Artigo de Revisão

O impacto do tratamento do cliente com tuberculose internado em uma unidade hospitalar: uma revisão de literatura

Resumo: Introduction: Despite being treatable and curable, tuberculosis can evolve to the severe form that requires hospitalization of the client for an effective recovery, especially when the diagnosis of compulsory diseases is evidenced. The study aims to discuss in the literature the respiratory isolation related to the client with tuberculosis in the hospital environment. This is a literature review study, with a qualitative approach, which had the following research question: How the literature discusses respiratory isolation related to the client with tuberculosis in the hospital environment. The analyzed studies allowed the identification of the thematic unit “Respiratory isolation related to the client with tuberculosis in the hospital environment” and the following categories: 1 The view of the cost of the client with tuberculosis in the hospital environment; 2 Care for clients with tuberculosis in the hospital environment. Review and discussion: To define the search, the inclusion criteria were used: articles available in Portuguese, in the time frame from 2014 to 2018, on the Virtual Health Library website, with the descriptors: Tuberculosis; Respiratory failure; Hospitalization and from 2012 to 2018 in Google Scholar, with the study them. Final considerations: It highlighted the importance of primary care, so that the patient with tuberculosis does not complicate, as this in the hospital environment increases hospitalization costs, as well as may require unconventional treatments for the disease, either due to the multidrug resistance or the individual's aggravated condition. Keywords: client, hospitalization, respiratory failure, isolation, tuberculosis. Expandir Resumo Acessar Texto Completo

Cuidados farmacêuticos na adesão da terapia medicamentosa oral em pacientes onco-pediátricos

Resumo: Introduction: In 2018, childhood cancer in Brazil, according to an INCA estimate, represented 12,500 new cases of cancer and 2,704 deaths. Oral chemotherapy is increasingly used, consisting mainly of reducing hospitalization costs and the route of administration, avoiding the need to use the intravenous route. The support of family, friends and caregivers, as well as pharmaceutical guidance are very important so that the onco-pediatric patient can have a good adherence to oral drug therapy. This study aimed to promote a bibliographic review of the literature in order to identify the main problems related to adherence to oral drug therapy in onco-pediatric patients and pharmaceutical care in guiding the use of drugs in oral therapy. Review: This research was carried out through the review of scientific articles in the databases of electronic portals SciELO, Google Scholar, PubMed related to adherence to oral drug therapy, onco-pediatric patients and pharmaceutical guidance. For this, the keywords were used: “adherence to oral medication”, “pediatric cancer”, “pharmaceutical guidance” and their equivalents in a foreign language (English), which resulted in a total listing of 16 articles. Discussion and final considerations: Adherence to oral therapy is one of the forms of treatment of the disease, some factors can influence adherence, such as: the patient's behavior, socio-demographic factors such as age, education and level of knowledge of children, especially in the early stages of life, guidance and management in the care of pediatric onco patients is necessary. Follow-up, guidance and monitoring by the trained professional are essential for the care of pediatric cancer. Certainly problems related to adherence to oral drug therapy in onco-pediatric patients, influence the response to treatment and the success of therapy. Keywords: adherence to oral medication, pediatric cancer, pharmaceutical guidance. Expandir Resumo Acessar Texto Completo

Sentimento de felicidade em idosos: o estudo AGEQOL

Resumo: Introduction: In Latin America we observe the growth of the share of elderly people in the population. In Brazil, the age group of people over 65 grew from 3.5 in 1970 to 5.5% in 2000; and the 2010 census counted more than 20 million elderly people aged 60 and over, and this corresponds to 10.78% of the population. In this study, we aim to identify the factors that influence the feeling of happiness in the elderly. Materials and methods: The sampling process was carried out in two stages: in the first, census sectors were selected and in the second, domiciles were selected under the criterion of sharing proportional to the size of each sector, being interviewed resident individuals with 60 years old and over, regardless of marital status or degree of kinship. The absolute and relative frequencies for all variables in relation to happiness were calculated using the chi-square test, with an acceptable margin of error of 5%. Then a logistic regression was performed with the variables that reached statistical significance below 0.25 (p<0.25). The final adjusted model kept only the variables that reached the level of 5% of statistical significance (p<0.05). The effect of the complex sample design was considered in all analyses performed using the statistical software SPSS version 18.0. Results and discussion: Participated in the study 2052 elderly, with ages ranging from 60 to 106 years. Happiness was influenced by: age, gender, schooling, marital status, religion, caregiver, ABVD, AIVD and cognitive deficit. Final considerations: The study showed that happiness in elderly can be influenced by a series of factors and each one of them must be observed with enough attention in order to improve the quality of life and well-being of this population. Keywords: well-being, active aging, happiness, elderly. Expandir Resumo Acessar Texto Completo

