Início Multidisciplinary team of oncology and the participation of speech therapy in the...
Número atual: 9 (2022)
Entraves da atenção farmacêutica nas unidades básicas de saúde
Resumo:
Introduction: Pharmaceutical Care proposes that the pharmaceutical professional acts by identifying, intervening and preventing the Problems Related to Medicines (PRM), through actions that promote rational use. Review: Systematic literature of the integrative type of relevant evidence-based studies, which were published between the years 2007 and 2020 in the Google Scholar, Lilacs, PubMed and SciElo databases, in English, Spanish and Portuguese. Discussion: The literature review allows addressing the main barriers of Pharmaceutical Care in UBS, evaluating the participation of the pharmacist and highlighting its importance in promoting access and rational use of medicines, with approaches that highlight the difficulties of insertion. Final considerations: Despite the barriers faced by the pharmaceutical professional, it is extremely important to act in front of the health team, since the pharmacist has scientific technical knowledge with regard to Pharmaceutical Care, thus promoting effective and quality care. However, it is important that the professional is inserted to carry out the actions inherent to their training, aiming at success in the users' pharmacotherapy.
Keywords: pharmaceutical care, pharmacotherapeutics, PRM, rational use of medicines.
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Interações medicamentosas entre terapias anti-hipertensivas e terapêutica odontológica: revisão de literatura
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Introduction: Arterial hypertension affects a huge part of the Brazilian population and this condition is commonly found within the male and elderly population, leading to the use of anti-hypertensive medication in some cases. Drug interactions may happen in hypertensive patients undergoing dental treatment with real risks of side effects and permanent damage. This literature review aims to clarify the subject of drug interactions that may happen among antihypertensive agents and those implemented in dental treatments in order to increase safety toward patient prescriptions. Review: The methodology involved and extensive bibliographical research on Bireme and Lilacs databases, Scielo indexer, Google Scholar, and literary work available on the subject. The data collection included papers published in the last 12 years, from 2009 to 2021. Discussion: Among the most commonly used medications in routine dental care, the Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) resulted as the most noteworthy aspect of this research due to the enormous incidence of interactions when associated with anti-hypertensive drugs, especially decreasing the expected effects of such drugs in regulating blood pressure. Final considerations: Once the risks of drug interactions in Dentistry are imminent, the routine drug prescription and application must be performed safely and responsibly by professionals and students alike, taking into account the hypertensive patient’s full medical history and understanding the risks that the drug associations may cause.
Keywords: drug interactions, hypertension, antihypertensive agents, dental care.
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Prevalência de dor osteomuscular em idosos atendidos em uma unidade básica de saúde de Petrolina- PE
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Introduction: The population is aging slightly, given this process, there are problems such as musculoskeletal diseases. The objective was to verify the prevalence of musculoskeletal pain in the elderly assisted at a basic health unit in the urban area of Petrolina-PE. Material and methods: The musculoskeletal pain variable was assessed using a structured questionnaire based on the general Portuguese version of the Nordic Musculoskeletal Questionnaire (QNSO) crossculturally adapted for Brazil. Data processing and analysis were performed using the Statistical Package for Social Sciences (SPSS) version 16, after insertion through double typing. Results and discussion: The prevalence of musculoskeletal pain in the elderly cared for in a basic health unit in Petrolina Pe was high, and the most referred body site was the knee area. Final considerations: More studies are needed to demonstrate this prevalence in the elderly with larger samples and covering more locations.
Keywords: musculoskeletal pain, elderly, prevalence.
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As vivências de mulheres HIV positivas durante o acompanhamento do pré-natal e no pós-parto
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Abstract: Introduction: Pregnancy is a moment that brings many emotions in women's lives and the positive diagnosis for HIV will interfere directly in their prenatal care. This study aimed to understand the experiences of HIV-positive women during prenatal and postpartum follow-up. Review: This is a literature review study. The Virtual Health Library (VHL) was used to select the articles that guided the research. In the VHL, the following descriptors were used: HIV, pregnant women, prenatal care, maternity, feelings and mental health care, crossed with each other using the Boolean operator AND to interconnect the descriptors. The filtering criteria for inclusion of the articles were: Portuguese and English, last 5 years and the databases (Lilacs, Scielo, BDENF, MEDLINE). Discussion: After study and analysis of the 11 articles chosen to compose the work, it was possible to identify three aspects that are most part of the experiences of HIV-positive women during pregnancy and postpartum, they are: The feelings, emotions and mental health, the relationship with partners, family members and health professionals and the stereotypes about the diagnosis and how it affects seropositive pregnant and postpartum women. Final considerations: The multiprofessional team needs to have an active listening and clinical look in order to provide a comprehensive care that attends all the biopsychosocial issues of HIV-positive women, from pregnancy planning to postpartum.
