Início Práticas Integrativas no tratamento da ansiedade
Saúde Pública
Práticas Integrativas no tratamento da ansiedade
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Introduction: Integrative and Complementary Practices (PICS) use therapeutic resources that are based on traditional knowledge, with the aim of preventing various diseases such as anxiety. In the case of Integrative Health Practices (PIS), the focus of this article, they can be understood as technologies that treat the health of the individual in its multidimensionality - physical, emotional, mental, social and spiritual - in order to promote, maintain and recover health. . Review: This article aims to present alternative therapies for the treatment of anxiety, such as aromatherapy, floral therapy, homeopathy and acupuncture. Discussion: They are known as integrative practices and are currently applied with private clinics and by the Unified Health System (SUS). These are technologies that obtain satisfactory results, through a welcoming listening, with a therapeutic bond, which integrates the individual with the environment and society. The PIS have a transversal, transdisciplinary and intersectoral character. Its validation in the SUS occurs through the criterion of the traditionality of its use, as well as through proof of its benefits. Final Considerations: These Integrative and Complementary Health Practices (PICs) were instituted in Brazil in 2006, and are considered by the World Health Organization (WHO) as traditional medicine practices. This means that the knowledge, skills and practices applied in these types of therapies are based on theories, beliefs and experiences from different cultures, with a focus on health maintenance, prevention, diagnosis, improvement or treatment of physical and mental illnesses. The main difference between PICs and traditional medicine is that conventional medicine tends to treat symptoms separately; in the case of the practice of PICs, these are treatments that see the individual as a whole, not just as a set of symptoms.
Keywords: alternative therapies; anxiety; integrative practices; Unified Health System (SUS).
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Manifestações orais da COVID-19 e o papel do cirurgião-dentista no diagnóstico precoce e controle da sua transmissibilidade: revisão de literatura
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Introduction: In 2019, the world was experiencing an alarming public health crisis, caused by a virus called by the international committee on taxonomy of viruses, as SARS-CoV-2 and later declared by the World Health Organization (WHO) as COVID -19. A new disease characterized by causing infections with flu-like symptoms and high mortality rates. In view of the COVID-19 pandemic situation, and its immediate repercussions, this literature review aims to analyze the main oral changes associated with COVID-19 infection, as well as to understand whether these presentations are due to the infection or represent secondary manifestations resulting from of the systemic condition. Review: The methodology involved a bibliographic survey in the Bireme, Pubmed and Lilacs databases, and the available literary works on the subject. Data collection comprised articles published in the last 10 years, from 2012 to 2022. Only scientific articles published and made available for free, without restrictions, were selected by country or language. Discussion: Among the oral anatomical structures affected by COVID-19, the dorsum of the tongue draws attention due to the high frequency and number of alterations, such as white and red plaques, whitish areas, hemorrhagic crust, necrosis, petechiae, erythema and spontaneous bleeding, fissured tongue. Final considerations: COVID-19 is a multisystem disease, capable of affecting the oral cavity, the most common manifestation being dysgeusia, followed by the presence of ulcers, herpetiform lesions, usually associated with immunocompromise caused by the disease, erosive lesions, blisters, vesicles, pustules and depapilated tongue, associated with the use of NSAIDs, in the relief of some symptoms associated with the disease.
Keywords: dentist, COVID-19, diagnosis, oral manifestations, non-pharmacological measure, oral health.
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O uso de Plantas Alimentícias Não Convencionais (PANCs) em uma Unidade Básica de Saúde do município de São José dos Campos, São Paulo, Brasil
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Introduction: Since prehistoric times men have used plants for food purposes, nowadays, they present a subsistence option for rural communities. Unconventional food plants (PANCs) are unusual plants, without a marked reproductive chain and not easily found in supermarkets, but their consumption is important due to their high nutritional value. Experience report: In view of the wide variety of PANCs in a region of São José dos Campos, a table was established in order to encourage consumption. Discussion: This experience report brought a positive return despite not using qualitative tools to measure results, the release of the table for residents linked to the UBS of the North Zone in the municipality of São José dos Campos was beneficial and well accepted by the community.
Keywords: basic health unit, disclosure, nature.
