4 (2020)

Papel do enfermeiro do PSE na prevenção da gravidez na adolescência

Resumo: Introduction: Adolescent pregnancy is considered a public health problem and the school, together with the PSE Nurses, is committed to developing educational and assistance actions, geared to the needs and particularities of this age group. Review: This is a qualitative literature review. The study subjects were adolescents aged 10 to 19 years enrolled in public schools in a municipality in the metropolitan region of Salvador-Ba. Discussion: Health education must be developed in partnership with the school, family and health professionals, as a proposal to reduce the rate of teenage pregnancy, carrying out activities that help to build knowledge.Final remarks: The school is the ideal place for the development of educational activities and nursing reception is essential for the development of actions aimed at preventing pregnancy in adolescence. Keywords: nursing, adolescent health, pregnancy. Expandir Resumo Acessar Texto Completo

Medindo a satisfação dos estudantes em relação ao curso introdutório de cuidados em feridas ofertado pela liga de feridas e curativos – LAFEC

Resumo: The aim of this study is to analyze the level of quality and satisfaction of participants in a course offered by the Academic League of Wounds and Dressings in the municipality of Marabá, state of Pará, with the theme: prevention and treatment of wounds carried out on April 18, 2019 at the Faculty of Carajás. This is a qualitative-quantitative, descriptive, analytical study, using Likert-type quality measurement scales, with the structuring of five option scores, with “1” being less satisfied, “3” for impartiality showing no opinion on the question asked and “5” for the highest satisfaction index, using a 95% confidence level of acceptance for the collected sample. For the construction of the questionnaire, issues of relevance and relevance of the subjects were identified to understand the aspects of quality and satisfaction in general of the participants, data such as sex, age, educational institution, academic training and professional occupation helped in the understanding of the public studied. Sample obtained totaled 42 responses, from 142 participants, representing about 29.58% of the total participants. The collected results demonstrate satisfactory measurement for evaluating the quality and satisfaction of individual and general aspects of the course, fulfilling the minimum requirements for measuring quality and satisfaction using the scales used, reaching the 95% confidence level of the entire sample analyzed. Keywords: health education, quality control, academic leagues, personal satisfaction, academies and institutes. Expandir Resumo Acessar Texto Completo

Atuação do (a) enfermeiro (a) na prevenção e controle das infecções hospitalares na Unidade de Terapia Intensiva Neonatal

Resumo: Introduction: The occurrence of nosocomial infection has been identified as an important public health problem in Brazil and in the growing world in the Neonatal Intensive Care Unit (NICU), developing various topics for discussion, seeking ways to prevent and control these infections. In this context, it appears in an attempt to improve the service and minimize the risks of neonatal infection, modifying and standardizing care. The purpose of this article was to discuss the role of the nurse in the process of prevention and control of nosocomial infection in the NICU, based on the identification of the clinical priorities of newborns (NBs). This is a descriptive study, through a literature review, based on the scientific articles selected on the basis of LILACS, SCIELO (Scientific Electronic Library), VHL, Theses and Protocols from the Ministry of Health. Review: At the NICU, which is a critical sector, there should be daily monitoring, providing data that help the Commission to analyze monthly statistics, in addition to allowing the implementation of preventive actions to reduce the rate of nosocomial infection as a whole Discussion: The speeches obtained were divided into two proposed themes : Understanding the means of infections and risk factors in the NICU in face of nursing procedures and Hospital infection in the context of nurse care, guiding health professionals and nursing students on the importance of such preventive measures . Final considerations: It is concluded that the nurse stands out for being the qualified professional in assuming the role of advisor and educator of the nursing team and users of health services, performing in a qualified way the touching surveillance hospital infections in neonates, by characterizing such events in a local approach, emphasizing the importance of carrying out control and prevention measures in order to reduce the risks that exist in an NICU. Keywords: neonatal intensive care unit, neonatal nursing, hospital infection. Expandir Resumo Acessar Texto Completo

