Início A notificação compulsória de sífilis em gestantes e a ocorrência de sífilis...
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A notificação compulsória de sífilis em gestantes e a ocorrência de sífilis congênita: um estudo comparativo
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BACKGROUND: Syphilis, an infectious disease caused by Treponema pallidum, can lead to Congenital Syphilis (CS). Vertical transmission occurs through the bloodstream and is preventable with early diagnosis during prenatal care. The nurse plays a vital role, encouraging treatment and compulsory notification through SINAN, contributing to epidemiological control. OBJECTIVE: This study aimed to analyze the data of diseases of notification of syphilis in pregnant women and congenital syphilis according to SINAN and describe the performance of nursing in the maternal-fetal binomial. METHODS: The methodology consisted of an exploratory and descriptive analysis of secondary data from the Notifiable Diseases Information System (SINAN) regarding cases of syphilis in pregnant women and congenital syphilis in the Federal District and São Paulo, between the years 2020 and 2021. RESULTS: The COVID-19 pandemic affected notifications, impairing proper monitoring. There was a reduction in cases of syphilis in pregnant women; however, an increase in cases of congenital syphilis was observed, possibly due to interruptions in reporting. Nurses play a crucial role in prenatal care, educating about syphilis, early diagnosis, and treatment adherence. Adequate prenatal care and proper treatment are essential to reduce vertical transmission. A preventive, inclusive, and high-quality approach is necessary to combat congenital syphilis. Primary Health Care should take responsibility for comprehensive care for pregnant women, aiming at effective prevention. FINAL CONSIDERATIONS: In conclusion, the study highlights the need for syphilis notification, strengthening prenatal care, professional training, access to diagnostics, and emotional support. The commitment of nursing is vital to improve maternal and infant health outcomes and reduce adverse consequences.
Keywords: Prenatal care, congenital syphilis, gestational syphilis.
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Sobrevivência e fatores prognósticos no osteossarcoma: experiência de 11 anos de Hospital de Câncer Paraibano
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The objective was to analyze the clinical and sociodemographic profile that influenced the survival of patients with Osteosarcoma in the period from 2010 to 2021 in a regional cancer hospital, serving to contribute with regional and national data for a greater understanding of this disease. Methods Retrospective, observational and analytical cohort study. Quantitative approach, analysis of medical records of patients diagnosed with Osteosarcoma treated at a philanthropic hospital from 2010 to 2021, building survival regression models to identify predictors with statistical significance. Results Sixty-three medical records were evaluated, 63.3% male and 63.5% younger than 20 years old. Cox regression model obtained significance better than no predictor, [X2(1) = 17.137; p<0.01]. The predictors that were significant were: serum alkaline phosphatase levels at the first consultation (HR= 1.003; 95%CI= 1.001 – 1.004) and the presence of pulmonary metastasis (HR= 4.927; 95%CI= 1.756 – 13.825). Survival rate after the Cox model showed that in 5 years, patients with pulmonary metastasis have a survival rate of around 48%.
Keywords: : Osteosarcoma; Bone neoplasms; Logistic regression; Cox model.
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Mortalidade por abdome agudo por causas ginecológicas em mulheres em idade fértil e o IDH das regiões brasileiras (2010-2019): um estudo ecológico
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INTRODUCTION: The acute abdomen is characterized by acute and sudden pain, with high incidence and mortality rates, and may be caused by gynecological conditions, with the quality of the service offered and timely access indicative of a good prognosis. The Human Development Index (HDI) is a measure that evaluates the human condition in three dimensions: income, education and health. OBJECTIVE: Analyze the correlation between mortality of women of childbearing age (FIM) due to gynecological acute abdomen and the HDI of the Brazilian regions from 2010 to 2019.MATERIAL AND METHODS: Ecological study, which used data from DATASUS and the United Nations Development Plan. To analyze the correlation between HDI and mortality in FIM, the Spearman correlation test was performed. It was considered statistically significant p<0.05. RESULTS AND DISCUSSION: 635 FIM deaths were identified in Brazil due to causes related to gynecological acute abdomen in the period. Of these, most were concentrated in the Southeast region (312 deaths) and, lastly, in the Midwest (48 deaths). However, when we stratify these data by the population exposed to risk, we observe that the North region stands out. When analyzing the HDI, we noticed significant discrepancies between the states of the Northeast and Southeast. When comparing HDIs and FIM mortality through Spearman's correlation, a correlation coefficient of R=0.038 and p value=0.835 was identified, thus highlighting that there is no correlation between these variables. FINAL CONSIDERATIONS: We conclude that there was a paucity of data in the analyzed period, especially in the North region. And, although no correlations were found between mortality and the HDIs of the Brazilian regions, it is emphasized that low human development reflects a negative impact on the health of communities.
