International Archives of Medicine <p><em><a href="/ojs/index.php/iam/about/editorialTeam">Editorial Team</a>&nbsp;&nbsp;|&nbsp;<a href="/ojs/index.php/iam/user/register">Register</a>&nbsp;&nbsp;| &nbsp;<a href="/ojs/index.php/iam/login">Login</a>&nbsp;&nbsp;| &nbsp;<a href="/ojs/index.php/iam/user/profile">My Profile</a>&nbsp; | &nbsp;<a href="/ojs/index.php/iam/notification/settings">Manage Notifications</a>&nbsp;&nbsp;&nbsp;</em></p> <p><em><strong>SCOPE</strong></em></p> <p><em> The effective translation of insights gained from biomedical research into improved human health is a global priority. To this end, International Medical Publisher&nbsp;is proud to present the new version of the journal International Archives of Medicine (IAM), an open access journal publishing articles encompassing all aspects of medical science and clinical practice. To facilitate dissemination of research to a worldwide audience and provide a global outlook on medicine, IAM encourages submissions from all regions either developed countries with advanced health systems or developing countries with particular health challenges. The journal aims to become a valuable reference for the publication of high quality, original research, review articles and case reports, for both medical education and medical research. As the communities that border this interface are large and diverse, the scope of IAM will cover the entire breadth of translational and clinical research within all disciples of life and health sciences, ranging from basic science to clinical and public/global health science. The journal will also place a high priority on rapid publication. The journal seeks to publish a broad range of research study types, from experimental findings, critical analyses, methodological &amp; technical innovations, and hypotheses to observational epidemiological studies, clinical trials, meta-analyses, and study protocols. In addition, IAM publishes commentaries, reviews, and viewpoints that enhance the accessibility and applicability of basic research findings for health professionals, and promote a better understanding of clinical challenges for biomedical researchers.</em></p> International Medical Publisher en-US International Archives of Medicine 1755-7682 <p><span>Authors who publish with this journal agree to the following terms:</span></p><ol><li><span style="font-size: 10px;">Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a </span><a style="font-size: 10px;" href="" target="_new">Creative Commons Attribution License</a><span style="font-size: 10px;"> that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.</span></li><li><span style="font-size: 10px;">Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.</span></li><li><span style="font-size: 10px;">Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See </span><a style="font-size: 10px;" href="" target="_new">The Effect of Open Access</a><span style="font-size: 10px;"> and </span><a style="font-size: 10px;" href="" target="_blank">Benefits of Publishing Open Access</a><span style="font-size: 10px;">).</span></li></ol><p> </p><p> </p> An Update On Rodent Model Studies In Diabetic Neuropathy: A Brief Communication <p>The diseases of the peripheral nerves are quite common and diversified, are directly related to several factors, ranging from the imbalance related to good nutrition and adequate needs of nutrients, going to the injuries caused by drugs or mechanisms external to the human organism. Diabetes is a complex syndrome that affects and kills millions of people worldwide. We demonstrated through the experimental model of diabetes using STZ@ in single intraperitoneal dose of 60 mg / kg, that both a purely motor nerve can be directly affected as well as a special afferent nerve (cranial nerve), this comparison showed us that there is a possibility of having a new type of mixed type neuropathy, this may be related to the amount of the dose involved, such as the time of disease progression, but more studies need to be done for definitive confirmation. We can extrapolate the original results to understand the mechanisms of diabetes in humans, although it does not yet have an experimental model of type II diabetes, more related to eating disorders, the STZ application simulates the effects of type I or insulin dependent diabetes, with more serious and deleterious effects mainly the more distal portions of the nerves. Prevention and food control are very important, especially those related to the mechanisms that involve carbohydrate metabolism and its peripheral resistance. The original results commented here are relevant for the continuous study of this serious but old illness, but quite current in the medical and therapeutic clinic.</p> <p><strong>Keywords</strong>: Experimental Model of Diabetes; Sensory and Motor Peripheral Nerves; Peripheral Nerve Injuries; Neuropathies; STZ; Rats.</p> Nadia Nara Rolim Lima Carlos Augusto Carvalho Vasconcelos Antonio Gilvan Teixeira Júnior Lorenza Andres Almeida de Souza Marcos Antonio Pereira de Lima Randy Alan Nessler Marcelo Moraes Valença Copyright (c) 2016 Nadia Nara Rolim Lima, Carlos Augusto Carvalho Vasconcelos, Antonio Gilvan Teixeira Júnior, Lorenza Andres Almeida de Souza, Marcos Antonio Pereira de Lima, Randy Alan Nessler, Marcelo Moraes Valença 2017-02-11 2017-02-11 9 10.3823/2251 Factors associated with nosocomial infection in the elderly in the Intensive Care Unit <p><strong>Background:</strong> The elderly have increased vulnerability to disease and exposure to hospital infections.</p> <p><strong>Aims:</strong> The study aims to evaluate the clinical and epidemiological factors associated with nosocomial infection in the elderly.</p> <p><strong>Methods:</strong> A retrospective study with a population of 625 elderly patients admitted to intensive care units and a sample of 308 elderly who developed nosocomial infection from January 2012 to June 2015.</p> <p><strong>Results:</strong> A total of 49.7% of the elderly presented a growth of micro-organisms in tracheal aspirates. The diseases classified as "other" increased likelihood of tracheal infection (3.61, 95% - CI 1.84 to 7.10; p = 0.005) and the probability of growth of micro-organism in the culture performed elsewhere - general (8.96, 95% - CI 3.03 to 26.49; p = 0.005). Surgical procedures increased the chance of growth of micro-organisms in tracheal secretion culture (OR 1.96, 95% CI 1.11 to 3.48) and surgical site culture (OR 5.06, 95% CI 1, from 76 to 14.55). The neurological disease increased the chance of growth of micro-organisms in the cultures of tracheal secretions, blood and general (OR 3.80, 95% CI 1.22 to 11.83; OR 3.27, 95% CI 1.24 - 8.66; OR 15.61, 95% CI 4.78 to 50.98). The pneumothorax increases by four times the probability of growth of micro-organisms in the catheter tip (OR 4.17, 95% CI 1.24 to 13.97). Chronic and acute renal failure and other diagnoses increased by eighteen times the chance of growth of micro-organisms in general culture (OR 18.06, 95% CI 3.63 to 89.86).</p> <p><strong>Conclusion: </strong>The main risk factors for nosocomial infection of elderly in the Intensive Care Unit are chronic and acute renal failure, neurological diseases and surgical procedures and must be adopted a policy of prevention and control of nosocomial infection in the treatment of the elderly.</p> <p><strong>Keywords: </strong>Elderly, Cross infection, Intensive care.</p> Laelson Rochelle Milanês Sousa Luana Kelle Batista Moura Álvaro Francisco Lopes de Sousa Maria Eliete Batista Moura Glícia Cardoso Nascimento Artur Acelino Francisco Luz Nunes Queiroz Francisca Tereza Coelho Matos Thiago Lima Monte Copyright (c) 2016 Laelson Rochelle Milanês Sousa, Luana Kelle Batista Moura, Álvaro Francisco Lopes de Sousa, Maria Eliete Batista Moura, Glícia Cardoso Nascimento, Artur Acelino Francisco Luz Nunes Queiroz, Francisca Tereza Coelho Matos, Thiago Lima Monte 2017-02-09 2017-02-09 9 10.3823/2269 HIV/AIDS as an object of Social Representations: a bibliometric study <p><strong>Objective: </strong>Map scientific production on HIV/Aids as an object of Social Representations.</p> <p><strong>Methodology: </strong>This is a bibliometric research carried out in the ISI Web of Knowledge/Web of Science, in the temporal cut between the years 1989 and 2015, using the following search strategy: ("social representation<em>*</em>”) and (HIV) or ("social representation<em>*</em>”) and (Aids). The data were analyzed considering the annual evolution of the publications; the journals with the greatest number of records; the authors with more publications; the articles with the greatest impact and the institutions with the greatest number of publications.</p> <p><strong>Results: </strong>There are 122 articles published in 74 different journals. These articles were written by 301 authors of 165 Institutions of Higher Education in 34 countries. The 18 articles with the greatest impact were published in the period from 1996 to 2011. The Theory of Social Representations was used in the studies to seek the representation of the phenomenon by different groups. It is a theoretical methodological reference used in several areas of knowledge to know the created and transformed subjectivities about HIV / Aids. These studies can serve as subsidy for the adoption of preventive practices from the perspective of social being with focus on actions.</p> <p><strong>Conclusion: </strong>The Theory of Social Representations is well applied in HIV/Aids investigations, in several academic spaces distributed throughout the world with emphasis on the United Kingdom, United States of America and Brazil, and has contributed to the development of knowledge on the prevention and treatment of HIV/Aids and implementation of effective public policies around the world.</p> <p><strong>Keywords:</strong> Social Psychology. HIV. AIDS.</p> Laelson Rochelle Milanês Sousa Luana Kelle Batista Moura Maria Eliete Batista Moura Eliana Campelo Lago Francisca Tereza Coelho Matos Thiago Lima Monte Mitra Mobin Carlos Alberto Monteiro Falcão Copyright (c) 2016 Laelson Rochelle Milanês Sousa, Luana Kelle Batista Moura, Maria Eliete Batista Moura, Eliana Campelo Lago, Francisca Tereza Coelho Matos, Thiago Lima Monte, Mitra Mobin, Carlos Alberto Monteiro Falcão 2017-02-10 2017-02-10 9 10.3823/2270 Learning To Learn The Nursing Consultation: Comprehensive Analysis In The Perspective Of The Student <p>This is a qualitative study of a descriptive nature with an approach in the sociological phenomenology of Alfred Schutz. Twenty students participated. They were from the Undergraduate Nursing Course of a School in the Serrana Region - RJ, Brazil. Data collection was carried out from April to June 2015, after approval by the Ethics and Research Committee, according to opinion 874.087. Objectives: To describe the students´ learning about the Nursing Consultation Action; to understand the meaning of the Nursing Consultation Assistance Action learning by the students who undertook the supervised internship in the Basic Care Network. For the data collection, a phenomenological interview was performed. The discourse of the students resulted in four categories: Category 1 “Using learning theory and practice in Nursing Consultation”; Category 2 “Learning how to learn about nurses´ assignments”; Category 3 “Building the learning process with satisfaction” and Category 4 “Learning to learn the Social Action of the nurse to resolve”. The answers obtained by the students contributed to understanding the experience in the universe of learning the Social Action of the Nurse - Nursing Consultation. From then, it is possible to devise strategies of teaching and learning, in a way that contemplates the student, considering the singularity.</p> <p><strong>Keywords:</strong> Consultation, Nursing, Learning; Nursing Education.</p> Aline Furtado Rosa Ann Mary Machado Tinoco Feitosa Rosas Copyright (c) 2016 Aline Furtado Rosa, Ann Mary Machado Tinoco Feitosa Rosas 2017-01-25 2017-01-25 9 10.3823/2259 Home care caregivers knowledge about infections related to health care <p><strong>Objective: </strong>To evaluate the home care caregivers knowledge about infections related to the health assistance and to analyze how this knowledge influence on the infection prevention.</p> <p><strong>Method: </strong>Descriptive and exploratory research, with qualitative approach, conducted with 75 caregivers of patient hospitalized at home. The data was produced through a semi-structured interview script, from August to September, 2016, processed on the IRAMUTEQ software and analyzed by the descending hierarchical ranking.</p> <p><strong>Results: </strong>The results were presented with two axis: Axis &nbsp;&nbsp;&nbsp; 1 – Risk factors that contribute to the home infection by the caregiver point of view, containing the classes – Class 3 – Sanitation and caring with the food in the home ambient; Class – 4 – Home ambient cleaning; Class – 5 – The handling of patient with infection risks; Class 6 – Cares on the prevention of infections in the home ambient; Axis 2 – The concept of home infection to the caregiver, containing the classes – Class 1 – The knowledge about the disease on the daily routine; Class 2 – The concept of the infection based on the dirtiness and on the disease.</p> <p><strong>Final considerations: </strong>The home care caregivers showed to know the relation between the lack of sanitation in the ambient and the infected food. In this sense, the caregivers recognize that the risks which their patient are exposed. They report the disease and the dirtiness as inherent to the infection concept and recognize the lack of security and quality in its practice. From this knowledge analyzes it is possible to propose intervention strategies that generate reflexes about the home care problematic, specially to the more dependents patients who need a safe care to prevent and treat the infections related to the health assistance.&nbsp;</p> <p><strong>Key-word: </strong>Caregiver, Health education; Community infection</p> Lucélia Campelo de Melo Santos Luana Kelle Batista Moura Andréia Rodrigues Moura da Costa Valle Gerardo Vasconcelos Mesquita Lucíola Galvão Godim Correia Feitosa Copyright (c) 2016 Lucélia Campelo de Melo Santos, Luana Kelle Batista Moura, Andréia Rodrigues Moura da Costa Valle, Gerardo Vasconcelos Mesquita, Lucíola Galvão Godim Correia Feitosa 2017-03-24 2017-03-24 9 10.3823/2254 Hospital-hotel Service and Quality of Nursing Care According to the Perspective of Inpatients <p><span class="fontstyle0">Background: </span><span class="fontstyle2">Hospital-hotel services concepts rescue notions of hospitality in hospitalization environment, and include aspects of patient safety. The perspective is to facilitate the act of meeting the needs of both clients and employees of the institution in all dimensions.<br></span></p> <p><span class="fontstyle0">Objective: </span><span class="fontstyle2">This article aimed to evaluate the perceptions of inpatients about hospital-hotel services in a university hospital with the perspective of quality of care in health assistance.<br></span></p> <p><span class="fontstyle0">Method: </span><span class="fontstyle2">Descriptive study in a public university hospital conducted from December 2015 to January 2016. A total of 92 patients responded a questionnaire of items based on hospital accreditation parameters on four hospital-hotel services (domains).<br></span></p> <p><span class="fontstyle0">Results: </span><span class="fontstyle2">It revealed positive parameters of evaluation with average of 91.8% (p &lt;0.001) for all domains. There was a negative or neutral appreciation of 40.2% for comfort in bed, and 88.1% for information on emergency exits. The results suggest relevant data for quality analysis services offered by hospital-hotel services interfaced with the&nbsp;</span>assistance.</p> <p><span class="fontstyle0">Conclusion: </span><span class="fontstyle2">The smooth running of services is essential to comprehensive care in a hospital setting. Leaders and teams committed to the quality of the structure favor processes and results, ensuring quality and patient safety.</span> <br> </p> Nalma Alexandra Rocha de Carvalho Elaine Cristina Carvalho Moura Lidya Tolstenko Nogueira Lariza Martins Falcão Vanessa Caminha Aguiar Lopes José Diego Marques Santos Fernanda Ferreira de Morais Copyright (c) 2016 Mary Campusano 2016-12-21 2016-12-21 9 10.3823/2237 Mucocele In Blandin-Nuhn Glands: Case Report And Integrative Review <p><strong>Introduction: </strong>Mucocele is a cystic benign lesion that does not present an epithelial coating, presenting saliva in its interior. It is linked to local traumas and obstruction of minor salivary glands.</p> <p><strong>Case Report: </strong>This article aims to present a rare case of mucocele in a Blandin-Nuhn gland highlighting the importance of the initial approach.</p> <p><strong>Discussion:&nbsp;</strong>Patient D.R.S. male gender, 14 years old, black,&nbsp;from Juazeiro&nbsp;do Norte – CE, attended to the dental clinic at UNILEÃO (Centro&nbsp;Universitário&nbsp;Leão&nbsp;Sampaio), with a complaint of "a lump in the mouth that dried out when bitten, with recurrences". Based on the clinical findings, the probable&nbsp;diagnosis was&nbsp;mucocele&nbsp;in&nbsp;Blandin-Nuhn&nbsp;glands,&nbsp;suggested by histopathological exams, after an excisional biopsy of the lesion performed with an electric scalpel. The medicine therapy performed was the administration of&nbsp;Ibuprofen, every 8 hours on a 300mg dose, during 3 days.&nbsp;Within 7 days of postoperative and medication, the&nbsp;repair&nbsp;of the tissues could be observed where the biopsy was performed and the patient presented a remission of the symptomatology and is under medical observation.&nbsp;</p> <p><strong>Conclusion:&nbsp;</strong>We conclude that the surgical removal of&nbsp;mucoceles&nbsp;is the first choice treatment; the removal of the traumatic etiological agent is a conservative therapeutic alternative, in view of the clinical diagnosis of&nbsp;mucoceles&nbsp;associated to traumas generated by deleterious oral habits.&nbsp;</p> Italo Kennedy Silva Santos Jefferson David Melo de Matos Jéferson Martins Pereitra Lucena Franco Natã Cavalcante-Pereira John Eversong Lucena de Vasconcelos Ivo Cavalcante Pita-Neto Copyright (c) 2016 Italo Kennedy Silva Santos, Jefferson David Melo de Matos, Jéferson Martins Pereitra Lucena Franco, Natã Cavalcante-Pereira, John Eversong Lucena de Vasconcelos, Ivo Cavalcante Pita-Neto 2017-01-24 2017-01-24 9 10.3823/2263 Analysis of the Tuberculosis Occurrence Through the Use of Geoprocessing <p><strong>Background:</strong> For the control of tuberculosis (TB), it must be adopted specific measures in areas of high transmission. Thus, it was aimed to identify the spatial pattern of new tuberculosis cases in Juazeiro do Norte-CE/ Brazil, from 2001 to 2012.</p> <p><strong>Methods and Findings:</strong> It is a hybrid design, ecological study and temporal trend. The new cases reported with TB were included as subjects of research. It was outlined the socio demographic profile; the spatial analysis of cases was made through the Kernel technique and the nearest neighbor method with simulation. Among 914 new TB cases, there was a predominance of males (56,0%),&nbsp; aged between 20 to 39 years (42,0%), with incomplete elementary school (43,2%), pulmonary clinical form (89,1%). 79,1% of patients achieved a cure and 5,3% abandoned the treatment. In the studied period, it was identified homogeneous spatial distribution and non-random pattern, with the highest concentration of cases in the southern region of the city.</p> <p><strong>Conclusion:</strong> The identification of spatial pattern becomes relevant, in order that it can contribute to the strengthening of the TB control by providing information that optimizes activities such as: active search, health education, notification of new cases and supervising the treatment performed by health professionals.</p> Talina Carla de Silva Mayrla Lima Pinto Maria Rita Bertolozzi Lidiane Cristina Félix Gomes Lourdes Milagros Mendoza Villavicencio Phelipe Gomes de Barros Sheylla Nadjane Batista Lacerda Tânia Maria Ribeiro Monteiro de Figueire Copyright (c) 2016 Talina Carla de Silva, Mayrla Lima Pinto, Maria Rita Bertolozzi, Lidiane Cristina Félix Gomes, Lourdes Milagros Mendoza Villavicencio, Phelipe Gomes de Barros, Sheylla Nadjane Batista Lacerda, Tânia Maria Ribeiro Monteiro de Figueire 2017-02-10 2017-02-10 9 10.3823/2266 Group in Nursing: A concept analysis <p><strong>Objective: </strong>To analyze the concept of group in nursing publications based on the evolutionary method.</p> <p><strong>Method: </strong>Evolutionary conceptual analysis using the method proposed by Rodgers. We sought to identify the concept; search for articles on health databases; identify attributes, antecedents and consequences of the studied phenomenon.</p> <p><strong>Results: </strong>The essential attributes of the group were: Participatory; Therapeutic; Structured; and Educative. The background identified: Group Setting and Need for Health. Consequences extracted from the studies were: Autonomy; Behavior change; Empowerment; Learning; and Integration.</p> <p><strong>Conclusion: </strong>It is understood that the concept of group has the purpose of encouraging and facilitating the practice of this technology by professionals.</p> Glícia Mesquita Martiniano Mendonça Maria Vilani Cavalcante Guedes Maria Célia de Freitas Lúcia de Fátima Silva Maria Adelane Monteiro da Silva Francisca Alanny Rocha Aguiar Leidy Dayane Paiva de Abreu Juliana Vieira Figueiredo Diane Sousa Sales Ana Vírginia de Melo Fialho Copyright (c) 2016 Glícia Mesquita Martiniano Mendonça, Maria Vilani Cavalcante Guedes, Maria Célia de Freitas, Lúcia de Fátima Silva, Maria Adelane Monteiro da Silva, Francisca Alanny Rocha Aguiar, Leidy Dayane Paiva de Abreu, Juliana Vieira Figueiredo, Diane Sousa Sales, Ana Vírginia de Melo Fialho 2017-01-26 2017-01-26 9 10.3823/2265 Clinical Indicators Of Nutrition In Hemodialysis Clients <p><strong>Background:</strong> Nutritional aspects are relevant to reduce the morbidity and mortality of the hemodialysis clientele. Thus, the identification of clinical indicators of nutritionis fundamental to guide a qualified care. This study aimed to verify the occurrence of clinical nutritional indicators in patients undergoing hemodialysis. Cross-sectional study.</p> <p><strong>Methods and Findings</strong>: The study was carried out with 50 patients in a hospital in northeastern Brazil selected by convenience. Collection took place through an interview form and physical examination from December 2013 to May 2014. Results were analyzed using descriptive statistics. Thirty three clinical indicators of nutrition were identified, and rates exceeded 50%. Among these, Altered blood pressure was present in 100% of the sample. Six indicators showed rates above 90%, namely: Anxiety, Azotemia, Thirst, Decreased hemoglobin, Regular nutrition and Lack of information. The limitation of the study relates to the fact that this was developed in a single center.</p> <p><strong>Conclusion:</strong> Clinical indicators of nutrition are common among hemodialysis customers and relate to electrolyte and nutritional disorders. The identification of these indicators allows the appreciation of nutritional nursing phenomena and consequent effective interventions and positive responses regarding nutrition safety of hemodialysis patients.</p> Érida Maria Diniz Leite Marília Gabriela de Azevedo Araújo Jéssica Dantas de Sá Tinôco Maria Isabel da Conceição Dias Fernandes Kadyjina Daiane Batista Lúcio Ana Luisa Brandão de Carvalho Lira Copyright (c) 2016 Érida Maria Diniz Leite, Marília Gabriela de Azevedo Araújo, Jéssica Dantas de Sá Tinôco, Maria Isabel da Conceição Dias Fernandes, Kadyjina Daiane Batista Lúcio, Ana Luisa Brandão de Carvalho Lira 2017-01-24 2017-01-24 9 10.3823/2239 Current Landscape of Mental Health in Children and Adolescents in Northeastern, Brazil <p>The narratives foment themselves by a discourse rooted in the words of indecision, doubt, insecurity, powers and perils, pessimism and, above all, by the uncontrollable desire of escaping from the pain of being that bother them. The Family members constantly warn the listener or interpreter of the internal dissatisfaction that alert their children. To interpret and listen to the rhetoric of enchantment of the family is one of the effective means to treat and prevent the disease. In this case, the listening must be unreservedly committed, because it transcends the family boundaries, passing to need support and unconditional zeal of the clinical apparatus.</p> Andrea Sampaio de Matos Hyanne de Abreu Cândido de Souza Walkiria Régia Ferreira Sousa de Sá Carlos César Messias Silva Jucier Gonçalves Júnior Erich Pires Lisboa Modesto Leite Rolim Neto Copyright (c) 2016 Andrea Sampaio de Matos, Hyanne de Abreu Cândido de Souza, Walkiria Régia Ferreira Sousa de Sá, Carlos César Messias Silva, Jucier Gonçalves Júnior, Erich Pires Lisboa, Modesto Leite Rolim Neto 2016-11-29 2016-11-29 9 10.3823/2176 Pertussis: Incidence And Surveillance In Municipalities Of 6 Regional Health Management Of Paraíba, Brazil <p><strong>Introduction</strong>: Pertussis is an infectious and highly contagious disease of the respiratory tract, caused by a bacterium called Bordetellapertusis. It can occur at any stage of life. The prevention of whooping cough is effective part of the National Immunization Program (NIP) in Brazil, which offers the vaccine free of in public health. Data relative to notifications of cases of whooping cough in Brazil are stored and grouped in the Notifiable Diseases Information System (SINAN).</p> <p><strong>Objective:</strong> This study aimed to know the incidence and surveillance for pertussis in municipalities linked the 6th Regional Health Management of Paraiba, and as specific, assess the completeness of data of reported cases and verify the use of antibiotics in all reported cases of disease.</p> <p><strong>Method</strong>: It is a study of epidemiological type of analytical and descriptive character.