Tratamentos antineoplásicos: foco na perspectiva holística da fé como agente terapêutico

Resumo: Introduction: Cancer can be considered as an atypical mass with unbridled growth with self-stimulation properties, and, only from the 30's, during the Provisional Government, did the battle really begin? Against carcinogenesis, marked by the construction of hospitals for the treatment and study of cancer. During the Middle Ages scientific research contributed to the beginning of the Renaissance, since then medicine and faith were better understood and included, simultaneously, in patient care. The objective was, then, based on the scientific literature, to know the relevance and applicability of faith, concomitantly with conventional antineoplastic therapies. Review and discussion: A literature review was conducted in several databases, which revealed that the search for faith may have been born of human need, due to its fragility, accepting but not giving in to the disease, presenting the numerous benefits of faith in the face of acceptance, treatment and positive outcome for cancer patients. Final considerations: It was concluded that faith transcends spiritual and psychological relief, modifies the physical state, acting in the systems: endocrine, immune and central nervous, helping in the acceptance of the diagnosis and negative outcomes; adherence and effectiveness of the treatment, and its result, as well as the placebo effect, is given by the mind-body healing method, where, through the beliefs and hopes at the psychological level, various physiological effects set in, resulting in better quality of life and survival, better prognosis and therapeutic efficacy. Keywords: cancer pain, heal by faith, combination therapy patient's cooperation, antineoplastic protocols, placebo effect. Expandir Resumo Acessar Texto Completo

Correlação entre dietas restritivas e o surgimento ou agravamento de transtornos alimentares

Resumo: Introduction: Obesity is a public health problem, making weight loss a common apprehension today, covering almost all age groups. In view of this, the idea of rapid weight loss arises, impacting on the emergence of popular diets to eradicate obesity. Objective of this work was to demonstrate through several studies the real reasons for the unrestrained practice of restrictive diets and their negative repercussion in the development of eating disorders. Review: A review of the literature was carried out with the aim of approaching the thematic fad diets and their effects on the health of their followers. Discussion: The yearning for weight loss embedded in societies is perceived by the literature as one of the factors that would contribute to the disordered growth of these disorders nowadays. Final considerations: It is noted that regardless of the motivation to practice restrictive diets, they acquire a connotation of tolerance, making a satisfactory quality of life impossible. Keywords: restrictive diets, fad diets, healthy eating index, analysis of fad diets, eating disorders Expandir Resumo Acessar Texto Completo

Manejo clínico e intervenção farmacêutica de toxicidades no tratamento de câncer colorretal metastático

Resumo: Introduction: Colorectal cancer is a neoplasm that affects the segments of the large intestine. Treatment is dependent on the size, location and extent of the tumor, as the metastatic colorectal cancer can spread to other organs consequently reducing the chances of cure. According to the World Health Organization, an adverse reaction to medications is defined as any harmful and unintended response that occurs due to the use of any medication in its usual dose. Toxicity encompasses the possible side effects of a treatment, which can cause delays in the chemotherapy cycle, reduction of the dose of drugs, hospital admissions, substitution and / or interruption of treatment, which can compromise the safety of the treatment, causing life-threatening. The work aims to present the toxicities related to the “very common” adverse reactions, most frequent of the drugs 5-fluorouracil, capecitabine and irinotecan and their respective management in metastatic colorectal cancer for intervention by the oncological pharmacist. Review: From the methodology, 30 articles were selected because they are in the full version and according to the theme. This is a literature review of national and international articles in databases (Scielo, Lilacs, ScienceDirect and Google Scholar). Discussion: Toxicities should be evaluated beforehand, it is recommended that a new cycle of chemotherapy is not started until it is resolved or has regression to grade 2 or less, the cycle may be postponed from one to two weeks for full recovery or until it is not limiting for continuity with the treatment. If the expected recovery is not possible, suspension of treatment should be considered. Final considerations: The pharmaceutical evaluation is essential in the identification of toxicities, since he has elementary knowledge of the adverse effects and toxicities of drugs, thus being able to assist the medical team in the decisions of complementary therapy. Keywords: 5-fluoruracil, cancer colorectal, capecitabine, CTCAE, irinotecan, metastasis, toxicity. Expandir Resumo Acessar Texto Completo