Keywords: acute abdômen, HDI, mortality.
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Política nacional de humanização do SUS: importância e implementação em unidade de nefrologia
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INTRODUCTION: The assistance to renal patients, given the various losses they experience, should be focused on biopsychosocial care, integral and continued, culminating in the effectiveness of the service performed through a multidisciplinary team. These characteristics talk to the recommended in the National Humanization Policy (PNH). OBJECTIVE: Therefore, the present study aims to investigate whether humanization strategies based on the axes and principles of PNH are known, applied and valued in the context of care for nephropathic patients, under the view of the professionals of the nephrology unit of the SUS in Brasília-DF. Methods: Descriptive exploratory study, qualitative approach and phenomenological method, with author’s authorship form produced based on PNH guidelines. RESULTS AND DISCUSSION: High valuation of PNH was identified, especially to the guidelines that converge in the interpersonal treatment and quality of aesthetic and ethical service, with no significant difference between professional categories. Less importance was given to political guidelines, corresponding to group, advisory and horizontal decision-making processes. Regarding the implementation of PNH in the sector, the perception of the interviewees reflects the aforementioned results, adding deficit in individualized care and collaboration between professionals and users in decision-making processes. As for the declared knowledge of the PNH, multiprofessional residents, absolutely, affirmed to know the policy while the effective professionals and medical residents mostly did not know it. Concerning the referral of humanized actions in the sector by professional category, observed self-administered bias in the feasibility of these actions. FINAL CONSIDERATIONS: There is an appreciation of the PNH in the sector, since the practical actions are perceived in a superficial way and focused on the operationalization of the service, with deficit as the understanding/ practice of the integrality of the assistance and its political character. There was a lack of management, lack of dialogue between professionals-management-users and deficit in continuing education in care.
Keywords: nephrology, humanization of assistance, national humanization policy.
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Aspectos psicológicos e sociais que contribuem para dificuldade no acesso de pacientes renais crônicos ao transplante renal
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INTRODUCTION: The research explains the concept of kidney disease, quality of life promotion indexes linked to transplant treatment, as well as the social and psychological factors that permeate the process of kidney disease. OBJECTIVE: to investigate the causality relationship between social and psychological factors with low adherence to treatment in kidney transplantation. MATERIAL AND METHODS: Exploratory study with a qualitative and quantitative approach analyzed by the method of content analysis of Bardin with application of two questionnaires of own authorship, produced with focus on collecting psychological and social aspects related to renal transplants. RESULTS: We found cohesive sociodemographic profiles among participants, with no greater disparities between users, with no factors that brought benefits or losses. Regarding the psychological aspects, it was found the presence of emotional factors related to the elaboration of mourning, feelings of less value, conflicts with self-image, impairment in autonomy and anxiety and depressive symptoms that may or may not be related to low adherence to renal transplantation. CONCLUSIONS: The influence of psychological and social factors on the reduced level of adherence to transplantation is observed However, the deficits related to the public health system stand out, in relation to the non length of regulations regarding the referral of patients to the transplant center and effective health education programs.
Keywords: Renal transplantation, Psychological aspects, Chronic kidney disease, Hemodialysis.
