bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevalence of risk factors for the occurrence of strokes in the elderly
Authors: Costa Viviane de Souza Pinho , Guimarães Priscila Soares Ramos , Fernandes Karen Barros Parron , Probst Vanessa Suziane , Marquez Audrey de Souza , Fujisawa Dirce Shizuko
Published: January 2015

Introduction Stroke (CVA) is a multifactorial disease, where the combination of risk factors may be associated with and contribute to its development. Objectives The objective of this study was to evaluate the prevalence of risk factors for stroke in the physically independent elderly in the city of Londrina, Brazil. Materials and methods This study was composed of the elderly individuals participating in the EELO project (Age and Ageing Study, Londrina, State of Paraná, Brazil). In order to identify the risk factors for stroke, one used a structured questionnaire with information about socio-demographic and anthropometric data as well as lifestyle variables, such as physical inactivity and smoking, presence of comorbidities, and laboratory tests for diagnosis of diabetes and dyslipidemia. Results The study included 454 elderly with mean age of 69.7 years. There was a significant relationship between the number of risk factors and gender (p = 0.01), with higher prevalence among women. In separate analysis, the elderly between 60 and 69 years had a higher incidence of obesity (p = 0.03) and dyslipidemia (p = 0.04). Regarding gender, obesity (p = 0.01), smoking (p = 0.0001), vascular disease (p = 0.0001) and heart disease in the family (p = 0.01) higher incidence was shown in females, according toChi Square’s test. Conclusions It is concluded that elderly people aged less than 70 years and older women were those with the highest number of risk factors for CVA. Therefore, it may be suggested the development of primary care programs in order to promote information on the prevention of these risk factors and thus reduce the occurrence of stroke.
Evaluation of clinical and radiographic measures and reliability of the quadriceps angle measurement in elderly women with knee osteoarthritis
Authors: Amorim Mateus Ramos , Fonseca Sueli Ferreira da , Arrieiro Arthur Nascimento , Gomes Wellington Fabiano , Lacerda Ana Cristina Rodrigues
Published: January 2015

Introduction Knees osteoarthritis (OA) is a complex degenerative disease with intra-articular changes affecting the amplitude of the quadriceps angle (Q). To measure this variable, it is necessary to use reliable protocols aiming at methodological reproducibility. The objective was to evaluate the intra-examiner and inter-examiner reliability of clinical and radiographic measures of the Q angle and to investigate the relationship between the degree of OA and the magnitude of this angle in the elderly. Materials and methods 23 volunteers had the Q angle measured by two evaluators at 48-h interval. Clinical measurements were collected by using the universal goniometer in the same position adopted in the radiographic examination. Results The intra-examiner reliability was good (0.722 to 0.763) for radiographic measurements and low (0.518 to 0.574) for clinical assessment, while inter-examiner reliability was moderate (0.634) for radiographic measurements and low (0.499) to the clinics. The correlation analysis between the radiographic values with the OA classification showed no correlation between them (p = 0.824 and r = -0.024). Conclusion Clinically, it is suggested that the radiographic examination is preferable to evaluate the Q angle of elderly women with knee osteoarthritis. Moreover, the magnitude of this angle did not correlate with the degree of impairment of OA in this population.
Influência da força muscular isométrica de membros inferiores sobre equilíbrio e índice BODE em pacientes com DPOC: estudo transversal
Authors: Gianjoppe-Santos Júlia , Nyssen Samantha Maria , Arcuri Juliano Ferreira , Oliveira Junior Antonio Delfino de , Jamami Mauricio , Lorenzo Valéria Amorim Pires Di
Published: January 2015

Introdução Força muscular de membros inferiores (MMII) diminuída associa-se à limitação da capacidade funcional; entretanto, existem poucas evidências sobre a repercussão direta da fraqueza muscular periférica sobre tarefas de equilíbrio, bem como com o prognóstico de mortalidade nos pacientes com doença pulmonar obstrutiva crônica (DPOC). Objetivos Verificar se há relação da força isométrica de MMII com Índice BODE e equilíbrio funcional de pacientes com DPOC em reabilitação pulmonar (RP), além de investigar se esses pacientes apresentam fraqueza muscular, e se tal característica é capaz de influenciar nessas variáveis. Materiais e métodos Trata-se de um estudo transversal, onde avaliou-se 24 pacientes (idade > 50 anos) de ambos os gêneros, com DPOC moderada a muito grave (VEF1 = 44 (31 - 62,8)% previsto), por meio de:modified Medical Research Council (mMRC), Teste de Caminhada de 6 minutos (TC6), Índice BODE, TesteTimed “Up and Go” (TUG), Escala de Equilíbrio de Berg (EEB),Dynamic Gait Index (DGI) e Teste de Força Isométrica de Extensores de Joelho (ExtJ) e Abdutores de Quadril (AbdQ). Resultados Na amostra estudada, 54% dos pacientes apresentaram fraqueza muscular em ExtJ, com correlações moderadas da força de MMII com Índice BODE (AbdQ = -0,58) e mMRC (ExtJ = -0,48; AbdQ = -0,49). Foram encontradas diferenças para DPTC6 e mMRC quando a força dos ExtJ foi classificada em normal ou diminuída. Conclusão A força de AbdQ está associada ao prognóstico de mortalidade e a força de MMII está associada à sintomatologia em pacientes com DPOC em RP. Embora a força de MMII apresente impacto negativo na capacidade funcional e na dispneia, os pacientes desse estudo mantiveram preservado o equilíbrio e mobilidade funcional.
Excessive daytime sleepiness in patients with chronic kidney disease undergone hemodialysis
Authors: Fonsêca Nina Teixeira , Santos Israel R. , Fernandes Virgilio , Fernandes Vinicius Alves Thomaz , Lopes Viviane Cristina Delgado , Luis Vicente F. Oliveira
Published: January 2015

