bluuebunny/crossref_metadata_2025 huggingface dataset:
REVISÃO DE LITERATURA: MANEJO DO PACIENTE COM COLANGITE ESCLEROSANTE PRIMÁRIA
Authors: Entringer Alice Almeida , Layber Eduarda Pimenta , Provedel Paulo Emilio Gouvêa , Pacheco Mariana Poltronieri
Published: November 2024

The primary sclerosing cholangitis (PSC) is a progressive, idiopathic, immune mediated disease, characterized by intra or extrahepatic cholestasis, Inflammation and fibrosis of the bile ducts, which may progress to liver cirrhosis or cholangiocarcinoma (CCA) in the vast majority of patients. Objective: Analyze what the current literature discusses about the management of PSC. Method: A systematic review was carried out using the PubMed and SciELO database, applying the descriptors "Primary Sclerosing Cholangitis" AND "Cholangite" AND "Clinical management" AND Cholangiocarcmoma. Discussion: It is more common in men, with an average diagnosis at 35 years old. The PSC has a wide range of symptoms and stages of the disease. In the beginning, symptoms are rare and patients may be asymptomatic. The most commonly found symptoms are pruritus, fatigue, right upper quadrant abdominal pain, jaundice, fever, and weight loss. In about 75% of patients with PSC, liver function tests are chronically abnormal and fluctuating with a most commonly found pattern of cholestatic condition with elevation of alkaline phosphatase (AF) and yglutamyl transferase (GGT). Although endoscopic retrograde cholangiopancreatography (ERCP) is conventionally considered the gold standard test for the diagnosis of PSC, the main modality of choice currently for Imaging diagnosis in patients with suspected PSC is magnetic resonance cholangiopancreatography (CPRM). Due to the absence of effective medical therapy for PSC, liver transplantation (LT) remains the only curative option. There is little evidence for the use of medications as a way to inhibit the progression of the disease. Still several new drugs are under investigation, representing the potential to improve survival and clinical outcomes in PSC. Final considerations: We conclude that it is extremely important to approach the management of PSC. The diagnosis is a great challenge since its clinical, laboratory and imaging aspects overlap, as it was portrayed during this exposure. Nevertheless, due to the various differential diagnoses ofjaundice with cholestatic pattern, the etiological search is crucial and the absence of effective medical therapy, with several new drugs under analysis, should guide further studies to improve the survival and clinical outcomes of these patients. Another point to be considered is that there is a scarcity of data in the literature that address the PSC in the Brazilian population.
ANÁLISE DE RENTABILIDADE DE INVESTIMENTOS EM SISTEMAS DE REFRIGERAÇÃO COM ALTA EFICIÊNCIA ENERGÉTICA
Authors: Brito Diego dos Santos , Nascimento Emerson Leão Brito do
Published: November 2024

This study analyzes the profitability of investments in high-energy-efficiency refrigeration systems, addressing the economic and environmental impacts of these systems compared to conventional technologies. Energy efficiency is essential for reducing operational costs and promoting sustainability, especially in sectors with high continuous refrigeration demand. The objective is to evaluate the economic feasibility of efficient systems, highlighting variables that influence the return on investment. A descriptive and qualitative literature review was conducted, analyzing studies on energy efficiency, environmental impact, and cost-benefit in commercial and industrial sectors. The findings indicate that, although the initial investment in high-efficiency technologies is high, these systems significantly reduce energy consumption and operational costs over time. It concludes that adopting efficient refrigeration systems is economically viable across various sectors, especially those with high energy demand, and an effective strategy for meeting environmental requirements and reducing emissions.
FORTALECENDO O CONTROLE PÉLVICO PARA UMA VIDA SEM LIMITAÇÕES: UMA REVISÃO DE LITERATURA SOBRE A EFICÁCIA DA FISIOTERAPIA COM EXERCÍCIO DE KEGEL NO TRATAMENTO DA INCONTINÊNCIA URINÁRIA
Authors: Moraes Diana Antunes De , Rosa Gisele Lopes , Nadotti Lirian Macedo , Rodrigues Laura de Moura , Cavalcante Fabrício Vieira
Published: November 2024

The pelvic floor muscles support organs such as the bladder and uterus, and can weaken due to pregnancy and aging, which results in problems such as urinary incontinence or prolapse. The latter affects millions of women, being associated with factors such as age and number of births. Evaluation, especially through ultrasound, is crucial. Treatments include Kegel exercises, behavioral therapy, and mechanical devices. Innovative strategies, such as the gamification of Kegel exercises, have shown promise for improving adherence and treatment outcomes. The importance of pelvic floor muscles and their dysfunctions, such as urinary incontinence, was addressed, highlighting the need for effective and innovative approaches to improve patients' quality of life. An analysis of the efficacy of Kegel exercise on urinary incontinence in women was conducted, reviewing studies, synthesizing results, and offering recommendations for future research. A systematic review of the literature, conducted between February and May 2024, was adopted to analyze studies on Kegel exercise in urinary incontinence in women, searching for articles in databases such as VHL, PubMed, ScienceDirect, and JSTOR, with strict inclusion criteria. Studies on treatments for pelvic floor dysfunctions, such as prolapse and urinary incontinence, have revealed several approaches. Some have shown effectiveness in personalized training of the muscles, while others have compared methods such as electrical stimulation and active training. In addition, innovative techniques such as position detection during Kegel exercises and mechanotherapy were explored. The efficacy of simple interventions, such as Kegel exercises combined with behavioral therapy, was highlighted. These studies highlighted the complexity of pelvic floor dysfunctions and the importance of multifaceted and individualized approaches to treatment, highlighting the challenges faced and the need for more effective interventions to improve patients' health and quality of life. Authors have emphasized the importance of pelvic muscles and treatments such as training and behavioral therapy, while innovative strategies such as gamification have shown promise for promoting better physical, emotional, and social well-being and outcomes.
APLICABILIDADE DE PROGRAMAS DE ENVIRONMENTAL, SOCIAL AND GOVERNANCE (ESG) NO SETOR DO E-COMMERCE NA INDÚSTRIA 4.0
Authors: Costa Jessyka Moreira , Araujo Marco Antonio Ferreira de , Souza Filho Adiloderne Nogueira
Published: November 2024

