Início Práticas integrativas e complementares e suas aplicabilidades nos campos de formação e...
Saúde Pública
Práticas integrativas e complementares e suas aplicabilidades nos campos de formação e atuação de enfermeiro
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Introduction: Integrative and Complementary Practices have gradually strengthened significantly since they became a reality in the field of health and a National Policy of Integrative and Complementary Practices (PNPIC), in 2006. However, the applicability of these integrative practices in the process of caring in nursing and the relationship with the role of the nurse deserve to be reflected, even 14 years after the PNPIC was implemented. Objective: to highlight the integrative and complementary practices in the fields of education and performance of nurses, described in the national scientific production. Review: integrative of the literature carried out in the Lilacs, Bdenf, Medline, Scielo, Mosaico, VHL and Ebsco databases and databases based on the descriptors nursing care, nursing education, alternative therapies, complementary therapies, in Portuguese and available in full being guided by the question: “In what way have PICs been approached and used in the fields of education and performance of nurses? Discussion: The nurse demonstrates an understanding that the know-how of the PICs requires levels of understanding and appropriation of the technical, scientific and ethical knowledge of the profession, which are deficient or negligent in professional training, however such a gap does not prevent the experiences lived with the PICS that evidently they have been practiced based on empiricism, impairing such applicability in a competent way in the nurses' actions. Final considerations: PICs have been adopted in nursing practice, however the knowledge limitation for such applicability is conscious on the part of Nurses, elucidating concerns to carry out and manage them within the care process, as well as encouraging better training and dialectical spaces related, both in the academic area and in continuing / permanent education.
Keywords: nursing care; nursing education; alternative therapies; complementary therapies.
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A pandemia de COVID-19 e os impactos na saúde pública do estado do Rio de Janeiro
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Introduction: The new SARS-CoV-2 coronavirus, which causes COVID-19 disease, has a variable clinical spectrum, which can cause asymptomatic and oligosymptomatic infections, but which may evolve requiring hospital care and even ventilatory support. Thus, the study aims to describe by means of indicators the impact of the pandemic on the availability of hospital beds in the municipalities of the State of Rio de Janeiro. Material and methods: A cross-sectional spatial ecological study was carried out, with a quantitative approach. The data were based on epidemiological bulletins for monitoring cases of COVID-19 in the municipalities of the State of Rio de Janeiro, for the period from March 1 to June 13, 2020, where 9 health regions covering 92 municipalities were analyzed of State. Results and discussion: It was observed that the region with the highest incidence, equivalent to 3,47/100.000 population, corresponds to the Baixada Litorânea region, however considering the absolute population the largest number of cases occurred in Metropolitan I, with 197,445, being 144,199 in the municipality of Rio de Janeiro. In addition to the descriptive analysis, Pearson's correlation was calculated and the result was 0.98, at the 5% level, which confirms that the correlation value is significant. Final considerations: It is evident that the State should intensify educational policies that seek to raise the population's awareness of how to spread the virus and expand strategies for rapid virus identification, isolation and early treatment, due to the lack of availability hospitalization beds to attend all cases of COVID that evolve with complications.
Keywords: COVID-19, beds, public policies, health.
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Parto normal, dor e métodos não farmacológicos: uma revisão integrativa
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Introduction: The woman and ensuring that this is a unique and special moment. The non-pharmacological methods seeks the reduction of pain and provides episodes of relaxation and comfort for the parturient without the risk of harmful side effects to the patient. The objective of this article is to describe the existing non-pharmacological methods for the relief of pain in labor. Review: This is an integrative review that raised 35 studies that describe the benefits of pharmacological methods for pain relief in childbirth. Discussion: The pain of childbirth, historically, is seen as something almost intolerable to deal with, being rewarded only for the pleasure of having the child in your arms. This painful sensation differs according to the cultural, social, and biological aspects of the woman, being seen in some cultures as a necessary pain, an initial milestone in motherhood. Conclusion: If within the process of parturition a humanized team work is carried out, guaranteeing the woman's protagonism in this moment and seeking that the non-pharmacological methods bring benefits for the relief of pain and the promotion of the woman's relaxation, we will have strong evolutions within obstetrics and the reduction of traumatic events for the woman in this unique moment of great value. It is emphasized that these non-pharmacological practices bring greater evolutions in the process of parturition if they are performed in a combined way.