Introduction Approximately 80% of patients with chronic kidney disease complain about sleep disorders, which is a much higher percentage than in the general population. Excessive daytime sleepiness is the third most frequent complaint in these patients, and it is significantly associated with a higher risk of sleep apnea. The aim of this study was to assess the presence of daytime sleepiness in patients with end stage renal disease (ESRD) who were undergoing diurnal hemodialysis. Materials and methods The Epworth Sleepiness Scale (ESS) was applied to patients with ESRD who underwent diurnal hemodialysis in the Centro de Nefrologia da Zona Norte in Sao Paulo, Brazil. Results A total of 168 patients were included in the study. According to the ESS, 31% presented with a mild propensity to sleep, 22% with a moderate propensity, and 17% with a severe propensity. Conclusion Our study concluded that 70% of the sample of patients with ESRD who were undergoing hemodialysis presented with a propensity to sleep in inappropriate circumstances on the ESS. When excessive daytime sleepiness is associated with sleep apnea and other comorbidities, it is essential to carefully assess patients’ complaints.
Treatment of upper limb lymphedema with low-level laser: a systematic review
Authors: Monteiro Silvia Elizate , Resende Lilian Valim , Felicíssimo Mônica Faria , Araújo Angélica Rodrigues de , Vaz Camila Teixeira
Published: January 2015

Introduction Low-level lasers have been suggested as a complement to lymphedema treatment. However, this therapy’s mechanism of action and its effects are poorly understood up to the present. Objective To conduct a systematic literature review to analyze the effects of low-level laser in the treatment of upper-limb lymphedema in women submitted to breast cancer surgery. Material and methods Randomized clinical trials were included, in Portuguese, English and Spanish, from January 1990 to July 2013. The article search was carried out in the Pubmed, Lilacs and PEDro electronic databases, with the following descriptors:Terapia a Laser de Baixa Intensidade, Linfedema, Câncer de Mama, Low-level laser therapy, Lymphedema, Breast Neoplasms and also through a manual search. Results and discussion Low-level lasers have been used for treating several acute and chronic conditions. However, its application for managing post breast cancer surgery is still recent, often based on empirical evidence. Treating upper-limb lymphedema with low-level laser presented positive results, with reduction in the circumference or volume of the affected limb. Conclusion More studies of high methodological quality are needed in order to better understand the mechanism of action of low-level laser on the lymphatic system and its effects on lymphedema treatement.
The effect of pelvic floor muscle training in urinary incontinent elderly women: a sistematic review
Authors: Jácomo Raquel Henriques , Fitz Fátima Fani , Alves Aline Teixeira , Fernandes Isabella Silveira , Teixeira Fellipe Amatuzzi , Sousa João Batista de
Published: January 2015

Introduction The International Continence Society (ICS) determines that the pelvic floor muscles training (PFMT) is the first-choice treatment of urinary symptoms in women. Objective The aim of this study was to systematize randomized controlled clinical trials that address the effects of PFMT in the treatment of urinary symptoms in older women using objective outcome measures. Method Systematic review search was performed eletronic the following databases: Medline, Pubmed, Lilacs, PEDro and manual research conducted in the references of the studies. Were considered eligible women aged over 60 years who performed PFMT in isolation, without the involvement of another technique. The PFMT performed in clinic or at home, with or without the supervision of a therapist and with or without the use of biofeedback as an adjunct. Considered as outcome measures urodynamic studies, voiding diary that assesses daytime urinary frequency, nocturnal urinary frequency, urinary incontinence and exchange absorbent, and, finally, the absorbent test that quantifies loss urinary grams. The assessment of methodological quality of the studies was conducted by PEDro scale. Results Three studies were reviewed in full. Only one trial was rated high methodological quality. There was significant improvement in urinary symptoms after treatment proposed in the three selected studies. Conclusion Considering the studies available so far are weak the evidence for the use of PFMT in the treatment of urinary symptoms in elderly women.
O Programa de Incentivo à Inovação como mecanismo de fomento ao empreendedorismo acadêmico: a experiência da UFJF
Authors: Gonçalves Eduardo , Cóser Inaiara
Published: January 2015