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Estudo de casos múltiplos para identificação de alterações cognitivas em pacientes pós-infecção por COVID-19
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BACKGROUND: The extent of the consequences of the COVID-19 pandemic for patients who survived the infection still needs to be evaluated, both in physical terms and in terms of psychological functioning. OBJECTIVE: This research aimed to investigate possible cognitive changes after being infected by COVID-19. METHODS: 3 case studies were carried out with participants who had COVID-19, with no history of cognitive difficulties prior to the infection. In each case, a Psychological Assessment process was carried out consisting of life history, anamnesis and application of the Wechsler Abbreviated Intelligence Scale and the Brazilian version of the Bells Cancellation Test. RESULTS: The results showed that all participants had post-COVID-19 cognitive changes, especially changes in executive functions that were significant and independent of the severity of symptoms presented during the period of COVID-19 involvement. CONCLUSIONS: All participants have a history of successful professional and social performance, with significant changes after the COVID-19 infection, corroborating the literature regarding the potential neurological effects of the new coronavirus.
Keywords: SARS-CoV-2, Cognitive Dysfunction, Applied Psychology.
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Morte e luto no hospital durante a COVID-19: Implicações na saúde mental dos profissionais da linha de frente
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BACKGROUND: The purpose of this work emerged during the pandemic context caused by COVID-19, as it influenced several events that affected the world's population, whether economically, socially or psychologically. Thus, there was a look at health professionals who were in the hospital and on the front line of the fight against the Coronavirus. OBJECTIVE: The present study aimed to understand how the high rate of deaths in hospitals related to the Coronavirus affected the mental health of these health professionals, to analyze its implications and how the confrontation occurred. METHODS: The research method was qualitative with descriptive and explanatory purposes, through data collection by the ex-post-facto procedure, four health professionals were interviewed online through the Google Meet platform, among them, a Nurse, a Physiotherapist, a Nursing Technician and a Psychologist. RESULTS: As a data collection instrument, a semi-structured interview was used, containing a script with eleven questions, seeking to evoke data from the perspective of health professionals on the definition of death and mourning, the coping mechanisms and the implications for the physical and mental health of these subjects. For data analysis, Content Analysis was used. FINAL CONSIDERATIONS: According to the results achieved, the hypothesis was confirmed that the large number of deaths caused by COVID-19 had an impact on the lives of these individuals, in addition to having contributed to the psychological illness, as well as the coping mechanisms used in the face of death and the mourning in which they were exposed.
Keywords: Mental health, COVID-19, Health professionals, Death and Mourning.
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Escala de avaliação para adesão ao tratamento psiquiátrico: construção de instrumento e qualidades psicométricas iniciais
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Introduction: Difficulties in psychiatric treatments have been shown to be a public health problem, generating high costs in treatments and exacerbation of severe mental symptoms. In view of the gap related to protocols or assessment instruments for this condition in the Brazilian scenario, the present study aimed to develop a self-report scale that assesses the process of adherence to psychiatric drug treatment, entitled "Scale for assessing adherence to medication in treatment psychiatric” and the investigation of its psychometric qualities. Material and methods: Two studies were carried out: pilot study and investigation of the evidence of content validity of the scale. The results of the pilot study, conducted with 15 patients undergoing psychiatric treatment, made it possible to adjust the wording of the items. Then, the 118 items were sent to five expert judges who rated the items in the five areas. For the pilot study, the preliminary version of the Assessment Scale of Adherence (self-report) to medication in psychiatric treatment was used, containing 114 items. Result and discussion: Thus, 105 items presented agreement considered adequate (equal to or above 80%), being selected to compose the current version of the instrument, in order to confirm their evidence of content validity. Final considerations: The results of the initial investigation studies of its psychometric qualities proved to be favorable and motivate the continuation of the studies with the instrument. It is worth noting that there are limitations to this study, given that the construction of a self-report instrument is subjective and requires a cognitive understanding of the subject, especially on issues related to their physical and mental well-being.
Keywords: instrument, health psychology, mental health, psychiatric treatment.