Keywords: pain relief, non pharmacological methods, complementary therapies, birth work.
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Violência doméstica: mulheres vítimas da violência e do despreparo das equipes de enfermagem
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Introduction: Domestic violence against women is understood as any action or omission based on gender at some point in their life that causes death, injury, physical, sexual or psychological suffering, in addition to moral or patrimonial damage. It is an extremely serious public health problem due to the short, medium and long term consequences. Unfortunately, many professionals are unprepared to provide assistance to the victim, due to limiting factors, resulting in underreporting of cases. Objective: to highlight the reasons why nursing teams find it difficult to care for women victims of domestic violence. Review: Integrative of relevant evidence-based studies, published between 2015 and 2020, in Portuguese and English, available in full in the SciELO, Science Direct and BVS databases. DISCUSSION: The integration of the selected literature makes it possible to infer that the lack of qualification to identify cases of violence and insufficient knowledge on the topic, as well as their actions in relation to this issue, are the main evidences of the unpreparedness of nursing teams for an adequate assistance to woman, victim of domestic violence. In view of the complexity that encompasses the phenomenon of violence, nursing care requires planning to promote a reliable, respectful and satisfactory reception, capable of offering the victim the coping options. Final remarks: Awareness about domestic violence as a type of harm to women, as well as short, medium and long term developments are able to benefit not only women, but also all members involved in the intrafamily environment. Therefore, it is necessary to have a dignified, respectful and resolute welcome to each woman, thus providing qualified and effective assistance.
Keywords: primary health care, nursing care, nursing, violence against women and domestic violence.
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Estudo da eficiência antibacteriana de preparações caseiras de Acmella ciliata (Kunth) Cass., Lippia origanoides kunth, Punica granatum L. e Hymenaea courbaril in vitro sobre bactérias patógenas humanas
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Introdution: Use of plant species is an ancient technique of treatment for the most diverse diseases. First records date from around 2500 BC in China, and are still being the biggest sources of therapeutic resources in many communities around the world. This fact has been consolidated due the wide range of species existing and their easy access, in addition to the low cost and practicality. Objective: Evaluate the antibacterial potential of some home preparations (infusion) intended for therapeutic use, and the possibility of improvement of the improvement of the use and applicability in order to make them more effective. Material and methods: The present research was carried out in vitro using different concentrations of aqueous extracts of Acmella ciliata (Kunth) Cass., Lippia origanoides kunth, Punica granatum L. and Hymenaea courbaril, obtained by infusion using crude extract (100%) and Diluted 80%, 60%, 40% and 20% on diffusion discs on pathogenic respiratory tract strains: K. pneumonia, P. aeruginosa and Staphylococcus aureus. Results and discussion: The extracts 100%, 80% and 60% of Punica granatum L. presented halo formation against the three pathogens mentioned, evidencing larger diameters of halo in S. aureus. The extracts of Lippia origanoides kunth and Hymenaea courbaril L. showed formation of halo only in 100% and 80%. The home preparations (teas) did not demonstrate activity detectable by the method used. Final considerations: The results presented for the aqueous extracts of the barks of Punica granatum L. demonstrate a promising natural antibacterial potential of alternative use against the three pathogens analyzed, considering the control of the conditions of extraction and storage of the aqueous extract.
Keywords: antibacterial activity, aqueous extract, Punica granatum, Pathogenic bacteria.
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Desmame difícil e decanulação tardia de pacientes traqueostomizados vítimas de traumas num hospital de referência na Região Norte
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Background: Tracheostomy can be performed as a preventive, curative, palliative or elective action, ist indication often happens due to failure in extubation, despite its benefits when it comes to respiratory comfort, there are also long-term harms, regarding changes that directly reflect on the swallowing and speech functions. Objective: This research aimed to analyze the process of difficult weaning and late decannulation in tracheostomized patients victims of trauma, looking for ways and analyzing what makes weaning difficult and late and how to improve this process. Methods: A descriptive-analogical, retrospective and quantitative study was conducted, with analysis of 40 medical records, from the first semester of 2018, with patients over 18 years of age classified as difficult weaning and late decannulation. For data collection, an instrument was used containing information about the functional diagnosis and related to weaning and decannulation. Results: Most of the patients undergoing tracheostomy classified as late weaning are men, victims of motorcycle accidents or physical aggressions that evolved with traumatic brain injury, and had an average of 10 to 11 days of orotracheal intubation, which was of great impact for the period prolonged tracheostomy. Conclusions: It was concluded that the patients who had had a speech therapy follow-up since the period of invasive mechanical ventilation with IOT about to extubate had shorter weaning time from the tracheostomy, compared with the patients who were only followed up after the tracheostomy.