Esse artigo aborda a experiência do Programa de Incentivo à Inovação Tecnológica (PII) como mecanismo de aceleração do empreendedorismo acadêmico, por meio do estudo de caso da Universidade Federal de Juiz de Fora (UFJF). Enfatizam-se os vínculos entre oferta científica e tecnológica da Universidade, medida por artigos publicados e depósitos de patentes, e potencial de empreendedorismo acadêmico. Destaca-se a necessidade de aprimorar os mecanismos de geração de inovações e empresas de base tecnológica de origem acadêmica e transferência tecnológica com base em experiências pioneiras como a do PII de Minas Gerais.
Mudanças no consumo de bens culturais no Brasil após a estabilização da moeda
Authors: Earp Fábio de Sá , Paulani Leda Maria
Published: January 2015

O objetivo do presente artigo é sugerir explicações para a clara assimetria existente entre, de um lado, a evolução global do consumo das famílias brasileiras após a estabilização da moeda e, de outro, a performance que aí têm três dos chamados "bens culturais": o cinema, a música e o livro. Os dados mostram que, enquanto no primeiro caso temos uma trajetória claramente ascendente, nos três mercados citados, a trajetória é, no melhor dos casos, estável, e na maior parte dos casos, descendente. A explicação sugerida combina três elementos: uma mudança no padrão de consumo de bens duráveis em paralelo com o crescimento e a melhora distributiva, a mudança no tipo de sociabilidade que o novo padrão implicou e fenômenos específicos desses três mercados que elevaram o número de bens substitutos.
Superávit e déficit fiscal dos municípios brasileiros: uma aplicação do modelo de viés de seleção em painel
Authors: Sakurai Sergio Naruhiko
Published: January 2015

O objetivo deste artigo é analisar o resultado primário fiscal dos municípios brasileiros entre 1999 e 2007, aplicando a metodologia de viés de seleção para dados em painel proposto por Wooldridge (1995). Mais especificamente, assume-se que a ocorrência de superávits e déficits fiscais não deve ser tomada como um evento puramente aleatório e, alternativamente, assume-se a existência de um primeiro estágio que determina a ocorrência de um superávit ou de um déficit fiscal. Os resultados corrigidos para a presença do viés amostral indicam que saldos fiscais positivos e negativos são parcialmente influenciados pelas características fiscais dos municípios, bem como pela estrutura demográfica da população. Contudo, suas características políticas pouco influenciam o resultado fiscal.
O momento, os desafios e as possibilidades da análise econômica territorial para o planejamento do desenvolvimento nacional
Authors: Costa Francisco de Assis
Published: January 2015

O artigo pretende contribuir para a superação dos desafios relativos à capacidade de análise e de atuação para o desenvolvimento regional e territorial. Para tanto, discute a relação entre conhecimento e planejamento - entre ciência e ação baseada em ciência. Após uma análise dessa relação, no período anterior à prevalência da tese da New Public Management, na qual deverão ser investigadas as condições que levaram ao fracasso das estratégias do planejamento do desenvolvimento no pós-guerra, pergunta-se se se observa, desde então, evolução nas ciências da sociedade que possa oferecer base ao planejamento de um desenvolvimento fundamentado em crescimento, equidade e sustentabilidade. A partir daí, explora-se a possibilidade de as teorias do desenvolvimento endógeno e sustentável (TDES) subsidiarem novos processos de planejamento. Nessa tarefa, o foco principal é posto nas noções de clustering, de trajetórias tecnológicas, de cadeias de valor, de economias locais e regional.
Simples Nacional no Brasil: o difícil balanço entre estímulos às pequenas empresas e aos gastos tributários
Authors: Paes Nelson Leitão
Published: January 2015

As microempresas e as pequenas empresas (MPEs) brasileiras possuem alta representatividade na economia, principalmente no tocante à oferta de empregos. Trata-se de um grupo expressivo e que apresenta uma série de singularidades no que diz respeito à tributação. Em razão de serem pequenas, elas podem incorrer em custos econômicos superiores ao das maiores empresas. Nesse sentido, muitos países têm buscado criar mecanismos específicos de apoio às MPEs. Com o Simples Nacional, o Brasil concedeu uma série de benefícios fiscais e simplificações administrativas para as microempresas e as pequenas empresas. A arrecadação do Simples Nacional cresceu a taxas muito superiores a de todos os demais tributos, tendo sido três vezes maior do que a taxa real de crescimento de toda a arrecadação. O valor arrecadado por estabelecimento cresceu expressivamente durante a vigência do Simples Nacional, corroborando a evidência de que houve forte crescimento das empresas optantes pelo novo regime. O crescimento da arrecadação trouxe como contrapartida o incremento das renúncias fiscais, que cresceram a taxas ainda maiores do que o aumento da arrecadação.
A competitividade das exportações do Brasil e da China para o Mercosul: evidências para o período 1995-2009
Authors: Carmo Alex Sander Souza do , Bittencourt Maurício Vaz Lobo , Raiher Augusta Pelinski
Published: January 2015

