bluuebunny/crossref_metadata_2025 huggingface dataset:
Cardioprotective diet: prevalence, associations and prevention reserves
Authors: Karamnova N. S. , Maksimov S. A. , Shalnova S. A. , Shvabskaya O. B. , Drapkina O. M.
Published: July 2020

Most traditional risk factors for cardiovascular disease (CVD) are diet dependent and are caused by an imbalanced nutrition. A healthy diet and individual eating habits have a significant protective effect against CVD.

Aim. To study the prevalence of dietary habits with protective effects against CVD in the adult population.

Material and methods. The analysis was performed using data of representative samples in 13 Russian regions of male and female population aged 25-64 years (n=19520; men — 7329, women — 12191). The response rate was about 80%. The diet was assessed by the frequency of consumption of certain foods. The cardioprotective diet included: daily consumption of vegetables and fruits, weekly — fish products, the use of only vegetable oils in cooking, and consumption of low-fat dairy. The presence of all 4 eating habits was considered Ideal Diet (ID), 1-3 habits — Intermediate Diet (ImD), none of listed habits — Bad Diet (BD).

Results. The ImD was the most common — 85,8%. However, there were slight regional differences — from 80,1% in the Ivanovo Oblast to 91,0% in the Tyumen Oblast (p<0,001). The prevalence of ID was 7,0%; more common — among women (p<0,001), urban residents (p<0,001), people with higher education (p<0,001) and unemployed participants (p=0,016). It increases with age (p<0,001). The highest rate of ID was noted in St. Petersburg (13,8%) and Primorsky Krai (10,5%), the lowest — in the Volgograd (3,6%) and Tyumen Oblasts (3,5%), in the Republic of North Ossetia (3,4%). BD was more common in men (p<0,001), among people aged 25-34 years (p<0,001), less educated (p<0,001) and low-income (p<0,001) people. The prevalence of BD in the general population was 7,2% and varies from 3,1% in the Voronezh Oblast to 13,6% in the Volgograd Oblast. Individuals with hyperglycemia (50%), abdominal obesity (20%) and general obesity (18%), dyslipidemia (15%) and history of CVD (22%) were more likely to have ID. Persons with hyperglycemia (17%), abdominal obesity (13%), general obesity (11%), dyslipidemia (8%) and history of CVD (9%) were more likely to have ImD.

Conclusion. A low prevalence of cardioprotective diet in the population was revealed. Only individual habits are widespread; however, a small part of Russians follow all cardioprotective habits.
Association of hemodynamic parameters and cardiovascular risk factors with cardiac remodeling in young patients with prehypertension and hypertension
Authors: Antropova O. N. , Silkina S. B. , Polyakova I. G. , Perevozchikova T. V.
Published: July 2020

Aim. To assess the prevalence of left ventricular (LV) remodeling and identify its association with hemodynamic parameters and cardiovascular risk factors in young patients with prehypertension (preHTN) and hypertension (HTN).

Material and methods. Group 1 (n=47) included patients with preHTN, group 2 (n=65) — patients with untreated HTN (age — 25-44 years). We performed 24-hour ambulatory blood pressure (BP) monitoring using a BpLAB monitor (OOO Petr Telegin). Echocardiography was carried out using a EnVisorC ultrasound system (Philips, Netherlands). Statistical analysis was performed using the software package Microsoft Excel 2010.

Results. We revealed that 2,4% and 17,0% (p=0,002) of patients with preHTN and HTN had LV concentric remodeling, respectively; LV hypertrophy was recorded in 9,5% and 12,0% of patients, respectively. In group 1, a moderate positive relationship was found between the ratio of early to late peak velocities (E/A) and the average 24-hour aortic BP (r=0,66, p<0,05) was revealed. We also identified correlation of the augmentation index with the LV mass index (LVMI) (r=0,57, p<0,05) and LV relative wall thickness (RWT) (r=-0,7, p<0,05). In hypertensive patients, a correlation of LVMI and left atrial dimensions with a decrease in peripheral systolic blood pressure (SBP) and diastolic blood pressure (DBP) at night was found. A correlation of average 24-hour aortic BP and E/A (r=0,58, p<0,05), LV posterior wall thickness (r=0,53, p<0,05) and LV end-diastolic volume (r=0,45, p<0,05) was also revealed. A direct effect of BMI, waist circumference, uric acid values on echocardiographic data in patients with preHTN and HTN was detected.

Conclusion. Despite the age, young patients with preHTN and HTN can have LV concentric remodeling and hypertrophy. LV geometry is correlated with obesity and uric acid values; in preHTN patients — with vascular stiffness and 24-hour aortic BP, in HTN patients — with 24-hour central and peripheral BP.
Successful stent graft placement in the patient with acute spinal cord circulatory impairment due to traumatic descending thoracic aortic dissection: a case report
Authors: Zhdanyuk A. L. , Bondarenko N. G. , Zakharyan E. A.
Published: July 2020

The article presents a clinical case of the successful stent graft placement in the descending aorta of the patient with acute spinal cord circulatory impairment due to traumatic aortic dissection after a traffic collision.
Fixed-dose combination of amlodipine/indapamide/perindopril arginine — a rational and safe choice for blood pressure control in actual clinical setting: data of an observational program DOKAZATEL`STVO
Authors: Kobalava J. D. , Tolkacheva V. V. , Troitskaya E. A. , Kolesnikova I. A. , Markova M. A.
Published: July 2020

Aim. To analyze the efficacy and tolerability of amlodipine/indapamide/perindopril arginine (Triplixam) in a subgroup of 790 people participating in the Russian observational program DOKAZATEL`STVO without use of other antihypertensive agents.