Keywords: weaning, speech therapy, tracheostomy.
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Mordida aberta: etiologia e relacionamento com hábitos deletérios
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An open bite can be defined as the presence of a negative vertical dimension between the incisal edges of the upper and lower teeth. The etiology of the open bite is associated with genetics, such as heredity and environmental factors, such as sucking habits, abnormal tongue function and size, mouth breathing, altered vertical growth pattern and congenital or acquired pathologies. Open bite can be defined as dental, dentoalveolar and skeletal and lead the individual to difficulties in chewing, swallowing and phonation conditions creating unfavorable conditions for the individual in their social environment including psychologically. Treatment is difficult and of little stability and should be started as soon as possible, increasing the chances of success.
Keywords: open bite, etiology, treatment, stability.
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Efeitos do uso de tubos finlandeses e eficácia da fonoterapia na qualidade vocal da transexual mulher: Relato de casos
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Background: The voice is an aspect of communication capable of designating an individual's gender. Thus, many transsexual women seek speech therapy to adapt their vocal parameters. Objective: To verify the effects of using Finnish tubes and the effectiveness of speech therapy on the vocal quality of two transsexual women. Methods: Anamnesis, perceptual auditory evaluation of the voice, quality of life protocol in voice-QVV and acoustic analysis were performed to determine vocal patterns. Participant 1 performed only the exercise using Finnish tubes at a single time, while Participant 2 performed vocal therapy, with weekly sessions, for 8 months. Results: There was an improvement in vocal quality, an increase in fundamental frequency, an increase in the intensity and quantity of harmonics after the use of Finnish tubes. While through speech therapy, breathing adequacy, increased respiratory capacity, improved resonance, vocal projection, increased fundamental frequency, increased intensity and automation of a softer voice in spontaneous speech were verified. Conclusions: The use of Finnish Tubes can help in the vocal improvement of the transsexual woman. However, speech therapy plays a fundamental role in adapting all communicative aspects, in addition to providing the necessary care for maintaining voice.
Keywords: speech therapy, voice, transsexual, speech therapy, exercise therapy, speech acoustics, vocal quality.
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A odontologia do trabalho como instrumento de prevenção do absenteísmo
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Introduction: Worker health has made great strides in Brazil in recent years. Occupational Dentistry is highlighted in this context, as it aims to study, worry and explain the different oral problems that affect workers. Oral diseases do not deviate from systemic conditions and cannot be left aside when discussing disabilities that affect workers. The implementation of the Occupational Dentistry service in companies contains the prevention of workers 'oral health, if there is a current need for associated occupational medicine to aim at the integrality of workers' health. The aim of this work was through a literature review to discuss the role of the Labor Dentist in the prevention of oral pathologies in workers and in the control of absences from work.
Keywords: worker, occupational dentistry, prevention.
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Acidentes de trânsito na cidade de Maringá-PR em 2019: reflexões para além dos números
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Introduction: The number of victims, as well as the public resources that are lost. Objective: Given this fact, this work aims to identify, analyze and characterize the traffic accidents that occurred in 2019 in the city of Maringá-Paraná, served by the Fire Department of Paraná. Exploring the number of accidents attended by this century-old institution, assessing the frequency and incidence of accidents and, thus, seeking solutions to help reduce them in the future. Methods: For the development of this article, bibliographic research was used, as well as data obtained from the records of daily occurrences used by the Paraná Fire Department, after prior authorization from the unit commander. Conclusions: This study highlights the fact that most accidents could have been avoided if the driver adopted a more passive behavior. Driving defensively, not drinking alcohol before driving vehicles, are just some of the essential attitudes to reduce these high rates.
Keywords: traffic accidents, causes, prevention, vehicles, victims.