O objetivo central do presente trabalho é analisar a competitividade das exportações do Brasil e da China para o Mercosul no período compreendido entre 1995 e 2009. Para tanto, calcula-se o índice de similaridade das exportações do Brasil e da China para esse bloco econômico, e, em seguida, desagrega-se esse índice, conforme o critério de similaridade dos produtos. Os principais resultados mostraram que a similaridade das exportações do Brasil e da China para o Mercosul vem aumentando ao longo do tempo. No entanto, quando se desagregou o índice de Finger e Kreinin (1979), verificou-se que a similaridade das exportações ocorre, majoritariamente, em produtos verticalmente diferenciados, em que a qualidade do produto exportado pelo Brasil é superior à qualidade do produto exportado pela China. Os resultados sugerem que a competição entre o Brasil e a China no Mercosul tem sido suavizada, tendo em vista que os produtos exportados pelos países são direcionados para distintos segmentos de mercado.
Robert Torrens e a teoria clássica do lucro
Authors: Arthmar Rogério
Published: January 2015

O artigo reconstitui a evolução da teoria dos lucros do coronel Robert Torrens com base em sua crítica à doutrina ricardiana do valor. Inicialmente, revisa-se a investida que promoveu contra a noção do tempo de trabalho como elemento exclusivo de regulação das trocas mercantis. Após, apresenta-se a defesa desse princípio por McCulloch e pelo próprio Ricardo. Prossegue-se com o exame das origens da abordagem sistêmica dos lucros de Torrens, baseada na interdependência recíproca dos setores produtivos. Contemplam-se, na sequência, as aplicações dessa teoria realizadas pelo coronel, notadamente na defesa do livre comércio. Ao final, destaca-se o caráter pioneiro de seu tratamento dos lucros no contexto da economia clássica.
Health care for people with amputation: analysis from the perspective of bioethics
Authors: Marques Ana Maria Fernandes Borges , Vargas Mara Ambrosina de Oliveira , Schoeller Soraia Dornelles , Kinoshita Erika Yuriko , Ramos Flávia Regina Souza , Trombetta Ana Paula
Published: January 2015

A qualitative, descriptive and exploratory study was conducted through semi-structured interviews with 18 people undergoing amputation in the period 2008-2010, in public hospitals in Florianópolis. The objectives were to analyze the care provided by health professionals throughout the amputation process in the perspective of the amputee patient; and discuss the process of health care to the person with amputation in the bioethical analysis perspective. Data were analyzed according to content analysis. Three thematic categories emerged: the process of amputation; team performance and rehabilitation. Bioethics permits reflection on the care provided to amputees and problematizes the relationship of the health care process with support available through public health policies. The professional involved in this process has to take responsibility for putting the process in practice and interdisciplinary is essential for the recovery of the amputated patient.
Fatherhood in adolescence in the context of the health services, school and community
Authors: Bordignon Simoní Saraiva , Meincke Sonia Maria Konzgen , Soares Marilu Correa , Schwartz Eda , Barlem Edison Luiz Devos , Lunardi Valéria Lerch
Published: January 2015

This study aimed to investigate the perception of the adolescent father regarding his interaction with the health services, school and community. It is an extract from the multicentric study turned Social Support Networks for Fatherhood in Adolescence, and has a qualitative, exploratory and descriptive approach. It was undertaken with 14 adolescent fathers in a university hospital. The semi-structured interviews were held six months after the birth of the child, between 2009 and 2010. Discursive textual analysis and the theoretical framework of Urie Bronfenbrenner were used for the construction of three categories: The adolescent father's perception regarding his interaction with the school; with the health services; and with the community. The adolescent fathers were shown to be receptive to formal study, and present and participative in the health services and community; the possible difficulties of interaction between the adolescent fathers and the environments studied seem to result from the lack of organization and appropriate preparation for embracing them.
Eating during adolescence and its relations with adolescent health
Authors: Silva Julyana Gall da , Teixeira Maria Luiza de Oliveira , Ferreira Márcia de Assunção
Published: January 2015

This study aims to identify the contents of teenagers' representations about eating and to analyze the relations established among feeding, weight and health. Social Representations Theory was applied in combination with the Convergent-Care Method. The participants were 27 teenagers of both genders between 13 and 19 years old who attended a group of young people from an evangelical church. The thematic content analysis organized categories that clarified the contents of the representations about healthy and unhealthy eating, which influence the occurrence of diseases and overweight. Although typical of teenagers, fast food is not healthy. It was concluded that teenagers know about healthy food and the problems deriving from bad eating habits; thinness represents health and obesity is related to disease; and the food culture of adolescence influences their practices.
Living with tuberculosis in prison: the challenge to achieve cure
Authors: Santos Marcandra Nogueira de Almeida , Sá Antonia Margareth Moita
Published: January 2015