Material and methods. The analysis included 790 patients with hypertension (HTN) (men — 37,9%, mean age — 60,0±10,2 years). The drug was administrated in one of 4 recommended dosages for 3 months. We assessed the dynamics of office and home blood pressure (BP) from visit 1 to visit 4 and the frequency of achieving the target BP <140/90 mm Hg in 3 months.

Results. After 3 months, office systolic BP (SBP) decreased from 163,4±14,0 to 127,2±7,8 mm Hg, diastolic BP (DBP) — from 95,7±9,5 to 78,3±6,2 mm Hg (p 0,001). Home SBP in the morning decreased from 145,9±12,3 to 128,3±7,8 mm Hg, DBP — from 86,2±7,7 to 78,4±5,6 mm Hg (p<0,001). After 3 months, target office BP (<140/90 mm Hg) was achieved in 88,4% of subjects, home BP (<135/85 mm Hg) — 73%.

Conclusion. The administration of Triplixam without additional antihypertensive agents results in a significant BP decrease by 36/17 mm Hg and rapid achievement of BP control in most patients. The combination is safe and well tolerated.
The prevalence of traditional risk factors for cardiovascular disease in the Omsk region: data of the ESSE-RF2 study
Authors: Viktorova I. A. , Shirlina N. G. , Stasenko V. L. , Muromtseva G. A.
Published: July 2020

Aim. To study the prevalence of some traditional risk factors for cardiovascular disease (CVD) in the Omsk region.

Material and methods. The prevalence of traditional risk factors for CVD in a representative sample of the Omsk region population aged 25-64 years (n=1,648) was estimated as a part of the ESSE-RF2 study in 2017.

Results. It was established that the mean age of CVD detection in the Omsk region is 46,3 years, the prevalence of overweight is 35,0%, obesity — 30,3%. Abdominal obesity was detected in 56,8% of subjects. Smoking was reveled in 21,2% of the population, former smoking — 20,0%. Alcohol consumption more than 2 times a month was observed in one third of respondents (30,5%). In the group of healthy people, compared with CVD patients, the percentage of smokers and alcohol consumers was detected significantly more often: smoking — 25,2±1,26% vs 17,1±0,86% and 32,9±1,6% vs 28,1±1,4%, respectively. Perhaps it was the diseases the reason for smoking cessation and alcohol abstinence among people with CVD. It should be noted that among 70% of alcohol consumers, both with/ without CVD, strong drinks were the preferred type of alcohol. Hypertension (HTN) was observed in 47,9% of subjects, and in 43,1% the diagnosis was verified. In 4,8% of HTN individuals, blood pressure increase was detected for the first time in this study. The prevalence of diabetes of both types in the Omsk region was 6,7%, and in group A (with CVD) it was much higher than in group B (without CVD): 10,7% vs 2,8%. Type 2 diabetes prevailed in people with CVD (p=0,000005). This was not characteristic of type 1 diabetes.

Conclusion. The most common risk factors for CVD in the Omsk region population were HTN (47,9%), abdominal obesity (56,8%), a positive family history of early CVD (62,0%), alcohol consumption over the past 12 months (71,7%) and strong alcohol drinking (72,0%). However, a significant portion of the subjects (41,3%) consumed alcohol no more than 1 time per month.
The prevalence of metabolic syndrome in the Krasnoyarsk Krai population and the features of its association with hyperuricemia
Authors: Grinshtein Yu. I. , Shabalin V. V. , Ruf R. R. , Shalnova S. A.
Published: July 2020

Aim. To study the prevalence of metabolic syndrome (MS) and its components, as well as their relationship with hyperuricemia (HU) in a representative sample of the Krasnoyarsk Krai.

Material and methods. As part of a multicenter epidemiological study ESSE-RF, a representative sample of 1603 residents of the Krasnoyarsk Krai aged 25-64 was randomized. All subjects underwent a questionnaire survey, anthropometry, office blood pressure (BP) measurement, determining the levels of blood lipids, plasma glucose and serum uric acid. MS was diagnosed according to the modified NCEP ATP III criteria (2005). Statistical processing was carried out using the software package IBM SPSS v 22.

Results. The total prevalence of MS was 26,8%; higher in women than in men (29,4% vs 22,9%). With age, the prevalence of MS significantly increased — from 6,9% in subjects aged 25-34 years to 45,2% in people 55-64 years old. The prevalence of MS was significantly higher among rural residents compared with urban ones (36,8% vs 23,1%). Education level significantly affected prevalence of MS: in people with basic education, MS was found in 35,7%, with secondary — in 30,3%, with higher — in 17,8%. Regression analysis showed that hypertriglyceridemia, blood pressure >130/85 mm Hg and glucose ≥5,6 mmol/l were a significant predictors of HU in all subjects. For men, significant predictors of HU were hypertriglyceridemia and abdominal obesity, and for women — glucose ≥5,6 mmol/l and lipid-lowering therapy.

Conclusion. The prevalence of MS in the Krasnoyarsk Krai, according to the modified NCEP ATP III criteria (2005), is 26,8%. MS is more often recorded in women than in men and in rural residents than in urban ones. With an increase in the education level, MS is less common. With age, the prevalence of MS significantly increases. The correlation of HU is not revealed with all the components of MS and has sex differences.
The best practices of the Russian Federation in the organization of anticoagulant therapy in patients with high risk of thromboembolic events
Authors: Vavilova T. V. , Solovyova L. V. , Bekoeva A. B. , Zubkova P. Yu. , Vorobyeva N. A. , Vorobyeva A. I. , Melnichuk E. Yu. , Khruslov M. V. , Vereina N. K. , Safin D. D. , Galyavich A. S. , Sluiter M. , Endubaeva G. V. , Shlyakhto E. V.
Published: July 2020

