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Adolescente com alto risco para Psicose (“Ultra High Risk”): uma revisão integrativa 精神病高危青少年(“超高风险”):一项综合综述
Pub Date : 2021-08-27 DOI: 10.56242/globalhealth;1;4;30-33
Karina Mayumi Kawakami, Sonia Maria Motta Palma Sonia Maria Motta Palma, Rayssa Nailla Santos Duarte, Heloisa Rocha Falcão, B. Modesto
OBJECTIVE: Many psychotic disorders such as schizophrenia can start with attenuated psychotic symptoms and / or declining social and occupational functions. People who present with these “prodromal” characteristics are described as being at Ultra High Risk (UHR) for psychosis. Due to the impact that these disorders have on their quality of life, it is important to review the existing literature. The aim was to conduct an integrative review on UHR and its impact on the quality of life in children and adolescents. METHODS: Searched for articles in the Pubmed database in the period 2010-2019 with the following descriptors: "Psychotic Disorders", "Risk Factors", "Schizophrenia", "Clinical Diagnosis". RESULTS: The search selected 10 articles and an Australian guideline Orygen, of which seven were selected for the present review after analysis. According to the results found, several psychotic disorders may have prodromal characteristics that are the same as Ultra High Risk (UHR). CONCLUSION: Patients with psychosis have worsened quality of life and more unfavorable prognosis, therefore, UHR present an opportunity for intervention to prevent the onset of the first psychotic episode. In clinical trials conducted with UHR patients, both the duration and periods of intervention have been relatively short. Thus, the question remains whether this intervention in the productive phase is effective over time. There should be more discussion about the cost benefit of treatments in UHR patients.
目的:许多精神障碍如精神分裂症可以精神病症状减轻和/或社会和职业功能下降开始。表现出这些“前驱”特征的人被描述为精神病的超高风险(UHR)。由于这些疾病对其生活质量的影响,回顾现有文献是很重要的。目的是对UHR及其对儿童和青少年生活质量的影响进行综合审查。方法:在Pubmed数据库中检索2010-2019年期间描述词为“精神障碍”、“危险因素”、“精神分裂症”、“临床诊断”的文章。结果:检索到10篇文章和一篇澳大利亚指南Orygen,经分析后从中选出7篇纳入本综述。根据结果发现,一些精神障碍可能具有与超高风险(UHR)相同的前驱特征。结论:精神病患者生活质量较差,预后较差,因此,UHR为预防首次精神病发作的干预提供了机会。在对UHR患者进行的临床试验中,干预的持续时间和时间都相对较短。因此,问题仍然是这种在生产阶段的干预是否随着时间的推移而有效。应该对UHR患者治疗的成本效益进行更多的讨论。
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引用次数: 0
Compreensão da equipe multiprofissional de uma Unidade de Terapia Intensiva sobre promoção da Saúde 对重症监护病房多学科团队健康促进的理解
Pub Date : 2021-08-27 DOI: 10.56242/globalhealth;2021;1;4;5-9
Gabriela Pereira do Carmo, Jane de Eston Armond, Carolina Nunes França, Luciane Lucio Pereira
OBJECTIVE: To investigate the understanding of health professionals in an Intensive Care Unit about the meaning of health promotion. ETHODS: This study has a qualitative approach with thematic analysis. The study subjects included 24 professionals with higher education: six doctors, six nurses, six physiotherapists, one psychologist, one speech therapist, one nutritionist, one social worker, and two pharmacists. The data collection took place between the months of November and December 2016, using semi-structured research, and the interviews were transcribed in full. The data analyses were carried out from the content analysis. RESULTS: The results present eight nuclei of meanings/pre-categories: I) lack of repertoire; II) health promotion as guidance; III) generalization for well-being; IV) health promotion and multidisciplinary team; V) health and family promotion; VI) difficulties of professionals; VII) health promotion in treatment; and VIII) health promotion as a form of care. CONCLUSIONS: There is still a long way to go to achieve the development of health promotion in the context of the Intensive Care Unit, especially because the health practices established in patient care are centered on the physical aspects of the condition.
