bois presented the highest NNM rate. Lack of prenatal care was the factor most strongly associated with the outcome, while having seven or more prenatal visits showed a consistent protective effect. Low educational level, single marital status, and prematurity also stood out as significant determinants. Higher risk was identified among male neonates, multiple pregnancies, non-cephalic fetal presentations, births outside the hospital setting, and the presence of congenital anomalies. Neonates classified as NNM presented worse Apgar scores, lower birth weight, and reduced gestational age. Conclusion: The findings reveal that NNM in Sergipe is a multifactorial event, strongly influenced by biological conditions, social determinants, and characteristics of healthcare services. Lack of prenatal care, multiple pregnancies, and out-of-hospital births constitute the main risk factors. The results reinforce the need to strengthen prenatal care policies, expand access to safe childbirth, and improve the quality of neonatal care.

Oncocare System: uma ferramenta para auxiliar o gerenciamento assistencial da neutropenia em pacientes oncológicos

2025-01-01T00:00:00Z

Título: Oncocare System: uma ferramenta para auxiliar o gerenciamento assistencial da neutropenia em pacientes oncológicos Autor(es): Vieira, Marina Provinciali Mendonça Abstract: Introduction: Neutropenia, especially in its febrile form (NF), represents a serious and frequent complication in cancer patients, associated with high morbidity and mortality. It affects up to 80% of patients with hematological malignancies and generates serious complications in up to 30% of cases. Fever may be the only clinical sign present, requiring immediate empirical antibiotic diagnosis and treatment. Institutional strategies based on international guidelines and the incorporation of Information and Communication Technologies (ICT) have been fundamental in promoting rapid, safe, and standardized procedures, favoring early diagnosis and reducing mortality. Objective: o develop and describe the OncoCare System, composed of a prototype clinical surveillance software and a multidisciplinary care guide, to support the care management of febrile neutropenia in cancer patients hospitalized at the University Hospital of Sergipe, based on scientific evidence on strategies, challenges, and the use of technologies in the management of this condition. Methodology: his is characterized as a technological production study, aiming to develop a software prototype using the Scrum agile methodology. The research was structured in main stages: (i) prior art search, (ii) conducting an integrative literature review, (iii) developing the Oncocare system prototype, and (iv) creating a care guide for febrile neutropenia. Results: The integrative review identified challenges and opportunities in the use of information technologies for the management of NF, highlighting the need for tools that support risk stratification and clinical decision-making. Based on this evidence, the OncoCare System was developed, a software prototype created in partnership with the Computer Science Department of UFS, aimed at monitoring, alerting, and following up on cancer patients. In addition, a Febrile Neutropenia Care Guide was developed for the multidisciplinary team. Conclusions: The study achieved its purpose of integrating scientific fundamentals and technological innovation. The OncoCare System was developed based on real demands of the University Hospital of Sergipe, with the potential to improve safety, standardize procedures, and expedite clinical decisions. It was completed and registered with the INPI (Brazilian National Institute of Industrial Property) under number BR512024001695- 3. The Care Guide complements the tool, especially in educational contexts.

Desenvolvimento de uma interface tecnológica para o rastreio do risco de broncoaspiração no ambiente hospitalar