Organization of anticoagulant therapy control plays a key role in ensuring the effectiveness and safety of anticoagulant use. Currently, several models of organization are successfully used in the Russian Federation, which cover more than 23000 patients at high risk for thromboembolic events. There are following common features of the models used: the maximum reduction in the time from the moment of international normalized ratio (INR) testing with a quick communication with a patient for the need to adjust the dose, the ability to sort patients depending on the degree of hypocoagulation and the risks of events with the creation of a personalized approach to treatment, the organization of a shared information space and maintaining a register of patients.
Mental Health Nursing: waiting room intervention in integral health care
Authors: Andrade Juliana Macedo Melo , Farinha Marciana Gonçalves , Esperidião Elizabeth
Published: July 2020

ABSTRACT Objective: To describe and to analyze the proposal for intervention in the waiting room as a possibility for Nursing in mental health in group context. Method: Descriptive study with a qualitative approach, convergent care type, developed in a Psychosocial Care Center for Alcohol and Drugs in the interior of the state of Goiás. Results: The service in the waiting room provided moments of reflection, knowledge, learning, listening and exchanging experiences. Final considerations: The meetings in the waiting room favored the articulation between theoretical knowledge and the practice of nursing care in groups, constituting a space with a valuable locus for the development of educational and support actions in health services, to be undertaken by the nurse and, also, by other professionals of the health team.
Working conditions and depression in hospital emergency service nurses
Authors: Silva Márcia Regina Guedes , Marcolan João Fernando
Published: July 2020

ABSTRACT Objective: to analyze the presence, intensity and factors related to working conditions for depressive symptoms in hospital emergency nurses in the east of São Paulo. Methods: a descriptive, exploratory, quantitative and qualitative study, which applied psychometric scales and interview script. Results: nurses (95.24%) had depressive symptoms by the assessment scales by the observer, most with mild and moderate intensity. Inadequate working conditions led to suffering. Factors that trigger depressive symptoms were: disorganized work; harmful relationship with immediate management; inappropriate physician behavior; aggressions; lack of inputs, infrastructure and human resources; professional devaluation. Identified professionals with depressive symptoms who, because they were unaware of being affected by the disorder, did not seek treatment, continued to perform activities that compromised their physical and mental health, promoting damage to the assistance provided. Final considerations: high frequency of depressive symptoms. The precarious work environment negatively influenced the care and development of depressive symptoms.
Psychosocial risks and the health of health workers: reflections on Brazilian labor reform
Authors: Santana Leni de Lima , Sarquis Leila Maria Mansano , Miranda Fernanda Moura D’ Almeida
Published: July 2020

ABSTRACT Objective: to reflect on the psychosocial risks and their impacts on the health of health workers in light of the Brazilian economic context and Labor Reform. Method: reflective study on the Brazilian Labor Reform and its impacts on health of health workers. Results: although the changes observed in the labor sphere have contributed to improvements in health and safety policies for, these changes have also contributed to the emergence of new risks arising from work activities, including psychosocial risks, which affect all occupational categories. Final considerations: we understand that the Brazilian Labor Reform carried out in 2017 leads to the weakening of labor relations, increases workers’ exposure to risks in the workplace, increases the risk of illness, and opposes the global movement of international organizations aimed at the prevention of aggravation in workers’ health and also at preserving their health.
Quality of life, depressive and minor psychiatrics symptoms in nursing students
Authors: Pinheiro Jéssica Morgana Gediel , Macedo Andreia Barcellos Teixeira , Antoniolli Liliana , Dornelles Thayane Martins , Tavares Juliana Petri , Souza Sonia Beatriz Cocaro de
Published: July 2020

ABSTRACT Objective: To assess quality of life, prevalence of depressive and minor psychiatric symptoms in Nursing students. Methods: Cross-sectional study, conducted from March to April 2018, at a federal university. Sample composed of 242 Nursing students, from the 1st to the 8th semester. Data was collected using the quality of life instruments, Beck Depression Inventory and Self-Report Questionnaire. A significance level of 0.05 was considered. Results: The mean age was 22.9 ± 5.1 years. It was found that 25% of the students had severe depressive symptoms and 54% of the students had minor psychiatric disorders, with a higher prevalence in the first semesters. An inverse relationship was observed between the frequency of depressive symptoms and quality of life scores (p = 0.05). Conclusion: Nursing students showed a high prevalence of depressive symptoms, indicating the importance of implementing actions to promote and prevent mental health.
Aspects of protection and social vulnerability of teenagers in public all-day schools
Authors: Pires Laurena Moreira , Souza Márcia Maria de , Medeiros Marcelo
Published: July 2020

ABSTRACT Objective: identify and analyze aspects related to social vulnerability of a group of teenagers of a public all-day school with regard to harmful and abusive use of psychoactive drugs. Methods: a strategic social study, with a qualitative approach, was carried out with 49 teenagers of a public all-day secondary school. Focus groups were carried out between 2016 and 2017, and the resulting material was transcribed and analyzed by means of thematic content analysis, resulting in the following categories: The family I come from; Birds of a feather; If I’m studying, how can I work?; Drugs: a non-parallel universe. Results: social vulnerability was associated with unequal income distribution, fragile social relations affected by the harmful use of drugs and vulnerability of public all-day schools. Final considerations: all-day schools did not appear as an effective tool to break away with the context of social vulnerability regarding the use of drugs.
Demands for psychosocial support from communities vulnerable to natural disasters
Authors: Fernandes Gisele Cristina Manfrini , Bellaguarda Maria Lígia dos Reis , Heideman Ivonete Teresinha Schülter Buss , Meirelles Betina Hörner Schlindwein , Silva Harrysson Luiz da , Cárdenas Ángela Verónica Romero
Published: July 2020

