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EVALUATION OF THE LEVEL OF SATISFACTION OF HOSPITALIZED PUERPERAL WOMAN IN A MATERNITY IN THE COUNTRYSIDE OF PARAÍBA 农村某产妇住院产褥期产妇满意度评价paraÍba
Pub Date : 2018-07-08 DOI: 10.14295/AIMJ.V2I4.40
Maria Cristina Bispo Freitas, Joselito Santos, Andréia Oliveira Barros Sousa, Symara Abrantes Albuquerque de Oliveira Cabral, M. N. Alves, Jailma dos Santos Barbosa, Danielly Gonçalves Sombra Lima
There is now a growing need for improvement in health services provided in all health institutions. One possible strategy with this aim is to identify factors that may directly interfere with the quality of care and, therefore,  determine the satisfaction of the user of this service . The purpose of this study was to evaluate the level of satisfaction of postpartum women admitted to a maternity ward, taking into account the existing structure and services provided by the institution. This is an exploratory, descriptive research of quantitative nature developed at the Deodato Cartaxo maternity hospital, belonging to the Regional Hospital of Cajazeiras, located in the municipality of Cajazeiras, Paraiba State in Brazil. The population was composed of hospitalized puerperal women and the sample of 100 woman was performed for convenience, systematic of the proportional type with a sample error of 5%. The data collection period was between the months of august and september 2015. The instrument of data collection was SERVQUAL, evaluating its five quality indicators (tangibility, reliability, attendance, safety and empathy). The results were presented in table form with their respective absolute and relative frequencies. Among the indicators studied, reliability, care and security were the ones that generated the most satisfaction among the puerperal woman and tangibility was referred to as an indicator of dissatisfaction among the users. Keywords: Evaluation of health services; consumer satisfaction; maternities.
现在越来越需要改善所有保健机构提供的保健服务。实现这一目标的一个可能的战略是确定可能直接影响护理质量的因素,从而确定服务用户的满意度。本研究的目的是评估产后妇女入住产科病房的满意度,同时考虑到该机构现有的结构和提供的服务。这是在巴西帕拉伊巴州卡哈泽伊拉斯市卡哈泽伊拉斯地区医院所属的Deodato Cartaxo妇产医院开展的一项探索性描述性定量研究。人口由住院的产褥期妇女组成,为方便起见,样本为100名妇女,系统采用比例型,样本误差为5%。数据收集期为2015年8月至9月。数据收集工具为SERVQUAL,评估其五个质量指标(有形性、可靠性、出勤率、安全性和共情性)。结果以表的形式给出了各自的绝对频率和相对频率。在研究的指标中,可靠性、护理和安全性是产褥期妇女最满意的指标,而有形性被认为是用户不满意的指标。关键词:卫生服务评价;消费者满意度;取名。
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引用次数: 0
THE IMMUNOMODULATORY ROLE OF VITAMIN D IN SYSTEMIC LUPUS ERYTHEMATOSUS: AN INTEGRATING LITERATURE REVIEW 维生素d在系统性红斑狼疮中的免疫调节作用:综合文献综述
Pub Date : 2018-07-06 DOI: 10.14295/AIMJ.V2I4.34
Lucas Tavares Cruz de Albuquerque, C. Modesto, Pedro de Sousa Leite, Ana Cruz, Djailson Ricardo Malheiro
Vitamin D, conceptually, is a pre-hormone. Many studies have shown that the vitamin D deficiency may be associated to a higher incidence of autoimmune diseases, including Systemic Lupus Erythematosus. So, this work’s purpose is identify what the scientific literature approaches about the vitamin D, highlighting its immunomodulatory role with the Systemic Lupus Erythematosus. We used the article survey that ran upon the subject in the Medline, Scielo and Lilacs databases with the descriptors: vitamin D, Systemic Lupus Erythematosus and autoimmune disease. The selected articles pointed out higher prevalence in the vitamin D deficiency and insufficiency in Lupus patients. In these, the supplementation appeared to improve the disease activity and inflammatory markers and shows a tendency for subsequent clinical improvement. However, there is a lack of adequate intake guidelines. In this way, researches about the best dosage of vitamin D are needed for these patients in order to improve their condition.