目的:了解重症监护病房卫生专业人员对健康促进的认识。方法:本研究采用主题分析的定性方法。研究对象包括24名受过高等教育的专业人员:6名医生、6名护士、6名物理治疗师、1名心理学家、1名语言治疗师、1名营养学家、1名社会工作者和2名药剂师。数据收集是在2016年11月至12月期间进行的,采用半结构化研究,访谈全部转录。数据分析从内容分析入手。结果:结果显示了八个意义核/前分类:1)缺乏保留;二)以促进健康为指导;III)福祉概化;四)健康促进和多学科团队;(五)保健和家庭促进;六)专业人员的困难;七)在治疗方面促进健康;(八)作为一种保健形式的健康促进。结论:在重症监护室环境下实现健康促进的发展还有很长的路要走,特别是在病人护理中建立的健康实践以病情的身体方面为中心。
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引用次数: 0
Violência doméstica e o desempenho escolar de crianças e adolescentes 家庭暴力与儿童和青少年在学校的表现
Pub Date : 2021-08-27 DOI: 10.56242/globalhealth;2021;1;4;34-38
Tatiana Cristina Pereira, Silvia Helena Modenesi Pucci, Jane Eston Armond
OBJECTIVE: The current study aimed to establish if there is a relationship between domestic violence and school performance of children and adolescents, through verification of the interpersonal relationships in the family context, the most frequent types of domestic violence, and the school performance of victimized/non-victimized children and adolescents. METHODS: A cross-sectional study was carried out, in which data were collected through a Sociodemographic Characterization Questionnaire and the Inventory of Questions for the Diagnosis of Domestic Violence in Children and Adolescents, which was developed for this study. All ethical principles recommended in research involving human beings were complied with, ensuring the secrecy and confidentiality of the data obtained. RESULTS: The analysis of the data suggests that Domestic Violence is related to the level of school performance of children and adolescents. In addition, the type of domestic violence identified in this population was verbal/psychological. Regarding school performance, the sample attained average and below average results. CONCLUSION: Domestic violence can impact the school performance of children and adolescents. The sample of subjects studied enables us to reflect on the silence that plagues society when addressing the issue of domestic violence against children and adolescents in its multiple contexts, especially in the school space and in the family environment.
目的:本研究旨在通过验证家庭背景下的人际关系、最常见的家庭暴力类型以及受害/非受害儿童青少年的学习成绩,来确定家庭暴力与儿童青少年学习成绩之间是否存在关系。方法:采用横断面研究,通过为本研究开发的社会人口学特征问卷和儿童和青少年家庭暴力诊断问题清单收集数据。在涉及人类的研究中,所有建议的伦理原则都得到遵守,确保所获得数据的保密和机密性。结果:对数据的分析表明,家庭暴力与儿童青少年的学习成绩水平有关。此外,在这一人群中确定的家庭暴力类型是言语/心理暴力。在学校表现方面,样本达到平均水平或低于平均水平。结论:家庭暴力会影响儿童青少年的学习成绩。所研究的主题样本使我们能够反思在多种情况下,特别是在学校空间和家庭环境中处理针对儿童和青少年的家庭暴力问题时困扰社会的沉默。
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引用次数: 0
Occurrence of antibodies to Leptospira spp and Toxoplasma gondii in captive wild animals in the Zoobotanical Park of Petrolina, PE, Brazil 巴西Petrolina动物园圈养野生动物钩端螺旋体和刚地弓形虫抗体的发生
Pub Date : 2021-08-27 DOI: 10.56242/globalhealth;2021;1;4;16-22
José A Rodrigues Santos, Rafael Damasceno Fernandes Coelho, Sandra Geisa Costa Albino, D. R. Rodrigues Silva, Herbert Sousa Soares, Liliane Moreira Donato Moura, Matheus Burilli Cavalini, M. Heinemann, S. Gennari, Hilda Fátima Jesus Pena, M. C. Horta
OBJECTIVE: Leptospirosis and toxoplasmosis are cosmopolitan zoonoses affecting domestic and wild animals that can inhabit urban environments acting as reservoirs of infectious agents, increasing the risk of zoonotic diseases transmission to humans. The present study aimed to detect serum antibodies to Leptospira spp. and Toxoplasma gondii in captive wild animals from the Zoobotanical Park, located in the city of Petrolina, State of Pernambuco, Brazil. METHODS: Samples were collected from 72 wild animals, including 12 mammals, 26 birds, and reptiles. Serological diagnosis for anti-T. gondii antibody detection was performed on birds and mammals using the modified agglutination test (MAT Toxo). Anti-Leptospira spp. antibodies were detected in reptiles and mammals by microscopic agglutination test (MAT Lepto). RESULTS: The occurrence of T. gondii antibodies was 56.4% (22/39), with positive animals from the genera: Procyon cancryvorus (1/2), Ara ararauna (4/4), Patagioenas picazuro (5/5), Amazona aestiva (5/5), Aratinga acuticaudata (3/3), Tayassu tajacu (2/2), Nasua nasua (1/1) and Cerdocyon thous (1/1). Anti-Leptospira spp. antibodies were found in 4.4% (2/45) of the animals, with one out of the two Tamandua tetradactyla positive for the subgroup Australis and one out of the 23 Geochelone carbonaria positive for the subgroup Hebdomadis. CONCLUSION: Captive wild animals from zoos can take part in the life cycle of these agents, acting as reservoirs, thus assuming an important role in the epidemiological chain of these important zoonotic agents.