ABSTRACT Objective: To identify the demands for the psychosocial care of vulnerable communities in the Vale do Itajaí, Santa Catarina Methods: Qualitative research, multiple case study, through narrative interviews with health professionals in three municipalities, from January to May 2018. The analysis of the narratives followed a formal analysis of the text, structural description of the content, analytical abstraction, analysis of knowledge, and contrastive comparison. Results: The described categories were: Meanings of the demands for support before the flood; Meanings of the demands during the occurrence of the disaster; Meanings of demands after the flood: psychosocial care; Meanings of the demands for monitoring the territory after the disaster. Conclusion: The identification of demands for mental health care after the disaster occurs through the search for health services, specific symptoms, and consequences of adapting to the recovery phase, such as migratory processes and temporary housing. The research contributes to the culture of care with a multiprofessional perspective in health care for the population affected by disasters.
Mental health actions and nurse’s work
Authors: Almeida Janaína Cristina Pasquini de , Barbosa Celma Aparecida , Almeida Letícia Yamawaka de , Oliveira Jaqueline Lemos de , Souza Jacqueline de
Published: July 2020

ABSTRACT Objective: to analyze the perception of nurses and other members of the patient care team about nurses’ actions in mental health care. Methods: the study was conducted with professionals from mental health services in the interior of the state of São Paulo. The data collected through semi-structured interviews, a questionnaire with closed questions and a focus group were submitted to content analysis. Results: the participants referred mainly to the nursing care with the body and physical health, but also identified the nurse as a “gateway” for care, facilitator and integrator of actions and as the professional who has more contact with the user. Final considerations: although the stereotype of nursing as “body caregiver” refers to the beginnings of psychiatric nursing, the perception of the participants showed aspects that suggest a change in relation to the role traditionally attributed to this profession.
Quality of life, anxiety and depression in patients with chronic obstructive pulmonary disease
Authors: Lima César de Andrade de , Oliveira Regina Celia de , Oliveira Simone Andrade Gonçalves de , Silva Mônica Alice Santos da , Lima Alcione de Andrade , Andrade Maria Sandra , Pinho Clarissa Mourão
Published: July 2020

ABSTRACT Objective: to assess quality of life, anxiety and depression in patients with Chronic Obstructive Pulmonary Disease. Method: a cross-sectional, quantitative study, conducted in a reference hospital for the treatment of pulmonary diseases. Seventy patients were assessed, using a sociodemographic and clinical questionnaire, Beck’s anxiety and Depression Inventories and the SF-36 Quality of Life Scale. Results: the participants had better quality of life in the vitality, mental health and social role functioning domains (median=50.0) and worse in limitation by physical and emotional role functioning (median=0.0 points). Anxiety, depression and oxygen dependence were associated with poorer results in the quality of life domains. Conclusion: all patients were classified with severe anxiety level and moderate depression predominance. Patients had low quality of life scores in all domains.
Transcultural adaptation of the Student Nurse Stress Index to Brazil
Authors: Paula Aline Beatriz Rocha , Gouveia Marcia Teles de Oliveira , Lima Francisca Fabiana Fernandes
Published: July 2020

ABSTRACT Objective: to cross-culturally adapt the Student Nurse Stress Index to the Brazilian context. Method: this is a methodological study of translation and cross-cultural adaptation. We used a sample of specialists (n = 3) and nursing students (n = 40). Socioeconomic and academic questionnaires were used for data collection, assessment and the translated instrument (SNSI-Brazil). Results: most students were female (90.0%), single (87.5%), unemployed (80.0%), they studied on average 11 hours per week, slept 6 hours per day; and rated the face and the content of the instrument as very good, agreeing substantially (kappa = 0.74 and p-value < 0.01). The judges showed regular agreement in their assessments, and the SNSI-Brazil showed a good internal consistency (Cronbach’s alpha = 0.80). Conclusion: The SNSI-Brazil was validated for face and content, has a good internal consistency if compared to versions used in other countries.
Nursing workload in burn intensive care unit
Authors: Amadeu Luciana Mendes , Dell’Acqua Magda Cristina Queiroz , Castro Meire Cristina Noveli , Palhares Valéria de Castilho , Serafim Clarita Terra Rodrigues , Trettene Armando dos Santos
Published: July 2020

ABSTRACT Objectives: To measure the nursing workload in the Burn Intensive Care Units and evaluate its association with clinical variables, length of stay, and outcome of hospitalization. Methods: Cross-sectional study carried out in a Brazilian public large hospital. The study included 33 patients. The nursing workload was assessed using the Nursing Activities Score (NAS) every 24 hours. We performed 447 Nursing Activities Score assessments. For the statistical analysis, Student’s t-test, ANOVA, and Spearman’s correlation test were used. The considered significant difference was 5% (p ≤ 0.05). Results: The Nursing Activities Score mean was 84% (± 4.4), which corresponded to 20.2 hours. There was an association between the nursing workload and the patient’s severity (p <0.010), burned body surface (p = 0.010), and hospitalization outcome (p = 0.020). Conclusion: Burn victims, assisted in the ICU, demanded a high nursing workload, which was influenced by clinical aspects and the hospitalization outcome. These findings point to the need to reconsider the nurse staffing related to this care profile.
Multidisciplinary health care in cases of childhood suicidal ideation: operational and organizational limits
Authors: Sousa Karina Alcântara de , Ferreira Maria Goreth Silva , Galvão Edna Ferreira Coelho
Published: July 2020

ABSTRACT Objective: to know the health care process performed by the multidisciplinary team in cases of suicidal ideation for children and adolescents in Primary and Secondary Care. Methods: a descriptive study with a qualitative approach carried out with 12 professionals from ESFs, EACS and CAPS II in the city of Santarém. The software IRAMUTEQ 0.7 alpha 2 was used to build the similarity tree and analyze speech content. Results: the word “no” is present prominently in the interviewees’ speeches about experiences and strategies for coping with suicide, revealing an absence of individual preparation and structure in the segments of SUS Primary and Secondary Care. Final considerations: health team assistance finds operational and organizational limits during the implantation of intervention strategies and coping with the factors that trigger child and youth suicide. It is important to make specific resources feasible, to organize reference protocols and support programs for patients and families.
Mental health care provided to patients admitted to Brazilian psychiatric institutes: a scoping review
Authors: Oliveira Lannuzya Veríssimo e , Salvador Pétala Tuani Cândido de Oliveira , Freitas Claúdia Helena Soares de Morais
Published: July 2020