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Panorama no ensino da Odontogeriatria na região sudeste do Brasil
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Introduction: Odontogeriatrics started to be considered a specialty of dentistry from the year 2001, and Brazil was the first to recognize it. There are 244 specialists in Odontogeriatrics: 52 in Rio de Janeiro, 79 in São Paulo, 29 in Minas Gerais and 12 in Espírito Santo. Even with 19 years of existence, the number of professionals is reduced compared to the current elderly population. It is necessary that undergraduate students have basic knowledge about the particularities of the elderly, so that they can carry out individualized treatments and act in the prevention of possible damages. Objective: to carry out a survey of data in the faculties of Dentistry of the Southeast region of Brazil, recognized by the MEC, to verify how many present the discipline of Odontogeriatria, in a mandatory or optional way. Method: We analyzed the total number of Higher Education Institutions that presented: undergraduate dentistry, the discipline of Odontogeriatrics or related subjects, and make available the curriculum matrix. It was segregated between: offering the discipline (mandatory or optional) and those that did not provide the discipline. Results: Of the 161 colleges present in this region, it was found that 64% do not have the discipline of odontogeriatrics, 30.4% have the mandatory one, and 5.6% have it as an optional subject. Bearing in mind that there are 172 specialists in Odontogeriatrics throughout this region, and that only 36% of universities train professionals with knowledge of the particularities of dental care for elderly patients. Conclusion: There is a professional lack of preparation and an inability to provide quality care to the geriatric patient.
Keywords: Geriatric Dentistry, Dental Assistance for The Elderly, Dentistry, Seniors.
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Habilidades sociais em gêmeos adolescentes
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Background: Desirable behaviors are expected in adolescence, as they have had, during childhood, their space for interpersonal development. The challenges of adolescence added to twinning challenges join forces to go through the construction of several subjective factors, such as learning new social skills. Objective: The aim of this study was to understand how the development of social skills occurs in teenage twins. Methods: A qualitative and exploratory research was conducted by means of a semi-structured interview. The participants were twelve dizygotic twins, Brazilians and without exceptionalities. The ages ranged from twelve to seventeen years old, and the pairs were composed by twins of the same gender. After analyzing the contents, there were three categories identified, which were grouped into six subcategories: 1) Interpersonal Relations – Family Context and Social Context; 2) Twinhood – Perception and Positive and Negative Factors and 3) Social Skills – Deficits and Repertoire Variability. Results: The results pointed out that twinhood impacts the social skills deficit such as communication, and consequently in autonomy abilities, civility and making and maintaining friendships. The social skills developed by one of the twin teens does not always reflect on the pair. The partnership that occurs between the pairs is not directly linked to the acquisition of social skills, causing each one to build their own repertoire individually. Conclusion: The study highlights the importance of expanding the look at the behavior of monozygotic twins in future studies.
Key-words: twins, twinhood, fraternal twins, teenagers, social skills.
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A formação em psicologia e a atuação no campo das políticas públicas de saúde mental na região do ABCDMRR
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Introduction: Research has shown that the presence of critical debates on Public Mental Health Policies is scarce during the Psychology training process, as the trend is the establishment of a traditional approach that reduces the subject in the face of naturalized and individualizing practices. The aim of this article was to investigate the absence of critical debates on this topic, with regard to the training and performance of psychologists in this field. Material and methods: The research was exploratory in nature with qualitative analysis of the data. Two professionals with a background in Psychology participated in the research, who work or have worked in the CAPS (Psychosocial Care Centers) in the ABCDMRR region. Results and discussion: The participants pointed out weaknesses regarding the content and discussions about Public Mental Health Policies during their training in Psychology and reported difficulties regarding the performance models established in the substitute services (CAPS). Final considerations: It was found that much still needs to be advanced, both in research and in the knowledge produced and obtained in the training universities, as well as in the role models of psychologists who deal with the daily work in the CAPS.
Keywords: professional practice in psychology, psychosocial care center (CAPS), psychology training, public policy, mental health.