目的:钩端螺旋体病和弓形虫病是影响家养和野生动物的世界性人畜共患疾病,它们可以栖息在城市环境中,作为传染性病原体的宿主,增加了人畜共患疾病传播给人类的风险。本研究旨在检测巴西伯南布哥州Petrolina市动物园圈养野生动物钩端螺旋体和刚地弓形虫的血清抗体。方法:采集野生动物72只,其中哺乳动物12只,鸟类26只,爬行动物26只。抗t血清学诊断。采用改良的弓形虫抗体凝集试验(MAT Toxo)检测鸟类和哺乳动物的弓形虫抗体。用显微镜凝集试验(MAT Lepto)在爬行动物和哺乳动物中检测到钩端螺旋体抗体。结果:弓形虫抗体检出率为56.4%(22/39),阳性动物分别为:癌原虫(1/2)、兔腹虫(4/4)、刺棘田鼠(5/5)、亚马孙(5/5)、针叶田鼠(3/3)、塔雅苏(2/2)、纳沙瓦(1/1)和千头尾尾龙(1/1)。在4.4%(2/45)的动物中发现抗钩端螺旋体抗体,其中1 / 2的Tamandua tetradactyla在Australis亚群中呈阳性,1 / 23的Geochelone carbonaria在Hebdomadis亚群中呈阳性。结论:动物园圈养野生动物可以参与这些重要人畜共患病原体的生命周期,作为宿主,在这些重要人畜共患病原体的流行链中起着重要作用。
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引用次数: 1
Canine Visceral leishmaniasis in Itapecerica da Serra, metropolitan region of São Paulo, SP, Brazil: new epidemiological classification 巴西圣保罗州<s:1>大都市地区Itapecerica da Serra犬内脏利什曼病:新的流行病学分类
Pub Date : 2021-08-27 DOI: 10.56242/globalhealth;2021;1;4;1-4
Camila de Abreu Aires Ribeiro Costa, Ryan Emiliano da Silva, Isabella Pereira Pesenato, Giovanna Stefani Nosberto Castelli, F. A. Nieri-Bastos, A. Marcili
OBJETIVO: As leishmanioses são antropozoonoses consideradas um grande problema de saúde pública e representam um complexo de doenças com importante espectro clínico e diversidade epidemiológica. A leishmaniose visceral é uma doença severa com ampla distribuição geográfica, com uma incidência de dois milhões de casos por ano e 350 milhões de pessoas em áreas de risco, sendo causada pela espécie Leishmania infantum, que possui nos canídeos domésticos o grupo mais importante de reservatórios envolvidos na manutenção da infecção. O objetivo deste trabalho foi avaliar a presença de parasitas do gênero Leishmania spp. no município de Itapecerica da Serra, Cotia e Juquitiba, municípios da região metropolitana de São Paulo, Brasil. MÉTODOS: Foi realizado o diagnóstico molecular, sorológico e parasitológico (isolamento) em 153 amostras de cães oriundos de abrigos. RESULTADOS: O diagnóstico sorológico apresentou 9,8% (15/153) de positividade para a pesquisa de anticorpos anti-Leishmania e o diagnóstico molecular específico para Leishmania infantum apresentou 5,2% (8/153) de positividade. O exame parasitológico, nos animais previamente positivos nas metodologias utilizadas no presente estudo, foi realizado através da punção por agulha fina de linfonodo poplíteo e apenas um animal foi positivo do município de Itapecerica da Serra. CONCLUSÃO: Os testes moleculares específicos para Leishmania infantum corroboraram a presença e circulação do agente nos municípios que integram a região metropolitana de São Paulo. Adicionalmente, desperta a particular atenção para uma nova classificação epidemiológica do município de Itapecerica de Serra, contribuindo com a atualização nas medidas de vigilância epidemiológica da doença no município.