Psoríase e sua ligação com os aspectos psicológicos

O papel da fisioterapia no ambiente hospitalar

Implantação da Psicologia do Esporte no Município de Itajaí: Atuação do psicólogo junto a Fundação Municipal de Esporte e Lazer (FMEL)

Resumo: Introduction: In view of the relevance of the new science of sports training called Sports Psychology that has fundamental importance to the athletes with regard to the optimization of sport performance, the present project aims to implement Sport Psychology in the Municipality of Itajaí together the FMEL. Review: It is a bibliographical review article with a descriptive character that points out that the biopsychosocial aspect considers mental health as important as physics in relation to the emotions and mental structures of the athletes. Discussion: Sport psychology is considered a study of the behavioral and emotional factors that influence and are influenced by sports performance. Final considerations: It is observed that the psychologist's role in the psychic health of a sports team develops starting from the emotions experienced by the athletes in their daily lives. Keywords: Municipal Sports and Leisure Foundation, implementation, sports psychology. Expandir Resumo Acessar Texto Completo

Uso de antimicrobianos em pacientes oncológicos em cuidados paliativos

Resumo: Introduction: Cancer is characterized by disorderly cell proliferation of genetic origin and has been a challenge for medicine for many centuries. Therapeutic approaches depending on the physiological reserves and the type of cancer that affects the patient can compromise important organic systems, and some patients do not respond adequately to the treatment, initiating palliative care. The use of antimicrobials at this stage is questionable due to the real benefits to patients when considering only increased survival. However, the evidence points to the use of antimicrobials in order to improve the quality of life of patients, with symptom control and the promotion of comfort. Objective of this work was to carry out a systematic review of the literature on the use of antimicrobials in cancer patients in palliative care and its adverse reactions and benefits for comfort and treatment of symptoms. Review and discussion: International literature review study in international databases (PubMed and ScienceDirect) by 2 independent researchers with the proposal to approach the theme in depth and respond to the proposed objective. From the adopted methodology, 23 articles were selected for the preparation of the review article and adverse reactions are reported in studies related to the use of antimicrobials in cancer patients, however, they were not described as the main objective of the studies and from the point of view of promoting comfort and symptom control the use of antimicrobials in the studies showed favorable results, however, with subjective responses that demonstrate the need for protocols and evaluation scores. Final considerations: Patients in palliative care and use of antimicrobials have important dilemmas in the management of end-of-life care that need to be thoroughly evaluated in relation to the benefits of the use and the presence of adverse reactions that can cause losses at this critical moment. Keywords: antibiotic, antimicrobial, cancer, infection, palliative care, adverse reaction. Expandir Resumo Acessar Texto Completo

Utilização de enxerto ósseo autógeno na reabilitação dos maxilares

Resumo: Introduction: The bone tissue loss process can occur due to several factors, causing functional, aesthetic and psychological problems in the patient, making rehabilitation treatment difficult using dental prostheses. In this context, this article aims to conduct a scientific review of the literature, pointing out the advantages and disadvantages of autogenous bone grafts, elucidating the main indications for dentistry. Review: The recovery of edentulous areas using autogenous bone grafts plays an important role in dentistry, providing an adequate prognosis for the patient, as long as the treatment is well elaborated within the ideal conditions of bone quantity and quality. The intraoral donor areas are made up of the mentonian symphysis, branch and maxillary tuberosity. The skull cap, iliac crest, ribs, tibia and fibula are the extra-oral donor areas. The intraoral donor areas exhibit good biological properties in the reconstruction of small and medium bone defects, corresponding to approximately four dental units. In cases of extensive bone regeneration, the use of extra-oral donor areas is indicated, with the iliac crest being the most commonly used, due to the good bone quantity it offers. Final Remarks: The use of autogenous graft has the advantages of its excellent biocompatibility between the donor and recipient areas, enabling bone regeneration techniques to be performed in a dental office with the use of local anesthesia, showing a low cost and a high level of aesthetic acceptance for the patient. However, in extensive defects, surgery should be performed in a hospital environment under general anesthesia with a multidisciplinary team, presenting a high cost. Keywords: autogenous bone graft, bones substitutes, oral rehabilitation. Expandir Resumo Acessar Texto Completo