The objective of this study was to better understand the meaning, for the person deprived of freedom, of living in prison with tuberculosis and its treatment. The research was conducted using the phenomenological method of Martin Heidegger, applied to 22 interviews realized in five prisons located in the state of Pará, Brazil. The results and its hermeneutics made possible to understand that the person deprived of freedom understands their condition and transcends their facticity and difficulties to achieve the cure of the disease, living as beings of possibilities, revealing their authentic way of facing tuberculosis and its treatment in prison.
The daily life of pregnant women: nursing promoting being healthy
Authors: Ferreira Ana Isabel de Godoy , Soares Viviane , Nitschke Rosane Gonçalves , Tholl Adriana Dutra , Muñoz Maria Angeles Garcia Carpintero , Michelin Samanta Rodrigues
Published: January 2015

This is a qualitative, exploratory-descriptive study, grounded on the everyday life and interpretative sociology. The aim of the study was to understand the everyday life of pregnant women and their families, based on prenatal care. The study was conducted in a health center in southern Brazil, and it involved ten pregnant women. Data were collected by means of semi-structured interviews, using the intrafamilial genogram and ecomap, between March and May of 2011. Data analysis involved: preliminary analysis, ordering, key links, coding and categorization. The results show that the everyday life of pregnant women involves biological changes and emotional experiences that generate a need for changing their pace of life, whose implementation depends on social changes, requiring a support network that may contribute to promote health during pregnancy.
Work organization in hospital nursing: literature review approach
Authors: Lorenzetti Jorge , Oro Julieta , Matos Eliane , Gelbcke Francine Lima
Published: January 2015

The objective of this study was to analyze aspects of work organization in hospital nursing and its articulations with care, by means of an integrative review. A total of 25 studies were identified, from the period between 2000 and 2009. Based on the understanding of the work organization and its application in nursing, the following analytical categories were structured: conceptual and theoretical aspects, personnel management, care management, technologies, hospital accreditation, planning and material resources management. The literature evidenced the complexity of this work organization theme and the importance of studies on its application in nursing. The analysis of the publications points to the need to rethink work organization in such a way as to build less wearing and quality work alternatives, assuring the safety of both the user and the worker.
Cultural meanings of hypertension in pregnancy according to pregnant women
Authors: Martins Marialda , Monticelli Marisa , Diehl Eliana
Published: January 2015

Ethnographic study conducted at a teaching hospital (Paraná, Brazil) to understand the cultural meanings pregnant women attribute to the experience of hypertension in pregnancy. The participants were 22 pregnant women, using participant observation and interviews, at the hospital and at their respective homes, between October/2010 and December/2011. The analysis was based on the steps of Ethnonursing. The results showed that the cultural meanings attributed to the hypertension were marked by the fear of the baby's and their own death. They interpreted and gave sense to their experiences based on a net of symbols and meanings created and recreated based on the continuous interlocution with their families, with different social groups and with the health professionals. These women's subjectivity contributed to the diversity of perceptions and meanings. The experience of the illness and the sociocultural references of the pregnant women's context contributed to the comprehension of the cultural meanings, allowing the professionals to attend them based on their specific needs.
Collaborative care in health institutions: the nurse as integrator
Authors: Waldow Vera Regina
Published: January 2015

This theoretical study aimed to share and propose a vision regarding collaborative work in the area of health, in the perspective of care. The nurse is considered the leader in this process, responsible for spreading and motivating principles of care among the nursing team and the other health professionals; the goal is collaborative work impacting positively on the relationships between the various professionals, patients and family members, resulting in an atmosphere where behaviors of care, such as solidarity, cooperation and respect, may be shown, contributing to competent and sensitive care.
Benefits of Reiki in older individuals with chronic pain
Authors: Freitag Vera Lucia , Dalmolin Indiara Sartori , Badke Marcio Rossato , Andrade Andressa de
Published: January 2015

Reiki is characterized as a complementary therapy which involves the laying on of hands on human beings with the intention to re-establish the physical, mental and spiritual balance. The objective of this study was to identify and analyze the benefits experienced with the practice of Reiki in older individuals with chronic non-cancer pain. This is a qualitative, descriptive and exploratory study. Semi-structured interviews, with open and closed-ended questions, were used for data collection. Data were collected between July and August of 2012. The study subjects were ten older patients with chronic non-cancer pain complaints, submitted to five Reiki sessions. The analysis proposed by Bardin was considered to evaluate the results. In conclusion, this therapeutic practice significantly improves chronic pain complaints, in addition to contributing to the balance of the physical, mental, emotional and spiritual needs of older people.
Participation in debate: a qualitative assessment of the andalusian plan for HIV/AIDS
Authors: García Eugenia Gil , Martini Jussara Gue , Mercado-Martínez Francisco Javier , Peña Francisco Garrido
Published: January 2015

This paper aims to analyze the perspectives and meanings of social participation for the participants in a health program. A qualitative evaluation was conducted on the Andalusian Program against HIV/Aids and other sexually transmitted infections. The participants were selected through a theoretic sample: 20 HIV carriers, 19 representatives and volunteers from anti HIV associations and six administrative representatives. The information was obtained through semi-structured interviews and triangle groups; content analysis was performed. Participation has different meanings to the participant groups. HIV carriers consider it should be accomplished by communication mechanisms, support and prevention; association members consider it a right and a tool to change health policies, while two conceptions coexist among administrative representatives. The encouragement of participatory designs is proposed that respect the theoretical diversity and favor interaction based on distinct attitudes.
I survived cancer: phenomenological analysis of the survivors' language
Authors: Sales Catarina Aparecida , Almeida Carla Simone Leite de , Wakiuchi Julia , Piolli Kelly Cristine , Reticena Kesley de Oliveira
Published: January 2015