Efeitos agudos do EzPAP® terapia de expansão pulmonar: vantagens e desvantagens

Resumo: Introduction: Restrictive lung diseases affect about 12% of the general population and cause a reduction in lung expansion. They are characterized by decreased vital capacity and lung volumes. The EzPAP® is a non-invasive respiratory physiotherapy device, indicated for pulmonary expansion. Objective: To detail the acute effects of EzPAP®, its advantages and disadvantages for pulmonary expansion. Methodology: This is an integrative review of a clinical nature. A search was performed in the databases MedLine, LILACS, Pedro Scientific Eletronic Library online (Scielo), United States National Library of Medicine (PubMed) and Cochrane Controlled. The search period was from March to October 2020. Articles published in the last 10 years were included, without language restrictions. Repeated articles and publications that were not included in databases were excluded. For the selection of articles, the methodology was structured in five phases: (1) Identification of the theme, (2) Search of the subject in the databases, (3) Categorization of studies, (4) Evaluation and (5) Interpretation of the studies results. Three independent reviewers participated in the investigation. Disagreements about inclusion were resolved through a second analysis and consensus of the pre-selected study. Results: 22 studies were found, of which 16 were excluded, as they did not describe a methodological design and for including other clinical conditions other than acute respiratory failure in adults. Thus, 6 studies were included that met the criteria established for the primary outcome. Final Considerations: The most frequent acute effects were the shorter hospital stay, prevention and treatment of pulmonary atelectasis, reduction of dyspnea, hypoxemia and hypercapnia. Few studies have explored and highlighted the disadvantages of EzPAP®, and some had important limitations, with no data on the percentage and relative amount of improvement or worsening of the participants' health status. Keywords: Pulmonary atelectasis, Physiotherapy, Respiratory failure, Physiotherapy modality, Positive pressure breathing, Respiratory care units. Expandir Resumo Acessar Texto Completo

Impacto da cirurgia bariátrica no metabolismo do cálcio

Resumo: Introduction: Due to the high prevalence of obesity that affects the whole world, bariatric surgery has been gaining strength and space in relation to the types of conventional treatments, mainly by individuals who have to lose weight, and who have not been successful with diet alone. However, these procedures cause a significant decrease in the absorption of some nutrients. Highlighting the serum calcium concentrations. Thus, a bibliographic research was carried out with the objective of reporting the main complications caused by calcium deficiency in individuals undergoing bariatric surgery. Review and discussion: The BIREME database was used to search for articles related to the theme of the past 10 years in Portuguese and English. At the end, ten articles were included, which demonstrated hypocalcemia in patients undergoing bariatric surgery, due to low calcium intake and absorption, leading to changes in parathyroid hormone and an increase in greater chances of developing bone fractures. Final remarks: Patients undergoing bariatric surgery show a decrease in calcium levels, so it is necessary to find out how to maintain these adequate levels. Keywords: Bariatric surgery, Calcium, Hypocalcemia, Fractures. Expandir Resumo Acessar Texto Completo