Aspectos atuais na formação e preparação dos profissionais da saúde frente aos cuidados paliativos

Resumo: Introduction: Palliative care (PC) behaves like a philosophy that promotes quality of life for patients in their stages of progressive and terminal illness, providing support in the physical, mental and spiritual dimensions, without giving up the individual attention of each individual. The objective of this study is to present, through an integrative literature review, the performance of health professionals in palliative care, demonstrating the importance of a multidisciplinary team in this area. Review: Humanization in palliative care consists of meeting the needs of the patient, whether he is diagnosed with a terminal chronic disease or not, thus, humanization and palliative care are related in concept and practice, and must be initiated from the initial stage of the disease to its advanced stage. When it comes to the composition of the team of professionals, it must contain doctors, psychologists, nurses, physiotherapists, social workers and occupational therapists, as these professionals assume specialized care with a focus on patient care individually, as each individual reacts differently. different to a therapeutic one, with short or long term interventional actions. Final Remarks: The finitude of life process requires health professionals to be prepared not only for practical competence. However, there are signs of absence of teaching and pedagogical approaches in the theme of PC, addressing this theme during the graduation of the student in the health area, will add fundamental issues, both for the professional and personal scope, making it empathic to deal with patients facing the end of life, offering respect and the necessary care. Keywords: palliative care, physiotherapy, teachers, teaching. Expandir Resumo Acessar Texto Completo

A utilização de tecnologias virtuais no planejamento de cirurgias ortognáticas

Resumo: Introduction: Orthognathic surgery aims to correct dentoeskeletal deformities, improving aesthetics and function of the patient. Therefore, it is necessary to carry out an accurate planning of the treatment to be performed. The aim of this study is to present, through an integrative literature review, the advantages of using virtual technologies in planning orthognathic surgeries compared to conventional methods. Review: Virtual planning software is useful in predicting results, accuracy and reducing working time, both in planning and in surgery. The three-dimensional (3D) planning allows the incorporation of the third dimension, making it possible to increase the anatomical structure on the computer screen and interact with the bone structure, without changing the accuracy of the images and measurements. Thus, to perform orthognathic surgery, it is necessary that the surgical planning is well elaborated. With regard to the virtual planning method, the advantages of its use stand out, the reduced working time during planning and execution, as well as the preparation of surgical guides that assist in the procedure and satisfactory evaluation of postoperative results. Final Remarks: For an orthognathic surgery to be performed, it is necessary that the surgical planning be well elaborated. With regard to the virtual planning method, the advantages of its use stand out, reduced working time during planning and execution, clinical feasibility, better precision in diagnosis and treatment plan, data storage, preparation of surgical guides that assist in the procedure and satisfactory evaluation of postoperative results. Keywords: orthognathic surgery, surgery, computer-assisted, orthognathic surgical procedures. Expandir Resumo Acessar Texto Completo