</p> <p><strong>Results</strong>: The results show that most cases occurred in 2013, a fact overlooked by the Regional which showed no action to contain the disease occurrence. What in epidemiological terms directly affects any action that might promote rapid response on measures to enable new cases.</p> <p><strong>Conclusions</strong>: It is important to adopt strategies to identify early the incidence of cases as a way to control or suppress the disease to a small group, so it is necessary to have enough information for diagnosis and treatment.</p> <p><strong>Keywords:</strong> Pertussis. Epidemiology. Incidence.</p> <p>&nbsp;</p> Juliane Oliveira Costa Nobre Elicarlos Marques Nunes Ana Lúcia Frugis Yu Milena Nunes Alves de Sousa Theonys Diógenes de Freitas Raquel Campos de Medeiros Manuela Carla de Souza Lima Daltro Adyl Carlos Ferreira Rodrigues Denisy Dantas Melquíades Azevedo Silvia Ximenes Oliveira Fabriciano Santos Souza Isabella Evelle Sales Lima José Cássio de Moraes Copyright (c) 2016 Juliane de Oliveira Costa Nobre, Elicarlos Marques Nunes, Ana Lúcia Frugis Yu, Milena Nunes Alves de Sousa, Theonys Diógenes de Freitas, Raquel Campos de Medeiros, Manuela Carla de Souza Lima Daltro, Adyl Carlos Ferreira Rodrigues, Denisy Dantas Melquíades, Silvia Ximenes Oliveira, Isabella Evelle Sales Lima, Fabriciano Santos Souza, José Cássio de Moraes 2017-03-05 2017-03-05 9 10.3823/2255 Interactions between Quality of Life at Work and Family: Integrative Review <p><strong>Background:</strong> The family is one of the most important components of people's quality of work life (QWL). This study aims to identify the production of knowledge in national and international journals about the interactions between QWL and family relationships. <strong>Method</strong>: This is an integrative review of literature, carried out from 2011 to 2016, in the databases: Medline, LILACS, Index Psychology - scientific technical journals, BDENF-nursing, SciELO.ORG, CINAHL, EMBASE, SCOPUS, PubMed and Web of Science and PubMed. Full-text articles in Portuguese, English and Spanish were available for free in these databases. <strong>Results:</strong> The corpus of analysis consisted of 83 articles, where 95% of the researchers focused their studies on: a) concepts and dimensions; B) conflicts and balance; C) influence of work in the family; D) health; E) diagnosis; and F) enrichment. <strong>Conclusions:</strong> There was a lack of studies on the influence of the family and the family environment on work and the possible correlations of QWL and family functionality, denoting the need for future research on these two aspects, aiming to deepen understanding for the improvement of QWL Organizations.</p> Rosana Maria Barreto Colichi Silvia Cristina Mangini Bocchi Silvana Andrea Molina Lima Regina Célia Popim Copyright (c) 2017 Rosana Maria Barreto Colichi, Silvia Cristina Mangini Bocchi, Silvana Andrea Molina Lima, Regina Célia Popim 2017-01-02 2017-01-02 9 10.3823/2229 Right to Health of Workers: Implications of Culture and the Care of the Self <p>Objective: To conduct a study about the theme “right to health” from the thought of Michel Foucault. Method: Reflective analysis of research dealing with the issues included on the right to health articulating them with the thought of the philosopher Michel Foucault. Results: It was observed the articulation of the right to health in relation to Foucault's thought regarding the biopolitics of health, knowledge, power and subjectivity as inseparable intances. These instances have to do with the culture and the “care of oneself” in the work. Conclusion: Studies about the right to health allow a better execution and enhancement of subjective and social dimension in health practices and a critical analysis work of the thought about the right to health and the care of onself.</p> <p>Descriptors: Right to Health; Health Policy; Nursing.</p> Marcos Andrade Silva Enéas Rangel Teixeira Rose Mary Costa Rosa Andrade Andrade Silva Eliane Ramos Pereira Fabiana Lopes Joaquim Renata Carla Nencetti Pereira Rocha Esther Justina Ramirez Garcia Copyright (c) 2016 Marcos Andrade Silva, Enéas Rangel Teixeira, Rose Mary Costa Rosa Andrade Andrade Silva, Eliane Ramos Pereira, Fabiana Lopes Joaquim, Renata Carla Nencetti Pereira Rocha, Esther Justina Ramirez Garcia 2016-12-30 2016-12-30 9 10.3823/2243 Changes in the Quality of Life of an Elderly Group of the Family Health Strategy <p class="western" align="justify"><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Background:</strong></span></span></span><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US"> To analyze the quality of life of a group of </span></span></span><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US">elderly people</span></span></span><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US"> enrolled in the Family Health Strategy of the Igapó neighborhood, in the city of Natal, Rio Grande do Norte, Brazil.</span></span></span></p> <p class="western" align="justify"><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Methods:</strong></span></span></span><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US"> This is a longitudinal study with a quantitative approach. The process of data collection occurred in two different moments. The instruments used to collect data were: “Questionnaire on socio-demographic data” and the “Brazilian Version of the Short Form-36 Quality of Life Questionnaire (SF-36).”</span></span></span></p> <p class="western" align="justify"><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Results:</strong></span></span></span> <span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US">It </span></span></span><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US">was verified</span></span></span><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US"> that most of them were women, with low purchasing power and low education level. There was a predominance of unmarried elderly individuals who did not perform work activities. Higher scores </span></span></span><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US">were identified</span></span></span><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US"> for the emotional, physical and mental domains. In the first collection, lower scores regarding the general state of health and pain </span></span></span><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US">were observed</span></span></span><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US">. There were better percentages of improvement in the areas of General Health Status, Body Pain and Social Function and Physical Health dimension. The activities developed in the coexistence group together with the elderly </span></span></span><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US">were classified</span></span></span><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US"> as educational, physical/functional and commemorative.</span></span></span></p> <p class="western" align="justify"><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Conclusion:</strong></span></span></span> <span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US">This study showed higher scores in the physical, functional and mental aspects, where the autonomy of the elderly is directly related, reflecting an active aging favoring a better quality of life.</span></span></span></p> <p class="western" align="justify"><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Keywords</strong></span></span></span><span style="font-family: Arial, sans-serif;"><span style="font-size: medium;"><span lang="en-US">: Elderly; Quality of life; Health of the Elderly.</span></span></span></p> Thazia Costa Gilson de Vasconcelos Torres Rafaela Araújo Oliveira Marcelo Viana Costa Bruno Araújo da Silva Dantas Jessica Maria Arouca de Miranda Neidjany Patrícia Lima Torres Luana de Azevedo Souza Rosana Lúcia Alves de Vilar Copyright (c) 2017-01-03 2017-01-03 9 10.3823/2252 Therapeutic workshops as spaces of interaction and psychosocial rehabilitation: analysis from basic lexicography <p><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Aim:</strong></span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"> To analyze by means of the basic lexicography, the most frequent vocabulary in the reports of the health professionals about therapeutic workshops and its relation with the psychosocial rehabilitation of the PCC users</span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US">. </span></span></span></p> <p><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Methods:</strong></span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"> A descriptive study with a qualitative approach developed with seven professionals from a Psychosocial Care Center in a city in the Northeast of Brazil. The data were obtained through interviews, which were processed in the IRaMuTeQ software and analyzed by the word cloud and similarity analysis</span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US">.</span></span></span></p> <p><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Results: </strong></span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US">The most frequent words in the word cloud were "activities, workshop, caps" and in the </span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US">similarity </span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US">tree the most prominent lexicons were: more, workshop, activity, therapeutic, patient, work and no</span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US">.</span></span></span></p> <p><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Conclusion:</strong></span></span></span> <span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US">The software consented to consider carefully the material collected, qualifying the process of categorization and connectivity between words, assisting in the identification of the representation structure and enabling the visualization of the understanding of therapeutic workshops as spaces of interaction and socialization and as an important device for treatment for the individual with psychic suffering at the Center for Psychosocial Attention</span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US">.</span></span></span></p> <p align="JUSTIFY"><span style="font-family: 'Courier New', serif;"><span style="font-size: small;"><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"><strong>Descriptors:</strong></span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"> Mental Health Services; Group Psychotherapy; Rehabilitation</span></span></span></span></span></p> <p>&nbsp;</p> Aline Raquel de Sousa Ibiapina Claudete Ferreira de Souza Monteiro Márcia Astrês Fernandes Antonio Germane Alves Pinto Antonio Alberto Ibiapina Costa Filho Delmo de Carvalho Alencar Daniele Martins de Sousa Copyright (c) 2016 Aline Raquel de Sousa Ibiapina, Claudete Ferreira de Souza Monteiro, Márcia Astrês Fernandes, Antonio Germane Alves Pinto, Antonio Alberto Ibiapina Costa Filho, Delmo de Carvalho Alencar, Daniele Martins de Sousa 2017-02-11 2017-02-11 9 10.3823/2257 Short Educational Intervention On Fall Prevention For Hospitalized Adults And Elderly <p><strong>Objective:</strong> To analyze the effect of an individualized education using a short leaflet on the prevention of falls in adults and elderly hospitalized.</p> <p><strong>Method:</strong> Prospective study consists of three steps: application checklist on knowledge of falls, presentation of a leaflet on falls and repetition of questions about knowledge of falls after the intervention.</p> <p><strong>Results:</strong> The study included 49 patients with a mean age 47.06; 34 the majority (69.4%) were women, 31 (63.3%) was married, they had an average of 9.06 studies. most prevalent medical diagnostics, and the gastro-intestinal endocrine system, both with 8 (16.3%), followed by cardiovascular 7 (14.3%). It was observed that the arrangements of responses prior to the application of the intervention were lower than the arrangements of the responses after the intervention. The same happened to the errors and the responses considered in part.</p> <p><strong>Conclusion:</strong> Educational intervention on prevention of falls had a positive effect on learning of hospitalized patients.&nbsp;</p> <p><strong>Descriptors:</strong> Nursing Care; Accidental falls; Health education.</p> MAYARA MUNIZ PEIXOTO RODRIGUES ELAYNI ENOLY SOUSA FRANCO RENATA MAIA DE MEDEIROS FALCÃO RAFAELLA FELIX SERAFIM VERAS JACIRA DOS SANTOS OLIVEIRA CLEIDE REJANE DAMASO DE ARAÚJO MARIA DAS GRAÇAS MELO FERNANDES AMANDA MELO FERNANDES JULIANA KELLY BATISTA DA SILVA NIEDJA CESÁRIO DUARTE WELISSON SILVA RAFAELA RODRIGUES CARVALHO DE LIMA Copyright (c) 2016 MAYARA MUNIZ PEIXOTO RODRIGUES, ELAYNI ENOLY SOUSA FRANCO, RENATA MAIA DE MEDEIROS FALCÃO, RAFAELLA FELIX SERAFIM VERAS, JACIRA DOS SANTOS OLIVEIRA, CLEIDE REJANE DAMASO DE ARAÚJO, MARIA DAS GRAÇAS MELO FERNANDES, AMANDA MELO FERNANDES, JULIANA KELLY BATISTA DA SILVA, NIEDJA CESÁRIO DUARTE, WELISSON SILVA, RAFAELA RODRIGUES CARVALHO DE LIMA 2017-01-25 2017-01-25 9 10.3823/2267 Oral Hygiene Routine of Functionally Dependent Elderly Individuals Performed by Home Caregivers <p><strong>Introducion</strong>: The quick aging of the Brazilian population brings with it the index increase of chronic and incapacitating diseases in the geriatric public, being necessary the participation of caregivers in the home care. In this context, the caregiver is in charge of performing the oral hygiene activities of the functionally dependent elderly, and must be able to do so, because when improperly performed, it can compromise the local and general health of the assisted with worsening of the systemic condition.</p> <p>&nbsp;</p> <p><strong>Objective</strong>: The present study aimed to diagnose the oral hygiene routine of the functionally dependent elderly, executed by caregivers at home.</p> <p>&nbsp;</p> <p><strong>Method</strong>: This is a descriptive, exploratory and transversal study, with a quantitative approach. Conducted through half-structured interviews of twenty caregivers of functionally dependent elderly, in João Pessoa, Paraíba, Brazil. The instrument had questions about the oral hygiene, covering the care with the dental prosthesis, the use of instruments and materials, and it also approaches the difficulties that the caregivers face to execute the oral care. The elderly were taking part of an interdisciplinary home care program offered by the health insurance, without dental assistance.</p> <p>&nbsp;</p> <p><strong>Results</strong>: About the caregivers profile, 35% had the elementary school, 35% had the high school, 25% had higher level education and 5% were illiterate; 80% didn't receive any information about oral hygiene care of functionally dependent elderly; 55% were relatives and 45% were formal caregivers. About the oral hygiene of the elderly, 55% of the caregivers reported difficulties to execute this care. About the association of resources, the ordinary toothbrush and the toothpaste were the most used ones 35%; 20% used both resources associated with the mouthwash; 20% used mouthwash and other resources as well as lint, cotton, diapers and finger cots. None of the caregivers used the floss nor the tongue cleaner and 60% didn't remove the elderly prosthesis at night.</p> <p>&nbsp;</p> <p><strong>Conclusion</strong>: It is concluded that caregivers presented deficit of expertise about the most adequated oral hygiene routine to the functionally dependent elderly. In addition, the care was run from empirical knowledge and guidance of the family. From the above, the insertion of the dental surgeon in the interdisciplinary home care program is recommended, in order to monitor the oral health of the elderly and carry out educational activities to caregivers, aimed at improving the oral hygiene routine of functionally dependent elderly. It is believed that this study will contribute to avoid local and systemic complications, improving the quality of life of the elderly.</p> Cariles Silva Oliveira Maria Sueli Marques Soares Selene Cordeiro Vasconcelos Carmem Sílvia Laureano Dalle Piagge Ângela Maria Klüppel Silva Aimée Guimarães Cabral Adriana Maria Moreira Alexandre Barreto Ana Giovana Medeiros Oliveira Ana Zuli Vidal Moreira Freitas Antonia Oliveira Silva Copyright (c) 2016 Cariles Silva Oliveira, Maria Sueli Marques Soares, Selene Cordeiro Vasconcelos, Carmem Sílvia Laureano Dalle Piagge, Ângela Maria Klüppel Silva, Aimée Guimarães Cabral, Adriana Maria Moreira Alexandre Barreto, Ana Giovana Medeiros Oliveira, Ana Zuli Vidal Moreira Freitas, Antonia Oliveira Silva 2017-01-24 2017-01-24 9 10.3823/2247 The Childhood Depression: Narrative in Familiar Settings <p>The most mental disorders, including depression, involve the children in a way of great influence in their development processes. Similarly, say the researchers, it is imperative to explore the role of prenatal exposure and develop interventions to reduce the long-term negative impact of low socioeconomic status state in childhood on cognitive ability. On this way, parental practices and communication strategies with the child and the adolescent in the understanding of child depression happen thought the analysis of involvement narratives of disease, affective practices, empathic and linked in describing the itineraries of psychic pain and suffering. It is also important to know that there are “prohibited words” in the family and that these words said and prohibited by relatives appears to make the encounter with the brands and the representations that make up the child depression in search of another character, as a way to associate the words the other access codes, and with this to situate pain and psychic sufferings in the return bedding of voices interpretation, especially in the recognition of what transforms life in mental disease possibilities. Because of that, the discourse have been pointed as one of the steps in the treatment of this disease. In the talk it is important to understand the relationship that requires understanding the child, through contact with the dynamics that seek to explain it by words spoken and prohibited in the face of life reality. In this way, in terms of depression, the word heard with ethics and commitment, combined with the medication and its monitoring can be a powerful icon in the treatment of disease.</p> Ana Luisa Barbosa Belarmino Vládia Maria Frota Prado Azevedo Dara Almeida Maurício de Alencar Nádia Nara Rolim Lima Uilna Natércia Soares Feitosa Thercia Lucena Grangeiro Ruan Neto Pereira Alves Regina Petrola Bastos Rocha Maria Eliana Pierre Martins Modesto Leite Rolim Neto Copyright (c) 2016 Ana Luisa Barbosa Belarmino, Vládia Maria Frota Prado Machado, Dara Almeida Maurício de Alencar, Nádia Nara Rolim Lima, Uilna Natércia Soares Feitosa, Thercia Lucena Grangeiro, Ruan Neto Pereira Alves, Regina Petrola Bastos Rocha, Maria Eliana Pierre Martins, Modesto Leite Rolim Neto 2016-11-10 2016-11-10 9 10.3823/1902 Contributions of Nurses in Health Education of Patients with Heart Failure <p><strong>Objective: </strong>to identify how health education actions performed by the nursing professional contribute to the improvement of the quality of life of patients with heart failure.</p> <p><strong>Method:</strong> Integrative review built from the following question: What contributions of the nurse in the health education of patients with heart failure? Made in the PUBMED, LILACS and SciELO Virtual Library databases. The studies were analyzed and presented in a descriptive and table format.</p> <p><strong>Results:</strong> 8 studies were the sample. It was possible to identify that the actions of health education developed by nurses to patients with heart failure provide integration of the patients with the family, behavior change and acquisition of healthy habits.</p> <p><strong>Conclusions:</strong> The nurse is a protagonist in the dissemination of knowledge through consultations with people with HF, actions that stimulate self-care, promoting changes that impact on the quality of life of these patients.</p> Maurício Caxias de Souza Sérgio Ribeiro dos Santos Ericka Silva Holmes Wilma Dias de Fontes Pereira Aurilene Josefa Cartaxo Gomes de Arruda Leila de Cássia Tavares da Fonsêca Felicidade Ferreira Amorim Casanova Thássia Christina Azevedo da Silva Thais Dandara Azevedo da Silva Gerson da Silva Ribeiro Nereide de Andrade Virgínio Claudia Germana Virgínio de Souto Giselma Leite da Silva Leandro Bulhões de Lemos Moraes Marília Roberta Freitas de Vasconcélos Gyl Dayara Alves de Carvalho Laura Cristhiane Mendonça Rezende Chaves Kirlene Scheyla Viana Chianca Luciara Cristina Ferreira dos Santos Saneyde de Carvalho Almeida Rozileide Martins Simões Candeia Copyright (c) 2016 Maurício Caxias de Souza, Sérgio Ribeiro dos Santos, Ericka Silva Holmes, Wilma Dias de Fontes Pereira, Aurilene Josefa Cartaxo Gomes de Arruda, Leila de Cássia Tavares da Fonsêca, Felicidade Ferreira Amorim Casanova, Thássia Christina Azevedo da Silva, Thais Dandara Azevedo da Silva, Gerson da Silva Ribeiro, Nereide de Andrade Virgínio, Claudia Germana Virgínio de Souto, Giselma Leite da Silva, Leandro Bulhões de Lemos Moraes, Marília Roberta Freitas de Vasconcélos, Gyl Dayara Alves de Carvalho, Laura Cristhiane Mendonça Rezende Chaves, Kirlene Scheyla Viana Chianca, Luciara Cristina Ferreira dos Santos, Saneyde de Carvalho Almeida, Rozileide Martins Simões Candeia 2017-02-04 2017-02-04 9 10.3823/2258 Evaluating cost of materials for wound care provided to patients at home <p><strong>Purpose: </strong>To evaluate the costs of curative materials provided to patients under domiciliary assistance and relate them to the demographic profile, typology of the wound and associated co-morbidities.</p> <p><strong>Design:</strong> Cross-sectional study.</p> <p><strong>Subjects and setting: </strong>The sample had 334 records filed in the public health service that dispense materials and coverings for dressings at the home, for patients with wounds that are registered in the primary healthcare in the city of Teresina, Piauí-Brazil.</p> <p><strong>Methods:</strong> A semi-structured instrument was used for data collection, containing information about the socio-demographic profile, associated co-morbidities, amount and cost of provided materials. In the inferential analysis, Kruskal-Wallis Test and Mann-Whitney Test were used to compare the total cost for the treatments.</p> <p><strong>Results: </strong>There was a predominance of males (65.5%), elderly (49.1%), with prevalence of pressure injury (44.6%), having collagenase as the main coverage (53.9%) followed by essential fatty acids (41.1%). The maximum cost of treatment was US$ 5,883.05 with dispensing time up to 5 years. There was a significant association between socio-demographic and clinical characteristics, type of wound and treatment time with respect to the cost (p&lt;0.001).</p> <p><strong>Conclusion:</strong> Cost of materials for dressing in the public service is high, with inadequate coverage and extended treatment time, with pressure injury being the most expensive.</p> <p><strong>&nbsp;</strong></p> <p><strong>Keywords: </strong>Health evaluation, Cost and cost analysis, Primary health care, Wound healing, Bandages.</p> Sandra Marina Gonçalves Bezerrra Aline Costa de Oliveira Lídya Tolstenko Nogueira Maria Clara Batista da Rocha Viana Claudia Daniela Avelino Vasconcelos Benício Juliana Lima Nascimento Copyright (c) 2016 Sandra Marina Gonçalves Bezerrra, Aline Costa de Oliveira, Lídya Tolstenko Nogueira, Maria Clara Batista da Rocha Viana, Claudia Daniela Avelino Vasconcelos Benício, Juliana Lima Nascimento 2017-01-26 2017-01-26 9 10.3823/2234 Relationship between the Obstetric Profile of Mothers and the Need for Newborn Resuscitation <p>In most cases, the births in Brazil take place in a quiet way. However, as a transitional period susceptible to complications, the newborn may unexpectedly require resuscitation. Therefore, the presence of at least one trained professional in case of need to perform resuscitation is necessary. This study aimed to correlate the obstetric profile of mothers with neonatal resuscitation. The quantitative approach was used. Data were collected between February and March 2016, in a referral hospital in obstetrics, in a city of Cariri Region. To collect the data, we used a form that included questions related to the purpose of the study. After collection, the data were analyzed, and organized in Excel 2010 spreadsheets program, and presented through tables and graphs built in Word and Excel 2010 programs. We performed a Pearson correlation test with SPSS 22.0 program. With this study, it was concluded that there is a great relationship between the need for resuscitation maneuver and diseases during pregnancy, stock time and type of delivery. Also, deserves due attention to the statistical relationship between death and use of medication and meconium. The obstetric patient profile is important and must be considered in the clinical evolution of the newborn. Many of these factors can be identified even during pregnancy, during prenatal care, thus enabling the implementation of interventions in a timely manner.</p> Maria De Fátima De Lima Danilo Ferreira de Sousa Tâmisa Cruz Sampaio Natália Moreira Garcia Feitosa Maria de Fátima Vasques Monteiro André Alencar Moreira Hermes Melo Teixeira Batista Anderson Milfont Feitosa de Oliveira Adalberto Cruz Sampaio Copyright (c) 2016 Hermes Melo Teixeira Batista 2016-12-12 2016-12-12 9 10.3823/2233 Is There an Association between Bariatric Surgery and Depresive Symptoms? <p>Morbid obesity is a serious public health problem due to its effect in the long term morbity and mortality.The bariatric surgery came as an effective therapeutic arsenal to reduce the rate of this pathology. However, depressive symptoms and other psychopathologic disorders seem to occur in the post operation of these individuals. In this context, the present study aims at availiating if bariatric surgery for the reduction of the Body Mass Index (BMI) is associated to the permanence, worsening or even development of depressive symptoms in populations indicated for this procedure.