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Costs analysis of hip osteonecrosis treatment: cell therapy and total arthroplasty in people with sickle cell disease from the SUS perspective
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Objetivo: Este estudo se propôs a realizar uma análise sobre os gastos efetivos com terapia celular e artroplastia na osteonecrose no quadril em pessoas com Doença Falciforme, no context do Sistema Único de Saúde (SUS). Métodos: Estudo descritivo, comparativo e transversal com pessoas, na faixa etária de 18 a 40 anos, atendidas no Complexo Hospitalar Universitário Professor Edgard Santos, com osteonecrose de quadril secundária à Doença Falciforme e submetidas à terapia celular no período de 2015 a 2019. Para avaliar os gastos em saúde, aplicou-se a metodologia de microcusteio e utilizou-se a perspectiva do SUS como organização compradora de serviços de saúde pública e privadas. Além disso, foram consultados dados dos bancos de dados do SUS, DATASUS. Resultados: Foram atendidos 74 pacientes, sendo realizados 88 procedimentos cirúrgicos. Os gastos obtidos com cada procedimento foram de R$ 3.265,22 para terapia celular e R$ 4.764,08 para artroplastia total do quadril. Com base em evidências científicas, a soltura de próteses referentes à artroplastia total primária na Doença Falciforme, cujo valor de R$ 4.764,08 tem vida útil média de 5 a 10 anos, exige uma artroplastia de revisão total, procedimento com gastos estimados em R$ 6.365,18. Verificou-se que, enquanto a terapia celular gerou um gasto de R$ 287.339,36, na doença falciforme o método tradicional foi adotado, o valor gasto seria de R$ 979.374,88. Conclusões: Terapia com células tronco mostrou-se mais econômico, sendo um tratamento que possibilita tartar masi pessoas em menos tempo.
Palavras-chave: Despesas De Saúde, Anemia Falciforme, Osteonecrose da cabeça do fêmur, Artroplastia do quadril, Terapia celular.
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Biópsia em lesões enegrecidas e vinhosas da cavidade bucal: quando fazer, quando evitar? Uma revisão de literatura
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The biopsy corresponds to an invasive surgical procedure whose function seeks to remove a lesion partially or totally, with the main objective of making a histopathological study to obtain a conclusive clinical diagnosis. The aim of this study was to describe and analyze different surgical biopsy techniques and their use in the diagnosis and treatment of pigmented and vascular lesions, as well as to alert to the importance of knowing the different procedure techniques, taking into account their clinical indications and contraindications. A factor in successful diagnosis and treatment is to recognize the different types of distinct lesions in the maxillofacial region, which require different biopsy techniques. In this study we evaluated that the techniques of incisional and excisional biopsy are recommended in the diagnosis and treatment of pigmented lesions while for vascular lesions aspiration puncture, diascopy and vitreoretinal biopsy are more recommended, being only when indicated the excisional type biopsy.
Keywords: Biopsy, Oral Medicine, Melanoma, Hemangioma, Oral Surgical Procedures.
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Análise das características demográficas da autoavaliação positiva de saúde na pesquisa nacional de saúde
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Introduction: The different strategies used to measure health, self-assessment of health has been widely used in national epidemiological studies. In this perspective, there are differences in aspects related to health among men, women, children, young people, adults and the elderly. Objective: Was to analyze statistically the information provided by the National Health Survey on the positive self-assessment of health of individuals in the five regions of Brazil. Material and methods: This is an ecological study with the IBGE database. Best percentages of positive self-assessment were found among men in all regions. Results and discussion: There was a high and positive correlation between all variables, with the exception of the complete and incomplete middle school grade, which presented a statistically significant correlation only in relation to males (r2 = 0.85, p = 0.029), age range from 18 to 29 years (r2 = 0.96, p = 0.002) and 60 to 64 years (r2 = 0.93, p = 0.005). Only those individuals with incomplete and incomplete primary education and the elderly aged 75 years or over do not explain the total percentage of positive self-evaluation of health. Final considerations: We concluded that there are differences of sex and between the Brazilian regions in relation to the positive self-assessment of health.
Keywords: self-evaluation, health level, health inequalities, epidemiological surveys.
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Aplicação de toxina botulínica no tratamento da sialorreia crônica em pacientes com doenças neurológicas
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Introduction: Sialorrhea is defined as the extraoral escape of saliva. It is an embarrassing condition for the affected, causing psychological damage and affecting their sociability, being also uncomfortable for their caregivers. Review: This study carried out a review of national and international scientific literature, consulted in the Scielo, PubMed and Google Scholar databases. This literature review aims to evaluate and describe the therapeutic use of botulinum toxin for the treatment of sialorrhea. Discussion: In the treatment of sialorrhea, botulinum toxin type A (TBA), produced by the bacterium Clostridium botulinum, acts by blocking the release of acetylcholine in the nerve fibers, preventing the production of saliva by the salivary glands, and, without adverse effects, in counterproposal, the other treatments presented have several side effects. Final considerations: The administration of botulinum toxin presents itself as the best alternative in relation to more invasive procedures and the use of anticholinergic drugs that can bring different types of adverse effects.