Perfil clínico epidemiológico do câncer gástrico: revisão integrativa

Resumo: Introduction: Stomach Cancer (or Gastric Cancer) is the growth of abnormal cells in the organ of this digestive system and can occur anywhere in its extension. Much of this type of tumor occurs in the mucous layer (the inner lining layer), appearing in the form of irregular small lesions with ulcerations (rupture of the mucous tissue) - characteristics of cancers or malignant tumors. Objective: To characterize the clinical epidemiological profile of gastric cancer in patients with the disease. Revision: It is an integrative review developed in five stages: careful search in the LILACS and MEDLINE databases; selection of articles, dissertations, theses and monographs according to the inclusion and exclusion criteria of the proposed theme; analysis of articles, dissertations, theses and monographs, which will be suitable in categories according to the approach; year of publication, which will be the type of study and journal in which it was published; construction of the article and public defense of it. Results: In this integrative review, 04 articles were analyzed that met the inclusion criteria previously established. Final considerations: The research showed the highest incidence of gastric cancer in males between the ages of 40 and 60, but this incidence has been decreasing, according to some recent articles, the choice of healthy eating habits and the decrease in consumption of alcoholic beverages and smoking habits, are favorable factors for the decline of this pathology. Keywords: adenocarcinoma, stomach cancer, feeding behavior, stomach neoplasms, health promotion, digestive system. Expandir Resumo Acessar Texto Completo

A contribuição da psicologia no processo de adoção

Resumo: This article denotes part of the studies related to the Final Work (TF), defended in 2018, at the Center University of Northern (Uninorte). Psychology makes its great contribution in the most diverse social contexts, in the understanding of the subject, whether related to his way of being, in the development of family and social dynamics, and also of the new family outlines and arrangements. Psychology plays a crucial role in this process, since adoption also includes the legal aspect; which is a specialty that applies the knowledge of psychology to the field of law. The study presents an integrative literature review in order to highlight the contribution of psychology in the adoption process, a context experienced by children and adolescents, and by parents, candidates for adoption. The study aims to analyze the role of the psychologist, from the opening of the adoption process to the release of the filing of the adoption action, where it contributes significantly to psychosocial care and adoption processes. The review of articles related to the theme was guided by the descriptors "adoption, family and psychology". The results show great advances in research on adoption and significant changes, but that the child is still stigmatized in the face of a lengthy and bureaucratic process, as well as scenarios in which there is a compromise in creating bonds between the child and the adopter, in addition to problems concerning the idealization by both parties, in which there is a distorted idea of reality. Issues related to the new family configurations were also detected, with same-sex couples inserted in the adoption process, and relying on the support of psychology to demystify socially established concepts. Based on scientific evidence, it is concluded that the contribution of psychology is fundamental for the correct construction of family bonds and support in dealing with the emotional burden during the process and adoption, by both parties. Keywords: adoption, family, psychology. Expandir Resumo Acessar Texto Completo

A importância da avaliação dos sinais e sintomas da disfunção temporomandibular para a odontologia

Resumo: Introduction: Temporomandibular dysfunction (TMJ dysfunction) encompasses a set of signs and symptoms, involving the masticatory muscles, temporomandibular joint, as well as associated structures, such as teeth and nerves. The aim of the present study is to address, through a bibliographic review of the literature, the main signs and symptoms of TMJ dysfunction, aiming to establish a more accurate diagnosis, thus favoring a better quality of life for patients. Review: TMD etiology has a multifactorial character, being associated with muscle hyperactivity, trauma, emotional stress, malocclusion, in addition to other factors such as pathologies, perpetuating this condition. The most frequent signs and symptoms evaluated in the literature were limited mouth opening, pain during chewing, pain in the ear and temporomandibular joint, and clicks in the joint. The etiology of temporomandibular disorders is still very controversial and discussed among health professionals, such as dentists, doctors and physiotherapists. Final Remarks: It is important to note that, in view of the studies observed, that young adult patients were the individuals who were more likely to develop disorders in the temporomandibular joint, but among this group, women were the ones who most presented symptoms, especially pain, and these findings may be associated with significant hormonal variations, especially at puberty. Keywords: temporomandibular joint, parafunctional habits, temporomandibular dysfunction. Expandir Resumo Acessar Texto Completo

Principais fatores de riscos relacionados a queda em idosos e suas consequências: revisão integrativa