摘要目的:利什曼病是一种人畜共患病,被认为是一个重大的公共卫生问题,是一种具有重要临床谱和流行病学多样性的复杂疾病。内脏利什曼病是一种严重的疾病的发病率和广泛的地理分布,每年二百万例,3.5亿人在危险的领域,而国内婴儿利什曼原虫,它将我们的最重要的群体参与维护感染源。本研究的目的是评估巴西sao保罗大都会区Itapecerica da Serra、Cotia和Juquitiba市利什曼原虫属寄生虫的存在情况。方法:对153份犬类庇护所样本进行分子、血清学和寄生虫学诊断(分离)。结果:抗利什曼原虫抗体血清学诊断阳性9.8%(15/153),婴儿利什曼原虫特异性分子诊断阳性5.2%(8/153)。在本研究中使用的方法中,寄生虫学检查是通过腘窝淋巴结细针穿刺进行的,只有一只动物在Itapecerica da Serra市呈阳性。结论:对婴儿利什曼原虫的特异性分子检测证实了该制剂在sao保罗大都会区的存在和流通。此外,它提请特别注意Itapecerica de Serra市新的流行病学分类,有助于更新该市疾病流行病学监测措施。
{"title":"Canine Visceral leishmaniasis in Itapecerica da Serra, metropolitan region of São Paulo, SP, Brazil: new epidemiological classification","authors":"Camila de Abreu Aires Ribeiro Costa, Ryan Emiliano da Silva, Isabella Pereira Pesenato, Giovanna Stefani Nosberto Castelli, F. A. Nieri-Bastos, A. Marcili","doi":"10.56242/globalhealth;2021;1;4;1-4","DOIUrl":"https://doi.org/10.56242/globalhealth;2021;1;4;1-4","url":null,"abstract":"OBJETIVO: As leishmanioses são antropozoonoses consideradas um grande problema de saúde pública e representam um complexo de doenças com importante espectro clínico e diversidade epidemiológica. A leishmaniose visceral é uma doença severa com ampla distribuição geográfica, com uma incidência de dois milhões de casos por ano e 350 milhões de pessoas em áreas de risco, sendo causada pela espécie Leishmania infantum, que possui nos canídeos domésticos o grupo mais importante de reservatórios envolvidos na manutenção da infecção. O objetivo deste trabalho foi avaliar a presença de parasitas do gênero Leishmania spp. no município de Itapecerica da Serra, Cotia e Juquitiba, municípios da região metropolitana de São Paulo, Brasil. MÉTODOS: Foi realizado o diagnóstico molecular, sorológico e parasitológico (isolamento) em 153 amostras de cães oriundos de abrigos. RESULTADOS: O diagnóstico sorológico apresentou 9,8% (15/153) de positividade para a pesquisa de anticorpos anti-Leishmania e o diagnóstico molecular específico para Leishmania infantum apresentou 5,2% (8/153) de positividade. O exame parasitológico, nos animais previamente positivos nas metodologias utilizadas no presente estudo, foi realizado através da punção por agulha fina de linfonodo poplíteo e apenas um animal foi positivo do município de Itapecerica da Serra. CONCLUSÃO: Os testes moleculares específicos para Leishmania infantum corroboraram a presença e circulação do agente nos municípios que integram a região metropolitana de São Paulo. Adicionalmente, desperta a particular atenção para uma nova classificação epidemiológica do município de Itapecerica de Serra, contribuindo com a atualização nas medidas de vigilância epidemiológica da doença no município.","PeriodicalId":285800,"journal":{"name":"Brazilian Journal of Global Health","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116349073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Detection and molecular characterization of Leishmania in dogs from northeastern Brazil 巴西东北部犬利什曼原虫检测及分子特征分析
Pub Date : 2021-08-27 DOI: 10.56242/globalhealth;2021;1;4;23-29
Anna Maria da Cruz Ferreira Evaristo, Ivo Wesley Gomes da Silva, Glauber Meneses Barboza de Oliveira, Ryan Emiliano da Silva, Jaciara de Oliveira Jorge Costa, Josir Laine Aparecida Veschi, A. Marcili, M. C. Horta