Keywords: Botulinum Toxins Type A, Salivary glands, Sialorrhea.
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Management of oral surgery patients undergoing hemostasis modifying therapy: a literature review
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Introdução: A hemostasia consiste no equilíbrio da fluidez do sangue dentro do vaso, sem extravasar nem coagular. Em algumas situações esse equilíbrio pode ser alterado, dentre essas o uso contínuo de medicamentos anticoagulantes e antiagregantes plaquetários para prevenção de eventos tromboembólicos. Tradicionalmente retirava-se a terapia previamente a cirurgia oral para se evitar possíveis sangramentos trans e pós-operatório. O objetivo deste trabalho foi buscar evidências científicas que deem suporte para a tomada de decisão quanto a interrupção ou não da terapia modificadora da hemostasia em cirurgia oral. Materiais e métodos: foi realizado um levantamento bibliográfico em estudos clínicos e artigos de revisão pelas bases de dados Medline/PubMed, google acadêmico e periódicos do Capes. Conclusão: pode-se concluir que a evidência atual sugere que cirurgia oral menor pode ser realizada com segurança em pacientes em uso de medicamentos modificadores da hemostasia, desde que seja observado o nível adequado de INR e medidas locais de hemostasia sejam adotadas.
Palavras-chaves: aspirina, cirurgia bucal, extração dentária, hemostasia, varfarina.
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Atendimento odontológico em gestantes
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Introduction: A woman in the gestational period goes through several physical, psychological and hormonal changes. These changes associated with carelessness with oral health can generate several changes in the mother's oral cavity and impact the baby's health in the future. Review: Pregnant women are more susceptible to oral health problems (dental caries, periodontal disease, tooth erosion and granuloma), due to changes in diet, reduced salivary secretion, inadequate oral hygiene practices, frequent nausea and high hormone levels. Discussion: Pregnant women hardly seek dental care during the gestational period, due to fear, misinformation and anxiety about the procedures, in addition, the insecurity and failures regarding the guidance by dentists and doctors about care during pregnancy can collaborate even more to the aggravation of the problem. Final considerations: The most favorable period for attending pregnant women is in the second trimester of pregnancy. However, in urgent cases and infectious foci in the oral cavity, no procedure is totally contraindicated, following the proper protocols.
Keywords: oral health, pregnant women, service protocols.
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O papel do Helicobacter pylori no desenvolvimento do esôfago de Barret: uma revisão sistemática
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Introduction: Barrett’s Esophagus is a premalignant condition of the esophagus in which normal stratified squamous epithelium is replaced by intestinal-type metaplastic columnar epithelium after prolonged injury to the esophageal mucosa due to gastroesophageal reflux disease. Helicobacter pylori is a gram-negative bacterium that selectively colonizes the gastric epithelium and is associated with a number of gastroduodenal diseases. Objectives: This study aimed to assess, by means of a systematic revision, the role of Helicobacter pylori in the development of Barrett’s Esophagus. Methods: The most relevant studies originally published in Portuguese and in English in the last 10 years have been analyzed, having as a reference the MedLine (National Library of Medicine) database. In order to select studies with the greatest scientific evidence, only clinical trials and observational studies have been considered. Results: This revision consists of eight articles with equivalent results concerning the positive and protective role of H. pylori in the development of Barrett’s Esophagus, and of one article with an opposite result given the evidence presented. Conclusion: According to our results and to most conclusions available in literature, although H. pylori favors the prevention of Barrett’s Esophagus, the bacterium is considered the main cause of active chronic gastritis and plays a relevant role in the development of gastric adenocarcinoma and of other gastroduodenal diseases.
Keywords: Helicobacter pylori, association, Barrett’s esophagus.