</p> Baibi Luren Ibiwari Horsfall Adilson Pontes da Rocha Filho Isaac Belém Alves Lima Ismael Pereira do Nacimento Modesto Leite Rolim Neto Pedro Neto Lima de Oliveira Túllio Sampaio Pontes Grangeiro Teles Copyright (c) 2016 Baibi Luren Ibiwari Horsfall, Adilson Pontes da Rocha Filho, Isaac Belém Alves Lima, Ismael Pereira do Nacimento, Modesto Leite Rolim Neto, Pedro Neto Lima de Oliveira, Túllio Sampaio Pontes Grangeiro Teles 2016-11-05 2016-11-05 9 10.3823/2174 Predisposing Factors for the Occurence of Urinary Tract Infection Associated with the Use of Vesical Delay Catheter <p>Objective: To evaluate the predisposing factors for occurrence of Urinary Tract Infection associated with the maintenance of indwelling catheters in patients in an Intensive Care Unit. Methods: exploratory, descriptive study with a quantitative approach carried out in the Adult Intensive Care Unit of a University Hospital of the Federal University of Campina Grande, Paraiba. The sample consisted of 21 patients who used the Vesical Delay Catheter (CVD). The results were analyzed using statistical methods, performed tabulation and organization of data for analysis and discussion. Results: of the patients (87.5%) who were using CVD, of which (57.15%) were women and (43.85%) men. Among the main medical diagnosis was the prevalence of lung (18.75%). Among the internal participants, 67.7% were discharged with CVD. Upon the evaluation of CVD, the item that was not adequate corresponds to the fixing of the catheter. Conclusion: on the study realized, it was found the need for staff to be attentive to the proper handling of the CVD, attention for proper insertion technique, control the length of stay, participation in training programs, aimed at preventing the urinary site and dissemination of microorganisms.</p> <p><br> Keywords: Urinary Catheterization; Intensive Care Units; Hospital Infection.</p> Cecília Danielle Bezerra Austriberta Araújo Alves Maria Socorro Alves Silva Lúcio Jessika Lopes Figueiredo Pereira Gláucia Souza Abreu Alencar Silmara Pereira Lima Cícero Roniere Alves Inácia Sátiro Xavier França Copyright (c) 2016 Cecília Danielle Bezerra, Austriberta Araújo Alves, Maria Socorro Alves Silva Lúcio, Jessika Lopes Figueiredo Pereira, Gláucia Souza Abreu Alencar, Silmara Pereira Lima, Cícero Roniere Alves, Inácia Sátiro Xavier França 2016-11-22 2016-11-22 9 10.3823/2211 Prevalence of Cardiovascular Risk Factors in Low Income Women <p><strong>Goals: </strong>Identify the most prevalent risk factors for developing cardiovascular diseases ( CVD) in low-income women; verify the relation between the prevalence of risk factors to develop CVD and social economic factors and identify beliefs of death without relation to the main diseases affecting females.</p> <p><strong>Methods:</strong> Interview of 100 cleaning ladies in São Paulo University Hospital. It was used a quiz composed by 25 closed questions based on VIGITEL/2006 quiz – Health Ministry – a risk factor surveillance quiz.</p> <p><strong>Results:</strong> The most prevalent cardiovascular risk factor was hypertension followed by smoking. Most of the women carrying cardiovascular risk factors were over 55 years old. It was also verified the &nbsp;relation between a higher income and higher education to CVD deaths. <strong>Conclusion:</strong> In order to reduce mortality by CVD, it is necessary to provide more information to these women about the main risks of developing such diseases through prevention programs, specially among groups with more vulnerability</p> <p><strong>Keywords: </strong>&nbsp;Women, work, poverty, education, cardiovascular diseases.</p> Bárbara Marques Anginoni Vinicius Batista Santos Solange Guizilini Camila de Souza Carneiro Suelen Alves Oliveira Regimar Carla Machado Rita Simone Lopes Moreira Copyright (c) 2016 REGIMAR CARLA MACHADO, Bárbara Marques Anginoni, Vinicius Batista Santos, Solange Guizilini, Camila Souza Carneiro, Suelen Alves Oliveira, Rita Simone Lopes Moreira 2016-11-20 2016-11-20 9 10.3823/2213 Visions of the Elderly on Quality of Life in the Family Health Strategy: a Study in the Light of Theory of Giving <p><strong>Background:</strong> To analyze the views of seniors belonging to the Francisco André Coexistence Group about the quality of life in the light of the sociological contributions of the Marcel Mauss’ Theory of Gift.</p> <p><strong>Method:</strong> This is a descriptive and exploratory study, with a qualitative approach, with eleven senior citizens of a support group, attached to the Family Health Strategy, of the neighborhood of Igapó, located in Natal-RN. Data were collected using focus groups, and then analyzed based on the thematic analysis content method.</p> <p><strong>Results:</strong> In the view of seniors, the meaning of quality of life was vocalized expressing a polysemic sense related to multiple aspects, highlighting the health status and the reciprocity discussed in the system of the gift. The statements confirmed that the experiences in the group have contributed to improving the quality of life in the several aspects related to the physical and functional capacity, as well as in the emotional and social aspects related to the creation of bonds and improvement of self-esteem. Furthermore, they signaled positive repercussions on the general health status.</p> <p><strong>Conclusions:</strong> The feelings of thankfulness expressed by the group, as well as recognition of the importance of trade and reciprocity in the group, the learning in educational activities and the reflexes projected in the life of each of them; indicated current changes and gifts.</p> <p><strong>Keywords</strong>: Health of the Elderly; Quality of Life; Family Health.</p> Thazia Costa Rafaela Araújo Oliveira Bruno Araújo da Silva Dantas Maisa Paulino Rodrigues Ricardo Henrique Vieira de Melo Gilson de Vasconcelos Torres Rosana Lúcia Alves de Vilar Copyright (c) 2016 Thazia Costa, Rafaela Araújo Oliveira, Bruno Araújo da Silva Dantas, Maisa Paulino Rodrigues, Ricardo Henrique Vieira de Melo, Gilson de Vasconcelos Torres, Rosana Lúcia Alves de Vilar 2016-12-21 2016-12-21 9 10.3823/2224 Unveiling The Senior Sexuality: An Integrative Review <p>This study aimed to analyze the national and the international literature, the perception and experience of sexuality by the elderly person. It was accomplished through Integrative Review, with searches made in the databases BDENF, LILACS, SCIELO and MEDLINE using the DECS "elderly", "health of the elderly" and "sexuality", by selecting 10 articles after inclusion and exclusion criteria. The analysis emerged three categories, covering respectively: the complex definition of sexuality by the elderly, significant changes to existing after the aging that interfere with sexuality and the importance of health education in addressing this issue to guide seniors and elderly not to experience it naturally. It is concluded that the knowledge and approach of sexuality in old age are important and should happen in the consultations with the old man leaving him free to share his questions and experiences.</p> <p><strong>Descriptors:</strong> Elderly; Health of the elderly; Sexuality.</p> Renata Lívia Silva Fonseca Moreira de Medeiros Kamilla Abrantes de Sousa Karolliny Abrantes de Sousa Rayrla Cristina de Abreu Temoteo Marcelo Costa Fernandes Iara Diogenes Silva Copyright (c) 2016 Renata Lívia Silva Fonseca Moreira de Medeiros, Kamilla Abrantes de Sousa, Karolliny Abrantes de Sousa, Rayrla Cristina de Abreu Temoteo, Marcelo Costa Fernandes, Iara Diogenes Silva 2017-01-26 2017-01-26 9 10.3823/2256 Male Doula, Why Not? <p><strong>Objective: </strong>Report experience of male person on a Doulas training course, whose historical dominance is female people and the training scenario is unique to this genre.</p> <p><strong>Methods: </strong>Qualitative and descriptive study, reporting the experience in a Training Course for <em>Doulas</em> held in the city of São Paulo, Brazil, in June 2015. The results characterize the course, followed by the experienced living. The analysis was funded by the literature on the subject.</p> <p><strong>Results:</strong> The experience showed that the process of working as <em>doula</em> must be delimited by an understanding beyond sexism and from exploitation for it.</p> <p><strong>Conclusion:</strong> It is noteworthy that care as an archetype should not be associated with the gender division of activities in the ideological process of the rite of passage transcribed in a training course, neither in the care of women.</p> Maurício Caxias de Souza Wilma Dias de Fontes Pereira Sérgio Ribeiro dos Santos Ericka Silva Holmes Waglânia de Mendonça Faustino e Freitas Rayanne Santos Alves Ana Lúcia de Medeiros Leila de Cássica Tavares da Fonsêca Saemmy Grasiely Estrela de Albuquerque Maria Bernadete de Souza Costa Aurilene Josefa Cartaxo Gomes de Arruda Eveny Natássia Santos Ferreira da Silva Natalia Peixoto de Oliveira Márcio Aurélio Diniz Fátima Michele Bezerra de Sousa Juliana Barbosa Medeiros Copyright (c) 2016 Maurício Caxias de Souza, Wilma Dias de Fontes Pereira, Sérgio Ribeiro dos Santos, Waglânia de Mendonça Faustino e Freitas, Ericka Silva Holmes, Leila de Cássica Tavares da Fonsêca, Rayanne Santos Alves, Saemmy Grasiely Estrela de Albuquerque, Maria Bernadete de Souza Costa, Aurilene Josefa Cartaxo Gomes de Arruda 2017-01-25 2017-01-25 9 10.3823/2249 Olympics in Brazil: Effectiveness of Prevention Measures Facing the Threat of a New Influenza Pandemic <p>Influenza A viruses, related to high morbidity and mortality worldwide, are involved in major pandemics since the 20th century. A new H1N1 epidemic is happening in Brazil where the Olympics will take place late this year. Being a tropical country, the Brazilian climate favours the propagation of the viruses. Therefore, other countries need to be alert to a possible pandemic dissemination of the viruses due to the high flow of people from different countries, and to consider ways of stopping such propagation. Methods of prophylaxis currently available and in circulation, including vaccine, anti-viral drugs and hygiene measures, do not have the desired effectiveness against pandemics. In view of the above scenario, it is essential to increase the surveillance and intervention on the part of health authorities of all the countries in the analysis of potential cases, and to adopt appropriate health measures in order to prevent further pandemic outbreaks</p> Maria Josycley Novais Landim Soares Kécia silva Damasceno Pablo Pitta Kamyla de Lellis Sousa Costa Domingos Sávio Matos Dantas Modesto Leite Rolim Neto Copyright (c) 2016 Maria Josycley Novais Landim Soares, Kécia silva Damasceno, Pablo Pitta, Kamyla de Lellis Sousa Costa, Domingos Sávio Matos Dantas, Modesto Leite Rolim Neto 2016-10-25 2016-10-25 9 Acute Events in Hospitalized Patients with Sickle Cell Anemia before and after the Use of Hydroxyurea <p><strong>Objective</strong>: To estimate the occurrence of acute events in hospitalized patients with sickle cell anemia (SCA) before and after the use of hydroxyurea (HU).<strong> Method</strong>: The study has a quantitative approach, of analytical cohort type developed in two public referral hospitals in the Midwest region of Brazil, from November 2010 to October 2011. Data collection was performed on records of patients diagnosed with SCA. The interval time for the data collection was 30 years, which corresponded between 1980 and 2010. The research was approved by the Ethics Committee of the Federal University of Mato Grosso do Sul, Campo Grande/MS, Brazil, under protocol 1822/2010. <strong>Results</strong>: The sample had 32 medical records of hospitalized patients diagnosed with SCA who used HU. The mean age of the participants was 25.65±11.92; the average time of drug exposure was 6.0±2.8 years; the average initial dose was 17.00±5,3mg/kg/day and final dose of 22.10±5.3 mg/kg/day. After using HU, the fetal hemoglobin ranged from 8.41±0.95 to 14.44±13.7% (p&lt;0.001). There was a reduction of the average leucocyte, absolute neutrophil, acute events, total infections and blood transfusions. <strong>Conclusion:&nbsp;</strong>The effects of HU exposure caused an increase in fetal hemoglobin level, decreasing leukocyte, absolute neutrophils and acute events, transfusions and hospitalizations by the use of non-opioid.</p> <p><strong>Keywords</strong>: Sickle Cell Anemia; Hydroxyurea; Infection.</p> Olinda Maria Rodrigues de Araújo Maria Lúcia Ivo Albert Schiaveto de Souza Ana Tereza Gomes Guerrero Alexandra Maria Almeida Carvalho Francine Ramos de Miranda Maria Angélica Marcheti Abílio Torres dos Santos Neto Elaine Silva de Pádua Melo Isabelle Campos de Azevedo Magda Maria Barbosa da Silva Ricardina Oliveira da Silva Marcos Antonio Ferreira Júnior Copyright (c) 2016 Olinda Maria Rodrigues de Araújo, Maria Lúcia Ivo, Albert Schiaveto de Souza, Ana Tereza Gomes Guerrero, Alexandra Maria Almeida Carvalho, Francine Ramos de Miranda, Maria Angélica Marcheti, Abílio Torres dos Santos Neto, Elaine Silva de Pádua Melo, Isabelle Campos de Azevedo, Magda Maria Barbosa da Silva, Ricardina Oliveira da Silva, Marcos Antonio Ferreira Júnior 2016-12-04 2016-12-04 9 10.3823/2220 Pressure Injuries: Clinical and Risk Profile of Patients and Characteristics of Injuries <p><strong>Objectives:</strong> To investigate the clinical profile and the level of risk for pressure injuries in patients with these injuries in the Intensive Care Unit, and describe the characteristics of the identified injuries. <strong>Method:</strong> quantitative, exploratory study conducted in Teaching Hospital in João Pessoa / PB, approved by the Institutional Ethics Committee, under protocol number 451/11. The sample consisted of 20 patients, with pressure injuries. To collect data, we used the Braden Scale and a form with clinical data and description of injuries. <strong>Results:</strong> 45.0% were at high risk and 30% very high (30.0%) to develop the lesions that occurred predominantly in the sacrococcygeal region (33.3%) and stage II (55.0%). <strong>Conclusions:</strong> All patients had clinical profile and risk level compatible with the development of pressure injuries, highlighting the importance of assessing the Braden Scale and other contributing factors for the occurrence of these injuries in the studied unit.</p> Analine Correia Josilene de Melo Buriti Vasconcelos Maria Helena Larcher Caliri Iolanda Beserra da Costa Santos Alda Carla Pires Duarte Denyse Luckwü Martins Francisca de Sousa Barreto Maia Maria Júlia Guimarães Oliveira Soares Copyright (c) 2017 Analine Correia, Josilene de Melo Buriti Vasconcelos, Maria Helena Larcher Caliri, Iolanda Beserra da Costa Santos, Alda Carla Pires Duarte, Denyse Luckwü Martins, Francisca de Sousa Barreto Maia, Maria Júlia Guimarães Oliveira Soares 2017-01-02 2017-01-02 9 10.3823/2207 Are there Childhood Major Depressive Disorder Genetic Markers and Mutations? <p>Background: There are many challenges in the childhood psychopathology field to carry out epidemiological studies. The child is a being in evolution with behavioral changes, making more difficult to conduct this kind of research. Even nowadays, there are still several diseases being treated as they were all the same, such as disorders, disturbances, and behavioral changes. Moreover, there are still difficulties regarding the parameterized diagnostic criteria, such as the points awarding cut-off scales utilization and the questionnaires application.<br>Objective: To identify whether are genetic changes that can cause childhood major depressive disorder and if there are genetic markers that can be used to detect these changes.<br>Results: Studies showed a strong relationship between environmental stress (whether emotional or physical) and the genetic pool that each individual has as specific genes regulating serotonergic and neurotrophic circuits. The pathophysiology and the interaction of these circuits are not well established, but studies confirm their interactions and expression with depression. <br>Conclusion: Major Depressive Disorder (MDD) is a deeply familiar disorder, with genetic influences not very well established and relevant environmental components.</p> Kaline Cristh Rabelo Nobre Nayana Marques Vidal Antonio Gilvan Teixeira Júnior Izabella Bárbara Quirino de Lima Modesto Leite Rolim-Neto Copyright (c) 2016 Kaline Cristh Rabelo Nobre, Nayana Marques Vidal, Antonio Gilvan Teixeira Júnior, Izabella Bárbara Quirino de Lima, Modesto Leite Rolim-Neto 2016-10-22 2016-10-22 9 10.3823/2124 Domestic Violence against Women: Prevalence, Familiar Context and Victim Support Services <p>Background: This article aimed to characterize the violence practice by intimate partners throughout the life of women between 15 and 49 years old, regarding the prevalence and type of violence, risk factors inside the familiar context for the occurence of such acts and the search for support services directed to women who were victims of domestic violence.<br>Methods: It is a cross-sectional study conducted in all of the Family Health Units in the city of Serra Talhada, located in the state of Pernambuco in Brazil, with 493 women who live there. Descriptive statistics were used (absolute distributions, percentages, mean and standard deviation) and analytical (bivariate and multivariate Poisson regression with robust variance) with a 5% level of significance. <br>Results: Regarding the prevalence, 46.8% of women were victims of aggression by partners, most suffering more than one type of violence (68.4%). There was a predominance of psychological (37.3%), physical (33.7%), and sexual violence (18.7%). The use of alcohol and illicit drugs as well as the partner’s involvement in frequent quarrels in the community and in the family circle were strongly associated with a higher prevalence of violence against women (p = 0.001 and Reason’s prevalence of 5.08; 1.41; 1.34 and 1.41, respectively). Almost one third of the victims (29.2%) reported having searched for support services, being hospitals or health centers the most searched by women in physical (71.1%), sexual (58.3%) and psychological (45.6%) violence situations. However, 70.8% of the interviewed reported not searching for institutional help. <br>Conclusions: The survey results show that violence against women is still cause for concern, especially in public health area. It reinforces the need of measures that actually effect the public policies in meeting this demand.</p> Cristiana Barbosa da Silva Gomes Camilla de Almeida Borba Madruga Cícera Renata Diniz Vieira Silva Emanuella de Castro Marcolino Amanda Manuella Dantas Nobre Rayssa Naftaly Muniz Pinto Edlene Régis Silva Pimentel Alberiza Veras de Albuquerque Luana Gislene Herculano Lemos Mary Luce Melquíades Meira Rosângela Vidal de Negreiros Olga Benário Prestes Copyright (c) 2016 Mary Campusano 2016-10-22 2016-10-22 9 10.3823/2138 The Process of Organ Donation and Tissue in Hospital Units <p>Background: To describe the process of organ and tissue donation for transplantation in hospitals in the northeastern of Brazil. Methods: This is a quantitative, descriptive, prospective study with 65 potential donors, using a structured script of non-participant observation and institutional documents. Data were analyzed using descriptive statistics. Results: There were 65 potential of donors, 59 (90.7%) of them underwent laboratory tests to evaluate the functioning of the organs, 49 (75.4%) were evaluated regarding the diagnosis of Brain Death (BD), 37 (56.9%) families were interviewed, 20 (30.7%) of them authorized the donation and 18 (27.7%) had their organs donated. In the donation process, the steps of evaluation, maintenance and diagnosis of BD presented the biggest problems. Conclusions: It was identified that several procedures of the donation process were weak, contributing to low effectiveness. These data support the planning of actions related to organ donation, enabling reflexive action on the process.</p> Izaura Luzia Silvério Freire Gilson de Vasconcelos Torres Andréa Tayse de Lima Gomes Bruno Araújo da Silva Dantas Eliane Santos Cavalcante Francisco Arnoldo Nunes de Miranda Copyright (c) 2016 Izaura Luzia Silvério Freire, Gilson de Vasconcelos Torres, Andréa Tayse de Lima Gomes, Bruno Araújo da Silva Dantas, Eliane Santos Cavalcante, Francisco Arnoldo Nunes de Miranda 2016-11-25 2016-11-25 9 10.3823/2206 Mothers Perception Of The Collective Monitoring On The Child Growth And Development <p><strong>Background:</strong> Child´s Growth and Collective Development Monitoring is a practice that involves low-cost and high-efficiency technologies, based on the prerogative of health promotion. This study aims to describe the mothers´ perception about the collective monitoring of child growth and development.</p> <p><strong>Method: </strong>This is a descriptive research with a qualitative approach, carried out with 13 mothers, through semi-structured interviews and participant observation. Data analysis was the technique of content analysis proposed by Bardin.</p> <p><strong>Results:</strong> From the data analysis, two categories emerged: “The exchange of experiences and the autonomy of the subjects from the health promotion model”, where it was identified that the collective monitoring of child growth and development is a time favoring the approach between professionals and patients by motivating family participation by the emphasis on health promotion actions; and “The ability to recognize the reality and identify the difficulties” that indicated the change in care practice by professionals as a difficult task, but of great importance for health care.</p> <p><strong>Conclusion:</strong> The mothers´ perception about the collective monitoring is directed at the health promotion model, being observed greater involvement among the participants in the consultations, bond, and autonomy.</p> Polyanna Keitte Fernandes Gurgel Akemi Iwata Monteiro Ana Luisa Brandão de Carvalho Lira Maria Isabel da Conceição Dias Fernandes Paula Fernanda Brandão Batista Dos Santos Copyright (c) 2016 Polyanna Keitte Fernandes Gurgel, Akemi Iwata Monteiro, Ana Luisa Brandão de Carvalho Lira, Maria Isabel da Conceição Dias Fernandes, Paula Fernanda Brandão Batista Dos Santos 2017-01-24 2017-01-24 9 10.3823/2261 Current Trends Of Brazilian Research In Chronic Diseases Related To Elderly People: A Bibliometric Study. Brazilian Research On Chronic Diseases In Elderly People <p>This article aims to analyze the national scientific production on chronic diseases related to elderly, published in the last five years in the LILACS database, using the following keywords: elderly; aging; senility; chronic diseases; Alzheimer; dementias. This is a descriptive study, with bibliometric approach. Of the 1,255 units found, 50 were selected and analyzed after applying the inclusion criteria. Most publications on chronic disease were identified in 2011; the degree of doctor was predominant among the authors; the most commonly used mode of study was original papers; the most common area of ​​knowledge is multidisciplinary; among data collection instruments, the questionnaire was the most frequent; the magazine with most papers was the Brazilian Journal of Geriatrics and Gerontology; elderly were the most predominant group among the participants investigated; the study region and link of &nbsp;the most highlighted author was the southeast region. It is noteworthy that scientific production on chronic diseases related to elderly people in Brazil is still in its infancy, suggesting the need for more research, particularly in the context of health promotion and prevention of disabilities that allow guidance to managers and health professionals staff.</p> Ana Karênina de Freitas Jordão do Terezinha Nunes da Silva Ana Mabel Sulpino Felisberto Maria das Graças Miguel Duarte Maria Lucrecia Aquino Gouveia Ana Karina Moreira de Vasconcelos Ana Zuli Vidal Moreira de Freitas Greicy Kelly Gouveia Dias Bittencourt Valeria Peixoto Bezerra Maria Adelaide Silva Paredes Moreira Antonia Oliveira Silva Copyright (c) 2016 Ana Karênina de Freitas Jordão do, Terezinha Nunes da Silva, SILVA, T.N., Ana Mabel Sulpino Felisberto, FELISBERTO, A.M.S., Maria das Graças Miguel Duarte, DUARTE, M. G. M., Maria Lucrecia Aquino Gouveia, GOUVEIA, M. L. A., Ana Karina Moreira de Vasconcelos, VASCONCELOS, A.K.M., Ana Zuli Vidal Moreira de Freitas, FREITAS, A.Z.V.M., Greicy Kelly Gouveia Dias Bittencourt, BITTENCOURT, G.K.G.D., Valeria Peixoto Bezerra, BEZERRA, V.P., Maria Adelaide Silva Paredes Moreira, MOREIRA, M.A.S.P., Antonia Oliveira Silva, SILVA, A.O. 2017-02-08 2017-02-08 9 10.3823/2268 First Comprehensive Study on Total Determination of Nutritional Elements in the Fruit of the Campomanesia Adamantium (Cambess.): Brazilian Cerrado Plant <p><strong>Introduction: </strong>Composition of fruits and leaves of <em>Campomanesia adamantium</em> (Cambess.) O. Berg commonly called guavira are used in dietary or as a mode of treatment of variety of ailments in indigenous and urban populations in the city of the Campo Grande, State of Mato Grosso do Sul, Brazil. However, comprehensive studies on their mineral composition are scarce. <strong>Objective:</strong> In the present study, evaluation of mineral contents (Na, K, Ca, Mg, P, Fe, Zn, Ni, Mn, Co, Cu, Mo, Cr, Si and Al) from peel, pulp and seeds of guavira was carried out. <strong>Method: </strong>The peel, pulp and seeds of guavira were studied by ICP-OES with microwave digestion. The contents of the elements in the parts of the guavira, were compared to the Recommended Dietary Allowance (RDA), values Adequate Intake (AI) and tolerable upper intake levels (ULs). <strong>Results:</strong> The results are considered in terms of the utility of the natural herbal medicaments as rich (Cu, P, Cr and Mo) or a source of minerals indispensable for proper functioning of the human organism. The concentration of elements in seeds, pulp and peel the guavira was compared with value of UL and does not cause toxicity. The concentration of elements K, Ca, Na, P are found present at the major level in peel, pulp and seeds of fruit. The contents of Chromium (Cr) were reportedly found higher than the permissible levels as recommended by the WHO. <strong>Conclusion:</strong> The lack of knowledge of the elemental constituents of several species of medicinal plants often poses human lives at risk, these elements can also be dangerous and toxic, and involves global health problem. The gaps in knowledge about the level of contents in the <em>Campomanesia adamantium</em> (Cambess.) O. Berg was completed in this work. The data obtained would serve as a tool for deciding the dosage of prepared from this plant with medicinal and nutritional purposes.