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Prevalence of Gram-negative rods antibiotic resistance in public Brazilian hospital
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Resumo: Introdução: As bactérias Gram negativas não fermentadoras e as da família Enterobacteriaceae estão intimamente relacionadas às infecções hospitalares, e com diminuição da sensibilidade aos antimicrobianos. Objetivo: Este estudo tem como objetivo avaliar a prevalência de resistência aos carbapenêmicos em Pseudomonas aeruginosa, Acinetobacter baumannii e Enterobacteriaceae. Material e métodos: As amostras e teste de suscetibilidade antimicrobiana recuperados pelo laboratório credenciado pelo hospital, com atendimento exclusivo pelo Sistema Único de Saúde, nos anos de 2013 a 2017. Resultados e discussão: Observou-se que dentre as infecções graves, as pneumonias foram as mais prevalentes tanto em P. aeruginosa, quanto em A. baumannii e Enterobacteriaceae na corrente sanguínea, em homens, acima de 61 anos, em mais da metade do tempo de estudo, predominantemente em UTI. Além disso, o principal fenótipo para os não fermentadores foi MBL e Enterobacteriaceae KPC. Considerações finais: A resistência a múltiplas drogas reflete a combinação de mecanismos de resistência e o uso da vigilância epidemiológica para identificar os problemas e riscos de infecção aliados à prática de medidas de prevenção e controle podem auxiliar na redução das infecções.
Palavras-chave: Acinetobacter baumannii, enterobacteriaceae, infecção hospitalar, Pseudomonas aeruginosa, mecanismos de resistência.
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Preditivos de falha de decanulação em um hospital de referência em trauma na região Norte
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Introduction: Placing a tracheostomy is a procedure commonly performed in intensive care units (ICU), with well-established protocols, so after tracheostomy, it is necessary to discuss and build work instructions that establish safe standards for safe weaning of the patient. tracheostomy (TQT). Objective: Investigate factors and or predictive events of failure in decannulation, using an institutional flowchart. Method: It was an analytical, retrospective, quantitative, and descriptive study, which occurred through the analysis of data available in the operating system of the Metropolitan Hospital of Urgency and Emergency, in which 128 patients admitted from January to December were analyzed 2019 who underwent tracheostomy, all over 18 years of age, in which 36 participants were included within the research criteria, who were considered to have decannulation failure. Results: 36 adults showed failure at some stage of the decannulation process, 12 of which were female and 24 were male, with an average age of 39.9 years. The most common diagnoses were traumatic brain injury (TBI) 29, followed by face trauma 7, spinal trauma (TRM) 5, firearm injury (FAF) 3, stab wound (FAB) 2 and finally 1 patient with burn trauma. Conclusion: The research demonstrated that dysphagia was the most pertinent factor of failure in decannulation among the predictors investigated. Also opening up a discussion about the need to update the decannulation flowchart used in the referred research hospital.
Keywords: Decannulation, Dysphagia, Deglutition, Public health, Tracheostomy.
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A prevalência, anos vividos com incapacidade e óbitos devido a utilização de opioides por diferentes faixas etárias e locais do mundo: um estudo Global Burden of Disease
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Introduction: Pain is an unpleasant sensation with a significant potential to decrease people's quality of life. Chronic pain has a prevalence of almost 30% of Brazilian elderly and reaches 50% in developed countries. Thus, as the process of chronic pain in the world worsens, there is an increase in the use of opioids and, with that, the progressive loss of the functional capacity of these individuals. The objective of the present study was to recognize the prevalence of mortality and disability. Material and Methods: This study was carried out using the Global Health Data Exchange (GHDx) database, which is a database collected and analyzed by a consortium of more than 3,600 researchers in more than 145 countries. Analyzed data from four countries (developed and emerging) in America comparing the periods of 1990 and 2019. Results and Discussion: Comparing the prevalence of opioid use between 1990 and 2019 in Canada, USA, Brazil and Argentina, it is possible to verify a significant increase in values. Regarding mortality, we can observe that in 1990 the mortality in Canada was 352.48 and in 2019 it was 1,866.68, in the USA the value of 4,352.16 in 1990 advances to 47,336.67 in 2019, in Brazil the rate was 37.49 in 1990 and 132.75 in 2019 and in Argentina the value went from 14.45 to 48.16 in 2019. Considerations: This study demonstrated through numerical data the increase in the use of opioids in important countries of America in its various aspects, from its prevalence of use to the number of deaths caused by the abusive and indiscriminate use of these drugs. The study should encourage managers, physicians and patients to adopt new behaviors and care considering the use of opioids.
Keywords: opioids, chronic pain, functional disability.