The study attempted to understand the feelings of people who have survived cancer, through qualitative research with Heidegger's phenomenological approach. The study subjects were five cancer survivors, followed up during 2004 and 2005 through a university extension project in the northwestern region of the state of Paraná. Phenomenological interviews were held to capture the survivors' feelings, at their homes, during January and February 2013. "How is it for you to have survived cancer?" was the orienting question. Four ontological issues emerged from the analysis of their discourses: (re-) remembering the vigor of having been; (re-) encountering spirituality; fear of the disease's recurrence; forgetting the temporality of living with cancer. We conclude that, in their being-healed, patients live with anxiety, that throws them into a distressing state for fear of recurrence, as well as enabling them to find a new meaning to life.
Quality of life of elderly practitioners of physical activity in the context of the family health strategy
Authors: Campos Ana Cristina Viana , Cordeiro Edméia de Campos , Rezende Gabrielli Pinho de , Vargas Andréa Maria Duarte , Ferreira Efigênia Ferreira e
Published: January 2015

Cross-sectional, descriptive and correlational study with 107 elderly enrolled in two basic health units in Minas Gerais, in order to describe the sociodemographic profile and evaluate the interdependence of quality of life of the elderly and physical activity, in the face of possible factors. Initially we performed a descriptive analysis of the socioeconomic profile of the sample and the tests applied to the elderly. We sought to explore joint relationships between quality of life, physical activity and exploratory variables through principal component analysis. Three distinct profiles were identified in two dimensions that explained the relationship between quality of life and physical activity. We concluded that the quality of life for the elderly is good and is influenced by regular physical activity, absence of depression, greater cognitive ability and good family functioning.
The evaluation of prolonged pain in the newborn: adaptation of the EDIN scale for the brazilian culture
Authors: Dias Flávia de Souza Barbosa , Marba Sérgio Tadeu Martins
Published: January 2015

This study aims to undertake the translation and cultural adaptation of the Échelle Douleur Inconfort Nouveau-Né scale into Brazilian Portuguese, following the steps recommended internationally: a) dual translation into Brazilian Portuguese; b) a synthesis of the translations; c) back translation into the original language; d) evaluation by a panel of judges; and e) pre-testing. All internationally recommended steps were performed satisfactorily. The panel of judges made alterations in most parts of the instrument, in order to keep the semantic, idiomatic, conceptual and cultural equivalences between the original and the translated versions. Pre-testing revealed the translated version is easy to understand and to fill out, and rapid to use. The translation and cultural adaption of the EDIN into Brazilian Portuguese were successfully completed.
Practicability of comprehensive care in clinical genetics in the brazilian unified health system: expanding the debate
Authors: Lopes-Júnior Luís Carlos , Flória-Santos Milena , Ferraz Victor Evangelista de Faria , Villa Tereza Cristina Scatena , Palha Pedro Fredemir , Bomfim Emiliana de Omena , Abrahão Camila Aparecida , Silva Sara da
Published: January 2015

This article aims to highlight the discussions on the National Policy for Comprehensive Care in Clinical Genetics and reflect on its pending regulation when genomic discoveries change the model of health care. Nine of the ten causes of morbidity and mortality worldwide presents genetic/genomic predisposition. Based on strategic planning, this Policy proposes the organization of a network of referral services and specialized centers in genetics, with capacity to meet the needs of the population. Its regulation requires training and qualification of the health care professionals to provide comprehensive care, to optimize access, to identify and diagnose individuals with increased risk for injuries with genetic predisposition early. In primary health care, the care in question should not be interpreted as a specialty, but as specialized. This model presents innovative perspectives, in line with the principles and guidelines of the Unified Health System.
Phases of humanistic theory: analysis of applicability in research
Authors: Lélis Ana Luiza Paula de Aguiar , Pagliuca Lorita Marlena Freitag , Cardoso Maria Vera Lúcia Moreira Leitão
Published: January 2015

The goal was to analyze the applicability of the phases of Humanistic Theory in research, according to a Theory Analysis Model. Critical nursing theory analysis study with emphasis on applicability. A search was carried out in April and May 2013 in the databases SCOPUS, Cumulative Index of Nursing and Allied Health Literature and in the publications available in the Virtual Health Library. The following descriptors were used: "Teoria de Enfermagem" and "Pesquisa em Enfermagem" and Nursing Theory and Nursing Research, in publications from 2002 until May 2013. Seven papers were selected, five of which displayed all phases in their development, evidencing the applicability of Humanistic Theory for methodological support in nursing research.
Coping strategies used by family members of individuals receiving hemodialysis
Authors: Marques Fernanda Ribeiro Baptista , Botelho Marina Raduy , Marcon Sonia Silva , Pupulim Jussara Simone Lenzi
Published: January 2015