</p> <p><strong>Keywords: </strong>Medicinal plants; Guavira; Inductively coupled plasma mass spectrometry.</p> Nayara Vieira de Lima Daniela Granja Arakaki Paula Fabiana Saldanha Tschinkel Anderson Fernandes da Silva Rita de Cássia Avellaneda Guimarães Priscila Aiko Hiane Marcos Antonio Ferreira Júnior Valter Aragão do Nascimento Copyright (c) 2017 Nayara Vieira de Lima, Daniela Granja Arakaki, Paula Fabiana Saldanha Tschinkel, Anderson Fernandes da Silva, Rita de Cássia Avellaneda Guimarães, Priscila Aiko Hiane, Marcos Antonio Ferreira Júnior, Valter Aragão do Nascimento 2017-01-02 2017-01-02 9 10.3823/2221 Quality of Life Assessment in Children with Cerebral Palsy <p><strong>Objectives</strong>: Evaluate the QoL of children with CP followed at Núcleo de Tratamento e Estimulação Precoce, in Fortaleza, Ceará, Brazil; identify the most affected domains of the Pediatric Quality of Life Inventory. <strong>Methods:</strong> This was a cross-sectional, of which target population consisted of parents of children with CP (N = 62). Data collection was carried out by applying the socioeconomic questionnaire and the Health-related Quality of Life tool – HRQoL-PedsQL version 4.0, module applied to parents. Data analysis was performed with SPSS statistical software, version 23.0. <strong>Results:</strong> The results after transformation of scores into a scale of 0 to 100 in PedsQL, the data showed statistical difference between QOL domains except for physical capacity and social aspect and in descending order of impairment, the domains were related to school activity, the emotional aspect, physical capacity and the social aspect. <strong>Conclusions</strong>: Given the above, to attain improvement in QoL indicators, it is reasonable to propose interdisciplinary intervention among healthcare professionals in order to develop improved strategies aiming to promote early integration of children with CP in schools, to obtain significant results.</p> Mirna A Frota Viviane M Vasconcelos Maria Teresa Moreno Valdés Vanessa Gomes S Queiroz Karla Maria C Rolim Carlos A. Bruno da Silva Copyright (c) 2016 Carlos Antonio Bruno Silva, Mirna Albuquerque Frota, Viviane Mamede Vasconcelos, Maria Teresa Moreno Valdés, Vanessa Gomes Silveira Queiroz, Karla Maria Carneiro Rolim 2016-11-20 2016-11-20 9 10.3823/2210 Blood Transfusion in Cancer Patients: Knowledge of the Nursing Team <p><strong>Objectives:</strong> to assess the knowledge of nursing team professionals of a specialized hospital in oncology on transfusion practices and to identify factors associated with knowledge.</p> <p><strong>Methods:</strong> observational, analytical, cross-sectional study held in a large and philanthropic Brazilian hospital, specialized in oncology. The unsystematic sample consisted of 61 nursing professionals who worked at the hospital. For data collection, researchers was used a validated tool of check list type. The descriptive statistics was held in the univariate analysis and the t-test and Pearson correlation in the bivariate analysis.</p> <p><strong>Results:</strong> the average overall score of knowledge was 53.6%; in the pre-transfusion step it was 49.6%; in the transfusion step, 55.7% and in the post-transfusion step, 63.4%. Factors associated with knowledge included the participation in specific training courses on the subject, having post-graduate degrees, the search for information in the literature, the adoption or knowledge of any standard and/or guidelines related to the transfusion process, making use of the sector’s manual of Standard Operating Procedures (SOP) and number of participation in training courses.</p> <p><strong>Conclusion: </strong>there was a general score of lack of knowledge in pre-transfusion and transfusion steps and a better understanding in the post-transfusion step. The findings reinforce the importance of investing in periodic training and implementation of continuous and permanent education, promoting the updating of knowledge of these professionals according to the guidelines and enabling them to play safe and quality care actions.</p> Karla Fabiana Nunes da Sila Daniela Rosa Floriano Rafaela Dagma Duarte Jordânia Lumênia Tavares Márcia Marques dos Santos Félix Quênia Cristina Gonçalves Silva Luana Foroni Andrade Lúcia Aparecida Ferreira Elizabeth Barichello Maria Helena Barbosa Copyright (c) 2016 Karla Fabiana Nunes da Sila, Daniela Rosa Floriano, Rafaela Dagma Duarte, Jordânia Lumênia Tavares, Márcia Marques dos Santos Félix, Quênia Cristina Gonçalves Silva, Luana Foroni Andrade, Lúcia Aparecida Ferreira, Elizabeth Barichello, Maria Helena Barbosa 2016-12-12 2016-12-12 9 10.3823/2212 Characterization Of Publications On Burns In Brazil And Changes Resulting From Trauma <p><strong>Objective: </strong>Characterize the profile of scientific publications on burns in Brazil and systemic changes resulting from the trauma.</p> <p><strong>Methods and results: </strong>This is a bibliographical, retrospective and descriptive research with a quantitative approach. It was held between April and May, 2016 in the databases Latin American and Caribbean Center on Health Sciences (LILACS); Nursing Database (BDENF); Medical Literature Analysis and Retrieval System Online (MEDLINE), Scientific Electronic Library Online (SciELO) and the Journal Portal of Higher Education Personnel Improvement Coordination (CAPES). After the analysis of the inclusion criteria (articles available in full, in Portuguese, published between 2011 and 2015), there were 49 productions, and 16 were selected. Analyzing the sample for the event characteristics, it was observed a higher incidence of accidents in males. The main causes of burns were heated by liquid, followed by direct flame. Regarding the classification, the most frequent injury was the 2<sup>nd</sup> degree, but also there were burns reports with mixed classification. Also, the upper limbs and trunk were the body parts most affected. In addition to these data, it was also highlighted the most frequent types of systemic changes caused by burns, which were respiratory complications, infection and/or sepsis and metabolic sequels.</p> <p>&nbsp;<strong>Conclusion: </strong>The study showed the need to characterize of the publications in burns, since the crossing of this information provides a better understanding of the main causal factors, distribution and identification of risk groups. It also enables the planning of prevention strategies to help to reduce accidents, favoring the reduction of injuries and the number of hospitalizations. Moreover, it is extremely important that health professionals know about the epidemiological profile, to provide support in the evaluation and organization of care, and to prevention campaigns, aiming to decrease burn rates.</p> <p><strong>Keywords: </strong>Profile; Burns; Burn Units.</p> KAREN RAYARA BEZERRA LIMA SARA PORFIRIO DE OLIVEIRA GLÓRIA CATARINA BESERRA RODRIGUEZ RAYANE ARAUJO DO NASCIMENTO LIVIA MARIA NUNES KEZAUYN MIRANDA AIQUOC ELLEN DE FATIMA LIMA VASCONCELOS JOSE JOANDSON DE SOUZA DOS SANTOS SABRINA DAIANE GURGEL SARMENTO RODRIGO ASSIS NEVES DANTAS DANIELE VIEIRA DANTAS MARIA DO CARMO DE OLIVEIRA RIBEIRO ANA ELZA OLIVEIRA DE MENDONÇA KATIA REGINA BARROS RIBEIRO ISABELLE CRISTINA BRAGA COUTINHO CUNHA MARIA MARINAH SOUZA DO NASCIMENTO MARILIA RUTE DE SOUTO MEDEIROS VIVIANNY BEATRIZ SILVA COSTA BEATRIZ DA SILVA MONTEIRO CAVALCANTE MICHELLE CARNEIRO FONSECA LUANA DINAIZA PINHEIRO DE MEDEIROS Copyright (c) 2016 KAREN RAYARA BEZERRA LIMA, SARA PORFIRIO DE OLIVEIRA, GLÓRIA CATARINA BESERRA RODRIGUEZ, RAYANE ARAUJO DO NASCIMENTO, LIVIA MARIA NUNES, KEZAUYN MIRANDA AIQUOC, ELLEN DE FATIMA LIMA VASCONCELOS, JOSE JOANDSON DE SOUZA DOS SANTOS, SABRINA DAIANE GURGEL SARMENTO, RODRIGO ASSIS NEVES DANTAS, DANIELE VIEIRA DANTAS, MARIA DO CARMO DE OLIVEIRA RIBEIRO, ANA ELZA OLIVEIRA DE MENDONÇA, KATIA REGINA BARROS RIBEIRO, ISABELLE CRISTINA BRAGA COUTINHO CUNHA, MARIA MARINAH SOUZA DO NASCIMENTO, MARILIA RUTE DE SOUTO MEDEIROS, VIVIANNY BEATRIZ SILVA COSTA, BEATRIZ DA SILVA MONTEIRO CAVALCANTE, MICHELLE CARNEIRO FONSECA, LUANA DINAIZA PINHEIRO DE MEDEIROS 2017-01-26 2017-01-26 9 10.3823/2262 The International Classification for Nursing Practice (ICNP®) in the Nursing consultation to the puerperal woman <p><strong>Introduction: </strong>The International Classification for Nursing Practices (ICNP) articulated to the Systematization of Nursing Assistance (SNA) in the puerperal consultation is necessary in view of the importance of offering quality care for mother and child.</p> <p><strong>&nbsp;</strong></p> <p><strong>Objective: </strong>Discuss the contributions that ICNP<sup>®</sup> brings to the nursing consultation and the quality of care to the puerperal woman.</p> <p><strong>&nbsp;</strong></p> <p><strong>Method:</strong> This is a descriptive, qualitative study, the integrative review type, performed by the BDENF and LILACS databases.</p> <p><strong>&nbsp;</strong></p> <p><strong>Results: </strong>The databases returned 45 publications, but only 10 responded to the proposed objective of the study.</p> <p><strong>&nbsp;</strong></p> <p><strong>Discussion:</strong> The collected data were analyzed and point to the importance of conducting effective interventions for the monitoring of puerperal women and children. Another observed point was the deficit in the knowledge of nursing professionals on the ICNP.</p> <p><strong>&nbsp;</strong></p> <p><strong>Conclusion:</strong> Thus, one understands that using SNA and implementing ICNP enable the strengthening of the unified language, favoring the assistance in a universal way and, therefore, a better quality of health of the population.</p> ILARA MARIA FEREIRA ALVES TAYSSA SUELEN PAULINO THUÍSA EMMANUELLE DO NASCIMENTO PESSOA MELO SORAYA MARIA DE MEDEIROS FABIO CLAUDINEY DA COSTA PEREIRA ISABEL CRISTINA AMARAL DE SOUZA ROSSO NELSON KAROLINA DE MOURA MANSO DA ROCHA YANNA GOMES DE SOUSA STELLA ALYNY DE AQUINO COSTA CYBELE MAURÍCIO QUEIROZ DE SOUZA Copyright (c) 2016 ILARA MARIA FEREIRA ALVES, TAYSSA SUELEN PAULINO, THUÍSA EMMANUELLE DO NASCIMENTO PESSOA MELO, SORAYA MARIA DE MEDEIROS, FABIO CLAUDINEY DA COSTA PEREIRA, ISABEL CRISTINA AMARAL DE SOUZA ROSSO NELSON, KAROLINA DE MOURA MANSO DA ROCHA, YANNA GOMES DE SOUSA, STELLA ALYNY DE AQUINO COSTA, CYBELE MAURÍCIO QUEIROZ DE SOUZA 2016-12-11 2016-12-11 9 10.3823/2185 Malignant Neoplastic Wounds: Clinical Management Performed by Nurses <p><strong>Abstract</strong></p> <p><strong>Objective</strong>: Investigate the clinical management of patients with neoplastic wounds by nurses. <strong>Methods:</strong> This is an exploratory study, with qualitative approach, conducted in August 2014, with ten clinical nurses of a philanthropic hospital that provides care to patients with advanced cancer. Data were collected through semi-structured interviews and data analysis was performed using the Minayo’s Thematic Analysis Technique, which enabled the construction of one category and four subcategories.</p> <p><strong>Results:</strong> The nurses’ knowledge on the clinical management of wounds is weak and has many weaknesses involving patients with advanced cancer.</p> <p><strong>Conclusion:</strong> One evidenced the need to invest in continuing education and implementation of protocols that support greater autonomy of nurses in decision-making, ensuring legal support to these professionals to improve care for people with neoplastic wounds.</p> <p><strong>Key words: S</strong>kin Ulcer; Wounds and Injuries; Oncology Nursing; Nursing Care.</p> Glenda Agra Josenilda Pereira dos Santos Alana Tamar Oliveira de Sousa Bernadete de Lourdes André Gouveia Débora Thaíse Freires de Brito Elton de Lima Macêdo Maria Vitória de Souza Medeiros Edlene Régis Silva Pimentel Patrícia Simplício de Oliveira Thalys Maynnard Costa Ferreira Daniele Martins do Nascimento Oliveira Simone Helena dos Santos Oliveira Maria Júlia Guimarães Oliveira Soares Marta Miriam Lopes Costa Copyright (c) 2016 Glenda Agra, Josenilda Pereira dos Santos, Alana Tamar Oliveira de Sousa, Bernadete de Lourdes André Gouveia, Débora Thaíse Freires de Brito, Elton de Lima Macêdo, Maria Vitória de Souza Medeiros, Edlene Régis Silva Pimentel, Patrícia Simplício de Oliveira, Thalys Maynnard Costa Ferreira, Daniele Martins do Nascimento Oliveira, Simone Helena dos Santos Oliveira, Maria Júlia Guimarães Oliveira Soares, Marta Miriam Lopes Costa 2016-11-25 2016-11-25 9 10.3823/2215 Fall Risk Among Elderly Assisted in an Emergency Hospital <p><strong>Objective</strong>: to analyze the risk of falling among the elderly assisted in an emergency hospital. <strong>Method</strong>: cross-sectional observational study conducted in the emergency department of a reference hospital in emergency, whose population was patients aged 60 or older, attended due to fall. The sample of 272 elderly was chosen through non-probability intentional sampling. <strong>Result</strong>: among study participants, the mean age was 74.4 years, ranging from 60 to 105 years. Most elderly were in the age group from 60 to 79 years and were females, most were married, illiterate, with monthly income of one to three minimum wages. There was a statistically significant association between high risk of falling, educational level and monthly income. <strong>Conclusion</strong>: results evidence the need to minimize the high prevalence of elderly people suffering injuries from falls and to prevent the loss of autonomy as a result of this type of accident.</p> Francisca Maria Michelle Oliveira Lustosa Márcia Maria Gomes da Silva Ana Maria Ribeiro dos Santos Camila Aparecida Pinheiro Landim Almeida Francisca Cecília Viana Rocha Guilherme Guarino de Moura Sá Copyright (c) 2016 Francisca Maria Michelle Oliveira Lustosa, Márcia Maria Gomes da Silva, Ana Maria Ribeiro dos Santos, Camila Aparecida Pinheiro Landim Almeida, Francisca Cecília Viana Rocha, Guilherme Guarino de Moura Sá 2016-11-13 2016-11-13 9 10.3823/2198 Socio-demographic and Health Aspects Associated with the Quality of Life in the Elderly of the Family Health Strategy. An Analytical Study. <p><strong>Objective</strong>: to analyze the association between the socio-demographic and health aspects to the quality of life (QOL) of elderly people linked to the ESF. <strong>Methods</strong>: this is an analytical, cross-sectional study with a quantitative approach, carried out in two communities ascribed to the ESF of Rio Grande do, Brazil, between December 2015 and March 2016. The data collection instruments were: a socio-demographic and pain characteristics questionnaire; Mini-Mental State Examination (MMSE), the Medical Outcomes Short-Form Health Survey (SF-36 Brazilian version). A descriptive and inferential analysis with 5.0% significance level were performed. The study followed the ethical precepts of research. <strong>Results</strong>: In this age group studied, there is a significant association between younger elderly with the domains of functional capacity (Average 67.2 and ρ-value 0.032), emotional health (Average 82.0 and ρ-value 0.040) and physical size (Average 51.4 and ρ-value 0.042). Among the aspects of health and QOL there was a statistical significance between the variable “pain in the last week”, with the absence of pain associated with functional capacity (Average 76.7 and ρ-value 0.013) and emotional health (Average 96.1 and ρ-value (0.019) These statistically significant differences occurred in the elderly of Santa Cruz. <strong>Conclusion</strong>: regarding the association between socio-demographic and health aspects and QOL of the elderly, there was a significant between different variables and domains, with a strong association of QOL with age, marital status, pain and medication use.</p> Bruno Araújo da Silva Dantas Aline Maino Pergola-Marconato Jéssica Maria Arouca de Miranda Neidjany Patrícia Lima Torres Luana de Azevedo Souza Vanessa Ferreira da Silva Rafaela Araújo Oliveira Anne Caroline Rodrigues Barbosa Alessandra Justino Dionisio João Manuel Galhanas Mendes Gilson de Vasconcelos Torres Copyright (c) 2016 Bruno Araújo da Silva Dantas, Aline Maino Pergola-Marconato, Jéssica Maria Arouca de Miranda, Neidjany Patrícia Lima Torres, Luana de Azevedo Souza, Vanessa Ferreira da Silva, Rafaela Araújo Oliveira, Anne Carolina Rodrigues Barbosa, Alessandra Justino Dionisio, João Manuel Galhanas Mendes, Gilson de Vasconcelos Torres 2016-11-29 2016-11-29 9 10.3823/2214 Perception of the Nursing Team at a Specialized Hospital about the Work Process <p><strong>Background:</strong> The aim of the study was to understand the meaning of the management work process in nursing for the nursing team at a hospital specialized in craniofacial anomalies. <strong>Method</strong>: the phenomenological approach, as the reference framework for the structure of the situated phenomenon, was used to analyze the interviews held with 12 nurses and 12 nursing technicians in the period between September 2009 and May 2010. The analysis included the transcription and readings of the testimonies, looking for the essence through the theming, interpretation and synthesis of the phenomenon. <strong>Findings:</strong> the following themes were unveiled: Organization of work, the work process is organized through routines and standards; Human resources, highlighting the shortage of staff; Interactive team guaranteeing balance and synchronism in the work process and Stressing organizational climate due to situations that involve physical, psychological and social suffering, resulting from the relation with patients with craniofacial malformations. <strong>Conclusions</strong>: the study contributes to understand the management work process in nursing at the specialized hospital and highlights aspects of satisfaction/dissatisfaction. A review of the nursing work process is suggested, as well as the adoption of participatory management strategies, acknowledging the workers’ performance in the history of the institution and promoting spaces that permit autonomy, responsibility and commitment.</p> Lilian Regina Leandro Bertolini Wilza Carla Spiri Carmen Maria Casquel Monti Juliani Copyright (c) 2016 Lilian Regina Leandro Bertolini, Wilza Carla Spiri, Carmen Maria Casquel Monti Juliani 2016-11-13 2016-11-13 9 10.3823/2196 Pregnancy Complications and Perinatal Outcomes of Women with Hemoglobinopathies <p><strong>Objective</strong>: To estimate the prevalence of gestational complications and perinatal outcomes in women with and without hemoglobinopathies. <strong>Method</strong>: This is a cross-sectional study with a quantitative approach, performed from 110 medical records of pregnant women who underwent prenatal, childbirth, postpartum and perinatal care in a gynecology and obstetrics service of the University Hospital at the Federal University of Mato Grosso do Sul, Brazil, between 2010 and 2011. <strong>Results</strong>: Gestational complications in women with and without hemoglobinopathies in the variables: obstetric (preterm labor, pre-eclampsia, ruptured membranes for more than six hours (17.06 times; 12.19 times; 4.27 times respectively); clinical: urinary tract infection, heart failure, severe anemia (2.97 times; 12.6 times;&nbsp; 9.75 times, respectively), and perinatal: cesarean delivery, neonatal infection; the newborn in the neonatal intensive care unit; fetal death, stillbirth (1.57 times; 39.00 times; 12.19 times; 12.9 times; 9.75 times; respectively) were higher in the presence of hemoglobinopathies. <strong>Conclusion</strong>: The pregnancy outcomes of women with hemoglobinopathies, perinatal and their newborns showed a higher prevalence of complications than women without this change.</p> <p><strong>Keywords: </strong>Hemoglobinopathies; Pregnancy Complications, Hematologic; Perinatal Care.</p> Eliny Aparecida Vargas Machado Salazar Maria Lúcia Ivo Sandra Luzinete Félix de Freitas Maria Stella Figueiredo Maria Auxiliadora de Souza Gerk Cristina Brandt Nunes Berenice Assumpção Kikuchi Elenir Rose Jardim Cury Pontes Ernesto Antonio Figueiró-Filho Thais Priscila Biassi Isabelle Campos de Azevedo Rita de Cássia Lira da Silva Marcos Antonio Ferreira Júnior Copyright (c) 2016 Eliny Aparecida Vargas Machado Salazar, Maria Lúcia Ivo, Sandra Luzinete Félix de Freitas, Maria Stella Figueiredo, Maria Auxiliadora de Souza Gerk, Cristina Brandt Nunes, Berenice Assumpção Kikuchi, Elenir Rose Jardim Cury Pontes, Ernesto Antonio Figueiró-Filho, Thais Priscila Biassi, Isabelle Campos de Azevedo, Rita de Cássia Lira da Silva, Marcos Antonio Ferreira Júnior 2016-12-04 2016-12-04 9 10.3823/2219 Quality of Life of Patients with Intestinal Parasites Assessed Through a Logistic Regression Model <p>Introduction: The agents that cause intestinal parasitic diseases are protozoa and helminthes, through the involvement of the intestine of living beings. The concern about such diseases arises from the consequences caused in man, after installed in the body, and the symptoms they cause, such as nausea and vomiting. It is noteworthy that the intestinal parasitic diseases are among the neglected diseases in Brazil.</p> <p>Objective: To evaluate the quality of life of patients with intestinal parasites treated at a Public Service of João Pessoa, applying a Logistic Regression Model. Method: This is an observational, analytical study, with cross-sectional design. Data were collected in the laboratory of the service. The sample consisted of 135 patients, aged 18-59 years, who had request for stool analysis. Their invitation occurred through an individual approach and, then, they received the Quality of Life Questionnaire SF-36. Results: The sample consisted of 135 patients: 80 had diagnosis of some intestinal parasitic disease - 56 classified as pathogenic and 24, as intestinal commensals. Statistical analysis revealed that, among the studied variables, the type of animal; marital status; constipation; functional capacity domain; pain domain; mental health domain; vomiting and abdominal colic, provided evidence about which associates with the presence or absence of intestinal parasites, making the first final model.</p> <p>Conclusion: Some variables acted as factors of risk for the presence of intestinal parasites and impaired quality of life.</p> Ulanna Maria Bastos Cavalcante Silvia Adelaide Linhares de Melo Iasmin Freitas Pimentel Pequeno Ana Carolina da Silva Monteiro Hemílio Fernandes Campos Coelho Francisca Inês de Sousa Freitas Caliandra Maria Bezerra Luna Lima Copyright (c) 2016 Ulanna Maria Bastos Cavalcante 2016-11-22 2016-11-22 9 10.3823/2209 Health Related Quality of Life in Pregnant Women with Diabetes or Mild Hyperglycemia <p><strong>ABSTRACT</strong></p> <p><strong>Background: </strong>Diabetes mellitus (DM) is a public health concern spread worldwide. Maternal diabetes in pregnancy increases risk of adverse perinatal and maternal outcomes; therefore; affecting the women´s quality of life (QOL).</p> <p><strong>Objective:</strong> To evaluate quality of life in pregnant women with diabetes mellitus, gestational diabetes or mild gestational hyperglycemia.</p> <p><strong>Study Design:</strong> This is a prospective and longitudinal study. The sample comprised 105 pregnant women, i.e. 66 Hyperglycemic (HG) and 39 Normoglycemic (NG). The validated WHOQOL–BREF/ QUALITY of LIFE ASSESSMENT questionnaire was applied at the first prenatal appointment or at time of disease diagnosis; and re-applied at delivery admission or at 36-37 weeks’ gestation.</p> <p><strong>Results:</strong> Most pregnant women considered good QOL at early pregnancy, but not at late pregnancy. In general, they were satisfied with their quality of life. NG pregnant women were more satisfied than their HG counterparts. At the onset of the gestational period the HG group obtained lower scores in the physical domain than the NG group. At the end of the gestational period, the scores on physical, psychological and environmental domains were significant lower in pregnant women with diabetes or hyperglycemia.</p> <p><strong>Conclusion:</strong> The study demonstrated that pregnant women with diabetes or hyperglycemia were compromised in certain aspects of quality of life.</p> <p><strong>Keywords</strong><em>: </em>Pregnancy, <em>Diabetes mellitus</em>, hyperglycemia, life quality, outpatient treatment, hospital</p> <p>&nbsp;</p> Noeli A.Q Marquesin Silvana A.M Lima Roberto A.A Costa Meline R.K Rodrigues Guilherme A.R Ferraz Ana C. Molina Bianca F.N Cassetari Marilza V. Cunha Rudge Iracema M.P. Calderon Copyright (c) 2016 Noeli Quessada Marquesin, Silvana Andrea Molina Lima, Roberto Antonio de Araujo Costa, Meline Rosseto Kron Rodrigues, Guilherme Augusto Rago Ferraz, Ana Claudia Molina, Bianca Nicolosi Cassetari, Marilza Vieira Cunha Rudge, Iracema de Mattos Paranhos Calderon 2016-12-04 2016-12-04 9 10.3823/2216 Immediate Care to the Newborn of Women with Human Immunodeficiency Virus: a Proposal of Evaluation <p><strong>Introduction:</strong> women living with human immunodeficiency virus (HIV) have 15% of the 45% chance of transmitting the virus to their children during pregnancy, childbirth or breastfeeding. However, this risk is reduced to 2% when the treatment and monitoring are carried out since the gestational period until the birth of the child.</p> <p><strong>Objective:</strong> build a logical model to subsidize the immediate care of health professionals to the newborn of women with HIV.