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O perfil dos pacientes com acidente vascular encefálico atendidos em um centro especializado em reabilitação e o risco de lesão por pressão
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Introduction: Stroke is the sudden interruption of blood flow to some region of the brain, which causes symptoms such as plegia, dysarthria, syncope, dizziness and headache. It can be classified as ischemic or hemorrhagic. Objective: the study aimed to identify the profile of patients with cerebrovascular accident and risk of pressure injury. Material and methods: This is a quantitative, descriptive, cross-sectional and field study, carried out in a Specialized Center in Rehabilitation of a school clinic, in the extreme south of Santa Catarina. 41 patients with cerebrovascular accident took part in the research. Data were collected during their care at the Specialized Rehabilitation Center, using a closed-ended questionnaire to establish the profile of patients and application of the Braden Scale. Results and discussion: The data revealed more men, most aged over 60 years, white, with complete high school, married, at risk of pressure injury. Final considerations: The prevention of patients with stroke prevents and treats complications, in addition to providing a better quality of life.
Keywords: pressure ulcer, health profile, cerebrovascular stroke.
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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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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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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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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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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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Benefícios da fisioterapia pélvica nas disfunções sexuais femininas e na qualidade de vida: revisão integrativa
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Background: Sexual dysfunctions are characterized as any disorder that will have effects and / or will cause damage to the female sexual function that directly impact the quality of life and affective food relationships. Objective: The aim of this research was to carry out an integrative review with a view to proving the benefits of pelvic physiotherapy in the treatment of female sexual dysfunction and quality of life. Revision: This is an integrative literature review study, with bibliographic search of published articles published, Latin American and Caribbean platforms in Health Sciences (LILACS), Medical Literature Analysis and Retrieval System Online - (MEDLINE / PUBMED ), Scientific Electronic Library Online (SCIELO), Sciencedirect and Mendeley, combined in English and Portuguese. The search took place between January and June 2021 and the year of publication was not used as a selection criterion. Discussion: The initial search found 28,100 titles, which, after cc, were reduced to just 560 articles. Of these, only 7 were consistent with the survey. Final considerations: Based on this research, it identifies that pelvic physiotherapy plays a key role in the treatment of female sexual dysfunctions (FSD), and in improving the quality of life, since as FSD they change not only the woman's physical structures, but also psychological and social.
Keywords: sexual dysfunction, physiotherapy, quality of life.
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Humanização no atendimento odontológico
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Introduction: Dental practices play an important role with regard to the daily procedures that Dental Surgeons perform on each patient, and also the fundamental role they play in the humanized work that each one performs, in the face of each service performed on knowledge acquired during their academic training. The objective this study seeks to investigate the knowledge that underlies humanization practices in dental care. Material and methods: This study had a quantitative-qualitative approach, seeking to explore the humanized practices used in dental care. Data collection was carried out through a questionnaire with open and closed standard questions for practicing dentists, in order to identify how their practices in dental care are humanized. Results and discussion: Understanding of the National Humanization Policy 84.6% of the participants said they know, and 62% of these obtained such knowledge about the National Humanization Policy (PNH) during their academic training period. When asked about their understanding of what humanization in health is, 8.69% of the participants associated humanization with broader issues, such as the Unified Health System (SUS), 30.43% associated this practice with considering the patient for complete, unique and individualized and 8.69% related to empathy. Regarding the average consultation time, 76.9% perform their consultations in an average time of 20 to 40 minutes and 23.1% perform their consultations with a time over 40 minutes, as described in graph 4 below. Final considerations: However, it is extremely important that humanization is evidenced in the course of dental care by Dental Surgeons, so that it is applied according to daily practices in each patient.
Keywords: empathy, humanization of assistance, dentistry.