ABSTRACT Objective: to identify and map the mental health care offered to patients admitted to forensic psychiatry institutes in Brazil. Method: a scoping review was guided by the JBI Institute Reviewer’s Manual. Searches took place in February 2019, in six databases, using descriptors and synonyms. Analysis was performed using simple descriptive statistics. Results: twelve studies were included, which were predominantly dissertations, published in 2014, carried out in the southeastern region of Brazil. Qualitative researches in the field of psychology and law stood out, with emphasis on the speeches of health professionals, and which did not specify the methodology of data analysis. Final considerations: the care provided to interns of the institutions has a punitive character, is based on excessive medicalization and diverges from the current legislation, which makes social reintegration difficult.
Nursing appeals on social media in times of coronavirus
Authors: Forte Elaine Cristina Novatzki , Pires Denise Elvira Pires de
Published: July 2020

ABSTRACT Objective: to know and analyze the nursing appeals on social media during the COVID-19 pandemic. Method: it is a documentary, qualitative, descriptive, and exploratory research with data collected in publications in two social media. Two hundred ninety-five publications of nursing professionals published on Twitter and Instagram between March 11 and 20, 2020 were submitted to content analysis using ATLAS.ti resources. Results: four thematic categories emerged: #stayathome, #whereismyPPE, #nowweareheroes, #nothingnewinthefrontline, according to frequency of communications. The appeals show a relationship with the social relevance of nursing professional work and with the conditions required for its exercise. Final considerations: old and new challenges of the profession were placed on the agenda in social media, especially related to the workforce and instruments of labor. These speeches can serve as a foundation for policies to improve working conditions and promote appreciation of the profession.
In defense of the Unified Health System in the context of SARS-CoV-2 pandemic
Authors: Araújo Janieiry Lima de , Oliveira Kalyane Kelly Duarte de , Freitas Rodrigo Jácob Moreira de
Published: July 2020

ABSTRACT Objective: To discuss the political and structural conditions for establishing the Unified Health System (UHS – Sistema Único de Saúde, SUS) in coping with the SARS-CoV-2 pandemic. Methods: Theoretical-reflection study. Results: At the first moment named “The global and the local in facing the SARS-CoV-2 pandemic” is presented the health crisis that took place worldwide and the government actions to combat COVID-19. A second moment named “Between dismantling actions and resistance, the UHS is the best way to face the SARS-CoV-2 pandemic”, reflects on the neoliberal attacks on the health system and how it resists, remaining the main pandemic response strategy. Conclusion: The strengthening of democracy and the defense of the UHS are the way out of the crisis. It is believed that this reflection generates - in everyone who deals with caretaking - the political action, the ethical attitude, the desire for valorization and the spirit of struggle in defense of the UHS and human life.
Microbiologic characteristics and antibiotic resistance rates of diabetic foot infections
Authors: PONTES DÊNISSON GUEDES , SILVA IVAN TRAMUJAS DA COSTA E , FERNANDES JESSICA JANSEN , MONTEIRO AMANDA DE FÁTIMA GURGEL , GOMES PEDRO HENRIQUE DA SILVA , FERREIRA MARIA GABRIELA MONTEIRO , LIMA FLÁVIA GUERREIRO DE , CORREIA JESSICA DE OLIVEIRA , SANTOS NEIVALDO JOSÉ NAZARÉ DOS , CAVALCANTE LEONARDO PESSOA
Published: July 2020

ABSTRACT Purpose: the purpose of this research was to identify the sociodemographic and microbiological characteristics and antibiotic resistance rates of patients with diabetic foot infections, hospitalized in an emergency reference center. Methods: it was an observational and transversal study. The sociodemographic data were collected by direct interview with the patients. During the surgical procedures, specimens of tissue of the infected foot lesions were biopsied to be cultured, and for bacterial resistance analysis. Results: the sample consisted of 105 patients. The majority of patierns were men, over 50 years of age, married and with low educational level. There was bacterial growth in 95 of the 105 tissue cultures. In each positive culture only one germ was isolated. There was a high prevalence of germs of the Enterobacteriaceae family (51,5%). Gram-negative germs were isolated in 60% of cultures and the most individually isolated germs were the Gram-positive cocci, Staphylococcus aureus (20%) and Enterococcus faecalis (17,9%). Regarding antibiotic resistance rates, a high frequency of Staphylococcus aureus resistant to methicillin (63,0%) and to ciprofloxacin (55,5%) was found; additionally, 43,5% of the Gram-negative isolated germs were resistant to ciprofloxacin. Conclusions: the majority of patients were men, over 50 years of age, married and with low educational level. The most prevalent isolated germs from the infected foot lesions were Gram-negative bacteria, resistant to ciprofloxacin, and the individually most isolated germ was the methicillin resistant Staphylococcus aureus.
Predictors of difficulty in bedside percutaneous dilatational tracheostomy: pilot study
Authors: TENÓRIO LUCAS RIBEIRO , NAKAI MARIANNE YUMI , MORAES JÚLIO PATROCÍNIO , MENEZES MARCELO BENEDITO , SILVA LETÍCIA DE MELO , PEREIRA GUILHERME PETRY MARTINS , GONÇALVES ANTONIO JOSÉ
Published: July 2020