</p> <p>&nbsp;<strong>Method:</strong> study described. It is the construction of a logical model based on "clinical Protocol and therapeutic guidelines for management of HIV infection in children and adolescents", manual of the Ministry of health, Brazil, 2014, in order to guide health professionals who, watch newborns in the first few minutes of life.</p> <p><strong>Results:</strong> were listed eight components that are essential to the care of the newborn, such as: greeting, umbilical cord clamping, suctioning the airway, administering of vitamin K, shower, breastfeeding, administration of anti-retroviral and reference to specialized service.</p> <p><strong>Conclusion:</strong> it is believed that the logical model will contribute to reducing the risks of mother-to-child transmission of the virus, since it includes the flow of care clearly and objectively.</p> <p><strong>Keywords</strong><strong>:</strong> health professionals; immediate care; newborn; vertical transmission of HIV.</p> <p>&nbsp;</p> Francisca Marta de Lima Costa Souza Priscila Kaline de Andrade Silva Bárbara Coeli Oliveira da Silva Janmilli da Costa Dantas Isabelle Cristina Braga Coutinho Cunha Iellen Dantas Campos Verdes Rodrigues Clarissa Maria Bandeira Bezerra Nilba Lima de Souza Érika Simone Galvão Pinto Richardson Augusto Rosendo da Silva Copyright (c) 2016 Francisca Marta de Lima Costa Souza, Priscila Kaline de Andrade Silva, Bárbara Coeli Oliveira da Silva, Janmilli da Costa Dantas, Isabelle Cristina Braga Coutinho Cunha, Iellen Dantas Campos Verdes Rodrigues, Clarissa Maria Bandeira Bezerra, Nilba Lima de Souza, Érika Simone Galvão Pinto, Richardson Augusto Rosendo da Silva 2016-11-19 2016-11-19 9 10.3823/2188 Sleep Disorders Related To Circadian Rhythm In People With Visual Impairment: Integrative Review <p><strong>Objective:</strong>&nbsp; to analyze the scientific production on sleep disorders and circadian rhythmicity in blind people.</p> <p><strong>Method: </strong>Integrative review of articles published in Portuguese, English and Spanish on the basis of PUBMED, CINAHL, SCOPUS and LILACS electronic data, using the descriptors <em>“Sleep Disorders”</em> OR <em>“Sleep”,“Blindness”</em> OR <em>“Visually Impaired”</em>.&nbsp;</p> <p><strong>Results:</strong>&nbsp;8 articles were selected.The circadian rhythm sleep disorders and clinical manifes&lt;AQ1tations identified were categorized according to the International Classification of Sleep Disorders (ICSD-3) of 2014.</p> <p><strong>Discussion:</strong>&nbsp;It was verified the prevalence of sleep disorders in people with visual impairment, such as: increased latency of sleep, reduced sleep time, excessive daytime sleepiness and fragmented sleep.</p> <p><strong>Conclusion</strong>: Knowing sleep disorders and circadian rhythmicity of people with visual impairment is required for premeditation of care plans that safely regulate the sleep-wake cycle in these individuals.</p> Kézia Katiane Medeiros da Silva Milva Maria Figueiredo De Martino Giovanna Karinny Pereira Cruz Marcos Antonio Ferreira Junior Ana Luisa Brandão de Carvalho Lira Allyne Fortes Vitor Clarissa Maria Bandeira Bezerra Dania Maria da Silva Copyright (c) 2016 Kézia Katiane Medeiros da Silva, Milva Maria Figueiredo De Martino, Giovanna Karinny Pereira Cruz, Marcos Antonio Ferreira Junior, Ana Luisa Brandão de Carvalho Lira, Allyne Fortes Vitor, Clarissa Maria Bandeira Bezerra, Dania Maria da Silva 2017-02-03 2017-02-03 9 10.3823/2238 Professors’ Training in Cardiopulmonary Resuscitation Using Realistic Simulation Evaluation of the Effectiveness* <p><strong>ABSTRACT</strong><strong>&nbsp;</strong>Objective: To evaluate the effectiveness of training in cardiopulmonary resuscitation using realistic simulation as a subsidy to plan an emergency training program for healthcare professors.. Methods: Quasi-experimental research, whose intervention was the theoretical and &nbsp;practical training and the outcome was the level of knowledge about the guidelines for cardiopulmonary resuscitation, involving 22 professors of health courses from two universities in Sao Paulo, Brazil. The tests were applied in different periods to identify changes after training, both in assessing the quality of training method used, the absorption and relevance of the strategy. Results: There was statistical significance of the success rate between the first and the second test only in the theoretical training, and this result remained after the practical training and realistic simulation, regardless of the professor’s area of ​​expertise. Forty-nine percent (49%) of correct answers were found in a pretest before training, 88% after the theoretical stage and 80% after the third and final period. Conclusion: the number of correct answers between the first and second test increased more significantly and remained in the third test, demonstrating that the strategy of teaching with demonstrative lecture and especially the practicing stage by using realistic simulations were effective, as the practical stage was carried out after 15 days of theoretical training.&nbsp;</p> <p><strong>Keywords:</strong> Cardiac Arrest; Cardiopulmonary Resuscitation; Simulated Training.</p> Paula Rossi Baldini Regimar Carla Machado Melissa Basseto Marina Germani Lucas Isabela Cristina de Oliveira Hilaine Cristina Batistini Erika Fonseca Alessandro Formenton Andressa Rodrigues de Souza Copyright (c) 2016 REGIMAR CARLA MACHADO 2016-12-04 2016-12-04 9 10.3823/2192 Risk Factors Identification for Burnout Syndrome in Nurses <p><strong>Objective</strong>: Burnout syndrome (BS) is related to a gradual process of exhaustion and demotivation, characterized by physical and psychological symptoms. The worker loses the sense of his relationship to work. It aims to identify the risks factors of BS in nurses. <strong>Method</strong>: This is an integrative review of research literature held in electronic library SciELO and in LILACS and BDENF databases. From the articles found, there was a final sample of 13 articles. <strong>Results</strong>: The data revealed that the major risk factors for the development of the BS are: excessive workload, poor pay, poor conditions of work and emotional instability<strong>.</strong> <strong>Conclusion</strong>: In view of this, it is concluded that improvement actions should be thought through activities in education, management and administration enhancing the work quality of nurses in their daily lives. Thus, it is suggested the need for preparation of informative booklets that discuss this syndrome and the creation of conversation rounds among professionals to share their experiences and seek solutions to the identified factors.</p> Lucila Corcino de Paiva Ana Carola Gomes Canário Eneluzia Lavynnya Corsino de Paiva China Bruna Rodrigues Monteiro Ana Katherine Gonçalves da Silveira Copyright (c) 2016 Lucila Paiva Corcino, Ana Carola Gomes Canário, Eneluzia Lavynnya Corsino de Paiva China, Bruna Rodrigues Monteiro, Ana Katherine Gonçalves da Silveira 2016-11-20 2016-11-20 9 10.3823/2199 Paternal Experience during the Child Hospitalization in Neonatal Intensive Care Unit <p>Introduction: The desire for a child is also a characteristic feeling of man throughout his life. However, when a premature and / or risk birth occur, require specialized care in a Neonatal Intensive Care Unit, parents are surprised by many difficult feelings to overcome. Objective: To understand the paternal experience during hospitalization of their child in the neonatal intensive care unit. Method: This is an exploratory-descriptive study of qualitative approach, carried out in a Neonatal Intensive Care Unit of a university hospital in Recife, Pernambuco, Brazil, through interviews, from a semi- structured instrument. It was submitted to the Content Analysis Technique, mode of cross-thematic analysis for analysis of the data. Results: The nine parents interviewed were aged between 22-39 years and the majority had not completed high school providing a monthly family income between 1 to 5.7 minimum wages. The interpretation of the results allowed the construction of the following thematic categories: Feelings paternal experienced against the hospitalization of a child in the Intensive Care Unit and faced difficulties against the hospitalization of a newborn child in Intensive Care Unit. Conclusion: Parents involved in the study demonstrated great suffering. Among the difficulties there is the lack of information from the health team and the work routine that prevents the parent to accompany the child. Such factors could be circumvented or diminished there be greater commitment on the part of health professionals to include these parents in care to be performed in infants with life- threatening and may even encourage baby&amp;#39;s development by providing the appropriate bonding.</p> Cora Coralina dos Santos Junqueira Simone Pires Cavalcanti Machado Claudiane Maria Urbano Ventura Tarciane Marinho Albuquerque Amanda Narciso Machado Priscila Magalhães Nunes Thalita Gomes Sarmento Ferreira Maria Elizabete de Amorim Silva Marcela Barbosa de Farias Maurício Caxias de Souza Ericka Silva Holmes Geandro da Cunha Silva Leila de Cássia Tavares da Fonseca Wilma Dias de Fontes Pereira Copyright (c) 2016 Ericka Silva Holmes, Cora Coralina dos Santos Junqueira, Tarciane Marinho Albuquerque, Amanda Narciso Machado, Priscila Magalhães Nunes, Thalita Gomes Sarmento Ferreira, Maurício Caxias de Souza, Wilma Dias de Fontes Pereira, Saneyde de Carvalho Almeida 2016-12-04 2016-12-04 9 10.3823/2202 Subjective Aspects of People with Chronic Ulcers: a Qualitative Study in Brazil and Portugal <p><strong>Introduction: </strong>The experience built in the process of living with chronic ulcer is marked by changes such as the inability to work, to relate socially and causes the need to adapt to a routine care. Understanding this network of meanings is important to develop techniques of individual or collective care.</p> <p><strong>Objective: </strong>To understand impregnated subjectivities in the everyday experiences of Brazilian and Portuguese patients with chronic ulcers, in the light of the Oral History of life.</p> <p><strong>Method: </strong>Comparative study with a qualitative approach, using Oral History as method and technique. The network of collaborators, formed by males and females, aged 39-82 years, was structured into two groups, one consisting of 06 people in Natal / RN, Brazil and another composed of 10 people in Évora / Portugal. In both groups, the narratives were collected through open questions, which were recorded, transcribed and analyzed by the technique of thematic content analysis.</p> <p><strong>Results: </strong>Through the analysis, three themes were revealed: Social repercussion in Brazil and in Portugal; Trajectory of theinjured person; and Coping mechanisms.</p> <p><strong>Conclusion: </strong>Changes were observed in social life, leading contributors to isolation, in addition to confronting the stigma experienced. There were also identified points as the reinterpretation of chronic wound carrier about their disease and coping strategies of their chronic condition.</p> Clélia Albino Simpson Mônica Gisele Costa Pinheiro Francisca Patrícia Barreto de Carvalho Bheatriz Gondim Lambert Moreira Fernando de Souza Silva Felismina Rosa Parreira Mendes Antero Manuel da Silva Campeão Copyright (c) 2016 Clélia Albino Simpson, Mônica Gisele Costa Pinheiro, Francisca Patrícia Barreto de Carvalho, Bheatriz Gondim Lambert Moreira, Fernando de Souza Silva, Felismina Rosa Parreira Mendes, Antero Manuel da Silva Campeão 2016-12-12 2016-12-12 9 10.3823/2227 Drug Treatment Versus Surgical Treatment for Tubal Ectopic Pregnancy: an Integrative Review <p class="Standard" style="text-align: justify; text-justify: inter-ideograph;">Objective: To compare characteristics of the clinical and surgical women with ectopic pregnancy fit for both. Method: an integrative review, with retrospective data and quantitative approach, carried out in the electronic database Medical Published- serve of the U.S. National Library of Medicine, PubMed and Scientific Electronic Library Online-SCIELO. Inclusion criteria were published between the years 2005-2015, in national and international journals, be available in Portuguese, English and Spanish in its entirety. The population consisted of 86 articles and extracted 6 studies for the sample. Results: The year of publication was higher in 2014, with 2 posts and the least were the years of 2006, 2008, 2010 and 2012 with 1 item. There was no article in Portuguese, being mostly published in English. Conclusion: restriction studies published in our country makes scientific evidence less applicable to clinical practice in public health.</p> Amanda Thaysa de Oliveira Cruz Samara Dourado Matos Maria do Carmo Andrade Duarte de Farias Kamila Nethielly Souza Leite Anne Milane Formiga Bezerra Juliana de Almeida Leandro Bezerra Kevia Katiúcia Santos Bezerra Copyright (c) 2017 Amanda Thaysa de Oliveira Cruz, Samara Dourado Matos, Kevia Katiúcia Santos Bezerra, Kamila Nethielly Souza Leite, Anne Milane Formiga Bezerra, Juliana de Almeida Leandro Bezerra, Maria do Carmo Andrade Duarte de Farias 2017-01-02 2017-01-02 9 10.3823/2245 Analysis of Changes in Maternal and Child Health Policy in a Capital of Northeastern Brazil: Dilemmas and Challenges for Care <p class="p1"><span class="s1">Background</span></p> <p class="p1"><span class="s1">The care to women’s health in pregnancy, childbirth and puerperium has being changing with the development of Brazil’s health policies. To discuss the implementation of the changes in perinatal care policy in a capital of the Northeast, analyzing the changes in the care and in organization of health services.</span></p> <p class="p1"><span class="s1">Methods</span></p> <p class="p1"><span class="s1">We used a qualitative approach with data collection between May and December 2015, with weekly visits in a Maternity, document review of municipal government, semi-structured interviews with users of the service, municipal managers, local managers of the federal government, professionals and managers of a municipal maternity. We conducted a focus group with volunteer doula.</span></p> <p class="p1"><span class="s1">Findings</span></p> <p class="p1"><span class="s1">Prenatal stands out difficulties in accessing some routine tests in primary care. It is still in the design phase to build a normal delivery centers in the city. Realize humanization of care initiatives as the introduction risk classification and the volunteer doulas program in a maternity, despite being hegemonic traditional obstetric model. There is no state regulation obstetric reflecting in the demand for care of parturient in obstetric emergency.</span></p> <p class="p1"><span class="s1">Conclusions</span></p> <p class="p1"><span class="s1">We perceive an incipient implementation of some key aspects of the perinatal care policy in the city, however, also identified several experiments in the routine of services pointing to the qualification of humanized care during labor and childbirth.<br></span></p> <p class="p1"><span class="s1">keywords: Health Evaluation; Delivery of Health Care, Integrated; Maternal and Child Health; Perinatal Care; Humanization of Assistance.</span></p> Ricardo de Sousa Soares Ulisses Umbelino Anjos Rodrigo Pinheiro Toledo Vianna Adernanda De Rocco Guimarães Luciano Bezerra Gomes Juliana Sousa Soares Araújo Lucas Henrique Paupitz Mendes Copyright (c) 2016 Ricardo de Sousa Soares, Ulisses U Anjos, Rodrigo PT Vianna, Adernanda R Guimarães, Luciano B Gomes, Juliana SS Araújo, Lucas HP Mendes 2016-10-22 2016-10-22 9 10.3823/2150 Use of Human Embryonic Stem Cells in the Treatment of Thrombocytopenia: A Case Series: hESC therapy in Thrombocytopenia <p><strong>Background</strong>: Treatment options&nbsp; such as corticosteroids, immunog- lobulins medicines, blood or platelet transfusions, or splenectomy are used for thrombocytopenia patients. In the present&nbsp; study, we reported the safety and efficacy of human&nbsp; embryonic stem cell (hESC) therapy in two patients&nbsp; with thrombocytopenia. The patients&nbsp; were presented with general weakness,&nbsp; and&nbsp; were&nbsp; unable to&nbsp; do&nbsp; their routine work. After&nbsp; the&nbsp; laboratory examinations, it was&nbsp; confirmed&nbsp; that&nbsp; both&nbsp; the patients were suffering from thrombocytopenia having platelet count 0.70m3 and 0.80m3, respectively.<br><br><strong>Methods and Findings:</strong> hESCs used in the present&nbsp; study were ob- tained from a single, spare, expendable, pre-implantation stage fertili- zed ovum taken during natural in vitro fertilization (IVF) and free from immunogenicity. After a single treatment session with hESCs, both patients showed&nbsp; an increase in blood platelet count and improvement in their condition. No adverse events (AEs) were reported.<br><br><strong>Conclusions</strong>: hESC therapy&nbsp; was found&nbsp; to be safe and effective. The study concluded that hESC therapy improved the condition of patients with thrombocytopenia.</p> Geeta Shroff Copyright (c) 2016 Geeta Shroff 2017-02-21 2017-02-21 9 10.3823/2180 Risk Factors for Type II Diabetes Mellitus: an Integrative Review <p><strong>ABSTRACT</strong></p> <p><strong>Objective:</strong> To identify the evidence available in the literature on the factors of risk for type II diabetes mellitus.</p> <p><strong>Method: </strong>There was an integrative review of the literature in the following databases: PubMed, LILACS, SciELO and Scopus, using the descriptors <em>type II diabetes mellitus</em> and <em>factors of risk</em> in Portuguese and English. The research returned 504 articles from 2006 to 2016. After inclusion and exclusion criteria, one obtained 14 studies, which compose the study sample.</p> <p><strong>Results: </strong>Of the studies included in the review, 21.4% were in 2011 and 2015. Regarding the method, 57.0%, were cross-sectional studies. The prevalent qualis was the category A. In all studies, there were factors of risk for T2DM.</p> <p><strong>Conclusion: </strong>By analyzing the studies, it was possible to identify a wide range of factors of risk found in the literature, showing what can favor the development of the disease and the possible means to build preventive and promotional strategies for groups prone to develop that problem.</p> <p><strong>Descriptors: </strong>Diabetes; Type II Diabetes Mellitus; Factors of risk.</p> Carla Lidiane Jácome de Lima Patrícia Simplício de Oliveira Thalys Maynnard Costa Ferreira Eliane Cristina da Silva Josefa Danielma Lopes Ferreira Rossana Santos de Andrade Yanny Dantas de Macedo Williane Leôncio Gomes Eduardo Gomes de Melo Adriana Lira Rufino de Lucena Ana Izabel Lopes Cunha Marta Miriam Lopes Costa Copyright (c) 2016 Carla Lidiane Jácome de Lima, Patrícia Simplício de Oliveira, Thalys Maynnard Costa Ferreira, Eliane Cristina da Silva, Josefa Danielma Lopes Ferreira, Rossana Santos de Andrade, Yanny Dantas de Macedo, Williane Leôncio Gomes, Eduardo Gomes de Melo, Adriana Lira Rufino de Lucena, Ana Izabel Lopes Cunha, Marta Miriam Lopes Costa 2016-11-09 2016-11-09 9 10.3823/2179 Characterization of Undergraduate Students in Nursing from a Public University <p><strong>Objective: </strong>to analyze the profile of the Undergraduates from the Nursing's course of a higher education institution.<strong> Methods: </strong>a descriptive, cross-sectional study, conducted with 104 undergraduate students of the Federal University of Piauí, qualified between 2009 and 2011. The data were collected from January to March 2014, using a questionnaire. <strong>Results</strong>: it was found that most undergraduate students are young, female, single, childless and with an average monthly income of R $ 3,409.80. Most sought professional development through postgraduate courses. As for professional practice, most worked in healthcare (77.2%), mainly in the hospital (46.4%). The practice of nursing care systematization was reported by 65.8% of the respondents, but they did not meet all the steps. <strong>Conclusion</strong>: the studies with undergraduates should be done periodically to allow reflections, changes, and/or improvements in the curriculum and in the teaching-learning process of undergraduate of nursing courses in the whole country</p> Sayonnara Ferreira Maia Benevina Maria Vilar Teixeira Nunes Priscila de Oliveira Soares Elizabeth Soares Oliveira de Holanda Monteiro Girzia Sammya Tajra Rocha Lourival Gomes da Silva Júnior Erika Wanessa Oliveira Furtado Jéssyca Stherllany Rosendo Lima Copyright (c) 2016 ELIZABETH SOARES OLIVEIRA DE HOLANDA MONTEIRO, Sayonnara Ferreira Maia, Priscila de Oliveira Soares, Girzia Sammya Tajra Rocha, Lourival Gomes da Silva Júnior Silva Júnior, Erika Wanessa Oliveira Furtado, Jéssyca Stherllany Rosendo Lima, Benevina Maria Vilar Teixeira Nunes 2016-11-09 2016-11-09 9 10.3823/2167 Quality of Life and Viral Infections in Adults with Hemophilia* <p><strong>Objective:</strong> To check the occurrence of viral infections resulting from treatment with blood products and their impact on quality of life in the health of adult patients with hemophilia. <strong>Method:</strong> This is a cross-sectional study with a convenience sample conducted with an association of patients. Data collection took place in November and December 2015. The evaluation protocol used the application of the SF-36 questionnaire and a form to collect demographic and clinical data. <strong>Results:</strong> The participants were 49 adult patients with hemophilia, male, with an average age of 32±8.5 years old. They had a higher prevalence of hemophilia A in its severe form. Viral infections were more prevalent in those who had hemophilia when hepatitis C was the most frequent infection. Viral infections had a negative impact on quality of life in the “physical capacity,” “pain,” “general health” and “mental health.” The age of the participants who experienced viral infections resulting from treatment with blood transfusions were significantly higher than the uninfected participants. <strong>Conclusion: </strong>Viral infections resulting from treatment with blood products in hemophiliac patients have repercussions in a lower quality of life of patients with hemophilia. The infections were more frequent with increasing age, suggesting special attention to older patients.&nbsp;</p> <p><strong>Keywords:</strong> Hemophilia A; Hemophilia B; Adult; Comorbidity; Hepatitis; HIV infections.</p> Denise Rodrigues Holsbach Maria Lúcia Ivo Alexandra Maria Almeida Carvalho Albert Schiaveto de Souza Maria de Fátima Cepa Matos Leonardo Costa Pereira Isabelle Campos de Azevedo Marcos Antonio Ferreira Júnior Copyright (c) 2016 Denise Rodrigues Holsbach, Maria Lúcia Ivo, Alexandra Maria Almeida Carvalho, Albert Schiaveto de Souza, Maria de Fátima Cepa Matos, Leonardo Costa Pereira, Isabelle Campos de Azevedo, Marcos Antonio Ferreira Júnior 2016-12-04 2016-12-04 9 10.3823/2218 Pharyngeal Airway Volume as a Predictor of the Efficacy of Obstructive Sleep Apnea Treatment with a Mandibular Advancement Device <p>Background: The efficacy of mandibular advancement devices (MAD) in the treatment of obstructive sleep apnea (OSA) varies widely among patients, and at present it is difficult to predict success. Previous studies have shown a relationship between a gain in pharyngeal volume with MAD in situ and the success of the treatment. The aim of this study was to evaluate this change in volume of the upper airway using cone beam computed tomography (CBCT), measured at a baseline of maximum intercuspation (T0) and at maximum protusion (T1) using a George Gauge to simulate a MAD produced protusion, and investigate whether this change in volume can be used to predict success with MAD.</p> <p>Methods and Findings: 10 individuals with mild/moderate OSA underwent &nbsp;CBCT at baseline (T0 - maximum intercuspation) and time 1 (T1 - maximum protusion using a George Gauge for bite registration). All patients then underwent polysomnography before and after MAD treatment. The total volume, total area and minimal cross section area of ​​the pharynx were then analyzed again by CBCT. The mean of the protrusive position using a George Gauge at baseline (12.2mm ± 1.9) was similar to the maximum comfortable position achieved with MAD (11.6mm ± 2.08). MAD treatment significantly reduced the <em>Apnea Hypopnea Index</em> (AHI) values (11.7 ± 6.7 to 2.4 ± 3.1) (p=0.01). The retropalatal volume increased significantly between T0 and T1 (6240mm² ± 2224 to 7720mm² ± 3516) (p=0.04). Changes in volume measured by CBCT (T1-T0) were positively predictive for changes in AHI (initial-final) (p = 0.05).</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Conclusion: Variations in CBCT volume of the upper airway, at baseline and using bite registration at maximum comfortable protrusion, was a predictor for a reduced apnea/hypopnea index after treatment with MAD.&nbsp;&nbsp;&nbsp;&nbsp;</p> Thais Moura Guimaraes Otávio Ferraz Rowdley R. Pereira Rossi Paulo Afonso Cunali Luciana Oliveira e Silva Cauby M Chaves Jr Cibele Dal Fabbro Milton Maluly Lia Bittencourt Sergio Tufik Copyright (c) 2016 Thais moura Guimaraes 2016-12-12 2016-12-12 9 10.3823/2228 Effects of Veronica Officinalis Extract in the Kidney of Rats with Induced Sepsis* <p><strong>PURPOSE: </strong>To evaluate the effects of <em>Veronica officinalis</em> extract as a anti-inflammatory substance on the kidney function of rats subjected to cecal ligation and puncture, describing histopathological and biochemical findings.</p> <p><strong>METHODS:</strong> Twenty rats (<em>Rattus norvegicus</em>) were distributed into four groups (N=5): Sham group (GS), normal standard animals; Sepsis group (GSep), submitted a cecal ligation and puncture (CLP); Veronica group (GV), administered only <em>Veronica officinalis</em> extract once daily by gavage from the first day until the seventh day, without sepsis induction; Sepsis-Veronica group (GSep-V), administered <em>Veronica officinalis</em> extract once daily by gavage from the first day of CLP until the seventh day procedure. After the euthanasia, blood was collected for assessment of kidney biochemical and histological analysis were performed.