The rise of Industry 4.0 marks a new phase in the digital transformation of industrial processes, encompassing advanced technologies like the Internet of Things (IoT), big data, artificial intelligence (AI), and intelligent automation. In the e-commerce sector, these innovations have facilitated unprecedented operational efficiency, yet the growth in digital capabilities has also led to heightened expectations for sustainable and ethical business practices, aligned with Environmental, Social, and Governance (ESG) frameworks. This study explores the impact of integrating ESG practices within ecommerce, leveraging Industry 4.0 technologies to enhance operational sustainability and transparency. A systematic review of literature and data was conducted, revealing that robust ESG policies in e-commerce contribute to competitive advantage by attracting investment, fostering consumer loyalty, and meeting regulatory standards. Findings show that Industry 4.0 technologies can aid in environmental management by reducing carbon emissions, waste, and energy consumption through optimized logistics and sustainable packaging. The implementation of circular economy principles further demonstrates how e-commerce companies can reduce their environmental footprint, ensuring alignment with consumer demands for accountability. Moreover, sound governance and digital security play crucial roles in maintaining customer trust and protecting sensitive data, underscoring the broader relevance of ESG practices. This study concludes that the integration of ESG with Industry 4.0 technologies is essential for the long-term success of e-commerce, as it fosters a responsible, transparent, and sustainable business model that balances economic growth with social and environmental stewardship.
ANÁLISE DOS EFEITOS DA ELETROESTIMULAÇÃO SACRAL VERSUS AO MAT PILATES NO TRATAMENTO DA INCONTINÊNCIA URINÁRIA DE URGÊNCIA EM MULHERES CLIMATÉRICAS
Authors: Correa Sabrina de Souza , Santos Stefanie Oliveira dos , Oliveira Ana Paula Bacha de
Published: November 2024

Introduction: Urge urinary incontinence is a type of involuntary loss of urine that occurs due to a sudden and strong need to urinate, which is difficult to inhibit. It is currently known that the incidence of urinary incontinence is higher during the climacteric period and that aging itself is an important risk factor for the problem itself. Objective: To compare the effects of Mat Pilates and Sacral Electrostimulation as therapeutic approaches for urgency urinary incontinence. Method: 20 volunteers participated in this research, aged between 45 and 55 years, with a clinical diagnosis of urgency urinary incontinence. For data collection, the questionnaire for Sample Characterization, the International Incontinence Questionnaire (ICIQ-SF) and the Voiding Diary were used. Results: Regarding the characterization of the sample, the groups were homogeneous among themselves. In the Impact of Incontinence (ICIQ) both groups showed significant improvement, suggesting that the therapies are equivalent. In the Voiding Diary, there was a significant intragroup improvement in urgent need to urinate and involuntary loss of urine for both treatments. Conclusion: These results indicate that both Sacral Electrostimulation and Mat Pilates had positive effects in reducing urgency urinary incontinence, with both methods showing similar improvements.
THE ROLE OF THE ENDOCANNABINOID SYSTEM AND CANNABIDIOL (CBD) IN THE TREATMENT OF AUTISM SPECTRUM DISORDER: EFFICACY, SAFETY, AND COMORBIDITIES
Authors: Martiniano Felipe Santos Teixeira , Barbosa Jackeline , Cardozo-Batista Leandro , Florio Telma , Felix Brenda Julia Cardoso , Souza Ana Clara Pavaneli R. De , Freitas Carolina Carvalho de , Agria Giulia Bortoloni , Oliveira Maria Vitória Franco Alves de , Fernandes Pietra Kananovicz , Bittar Bianca Proença , Santos Fabrício Oliveira , Ramos Bruna Felix de Lima Souza , Ramos Luiza , Belém Vanessa Andrade
Published: November 2024

Introduction: Autism Spectrum Disorder (ASD) encompasses a range of neurodevelopmental disorders characterized by persistent deficits in communication and social interaction, along with restrictive and repetitive behaviors. Conventional interventions often face limitations, prompting interest in alternative treatments, particularly those involving the endocannabinoid system (ECS) and cannabidiol (CBD). Objectives: This study aims to evaluate the role of the ECS and the efficacy of CBD as therapeutic interventions for ASD and its comorbidities. Methods: A literature review was conducted, focusing on articles published in Portuguese, Spanish, and English from 2019 to 2024. Databases such as the Virtual Health Library, LILACS Plus, and Medline were searched using descriptors: “Cannabidiol,” “Autism,” and “Endocannabinoid System”. Boolean terms “AND” and “OR” refined the results. A total of 7 articles from Medline and 3 from LILACS were initially identified. Results: The review identified 10 relevant articles that provided comprehensive insights into the effects of CBD on core ASD symptoms, including social interaction and anxiety. Most studies reported significant improvements in patients, with minimal adverse effects, emphasizing the safety of CBD compared to traditional treatments. Conclusion: The findings suggest that CBD may offer a promising alternative for treating ASD and its comorbidities, with a favorable safety profile. Continued research is essential to establish effective guidelines for clinical application.
OZONIOTERAPIA EM CONTAMINAÇÃO DE FERIDA CIRÚRGICARELATO DE CASO EM CÃO CAUDECTOMIZADO
Authors: Santos Vitória Keitilane da Silva , Goes Paola Almeida de Araujo , Fernandes Rodrigo Brasil
Published: November 2024