从概念上讲,维生素D是一种前激素。许多研究表明,维生素D缺乏可能与自身免疫性疾病的高发病率有关,包括系统性红斑狼疮。因此,这项工作的目的是确定科学文献中关于维生素D的方法,强调其对系统性红斑狼疮的免疫调节作用。我们使用了Medline, Scielo和Lilacs数据库中关于该主题的文章调查,描述词为:维生素D,系统性红斑狼疮和自身免疫性疾病。所选文章指出狼疮患者维生素D缺乏和不足的患病率较高。在这些患者中,补充剂似乎改善了疾病活动性和炎症标志物,并显示出随后临床改善的趋势。然而,缺乏足够的摄入指南。因此,为了改善这些患者的病情,需要研究维生素D的最佳剂量。
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引用次数: 0
THE PSYCHOLOGICAL IMPACT IN WOMEN AFTER MASTECTOMY WITH AND WITHOUT IMMEDIATE MAMMARY RECONSTRUCTION 乳房切除术后立即乳房重建和不立即乳房重建对妇女的心理影响
Pub Date : 2018-07-06 DOI: 10.14295/AIMJ.V2I4.37
Bárbara Torquato Alves, Antonio Marlos Duarte de Melo, Sâmia Israele Braz do Nascimento, Jose Augusto Sousa Neto, Itamar Alves Araújo, Teresa Manuela Oliveira Puentes, Patrícia Sobral Luna Quidute
Breast cancer is a very common pathology in the female environment, being the second largest cause of neoplasia in Brazil. Surgical treatment with mastectomy is seen as resolving in most cases, but breast reconstruction is crucial for improving the psychological aspects of the patient, since the removal of the breast without the oncoplastic can trigger emotional, stress and sadness problems. Breast reconstruction may be immediate, when performed in the postoperative period of the mastectomy, or late, when performed at any time postoperatively. The mastectomy, in isolation, can leave the patient with visible scars, aesthetic deformities in the breasts, causing greater psychological problems such as anxiety, depression, panic syndrome, distortion of body self-image, as well as sexual dysfunctions. Thus, there are still gaps in knowledge in the analysis of the psychological impact and, of course, new researches that analyze the psychological factor in mastectomized women with and without immediate breast reconstruction are crucial to better work the moment of vulnerability that these patients are going through. Keywords: Mastectomy; Breast cancer; Oncoplastic; Breast reconstruction; Psychological problems.
乳腺癌在女性环境中是一种非常常见的病理,是巴西肿瘤的第二大病因。在大多数情况下,乳房切除术的手术治疗被视为解决问题,但乳房重建对于改善患者的心理方面至关重要,因为没有肿瘤的乳房切除会引发情绪、压力和悲伤问题。乳房重建可以在乳房切除术后立即进行,也可以在手术后的任何时间进行。孤立的乳房切除术会给患者留下明显的疤痕,乳房上的美学畸形,引起更大的心理问题,如焦虑、抑郁、恐慌综合征、身体自我形象扭曲以及性功能障碍。因此,在分析心理影响方面仍然存在知识空白,当然,新的研究分析了乳房切除妇女的心理因素,并立即进行乳房重建,这对于更好地处理这些患者正在经历的脆弱时刻至关重要。关键词:乳房切除术;乳腺癌;Oncoplastic;乳房重建;心理问题。
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引用次数: 2
EFFECTIVENESS AND INTERVENTIONS OF THE MUSIC THERAPY IN PATIENTS IN PALLIATIVE CARE 音乐治疗在姑息治疗中的效果及干预措施
Pub Date : 2018-07-06 DOI: 10.14295/AIMJ.V2I4.35
Kevellyn Cruz Aguilera, Antonio Marlos Duarte de Melo, Brenda Lacerda da Silva, Leyde Jenifer Dias Uchôa, Rivania Beatriz Novais Lima, Bruna Figueiredo Medeiros, Esther de Macêdo Lira, Amon Vitorino Duarte, Ricardo Souto Quidute
Currently, music therapy, as a low-cost therapeutic approach, has been successfully applied in palliative care patients, aiming to improve emotional stress and mood. Besides these advantages, the music therapy can influence the patient to have a better social interaction. In cancer patients, especially, music therapy associated with massage therapy is very cost-effective, pointing to the need for the formulation of other non-pharmacological methods. Music is intrinsically related to the reduction of pain, anxiety and stress, as well as a direct relationship with spiritual improvement and quality of life. Music therapy reinforces multidisciplinary care for the patient in palliative care, and may even reduce pain in those affected. 