Keywords: mental health care, prenatal care, pregnant women, HIV, maternity, feelings.
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A nutrição como medida preventiva para o câncer
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Introduction: This study aims to demonstrate the efficacy of nutrition to prevent neoplasia. Review: Integrative literature review using the Lilacs, Google Scholar, BVS and Scielo databases for searching papers published in the last 5 years. Discussion: After analysis of 15 articles it was observed that alimentation has a great influence on the appearance and prevention of neoplasias. Final considerations: the present study demonstrated that inadequate diet plays an important role in the appearance of certain types of cancers, and adequate diet may help to prevent it.
Keywords: prevention, cancer, nutrition.
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Expectativa da ação da liraglutida no processo de emagrecimento
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Introduction: Liraglutide is a synthetic, injectable drug, its action consists in increasing insulin secretion, decreasing the release of glucagon, delaying gastric emptying and causing a reduction in appetite. The objective of the research was to describe the role of liraglutide as a pharmacological strategy for the weight loss process, describing the mechanism of action of liraglutide, identifying the most common adverse reactions associated with this drug, in addition to presenting the therapeutic effects on weight loss. Review: This is an integrative literature review research, the portals for data collection used were the bases of Scielo, BVS and PubMed, with texts in English and Portuguese from the period 2016 to 2021. Studies in English and Portuguese, with full-text availability. The exclusion criteria for the research were articles that did not fit the theme of study and tests on animals, direct combinations with other drugs. Discussion: It was evidenced that the use of liraglutide is efficient and recommended for the weight loss process, the most used dosage was from 0.6 to 3.0mg. There are no differences regarding the different reactions in children, adolescents and adults. Final considerations: Therefore, liraglutide was shown to be effective for weight loss, with high tolerability and safety for age groups from 7 years of age.
Keywords: slimming, hypoglycemic drugs, liraglutide.
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Atuação do Fisioterapeuta em Dermato-Funcional em Pacientes de Pós-Operatório de Cirurgia Bariátrica: Uma Revisão de Literatura
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Introduction: Obesity was defined as excessive accumulation of body fat, the result of an imbalance between food intake and energy expended. Metabolic Syndrome (MS) was considered the main cause of this disease. Bariatric surgery proved to be an effective tool in the control and treatment of obese individuals, who had failed conventional treatment. Objectives: to describe the performance of physiotherapy in accelerating the rehabilitation process, providing relief from pain, edema and patient functionality. Methodology: A literature review was carried out, through classic books and articles, in databases such as: Pubmed, Google Academic, Scielo. The books and articles used were produced in the last eleven years. Results: The role of physiotherapy in the postoperative period of bariatric surgery treats symptoms such as: edema. Lymphatic drainage provides tissue decongestion, as well as: provides faster healing. Discussion: Lymphatic drainage consisted of a massage modality, through precise, light, gentle, slow and rhythmic maneuvers, which follow the path of the superficial lymphatic system. Lymphatic drainage was effective in the treatment, as there is a reduction in edema in the postoperative period of surgery. Final considerations: The treatment of functional dermatological physiotherapy in patients undergoing bariatric surgery, in order to alleviate pain and edema in the immediate postoperative period, prevents and treats complications, in addition to providing a better quality of life
Keywords: obesity, metabolic syndrome, bariatric surgery, dermato functional physiotherapy.
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A importância das políticas públicas para o tratamento da hemoglobinúria paroxística noturna
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Introduction: Rare disease is classified as one that affects up to 65 people per 100,000 individuals. They are usually chronic and degenerative conditions, many of them without a cure or effective and accessible treatment, which cause a high degree of morbidity and mortality, in addition to facing a great challenge, because due to their low incidence, health professionals do not have the knowledge about their existence, which reflects in a late diagnosis and lack of public health preparation. Review: This article focuses on the rare disease called Paroxysmal Nocturnal Hemoglobinuria (PNH) and its scenario in public health. Discussion: The PNH is characterized as a rare acquired chronic hemolytic anemia, caused by the non-malignant clonal expansion of one or several hematopoietic stem cells, developing various symptoms in their carriers. Its estimated annual incidence is 1.3 new cases per one million individuals, but as it is a difficult disease to diagnose, the number may be underestimated and does not reflect reality. Final considerations: PNH patients face a long and difficult trajectory, from diagnosis to effective treatment. Even with established guidelines, many patients with rare diseases and their respective families receive unequal treatment in the health service. Public policies are necessary and need to be effective to improve access to information and treatment, provide the necessary structure and follow-up, to reduce the impact caused by these diseases and contribute to improving the quality of life of patients.
Keywords: rare disease, paroxysmal nocturnal hemoglobinuria, PNH, public health, unified health system, SUS.
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