</p> <p><strong>RESULTS: </strong>The statistical analysis showed that there was statistically significant in serum levels of creatinine between GS and GSep (p=0.0029); and GSep and GSep-V (p=0.0184). In addition, there was statistically significant of histopathological parameters observed between GS and GSep (p=0.0001); GSep and GV (p=0.0415); also between GSep and GSep-V (p=0.0003).</p> <p><strong>CONCLUSION: </strong><em>Veronica officinalis</em> extract promoted a significant anti-inflammatory effect on kidney function and reduction of tissue damage in rats with sepsis.</p> Eduardo Henrique Herbster Gouveia Rubens Fernando Gonçalves Ribeiro Júnio Marcus Vinicius Henriques Brito Edson Yuzur Yasojima Andressa Mileo Ferraioli Silva Andrew Moraes Monteiro Ivone Aline da Silva Rodrigues Lucca Oliveira Gonçalves Luiz Renato Oliveira Lopes Copyright (c) 2016 EDUARDO HENRIQUE HERBSTER GOUVEIA, Rubens Fernando, Marcus Vinicius Britto, Edson Yuzur Yasojima, Andressa Mileo Ferraioli, Andrew Moraes Monteiro, Ivone Aline Rodrigues, Lucca Oliveira Gonçalves, Luiz Renato Oliveira Lopes 2016-12-08 2016-12-08 9 10.3823/2190 Ocular Findings in a Brazilian Rural Slave-Descendant Community: Eye Health in Quilombos <p align="justify"><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"><em>Purpose:</em></span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"> To report ophthalmological findings from one </span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"><em>quilombo</em></span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"> remnant population, a Brazilian marginalized rural and slave-descendant community.</span></span></span></p> <p align="justify"><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"><em>Methods:</em></span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"> Descriptive study of eye health from one of the largest </span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"><em>quilombo</em></span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"> communities in Brazil, located in Conceição das Crioulas, Pernambuco. Ophthalmic exam including visual acuity, refractive examination, biomicroscopy, fundus examination, tonometry and pachymetry was performed in a convenience sample of 255 residents over 40 years-old, representing approximately one third of the population in this age range.</span></span></span></p> <p align="justify"><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"><em>Results:</em></span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"> Half of the subjects had never been examined by an ophthalmologist in their lives. Blindness was identified in 6.7% of participants and low vision in 8.6%. Visual impairment was caused mainly by cataract and uncorrected refractive errors. Cataract was found in 27.3% of subjects. Ametropia was documented in 71% of participants and the most prevalent refraction error was hyperopia. Prevalence of glaucoma and age-related macular degeneration were respectively 5.4% and 1.9%. Pterygium was detected in 26.7% of participants. Correcting lenses were prescribed to 57.4% of individuals, 5.5% were referred for surgery, 2.7% to specialized clinics and 1.2% to additional tests.</span></span></span></p> <p align="justify"><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"><em>Conclusions:</em></span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"> Blindness, cataract and pterygium were highly frequent in </span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"><em>quilombo</em></span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"> residents, and distribution of other ocular diseases were close to average published rates. Data collected may help planning preventive and promotive actions for eye health of socioeconomic disadvantaged </span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"><em>quilombo</em></span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"> populations.</span></span></span></p> <p lang="en-US" align="justify">&nbsp;</p> <p align="justify"><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"><em>Keywords:</em></span></span></span><span style="font-family: 'Times New Roman', serif;"><span style="font-size: medium;"><span lang="en-US"> Eye care, visually impaired persons, minority health; healthcare disparities; vulnerable populations, pterygium</span></span></span></p> Vladimir Fontes de Oliveira Kleper Carvalho de Figueiredo Leitão Luiz Augusto Pereira da Costa Carvalho Ana Carolina Vieira Peixoto de Lucena Luiz Carlos de Abreu Ricardo Peres do Souto Copyright (c) 2016 Luiz Carlos de Abreu, Vladimir Fontes de Oliveira, Ricardo Peres do Souto, Kleper Carvalho de Figueiredo Leitão, Luiz Augusto Pereira da Costa Carvalho 2016-11-25 2016-11-25 9 10.3823/2178 The The effect of High Dose of Vitamin D3 on the Prognosis of Patients with Multiple Sclerosis <p><strong>Introduction</strong>. Multiple Sclerosis is a chronic inflammatory neurodegenerative disease of large magnitude in the world.</p> <p><strong>Method and Goal</strong>. To analyze primary studies associating high dose of vitamin D with the prognosis of patients with multiple sclerosis.</p> <p><strong>Results</strong>. 9 studies were selected, including 1022 participants. 630 of them were randomized to vitamin D3 supplementation in high dose, 171 in low-dose and 221 receiving placebo.</p> <p><strong>Conclusion. </strong>There is evidence that high dose of Vitamin D3 provide immunomodulatory effects in patients with Multiple Sclerosis, showing improvement in the patients' prognosis.</p> Ledjane Neves de Oliveira Conceição Walsimary Justa Uchoa Eliane da Silva Grazziano Regimar Carla Machado Copyright (c) 2016 REGIMAR CARLA MACHADO, Ledjane Neves de Oliveira, Conceição Walsimary Justa Uchoa, Eliane da Silva Grazziano 2016-11-05 2016-11-05 9 10.3823/2170 Burnout Syndrome in Community Health Agents: an Integrative Review <p><strong>Objective</strong>: analyze the Burnout Syndrome on Health Community Agents in the nursing context, based on online periodicals. <strong>Method</strong>: integral revision of the literature. The data was collected between March and October of 2015 on the LILACS and BDENF databases. <strong>Results</strong>: 6 articles were composed with this study samples, emerging into the development of two thematic categories: 1) ACS ways of sickness; 2) Confront strategies by the Health Community Agents. <strong>Conclusion</strong>: The forms of sickness experienced by the agents cannot be modified or avoided since they represent essential aspects of this professional performance. In order to face this problem, it seems to exist an unfamiliarity, by this professional category, of the large number of activities that can be developed with the objective of decreasing the stress of the work process.</p> Thaís Dandara Azevedo da Silva Hebe Janayna Mota Duarte Beserra Maurício Caxias de Souza Sérgio Ribeiro dos Santos Ericka Silva Holmes Rayanne Santos Alves Wilma Dias Fontes Pereira Aurilene Josefa Cartaxo Gomes de Arruda Jackeline Abílio de Souza Leila de Cássia Tavares da Fonseca Maria Bernadete de Sousa Costa Laura Cristhiane Mendonça Rezende Chaves Juliana Barbosa Medeiros Gerson da Silva Ribeiro Jessyka Cibelly Minervina da Costa Silva Luciara Cristina Ferreira Dos Santos Copyright (c) 2016 Ericka Silva Holmes 2016-12-19 2016-12-19 9 10.3823/2222 Man’s Health at Home: an Integrative Review <p><strong><em>Objective</em></strong><em>: To</em><em> analyze the scientific literature about home care in the context of man’s health. <strong>Methods</strong>: A integrative review carried out in August and September 2015, consisting of 39 articles indexed in the databases SciELO, MEDLINE, LILACS, and BDENF IBECS. <strong>Results</strong>: The results converged into three categories - home care to the man with chronic problems, granted by formal and informal caregivers; the political and economic, social and educational mismanagement for the caregiver and health care, in man’s home care; improvement in health and human quality of life in home care. <strong>Conclusion</strong>: it becames clear that the characteristics and health problems residing in assisted men are common in Brazil and other countries in addition to the marked improvement in health and quality of life of the man who is assisted at home, compared to its hospital stay.</em></p> <p><strong><em>Keywords:</em></strong><em> Men's Health; Home Nursing; Homebound Persons; Continuity of Patient Care; Home Care Services. </em></p> Jocelly de Araújo Ferreira Roseni Rosângela de Sena Copyright (c) 2016 Jocelly de Araújo Ferreira, Universidade Federal de Campina Grande, Roseni Rosângela de Sena, Diretora da Escola de Saúde Pública do 2016-11-29 2016-11-29 9 10.3823/2201 Endothelial Dysfunction in Prehypertension and Associated Factors <p><strong><em>Background—</em></strong> Endothelial dysfunction precedes structural abnormalities and atherosclerosis clinical manifestations, and thus it is considered an early marker of cardiovascular diseases. The objectives of this cross-sectional study were to determine the frequency of endothelial dysfunction in prehypertensive subjects and its association with demographic, anthropometric and clinical characteristics of the population studied.</p> <p><strong><em>Methods and Results—</em></strong> Endothelial function was assessed by flow-mediated vasodilation (FMD) of the brachial artery in 60 non-smoking and non-diabetic&nbsp; prehypertensive subjects aged 30-70 years who were recruited from the community. Variables analyzed were gender, age, race, sedentary lifestyle, dyslipidemia, body mass index, abdominal circumference and blood pressure. In order to evaluate the relationship between endothelial dysfunction and study variables, Student t, Mann-Whitney and chi-square tests were used. Multivariate logistic regression of variables analyzed with respect to endothelial dysfunction was applied in unadjusted as well as adjusted models (<em>p</em>&lt;0.20). Significance level was set at 5%. Mean age of prehypertensive subjects was 42.6±9.2 years; 60% were females, 33.3% were Black, 61.6% were overweight, and 68.3% had a sedentary lifestyle. Endothelial dysfunction was detected in 36.7% of the population; its frequency was higher for Black subjects (45%). Association was established between endothelial dysfunction and males as well as obesity, the latter even after adjustment of the model (<em>p</em>=0.010).</p> <p><strong><em>Conclusions—</em></strong> In conclusion, frequency of endothelial dysfunction as determined by FMD was high in the population under study, even though subjects were young, non-smoking and non-diabetic, and association was established between endothelial dysfunction and obesity.</p> <p>&nbsp;</p> Maria Jacqueline Silva Ribeiro Valdinar Sousa Ribeiro Paulo César Araújo Ribeiro Nathana Aquino Mendes Francisco Diego Freitas Alencar Amanda Maciel Castro José Albuquerque de Figueiredo Neto Copyright (c) 2016 MARIA JACQUELINE SILVA RIBEIRO, VALDINAR SOUSA RIBEIRO, PAULO CÉSAR ARAÚJO RIBEIRO, NATHANA AQUINO MENDES, FRANCISCO DIEGO FREITAS ALENCAR, AMANDA MACIEL CASTRO, JOSÉ ALBUQUERQUE DE FIGUEIREDO NETO 2016-12-04 2016-12-04 9 10.3823/2191 Education in Cardiovascular Health in Older Group: Experience Report <p><strong>Introduction: </strong>Together with the population aging, the number of the vulnerable elderly cardiovascular disease also increases. With this, it is necessary to adopt health education practices to intervene in the prevention of these diseases.</p> <p><strong>Objective: </strong>To report the experience in the development of educational practices focused on the cardiovascular health of the elderly population.</p> <p><strong>Methods: </strong>This is a descriptive study of experience report type with nursing students belonging to a private university in the Northeast of Brazil, during the supervised training.</p> <p><strong>Results: </strong>The activities were dynamics, in conversations circles through instruments such as overhead projector and posters. Illustrative materials (folders) were available to participants for better fixation of the content covered. The educational activities had the active participation of elderly people who were able to share their experiences and questions.</p> <p><strong>&nbsp;</strong><strong>Keywords: </strong>Nursing; Health education; Health of the elderly.</p> Belarmino Santos de Sousa Júnior Fernando Hiago da Silva Duarte Ana Elza Oliveira de Mendonça Tatiana Maria Nóbrega Elias Cíntia de Carvalho Silva Richardson Augusto Rosendo da Silva Raysa da Silva Dantas Débora Lenise da Silva Felix Alana Eloah Camara Alves Sônia Maria da Silva Copyright (c) 2016 Belarmino Santos de Sousa Júnior, Fernando Hiago da Silva Duarte, Ana Elza Oliveira de Mendonça, Tatiana Maria Nóbrega Elias, Cíntia de Carvalho Silva, Richardson Augusto Rosendo da Silva, Raysa da Silva Dantas, Débora Lenise da Silva Felix, Alana Eloah Camara Alves, Sônia Maria da Silva 2016-10-22 2016-10-22 9 10.3823/2154 Hospitalizations and re-Hospitalizations Due to Tuberculosis: Economic Costs and Spatial Distribution Analysis in an Endemic Northeastern City, Brazil <p><strong>Introduction:</strong> In Brazil, preventable hospitalizations and re-hospitalizations due to tuberculosis represent increased costs for the health system. The aim was to analyze the sociodemographic and clinical profile of individuals who needed preventable hospitalizations and re-hospitalizations due to tuberculosis, the costs to the local health system, and the spatial pattern for the occurrence of these events in a Brazilian endemic city.&nbsp;<strong>Methods:</strong> Descriptive and exploratory study conducted in Natal, city located in the Northeast region of Brazil. The population comprised all cases of preventable hospitalizations and re-hospitalizations due to tuberculosis occurring between 2008 and 2013 obtained from the Hospital Information System. The neighborhoods and census tracts were chosen as the geographical units. Descriptive statistics and non-parametric tests were applied. Position and dispersion measures were used to analyze the costs. The gross rates were estimated, softened by the Global Empirical Bayesian Method. The Global and Local Moran indices were used to evaluate the spatial dependency.&nbsp;<strong>Results:</strong> 569 cases of hospitalizations due to tuberculosis were identified: 97.4 % were pulmonary form; 62.0% between 30 and 59 years old; 77.7% male; 87.3% mulatto. In the total group of hospitalizations, 13.4% died and 17.9% were readmitted. In total, US$ 470,370.07 was spent on preventable hospitalizations and re-hospitalizations due to tuberculosis, with an annual mean cost of US$ 78,395.01, median amounts of US$ 392.70 per hospitalization and US$ 1,342.19 per re-hospitalization. The spatial distribution of the events was not random, with high rates identified in neighborhoods of the East and West Health Districts.&nbsp;<strong>Conclusions:</strong> The non-randomness in the spatial pattern of preventable hospitalizations and re-hospitalizations cases due to tuberculosis suggests frailty in the access to Primary Health Care and appoints vulnerable spatial areas to these events. The recognition of these areas can contribute to public management in the improvement of health service access and to the equitable and efficient use of health resources, aiming to reduce the hospitalization costs.</p> Maria Concebida da Cunha Garcia Ana Angélica Rêgo de Queiroz Marcela Paschoal Popolin Mellina Yamamura Marcelino Santos Neto Luiz Henrique Arroyo Antônio Carlos Vieira Ramos Luana Seles Alves Francisco Chiaravalloti Neto Carla Nunes Bertha Cruz Enders Ione Carvalho Pinto Severina Alice da Costa Uchôa Ricardo Alexandre Arcêncio Copyright (c) 2016 Maria Concebida da Cunha Garcia, Ana Angélica Rêgo de Queiroz, Marcela Paschoal Popolin, Mellina Yamamura, Marcelino Santos Neto, Luiz Henrique Arroyo, Antônio Carlos Vieira Ramos, Luana Seles Alves, Francisco Chiaravalloti Neto, Carla Nunes, Bertha Cruz Enders, Ione Carvalho Pinto, Alice Severina da Costa Uchôa, Ricardo Alexandre Arcêncio 2016-12-04 2016-12-04 9 10.3823/2204 Spirituality and HIV: a Bibliometric Study in the Health Area <p>The study aimed to analyze the bibliometric profile of scientific production in health area on studies that address the theme of spirituality and HIV. The bibliometric research was conducted in the PubMed database. The keywords “HIV” and “Spirituality” were used, considering the period 2006-2015, resulting in a sample of 65 articles. The data showed that about language, it is clear that English was predominant, with 95.4% productions. As the year of publication, 2011 had the largest volume of published articles with 21.5%, and 2010 was no publication recorded. Regarding the journals, the Journal of General Internal Medicine was the most published research on the subject of this study. The quantitative method had a higher prevalence, and the most used instrument was WHOQOL-Bref. The data show incipient publications on Spirituality and HIV, especially at national level, demonstrating the need for more research on this topic.</p> Rebeca Coelho de Moura Angelim Brígida Maria Gonçalves de Melo Brandão Daniela de Aquino Freire Valesca Patriota de Souza Verônica Mirelle Alves Oliveira Pereira Fátima Maria da Silva Abrão Copyright (c) 2016 Rebeca Coelho de Moura Angelim, Brígida Maria Gonçalves de Melo Brandão, Daniela de Aquino Freire, Valesca Patriota de Souza, Verônica Mirelle Alves Oliveira Pereira, Fátima Maria da Silva Abrão 2016-11-09 2016-11-09 9 10.3823/2181 Analysis of the Opportunities for Motor Development in Home Environments of Infants Served in an Early Stimulation Sector <p><strong>Introduction:</strong> The home environment has been appointed as the extrinsic factor that most influences child development.</p> <p><br> <strong>Objective:</strong> The objective is analyze the opportunities for motor development in homes of infants treated at an early stimulation sector in Paraiba.</p> <p><br> <strong>Method:</strong> The study was conducted in an early stimulation sector of a Physiotherapy School Clinic of a Higher Education Institution in the state of Paraiba, Brazil, and consisted of 10 infants' parents attended. The instrument used was the questionnaire Affordances in the Home Environment for Motor Development - AHEMD - 18-42 months. After the questionnaire application, the data collected were introduced and classified with the help of a Microsoft Excel application (AHEMD Calculator VPbeta 1.5.xls).</p> <p><br> <strong>Results:</strong> The results obtained are numbered 1 to 5, where 1 is a very weak stimulation, 2 poor, 3 good, 4 very good and 5 excellent. It was used the SPSS statistical program for descriptive analysis of the frequency distribution of the subscales, gender and income. It was observed that although the sample investigated show a good level of domestic household stimulation, favoring, therefore, the motor development, is still very weak the existence of external home stimulation and materials that stimulate the fine and gross motor skills of children in developing.</p> <p>&nbsp;</p> <p><strong>Final Considerations:</strong> So, it was found that, in general, the opportunities present in the home show as inefficient to promote motor development of children.</p> Rosane Carneiro Pereira da Silva Milena Nunes Alves de Sousa Elicarlos Marques Nunes Célio Diniz Machado Neto Viviane Valéria de Caldas Guedes Garcia Adriano Moura de Menezes Dantas Polianne Medeiros Brito Mayara Leal Almeida Costa Nicoly Negreiros de Siqueira Mariano Larissa de Araújo Batista Suarez Paula Christianne Gomes Gouveia Souto Maia Petrônio Souto Gouveia Filho Everson Vagner de Lucena Santos Aucélia Cristina Soares de Belchior Rosângela Maria Fernandes de Oliveira Manuela Carla de Souza Lima Daltro Copyright (c) 2017 Rosane Carneiro Pereira da Silva, Milena Nunes Alves de Sousa, Elicarlos Marques Nunes; Célio Diniz Machado Neto, Viviane Valéria de Caldas Guedes Garcia; Adriano Moura de Menezes Dantas; Polianne Medeiros Brito, Mayara Leal Almeida Costa; Nicoly Negreiros de Siqueira Mariano, Larissa de Araújo Batista Suarez, Paula Christianne Gomes Gouveia Souto Maia, Petrônio Souto Gouveia Filho, Everson Vagner de Lucena Santos; Aucélia Cristina Soares de Belchior, Rosângela Maria Fernandes de Oliveira, Manuela Carla de Souza Lima Daltro 2017-01-09 2017-01-09 9 10.3823/2244 Comparison of Different Methods for Identification of Electromyography Threshold in Resistance Exercise <p>Objective: This study aimed to identify the Electromyographic Threshold (EMGTh) during the dynamic Resistance Exercise, using visual and mathematical identification techniques.</p> <p>Methods and Results: We evaluated 14 male subjects (22.6 ± 2.1 years) who accomplished an incremental load protocol (10-10% of 1RM) in a half squat guided exercise. The intra-class correlation coefficient (ICC) was used to compare the EMGTh identification methods, in which high reproducibility value was obtained (0.835), confirmed by a moderately strong correlation of 0.721, in general, and yet a pairwise comparison by the Wilcoxon test, which was not identified any difference between the two methods (p&gt; 0.05).</p> <p>Conclusion: Therefore, the findings of this study show that both methods, visual and mathematical, used to identify the EMGTh, find the same results.</p> Pablo Ramon Domingos Raul Canestri Galvino Reis Hiago Leandro Rodrigues de Souza Yuri de Almeida Costa Campos Sandro Fernandes da Silva Copyright (c) 2016 Pablo Ramon Domingos, Raul Canestri Galvino Reis, Hiago Leandro Rodrigues de Souza, Yuri de Almeida Costa Campos, Sandro Fernandes da Silva 2016-12-04 2016-12-04 9 10.3823/2217 Sleep Quality in Women with Breast Cancer: An Integrative Review <p><em><strong><img src="/ojs/public/site/images/thalyta/abstract_iam.PNG" alt=""></strong></em></p> Thalyta Cristina Mansano-Schlosser Maria Filomena Ceolim Teresa D Valerio Copyright (c) 2016 Thalyta Cristina Mansano-Schlosser, Teresa D Valerio 2016-12-19 2016-12-19 9 10.3823/2230 The Bibliotherapy in the Humanization of Care: Contributions to Nursing Practice <p>Bibliotherapy is a therapeutic method in which reading and dialogue practice provide emotional and psycological growth to sick and helthy people by helping them solving their internal conflicts and consequently improving their quality of life. The aim of this article to reflect upon about biblioterapy in a health and hospitalization context in order to contribute to the nurse's performance that seeks to provide a humane, total and of quality care assistance. It is concluded that bibliotherapy can be used as a strategy to humanize the hospital care behold, because it provides moments of relax, pleasure and joy to patients and families when in hospital. It creates an opportunity to approach people, and promotes a healthy environment where different experiences are exchanged for the quality of care.</p> <p>Descriptors: Biblioterapy; Hospitals; Nursing Care</p> Renata Carla Nencetti Pereira Rocha Eliane Ramos Pereira Rose Mary Costa Rosa Andrade Silva Amélia Marina Morillas Bulnes Alciléa Barbosa de Andrade Sora Sílvia Helena Oliveira da Cunha Copyright (c) 2016 Renata Carla Nencetti Pereira Rocha, Eliane Ramos Pereira, Rose Mary Costa Rosa Andrade Silva, Amélia Marina Morillas Bulnes, Alciléa Barbosa de Andrade Sora, Sílvia Helena Oliveira da Cunha 2016-11-05 2016-11-05 9 10.3823/2145 Palliative Care Nursing for People with Cancer <p><strong>Background:</strong> &nbsp;To investigate the scientific production in the literature related to nursing care people with cancer in palliative care.</p> <p><strong>Method: </strong>This is an integrative review Conducted in the databases: LILACS, MEDLINE, CINAHL and SCOPUS from April to May 2016.</p> <p><strong>Results</strong>: The search in the databases indicated 1,591 potentially eligible primary studies, of which the final sample resulted in 14 articles. Content analysis revealed three themes: the palliative care nursing of people with cancer; strategies used by nurses in the care of the relatives of people with cancer in palliative care; nurses' difficulties in achieving the palliative care for people with cancer.</p> <p><strong>Conclusions: </strong>To provide palliative care to people with cancer requires nurse’s insight and sensitivity, which includes attention not only the physical pain of the patient, but also the symptoms and physical, emotional, social and spiritual signs, for patient and family.</p> <p><strong>Keywords:</strong> Nusing care. Palliative care. Neoplasms. Oncology nursing. Death.</p> Rafaella Guilherme Gonçalves Lucas Batista Ferreira Heloiza Talita Adriano da Silva Emily Kathiene Silva Mesquita Jank Lank Simôa Almeida Rejane Maria Paiva de Menezes Copyright (c) 2016 Rafaella Guilherme Gonçalves, Lucas Batista Ferreira, Heloiza Talita Adriano da Silva, Emily Kathiene Silva Mesquita, Jank Lank Simôa Almeida, Rejane Maria Paiva de Menezes 2016-11-09 2016-11-09 9 10.3823/2175 Features of Clinical and Epidemiological Reactions of Leprosy Cases in a City of the High Backlands of Paraíba <pre><strong>Introduction:</strong> the reaction states or leprosy reactions are periods of acute inflammation in the course of a chronic illness, the main cause of damage to the nerves and disabilities caused by leprosy. They are divided into three types: reversal reaction, erythema nodosum leprosum and isolated neuritis. </pre> <pre><strong>Objective:</strong> to describe the clinical characteristics of cases of leprosy reactions in a city of high backlands of Paraiba. </pre> <pre><strong>Method:</strong> utilized a structured and individual questionnaire applied in the homes of patients and former patients of Hansen's disease who developed leprosy reactions , registered in the three Family Health Units with more cases of leprosy in the city of Cajazeiras – PB. </pre> <pre><strong>Results:</strong> among the 22 participants, most were male, aged over 61 years old and incomplete primary education. Regarding the classification of leprosy, 90.9% were multibacillary and 77.2 % of the blackening clinical form. When evaluated the type of reaction, 68.2 % were considered cases of RR or type 1 reaction, 45.5 % developed reactions during treatment and 40.9% after discharge by cure. </pre> <pre><strong>Conclusion:</strong> the study demonstrates the need for qualification of the professionals in the primary health care to a greater and better monitoring of these cases by the Family Health&nbsp;Strategy, so much so that the leprosy reactions are diagnosed early during treatment and after discharge, as mainly for carrying out monitoring conducts of neural damage and prevention of physical disabilities, avoiding them from installing deformities that impair daily activities and the interaction of these people in society.