Resumo: Introduction: With the increase in life expectancy over time, there is an increase in falls resulting in fracture of the femur among the elderly. Objective: identify the main risk factors related to falls in the elderly and their consequences, so that both the government and society are aware of these risks and their consequences. Revision: As methods, an integrative literature review was carried out through the databases, VHL and SciELO using as descriptors: '' Elderly '', '' Treatment '' and '' Femoral Fracture '' associated with the Boolean operator "AND" '. Discussion: As a result, we obtained 8 publications that fit the theme, 100% of the publications developed through field research, all articles were included in this integrative review. Final considerations: t is concluded that the risk factors related to falls in the elderly and their consequences are associated with several factors, such as: age, health status of this elderly person before the fracture, among others, adding to the high effective cost of treatment and the lack a strict hospitalization protocol and surgical procedure. Keywords: accidental falls, risk factors, femoral fractures, elderly, public health, patient safety. Expandir Resumo Acessar Texto Completo

O papel do sistema imunológico na patogênese da doença periodontal

Resumo: Introduction: Periodontal disease is characterized by a disturbance of the microbiota present in the oral environment, causing an immune response in the individual, thus affecting the protection and support tissues of the periodontium. Therefore, this article aims to elucidate the role of the immune system in the pathogenesis of periodontal disease. Review: The immune system uses specific mechanisms promoted by cells, such as lymphocytes, macrophages, monocytes, mast cells and neutrophils, as well as mechanisms associated with specific molecules, characterized as anti-inflammatory and pro-inflammatory cytokines, prostaglandins, proteinase inhibitors and metalloproteinases (MMPs), which together, being present in the active phase of polymicrobial periodontal disease. The progression of periodontal diseases is induced by an inflammatory process that gradually leads to its destruction, causing tooth loss. The innate immune response actively participates in the development of periodontal disease and the acquired immune response is related to disease progression and destruction of the alveolar bone. On the other hand, the humoral immune response is shown to be related to the protection of periodontal tissues, with positive results. Final Remarks: MMPs, TNF-alpha, RANKL and IL-1 have been reported as an effective tool for diagnosing the disease. Although there is a wide knowledge about the pathogenesis of inflammatory periodontal diseases, other studies still need to be carried out to better understand the cellular and molecular events involved in this pathology. Keywords: periodontal diseases, immunity innate, adaptative immunity. Expandir Resumo Acessar Texto Completo

A importância do psicodiagnóstico em professores universitários portadores da Síndrome de Burnout

Resumo: Introduction: The term burnout has an English origin, usually used to denote a state of energy depletion, associated with intense frustration with work situations. This article sought through an integrative literature review to address the psychodiagnostic aspects associated with burnout syndrome in university professors. Review: The burnout syndrome is a response to chronic work stress, being defined as a condition related to physical, emotional and behavioral exhaustion, usually related to the result of prolonged stress or frustration that are linked to work, considering that in the routine of There are psychosocial stressors linked to the essence of the job, as well as the organizational and social context in which they work. Discussion: For the enumeration of risk factors associated with the development of burnout, four dimensions are taken into account: the organization, the individual, work and society. What corresponds to the risk factors in the organization for the onset of the disease are the lack of autonomy, respect for team members and the boss, very strict institutional rules, overload of working hours. Final Remarks: The individual's peculiarity may be associated with minor or major in relation to the disease, and psychodiagnosis is understood as a systematic and time-limited process of knowledge about psychological functioning in specific situations. Keywords: Burnout, teachers university, psychodiagnosis. Expandir Resumo Acessar Texto Completo

Distúrbios psíquicos iniciados na unidade de terapia intensiva

Resumo: This work will seek to show through a literature review the mental disorders initiated in the Intensive Care Units, as well as the disorders provided to patients due to stress situations that occurred during the hospitalization period. Therefore, the research method used was the bibliographic review of cases, where it can be seen that family support is essential during the patient's recovery process. As a result, we sought to show the importance of observing the patient's behavior during the hospitalization process by the health team, in order to diagnose possible emotional disorders. Therefore, this study draws attention to the proper treatment of patients who acquired post-traumatic disorder after being discharged and also the controlled use of prescription drugs to combat the symptoms of mental disorders. Keywords: mental disorders, intensive care unit, post-traumatic disorders. Expandir Resumo Acessar Texto Completo

Multidisciplinary team of oncology and the participation of speech therapy in the rehabilitation of patients subject to head and neck surgery