OBJECTIVE: The aim of the present study was to determine the current seroprevalence of canine leishmaniasis (CanL) among domiciled dogs, factors associated with seropositivity, circulating Leishmania species and spatial analysis, in six municipalities in the Sertão and São Francisco mesoregions, which are located in the state of Pernambuco, Brazil. METHODS: Blood samples from 330 dogs were analyzed using serological and molecular assays: dual path platform (DPP®); enzyme-linked immunosorbent assay (ELISA), indirect fluorescent antibody test (IFAT) and polymerase chain reaction (PCR). The nucleotide sequences of four gene markers (kDNA, cathepsin L-like, SSU-rDNA and gGAPDH) were explored to perform a phylogenetic analysis. RESULTS: The overall seroprevalence was 13% (43/330) in dogs that were simultaneously positive according to DPP® ELISA and IFAT, consisting of 13.9% (23/165) in Sertão and 12.1% (20/165) in São Francisco. The factors associated with high prevalence of L. infantum antibodies in dogs comprised living in the municipality of Petrolina (P = 0.045) and presenting ocular lesions (P = 0.049) (P ≤ 0.05). Significant clusters of positive dogs were found in rural areas. The positivity values obtained through PCR based on the genes kDNA and cathepsin L-like were 6.7% (22/330) and 2.4% (8/330), respectively. In the phylogenetic analysis, it was observed that all the isolates obtained showed 100% similarity to Leishmania infantum. CONCLUSION: For the first time, L. infantum was confirmed as the etiological agent of CanL in this region. Thus, assessment of the genetic structure of populations of Leishmania spp. is important for understanding the patterns for transmission of CanL.
目的:本研究的目的是确定目前犬利什曼病(CanL)的血清学阳性率,与血清阳性相关的因素,利什曼原虫的流行种类和空间分析,在位于巴西伯南布哥州的sert和sfrancisco中部地区的6个城市。方法:采用血清学和分子检测方法对330只狗的血液样本进行分析:双路平台(DPP®);酶联免疫吸附试验(ELISA)、间接荧光抗体试验(IFAT)和聚合酶链反应(PCR)。利用4个基因标记(kDNA、组织蛋白酶l样、SSU-rDNA和gGAPDH)的核苷酸序列进行系统发育分析。结果:DPP®ELISA和IFAT同时检测阳性犬的总血清阳性率为13%(43/330),其中sert犬为13.9%(23/165),旧金山犬为12.1%(20/165)。与犬类婴儿乳杆菌抗体高流行率相关的因素包括:居住在彼得林纳市(P = 0.045)和出现眼部病变(P = 0.049) (P≤0.05)。在农村地区发现了显著的阳性犬群。基于kDNA和cathepsin L-like基因的PCR阳性率分别为6.7%(22/330)和2.4%(8/330)。在系统发育分析中发现,所有分离株均与幼利什曼原虫具有100%的相似性。结论:首次证实婴儿乳杆菌是该地区CanL的病原。因此,评估利什曼原虫种群的遗传结构对了解CanL的传播模式具有重要意义。
{"title":"Detection and molecular characterization of Leishmania in dogs from northeastern Brazil","authors":"Anna Maria da Cruz Ferreira Evaristo, Ivo Wesley Gomes da Silva, Glauber Meneses Barboza de Oliveira, Ryan Emiliano da Silva, Jaciara de Oliveira Jorge Costa, Josir Laine Aparecida Veschi, A. Marcili, M. C. Horta","doi":"10.56242/globalhealth;2021;1;4;23-29","DOIUrl":"https://doi.org/10.56242/globalhealth;2021;1;4;23-29","url":null,"abstract":"OBJECTIVE: The aim of the present study was to determine the current seroprevalence of canine leishmaniasis (CanL) among domiciled dogs, factors associated with seropositivity, circulating Leishmania species and spatial analysis, in six municipalities in the Sertão and São Francisco mesoregions, which are located in the state of Pernambuco, Brazil. METHODS: Blood samples from 330 dogs were analyzed using serological and molecular assays: dual path platform (DPP®); enzyme-linked immunosorbent assay (ELISA), indirect fluorescent antibody test (IFAT) and polymerase chain reaction (PCR). The nucleotide sequences of four gene markers (kDNA, cathepsin L-like, SSU-rDNA and gGAPDH) were explored to perform a phylogenetic analysis. RESULTS: The overall seroprevalence was 13% (43/330) in dogs that were simultaneously positive according to DPP® ELISA and IFAT, consisting of 13.9% (23/165) in Sertão and 12.1% (20/165) in São Francisco. The factors associated with high prevalence of L. infantum antibodies in dogs comprised living in the municipality of Petrolina (P = 0.045) and presenting ocular lesions (P = 0.049) (P ≤ 0.05). Significant clusters of positive dogs were found in rural areas. The positivity values obtained through PCR based on the genes kDNA and cathepsin L-like were 6.7% (22/330) and 2.4% (8/330), respectively. In the phylogenetic analysis, it was observed that all the isolates obtained showed 100% similarity to Leishmania