Integrative medicine offers a wide variety of therapies that can be associated with conventional medicine, providing patients appropriate treatment with satisfactory results. Among the therapies used in integrative medicine, we have ozone therapy, which is widely used for various purposes due to its bactericidal, fungicidal and virucidal properties and the fact that it has practically no side effects with low toxicity, being used in chronic pathological conditions, in cases of dermatitis, ulcers and redness, burns and wound healing processes. The case report shows a healing process promoted by ozone therapy and associated therapies in a dog, presenting positive results. Ozone is a colorless gas with a characteristic odor and analgesic and anti-inflammatory functions, also contributing to the immune system and body oxygenation of animals. It can be applied in distinct ways, split into local or systemic, and can be subcutaneous, intravaginal, blood therapies, bagging and cupping methods. In addition, the technique offers low cost and promotes an improvement in the animal's quality of life.
PROPOSTAS INVENTIVAS: AEE E ATELIÊ NA INTERSECÇÃO EDUCAÇÃO INFANTIL E EDUCAÇÃO ESPECIAL
Authors: Rosa Denise Ferreira da
Published: November 2024

Este trabalho consiste em um relato de experiência que explora as possibilidades inventivas no Atendimento Educacional Especializado (AEE), propondo um espaço de exploração e experimentação. O AEE, ao ser organizado como um espaço de criação, promove o desenvolvimento integral das crianças, estimulando a autonomia, a expressão individual e o potencial criativo. Através de atividades como pintura, modelagem, colagem e exploração de elementos naturais, as crianças têm a oportunidade de desenvolver habilidades motoras, cognitivas, emocionais e sociais. O artigo apresenta propostas práticas realizadas no AEE que ilustram como a arte e o brincar colaboram para a inclusão e o aprendizado significativo na educação infantil. Ao tratar o AEE como um ateliê de invenção, ampliam-se as possibilidades de interação entre alunos com e sem deficiência, promovendo a inclusão e a socialização. A experiência com essas práticas mostra que as atividades artísticas não apenas incentivam a criatividade, mas também transformam o AEE em um ambiente flexível e dinâmico, onde as crianças podem explorar suas capacidades de forma lúdica e prazerosa. Dessa forma, o artigo reforça a importância de integrar práticas artísticas ao AEE, considerando as especificidades e necessidades de cada criança.
GAMETERAPIA NA FISIOTERAPIA: UM RECURSO PARA REDUZIR O RISCO DE QUEDAS EM IDOSOS DA COMUNIDADE - REVISÃO DE LITERATURA.
Authors: ROSA P.C. , MALFATTI A.V.D. , AGUIAR F.C. , BÁRBARA A.A.O. , CARVALHO N.S.R.D.S. , CHAVES T.C.B. , CONCEIÇÃO A.P. , DUTRA K.F.D.S. , MALFATTI D.D. , ROSA A.C. , RIBEIRO V.K. , RODRIGUES L.M. , CAVALCANTI F.V.
Published: November 2024

The aging population worldwide has led to an increased prevalence of falls among older adults, resulting in fractures, loss of mobility, and increased dependency. This systematic review analyzed the effectiveness of gamification and virtual reality in preventing falls and improving balance in older adults, promoting active aging. Studies published between 2019 and 2024 were analyzed in the Google Scholar, PubMed (Medline), and Lilacs (BVS) databases, considering clinical trials and observational studies with individuals over 65 years of age. The results indicate that the inclusion of gamification with conventional physiotherapy can be effective in improving balance, muscle strength, and cognitive function in older adults, reducing the risk of falls and promoting independence. Due to its playful and motivating nature, it facilitates adherence, just as virtual reality offers an immersive experience that reduces the fear of falling. It is concluded that these interventions require more research to personalize the games and adapt the technologies to the specific needs of the elderly population. Furthermore, it is essential to investigate the long-term effects of gamification and its integration into public health programs.
ANÁLISE DA SUSTENTABILIDADE AMBIENTAL E ECONÔMICA DA CADEIA PRODUTIVA DO MANEJO DO JACARÉ NA RESERVA EXTRATIVISTA LAGO DO CUNIÃ: DESAFIOS E OPORTUNIDADES PARA O DESENVOLVIMENTO LOCAL
Authors:   Allan Kardec Gurgel do Amaral, Garcia Pedro Matteo Aguiar
Published: November 2024