Resumo: Introdução: As principais causas para o aparecimento de tumores na região da cabeça e pescoço estão relacionadas ao tabagismo e ao consumo de álcool. Enfatizando que o tabagismo é o maior fator de risco para o câncer de cabeça e pescoço, bem como câncer de pulmão e esôfago. Entre as neoplasias mais comuns da cabeça e pescoço estão as localizadas na cavidade oral, faringe e laringe e, de acordo com o grau dessas lesões, as ressecções podem ser totais ou parciais e frequentemente associadas à quimioterapia, radioterapia ou mesmo por ações isoladas. Funções como mastigação, deglutição, fala e voz acabam sendo comprometidas e são essenciais para a sobrevivência e a vida social. Diante dos fatos, esta pesquisa teve como objetivo realizar um estudo científico sobre a atuação do Fonoaudiólogo na equipe multidisciplinar de reabilitação de pacientes com câncer de cabeça e pescoço. Revisão: Os casos mais comuns de neoplasias são na cavidade oral (40%), faringe (15%) e laringe (25%). O fonoaudiólogo é o profissional responsável por avaliar, reabilitar e diagnosticar possíveis alterações que comprometam as funções do sistema estomatognático. O principal objetivo do ponto de reflexão é que a equipe multiprofissional tenha como objetivo implementar medidas que contribuam para a prevenção de doenças oncológicas e a promoção/recuperação da saúde. Discussão: Como resultado desta pesquisa, observou-se a importância da Fonoaudiologia no tratamento de pacientes submetidos a ressecções de cabeça e pescoço, sendo incluída em uma equipe multidisciplinar. Considerações finais: Diante desses fatos, é possível destacar a relevância das atividades fonoaudiológicas com pacientes oncológicos, tanto no período pré-cirúrgico, com orientações sobre cirurgia e possíveis alterações fonoaudiológicas, quanto no pós-cirúrgico, com a reabilitação das funções estomatognáticas. Enfatizando que resultados efetivos requerem intervenções em conjunto com outros especialistas em cabeça e pescoço. Palavras-chave: fonoaudiologia, equipe multidisciplinar, ressecções de cabeça e pescoço. Expandir Resumo Acessar Texto Completo

Estrutura e função: inter-relação fonoaudiológica e odontológica na reabilitação do sistema estomatognático

Resumo: Introduction: The stomatognathic apparatus consists of specific structures of the head and neck that perform important and vital functions. The joint work between speech therapy and dentistry has been very evident in the literature and shows promising results. This study aims to emphasize the contribution of speech therapy and dentistry in the treatment of disorders of the stomatognathic system, as well as the importance of joint action between these sciences. Review: The stomatognathic apparatus, also known as the stomatognathic system, gets its name from the connection between the oral cavity and the mandible. The functions of this device are closely linked to orofacial and mandibular development. The structure of the stomatognathic system consists of the bones of the maxilla, mandible and temporal. Speech therapy, in addition to studying each structure of the stomatognathic apparatus, also focuses on the physiological order of each structural part, such as what are the responsible elements that allow chewing, that contribute to phonation (formation of phonemes) and which nerves act in chewing among other activities. Discussion: For the speech therapist and the dentist to present efficient clinical results, directed to the diagnosis and prognosis of patients with disorders of the stomatognathic system, a vast anatomical knowledge of the head and neck is necessary. Final considerations: Based on the reports, the importance of joint care between speech therapy and dentistry in the treatment of pathologies that compromise the stomatognathic apparatus was confirmed. Speech therapy is responsible for the functional rehabilitation (function) of the stomatognathic apparatus (chewing, swallowing, speech, voice, phonation and breathing) and dentistry deals with the structural part (surgery, repositioning of the maxilla and mandible, alignment and dental adjustment among other activities). The main joint actions are in the orthodontic, buccomaxillofacial, prosthesis and surgery specialties. Keywords: stomatognathic apparatus, speech therapy, dentistry. Expandir Resumo Acessar Texto Completo

Administradores diante dos riscos ocupacionais que envolvem as atividades da equipe de enfermagem no ambiente hospitalar