</pre> Bárbara Letícia de Queiroz Xavier Maria Mônica Paulino do Nascimento Brenda dos Santos Teixeira Anthonio Alisancharles Batista de Almeida Jéssica Barreto Pereira Andressa Pedroza Pereira Hirla Vanessa Soares de Araújo Rayanne Rilka Pereira da Silva Maria Soraya Pereira Franco Andressa Séfora Queiroga de Sousa Maria Tibéria da Silva Carolino Riani Joyce Neves Nóbrega Priscila Nunes Costa Travassos Ana Carolina Cavalcante Viana Copyright (c) 2016 Bárbara Letícia de Queiroz Xavier, Maria Mônica Paulino do Nascimento, Brenda dos Santos Teixeira, Anthonio Alisancharles Batista de Almeida, Jéssica Barreto Pereira, Andressa Pedroza Pereira, Hirla Vanessa Soares de Araújo, Rayanne Rilka Pereira da Silva, Maria Soraya Pereira Franco, Andressa Séfora Queiroga de Sousa, Maria Tibéria da Silva Carolino, Riani Joyce Neves Nóbrega, Priscila Nunes Costa Travassos, Ana Carolina Cavalcante Viana 2016-11-25 2016-11-25 9 10.3823/2197 Comparative study of Level of Physical Activity and Mental State for the Elderly <p class="Estilopadro"><strong>Background</strong>: The ageing process is associated to many morphological and functionals alterations among them, the&nbsp; alteration on the mental state has a spotlight, such alterations reflecting directly on the functional autonomy one of elderly person.</p> <p><strong>Objective</strong>: The objective of this work was to compare the level of physical exercise and mental on elderly who practices physical activities and who don't practice.&nbsp;</p> <p><strong>Method</strong>:The research is transversal kind &nbsp;and comparative and was done with 94 elderly divided in two groups, 48 were on the group of which practice exercise "Grupo de Exercicio" (GE) and 46 from "Grupo Controle" (GC). To collect dates was applied the MEEM, MAC-Q &nbsp;and IPAQ, physical tests to evaluate the functional capacity.&nbsp;The informations were collected and analyzed through the SSP version 20.0.&nbsp;</p> <p><strong>Results</strong>: The results showed no significant differences on the mental state on elderly who practices physical activities and who don't practice.On the functional capacity evaluation the elderly from GE group obtained better results than GC group.&nbsp;</p> <p><strong>Conclusion</strong>: On this study haven't association between level of physical activities and elderly's mental state.<strong>Comparative study of Level of Physical Activity and Mental State for the Elderly</strong></p> Renata Batista dos Santos Pinheiro Ana Maria da Silva rodrigues Fabrício Ibiapina Tapety José Nazareno Pearce de Oliveira Brito Eucário Leite Monteiro Alves Copyright (c) 2016 Renata Batista dos Santos Pinheiro, Ana Maria da Silva rodrigues, Fabrício Ibiapina Tapety, José Nazareno Pearce de Oliveira Brito, Eucário Leite Monteiro Alves 2016-10-22 2016-10-22 9 10.3823/2146 Quality of Life Assessment of the Wandering Emergency Service Care professionals <p><strong>Introduction: </strong>the situations faced by the prehospital care professionals drive to a wear in the workplace, compromising these professionals’ quality of life.</p> <p><strong>Objective: </strong>evaluate the quality of life of the professionals who work in the Wandering Emergency Service Care in three northeastern cities of Brazil from physical and environmental aspects.</p> <p><strong>Methods: </strong>quantitative, descriptive and transversal study, conducted at the Wandering Emergency Service Care in the cities of Caicó, Currais Novos and Santa Cruz, located in the Rio Grande do Norte State, northeastern Brazil. The data were collected from 55 professionals in October and November 2014.</p> <p><strong>Results: </strong>there was a majority of professionals aged between 25 and 29 years old, male, with high school education, income between 2 and 5 minimum wages, with other employment. The evaluation of quality of life was considered positive by most professionals. Regarding the Whoqol-Bref questionnaire there was a score variation of 65.45% to 78.76%.</p> <p><strong>Conclusion: </strong>It is concluded that most of the professionals who were studied judge themselves as satisfied with their health and evaluate their quality of life positively.</p> Cristiane da Silva Ramos Marinho Juliana Martins de Menezes Cecília Nogueira Valença Ilisdayne Thallita Soares da Silva Mayonara Fabíola Silva Araújo Luiz Alves Morais Filho Osvaldo de Góes Bay Júnior Quênia Camille Soares Martins Maria Leonor Paiva da Silva Rafaela Carolini de Oliveira Távora Mayara Silva Fernandes do Rêgo Renata Fonseca Sousa de Oliveira Fábia Cheyenne Gomes de Morais Fernandes Copyright (c) 2017 Cristiane da Silva Ramos Marinho, Juliana Martins de Menezes, Cecília Nogueira Valença, Ilisdayne Thallita Soares da Silva, Mayonara Fabíola Silva Araújo, Luiz Alves Morais Filho, Osvaldo de Góes Bay Júnior, Quênia Camille Soares Martins, Maria Leonor Paiva da Silva, Rafaela Carolini de Oliveira Távora, Mayara Silva Fernandes do Rêgo, Renata Fonseca Sousa de Oliveira, Fábia Cheyenne Gomes de Morais Fernandes 2017-01-02 2017-01-02 9 10.3823/2240 Vaccination Situation in the First Month of Life of Children of Childhood Education <strong>Introduction:</strong> The Brazilian vaccination schedule is a strategy used in disease prevention by providing immunobiologicals to the population and the BCG and Hepatitis B vaccines are the first to be administered shortly after birth. <strong>Objective: </strong>Describe the vaccination status of BCG and Hepatitis B vaccines in the first month of life of children of childhood education. <strong>Methodology:</strong> Epidemiological, descriptive and retrospective study, with quantitative approach, conducted from data available in 1,434 copies of children's immunization cards enrolled in childhood education in the municipality of Natal/RN, Brazil. Data were collected through checklist, categorized by Microsoft Office Excel 2013, exported to statistical software and presented in tables and graphs through simple descriptive statistics. <strong>Results:</strong> The BCG vaccine showed 98.5% of children with full immunization schedule, 1.2% unvaccinated and 0.8% had record failures. In the case of the hepatitis B vaccine, 98.9% had complete vaccination schedule, 0.6% for unvaccinated children and 0.4% had flaws that prevented their analysis. <strong>Final thoughts: </strong>The vaccination status of the children had complete immunization schedule rates higher than the target set by the National Immunization Program, but the presence of registry errors prevented the analysis of cards. Luiza Helena dos Santos Wesp Paula Fernanda Brandão Batista dos Santos Willyana Freire Bispo Mariana Fernandes de Almeida Silva Lidiana Luana Inácio da Silva Talita de Figueiredo Galhardo Michelle da Silva Carneiro Galvão Eliabe Rodrigues de Medeiros Erika Simone Galvão Pinto Copyright (c) 2016 Luiza Helena dos Santos Wesp, Paula Fernanda Brandão Batista dos Santos, Willyana Freire Bispo, Mariana Fernandes de Almeida Silva, Lidiana Luana Inácio da Silva, Talita de Figueiredo Galhardo, Michelle da Silva Carneiro Galvão, Eliabe Rodrigues de Medeiros, Erika Simone Galvão Pinto 2016-11-01 2016-11-01 9 10.3823/2147 Propensity of Mortality from External Causes in the State Piauí, Brazil 2001-2012 <p><strong>Objective:</strong> To analyze the trend of mortality from external causes in the State of Piauí from 2001 to 2012. <strong>Methodology:</strong> descriptive, exploratory and quantitative study. The System databases used were Mortality Information of the Ministry of Health, available on the website of the Department of the Unified Health System Information. <strong>Results:</strong> There were 19,725 deaths, highlighting the male (82.8%), aged 20-39 years (46.3%), marital status: single (51%), of brown ethnicity (66.2%), and education from 4 to 7 years (26.3%). The men, aged 20 to 29 years (29.7%). The women, aged 60 and over (25.5%). The standardized mortality rate increased (74.6 / 100 000 inhabitants) in 2012. <strong>Conclusion:</strong> External causes affecting especially the younger population. Transport accidents and assaults accounted for the main specific causes of death. It is necessary to develop educational activities for greater emphasis on reducing mortality and more effective public policies.&nbsp;</p> Sandra Beatriz Pedra Branca Dourado Marcia Andreia Moura Teixeira João Pedro Willaigagnon Costa Melo Marcio Denis Medeiros Mascarenhas Verbenia Cipriano Feitosa Danieli Maria Matias Coelho Solange Maria De Sousa Tereza Cristina Araujo Da Silva Copyright (c) 2016 SANDRA BEATRIZ PEDRA BRANCA DOURADO, MARCIA ANDREIA MOURA TEIXEIRA, PEDRO WILLAIGAGNON COSTA MELO, MARCIO DENIS MEDEIROS MASCARENHAS, VERBENIA CIPRIANO FEITOSA, DANIELI MARIA MATIAS COELHO, SOLANGE MARIA DE SOUSA, TEREZA CRISTINA ARAUJO DA SILVA 2016-10-24 2016-10-24 9 10.3823/2139 Body perception of cocaine users <p>Introduction: The use of drugs by man is considered an ancient and universal human practice. The drugs are capable of causing psychotic and psychomotor disorders.</p><p><br />Objective: It aimed to assess body perception of cocaine users in a city of high backlands of Paraiba.</p><p><br />Methods: This is a research in applied type with a quantitative approach. The study population involved drug users treated at AD Attention Psychosocial Center (Alcohol and drug addicts) in the chosen city. The sample consisted of 18 drug users, 15 males and 3 females, aged from 16 to 49 years, it was applied a sociodemographic questionnaire and Askevold test.</p><p><br />Results: It was observed that there were changes in body perception of cocaine users, prevailing the moderate asymmetry in no more users subjects and very serious in the drug users.</p><p><br />Conclusion: Through this research, it was possible to see that the constant use of cocaine alters the body perception of the users, as the continued use of psychoactive substances causes psychomotor agitation, it is proposed, then, a more comprehensive role of physiotherapy and occupational therapy in these patients, as well as expand the knowledge of the various health professionals on the subject</p> Manuela Carla de Souza Lima Daltro Luciene de Oliveira Marinho Ellen Lima Xavier Tâmara de Araújo Costa Erica Martins de Freitas Humberto Medeiros Wanderley Filho Juliane de Oliveira Costa Nobre Viviane Valeria de Caldas Guedes Garcia Mayara Leal Almeida Costa Polianne Medeiros Brito Aucélia Cristina Soares de Belchior Rosangela Maria Fernandes de Oliveira Karini Vieira de Menezes Omema Michelle Bacurau Trajano Rodrigues Murilo Nunes de Magalhães Nicoly Negreiros de Siqueira Mariano Elicarlos Marques Nunes Copyright (c) 2016 Manuela Carla de Souza Lima Daltro 2016-09-21 2016-09-21 9 10.3823/2094 Palliative Care of Babies Suffering from Congenital Malformation: Maternal Feelings and Difficulties <p><strong>Objective:</strong> To describe the feelings experienced by mothers of babies suffering from congenital malformation in need of palliative care; to identify the difficulties experienced by mothers of babies with congenital malformation in need of palliative care. <strong>Methodology:</strong> it concerns an exploratory research, of a qualitative nature, conducted at the Neonatal Intensive Care Unit and at the Neonatal Intensive Treatment Unit of a reference maternity hospital located in the northeast of Brazil. The data were collected between September and October 2015, through a semi-structured interview, and analyzed through content analysis technique, by means of the following main themes: feelings of mothers of babies with congenital malformation in need of palliative care; difficulties related to a need for care outside the hospital environment. <strong>Results:</strong> The feelings of sadness, anxiety, insecurity and fear of losing the child were the ones most highlighted by the mothers. The main difficulties reported were those regarding financial aspects due to the necessity of acquiring the essential input to provide the baby with care, and the impossibility to return to their work due to the need of exclusive dedication to the child under palliative care. <strong>Conclusion:</strong> The necessity of a warm and humanized nursing assistance was highlighted; such assistance can contribute to the positive confrontation of the reality of having a baby suffering from an incurable problem that threatens life.</p><p> </p><p> </p> Adriana Marques Pereira de Melo Alves Ana Cláudia Gomes Viana Maria Emília Limeira Lopes Zirleide Carlos Félix Anna Tereza Alves Guedes Kely Cristina Carneiro Azevedo Tarciane Marinho Albuquerque de Vasconcellos Cruz Altamira Pereira Silva Reichert Lucas Pereira Reichert Patrícia Serpa Souza Batista Copyright (c) 2017 Adriana Marques Pereira de Melo Alves, Ana Cláudia Gomes Viana, Maria Emília Limeira Lopes, Zirleide Carlos Félix, Anna Tereza Alves Guedes, Kely Cristina Carneiro Azevedo, Tarciane Marinho Albuquerque de Vasconcellos Cruz, Altamira Pereira Silva Reichert, Lucas Pereira Reichert, Patrícia Serpa Souza Batista 2017-01-02 2017-01-02 9 10.3823/2161 Analysis on the Doula’s Influence in Childbirth Care at a Maternity <p>Background</p> <p>Childbirth and labor, in the past decades, have been suffering modifications towards the increasing necessity of humanization at labor and childbirth practices. The doulas have been presenting a important role in women’s support with good results in some countries. This article intends to analyze the implementation of a voluntary doula’s program at a large maternity in Brazil’s public health system.&nbsp;</p> <p>Methods</p> <p>A quantitative, cross-sectional study was realized between June, 2015, and March, 2016. The presence or absence of the doula’s support was considered along side the labor type, pain medications use, oxytocin use and skin-to-skin contact between mother and child. It was also analyzed women’s satisfaction and the correlation with the doula’s support. Pearson's chi-squared test and a 0,05 statistical significance was used.</p> <p>Findings&nbsp;</p> <p>A statistic association between the doula’s support and a decrease in cesarean sections number was found. Considering women with vaginal deliveries, a statistic association between the presence of the doulas and a increase in skin-to-skin contact and women satisfaction was reported. No significant correlation between the doulas and the use of pain medications, oxytocin use and episiotomy was found.&nbsp;</p> <p>Conclusions</p> <p>The results tend to related the presence of the doulas with some good practices indicators, matching researches in other countries. Regardless of the cross-sectional study limitations, the presence of the voluntary doula’s program is perceived as satisfactory.</p> Ricardo de Sousa Soares Aysla Albuquerque Ulisses Umbelino Anjos Rodrigo Pinheiro Toledo Vianna Luciano Bezerra Gomes Waglania de Mendonça Faustino Freitas Juliana Sousa Soares Araújo Juliana Sampaio Dandara Barbosa Palhano Adernanda de Rocco Guimarães Alexandre José Melo Neto Luiza Soares Guerra Copyright (c) 2016 Ricardo de Sousa Soares, Aysla Albuquerque, Ulisses Umbelino Anjos, Rodrigo Pinheiro Toledo Vianna, Luciano Bezerra Gomes, Waglania de Mendonça Faustino Freitas, Juliana Sousa Soares Araújo, Juliana Sampaio, Dandara Barbosa Palhano, Adernanda de Rocco Guimarães, Alexandre José Melo Neto, Luiza Soares Guerra 2016-10-22 2016-10-22 9 10.3823/2140 Theory of Social Representations: Educational Possibilities in the Development of Active Methodologies for Significant Learning* <p class="Default"><strong>Background: </strong>The National Curriculum Guidelines reinforce the need for training of professionals with critical and reflective skills in addition to acquiring technical skills. Those criteria directly and indirectly relate to the desired professional profile, either in graduation scenarios or in postgraduate courses. The adoption of active methodologies in classrooms contributes to the training of health professionals able to provide clinical and epidemiological responses adequate to health-disease processes. In this perspective, this study aims to reflect, from reports, on the use of the theory of social representations as a pedagogical possibility in the development of active methodologies, and to build a meaningful learning. <strong>Methods and Findings: </strong>This is an analytical study, with a qualitative approach, developed based on the statements of the experiences lived by students of the postgraduate program in nursing at the Federal University of Rio Grande do Norte. It discusses the relationship between the use of active methods of teaching and learning, meaningful learning and theory of social representations, created by Serge Moscovici. The assumptions and techniques that justify the concept and the research in the field of social representations were concurrently assimilated as the study object and as a methodological theoretical strategy, promoting the construction of teaching and learning processes based on educational practices and on the meaning shared by the subjects of the experienced reality. <strong>Conclusions: </strong>The use of active methodologies was extremely favorable to the interaction, comprehension and production of knowledge of the involved subjects regarding the contribution to the study of social representations.</p> Emanuella de Castro Marcolino Gustavo Ávila Dias Francisco Arnoldo Nunes de Miranda Mônica Gisele Costa Pinheiro Francisco de Sales Clementino Clélia Albino Simpson Copyright (c) 2016 Gustavo Ávila Dias, Emanuella Castro Marcolino, Mônica Gisele Costa Pinheiro, Francisco Arnoldo Nunes de Miranda, Clélia Albino Simpson, Francisco Sales Clementino 2016-11-09 2016-11-09 9 10.3823/2160 Evaluation of Chemical Residues Originated from Automatic Hematological Analyzers in the Municipality of Guarulhos, State of São Paulo, Brazil <p>Introduction: If incorrectly managed, dangerous chemical residues produced by clinical analysis laboratories are worrisome. These residues can represent serious environmental and human health hazards if disposed improperly in the sewage system. Currently, the laboratories take over strategies with the potential to minimize the negative environmental impacts and public health risks. To demonstrate the current scenario and contribute to the sustainable development of these laboratories, it is necessary to evaluate the toxicity of hematological equipment´s chemical residue effluents.</p> <p>Methods: A questionnaire was addressed to employees of 15 clinical analysis laboratories of the Municipality of Guarulhos, São Paulo / Brazil. All these laboratories dispose the hematological equipment’s residues into the sewage system. The objective of the questionnaire was to appraise the daily average hematological exams performed in 2012. Through the data collected with equipment suppliers and analysis of the concentration of dangerous chemical residues diluted in the municipal sewage network, it was possible to calculate the volume of dangerous chemical residues generated by this equipment.</p> <p>Results: The data showed a daily average of 2,800 examinations per laboratory, generating a daily disposal of 131,600 mL of chemical residues. Only <em>formic acid</em> was identified as dangerous chemical residue. About 1,680 mg per day of this residue is disposed. Diluted in the average daily sewage volume of 32,500 m<sup>3</sup>, it represents a concentration of 0.052 mg/m<sup>3</sup> or 5.2 x 10<sup>-5 </sup>mg / L.</p> <p>Conclusion: Despite the large volume of chemical residues generated by hematological analyzers and disposed into the sewage system of Guarulhos, the data indicates low toxicity concentration in the sewage system. Therefore, there is no evidence of enough toxic residues to be responsible for creating environmental risks.</p> Paula de Souza Guimarães Nair Massumi Itaya Renata Paixão Andréia Maria Martarello Gonçalves Copyright (c) 2016 Andréia Maria Martarello Gonçalves 2016-10-16 2016-10-16 9 10.3823/2137 The Reality of Tuberculosis in Brazilian Prisons <p><strong>Objective</strong>: This work aims at identifying the profile of morbidity due to TB in prisons among the regions of Brazil, from 2003 through 2012. <strong>Methodology</strong>: This is an epidemiological and retrospective study in which data were obtained through the virtual query to the database of the Notifiable Diseases Information System, through DATASUS portal and were tabulated and analyzed according to descriptive statistics. The numbers of cases of TB were organized respecting the years that make up the study and the region. <strong>Results</strong>: During the survey period were 30,662 reported cases of TB in Brazilian prisons. The profile of TB in Brazilian prisons is made up of men, brown, allocated in the Southeast, with the pulmonary form of the disease, who are not HIV positive and who perform supervised treatment. It was also found that less than half of the cases had the cure varies as the situation of closure.</p> Mayara Lima Barbosa Hayla Nathália dos Santos Rodrigues Suely Deysny de Matos Celino Tarciana Nobre de Menezes Karla Karolline Barreto Cardins Gabriela Maria Cavalcanti Costa Copyright (c) 2016 Mayara Lima Barbosa, Hayla Nathália dos Santos Rodrigues, Suely Deysny de Matos Celino, Tarciana Nobre de Menezes, Karla Karolline Barreto Cardins, Gabriela Maria Cavalcanti Costa 2016-12-08 2016-12-08 9 10.3823/2186 Association between Temporomandibular Dysfunction and Depression in People Living with HIV/AIDS <p><strong>Background:</strong> The origin of temporomandibular dysfunction (TMD) is complex and associates with several factors, including emotional states, such as depression, currently considered one of the main etiological factors of TMD.</p> <p><strong>Objective:</strong> to measure the prevalence of temporomandibular dysfunction and its association with the degree of depression in people living with HIV/AIDS.</p> <p><strong>Method:</strong> cross-sectional, descriptive, exploratory, quantitative study, developed through the application of Fonseca’s instrument for evaluation of TMD and the Beck Depression Inventory (BDI) in people living with HIV/AIDS from the Expert Assistance Service (EAS). For data analysis, one used Fisher's exact test with statistical significance level p&lt;0.05.</p> <p><strong>Results</strong>: The study enrolled 32 subjects, of whom the majority had brown color (65.63%), incomplete elementary school (43.75%), was single (56.25%), with income lower than or equal to the minimum wage ( 87.5%), had mild TMD diagnosis (53.13%), associated with mild degree of depression (40.63%).</p> <p><strong>Conclusions:</strong> there was a prevalence of Depression and Temporomandibular Dysfunction in the majority of the sample, and a significant association between those two diseases. It is necessary nursing interventions in health education and early detection of the signs and symptoms of those diseases in that population.</p> <p>&nbsp;</p> Francisco Braz Milanez Oliveira Aline Beatriz Rocha Paula Copyright (c) 2016 Aline Beatriz Rocha Paula, Francisco Braz Milanez Oliveira, Francisco Braz Milanez Oliveira, Francisco Braz Milanez Oliveira, Francisco Braz Milanez Oliveira 2017-01-24 2017-01-24 9 10.3823/2264 Analysis of the Concept of Self-Control of Health for Patients Undergoing Hemodialysis <p>BACKGROUND: to analyze the concept of self-control of health in the context of hemodialysis. METHODS: a concept analysis was carried out based on the Walker and Avant reference in the period of February-March 2014 in the databases Scopus, CINAHL, PubMed, LILACS and COCHRANE. RESULTS: the elaborated concept was: decision-making necessary to achieve goals for compliance with the therapeutic&nbsp; complex and agreement made with health professionals. Attributes: compliance with the therapeutic complex, decision-making, partnership/agreement between patient and professionals, reach goals. CONCLUSION: the concept analyzed is extensive and involves individual aspects of the patient, the therapy and the relationship between patients and professionals, with required good relationship between them so that one can achieve a goal that is shared by both of them: the pre-established target for treatment. Thus, with this knowledge, nurses can develop specific care strategies for this clientele.</p> Fernanda Beatriz Batista Lima Silva Ana Luisa Brandão de Carvalho Lira Kadyjina Daiane Batista Lúcio Jessica Dantas de Sá Millena Freire Delgado Maria das Graças Mariano Nunes de Paiva Copyright (c) 2016 Fernanda Beatriz Batista Lima Silva, ANA LUISA BRANDÃO DE CARVALHO LIRA, KADYJINA DAIANE BATISTA LÚCIO, JESSICA DANTAS DE SÁ TINÔCO, MILLENA FREIRE DELGADO, MARIA DAS GRAÇAS MARIANO NUNES PAIVA 2016-11-25 2016-11-25 9 10.3823/2208 Nursing Students Experience in Emergency and Intensive Care in a Reference Hospital <p><strong>Objective: </strong>To report the experiences and activities carried out by nursing students during practical activities in the Intensive Care Unit and Emergency Room at a referral hospital.</p> <p><strong>Methods and results: </strong>This is an experience report of students from the nursing graduation course during the practical activities of the subjects Integral Attention to Health II, High Complexity module in Emergency and Intensive Care Unit of a reference state hospital in Natal, Rio Grande do Norte, in the period from 18 November to 08 October 2015. The experience provided the students a dimension of the nursing care in the high complexity services. Thus, the results have been described considering the procedures and knowledge used and the concept of this experience to the students in the hospitals.