O manejo extensivo sustentável de jacarés que ocorre na Reserva Extrativista Lago do Cuniã em Rondônia, teve seu início motivado por medidas de segurança para a população residente na área. A consolidação da prática o transformou em uma fonte de renda, promovendo a diversificação produtiva local e fomentando o empreendedorismo. Para melhor compreensão do contexto que envolve o manejo, este trabalho teve como objetivo analisar a relação entre a uso econômico do recurso com a sustentabilidade ambiental. A pesquisa foi exploratória, com método dedutivo e abordagem qualitativa, a partir de pressupostos divulgados sobre o tema, que direcionaram o estudo para as conclusões acerca dos desafios e oportunidades cogitados para a atividade. A coleta de dados ocorreu através da análise de documentos oficiais, pesquisa bibliográfica e observação direta de algumas etapas da cadeia produtiva em campo. Os resultados alcançados evidenciaram que o abate de jacarés proporcionou o alcance de diversos resultados significativos, refletindo tanto na conservação ambiental, na segurança das pessoas e no desenvolvimento socioeconômico das comunidades locais.
INCONTINÊNCIA URINÁRIA DE URGÊNCIA EM MULHERES PÓS-MENOPAUSA
Authors:   Laura De Moura Rodrigues, Silva Lana Tanally Da , Costa Rita Da Silva , Chrispim Vera Lúcia Aparecida ,   Fabricio Vieira Cavalcante
Published: November 2024

A Incontinência Urinária é um problema comum que pode afetar mulheres de todas as idades. Constitui sintoma com implicações sociais causando desconforto e perda da autoconfiança, além de interferir negativamente na qualidade de vida de muitas mulheres. A incontinência urinária de esforço (IUE) é definida pela Sociedade Internacional de Continência (ICS) como a queixa de perda involuntária de urina no esforço físico, espirro ou tosse. Nos últimos anos, o tratamento clínico da incontinência urinária vem ganhando maior projeção em função de seus resultados, dos poucos efeitos colaterais e de seu baixo custo, sendo assim, o objetivo deste estudo é correlacionar a Incontinência Urinária de Esforço (IUE) com a prática e abordagem do Fisioterapeuta.
ASSISTÊNCIA DA ENFERMAGEM NO MANEJO DA DOR CRÔNICA: BASES PARA PRÁTICA PROFISSIONAL
Authors:   Vanessa Cristina Bertussi, Silva Rayka Miranda Santos e , Pinto Samaria Macedo
Published: November 2024

O presente trabalho aborda a importância da enfermagem para auxiliar no cuidado de uma paciente com dor crônica sendo que é um problema de saúde significativo, destacando a o problema que não envolve apenas a aparência física, mas também fatores emocionais, sociais e psicológicos. A Organização Internacional para o Estudo da Dor (IASP) define a dor como uma experiência sensorial e ansiedade emocional associada ou descrita em termos de dano tecidual real ou potencial. Que impactam não só os cuidados também vai além de compreender a condição que exige um cuidado multidisciplinar. Para isso foi realizada uma revisão integrativa da leitura, utilizando bases de dados como Biblioteca Virtual de saúde (BVS), MEDILINE e BDENF, A revisão integrativa, baseada em artigos de 2019 a 2024, encontrou que práticas como a capacitação de enfermeiros e a implementação de cuidados centrados no paciente são essenciais para melhorar a qualidade de vida e os resultados. Este trabalho busca explorar as disciplinas de enfermagem para melhorar o cuidado de pacientes com dor crônica, analisando diferentes estratégias de manejo, como programas educacionais, terapias complementares como mindfulness, e a importância de uma abordagem biopsicossocial, contribuindo para a melhoria da qualidade de vida dos envolvidos neste processo do cuidado.
RESPONSABILIDADE DE INDENIZAÇÃO POR ABANDONO AFETIVO PARENTAL
Authors:   Pauliana Maria Dias, Silva Karen Cristine , Modesto Taiz Gleiciene Araújo
Published: November 2024

This research focuses on the study of repairing damages resulting from emotional abandonment, considering the application of Civil Liability. Although emotional abandonment is not explicitly regulated in the Brazilian legal system, doctrine and jurisprudence have shown an increasingly favorable and positive understanding. The study on the topic seeks to define the concept of family entity in an updated way, in addition to recognizing that human identity is influenced by the relationships and bonds we form throughout life. In the family context, these bonds are even more valuable, since it is through the family, especially in the first stages of life, that the individual develops a sense of belonging, learns to relate, form emotional bonds and develops the capacity for trust. and coexistence. Thus, civil compensation for moral damage resulting from emotional abandonment through compensation is appropriate, in addition to considering alternative measures that can be applied cumulatively to compensation by judges.
TREINO COGNITIVO MOTOR NO EQUILÍBRIO FUNCIONAL E COGNIÇÃO DE IDOSOS: UMA REVISÃO BIBLIOGRÁFICA
Authors: Miranda Laura Costa , Gonçalves Rafael de Pádua , Mendes Juliano Ferreira
Published: November 2024

With the aging population, the preservation of cognitive abilities and functional balance in elderly individuals has emerged as a critical issue for maintaining autonomy and quality of life in this population. The practice of activities that combine cognitive and motor stimuli, known as cognitive-motor training, has been suggested as an effective strategy to mitigate the physical and cognitive declines associated with aging. In light of this, the present study aims to analyze the effects of cognitive-motor training on functional balance and cognition in the elderly, based on a literature review. The methodology adopted was a literature review using scientific databases such as Google Scholar and the CAPES Periodicals Platform to select articles addressing the impact of cognitive activities combined with physical exercises on the balance and cognitive abilities of elderly individuals. The main results suggest that cognitive-motor training has positive effects on functional balance, enhancing postural stability and mobility in the elderly. These benefits directly impact the reduction of fall risks, a determining factor for quality of life in older age. Additionally, cognitive-motor training was found to contribute to improvements in memory, attention, and mental processing, highlighting the potential of this intervention for maintaining cognition in elderly individuals. However, the review identified some important limitations, as many of the studies analyzed were conducted in specific contexts, which may limit the generalization of results to different profiles of elderly individuals and environments. Therefore, future research should explore the diversity of approaches and adapt protocols to different realities, seeking to validate the observed effects across a broader range of conditions. It is concluded that cognitive-motor training represents a valuable strategy for promoting balance and cognition in the elderly, potentially contributing to the maintenance of autonomy and quality of life. From this review, the importance of developing personalized interventions and investigating new methodologies that maximize the benefits of cognitive-motor training is emphasized, consolidating it as an effective and safe practice in elderly health care.
ATENDIMENTO ODONTOLÓGICO A GESTANTES: A IMPORTÂNCIA DO PRÉ-NATAL
Authors: Santiago Yngrid Yshailla , Silveira Catarina Soares
Published: November 2024