ABSTRACT Introduction: percutaneous dilatational tracheostomy is currently one of the main procedures performed in an intensive care unit (ICU). However, there are no well-defined indicators of technical difficulty in performing the procedure. Objectives: to define predictors of difficulty in performing bedside percutaneous dilatational tracheostomy. Methodology: prospective cohort study encompassing 21 patients who underwent bedside percutaneous dilatational tracheostomy in the ICU at a single center. Results: Sternohyoid (SH) distance shorter than 7 cm is associated with a 50% increase in the risk of technical difficulty (OR 0.44 and p <0.03). Conclusion: the reduction in (SH) distance is related to an increased risk of difficulty in performing percutaneous dilatational tracheostomy in the ICU bed.
Sequential battery of COVID-19 testing to maximize negative predictive value before surgeries
Authors: SINHA NEERAJ , BALAYLA GALIT
Published: July 2020

ABSTRACT SARS-CoV-2 is a novel virus which has proven to be highly contagious. Specific viral dynamics and immune response to the virus are yet to be fully defined and determining the sensitivity and specificity of the available testing methods is still a work in progress. This study examines the published information on the testing methods, and finds that yield of COVID-19 tests changes with specimen types and with time through course of illness. We propose a sequential battery of testing consisting of an epidemiologic survey, RT-PCR tests, serologic tests and chest CT on surgical candidates which may increase the negative predictive value, and facilitate surgical procedures.
DESAFIOS NO PROCESSO DE ESCOLARIZAÇÃO DE CRIANÇAS COM AUTISMO NO CONTEXTO INCLUSIVO: DIRETRIZES PARA FORMAÇÃO CONTINUADA NA PERSPECTIVA DOS PROFESSORES
Authors: CAMARGO SÍGLIA PIMENTEL HÖHER , SILVA GABRIELLE LENZ DA , CRESPO RENATA OLIVEIRA , OLIVEIRA CALLEB RANGEL DE , MAGALHÃES SUELEN LESSA
Published: July 2020

RESUMO: Este estudo investigou as principais dificuldades, os desafios e as barreiras diárias enfrentados por professores de alunos com Transtorno do Espectro do Autismo (TEA) em situação de inclusão na escola comum. Participaram 19 professores cujos alunos com diagnóstico médico prévio de TEA são incluídos em escolas regulares e públicas de Pelotas/RS. Os dados foram coletados através de um roteiro de entrevistas semiestruturado e analisados a partir da análise de conteúdo. Os resultados apontam para a necessidade de fornecer atividades de formação continuada que sejam menos gerais e mais focadas nas necessidades dos professores, sobretudo quanto aos aspectos comportamentais (como lidar) e pedagógicos (como ensinar e avaliar) para, assim, criar condições favoráveis à aprendizagem e ao desenvolvimento dos alunos com TEA no ambiente inclusivo.
FORMAÇÃO NA MICROPOLÍTICA ESCOLAR: POR UMA EDUCAÇÃO PARA ALÉM DO CONTEÚDO FORMAL
Authors: COLLA RODRIGO AVILA
Published: July 2020

RESUMO: O presente artigo apresenta um breve panorama da conjuntura atual da educação brasileira apontando também alguns desafios a serem superados. Discute a concepção de bildung (formação) na filosofia alemã, explorando suas articulações com conceitos bastante caros ao processo de ensino-aprendizagem. Nesse sentido, o conceito de tato (bem como a defesa da formação estética) é utilizado a fim de subsidiar propostas que promovam dinâmicas de ensino-aprendizagem horizontais, participativas e que contemplem as múltiplas dimensões formativas. Busca, por fim, pensar em alternativas no âmbito da micropolítica da escola que contribuam com a criação de culturas formativas na educação desde uma formação para a sensibilidade e de uma postura autônoma dos educandos. A noção de autonomia preconizada na educação popular é resgatada (BRANDÃO, 1985) e a ela são incorporados traços formativos discutidos pelos teóricos que abordam o conceito de bildung (GADAMER, 1999; QUINTANA CABANAS, 1995; SUAREZ, 2005; WEBER, 2006).
A FORMAÇÃO DO PEDAGOGO EM UMA PERSPECTIVA INCLUSIVA: ANÁLISE DOCUMENTAL
Authors: MELO JONAS DA SILVA , ALENCAR EDVONETE SOUZA DE
Published: July 2020

RESUMO: Diante da construção de um sistema educacional baseado na pirâmide da macropolítica, os documentos normativos educacionais assumiram a posição de influenciar culturas escolares. Neste contexto, se insere uma cultura escolar que configura uma prática homogeneizadora das diferenças humanas. A Educação Inclusiva é uma área educacional que visa, antes de tudo, reconhecer a multiplicidade existente na sala de aula e, assim, proporcionar um processo educacional condizente com a singularidade de cada estudante. Perante essa problemática, este artigo visa analisar os documentos normativos que regem a Educação e a formação do profissional habilitado a atender as singularidades das pessoas que enfrentam as maiores dificuldades de aprendizagem: o pedagogo. A análise de conteúdo a que esses documentos foram submetidos se fundamenta na Teoria Crítica de Adorno e na Filosofia da Diferença de Deleuze. Por meio do estudo deleuziano, foi possível identificar um movimento de fortalecimento das práticas inclusivas conforme os documentos assumiam um caráter micropolítico.
A SOCIOLOGIA NA EDUCAÇÃO SUPERIOR: SENTIDOS PRODUZIDOS NAS NARRATIVAS DE ESTUDANTES DE ODONTOLOGIA DA UNIVERSIDADE ESTADUAL DE MARINGÁ
Authors: FURLIN NEIVA
Published: July 2020