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Mulheres que superaram o Câncer: À volta ao mercado de trabalho
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Introduction: It is known that cancer is one of the diseases that cause the most deaths in the world, in addition to being away from work and, in many cases, dismissal, and can be classified as malignant when the disordered growth of these cells is uncontrollable, in large quantities and aggressive, leaves the person weakened and, in most cases, carries a risk of death in the short, medium or long term, depending on the clinical conditions and progression of the disease in each situation. To elaborate the theoretical framework, a bibliographic research was carried out, referring to the study about the cancer disease, its history and mainly the impacts that the disease and the treatment have on the woman's life, as well as the return to the job market after having won the disease and its control. Thus, according to the results acquired in the documentary data, through the search for scientific articles, in electronic databases in Google Scholar, Scielo, the most important references for the development of the work were selected.
Keywords: cancer, women, work, Marketplace.
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Cuidados de enfermagem relacionados à cardiotoxicidade envolvendo drogas como a antraciclinas e anticorpo monoclonais no tratamento oncológico
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Introduction: Cardiovascular diseases in cancer patients are increasingly frequent events, due to advances in cancer therapy that have resulted both in improving quality of life and increasing patient survival. In recent decades, progress in cancer treatment has also resulted in increased exposure of patients to cardiovascular risk factors and chemotherapy with potential for cardiotoxicity. Review: This is a work of bibliographic review of the integrative type, aimed at evaluating nursing care in the use of antineoplastic as main adverse effects to cardiotoxicity and reporting the severity of the use of anthracycline and monoclonal antibody. Discussion: Anthracyclines are antitumor antibiotics, widely used in various types of cancer and monoclonal antibodies is a type of immunological therapy and can be combined with conventional treatments, as it is also an antitumor. Both are a recognized cause of cardiotoxicity. Final considerations: It is of fundamental importance that nursing act before, during and after chemotherapy administration, observing the signs and symptoms and guiding both the patient and the family member about the antineoplastic used, its action on the body, its side effects and care in general.
Keywords:cardiotoxicity, anthracyclines, monoclonal antibody, nursing care.
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A viabilidade da metodologia Pragmatic Randomized Clinical Trials (PRCT) à pesquisa de Medicina Tradicional Chinesa
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Introduction: Traditional Chinese Medicine (TCM) is an Integrative and Complementary Practice and employs an integrative and complex view of the subject. Randomized Controlled Trials' methodology does not address the complex view of TCM. However, other methods such as pragmatic randomized controlled trials seem to be more appropriate. Objective of this work was to systematize and discuss the articles that used the Pragmatic Randomized Controlled Trials methodology with TCM practices. Review: A systematic review of the literature of clinical trials using the PRCT methodology was performed. Articles from the databases were collected: PubMed, Scielo, Mosaico, Web Of Science and Cochrane. Discussion: The 17 selected studies found efficacy of TCM compared to the usual biomedical treatment. The PRCT seems to be a very appropriate methodology for conducting clinical trials and producing evidence regarding TCM practices and other integrative and complementary practices. Final considerations: the PRCT method allows the implication of a multidimensional and singular view of the subject, offering the benefit of not excluding the complexity of the therapy and the singular view of the health professional in relation to the patients treated in the research.
Keywords: complementary therapies, integrative medicine, pragmatic clinical trial, medicine, chinese traditional, methods, research design.
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O uso do canabidiol como medicamento no Brasil para tratar doenças crônicas
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Introduction: In Brazil marijuana began along with its discovery, in the country the theme has always brought much discussion, and an exotic plant, native to Asia, used for many centuries for various purposes, such as religious rituals and medicinal practices. Studies of the substances isolated from active cannabis began around 1960, and several substances were discovered, among them the (THC) and (CDB) highlighting cannabidiol (CBD) non-hallucinogenic substance. It also has numerous pharmacological properties. According to the legislation marijuana and considered an illicit drug prohibited in the country, not being allowed possession, acquisition and transport. Before the validity of DRC Nº 327 of December 9, 2019 where was authorized in Brazil the commercialization of products containing (THC) and (CBD), patients who needed to use the plant’s assets for treatment were required to use legal means to obtain authorization to import the drugs with marijuana substances. Therefore, the objective of this research was to carry out a bibliographic review in digital articles and virtual books found in academic Google, in databases platforms Scientific Electronic Library Online (SCIELO), Biblioteca Virtual em Saúde (BVS). Through this, the work sought to describe the general concept of marijuana, seeking to define its concept throughout the proposed theme, as well as to list the benefits to the human body and possible therapeutic actions for diseases, while highlighting the harm caused by its use. Review: Information is presented from a descriptive exploratory research where information on the knowledge of students from 2 public schools in the city of Anápolis is compiled-GO, through a questionnaire where the students answered questions related to the compounds CBD and THC. Discussion: It was possible to understand through the elaboration of this review that Cannabis sativa (marijuana) has been used for thousands of years as a therapeutic method, and that only after having catalogued the substances of the plant, it has been possible to use it as an additional method to traditional therapy. Final considerations: Although marijuana has brought several problems to authorities due to its recreational use, the use of isolated substances brings several benefits to severely ill patients, used as an additional method to conventional treatment.