Resumo: The occupational risks that are subjected to a nursing team have been the subject of many discussions”, become a topic of paramount importance, reflecting the relevance of occupational safety as a preponderant factor and guaranteed by good professional practice and respect for life. Several researches aimed at chemical, biological, ergonomic, physical and mental risks as the main occupational risks. This article, discussed and made available a brief review of the literature on occupational health risks, aims to become an informative tool, contributing to mitigate the exposure of nursing professionals to unavoidable risks and that their own practice is subject to. The human body has several functions; those that are improperly formed can lead to serious risks, such as an occupational disease. Concerning employees' Occupational Health is a manager's duty and helps to ensure well-being, contributing to their investigation, motivation, performance, harm reduction, better results and job satisfaction. However, he believes that companies should check important points and adopt strategies that help to make the work environment more pleasant and less unhealthy as possible. The analysis allows the company to be aware of the real situation of the requirements defined for its employees, leading to finding information that helps to improve the working and mental conditions of its workers, adding satisfaction and motivation in their continuous work days. However, it is important to use severity measurement instruments, assess the needs for care with the demand for nursing work, seek to qualify professionals who dedicate more time to the needs of emotional support and information to patients and families, optimization of resources, cost reduction and, consequently, quality and humanization of assistance. Keywords: hospital administration, nurse manager, occupational risks, hospital environment. Expandir Resumo Acessar Texto Completo

O enfermeiro diante da burocracia da qualidade e produtividade no ambiente hospitalar

Resumo: The role of the nurse as a hospital administrator is a complex task that aims to implement actions for profit and development in institutions, optimizing bureaucracy, promoting resources to improve productivity with quality. This study describes qualitatively the theories of administration, resources used to reduce bureaucracy, increasing quality management, the role of nurses as hospital administrators, with a new managerial approach. Keywords: nurse, hospital administration, quality, productivity. Expandir Resumo Acessar Texto Completo

Hábitos de vida dos pacientes com linfoma não Hodgkin: Revisão Integrativa

Resumo: Introduction: Cancer is a pathological process that begins when an abnormal cell is transformed by DNA mutation. Lymphomas account for about 3% of all cancer cases worldwide. There are no guidelines for lymphoma prevention, as the cause is generally unknown, more common in men than in women. Objective: To analyze and describe the scientific publications about the life habits of patients with cancer and non-Hodgkin's lymphoma. Methods: The survey was performed in the period of September and November of 2018, in LILACS, BDENF and SCIELO. Published in the period 2012 to 2018, using the DeCS descriptors: neoplasms, cancer, non-Hodgkin's lymphoma, all associated with the Boolean operator. Results: Cancer became a relevant health factor for evaluation in the quality of life of the individual who has it, since, due to its complications, this disease acts as a hindrance to the permanence of a routine defined by the pretensions and / or needs of the patients. patients, most often resulting in negative aspects. Conclusion: Cancer has been gradually changing from being seen as a fatal disease and is seen as a chronic disease, configuring what epidemiologists call the epidemiological transition. Keywords: Non-Hodgkin's lymphoma; Neoplasms; Nursing care. Expandir Resumo Acessar Texto Completo

A relação da psicologia com a escolha profissional do adolescente

Resumo: Introduction: Adolescence is considered a period of great complexity in human development. It is at this stage that the adolescent deals with a world full of uncertainties, marked by several physical and psychological changes, in addition to suffering influences from the environment in which he is inserted. It is still in this period that adolescents generally make their professional choice, which can have a positive or negative effect throughout their lives, which is, therefore, the focus of this study. Review: For this purpose, the readings carried out during the semester were an important instrument for adding knowledge and awakening to reflect on the professional psychologist, working with adolescents in the process of choosing professionals. Discussion: Vocational Guidance aims to establish, through clinical strategy, that young people understand that their professional choice depends on their abilities to assume the situation they face, to understand it so that, from this moment, they can make a decision personal and responsible. Final considerations: It is necessary to carry out a project of Vocational and Professional Guidance together with the psychologist, in order to guide the teenagers in face of the problem of professional decision. Keywords: Adolescence, Professional choice, Professional orientation. Expandir Resumo Acessar Texto Completo

Prueba de micronúcleo en mucosa para la evaluación de toxicidad en perros por exposición al tabaco