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Incidência de diagnósticos de transtorno de personalidade: avaliação de adolescentes em acolhimento institucional identificados no serviço
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Introduction: the institutional care of adolescents under the protective measure of justice brings in its history adolescents in situations of social vulnerability who are placed in temporary shelter, in order to guarantee their basic rights, to later reintegrate them into nuclear, extended families or substitute. Objective: The objective of the research is to analyze the incidence of personality disorder diagnoses identified in the service. Materials and methods: This is a documentary, descriptive study, with a bibliographic survey on the subject and a qualitative approach. The research subjects were the initial documents for admission of the adolescents to a shelter unit and for the bibliographical research, the Scientific Electronic Library Online (Scielo) and Virtual Health Library (BVS) databases were used for the period 2010 to 2020. Results and Discussions: The results were 50 sheets with diagnoses for conduct disorder and oppositional defiant disorder. Final considerations: It is concluded that the incidence of personality disorders is high, more evident for oppositional defiant disorder, and higher in males.
Keywords: conduct disorder, personality disorder, sheltered youth, institutionalized child, foster home care.
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Acompanhamento farmacoterapêutico em pacientes com doença renal crônica
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Background: Health professionals, in recent decades, have directed greater attention to chronic diseases, since these diseases are responsible for a significant portion of the morbidity of the world population, affecting from young people to the elderly. Currently, the main treatments available for end-stage renal disease are: automated peritoneal dialysis, hemodialysis, continuous ambulatory peritoneal dialysis, intermittent peritoneal dialysis and kidney transplantation. Such treatments partially exert the renal function, alleviating disease symptoms and preserving the patient's life, without generating a cure. Chronic kidney patients use several drugs concomitantly, which, associated with changes in the glomerular filtration rate, multiple comorbidities and age, increase the risk of drug interactions. Objective: The aim of the present study is the pharmacotherapeutic follow-up of patients with chronic kidney disease, aiming at improving their quality of life in this population, which, due to the practice of polypharmacy and the presence of various diseases, usually has their quality of life reduced. Methods: Data present in the patient's medical record and the SOAP (Subjective, Objective, Assessment, Plan) allowed the collection and organization of patient data, the identification of problems related to pharmacotherapy, the elaboration of a care plan together with the patient and put an end to individual follow-up of the patient. Results: Of the 5 patients interviewed, in 1 there was no drug interaction, however, 4 had drug interactions, referring to their pharmacological treatment, totaling 12 interactions, with 6 (50%) severe interactions, 5 (41.67%) moderate and 1 (8 .33%) light. Conclusions: This research allowed to carry out pharmacotherapeutic monitoring in chronic kidney patients, who, due to their condition, have prescription restrictions of different therapeutic classes that can generate adverse effects in relation to renal function and age, resulting in polypharmacy and DRPs.
Keywords: kidney disease, pharmacist, interactions.
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Índices hematimétricos associado as parasitoses intestinais no Município de Breves, Ilha do Marajó, Pará
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Introduction: Intestinal parasites, especially in underdeveloped countries, constitute a major health problem, which are caused by protozoa and helminths resulting from inadequate socio-sanitary conditions in which the population is inserted. Objective: To identify the incidence of intestinal parasites and their relationship with anemia in a population of Bairro Jardim Tropical, Breves - PA. Material and Methods: Cross-sectional study performed through stool examinations by direct and Hoffman methods, structured questionnaire, and blood collection for hematological analysis, being collected from 83 samples of local residents. Results: The study showed 30.1% (25/83) of the samples collected with blood counts suggestive of anemia. The results showed a positivity of 75.6% (63/83), with the majority of infected females being 65% (41/63), against 34.9% (22/63) of males. Regarding the intensity of infections, polyparasitism 73% (46/63) prevailed compared to monoparasitism 26.9% (17/63). Additionally, a higher incidence of protozoa than helminths was observed, with pathogenic protozoa as etiological agents: Entamoeba histolytica/ E. dispar 46% (29/63) and Giardia intestinalis 7.9% (5/63). For helminths, the highest incidence was Trichuris Trichiura 31.7% (20/63), followed by Ascaris lumbricoides 20.6% (13/63). Furthermore, a high incidence of non-pathogenic protozoa was found, such as: Entamoeba coli, Endolimax nana, Iodamoeba butschlii and Blastocistis hominis. Final considerations: The results reinforce the need to implement effective public policies, aimed at guaranteeing quality basic sanitation to the population.
Keywords: anemia, Amazon, enteroparasites, ribeirinho, basic sanitation.