Keywords: Cannabis sativa, cannabidiol, medicine, therapeutic effect, treatment.
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Protocolos dietéticos midiáticos: características, aplicabilidade clínica e os possíveis mecanismos regulatórios
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Introduction: The practice of healthy eating is an essential method for the prevention, treatment and restoration of various diseases, therefore, the nutritional conduct must be based on scientific data on applicability, flexibility and acceptability. The objective of this work is to demonstrate, through scientific evidence, the characteristics and clinical applicability of some dietary protocols, which are in evidence in the media. A bibliographic review was carried out to address the thematic dietary media protocols: characteristics, clinical applicability, and possible regulatory mechanisms, in Portuguese, English and Spanish. The diets addressed were ketogenic, DASH (Dietary Approaches to Stop Hypertension), low FODMAP, gluten-free and paleolithic. Final considerations: The practice of a healthy lifestyle can generate countless benefits, such as prevention, cure and staging of several diseases, by doing a thorough analysis of the mechanisms and characteristics of some dietary protocols, you will find a certain degree of similarity: food balanced, diversified, individualized, indicated and accompanied by professionals in the field. Finally, it is concluded that to obtain plausible results, about the field of diets, it is essential to consider other aspects dissimilar to mass adhesion.
Keywords: dietary protocols, indications, contraindications, benefits, adverse effects.
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Efeitos da terapia com a expansão rápida maxilar na síndrome da apneia obstrutiva do sono
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Obstructive sleep apnea and maxillary atresias are increasingly discussed, as there is a causal relationship between them, and the proposed treatment is by means of rapid maxillary expansion, being of great importance to analyze early. The objective is to manifest the effects of the expansion in the correction of atresias and crossbites with a consequent improvement in the signs and symptoms of the apnea syndrome and in the quality of life. The preliminary exploratory study included selecting articles from databases such as Pubmed, Scielo, Cpaps, Pediatrics, Science direct, Archives of Healts, in addition to conclusion work and the Google platform. Craniofacial abnormalities can predispose to OSAS, due to the reduction of air space that makes breathing difficult, in addition to insufficient space for the tongue, which results in inadequate craniofacial growth, this is justified by the close relationship between the oral cavity and the respiratory system, and with these characteristics it is possible to identify clinical signs such as snoring and to wake up with a dry mouth frequently, by sleeping with your mouth open. We concluded with the expansion, that the opening of the medial palatal suture displaces the walls of the cavity, increasing the volume and decreasing its resistance, thereby facilitating the passage of air through the nose and improving the position of the tongue, that is, there is an improvement in the signs and symptoms and quality of life in mild to moderate cases, requiring further study in severe cases and in which the growth spurt has already been overcome.
Keywords: rapid maxillary expansion, obstructive sleep apnea, orthodontics, sleep quality.
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Atuação dos auditores internos em organizações de saúde no Poder Executivo Federal Brasileiro
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The article analyzes the alignment of the performance of the internal auditor with international standards, namely the statements of positioning of the internal audit, of the Institute of Internal Auditors - IIA. The materials and methods were the international standards for risk management, for governance models and for internal auditing, the Brazilian federal legislation regarding risk management and the reading and analysis of published research on the performance of internal auditing. The methodological procedures were carried out through bibliographic research and empirical data collection, through semi-structured interviews and recorded in audio. As a result of the collection of bibliographic and empirical data, it was possible to understand the internal audit practices in Brazilian federal entities in the area of health. Finally, we consider, based on international norms, bibliographic review and empirical studies, that the functions performed by the internal audit, according to the participants' perception, are aligned with the applicable international norms and standards.
Keywords: public, health, auditor, internal, management, risk.