This descriptive, qualitative study aims to identify the coping strategies used most by the family members of patients with chronic kidney disease receiving hemodialysis. The data were collected through interviews, with the Coping Strategies Inventory questionnaire administered to ten family members, and were submitted to descriptive statistics and to thematic content analysis. The strategy used most was escape-avoidance, demonstrating that the family members prefer not to face the situation. The second most-used strategy was social support, ratified by the fact that they stated that they talk with other persons and professionals, seeking information about the problem, and because they accept the support received positively. The third was problem resolution, represented by the attitude of accepting responsibility for the care, either through strong affective bonds or through a feeling of responsibility established prior to the disease. The families use coping strategies of different intensities, while, nevertheless, indicating involvement and major participation in the care for the patient.
Facilitating aspects and barriers in the effectiveness of donation of organs and tissues
Authors: Freire Izaura Luzia Silvério , Vasconcelos Quinídia Lúcia Duarte de Almeida Quithé de , Melo Gabriela de Sousa Martins , Torres Gilson de Vasconcelos , Araújo Ednaldo Cavalcante de , Miranda Francisco Arnoldo Nunes de
Published: January 2015

This study aims to ascertain the influence of the structure and process on the effectiveness of donation of organs and tissues. It is an evaluative, longitudinal study, with a quantitative approach, undertaken in six hospitals of Natal-RN, with 65 potential donors. The data collection instrument was a structured script of non-participant observation. The data were analyzed using descriptive statistics and the application of the Chi-squared, Fisher, and Mann Whitney tests. The effectiveness of donation was 27.7%. No significant difference occurred between structure and effectiveness of donation, however, inadequacies were observed in the physical resources (36.9%), material resources (30.8%), organizational structure (29.2%), and human resources (18.5%). In the process, the phases of maintenance (p=0.004), diagnosis of brain death (p=0.032), family interview (p≤0.001) and documentation (p=0.001) presented significant differences with effectiveness. The adequacy of the factors related to the structure and process is associated with the effectiveness of the donation. Improvement of these indices depends on the speed with which the process is conducted, in addition to the adequate structure.
Cancer repercussions on play in children: implications for nursing care
Authors: Silva Liliane Faria da , Cabral Ivone Evangelista
Published: January 2015

The study aimed to identify cancer repercussions on play among children in oncological treatment. This was qualitative research implemented according to a creative and sensible method. Twenty-two family members of seven children in ambulatory cancer treatment in a hospital from Rio de Janeiro participated. Data production occurred in family members' houses, from September 2011 to May 2012. The data were analyzed according to discourse analysis. Two thematic units emerged: childhood cancer - a happening about play; and playing in the course of the child's illness and treatment: a possibility to rescue care of maintaining life. Maintaining play is a child's need that demands nursing care of a different nature, to assure the right to play during treatment, in order to reduce traumas and damage to their development.
Autonomous decision and behavior required in clinical trials: study with a socioeconomically vulnerable population
Authors: Gazzinelli Maria Flávia , Souza Vânia de Souza , Campos Edna Lucia Wingester , Fernandes Marconi Moura , Lobato Lucas
Published: January 2015

Quasi-experimental study conducted to assess the effects of an educational intervention based on the Health Action Process Approach Model, in which autonomous decision-making and behaviors required for the participation in a clinical study were favored. This is an intervention study involving participants in a clinical trial conducted in the State of Minas Gerais, Brazil. The intervention was based on the social and cognitive variables of the Health Action Process Approach model and assessed by applying questionnaires before and after intervention. The results were compared using the McNemar test. The educational intervention favored knowledge on both the expectations about the results of the clinical trial and risk of infection by intestinal helminths, development of the ability to plan the behaviors required by the clinical trial and the necessary confidence to lead, keep, and retrieve them. Analysis of the results showed that the educational intervention favored both autonomous decision-making and the behavior required by clinical trials.
Public policies for confronting the use of illicit drugs: social perception in a community
Authors: Reis Lucia Margarete dos , Hungaro Anai Adario , Oliveira Magda Lúcia Felix de
Published: January 2015

This study aimed to identify the social perception regarding public policies for confronting the use of drugs of abuse in a community with high indicators of drug-related violence. This is descriptive and transversal research, undertaken in a community in the Northwest of Paraná, using a structured questionnaire administered to 358 inhabitants. The data were analyzed using the Statistical Analysis Software, with simple descriptive analyses being undertaken. Only 13.9% of the interviewees mentioned actions for preventing drug use and combating drug trafficking and violence in the community. The most important problems present in the community were the presence of drugs of abuse (24.9%), the weakness of health care (20.9%), and public safety (13.7%). The action referred to most as essential for combating drug use was increasing policing (55.3%). The interviewees' social perception points to unawareness of, or absence of, actions for preventing and combating drug trafficking in the community.
Situations which precipitate conflicts in the conjugal relationship: the women's discourse
Authors: Paixão Gilvânia Patrícia do Nascimento , Gomes Nadirlene Pereira , Diniz Normélia Maria Freire , Couto Telmara Menezes , Vianna Lucila Amaral Carneiro , Santos Sheila Milena Pessoa dos
Published: January 2015