2025-01-01T00:00:00Z

Título: Desenvolvimento de uma interface tecnológica para o rastreio do risco de broncoaspiração no ambiente hospitalar Autor(es): Silva, Patricia Sales Leal da Abstract: Introduction: Bronchoaspiration is a serious complication, frequently associated with dysphagia, and is characterized by high morbidity and mortality, especially in elderly and hospitalized patients. In addition to compromising patient safety, it is related to increased hospital costs and prolonged length of stay, which highlights the importance of early identification. Although screening instruments exist, methodological heterogeneity and lack of standardization in the detection of specific clinical predictors of bronchoaspiration are observed. In this context, the use of digital technologies and artificial intelligence emerges as a promising strategy to improve screening, allowing greater accuracy and agility in the prevention of this adverse outcome. Objective: To build an instrument with an accessible technological interface for screening the risk of bronchoaspiration in a hospital setting, a technological product in healthcare. Methods: The study followed a descriptive and exploratory methodology, based on Design Thinking, applied iteratively in the stages of problem awareness, ideation, and prototyping.The initial phase included a systematic review and the use of an empathy map to identify user needs. During the ideation phase, the interface proposal was developed, defining materials, technologies, and requirements, guided by the 4+1 architecture. Finally, prototyping was carried out to validate the solution. Results: The systematic review identified screening instruments for bronchoaspiration risk in adults, including checklists associated with functional swallowing tests, water swallowing tests, cough test, EAT-10 questionnaire, accelerometry, voice analysis, and the modified Blue Dye Test, evidencing methodological heterogeneity and lack of standardization. To address this gap, a technological interface was developed in the form of a responsive web-based software (Python/Django, PostgreSQL database), structured with a checklist of eight clinical risk criteria (respiratory support, level of consciousness, alternative feeding route, cough, saliva/secretions, voice, orofacial movements, and speech); in addition to a functional swallowing test, preventive recommendations, and suggestions for food consistency. Conclusion: The study resulted in the creation of a functional prototype to support the screening of bronchoaspiration risk in hospital settings, providing healthcare professionals with a standardized, evidence-based, and technologically accessible tool.

Desenvolvimento do SIDHUF - Software para dimensionamento da força de trabalho em saúde em Hospitais Universitários

2025-01-01T00:00:00Z

Título: Desenvolvimento do SIDHUF - Software para dimensionamento da força de trabalho em saúde em Hospitais Universitários Autor(es): Santos, Roseane do Nascimento Lima Abstract: Introduction: Efficient management of the health workforce is essential for the sustainability and quality of services within Brazil’s Unified Health System (SUS). In the Federal University Hospitals (HUF) managed by the Brazilian Company of Hospital Services (Ebserh), appropriate workforce sizing presents significant challenges, directly influencing care quality, patient safety, professional satisfaction, and the efficiency of public resources. Manual processes or the use of generic tools currently applied in the Ebserh network tend to be complex and prone to errors, reinforcing the need for specific technological solutions. Objective: To develop a software solution for Health Workforce Sizing (DFTS) in the Federal University Hospitals (HUF) under Ebserh management. Methodology: The methodological design adopted in this study was based on Design Science Research (DSR), incorporating action research components to guide the construction, application, and refinement of a technological artifact for health workforce sizing (DFTS) within the Ebserh network. Initially, a literature search was conducted to contextualize the objective, followed by a search for existing software programs, patents, and records to verify the existence of similar technologies. Standardized DeCS/MeSH descriptors were used in searches performed in the BVS, PubMed, and SciELO databases. Additional keywords — “Health Workforce Sizing” and “Health Workforce Management” — were also applied, as they are not official descriptors but frequently appear in published research. The search for patents and registered systems was carried out using the INPI, WIPO, EPO, and Google Scholar platforms. Subsequently, meetings were held with methodological collaborators and developers from the Department of Computing at the Federal University of Sergipe to understand the Ebserh Workforce Sizing Manual and ensure the applicability of the proposed solution to the HUF context. The software development followed the agile SCRUM methodology, with iterative stages of design, requirements and artifact analysis, modeling, coding, and unit and integration testing. Results: The prior art search identified two similar systems, while the integrative literature review found ten relevant publications. The SIDHUF system was developed based on methodologies that consider demand, needs, and workload parameters used by Ebserh in its workforce sizing processes. The main features include organizational parameterization, automated sizing calculations, scenario simulations, report and dashboard generation, and an intuitive interface capable of integrating with existing hospital systems. The study resulted in an original technological product registered with the National Institute of Industrial Property (INPI). Conclusion: The SIDHUF was developed as an innovative tool with applicable knowledge for future research and enhancements. The validation of the solution is planned as a prospective step for further development.