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TEA e neurociência na aprendizagem escolar no ensino fundamental
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Introduction: The main objective of this writing is to report, based on theoretical references, the contributions of neuroscience to learning, broadly seeking to explore and contribute to individuals with ASD. Review and discussion: Given this, the study brings aspects of neuroscience in general, in order to better explore its context, besides highlighting the main characteristics of ASD, seeking to identifying important managements with it in the learning process and how it is characterized. Thus, it aims to contribute to the patient to have a satisfactory school learning, combining education and neuropsychopedagogy in elementary school, supporting inclusion through different levels of learning, highlighting specificities and observing the needs of each student. Final considerations: Inclusion can become a reality in the educational context through attitudes aimed at the development and fulfillment of the needs and specificities of the student with autism spectrum disorder, reinforcing that each.
Keywords: TEA, learning, elementary education, neuropsychopedagogy.
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Prevalência de Gardnerella vaginalis em mulheres atendidas em uma Unidade Básica de Saúde no município de Macapá- AP
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Abstract: Introduction: Gardnerella vaginalis is a bacterium in the vaginal microbiota of sexually active women, however, in disturbing situations such as stress, infections, pregnancy and IUD use, it can show an excessive multiplication, generating an overpopulation resulting in a condition called bacterial vaginosis. Objective: To address the main epidemiological and clinical aspects of bacterial vaginosis caused by Gardnarella vaginalis in women treated at a Basic Health Unit in the municipality of Macapá-AP in the period of 2018. Material and methods: This is a descriptive study with a quantitative approach in which secondary data obtained from the reports of routine vaginal secretion exams from January 2018 to December 2018 were used, at the Municipal Laboratory of the Basic Health Unit of Macapá-AP. The collected information was transferred to a spreadsheet in the Microsoft Excel 2016, where the results were calculated and tabulated. Results and discussion: Patients with or without symptoms, aged 18 to 56 years, were included, Gardnerella vaginalis was observed in 133 women from 524 exams, in which it can be concluded that the age group where there was a higher index of cases was between 18 to 30 years old. Final considerations: This study aims to discuss the bacteria Gardnerella vaginalis, which is shown to be a prevalent disease among women. Thus, G. vaginalis is one of the main microorganisms that cause bacterial vaginosis that use as a door, women susceptible to this contamination.
Keywords: bacterial vaginosis, Gardnerella vaginalis, "Clue cells".
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Papel do enfermeiro do PSE na prevenção da gravidez na adolescência
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Introduction: Adolescent pregnancy is considered a public health problem and the school, together with the PSE Nurses, is committed to developing educational and assistance actions, geared to the needs and particularities of this age group. Review: This is a qualitative literature review. The study subjects were adolescents aged 10 to 19 years enrolled in public schools in a municipality in the metropolitan region of Salvador-Ba. Discussion: Health education must be developed in partnership with the school, family and health professionals, as a proposal to reduce the rate of teenage pregnancy, carrying out activities that help to build knowledge.Final remarks: The school is the ideal place for the development of educational activities and nursing reception is essential for the development of actions aimed at preventing pregnancy in adolescence.
Keywords: nursing, adolescent health, pregnancy.
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Medindo a satisfação dos estudantes em relação ao curso introdutório de cuidados em feridas ofertado pela liga de feridas e curativos – LAFEC
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The aim of this study is to analyze the level of quality and satisfaction of participants in a course offered by the Academic League of Wounds and Dressings in the municipality of Marabá, state of Pará, with the theme: prevention and treatment of wounds carried out on April 18, 2019 at the Faculty of Carajás. This is a qualitative-quantitative, descriptive, analytical study, using Likert-type quality measurement scales, with the structuring of five option scores, with “1” being less satisfied, “3” for impartiality showing no opinion on the question asked and “5” for the highest satisfaction index, using a 95% confidence level of acceptance for the collected sample. For the construction of the questionnaire, issues of relevance and relevance of the subjects were identified to understand the aspects of quality and satisfaction in general of the participants, data such as sex, age, educational institution, academic training and professional occupation helped in the understanding of the public studied. Sample obtained totaled 42 responses, from 142 participants, representing about 29.58% of the total participants. The collected results demonstrate satisfactory measurement for evaluating the quality and satisfaction of individual and general aspects of the course, fulfilling the minimum requirements for measuring quality and satisfaction using the scales used, reaching the 95% confidence level of the entire sample analyzed.