infantum. CONCLUSION: For the first time, L. infantum was confirmed as the etiological agent of CanL in this region. Thus, assessment of the genetic structure of populations of Leishmania spp. is important for understanding the patterns for transmission of CanL.","PeriodicalId":285800,"journal":{"name":"Brazilian Journal of Global Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115996320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Sentimentos e sobrecarga da família no cuidado de idosos com Alzheimer: revisão integrativa da literatura 老年阿尔茨海默氏症患者的感受与家庭负担:综合文献综述
Pub Date : 2021-08-27 DOI: 10.56242/globalhealth;2021;1;4;10-15
Luma Maria Machado da Cruz, João Henrique de Morais Ribeiro
OBJECTIVE: Identify in the national scientific literature what difficulties the family faces in the care of elderly people with Alzheimer's Disease (AD). METHODS: Integrative literature review carried out between the months of March and September 2020 on the Regional Portal of the Virtual Health Library (VHL) and on the directory of Scientific Electronic Library Online (SciELO) journals using descriptors contained in the DECS and keywords, respecting the characteristics of the portal and the directory. RESULTS: Fifteen studies were selected, read in full and two categories were created for similarity of content, namely: (1) Weariness of family caregivers - From the feeling of imprisonment to the burden generated by care; (2) Family relationships and feelings related to care. CONCLUSION: Care is based on love, affection, recognition and retribution. Creating a care network for the whole family is necessary in order to alleviate the suffering of the whole family.
目的:在国家科学文献中确定家庭在照顾老年阿尔茨海默病(AD)患者时面临的困难。方法:根据虚拟健康图书馆(VHL)区域门户网站和科学电子图书馆在线(SciELO)期刊目录,在尊重门户网站和目录特点的情况下,使用DECS和关键词中的描述符对2020年3月至9月期间的文献进行综合综述。结果:选取了15项研究,全文阅读,根据内容相似度创建了两个类别,即:(1)家庭照顾者的厌倦感——从被监禁的感觉到照顾产生的负担;(2)与关爱相关的家庭关系和感受。结论:关怀是基于爱、情感、认可和报答。为了减轻整个家庭的痛苦,有必要为整个家庭建立一个护理网络。
{"title":"Sentimentos e sobrecarga da família no cuidado de idosos com Alzheimer: revisão integrativa da literatura","authors":"Luma Maria Machado da Cruz, João Henrique de Morais Ribeiro","doi":"10.56242/globalhealth;2021;1;4;10-15","DOIUrl":"https://doi.org/10.56242/globalhealth;2021;1;4;10-15","url":null,"abstract":"OBJECTIVE: Identify in the national scientific literature what difficulties the family faces in the care of elderly people with Alzheimer's Disease (AD). METHODS: Integrative literature review carried out between the months of March and September 2020 on the Regional Portal of the Virtual Health Library (VHL) and on the directory of Scientific Electronic Library Online (SciELO) journals using descriptors contained in the DECS and keywords, respecting the characteristics of the portal and the directory. RESULTS: Fifteen studies were selected, read in full and two categories were created for similarity of content, namely: (1) Weariness of family caregivers - From the feeling of imprisonment to the burden generated by care; (2) Family relationships and feelings related to care. CONCLUSION: Care is based on love, affection, recognition and retribution. Creating a care network for the whole family is necessary in order to alleviate the suffering of the whole family.","PeriodicalId":285800,"journal":{"name":"Brazilian Journal of Global Health","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114702145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges for the public and private healthcare systems in the fight against COVID-19 in São Paulo, SP, Brazil 巴西圣保罗州<s:1>圣保罗市公共和私营医疗保健系统在抗击COVID-19中面临的挑战
Pub Date : 2021-05-27 DOI: 10.56242/globalhealth;2021;1;3;12-15
