Moral distress and its contribution to the development of burnout syndrome among critical care providers.

Background: Burnout appears to be common among critical care providers. It is characterized by three components: emotional exhaustion, depersonalization and personal accomplishment. Moral distress is the inability of a moral agent to act according to his or her core values and perceived obligations due to internal and external constraints.

Time trends in mortality from intestinal infectious diseases among children under five years old, in São Paulo State, Brazil, 2000-2012.

Objective: to analyze time trends in mortality owing to intestinal infectious diseases (IID) among children under five years of age in São Paulo State and its Regional Health Care Networks (RRAS), from 2000 to 2012.

Methods: this was a time series study of deaths having IID as their underlying, antecedent or contributory cause, using Mortality Information System data.

Results: there were 2,886 deaths from IID in the state; the IID mortality rate went down by 10.

Limitation to Advanced Life Support in patients admitted to intensive care unit with integrated palliative care.

Objective: To estimate the incidence of limitations to Advanced Life Support in critically ill patients admitted to an intensive care unit with integrated palliative care.

Methods: This retrospective cohort study included patients in the palliative care program of the intensive care unit of Hospital Paulistano over 18 years of age from May 1, 2011, to January 31, 2014. The limitations to Advanced Life Support that were analyzed included do-not-resuscitate orders, mechanical ventilation, dialysis and vasoactive drugs.

[Art, mental health, and public healthcare: profile of a care culture in the history of São Paulo city].

By studying the inclusion of artistic and cultural activities in the care provided throughout the history of public mental healthcare in greater São Paulo, Brazil, we can better understand and characterize the practices adopted in the Psychosocial Care Centers in the city today. Experiments carried out between the 1920s and 1990s are investigated, based on bibliographic research. The contemporary data were obtained from research undertaken at 126 workshops at 21 Psychosocial Care Centers in the same city between April 2007 and April 2008.

Methods and challenges for the health impact assessment of vaccination programs in Latin America.

Objective: To describe methods and challenges faced in the health impact assessment of vaccination programs, focusing on the pneumococcal conjugate and rotavirus vaccines in Latin America and the Caribbean.

Methods: For this narrative review, we searched for the terms "rotavirus", "pneumococcal", "conjugate vaccine", "vaccination", "program", and "impact" in the databases Medline and LILACS. The search was extended to the grey literature in Google Scholar.

[The Singular Therapeutic Project and mental health practices at Family Health Support Centers in Guarulhos in the state of São Paulo, Brazil].

Various studies describe the Singular Therapeutic Project (STP) as a powerful instrument of care for the users of specialized mental health services. It is also put forward as a tool to organize and support the activities of the Family Health Support Centers (FHSC), based on the concepts of co-responsibility and comprehensive care. The article seeks to analyze the development of STP by mental health teams of FHSC and its articulations with services of Primary Health Care (PHC), psychosocial services and other sectors of society.

[Art, culture and care in psychosocial healthcare services].

Objective: To analyze the process of care developed in group activities of culture and art in community psychosocial healthcare centres.

Methods: This study is part of research evaluating psychosocial health care centers in the city of São Paulo. Ethnographic reports of 126 art and cultural group activities taking place in 21 centers between 2007 and 2008 were analyzed.

Mortality of motorcyclists in traffic accidents in the Brazilian Federal District from 1996 to 2007.

Objective: To describe sociodemographic characteristics and analyze temporal trends in the mortality of motorcyclists injured in traffic accidents.

Methods: This was a time-series study with data from 580 motorcyclist deaths in the Brazilian Federal District from 1996 to 2007. The data were obtained from the Mortality Information System.

Evaluation of psychosocial healthcare services in the city of São Paulo, Southeastern Brazil.

Objective: To describe infrastructure, human resources, and care approaches in psychosocial healthcare services.

Methods: Descriptive study including 21 psychossocial healthcare services for adults affiliated to the local health department in the city of São Paulo, Southeastern Brazil, conducted between 2007 and 2008. Information about infrastructure of facilities, human resources available and patient care was collected using a standardized instrument.