Keywords: health education, quality control, academic leagues, personal satisfaction, academies and institutes.
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Atuação do (a) enfermeiro (a) na prevenção e controle das infecções hospitalares na Unidade de Terapia Intensiva Neonatal
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Introduction: The occurrence of nosocomial infection has been identified as an important public health problem in Brazil and in the growing world in the Neonatal Intensive Care Unit (NICU), developing various topics for discussion, seeking ways to prevent and control these infections. In this context, it appears in an attempt to improve the service and minimize the risks of neonatal infection, modifying and standardizing care. The purpose of this article was to discuss the role of the nurse in the process of prevention and control of nosocomial infection in the NICU, based on the identification of the clinical priorities of newborns (NBs). This is a descriptive study, through a literature review, based on the scientific articles selected on the basis of LILACS, SCIELO (Scientific Electronic Library), VHL, Theses and Protocols from the Ministry of Health. Review: At the NICU, which is a critical sector, there should be daily monitoring, providing data that help the Commission to analyze monthly statistics, in addition to allowing the implementation of preventive actions to reduce the rate of nosocomial infection as a whole Discussion: The speeches obtained were divided into two proposed themes : Understanding the means of infections and risk factors in the NICU in face of nursing procedures and Hospital infection in the context of nurse care, guiding health professionals and nursing students on the importance of such preventive measures . Final considerations: It is concluded that the nurse stands out for being the qualified professional in assuming the role of advisor and educator of the nursing team and users of health services, performing in a qualified way the touching surveillance hospital infections in neonates, by characterizing such events in a local approach, emphasizing the importance of carrying out control and prevention measures in order to reduce the risks that exist in an NICU.
Keywords: neonatal intensive care unit, neonatal nursing, hospital infection.
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Tratamentos antineoplásicos: foco na perspectiva holística da fé como agente terapêutico
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Introduction: Cancer can be considered as an atypical mass with unbridled growth with self-stimulation properties, and, only from the 30's, during the Provisional Government, did the battle really begin? Against carcinogenesis, marked by the construction of hospitals for the treatment and study of cancer. During the Middle Ages scientific research contributed to the beginning of the Renaissance, since then medicine and faith were better understood and included, simultaneously, in patient care. The objective was, then, based on the scientific literature, to know the relevance and applicability of faith, concomitantly with conventional antineoplastic therapies. Review and discussion: A literature review was conducted in several databases, which revealed that the search for faith may have been born of human need, due to its fragility, accepting but not giving in to the disease, presenting the numerous benefits of faith in the face of acceptance, treatment and positive outcome for cancer patients. Final considerations: It was concluded that faith transcends spiritual and psychological relief, modifies the physical state, acting in the systems: endocrine, immune and central nervous, helping in the acceptance of the diagnosis and negative outcomes; adherence and effectiveness of the treatment, and its result, as well as the placebo effect, is given by the mind-body healing method, where, through the beliefs and hopes at the psychological level, various physiological effects set in, resulting in better quality of life and survival, better prognosis and therapeutic efficacy.
Keywords: cancer pain, heal by faith, combination therapy patient's cooperation, antineoplastic protocols, placebo effect.
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Correlação entre dietas restritivas e o surgimento ou agravamento de transtornos alimentares
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Introduction: Obesity is a public health problem, making weight loss a common apprehension today, covering almost all age groups. In view of this, the idea of rapid weight loss arises, impacting on the emergence of popular diets to eradicate obesity. Objective of this work was to demonstrate through several studies the real reasons for the unrestrained practice of restrictive diets and their negative repercussion in the development of eating disorders. Review: A review of the literature was carried out with the aim of approaching the thematic fad diets and their effects on the health of their followers. Discussion: The yearning for weight loss embedded in societies is perceived by the literature as one of the factors that would contribute to the disordered growth of these disorders nowadays. Final considerations: It is noted that regardless of the motivation to practice restrictive diets, they acquire a connotation of tolerance, making a satisfactory quality of life impossible.