RESUMO: Este artigo integra o rol dos estudos sobre o ensino de Sociologia na Educação Superior. Tem como objetivo apreender os sentidos e a importância que os alunos da graduação em Odontologia da Universidade Estadual de Maringá (UEM) atribuem à disciplina de Sociologia na sua formação profissional e relacioná-los com os discursos legais e formais do curso e com as competências da sociologia para a Educação Superior. É uma pesquisa de abordagem qualitativa. Os resultados do estudo evidenciam que a importância que os estudantes atribuem à sociologia está em consonância com as competências da disciplina e com as questões legais e formais do curso de graduação em Odontologia. Contudo, não se trata de uma reprodução de discursos, mas de sujeitos que falam de sua experiência concreta com a disciplina, de modo que os conteúdos sociológicos passam a produzir sentido para as suas vidas e para o exercício da profissão.
O IDEB E A ATUAÇÃO DOCENTE NA PERSPECTIVA DA AUTORREGULAÇÃO
Authors: PESSIN GISELE , DEPS VERA LUCIA
Published: July 2020

RESUMO: pesquisa objetivou analisar os impactos do Índice de Desenvolvimento da Educação Básica (IDEB) no Ensino Fundamental em decorrência da autorregulação do comportamento de professores. Realizou-se um estudo de caso comparativo entre duas escolas de uma Rede Municipal de Educação no Norte do Estado do Rio de Janeiro que estão, respectivamente, entre os maiores e menores resultados no IDEB em 2015. Trata-se de um estudo qualitativo realizado com docentes, orientadores pedagógicos e diretores. Os resultados das entrevistas e observações foram analisados por meio da Análise de Conteúdo e adotou-se a perspectiva teórica da Autorregulação. Constatou-se que a falta de clareza sobre os objetivos da avaliação do MEC comprometeu o planejamento de ações e a reflexão sobre os resultados. O êxito no IDEB aumentou a motivação para a manutenção de bons resultados, o que não ocorreu na escola que não alcançou a meta projetada pelo MEC. Além disso, ficou evidenciado que, frente à iminência da Prova Brasil, as regulações externas influenciam os professores para a preparação dos alunos.
“NÃO É NENÊ, ELA É PRETA”: EDUCAÇÃO INFANTIL E PENSAMENTO INTERSECCIONAL
Authors: SANTIAGO FLAVIO
Published: July 2020

RESUMO: O artigo tem como objetivo contribuir com os estudos da Educação Infantil, explorando as intersecções entre o processo de racialização e as relações de gênero, idade e classe social estabelecidos no cotidiano de uma creche pública que atende crianças de 0 a 3 anos. Trata-se de uma etnografia realizada na região metropolitana de Campinas (SP), ao longo de um ano, fazendo uso do registro em caderno de campo e de entrevistas com as docentes da unidade. Com base nas análises, pode-se destacar que as crianças, em muitos momentos, reproduzem as hierarquias pautadas na ordem patriarcal e racista, bem como que existem práticas pedagógicas sexistas-racistas na creche.
Competências necessárias ao gestor de Unidade de Saúde da Família: um recorte da prática do enfermeiro
Authors: Fernandes Josieli Cano , Cordeiro Benedito Carlos , Rezende Aline Costa , Freitas Dandara Soares de
Published: July 2020

RESUMO Estudo qualitativo descritivo exploratório com objetivo de analisar e discutir as competências necessárias ao gerente de Atenção Primária à Saúde (APS). Teve como cenário as Unidades de Saúde da Família de Angra dos Reis e como participantes da pesquisa dez enfermeiros estatutários que exerciam a função de gerente havia mais de um ano. Os dados foram produzidos por meio de grupo focal e ponderados com base na análise de conteúdo de Bardin. Do estudo, emergiram três categorias: Competências gerenciais relativas à liderança; Competências gerenciais relativas à gestão de recursos e do cuidado; Competências gerenciais relativas à mobilização de recursos cognitivos e afetivos. Os achados apontam que as competências descritas pelos participantes se alinham às narradas em outros estudos e evidenciam a necessidade de investir em uma formação que permita refletir e buscar desenvolvimento de competências gerenciais para os gerentes de APS, pois a categoria mostra-se em construção, necessitando de aprimoramento e reconhecimento formal que ultrapassem portarias ministeriais. A esses achados, relaciona-se o pensamento de Paulo Freire como embasamento para a Educação Permanente, estratégia de mudança da realidade encontrada.
Análise do perfil de gestores de Unidades Básicas de Saúde de Criciúma
Authors: Henrique Flávia , Artmann Elizabeth , Lima Juliano de Carvalho
Published: July 2020

RESUMO Este artigo teve por objetivo analisar o perfil dos gestores de Unidade Básicas de Saúde de Criciúma. Trata-se de um estudo descritivo, quantitativo e qualitativo. Após aprovação do Comitê de Ética em Pesquisa (CEP), desenvolveu-se a coleta de dados por meio de questionário semiestruturado e grupo focal no período de abril a junho de 2016 com 84 participantes. As informações do Cadastro Nacional de Estabelecimentos de Saúde subsidiaram a construção do perfil de gestores e a análise qualitativa do município de Criciúma à luz do panorama nacional. No Brasil, há gestores em 6% dos estabelecimentos e em 13% das unidades. Em Criciúma, 1% dos estabelecimentos e 2% das unidades. Os resultados dos perfis dos gestores mostram que eles têm média de 30,5 anos, 76% são mulheres, com formação em enfermagem, possuem média de 3 anos no serviço público, 0,7 anos na média como gestor da atual unidade. Em relação à formação, 74% possuem pós-graduação, 32% disseram que já fizeram ou estão fazendo alguma pós-graduação na área de gestão. O perfil dos gestores de unidades de Criciúma coincide com o apresentado pela literatura. A complexidade do setor saúde exige enfoques de gestão potentes, recursos extrassetoriais e interação dos diversos atores envolvidos na situação.
Desafios e estratégias no gerenciamento de Unidades Básicas de Saúde
Authors: Loch Selma
Published: July 2020