Beatriz Vilares Correia, Daniela Bertagni Abraão, Isabela Toledo Pestana Silva, Giovanna Ayres Rossini, Giovanna Gabrieli Aparecida S. Fazzolari, Yasmin Mendes R. Dos Santos, Leonardo Sokolnik de Oliveira
OBJECTIVE: To compare the difficulties faced by the public and private systems’ healthcare systems professionals during the COVID-19 pandemic. METHODS: Through an online form, which was sent to healthcare professionals, it was asked what the main difficulties they had to face during the pandemic were, such as the lack of PPEs, beds, professionals, the large number of patients, as well as the proper training in both the public and private sectors. RESULTS: There 389 forms received. Among the people who answered the form, 256 worked only at the public sector, while only 82 worked at the private sector, and 52 of them worked at both. It was possible to realize the disproportionality of the hardships faced by them in both sectors. Regarding the public workers, 42% of those who answered the form faced lack of PPEs, while this number is only 17.1% when it comes to the private sector. As for the number of infected professionals the public scope was also in disadvantage, 33.6% of them were infected, a larger number compared to the 20.7% that showed up in the private scope. The difference between the lack of beds, however, was not statistically relevant according to the chi-square test. CONCLUSION: We concluded that in many ways, as expected, the members of the public system are in disadvantage when compared to the ones in the private one. Factors such as the lack of PPEs and number of infected professionals were extremely out of proportion between both sectors.
目的:比较2019冠状病毒病疫情期间公立和私立医疗卫生系统专业人员面临的困难。方法:通过向卫生保健专业人员发送在线表格,询问他们在大流行期间必须面对的主要困难是什么,例如缺乏ppe、床位、专业人员、大量患者以及公共和私营部门的适当培训。结果:共收到表格389份。在回答问卷的人中,只在公共部门工作的有256人,在民间部门工作的有82人,同时在公共部门和民间部门工作的有52人。可以认识到他们在这两个部门所面临的困难是不成比例的。在公务员中,有42%的人回答说“缺乏公共服务”,而在私营部门中,这一比例仅为17.1%。至于受感染的专业人员人数,公共领域也处于不利地位,其中33.6%的人受到感染,高于私人领域的20.7%。然而,根据卡方检验,缺乏床位之间的差异没有统计学相关性。结论:我们得出结论,在许多方面,正如预期的那样,公共系统的成员与私营系统的成员相比处于劣势。缺乏ppe和受感染专业人员的数量等因素在这两个部门之间极不相称。
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引用次数: 0
Passado x presente: fatores de risco associados ä saúde mental do adolescente 过去与现在:与青少年心理健康相关的危险因素
Pub Date : 2021-05-27 DOI: 10.56242/globalhealth;2021;1;3;45-52
Victor Nunes de Almeida, Tatiana Ribeiro, Silvia Helena Modenesi Pucci
OBJECTIVE: Adolescence is characterized by a great psychic fragility resulting from the great instabilities caused by the biopsychosocial changes experienced at this stage of life. This study aimed to identify and compare the socio-cultural risk factors associated with adolescent mental health in a temporal perspective. METHODS: A literature review was conducted between 2001 and 2020 in the following databases: Scielo, Pepsic, LILACS, MEDLINE. The following keywords were used: risk factors, protection factors, mental health, adolescence. RESULTS: It was found that many variables are associated with risk factors that impact the mental health of adolescents. Among the main ones, the various types of violence were highlighted as a factor that can negatively impact the mental health of adolescents. Most of the risk factors identified here, as well as the violence that was pointed out as a risk fact in 2007 and 12 years later, in 2019, continued to be pointed out as a risk factor and is maintained over the years, changing only the circumstances and the means as they permeate the lives of adolescents. CONCLUSION: Knowing the risk factors and protective factors are essential in the formulation of proposals for effective interventions aimed at preventing or mitigating possible mental disorders and psychological suffering in this population.