Este estudo investiga a importância do atendimento odontológico para gestantes, considerando o impacto das alterações hormonais e fisiológicas características da gravidez sobre a saúde bucal da mulher e a saúde fetal. A introdução destaca que essas mudanças podem favorecer problemas como gengivite, periodontite e aumento de cáries, o que torna o acompanhamento odontológico essencial para prevenir complicações, como parto prematuro e baixo peso ao nascer.O objetivo da pesquisa é explorar como aprimorar a assistência odontológica durante a gestação, superando mitos e fortalecendo a formação dos dentistas para que possam prestar um atendimento seguro e qualificado às gestantes. Para alcançar esse objetivo, foi realizada uma revisão integrativa da literatura, organizada em seis etapas que incluíram a busca e análise de artigos publicados entre 2000 e 2023, com os termos “saúde bucal”, “atendimento odontológico durante a gestação” e “cuidados odontológicos em gestantes” (Mendes, Silveira, Galvão, 2008).O estudo reforça a necessidade de uma abordagem multidisciplinar no pré-natal, com a inclusão de um dentista na equipe de saúde para orientar as gestantes sobre a importância dos cuidados bucais. A capacitação contínua dos profissionais de saúde e a criação de políticas públicas que incentivam práticas saudáveis são também apontadas como fundamentais. Essa integração entre profissionais favorece o atendimento integral à gestante, promovendo o bem-estar da mãe e do bebê, prevenindo complicações e fortalecendo a saúde da unidade familiar.
MELHORIAS NO PROCESSO DE FABRICAÇÃO DE VASSOURAS EM UMA FÁBRICA DE MANAUS
Authors: Santos Flavienny Silva dos , Pinheiro Jucilene de Melo , Padilha Miriam de Souza , Pereira Paulo Anderson de Andrade , Duarte Nara Cristina Soares , Oliveira Wanayra da Silva , Carminé Luciana Oliveira do Valle
Published: November 2024

O mapeamento do processo produtivo em uma fábrica de vassouras é essencial para identificar oportunidades de melhoria, reduzir custos, aumentar a eficiência e garantir a qualidade do produto. O processo de fabricação envolve diversas etapas, que vão desde a aquisição de matérias-primas até a distribuição das vassouras. Para mapear e melhorar o processo é necessário a identificação das etapas do processo, análise de gargalos e ineficiências, introdução de melhorias contínua, acompanhamento e avaliação de resultados. A pesquisa incluiu revisão de literatura e coleta de dados, por meio de visita in loco e entrevista, com o objetivo de analisar o fluxo produtivo de fábrica. Além disso, buscou-se identificar gargalos e sugerir melhorias com o intuito de promover resultados significativos após provável implementação das mudanças propostas.
PERFIL EPIDEMIOLÓGICO DE NEOPLASIA MALIGNA DE COLO DE ÚTERO NO PIAUÍ ENTRE 2018 E 2023
Authors: Macedo Raimundo José Ferreira de , Santos Brenno Willian Sousa , Guimarães Caio Henrique Carneiro da Cunha , Sousa Guilherme Luís Moura , Silveira Rui Paixão Ribeiro , Sousa Junior Maranaldo Fernandes de
Published: November 2024

A neoplasia maligna de colo de útero caracteriza-se pelo desenvolvimento indiscriminado de células cancerosas no tecido que reveste esse órgão. Apresenta altos índices de cura quanto mais cedo for detectado, o que torna as medidas preventivas e o diagnóstico precoce principais aliados no tratamento, que se baseia , sobretudo, na cirurgia oncológica, como a histerectomia. Seja por laparoscopia, ou por cirurgia aberta, a histerectomia é fundamental no tratamento de câncer de colo de útero.
A IMPORTÂNCIA DE ATIVOS NATURAIS NAS FORMULAÇÕES DE SKINCARE
Authors: Leal Adriana Ribeiro de Sousa , Morais Caio Vinícius Vieira , Lima Elaine Soares Leal , Barbosa Filho José Amaro Machado , Almeida Juliana Soares Leal , Vilante Márcio Allison Ribeiro , Soares Pedro Lucas Oliveira , Lago Alexsander Frederick Viana do
Published: November 2024