This study aimed to analyze the situations that precipitate and/or intensify conflicts in the conjugal relationship. Interviews were held with 19 women experiencing conjugal violence. The Discourse of the Collective Subject was used as the method of organization, making it possible to find the central ideas, and gender was used as the analytical framework. Summary: the women report the man's control and domination of the woman, jealousy, the male partner's infidelity, unplanned fatherhood and motherhood, and the use of alcohol and drugs. These situations are related to the construction of the conjugal violence and/or the woman's remaining in the relationship, with preventive actions being essential so as to avoid this phenomenon and its repercussions on the health of the woman and the family. The work of the professional nurse is indispensable in the programs for harm prevention and for the promotion and assistance of the health of women and families, through social and health service means and facilities existing in the community.
Correlation between antrhopometric indicators and blood pressure in adolescents
Authors: Oliveira Aline Viana de , Costa Ana Cristina Pereira de Jesus , Pascoal Lívia Maia , Santos Leonardo Hunaldo dos , Chaves Emilia Soares , Araújo Márcio Flávio Moura de
Published: January 2015

The objective of the present study was to analyze the correlation between anthropometric indicators and blood pressure of adolescents from Imperatriz, state of Maranhão, Brazil. It is a quantitative cross-sectional study, developed between September and November of 2012 with 218 students. We used a questionnaire to collect data regarding identification, anthropometrics, and systolic and diastolic blood pressure. Considering blood pressure, we found that 4.6%, 2.4% and 1.3% of the sample were included in the borderline, stage 1 and stage 2 hypertension categories, respectively. Among female participants, body adiposity index and skinfold presented higher mean values than those of their male counterparts. Furthermore, we observed a positive correlation between systolic blood pressure and height (r=0.18), weight (r=0.20) and waist circumference (r=0.17), and a negative correlation between diastolic blood pressure and body adiposity index (r=-0.18). The measures of neck and waist circumference were the only anthropometric measures with positive and simultaneous correlations with systolic blood pressure for both genders.
Caring for family members in the ICU: challenges faced by nurses in the interpersonal praxis of user embracement
Authors: Oliveira Carolinny Nunes , Nunes Emanuelle Dias Caires Araújo
Published: January 2015

The objective of this study was to understand the interpersonal process of embracement between nurses and family members in an adult ICU. It is exploratory, descriptive and observational study, with a qualitative approach, conducted among ten nurses working in an adult ICU, selected using non-probabilistic sampling and established by data saturation, based on three data collection techniques: theme-drawing-text, semistructured interviews and non-participant observation. The analysis, based on Peplau's Theory of Interpersonal Relations and from a tridimensional focus, identified: reason, emotion and volition, that the embracement provided to families manifested certain shortcomings related to the communication process, the development of autonomy for discharge and the interpersonal relationship between nurses and the family. The nurses' concepts in relation to user embracement were positive, demonstrating their willingness to provide it, although they encounter formational and experiential difficulties in putting this nursing theory into practice, insofar as interpersonal relationships and, consequently, in the embracement of families.
Factors associated with reporting of abuse against children and adolescents by nurses within Primary Health Care
Authors: Rolim Ana Carine Arruda , Moreira Gracyelle Alves Remigio , Gondim Sarah Maria Mendes , Paz Soraya da Silva , Vieira Luiza Jane Eyre de Souza
Published: January 2015

OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents.METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used.RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting.CONCLUSION: the study's results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.
Prevalence of metabolic components in university students
Authors: Silva Ana Roberta Vilarouca da , Sousa Luana Savana Nascimento de , Rocha Telma de Sousa , Cortez Ramiro Marx Alves , Macêdo Layla Gonçalves do Nascimento , Almeida Paulo César de
Published: January 2015

OBJECTIVE: to identify the frequency of components of Metabolic Syndrome (MetS) among university students.METHOD: descriptive study with 550 students, from various courses run by a public university. The socioeconomic data, lifestyle, and components of MetS were filled out using a questionnaire. Blood sample collection was undertaken in the university itself by a contracted clinical analysis laboratory.RESULTS: 66.2% were female, with a mean age of 22.6±4.41; 71.7% were sedentary; 1.8% stated that they smoke; and 48.5% were classified as at medium risk for alcoholism. 5.8% had raised abdominal circumference and 20.4% had excess weight; 1.3% and 18.9% had raised fasting blood glucose levels and triglycerides, respectively; 64.5% had low HDL cholesterol and 8.7% had blood pressure levels compatible with borderline high blood pressure. Thus, of the sample, 64.4% had at least one component for MetS; 11.6% had two, and 3.5% had three or more.CONCLUSION: a significant proportion of the population already has the components for metabolic syndrome, and this profile reinforces the importance of early diagnosis so as to reduce the risk of developing chronic comorbidities.