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Resilience and emotional intelligence in athletes
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Introdução: Na sociedade contemporânea, a Psicologia do Esporte faz uso de construtos de inteligência emocional e resiliência visando o melhor desempenho dos atletas, tanto na realização pessoal quanto na obtenção de resultados satisfatórios em competições. Assim, o estudo teve como objetivo verificar a relação entre inteligência emocional e resiliência de atletas. Material e métodos: Metodologia Estudo com abordagem quantitativa aplicada a 32 atletas de clubes e universidades privadas, localizados no Grande ABC / Estado de São Paulo, Brasil. Os dados foram coletados com os devidos cuidados éticos, em relação à pesquisa com seres humanos, por meio do Termo de Consentimento Livre e Esclarecido (CIF). Para a coleta de dados, foram utilizadas a Medida de Inteligência Emocional (MIE) e a Escala de Resiliência, ambas validadas no Brasil e com índices de precisão satisfatórios. Por se tratar de um estudo quantitativo, foram realizadas análises estatísticas descritivas da inteligência emocional e habilidades de resiliência, utilizando o pacote estatístico SPSS - Statistical Package for the Social Science, versão 17.0 para Windows. Resultados e discussão: Os resultados trouxeram evidências de que a habilidade intrapsíquica de inteligência emocional, denominada autoconsciência, foi a que mais se relacionou com a resiliência dos atletas. Tais resultados sugerem que quanto mais o atleta aumenta sua capacidade de ler, organizar e nomear suas próprias emoções, maiores suas chances de ser resiliente, aumentando sua capacidade de se adaptar e tolerar o sofrimento, diante de situações adversas e pressões, muitas vezes vivenciadas. durante a prática esportiva. Considerações finais: Parece que atletas com autoconsciência bem desenvolvida seriam também aqueles que tenderiam a se tornar mais resilientes, reafirmando a importância dos postulados da Psicologia Positiva na determinação de novos horizontes para pesquisas nas áreas de Humanidades e Ciências Sociais, especialmente aqueles que enfatizam os pontos fortes e fracos, virtudes positivas das pessoas.
Palavras-chave: inteligência emocional, resiliência, atletas.
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Uma análise do preparo e enfrentamento da equipe de enfermagem em Manaus para com o atendimento ao paciente em crise psicótica
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Introduction: Study focused on primary care performed in patients with psychotic crises in hospitals in Manaus with the objective of characterize and analyze nursing coping with emergency care for patients with psychotic crises. Methods: A qualitative exploratory quantitative field research was carried out with 38 participants working in the field of Nursing. Results: Based on research analysis where female participants predominated, insecurity and lack of ability in the face of psychotic crisis stood out. Conclusion: Good primary care is of utmost importance for the hospital system, the need for continuing education was evidenced, providing conditions and preparation for emergency psychiatric care, encouraging cordial and humanized care for patients with mental disorders.
Keywords: nursing assistance, primary care, patient in psychotic crisis.
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Saúde mental da mulher em um contexto de violência doméstica e familiar
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We aim to analyze the woman in a context of domestic and family violence, verifying the extent to which the violence suffered by her causes mental health problems, described by discouragement, agony and fear, as well as the determinants that lead the woman to remain in this relationship. violent. We opted for a qualitative research, observational and descriptive, whose object of study are the narratives of eight women who suffered and suffer psychological violence and who are already compromised in their mental health, with psychiatric and emotional consequences. The interviews took place with women victims of domestic and family violence, in the city of Teresina-PI, in 2018. For the analysis of the narratives, we considered two categories: the woman who suffers and lives with the aggressor and the woman victim who denounces the aggressor. We approach as a theoretical reference some reflections about the Maria da Penha Law, its objectives, effectiveness or flaws in its applicability, emphasizing the positioning of scholars. We found, with this study, that women are not always able to denounce the aggressor, given the situation of violence and fear in which she is inserted. A large portion of the interviewees claimed states of discouragement, agony and fear as the psychological and psychiatric consequences of this type of violence, causing them mental health problems.
Keywords: health, domestic and family violence, women, psychological consequences, Maria da Penha Law.
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