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Descarte de medicamentos: logística reversa
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Introduction: According to Anvisa, every year about 30 thousand tons of medicines are discarded by consumers in Brazil, unfortunately 81% of them are distributed between garbage and water. Given this concern, in 2020 Decree 10,388 of 2020 was published, which regulates the reverse logistics of medicines, involving the entire process of disposing of domestic, industrialized and/or manipulated medicines, expired or in disuse. The objective was to carry out educational measures that assist in the implementation of the Federal Decree that stipulated the reverse logistics program, as well as analyze the impact of the measures. Material and methods: The present study was carried out with 300 adult individuals aged 18 years or over, residents of the municipality of São João da Boa Vista, who were submitted to a questionnaire to assess their knowledge about discarding medications and were subsequently oriented about correct form and location for disposal. For this, a partnership was formed with three local drugstores and monthly the medicines discarded in these drugstores were weighed and classified as solid, liquid and semi-solid (ointment, cream, gel. Results and discussion: It could be noted that most respondents discard medications in the common garbage. It was also observed that the “homemade drugstore” is present in more than 90% of the homes of the survey participants. After conducting the research and providing adequate guidance on the correct disposal of medications, it was possible to observe an increase of approximately 75% in disposal at the partner collection points. Final considerations: The present study showed that expanding the number of collection points and adopting educational measures are essential for the implementation of Decree 10,388/20, which regulates the reverse logistics of medicines.
Keywords: reverse logistics, drug disposal, collection points, federal decree.
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Estudo da utilização de antimicrobianos em uma população
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Introduction: Antimicrobials are natural or synthetic substances capable of destroying or inhibiting microorganisms. The indiscriminate use of these drugs in people of any age or gender is one of the causes of bacterial resistance. The health professional, especially the pharmacist, must have very broad knowledge to guide patients in relation to the indiscriminate use of antimicrobials, because as a result of incorrect use there can be adverse reactions, bacterial resistance and an increase in hospital admissions, in addition to these factors can lead the patient to death. In hospitals, being the gateway to infections, the use of antimicrobials increases, as a result the length of stay can also be longer. As for the prescription, it is necessary for the physician to have notions of infections, because when antimicrobials are no longer effective, infections suffer progression, without having a therapeutic action to fight them. Side effects can be seen in anyone, some are more susceptible to symptoms. To reduce misuse, it is necessary that the pharmacist provides adequate assistance and guidance to the patient. The aim of this study was to analyse how antimicrobials are used, determining which are the most consumed. This is a cross-sectional descriptive research that approached people who used antimicrobials, this research was intended to address from how they were prescribed to their administration and side effects. Material and methods: The instrument used for data collection was a questionnaire with open and closed questions with the aim of tracing the profile of the people interviewed and evaluating the use of antimicrobials. The questionnaire had 28 questions, in which patients were asked about sex, age, family income, marital status, education, alcohol consumption, physical exercise, smoking, health problems, continuous use medication, use of antimicrobials, prescriptions, side effects and tests, for the classification of drugs, the ATC standards were used. Results and discussion: In this study 67 people participated, where it was possible to observe that 60 (89.6%) people used antimicrobials in 2017. Final considerations: It is concluded that most respondents had a prescription for the use of antimicrobials, which is an important factor in the proper treatment, and it is also important, at the time of dispensing the antimicrobial, that the pharmacist guide the patients, avoiding indiscriminate use, which generate bacterial resistance, adverse reactions, increased hospital admissions and numerous serious causes.
Keywords: antimicrobials, bacteria, antibiotics, bacterial infections.
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Aspectos relacionados a associação entre obesidade e Covid-19: uma revisão integrativa
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Introduction: At the end of 2019, a new type of coronavirus was identified, named SARS-CoV-2 which was found to be responsible for the disease COVID-19. Some patients develop the severe form of the disease, requiring intensive care, such as people with comorbidities. Among these comorbidities, obesity stands out, thus highlighting the importance of knowing aspects related to virus infection, especially its association with this health problem. Review: this is an integrative literature review, using databases such as LILACS, MEDLINE, SciELO and PUBMED, searched through the solutions of the following descriptors in Health Sciences (DeCS) and their correspondents in the Medical Subject Headings (Mesh): Comorbidity. Risk factors. Coronavirus infections. Obesity. Discussion: 32 articles were arranged in the light of the literature, demonstrating the relationship between obesity and SARS-CoV-2 infection. Final remarks: With the study's findings, it was possible to understand that obesity presents itself as a risk factor for severe COVID-19, these factors imply important complications and repercussions of the person with obesity: mechanical ventilation, hospitalization and intensive care
Keywords: comorbidity, risk factors, coronavirus infections, obesity.