</p> <p><strong>Conclusion: </strong>During the development of the training activities, it is observed an important learning both individually and in groups of students. The progress in achieving the nursing care, the application of the clinical reasoning associated with the referenced theoretical basis are increasingly set in carrying out the practice.</p> <p><strong>Keywords: </strong>Nursing Students; Critical Care Nursing; Intensive Care Units; Emergency Medical Services.</p> Karen Rayara Bezerra Lima Tiago Alves de Brito Helena Marta Alves Nunes Glória Catarina Beserra Rodriguez Rayane Araújo do Nascimento Lívia Maria Nunes Henriques Kezauyn Miranda Aiquoc Ellen de Fátima Lima Vasconcelos José Joandson de Souza dos Santos Sabrina Daiane Gurgel Sarmento Rodrigo Assis Neves Dantas Daniele Vieira Dantas Maria Alzete de Lima Katia Regina Barros Ribeiro Janmilli da Costa Dantas Tatiana Melo Dos Santos Maria Marinah Souza do Nascimento Isabelle Cristina Braga Coutinho Cunha Dayse Medeiros Bezerra Copyright (c) 2016 KAREN RAYARA LIMA, TIAGO ALVES BRITO, HELENA MARTA NUNES, GLÓRIA CATARINA RODRIGUEZ, RAYANE ARAÚJO NASCIMENTO, LÍVIA MARIA NUNES, KEZAUYN MIRANDA AIQUOC, ELLEN FÁTIMA VASCONCELOS, JOSÉ JOANDSON SANTOS, SABRINA DAIANE SARMENTO, RODRIGO ASSIS DANTAS, DANIELE VIEIRA DANTAS, TATIANA MELO SANTOS, MARIA ALZETE LIMA, KATIA REGINA RIBEIRO, JANMILLI COSTA DANTAS, MARIA MARINAH NASCIMENTO, ISABELLE CRISTINA CUNHA, DAYSE MEDEIROS BEZERRA 2016-11-09 2016-11-09 9 10.3823/2158 Clinical Reasoning: Instrument for Clinical Decisions of Nursing Students in the Care Process <p><strong>Objective:</strong> Report the experience of the Nursing graduation students regarding the high technological density services, implying the clinical reasoning practice as a tool in the care process.</p> <p><strong>&nbsp;</strong></p> <p><strong>Method:</strong> It is a descriptive study of the type: experience report of nursing students from a public University, located on Northeast of Brazil, focusing the practical activities accomplished during the period from May, 23 to June, 13 of 2016.</p> <p><strong>&nbsp;</strong></p> <p><strong>Results: </strong>The experience provided relevant results for the nursing students during the practical activities, being structured on the following axes: work process of the nurse; developed activities; and practical formation.</p> <p><strong>&nbsp;</strong></p> <p><strong>Conclusion:</strong> The experience lived by the nursing students was marked as a tool that widen and sizes about the several abilities and skills that the nursing professional must have. And the practice of clinical reasoning directs to nursing actions and interventions more and more safe and scientific.</p> Vinicius Lino de Souza Neto Ana Karoline Cordeiro Batista Ellen Caroline Paiva de Godoy Ericka Suellen Villar Fabrina Rafaela Nascimento de Andrade Felype Joseh de Souza Lima Alves e Silva Fernanda Nahara Carvalho Dossantos Fernanda Rafaela dos Santos Isabella Kilia Macedo Silva Izabelle Bezerra Costa Letícia Alves de Amorim Marianna Dayenne Batista de Paiva Michael Pyerre Martins Duarte Olga Alice Alencar Moreira Thais Monteiro da Silva Padilha Anne Heloyse Ribeiro Ferreira Sidcléia Kécia Vieira Silva Kátia Regina Barros Ribeiro Ana Elza Oliveira de Mendonça Rosângela Vidal de Negreiros Mary Luce Melquiades Meira Copyright (c) 2016 Vinicius Lino de Souza Neto, Ana Karoline Cordeiro Batista, Ellen Caroline Paiva de Godoy, Ericka Suellen Villar, Fabrina Rafaela Nascimento de Andrade, Felype Joseh de Souza Lima Alves e Silva, Fernanda Nahara Carvalho Dossantos, Fernanda Rafaela dos Santos, Isabella Kilia Macedo Silva, Izabelle Bezerra Costa, Letícia Alves de Amorim, Marianna Dayenne Batista de Paiva, Micael Pyerre Martins Duarte, Olga Alice Alencar Moreira, Thais Monteiro da Silva Padilha, Kátia Regina Barros Ribeiro, Rosângela Vidal de Negreiros, Mary Luce Melquiades Meira, Ana Elza Oliveira de Mendonça 2016-11-10 2016-11-10 9 10.3823/2168 Morbid Conditions and Lifestyle of Climacteric Women <p><strong>Introduction:</strong> Women experience aging in a peculiar way, as the climacteric is inherent in this phase of the female life cycle. This is a period characterised by functional, morphological and hormonal changes that affect the quality of life of women, as well as causing changes in the occurrence/prevalence of chronic diseases. <strong>Objectives:</strong> To identify the most prevalent diseases in perimenopausal women in the city of Cajazeiras-Paraíba, Brazil, and the interference of lifestyle in the occurrence and progression of diseases such as systemic arterial hypertension (SAH) and diabetes in women investigated. <strong>Method:</strong> This is a cross-sectional survey, in which data collection was carried out in an interview guided by structured script. The data collected were used in SPSS to statistically correlate the presence of at least one disease, systemic arterial hypertension (SAH) and diabetes versus meals/day, BMI, physical inactivity, smoking and alcohol consumption. <strong>Results:</strong> The results showed statistical dependence between overweight/obesity with at least one disease (p &lt;0.001), SH (p &lt;0.001) and diabetes (p = 0.016), in addition to alcohol abuse with at least one disease (p = 0.004) and hypertension (p = 0.005). <strong>Conclusion:</strong> The occurrence and progression of chronic diseases may be influenced by unhealthy lifestyle habits adopted by women. Thus, policies designed to promote the adoption of better living habits such as regular physical exercise and the abandonment of the use of harmful substances to the body, can interfere positively in the prevention/progression of the most prevalent chronic disease in climacteric.</p> Platiny Benício Calou Alexandre Ferreira Gomes Maria do Carmo Andrade Duarte de Farias Guilherme Gadelha Pereira de Carvalho Francisco Geyson Fontenele Albuquerque Kévia Katiúcia Santos Bezerra Antônio Fernandes Filho Copyright (c) 2016 Platiny Benício Calou, Alexandre Ferreira Gomes, Maria do Carmo Andrade Duarte de Farias, Guilherme Gadelha Pereira de Carvalho, Francisco Geyson Fontenele Albuquerque, Kévia Katiúcia Santos Bezerra, Antônio Fernandes Filho 2016-10-12 2016-10-12 9 10.3823/2135 Cervical Cytological Examination: Perceptions of Women Attended in Primary Health Care <p><strong>Objectives: </strong>To assess the perception of women about prevention of cervical cancer, as well as to identify the factors that influence the adhesion to the exam and to describe the role of the nurse in gynecologic consultation from the perspective of the patients.</p> <p>&nbsp;</p> <p><strong>Methods</strong>: Qualitative study, carried out in October and November 2015, with 22 women attended in a primary health care unit located in Fortaleza, Ceará, Brazil, by means of semi-structured interviews. Data were analyzed using content analysis.</p> <p>&nbsp;</p> <p><strong>Results: </strong>Three categories were identified: Meanings assigned to cervical cytological examination and adhesion to the exam; Barriers to taking periodic examination for prevention of cervical cancer; Role of the nurse in the prevention of cervical cancer.</p> <p>&nbsp;</p> <p><strong>Conclusion: </strong>Health professionals working in primary health care, especially nurses, must know the cultural context in which women are included, as well as understand the meanings that they attribute to the cervical exam, so they can adopt effective interventions to improve the access to preventive examination and, consequently, reduce mortality rates related to this cancer.</p> Camila Ferreira da Silva Maria Isabelly Fernandes da Costa Kamila Ferreira Lima Wanderson Alves Martins Maria Nilcineide de Sousa Camurça Francisca Andrea Marques de Albuquerque Viviane Mamede Vasconcelos Patricia Neyva da Costa Pinheiro Mirna Albuquerque Frota Karla Maria Carneiro Rolim Raelson Ribeiro Rodrigues Izaildo Tavares Luna Luiza Luana de Araújo Lira Bezerra Copyright (c) 2016 Camila Ferreira da Silva, Kamila Ferreira Lima, Maria Isabelly Fernandes da Costa, Wanderson Alves Martins, Maria Nilcineide de Sousa Camurça, Francisca Andrea Marques de Albuquerque, Viviane Mamede Vasconcelos, Mirna Albuquerque Frota, Karla Maria Carneiro Rolim, Luiza Luana de Araújo Lira Bezerra 2016-11-05 2016-11-05 9 10.3823/2153 Educational Video for Infant Diarrhea Prevention: Randomized Clinical Trial <p><strong>Introduction:</strong> Diarrhea is a major cause of illness in children under five years of age and, along with pneumonia, is a major cause of child mortality. Through behavioral influence on the occurrence of diarrhea, health education is an important facilitator for empowering individuals, families and communities, contributing to the promotion of health and, consequently, to reduce cases of childhood diarrhea. Therefore, this study aimed to evaluate the effect of the educational video "Infant Diarrhea: you are able to prevent" on mothers of children under five years of age, according to the aspects related to the care of children's health and the occurrence of infant diarrhea. <strong>Methods:</strong> Randomized clinical trial, conducted in Fortaleza, Ceará, Brazil, with 133 mothers of children under five years of age, with 70 allocated in the comparison group and 63 in the intervention group. Data collection took place from April to June 2013, in two moments: the first in the Unit of Primary Health Care and the second by telephone after two months. <strong>Results:</strong> The groups were similar in all sociodemographic aspects analyzed (p&gt;0.196). Moreover, there was no statistically significant association between the occurrence of infant diarrhea and the characteristics related to the care of children's health. The chance for occurrence of diarrhea showed up higher in the comparison group (RC&gt;1) with respect to four of the variables: exclusive breastfeeding, bottle-feeding, how they clean the bottle and if they boil / scald other utensils used in the child’s diet. <strong>Conclusion:</strong> The educational video was effective in promoting the adoption of healthy habits by the mothers and reducing chances of occurrence of infant diarrhea. It is essential that health professionals get to know the mentioned video and that this one guide the practice of these professionals in preventing infant diarrhea and empowering of mothers, so that they are able to also prevent the occurrence of this disease in their children.</p> Leidiane Minervina Moraes de Sabino Emanuella Silva Joventino Ádria Marcela Vieira Ferreira Ana Lúcia Araújo Gomes Fabiane do Amaral Gubert Jardeliny Corrêa da Penha Ludmila Alves do Nascimento Maria de Fátima Pereira de Sousa Galvão Paulo César de Almeida Lorena Barbosa Ximenes Copyright (c) 2016 Leidiane Minervina Moraes de Sabino, Emanuella Silva Joventino, Ádria Marcela Vieira Ferreira, Ana Lúcia Araújo Gomes, Fabiane do Amaral Gubert, Jardeliny Corrêa da Penha, Ludmila Alves do Nascimento, Maria de Fátima Pereira de Sousa Galvão, Paulo César de Almeida, Lorena Barbosa Ximenes 2016-11-22 2016-11-22 9 10.3823/2203 Dietary Patterns of Pre-Schoolers and Their Relationship with Food Insecurity <p class="western" lang="en-US"><span style="color: #000000;"><span lang="en-GB"><strong>Introduction:</strong></span></span><span style="color: #000000;"><span lang="en-GB"> Dietary patterns (DPs) represent the consumption of food and nutrients of a population. Research in this area is very important to evaluate eating habits, especially during the critical period of growth and development in childhood.</span></span><span style="color: #000000;"><span lang="en-GB"><strong> Objective:</strong></span></span><span style="color: #000000;"><span lang="en-GB"> The study aims to identify DPs and their relationships with food insecurity and the nutritional status of preschool children.</span></span><span style="color: #000000;"><span lang="en-GB"><strong> Methods:</strong></span></span><span style="color: #000000;"><span lang="en-GB"> A cross-sectional study was undertaken of 308 children between 24 and 48 months of age enrolled at municipal day care centres in a city with a </span></span><span style="color: #000000;"><span lang="en-GB">Human Development Index (HDI) of 0.800</span></span><span style="color: #000000;"><span lang="en-GB">. Dietary intake was assessed using a food frequency questionnaire and interpreted through principal components analysis (PCA). Nutritional condition was assessed by the indicator BMI/age and food insecurity (FI) was classified by the score on the Brazilian Food Insecurity Scale. </span></span><span style="color: #000000;"><span lang="en-GB"><strong>Results:</strong></span></span><span style="color: #000000;"><span lang="en-GB"> Five DPs were identified: "Western", "Fruits and vegetables", “Prudent”, "Dairy" and "Traditional". Pre-schoolers with "Western" food standards are less likely (OR: 0.51; 95% CI: 0.27–0.98) to be in moderate or severe FI; however, food quality is compromised, featuring light FI. Children in the "Traditional" category are strongly linked to families receiving social benefits and childhood overweight (p &lt; 0.05). </span></span><span style="color: #000000;"><span lang="en-GB"><strong>Conclusions:</strong></span></span><span style="color: #000000;"><span lang="en-GB"> "Western" and "Traditional" DPs are qualitatively and quantitatively inadequate, regardless of family income condition and maternal education. Thus, public actions to combat unfavourable DPs and deleterious effects on health are important and indispensable to prevent chronic diseases.</span></span></p> <p class="western" lang="en-US">&nbsp;</p> Élida Mara Braga Rocha Luiz Carlos de Abreu Patricia Dore Vieira Isabel Cristina Esposito Sorpreso Sophia Cornbluth Szarfarc Copyright (c) 2016 Élida Mara Braga Rocha, Patricia Dore Vieira, Isabel Cristina Esposito Sorpreso, Luiz Carlos de Abreu, Sophia Cornbluth Szarfarc 2016-11-25 2016-11-25 9 10.3823/2156 Characterizing the Fall and Association between Functional Independence and Balance in the Elderly Following Proximal Femoral Surgery <p><strong>Introduction:</strong> Fractures in the proximal femoral region have a multicausal etiology and can be attributed to extrinsic factors and intrinsic factors. <strong>Objective:</strong> To characterize sociodemographics and the diseases of the elderly who sustained a proximal femoral fracture, as a result of falls from a standing height, and to study the relationship between balance and functional independence of these elderly. <strong>Method</strong><em>:</em> This was a cross-sectional study conducted over a period of 12 months in a teaching hospital, with a sample of 89 elderly (≥ 60 years). <strong>Results</strong>: The characteristics of the elderly patients which demonstrated significance with functional independence were: the presence of nervous system disease, and/or mental and behavioral disorders (p = 0.001), and balance (p &lt;0.001). Surgeries in the proximal femoral region occurred in females (67.3%), elderly patients ≥ 80 years of age (46.1%), and 60.7% underwent osteosynthesis. <strong>Conclusions:</strong> In relationship to functional independence, 23.6% of the elderly were classified as maximum dependence, 38.2% as minimum, and 38.2% as modified independence. The elderly gained balance significantly as they regained their functional independence, regardless of age, gender, and whether or not they presented with nervous system disease and/or mental and behavioral disorders.</p> Marla Andréia Garcia de Avila Silvia Cristina Mangini Bocchi Copyright (c) 2016 Marla Andréia Garcia de Avila, Silvia Cristina Mangini Bocchi 2016-12-19 2016-12-19 9 10.3823/2226 Polypharmacy in Elderly Assisted in Primary Care: Identifying Vulnerabilities and Adverse Events <p><strong>Introduction: </strong>The emergence of multi-disorders in the elderly leads to consumption of considerable amount of medications, not always prescribed by physicians.<br> <strong>Objective: </strong>To investigate the phenomenon of poly pharmacy in older and factors associated with it.</p> <p><strong>Methods: </strong>A descriptive cross-sectional study conducted with 173 elderly assisted by Family Health Strategy in a Basic Health Unit Family of the Brazilian Northeast capital. The main variables of interest were: socio-demographic profile of the elderly, communication conditions, use of prescription drugs continuously, reported symptoms, medication adherence.</p> <p><strong>Results:</strong> It was noticed in the study a more marked number of women 100 (57.8%) 60-69 years old (54.3%), illiterate (47.4%) and married (60.1%). The communication conditions, was found preserved in 92.5% of the elderly. The most consumed drugs were used to treat hypertension (60.7%). The most commonly used therapeutic class was the drugs that act on the cardiovascular system (35.0%). Most of the elderly ingests more than five pills a day (58.4%). In the sample studied prevailed pyrosis (55.49%), nausea and vomiting (47.3%) as major adverse effects experienced. 74.56% of seniors take medications alone.</p> <p><strong>Conclusion</strong>: The presence of self-medication and drugs, unfit for unattended use by elderly, was found. It was identified a high vulnerability of the elderly to adverse events by inadequate usage and by identifying self-reported signs and symptoms.</p> Layane Mayara Gomes Castelo Branco Livia Moreira de Carvalho Rodrigues Socorro Milena Rocha Vasconcelos Cícera Jaqueline Ferreira de Lima Aíka Barros Barbosa Maia Maria Nauside Pessoa da Silva Copyright (c) 2017 Layane Mayara Gomes Castelo Branco, Livia Moreira de Carvalho Rodrigues, Socorro Milena Rocha Vasconcelos, Cícera Jaqueline Ferreira de Lima, Aíka Barros Barbosa Maia, Maria Nauside Pessoa da Silva 2017-01-09 2017-01-09 9 10.3823/2253 Quality of Life of Children with Chronic Kidney Disease <p><strong>INTRODUCTION: </strong>Chronic Kidney Disease has a major impact on a pediatric patient’s development. Harmful effects include nutritional changes deriving from a restrictive diet, in addition to systemic manifestations, deficient growth, osseous deformities and chronic anemia. In addition to biological effects, there are psychological and social issues arising from chronic diseases, such as impaired self-image and academic difficulties.</p> <p>&nbsp;</p> <p><strong>OBJECTIVES: </strong>To analyze scientific production on the quality of life of children with chronic kidney disease.</p> <p>&nbsp;</p> <p><strong>METHOD: </strong>Integrative literature review carried out on SciELO, MEDLINE, PubMed databases and the BVS portal, from June to August 2015, using the following controlled descriptors: quality of life, children and chronic kidney disease. Eighteen articles were analyzed based on the inclusion criteria.</p> <p>&nbsp;</p> <p><strong>RESULTS: </strong>Therapeutic modality has a positive influence on the quality of life of children with chronic kidney disease, with patients undergoing hemodialysis being those with the worst scores. Diet restrictions, especially liquid restriction, presence of comorbidities such as anemia, heart disease, short stature and osseous deformities contribute to the negative assessment of patients and caregivers. Poor academic performance is a concern for both children and parents of patients with chronic kidney disease. The presence of family and the participation of the latter in the treatment have a positive influence on these patients’ perception about quality of life.</p> <p>&nbsp;</p> <p><strong>CONCLUSION:</strong> Children with chronic kidney disease have been presenting low quality of life when compared to the group without chronic disease. Further studies need to be conducted within varied cultural contexts in order to compare results and develop coping strategies with the aim of improving the quality of life of children with chronic kidney disease.</p> <p><strong>&nbsp;</strong></p> <p>&nbsp;</p> Glauce Rocha de Moura Fé Maria Isabelly Fernandes da Costa Wanderson Alves Martins Kamila Ferreira Lima Priscila Alencar Mendes Reis Viviane Mamede Vasconcelos Mirna Albuquerque Frota Karla Maria Carneiro Rolim Luiza Luana de Araújo Lira Bezerra Copyright (c) 2016 Glauce Rocha de Moura Fé, Maria Isabelly Fernandes da Costa, wanderson Alves Martins, Kamila Ferreira Lima, Priscila Alencar Mendes Reis, Viviane Mamede Vasconcelos, Mirna Albuquerque Frota, Karla Maria Carneiro Rolim, Luiza Luana de Araújo Lira Bezerra 2016-12-08 2016-12-08 9 10.3823/2172 Congenital Syphilis: Injury Panorama at a Teaching Hospital <p>Establish the profile of women with syphilis in pregnancy as well as aspects of prenatal care, and the incidence and prevalence of congenital syphilis in that specific population. Documental study at a teaching maternity in Fortaleza, Ceará, Brazil. The population consisted of 787 women with syphilis diagnosed at the childbirth or curettage in the period from 2007 to 2012. The prevalence rate in pregnant women was 2.7%. In relation to health care of pregnant women, 57.82% had prenatal care. However, most (59.47%) of the diagnosis of maternal syphilis was held at childbirth or curettage and only 9.89% had proper treatment in the follow-up. Regarding the management of newborns, the data show that the majority (62.20%) had signs and symptoms of congenital syphilis; among them, 93.30% had proper treatment, although 66.85% did not undergo X-Ray (XR) of long bones. Reducing the cases of congenital syphilis depends on the quality of the prenatal care provided to those women, through training and professional involvement to fulfill the recommendations of health policies for combating syphilis.&nbsp;</p> Rosalete Landim de Castro Coutinho Karla Maria Carneiro Rolim Vicente Lima Crisóstomo Elaine Meireles Castro Cláudia Rejane Pinheiro Maciel Vidal Francisco Herlanio Costa Carvalho Eveliny Silva Martins Régia Christina Moura Barbosa Copyright (c) 2016 Rosalete Landim de Castro Coutinho, Karla Maria Carneiro Rolim, Vicente Lima Crisóstomo, Elaine Meireles Castro, Cláudia Rejane Pinheiro Maciel Vidal, EVELINY SILVA MARTINS, Francisco Herlanio Costa Carvalho, Régia Christina Moura Barbosa 2016-11-20 2016-11-20 9 10.3823/2149 Epidemiological Profile of Women Victims of Violence <p><strong>INTRODUCTION:</strong> In the Brasil, the violence against women now occupies a prominent place, which places it as one of the priority issues in public health. Thus, it is aimed to analyze the profile of women victims of violence are treated in Mossoro health services. <strong>METHOD:</strong> It is a study descriptive, documentary type. Data were extracted from the records of notification of years 2013-2014 and processing used Excel 2007 software. Data were grouped in tables and charts and the distribution analyzed by simple descriptive statistics. <strong>RESULTS:</strong> The profile of women victims of violence in the notifications of Epidemiological Surveillance Mossoro in the 2013-2014 period are brown women, young people with low educational level and looking to start the Emergency Care Units, it refers to the type of suffered violence, physical violence was present in most cases, followed by psychological torture caused by people who love or are close to them. <strong>DISCUSSION:</strong> This study points out the need for health professionals have a differentiated look forward to abused women, giving moral, psychological support, do not be silent on this issue and therefore not be omitted nor hear the case. <strong>CONCLUSION</strong>: An ethical and humanitarian assistance in order to comfort the suffering of women is needed, avoiding revitimizações and further damage and to identify new cases and report the problem to gain visibility.</p> Elinne Gonçalves Bezerra Freire Pedro Henrique Bezerra da Costa e Silva Rodrigo Jácob Moreira de Freitas Natana Abreu de Moura Sibele Lima da Costa Rúbia Mara Maia Feitosa Aleide Barbosa Viana Ana Ruth Macêdo Monteiro Liane Araújo Teixeira Joana Darc Martins Torres Kelianny Pinheiro Bezerra Copyright (c) 2016 Elinne Gonçalves Bezerra Freire, Pedro Henrique Bezerra da Costa e Silva, Rodrigo Jácob Moreira de Freitas, Natana Abreu de Moura, Sibele Lima da Costa, Rúbia Mara Maia Feitosa, Aleide Barbosa Viana, Ana Ruth Macêdo Monteiro, Liane Araújo Teixeira, Joana Darc Martins Torres, Kelianny Pinheiro Bezerra 2016-12-12 2016-12-12 9 10.3823/2205 Brazilian Sign Language: Analysis of its Inclusion in the Training of Nursing Professionals <p class="Resumo">Objective: to assess the need for the Brazilian Sign Language - LIBRAS in the formation of nursing professionals. Method: descriptive, exploratory research with quantitative approach, carried out in the Hospital Complex of Infectious and Contagious Diseases Dr. Clementino Fraga in João Pessoa-Paraíba Brazil. The study population consisted of 252 nursing professionals and the sample, of 50 of them. For collecting the data, a structured form was applied in March and April 2015. The data were grouped and distributed in tables containing absolute numbers and percentages, and analyzed in the light of the relevant literature. Results: 42% of professionals have attended deaf people, of which 38% could not read, 43% of them were unaccompanied, and 68% of the respondents had no knowledge of LIBRAS. Conclusion: everybody recognizes the importance of this knowledge in professional communication with the deaf, and suggests its inclusion in the training of nursing staff and training and qualifying employees.</p> <p class="Resumo">&nbsp;</p> Ana Karla Bezerra da Silva Lima Danielle Aurília Ferreira Macêdo Maximino Ester Missias Villaverde Antas Carlos Bezerra de Lima Nereide de Andrade Virgínio Cláudia Germana Virgínio de Souto Carlos Bezerra de Lima Júnior Rossana de Roci Alves Barbosa Daniel Sarmento Bezerra Iolanda Beserra da Costa Santos Lídia Pinheiro da Nóbrega Copyright (c) 2016 Lídia Pinheiro da Nóbrega 2016-12-12 2016-12-12 9 10.3823/2194