RESUMO Este artigo discute os achados de uma pesquisa que procurou elucidar a experiência vivida por gerentes de Unidades Básicas de Saúde (UBS) na perspectiva de contribuir para o desenvolvimento gerencial em saúde. A metodologia utilizada na pesquisa foi a fenomenologia e a hermenêutica, e a coleta das histórias foi realizada por meio de entrevista em profundidade. Ao se tornarem gerentes, os sujeitos desta pesquisa se depararam com uma rotina de trabalho intensa, variada e fragmentada e foram surpreendidos pelas prioridades institucionais, que impediam a implantação das suas agendas. Altamente dependentes de outros setores, precisaram organizar uma ampla rede de relacionamentos dentro e de fora da instituição. Suportando tensões, resolvendo problemas e superando desafios, eles revisaram seus conceitos e passaram por um processo de mudança de consciência que os levou a pensar e a agir como gerentes. Ser um gerente de UBS significou, para cada um deles, ser um agente de mudanças, que trabalha em um ambiente de alta pressão e de pouca autonomia, liderando processos de transformação na sua unidade, em função da comunidade onde se insere.
Processo Circular: avaliação no cotidiano da gerência de Unidades Básicas de Saúde
Authors: Gouvêa Mônica Villela , Casotti Elisete
Published: July 2020

RESUMO O Curso de Aperfeiçoamento em Gerência de Unidades Básicas de Saúde, Gestão da Clínica e do Cuidado é oferecido no contexto de qualificação da gestão da atenção básica, por meio de parceria entre o Ministério da Saúde e a Universidade Federal Fluminense. Seu propósito é apresentar ferramentas com valor de uso para o cotidiano dos gerentes. Nesse contexto, uma das ofertas para trabalhar as relações cotidianas é o Processo Circular. Este artigo teve como objetivo avaliar a aceitação e a aplicação dessa ferramenta por gerentes de Unidades Básicas de Saúde. Pesquisa qualitativa, exploratória e descritiva, com análise a partir do banco de dados secundários, que continha 376 formulários preenchidos pelos egressos do curso. Foram objeto de análise as respostas relativas à questão aberta não obrigatória (n=321), que solicitava ao aluno que identificasse um efeito positivo que poderia ser atribuído ao Curso. Foi realizada busca textual das palavras ‘circular’ e/ou ‘conflito’, sendo identificadas 62 respostas contendo pelo menos uma dessas palavras, constituindo-se no corpus final de análise. A análise permitiu reconhecer que a ferramenta Processo Circular potencializa a formação de um perfil de gerente mediador e facilita o processo de trabalho, apoiando as ações dos gerentes de Unidades Básicas de Saúde.
A prática como produção de saber na educação semipresencial
Authors: Abrahão Ana Lúcia
Published: July 2020

RESUMO Este ensaio tem como objetivo refletir sobre a produção da formação em saúde, no contexto de cursos à distância, voltado para a gestão em saúde, em que se propõe a lógica semipresencial. A partir dos eixos Conhecimento e Educação Permanente em Saúde, constrói argumentos para um diálogo sobre o aprender e ensinar a distância. Aponta para uma virtualidade que se atualiza em um território de natureza micropolítica e tecnopolítica, uma vez que envolve mudanças nas relações, nos processos, nos atos de saúde, nas organizações e nas pessoas.
Clínica, cuidado e subjetividade: afinal, de que cuidado estamos falando?
Authors: Franco Túlio Batista , Hubner Luiz Carlos Moreira
Published: July 2020

RESUMO Este ensaio procura discutir o processo de decisão clínica e o cuidado em saúde, a partir do reconhecimento de que o organismo humano é habitado por um corpo afetivo e por um corpo anátomo-clínico. O processo terapêutico requer que essas duas dimensões sejam contempladas para o cuidado em saúde. O cuidado não se faz apenas sobre a disfunção ou lesão dos órgãos, ele deve contemplar toda a existência de uma pessoa, porque ela é um ser complexo, que, além do seu problema de saúde mais objetivamente identificado, traz sua história de vida, recheada de expectativas, desejos, relações de afeto, familiares e sociais, produzidas em determinado meio. Os autores lançaram mão da cartografia, ou seja, um olhar com base nos processos e diversos fatores que produziram as questões que estão no foco de análise. O pressuposto é que o usuário deve ser o protagonista do seu projeto terapêutico. São estas questões que estão sendo debatidas no texto que conclui pela necessidade de considerá-las em um movimento de renovação dos saberes e práticas clínicas para uma abordagem mais integral do corpo e do cuidado em saúde.
Processo Circular: avaliação da experiência de alunos/gerentes do Curso de Aperfeiçoamento em Gerência de Unidades Básicas de Saúde, Gestão da Clínica e do Cuidado na aplicação da ferramenta
Authors: Rodrigues Angelo Brito
Published: July 2020

RESUMO O objetivo deste relato foi apresentar a avaliação de alunos/gerentes participantes da terceira turma do Curso de Aperfeiçoamento em Gerência de Unidades Básicas de Saúde, Gestão da Clínica e do Cuidado do Piauí e participantes na aplicação da ferramenta de Processo Circular, enquanto proposta de estratégia para refletir, debater e avaliar processos de trabalho nas Unidades Básicas de Saúde. O Processo Circular valoriza as contribuições de todos ao respeitar a presença e a perspectiva de cada participante. O uso da ferramenta pelos alunos/gerentes apresentou estratégias de participação e de gestão coletiva de processos de trabalho, proporcionou autoavaliação e avaliação sobre o uso da ferramenta na Unidade Básica de Saúde e as possibilidades e potências do processo circular em promover a interface gestão do cuidado e do processo de trabalho.