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Estudo da prevalência de enteroparasitoses em pacientes de um laboratório privado do município de Santarém
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Introduction: Enteroparasitosis are still marked as a global public health problem, which occurs due to factors related to socioeconomic, environmental and cultural issues, which occurs due to factors related to socioeconomic, environmental and cultural issues. Objective: The research aimed to provide the epidemiological profile of enteroparasitosis in patients treated in the private clinical analysis laboratory, reporting the prevalence and frequency of enteroparasitosis in children, adolescents and adults living in the city of Santarem-PA. Material and methods: This is a cross-sectional descriptive analytical study, carried out through the analysis of parasitological reports referring to patients treated in a private laboratory in the lower amazon region. Results and discussion: Based on the results obtained in the research, it was notorious that the prevalence of intestinal parasitosis was higher in children aged 1-10 years (54%), with the majority of those infected being female, as well as in childhood and adulthood. Final considerations: Through the results obtained, it is evident that it is necessary to improve the basic health condition and health education to raise awareness of the population about the risks and prevention of parasites, thus providing quality of life to the community.
Keywords: enteroparasitosis, Endolimax nana, protozoa, helmi, search.
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Acompanhamento farmacoterapêutico em pacientes idosos de uma entidade de longa permanência de São João Da Boa Vista – SP
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Pharmacotherapeutic monitoring (PA) is a major challenge for the pharmaceutical professional and becomes an important tool to reduce medication errors, which interferes with the effectiveness of treatment, resulting in the improvement or not of health problems and quality of life. In the case of the elderly, the quality of life depends on their ability to combine emotional and physical health, because with advancing age, their functional capacity decreases, and they tend to lose their independence, thus compromising their autonomy. The objective of this study was to carry out the pharmacotherapeutic follow-up of the elderly, in order to alleviate errors related to drug treatment, resulting in an improvement in the quality of life of these patients. Material and methods: A survey was carried out using the Soap Method in which subjective data and objective data were collected, then carried out the evaluation and finally, the action plan for the identified problem. Results and discussion: Of the 10 patients interviewed, the most common pathologies were cardiovascular problems and diabetes mellitus, of the 10 patients interviewed, in 3 there was no drug interaction, however, 7 had drug interactions, referring to their pharmacological treatment, with 32% interactions severe and 68% moderate. Any unwanted effect that could interfere with and impair the patient's pharmacotherapy is defined as Drug Related Problems (DRPs). Final considerations: Pharmacotherapeutic monitoring shows the importance of inserting the pharmacist in the multidisciplinary health team, in which she can exercise and practice the knowledge acquired at graduation, in order to guarantee the efficiency of pharmacotherapy and finally improve the quality of life of patients.
Keywords: pharmacotherapeutic follow-up, elderly, drug-related problems, quality of life, SOAP.
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Gestação na infância e na adolescência de pessoas em situação de vulnerabilidade social
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Introduction: Pregnancy in childhood and adolescence occurs more frequently in girls who go through situations of social vulnerability, such as low income, fragile school access, precarious housing conditions and low access to health services. In this context, it is known that an early pregnancy entails several risks for both mother's and baby's health. The numbers of cases are very high, classifying it as a public health problem, which needs to be studied. Review: The goal of the article was to improve the understanding of pregnancy in childhood and adolescence of girls in social vulnerability situations. The execution was made through scientific articles and programs of health organizations. Discussion: Twenty references were used for the study. Being eleven scientific articles, seven publications from governmental health organizations and two informative websites on the subject. Final considerations: Through the research, the conclusion was that social vulnerabilities are closely linked with pregnancy in childhood and adolescence, and need to be faced and resolved so that this public health problem can be reduced. However, as much as there are preventive programs for early pregnancy, the numbers remain high, characterizing their low efficiency.
Keywords: adolescence, pregnancy, childhood, vulnerabilities.
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Entraves da atenção farmacêutica nas unidades básicas de saúde
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Introduction: Pharmaceutical Care proposes that the pharmaceutical professional acts by identifying, intervening and preventing the Problems Related to Medicines (PRM), through actions that promote rational use. Review: Systematic literature of the integrative type of relevant evidence-based studies, which were published between the years 2007 and 2020 in the Google Scholar, Lilacs, PubMed and SciElo databases, in English, Spanish and Portuguese. Discussion: The literature review allows addressing the main barriers of Pharmaceutical Care in UBS, evaluating the participation of the pharmacist and highlighting its importance in promoting access and rational use of medicines, with approaches that highlight the difficulties of insertion. Final considerations: Despite the barriers faced by the pharmaceutical professional, it is extremely important to act in front of the health team, since the pharmacist has scientific technical knowledge with regard to Pharmaceutical Care, thus promoting effective and quality care. However, it is important that the professional is inserted to carry out the actions inherent to their training, aiming at success in the users' pharmacotherapy.