Keywords: restrictive diets, fad diets, healthy eating index, analysis of fad diets, eating disorders
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Manejo clínico e intervenção farmacêutica de toxicidades no tratamento de câncer colorretal metastático
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Introduction: Colorectal cancer is a neoplasm that affects the segments of the large intestine. Treatment is dependent on the size, location and extent of the tumor, as the metastatic colorectal cancer can spread to other organs consequently reducing the chances of cure. According to the World Health Organization, an adverse reaction to medications is defined as any harmful and unintended response that occurs due to the use of any medication in its usual dose. Toxicity encompasses the possible side effects of a treatment, which can cause delays in the chemotherapy cycle, reduction of the dose of drugs, hospital admissions, substitution and / or interruption of treatment, which can compromise the safety of the treatment, causing life-threatening. The work aims to present the toxicities related to the “very common” adverse reactions, most frequent of the drugs 5-fluorouracil, capecitabine and irinotecan and their respective management in metastatic colorectal cancer for intervention by the oncological pharmacist. Review: From the methodology, 30 articles were selected because they are in the full version and according to the theme. This is a literature review of national and international articles in databases (Scielo, Lilacs, ScienceDirect and Google Scholar). Discussion: Toxicities should be evaluated beforehand, it is recommended that a new cycle of chemotherapy is not started until it is resolved or has regression to grade 2 or less, the cycle may be postponed from one to two weeks for full recovery or until it is not limiting for continuity with the treatment. If the expected recovery is not possible, suspension of treatment should be considered. Final considerations: The pharmaceutical evaluation is essential in the identification of toxicities, since he has elementary knowledge of the adverse effects and toxicities of drugs, thus being able to assist the medical team in the decisions of complementary therapy.
Keywords: 5-fluoruracil, cancer colorectal, capecitabine, CTCAE, irinotecan, metastasis, toxicity.
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Efeitos agudos do EzPAP® terapia de expansão pulmonar: vantagens e desvantagens
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Introduction: Restrictive lung diseases affect about 12% of the general population and cause a reduction in lung expansion. They are characterized by decreased vital capacity and lung volumes. The EzPAP® is a non-invasive respiratory physiotherapy device, indicated for pulmonary expansion. Objective: To detail the acute effects of EzPAP®, its advantages and disadvantages for pulmonary expansion. Methodology: This is an integrative review of a clinical nature. A search was performed in the databases MedLine, LILACS, Pedro Scientific Eletronic Library online (Scielo), United States National Library of Medicine (PubMed) and Cochrane Controlled. The search period was from March to October 2020. Articles published in the last 10 years were included, without language restrictions. Repeated articles and publications that were not included in databases were excluded. For the selection of articles, the methodology was structured in five phases: (1) Identification of the theme, (2) Search of the subject in the databases, (3) Categorization of studies, (4) Evaluation and (5) Interpretation of the studies results. Three independent reviewers participated in the investigation. Disagreements about inclusion were resolved through a second analysis and consensus of the pre-selected study. Results: 22 studies were found, of which 16 were excluded, as they did not describe a methodological design and for including other clinical conditions other than acute respiratory failure in adults. Thus, 6 studies were included that met the criteria established for the primary outcome. Final Considerations: The most frequent acute effects were the shorter hospital stay, prevention and treatment of pulmonary atelectasis, reduction of dyspnea, hypoxemia and hypercapnia. Few studies have explored and highlighted the disadvantages of EzPAP®, and some had important limitations, with no data on the percentage and relative amount of improvement or worsening of the participants' health status.
Keywords: Pulmonary atelectasis, Physiotherapy, Respiratory failure, Physiotherapy modality, Positive pressure breathing, Respiratory care units.
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Impacto da cirurgia bariátrica no metabolismo do cálcio
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Introduction: Due to the high prevalence of obesity that affects the whole world, bariatric surgery has been gaining strength and space in relation to the types of conventional treatments, mainly by individuals who have to lose weight, and who have not been successful with diet alone. However, these procedures cause a significant decrease in the absorption of some nutrients. Highlighting the serum calcium concentrations. Thus, a bibliographic research was carried out with the objective of reporting the main complications caused by calcium deficiency in individuals undergoing bariatric surgery. Review and discussion: The BIREME database was used to search for articles related to the theme of the past 10 years in Portuguese and English. At the end, ten articles were included, which demonstrated hypocalcemia in patients undergoing bariatric surgery, due to low calcium intake and absorption, leading to changes in parathyroid hormone and an increase in greater chances of developing bone fractures. Final remarks: Patients undergoing bariatric surgery show a decrease in calcium levels, so it is necessary to find out how to maintain these adequate levels.
Keywords: Bariatric surgery, Calcium, Hypocalcemia, Fractures.
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