Resumo: Abstract: It is necessary to study the mutagenic effect of passive smoking on animals, so that people can become aware of and avoid smoking near their pets. According to the World Health Organization, cigarette smoke is the largest domestic and environmental pollution agent, considering that the general population spends 80% of their time indoors, making the study relevant. One form of screening is chromosomal breakage identified by the micronucleus method assay on exfoliated oral epithelial cells to observe the pro-mutagenic effect of cigarette smoke on the oral mucosa of dogs exposed to smoking. Many studies have examined the effects of passive smoking on humans, but little has been studied in relation to domestic animals, although there is evidence of increased risk for lung cancer in passive smoke dogs. From this literature review, it was possible to observe a pro-mutagenic effect of cigarette smoke on the oral mucosa of dogs exposed to passive smoking. Keywords: smoking, cells, mutation, cigarette and dog. Expandir Resumo Acessar Texto Completo

Tratamento Estético para Acne Vulgar

Resumo: 1. Introduction: The aim of this study was to investigate the main aesthetic treatment conducts for people with acne vulgaris. The information obtained from the Scielo, Medline-PubMed and Google Scholar databases was chosen and organized in the form of a systematic review based on the analysis of original and review journals published between 2015 and 2019. 2. Review: Acne is the main diagnosis of dermatological consultations according to the Brazilian Society of Dermatology (2018) and its etiological agent is Cutibacterium acnes and its aesthetic treatment is necessary to avoid unsightly scars and psychological damage. 3. Discussion: The beautician can intervene in the first two degrees without medical supervision and, therefore, he has a therapeutic arsenal that involves photoelectrotherapeutic and cosmetic resources. 4. Final Remarks: The most recommended electrotherapeutic treatments for their satisfactory results are: microcurrent, iontophoresis, LED, radiofrequency, micro-needling and cosmetics may be associated. Keywords: Propionibacterium acnes, Cutibacterium acnes, acne vulgaris. Expandir Resumo Acessar Texto Completo

Cirurgia cardíaca: refletindo sobre o cuidado de enfermagem no período pós-operatório

Resumo: Introduction: In the scenario of chronic noncommunicable diseases, cardiovascular diseases are frequent causes of morbidity and mortality. The treatment of heart disease can be clinical or surgical. The technological development in the area of Medicine has allowed cardiovascular operations to be conducted with safety and better results. Institutional and personal factors are involved in these good results for better care in postoperative care, requiring professionals to have specific attitudes, knowledge and skills. In the nurses' field of action, heart diseases correspond to an important demand for care, justifying a systematized look at this group of diseases, in the perspective of integrality of care. Objective: To describe nursing care and patient needs in the postoperative period of cardiac surgery identified by the nurses. Method: This is a bibliographical review using the MEDLINE, LILACS, COCHRANE databases, using articles from 2011 to 2017. Results: Nursing care for patients undergoing cardiac surgery is important because, through it, one can avoid possible risks and complications by having a holistic view of the patient and thus providing an improvement in their treatment and recovery. Conclusion: It is concluded that the full adoption of the nursing process as a work methodology will contribute to a better quality care, based on the guidelines needed for each case, and to better information about care involving patients, family members and nursing staff. Keywords: cardiac surgery, postoperative period, postoperative care, systematization of nursing care. Expandir Resumo Acessar Texto Completo

Recursos eletroterapêuticos para o tratamento do fibroedemageloide

Resumo: Introduction: The study aimed to investigate the main electrotherapeutic resources used in the treatment of geloid fibro edema. Information obtained from the databases PubMed, Dovepress, Scielo, LILACS, ScienceDirect were chosen and organized in the format of a descriptive review about the alterations of geloid fibro edema in the skin and the electrotherapeutic resources involved in its treatment. Review: The geloid fibro edema represents a health and aesthetic dysfunction, so electrotherapy is much sought in order to improve the body aspect or even prevent the manifestation of any alteration. Discussion: An analysis of the main electrotherapeutic treatments for geloid fibro edema was performed. Final remarks: The most recommended electrotherapeutic treatments for its satisfactory results are: carboxytherapy, radiofrequency, ultrasound, shock wave therapy and combined therapies. Keywords: paniculosis, geloid fibro edema, cellulite. Expandir Resumo Acessar Texto Completo