Keywords: pharmaceutical care, pharmacotherapeutics, PRM, rational use of medicines.
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Interações medicamentosas entre terapias anti-hipertensivas e terapêutica odontológica: revisão de literatura
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Introduction: Arterial hypertension affects a huge part of the Brazilian population and this condition is commonly found within the male and elderly population, leading to the use of anti-hypertensive medication in some cases. Drug interactions may happen in hypertensive patients undergoing dental treatment with real risks of side effects and permanent damage. This literature review aims to clarify the subject of drug interactions that may happen among antihypertensive agents and those implemented in dental treatments in order to increase safety toward patient prescriptions. Review: The methodology involved and extensive bibliographical research on Bireme and Lilacs databases, Scielo indexer, Google Scholar, and literary work available on the subject. The data collection included papers published in the last 12 years, from 2009 to 2021. Discussion: Among the most commonly used medications in routine dental care, the Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) resulted as the most noteworthy aspect of this research due to the enormous incidence of interactions when associated with anti-hypertensive drugs, especially decreasing the expected effects of such drugs in regulating blood pressure. Final considerations: Once the risks of drug interactions in Dentistry are imminent, the routine drug prescription and application must be performed safely and responsibly by professionals and students alike, taking into account the hypertensive patient’s full medical history and understanding the risks that the drug associations may cause.
Keywords: drug interactions, hypertension, antihypertensive agents, dental care.
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Prevalência de dor osteomuscular em idosos atendidos em uma unidade básica de saúde de Petrolina- PE
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Introduction: The population is aging slightly, given this process, there are problems such as musculoskeletal diseases. The objective was to verify the prevalence of musculoskeletal pain in the elderly assisted at a basic health unit in the urban area of Petrolina-PE. Material and methods: The musculoskeletal pain variable was assessed using a structured questionnaire based on the general Portuguese version of the Nordic Musculoskeletal Questionnaire (QNSO) crossculturally adapted for Brazil. Data processing and analysis were performed using the Statistical Package for Social Sciences (SPSS) version 16, after insertion through double typing. Results and discussion: The prevalence of musculoskeletal pain in the elderly cared for in a basic health unit in Petrolina Pe was high, and the most referred body site was the knee area. Final considerations: More studies are needed to demonstrate this prevalence in the elderly with larger samples and covering more locations.
Keywords: musculoskeletal pain, elderly, prevalence.
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As vivências de mulheres HIV positivas durante o acompanhamento do pré-natal e no pós-parto
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Abstract: Introduction: Pregnancy is a moment that brings many emotions in women's lives and the positive diagnosis for HIV will interfere directly in their prenatal care. This study aimed to understand the experiences of HIV-positive women during prenatal and postpartum follow-up. Review: This is a literature review study. The Virtual Health Library (VHL) was used to select the articles that guided the research. In the VHL, the following descriptors were used: HIV, pregnant women, prenatal care, maternity, feelings and mental health care, crossed with each other using the Boolean operator AND to interconnect the descriptors. The filtering criteria for inclusion of the articles were: Portuguese and English, last 5 years and the databases (Lilacs, Scielo, BDENF, MEDLINE). Discussion: After study and analysis of the 11 articles chosen to compose the work, it was possible to identify three aspects that are most part of the experiences of HIV-positive women during pregnancy and postpartum, they are: The feelings, emotions and mental health, the relationship with partners, family members and health professionals and the stereotypes about the diagnosis and how it affects seropositive pregnant and postpartum women. Final considerations: The multiprofessional team needs to have an active listening and clinical look in order to provide a comprehensive care that attends all the biopsychosocial issues of HIV-positive women, from pregnancy planning to postpartum.
Keywords: mental health care, prenatal care, pregnant women, HIV, maternity, feelings.