Tratamento de câncer em gestantes: Estudo de Revisão de Relatos de Casos

Resumo: Introduction: Cancer is a group with more than 100 pathologies, which have disordered growth, invading tissues and organs, and are named according to the type of cell and tissue in which they start. The diagnosis of cancer during pregnancy is considered a delicate situation, because it generates suffering for the patient and family and challenging health professionals because it is a rare event. The work aims to present the pharmacological treatments and conducts adopted in cancer in pregnant women, through articles of case reports. Review: The research was conducted based on searches in the Pubmed and Scielo databases, with the keywords in English, pregnancy, cervical cancer, vulvar cancer, ovarian cancer and endometrial cancer, and their respective terms in Portuguese and Spanish. Being the search period from May 1, 2019 to February 28, 2020, articles published between 2005 to 2019 are considered valid, using abstracts and research results from 8 case reports as inclusion and exclusion criteria. Discussion and final considerations: It suggests that the treatment adopted, follow the same criteria as non-pregnant women, however the little literature makes it difficult to choose the best therapy and demonstrates the need for a multidisciplinary team, as well as the importance of the pharmacist in choosing the most appropriate therapy, according to the pregnant woman's staging. Keywords: pregnant woman, cancer, chemotherapy, case reports. Expandir Resumo Acessar Texto Completo

Glycemic index of foods: A review

Resumo: One of the tools to help in the treatment of diseases is the index and glycemic load of food. The objective of the work is to carry out data survey in the literature about the influence of the glycemic indicator of foods. Databases such as MEDLINE / Pubmed, Scielo and Google Scholar were consulted. There is a trend of nutritional change due to urbanization and industrialization that lead to a more westernized diet, related to increased density, with greater consumption of meat, milk and fat-rich derivatives, and reduced consumption of fruits and vegetables. Foods with a high glycemic index induce an increase in glycemia of up to twice as much as foods with a low glycemic index, which may result in the appearance or worsening of several chronic diseases. Understanding the glycemic index of foods is essential for dietary planning and glycemic control. Keywords: glicemic, food, health. Expandir Resumo Acessar Texto Completo

A saúde dos bombeiros militares no combate a COVID-19 no Brasil

Resumo: Introduction: The Firefighter Military, in the exercise of the activity, puts his life at risk to save the lives of others or to defend public and private assets of society. And this has been the case since the emergence of Covid-19 in Brazil, with restrictive measures, isolations or actions to avoid contamination of these professionals and the population. And it is inevitable that some firefighters are infected, after all, both combatants and those who support the front line are at risk. Objective of the study is to describe the importance of military firefighters in combating the pandemic, addressing contamination rates and preventive measures adopted by some Brazilian states. Review: The theme it is of great relevance, since Covid-19 is a highly potent virus that has been causing one of the most serious public and economic health problems on a global scale. The methodology was based on a literature review, using databases from Scielo, PubMed and the Virtual Health Library (VHL) and Science Direct, published until September 2020 in Brazil. Discussion: Due to the high incidence and mortality, the effects of Covid-19 can be felt for a long time and emotional support measures with psychologists and other forms of medical and social assistance to military firefighters are essential and must be carried out in all Brazilian states. Final Considerations: According to the various sources used in this study, it can be seen that living with Covid-19 is adapting to a new lifestyle to prevent the recurrence of the disease until the vaccine appears for the population. Keywords: firefighters, Covid-19, public health. Expandir Resumo Acessar Texto Completo

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

Relato reflexivo a partir de atividades desenvolvidas em uma unidade de saúde da família no interior da Bahia

Resumo: Introduction: Throughout my journey I was able to discover an interest, in permanent education through the interaction and work that I developed in Primary Health Care. Through these processes of activities developed in daily life, I used the constructive methodology as my ally, in favor of educational movements case report: To demonstrate the results, I decided to develop a reflective report about my daily work, and I will quote excerpts from my cartographic diary, and I will talk about the development of certain activities experienced. Discussion: In my daily work, I was able to observe the existing relationship with EPS in motion, the way the learning process takes place in the educational space without being a cast. When observing the need for knowledge of the users of the unit and the exchange of information regarding breastfeeding obtained in dialogue. Keywords: breastfeeding, popular education, continuing education 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

Efetividade do tratamento odontológico preventivo em pacientes com fissuras labiopalatinas no ambulatório de odontopediatria do hospital geral de Cuiabá – MT

Rumores e condutas coletivas na pandemia: a teoria do complô sobre a origem da COVID-19

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