INTRODUCTION: This study investigates the effectiveness of natural products in skincare beyond their aesthetic function, exploring their therapeutic properties for skin care. The analysis focuses on active ingredients such as Aloe Vera and essential oils from the Amazon, highlighting their antioxidant, anti-inflammatory and healing benefits for individualized treatments. GENERAL OBJECTIVE: The objective of this study is to investigate the effectiveness of natural active ingredients in cosmetics such as skincare, exploring their benefits beyond aesthetics. METHODOLOGY: This study presents an integrative bibliographic review on skincare and natural products, analyzing articles from 2020 to 2024 in databases such as BVS, PubMed, Google Scholar and Web of Science. Five relevant articles were selected to develop a review framework, focusing on the potential of cosmetics with natural products in adjuvant treatments in skincare. RESULTS: This study reviewed cosmetic formulations with natural products, focusing on their pharmacodynamic and pharmacokinetic properties to enhance aesthetic and therapeutic benefits, especially in combating skin aging and treating acne. six articles were analyzed that highlighted active ingredients such as Aloe Vera and cocoa extract, proving their antioxidant, anti-inflammatory and healing effects. CONCLUSION: The conclusion highlights that a skin care routine with natural cosmetics, such as Centella Asiatica and Aloe Vera, can prevent premature aging and treat conditions such as acnes, due to their anti-inflammatory and antioxidant properties.
TRATAMENTO FISIOTERÁPICO NA REABILITAÇÃO DE PACIENTE CANINO COM FRATURA EM COLUNA VERTEBRAL: - RELATO DE CASO
Authors: Paula Sarah Vieira de , Silva Diego de Mattos Alves
Published: November 2024

O trauma em pequenos animais, especialmente por atropelamentos, é uma das principais causas de lesões graves, incluindo fraturas e comprometimentos neurológicos. O tratamento de tais lesões demanda uma abordagem integrada, envolvendo diagnóstico preciso e protocolos terapêuticos adequados, que podem incluir cirurgia e fisioterapia. O presente estudo relata o caso de um cão atropelado, que, após intervenção cirúrgica, passou por um processo de reabilitação utilizando diferentes técnicas fisioterápicas, como acupuntura, eletroterapia, magnetoterapia e cinesioterapia. O tratamento iniciou-se logo após a estabilização póscirúrgica, com sessões de fisioterapia adaptadas às condições do paciente. Os resultados mostraram uma recuperação clínica satisfatória, destacando a eficácia das terapias complementares na melhoria da qualidade de vida e no controle da dor, além de otimizar a recuperação funcional. Este caso reforça a importância do início precoce da reabilitação e a necessidade de um protocolo individualizado para cada paciente, visando maximizar os resultados e reduzir complicações associadas ao trauma.
EL HÁBITO DE FUMAR Y SU INFLUENCIA EN LA CONSOLIDACIÓN ÓSEA: UNA REVISIÓN INTEGRADORA
Authors: Brito Melissa Oliveira , Costa Pablo Endrigo Correa da , Rios Gabriella dos Santos do Nascimento , Almeida Ramom Alberto Geroncio de , Andreatta Andrei Euclides , Silva Alexandre Ramos da , Ullrich Maria Eduarda Rodrigues , Sousa Gabrielle Vitoria Rodrigues de , Corrales Agustín René Torres
Published: November 2024

Smoking is considered one of the risk factors for various diseases, not only related to the respiratory system but also influencing the physiological processes of various organs and body systems. This article aims to deepen the understanding of the effects of smoking on bone healing by analyzing its molecular, cellular, and clinical bases. This process is subject to possible direct or indirect interferences from chemical substances such as nicotine. It is important to note that, besides conventional cigarettes, there is also indiscriminate use of electronic cigarettes, which, according to an analysis conducted by Pérez and Duarte (2022), have considerably higher nicotine levels than traditional cigarettes. Another study conducted by González et al. (2021) highlights the increasing popularity of these devices among young people, underscoring the importance of preventive measures. According to the National Institute of Traumatology and Orthopedics (INTO), inhaling tobacco smoke increases bone tissue healing time by 60%, thus delaying the body's ability to heal injuries and compromising bone absorption. The clinical repercussions of smoking on the quality and speed of bone recovery after fractures and orthopedic procedures are identified to improve understanding and develop specific clinical strategies and interventions for smoking patients. The specific objectives of this research were to: investigate the molecular and cellular mechanisms of the bone healing process, analyze the effects of smoking on the quality of the formed tissue, evaluate the influence of smoking on the bone healing time in patients after fracture or orthopedic surgery, and finally propose therapeutic strategies and preventive measures to improve bone healing. To this end, a bibliographic search was conducted on articles relevant to the topic using various means. The selection of articles was based on three stages, choosing those that met the inclusion criteria. During the development of this article, it is observed that smoking is an extended and ancestral practice, being a constant and emerging health problem. Additionally, it is considered a modifiable risk factor for decreasing bone density. In conclusion, the need for specific strategies to address complications in bone healing in smoking patients is highlighted.
O PAPEL DO ENFERMEIRO PARA OS CUIDADOS DO DIABETES MELLITUS GESTACIONAL EM USF DO MUNICÍPIO DE FEIRA DE SANTANA – BAHIA
Authors: Santos Valmirete Souza Dos , Almeida Paulo Rogério Menezes De
Published: November 2024

During pregnancy, women will be susceptible to the occurrence of several hormonal adaptations that can interfere with carbohydrate metabolism, which may result in the triggering of GDM. In this sense, the objective was to describe nursing care for quality care for women with GDM in primary health care. This study is a descriptive literature review, selecting articles indexed in the VHL and LILACS databases, using the descriptors: Diabetes; Enfermagem; Gravidez and its correspondents in the English language between the years 2017 and 2023, excluding those that did not fit the proposed theme. The results of this review demonstrate the need to understand the prevention and control of GDM to humanize care and make the services provided increasingly beneficial to pregnant women. Therefore, promoting, curing and improving health, developing strategies to mitigate complications and proposing ways to prevent this metabolic disorder, referring pregnant women to appropriate levels of monitoring based on their risk classification are the responsibilities of nursing professionals to pregnant women with GDM.
A ABORDAGEM MULTIDIMENSIONAL DO ABUSO SEXUAL CONTRA CRIANÇAS E ADOLESCENTES: IMPACTOS PSICOLÓGICOS, SOCIAIS E JURÍDICOS, COM ÊNFASE EM ESTRATÉGIAS DE PREVENÇÃO E INTERVENÇÃO
Authors: Silva Dayana Medeiros da
Published: November 2024