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Expectativa da ação da liraglutida no processo de emagrecimento
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Introduction: Liraglutide is a synthetic, injectable drug, its action consists in increasing insulin secretion, decreasing the release of glucagon, delaying gastric emptying and causing a reduction in appetite. The objective of the research was to describe the role of liraglutide as a pharmacological strategy for the weight loss process, describing the mechanism of action of liraglutide, identifying the most common adverse reactions associated with this drug, in addition to presenting the therapeutic effects on weight loss. Review: This is an integrative literature review research, the portals for data collection used were the bases of Scielo, BVS and PubMed, with texts in English and Portuguese from the period 2016 to 2021. Studies in English and Portuguese, with full-text availability. The exclusion criteria for the research were articles that did not fit the theme of study and tests on animals, direct combinations with other drugs. Discussion: It was evidenced that the use of liraglutide is efficient and recommended for the weight loss process, the most used dosage was from 0.6 to 3.0mg. There are no differences regarding the different reactions in children, adolescents and adults. Final considerations: Therefore, liraglutide was shown to be effective for weight loss, with high tolerability and safety for age groups from 7 years of age.
Keywords: slimming, hypoglycemic drugs, liraglutide.
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Atuação do Fisioterapeuta em Dermato-Funcional em Pacientes de Pós-Operatório de Cirurgia Bariátrica: Uma Revisão de Literatura
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Introduction: Obesity was defined as excessive accumulation of body fat, the result of an imbalance between food intake and energy expended. Metabolic Syndrome (MS) was considered the main cause of this disease. Bariatric surgery proved to be an effective tool in the control and treatment of obese individuals, who had failed conventional treatment. Objectives: to describe the performance of physiotherapy in accelerating the rehabilitation process, providing relief from pain, edema and patient functionality. Methodology: A literature review was carried out, through classic books and articles, in databases such as: Pubmed, Google Academic, Scielo. The books and articles used were produced in the last eleven years. Results: The role of physiotherapy in the postoperative period of bariatric surgery treats symptoms such as: edema. Lymphatic drainage provides tissue decongestion, as well as: provides faster healing. Discussion: Lymphatic drainage consisted of a massage modality, through precise, light, gentle, slow and rhythmic maneuvers, which follow the path of the superficial lymphatic system. Lymphatic drainage was effective in the treatment, as there is a reduction in edema in the postoperative period of surgery. Final considerations: The treatment of functional dermatological physiotherapy in patients undergoing bariatric surgery, in order to alleviate pain and edema in the immediate postoperative period, prevents and treats complications, in addition to providing a better quality of life
Keywords: obesity, metabolic syndrome, bariatric surgery, dermato functional physiotherapy.
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A importância das políticas públicas para o tratamento da hemoglobinúria paroxística noturna
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Introduction: Rare disease is classified as one that affects up to 65 people per 100,000 individuals. They are usually chronic and degenerative conditions, many of them without a cure or effective and accessible treatment, which cause a high degree of morbidity and mortality, in addition to facing a great challenge, because due to their low incidence, health professionals do not have the knowledge about their existence, which reflects in a late diagnosis and lack of public health preparation. Review: This article focuses on the rare disease called Paroxysmal Nocturnal Hemoglobinuria (PNH) and its scenario in public health. Discussion: The PNH is characterized as a rare acquired chronic hemolytic anemia, caused by the non-malignant clonal expansion of one or several hematopoietic stem cells, developing various symptoms in their carriers. Its estimated annual incidence is 1.3 new cases per one million individuals, but as it is a difficult disease to diagnose, the number may be underestimated and does not reflect reality. Final considerations: PNH patients face a long and difficult trajectory, from diagnosis to effective treatment. Even with established guidelines, many patients with rare diseases and their respective families receive unequal treatment in the health service. Public policies are necessary and need to be effective to improve access to information and treatment, provide the necessary structure and follow-up, to reduce the impact caused by these diseases and contribute to improving the quality of life of patients.
Keywords: rare disease, paroxysmal nocturnal hemoglobinuria, PNH, public health, unified health system, SUS.