目的:青春期的特点是一个巨大的心理脆弱性,这是由于在这个生命阶段经历的生物心理社会变化造成的巨大不稳定性造成的。本研究旨在从时间角度识别和比较与青少年心理健康相关的社会文化风险因素。方法:检索2001 - 2020年间Scielo、Pepsic、LILACS、MEDLINE等数据库的文献。使用了以下关键词:危险因素、保护因素、心理健康、青春期。结果:研究发现,影响青少年心理健康的危险因素与许多变量相关。在主要问题中,各种类型的暴力被强调为可能对青少年心理健康产生负面影响的一个因素。这里确定的大多数风险因素,以及在2007年和12年后的2019年被指出为风险事实的暴力,继续被指出为风险因素,并且多年来一直存在,只是改变了环境和手段,因为它们渗透到青少年的生活中。结论:了解危险因素和保护因素对制定有效干预措施建议至关重要,旨在预防或减轻这一人群可能出现的精神障碍和心理痛苦。
{"title":"Passado x presente: fatores de risco associados ä saúde mental do adolescente","authors":"Victor Nunes de Almeida, Tatiana Ribeiro, Silvia Helena Modenesi Pucci","doi":"10.56242/globalhealth;2021;1;3;45-52","DOIUrl":"https://doi.org/10.56242/globalhealth;2021;1;3;45-52","url":null,"abstract":"OBJECTIVE: Adolescence is characterized by a great psychic fragility resulting from the great instabilities caused by the biopsychosocial changes experienced at this stage of life. This study aimed to identify and compare the socio-cultural risk factors associated with adolescent mental health in a temporal perspective. METHODS: A literature review was conducted between 2001 and 2020 in the following databases: Scielo, Pepsic, LILACS, MEDLINE. The following keywords were used: risk factors, protection factors, mental health, adolescence. RESULTS: It was found that many variables are associated with risk factors that impact the mental health of adolescents. Among the main ones, the various types of violence were highlighted as a factor that can negatively impact the mental health of adolescents. Most of the risk factors identified here, as well as the violence that was pointed out as a risk fact in 2007 and 12 years later, in 2019, continued to be pointed out as a risk factor and is maintained over the years, changing only the circumstances and the means as they permeate the lives of adolescents. CONCLUSION: Knowing the risk factors and protective factors are essential in the formulation of proposals for effective interventions aimed at preventing or mitigating possible mental disorders and psychological suffering in this population.","PeriodicalId":285800,"journal":{"name":"Brazilian Journal of Global Health","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124353932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Estilos de vida em jovens universitários: aplicação do “FANTASTICO” 大学生生活方式:“FANTASTICO”的应用
Pub Date : 2021-05-27 DOI: 10.56242/globalhealth;2021;1;3;1-6
João Amado, João Neves Amado, Patricia Batista, Margarida Vieira
OBJECTIVE: Entering university is a challenge of autonomy and self/group affirmation. Particular attention should be given to healthy behaviors by all stakeholders and the university environment in general. The current study aimed to investigate the lifestyle of the first year students of the Universidade Católica Portuguesa - Porto (UCP). METHODS: The “FANTASTICO Lifestyle” questionnaire was applied in the “Critical Thinking” teaching sessions. The collected data were treated using the SPSS® program. RESULTS: It was found that although the overall lifestyle of these students is considered “good” with no differences between genders, 7.9% of students are in the lowest values in the category. The items in which the values were most disparate were physical activity/associativism, work/personality type, nutrition, and health/sexual behavior. The heavy weighting of the item “family/friends”stood out. CONCLUSIONS: It was concluded that the “FANTASTICO” was the first step towards a diagnosis and represents a starting point to evaluate the needs of these students. Although the situation can be considered favorable, it is important to begin planning interventions now, whether for promotion of the physical activity/associativism and nutrition component, or for control in the context of tobacco and alcohol consumption.
目的:进入大学是对自主性和自我/群体肯定的挑战。应特别注意所有利益攸关方的健康行为和整个大学环境。目前的研究旨在调查Católica葡萄牙波尔图大学(UCP)一年级学生的生活方式。方法:采用“幻想生活方式”问卷进行“批判性思维”教学。收集的数据使用SPSS®程序进行处理。结果:虽然这些学生的整体生活方式被认为是“良好”的,性别之间没有差异,但有7.9%的学生处于最低值。价值观差异最大的项目是体育活动/联想主义、工作/人格类型、营养和健康/性行为。“家人/朋友”这一项的权重很突出。结论:“FANTASTICO”是诊断的第一步,是评估这些学生需求的起点。虽然情况可以被认为是有利的,但重要的是现在就开始规划干预措施,无论是促进体育活动/联想主义和营养成分,还是在烟草和酒精消费的背景下进行控制。
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Brazilian Journal of Global Health
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