The research addressed the topic “The Multidimensional Approach to Sexual Abuse against Children and Adolescents: Psychological, Social and Legal Impacts, with Emphasis on Prevention and Intervention Strategies”, examines the problem of child and youth sexual abuse through an integrated analysis psychological, social and legal aspects. Initially, it explores the profound psychological consequences, such as trauma, anxiety disorders and depression, that affect the development of victims, and highlights the importance of psychological support for recovery. In the social field, it analyzes the impact of abuse on the family environment and the community, discussing the stigma and challenges faced by victims and their families. In the legal sphere, the study investigates legal responses and public policies external to the protection of children and adolescents, emphasizing the importance of an intersectoral protection network and the implementation of laws that promote the effective defense of victims’ rights. Furthermore, prevention and intervention strategies are addressed, such as public policies, educational campaigns and family support programs, which play an essential role in building a safe environment and combating abuse. The research concludes that a multidimensional approach is essential to confront child sexual abuse, integrating psychological, social and legal efforts to promote an effective protection network and reduce the incidence of this crime.
ATUAÇÃO DO FARMACÊUTICO NA ATENÇÃO PRIMÁRIA A SAÚDE
Authors: Bessa Francisco Xavier Martins
Published: November 2024

Primary health care is essential in the organization of health systems, functioning as the gateway to health services and the main point of contact between users and the system. Within this context, the pharmacist plays a primary and active role in promoting health and preventing diseases, offering guidance on the correct use of medications, preventing problems associated with them and promoting healthy habits. This involvement occurs both at the individual level, through personalized counseling for patients, and at the community level, through educational and health awareness initiatives. In this way, the pharmacist demonstrates his versatility as a health agent, adapting to the specific needs of each population served in primary care. Investigate the importance of the pharmacist’s role in primary health care and its impacts on health promotion and disease prevention. Exploratory and comparative bibliographic review based on qualitative research. Investments in continuing education, development of policies and guidelines that promote their integration into the health team and strengthening interprofessional collaboration were recommended. It was concluded that the role of the pharmacist in primary health care is essential for promoting the health of the population and strengthening the health system as a whole. Its comprehensive and multifaceted role demands recognition, appreciation and continuous investment to ensure that it can continue to play its role efficiently, benefiting a healthier and more resilient society.
PERCEPÇÕES E CONHECIMENTO DE ESTUDANTES DE MEDICINA DO ALTO PARANÁ – PARAGUAI SOBRE PARADA CARDIORRESPIRATÓRIA E REANIMAÇÃO CARDIOPULMONAR: ESTUDO DESCRITIVO
Authors: VELAZQUEZ Makarena Soledad , ALVES Letícia Vendrametto de Castro , RIBEIRO Lucas da Silva
Published: November 2024

Investigar o conhecimento teórico dos conceitos básicos da reanimação cardiopulmonar (RCP) entre estudantes de medicina. MÉTODOS: Trata-se de um estudo descritivo misto, com abordagem quantitativa e qualitativa. Os dados foram coletados por meio de questionário online, utilizando a ferramenta Google Docs. Foi aplicado um questionário de 11 questões sobre o conhecimento dos alunos sobre Parada Cardiorrespiratória e Reanimação Cardiopulmonar e sobre simulação clínica. Foi implementado um método de amostragem não probabilístico conhecido como amostragem bola de neve. RESULTADOS: A amostra foi composta por 53 estudantes universitários de medicina. Observou-se que 32,08% (17) dos participantes declararam ter nível de confiança médio, enquanto 30,19% (16) indicaram o nível de confiança mais baixo e apenas 13,21% (7) consideraram quem tinha o nível de confiança mais alto para realizar Reanimação Cardiopulmonar. Os estudantes que relataram ter aprendido sobre Reanimação Cardiopulmonar nas instituições médicas do Alto Paraná deram respostas, em sua maioria, incompletas, sendo que 80% não conseguiram identificar o ciclo correto de RCP ou a frequência atualmente aceita. Aproximadamente 89% dos participantes indicaram, de diferentes formas, que a continuidade do ensino desde o início da formação, abrangendo tanto o conteúdo teórico como a prática com simulações, seria benéfica para melhorar a aprendizagem. CONCLUSÃO: Encontramos uma fragilidade no processo de ensino-aprendizagem, onde os alunos demonstraram algum conhecimento da teoria desse processo, mas não possuíam confiança para atender a parada cardiorrespiratória. É importante que as instituições de ensino invistam em práticas simuladas, principalmente as de alta fidelidade, para que os alunos ganhem autoconfiança no cuidado de seus pacientes. É também importante promover organizações como as ligas acadêmicas, que são espaços extracurriculares onde os alunos podem desenvolver competências teóricas e práticas.
Comprehensive Analysis of Liver Biopsies in a Tertiary Care Hospital: A Retrospective Histopathological and Clinical Correlation Study
Authors: Anand Nekta , Kumar Aditya , Mane V. P.
Published: November 2024