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Integrative literature review on COVID-19 racial ethnic disparities among black pregnant and postpartum women
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Introdução: As mulheres pretas grávidas e puérperas têm um risco de morte da COVID-19 quase duas vezes maior do que o das mulheres brancas. Estudos brasileiros detalham o impacto das falhas dos serviços de saúde nesta tragédia em que 15% das mulheres grávidas ou pós-parto que morreram da COVID-19 até Julho de 2020 não receberam assistência ventilatória, 28% não tiveram acesso à UTI, 36% não foram entubadas nem receberam ventilação mecânica. Revisão: Revisão Integrativa da Literatura (RIL), adotando os seguintes critérios de inclusão: artigos publicados a partir de Março de 2020, artigos disponíveis electronicamente e gratuitamente em bases de dados/portais. Os critérios de exclusão foram: artigos que não correspondiam recorte temporal de 2020/2021, que não estavam em inglês e português, textos não disponíveis na íntegra, artigos duplicados na base de dados e artigos de revisão. A coleta de dados foi realizada de Maio a Julho de 2021, na base de dados/portal Web Of Science, Science Direct (SciVerse) de Elsevier Scientific Publications, National Library of Medicine (PUBMED) e Medical Literature Analysis and Retrieval System Online (MEDLINE). Foram utilizados os seguintes Descritores de Ciências da Saúde (DeCS): "COVID-19" OR "SARS-COV" AND "Mulheres Negras" OR "Mulheres Negras" AND "Grávidas" OR "Gravidez" AND "Racismo" OR "Racismo". Discussão: Para selecção de artigos, iniciou-se a pesquisa na base de dados Web Of Science, resultando em 02 artigos, dos quais 02 foram seleccionados para leitura completa e, após uma leitura crítica e completa, 01 artigo foi incluído na revisão. Em Science Direct foram seleccionados 02 artigos, dos quais 02 foram seleccionados para uma leitura completa e, após uma leitura crítica e exaustiva, 01 artigo foi incluído na revisão. No PUBMED, 26 artigos resultaram, 10 foram seleccionados para uma leitura completa e, após uma leitura crítica e exaustiva, 6 artigos foram incluídos na revisão. Finalmente, MEDLINE resultou em 18 artigos, dos quais 5 foram seleccionados para uma leitura completa e, após uma leitura crítica e exaustiva, 3 artigos foram incluídos na revisão. Considerações finais: O estudo incluiu estudos observacionais, com pequenas amostras e grupos étnicos diversos, não permitindo conclusões eficazes. Destacam os estudos brasileiros que utilizaram bases de dados secundárias e baseadas na população, encontraram a raça/cor preta como fator de risco independentemente associado à severidade da COVID-19.
Palavras-chave: COVID-19, gravidez, mulher grávida, racismo, grupos étnicos, morte materna.
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O papel da monitoria em fisiologia do exercício na formação profissional: relato de experiência
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Introduction: Monitoring is a form of teaching that greatly contributes to the understanding and learning of students in their academic training. Objective to provide good development and improvement at a maximum level for performance in the specific modality. Material and methods: descriptive, of the experience report type, based on the experiences of a student monitor of the Exercise Physiology discipline taught in the higher education bachelor's course in Physical Education at a private higher education institution in the north of the state of Ceará. Results and discussion: experience and validity, the use of these materials made by students of the Exercise Physiology discipline can be considered, as an aid for learning the contents. Final considerations: it was possible to notice the improvement of students in the exercise physiology subject, through the grades given to them, especially those who were pending in the subject, who were able to recover their grades with the use of this material and with the help monitors and carrying out additional work that served for a better understanding.
Keywords: monitoring, exercise physiology, professional training.
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Avaliação do processo de monitoria da disciplina de cinesiologia nos dias atuais: relato de experiência
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Introduction: Monitoring is a form of teaching that greatly contributes to the understanding and learning of students in their academic training. Academic monitoring seeks to assist in the teaching-learning process by providing a diversified environment, reinforcing contents seen in classes, so that students in training can better assimilate the knowledge that will be charged in partial assessments. Results and discussion: As a result, the knowledge and skills acquired with the guiding teacher and monitored students are integrated with the intellectual and social load of the student monitor, revealing new horizons and academic perspectives. Monitoring in higher education, in addition to enriching the monitor's academic training, promotes experiences that provide the monitor student with personal and professional growth. Experience is necessary for the construction of a quality teaching-learning process.
Keywords: evaluation, monitoring, kinesiology.
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Desafios enfrentados por cuidadores de idosos: uma revisão integrativa
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Introduction: Caregivers are essential components for the health area, especially in chronic situations. The present study aimed to recognize the elements that cause overload in the elderly caregiver, evaluating the articles from the years 2015-2020. Review: In methodological terms, an integrative review was carried out through a bibliographic survey that took place at the Virtual Health Library (VHL), accessing the LILACS and portal and SciELO databases, and selecting 10 articles. Discussion: Among the results, there was evidence that the patient-caregiver relationship should be based on planning that considers the health of care, and that overload can be avoided when better compensation for the services provided and relay with other caregivers. Final considerations: It was concluded that the causes of burden on caregivers, predominantly, are that of the context of a greater degree of dependence on the elderly, followed by other factors such as the socioeconomic profile and the quality of health of caregiver.
Keywords: caregivers, elderly, overload.
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