Liver biopsy (LB) served as a vital diagnostic tool for cases with notable alterations in liver function tests and for diagnosing a range of liver diseases, including chronic liver disease, cirrhosis, primary biliary cirrhosis, and hepatic neoplasms. Patients presenting with liver pathology often exhibited nonspecific symptoms, such as abdominal discomfort, nausea, vomiting, fever, indigestion, and flatulence. Based on patients' clinical history and radiological findings that suggested liver disease, a liver biopsy was frequently recommended, as it provided definitive diagnostic insights. Histopathological analysis of liver biopsies offered critical information on disease severity, grading, staging of liver tumors, and the presence of any coexisting hepatic conditions.This study retrospectively examined liver biopsies submitted to the Department of Pathology, correlating histopathological findings with clinical and radiological data. Through this integration, the research contributed to improved diagnosis, management, and follow-up of liver disease cases in a tertiary care setting.
Evaluating the Educational Environment in a Private Medical College Through Students' Eyes: Insights from the DREEM Scale
Authors: Chhatriwala Mitul N. , Patel Dharmik S. , Shah Hitesh N. , Madhu Keyur H.
Published: November 2024

Background: Medical students' learning experiences and success are greatly influenced by their educational environment. For this environment to be continuously improved and to be in line with changing educational standards, regular assessment is necessary. A validated instrument that is frequently used to assess educational climates in health science institutions is the Dundee Ready Education Environment Measure (DREEM). Aim and Objective: Using the DREEM scale, this study sought to evaluate the educational environment as perceived by PramukhSwami Medical College (PSMC) first-year MBBS students in order to pinpoint areas of strength and room for development. Methods: 86 first-year MBBS students at PSMC participated in a cross-sectional study. The 50 items in the DREEM questionnaire, which was divided into five domains—students' perceptions of learning (SPL), teachers (SPT), academic self-perception (SAP), atmosphere (SPA), and social self-perception (SSP)—were used to gather data. The mean scores for each domain were examined using descriptive statistics to pinpoint areas in need of development. To investigate disparities in perception, comparisons based on gender were also examined. Results: A generally positive educational environment was indicated by the overall mean DREEM score of 145 ± 11.45 out of 200. SPL (37 ± 2.7), SPT (30 ± 1.8), SAP (23 ± 2), SPA (35 ± 3), and SSP (20 ± 2) were the subscale scores. Significant differences in SPT, SPA, and SSP scores were found by gender-based analysis, with female students reporting higher satisfaction in some domains (P < 0.05). Conclusion: With high SPL and SPA scores, the results indicate that first-year MBBS students at PSMC have favorable opinions of their learning environment. To further improve student satisfaction and academic achievement, specific interventions could be beneficial in areas like SPT and SSP. These gaps might be successfully filled by putting peer support networks and faculty development programs into place. Frequent evaluation with DREEM can support ongoing.
Correlation Between Vitamin D Levels and Charlson Comorbidity Index with Sarcopenia in Geriatric Patients
Authors: Cahyawati Wiwit Agung Sri Nur , Yasmina Alfi , Suarjana I Nyoman , Rudiansyah Mohammad , Henry Julius
Published: November 2024

Introduction: Elderly individuals are particularly susceptible to malnutrition due to the physiological changes associated with aging, one of which is often vitamin D deficiency. Several studies have indicated a potential association between vitamin D concentrations and sarcopenia; however, the results remain inconsistent. Furthermore, there is limited knowledge regarding the impact of comorbid diseases on this relationship. Methods: This was an analytical observational study with a cross-sectional design, aimed at determining the relationship between vitamin D levels and the Charlson Comorbidity Index with sarcopenia in geriatric patients. The research subjects were geriatric patients receiving outpatient care at the geriatric clinic of Ulin Hospital Banjarmasin, who met the inclusion criteria and were selected using a consecutive sampling technique. Measurements of sarcopenia components, Charlson Comorbidity Index scores, and vitamin D levels were performed. The degree of sarcopenia was then calculated, tabulated, and analyzed using correlation tests. Results: A total of 77 subjects participated in the study. There was no significant association between vitamin D levels and the incidence of sarcopenia. Similarly, no significant relationship was found between the Charlson Comorbidity Index and sarcopenia. Conclusion: Vitamin D levels are not associated with the incidence of sarcopenia in geriatric patients. Similarly, the Charlson Comorbidity Index score is not associated with the incidence of sarcopenia in this population.
Smart Medicine: The Role of Artificial Intelligence and Machine Learning in Next-Generation Healthcare Innovation
Authors: Danda Ramanakar Reddy , Yasmeen Zakera , Mandala Gowtham , Maguluri Kiran Kumar , Ganesh Pambala
Published: November 2024

The paper focuses on big data and healthcare pharmaceuticals, which pose both great promise and challenge as they can contribute to well-being and deliver innovation and knowledge to next-generation healthcare products. This paper provides an overview of the benefits that machine learning and big data technology contribute to healthcare systems. Realities such as patient and healthcare professional demands, the number of diseases, insufficient drugs, regulations, legal and ethical guideline restrictions, modus operandi, and technology development take place in the healthcare sector. In addition, big data opportunities and challenges for healthcare companies, research, and healthcare infrastructure are discussed. Finally, a vision of health innovation through personalized medicines as well as smart medicine is presented as a step closer to patients through regulatory, legal, and ethical guidelines, applications, and opportunities that need to be regulated and resolved.