目前,音乐疗法作为一种低成本的治疗手段,已成功应用于姑息治疗患者,旨在改善情绪压力和情绪。除了这些优点外,音乐治疗还可以影响患者进行更好的社会交往。特别是在癌症患者中,音乐治疗与按摩治疗相结合是非常划算的,这表明需要制定其他非药物方法。音乐与减轻痛苦、焦虑和压力有着内在的联系,也与精神的改善和生活质量有着直接的关系。音乐疗法加强了姑息治疗患者的多学科护理,甚至可以减轻患者的疼痛。
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引用次数: 0
THE INNOVATIONS, ADVANCES AND OUTLOOKS OF LIQUID BIOPSY IN ONCOLOGY: A LITERATURE REVIEW 肿瘤液体活检的创新、进展及展望:文献综述
Pub Date : 2018-07-06 DOI: 10.14295/AIMJ.V2I4.38
Antonio Marlos Duarte de Melo, Messias Silvano da Silva Filho, Bárbara Torquato Alves, Kevellyn Cruz Aguilera, Ana Maria Correia Alencar, Ana Maria Lima Carneiro de Andrade, Daniel Gonçalves Leite, Ricardo Souto Quidute
Studies on the biology of cancer are multiplying and have been giving significant repercussions on the care of cancer patients, and there is a growing need to evaluate the biology of the tumor. Conventional tissue biopsies currently represent the gold standard in the diagnosis of cancer, but they are not suitable for serial analysis because of the need for invasive procedures, besides being able to present a high risk of life and also impossibility of reaching surgical in some tumors. To solve this obstacle, the use of the Liquid Biopsy, which analyzes the presence of biomarkers released by cancer cells, such as circulating tumor cells (CTCs), tumor cell DNA (ctDNA) and exosomes is being discussed. These techniques are non-invasive or minimally invasive and collect their samples from peripheral blood, plasma and serum, urine, saliva and cerebrospinal fluid (CSF). As they are already being used in the treatment of several histopathological types of cancer, these new techniques generally represent a revolution in the understanding of early diagnosis, choice of personalized treatment, follow-up of the treatment response in real time, detection of minimal residual disease and prognosis for malignant neoplasms. The objective of this study was to present a literature review to clarify the fundamental molecular and clinical aspects involved in this revolutionary diagnostic technique by extracting the data from the sample. Keywords: Liquid Biopsy. Oncology.: literature review
对癌症生物学的研究正在不断增加,并对癌症患者的护理产生了重大影响,并且越来越需要评估肿瘤的生物学。传统的组织活检目前是癌症诊断的金标准,但由于需要侵入性的程序,它们不适合进行系列分析,而且在某些肿瘤中可能存在较高的生命风险,也不可能进行手术。为了解决这一障碍,正在讨论使用液体活检,分析癌细胞释放的生物标志物的存在,如循环肿瘤细胞(CTCs)、肿瘤细胞DNA (ctDNA)和外泌体。这些技术是非侵入性或微创性的,从外周血、血浆和血清、尿液、唾液和脑脊液(CSF)中收集样本。由于这些新技术已经被用于治疗几种组织病理类型的癌症,因此它们通常代表了对早期诊断、个性化治疗选择、实时随访治疗反应、微小残留疾病检测和恶性肿瘤预后的理解的一场革命。本研究的目的是通过从样本中提取数据,提出一项文献综述,以阐明涉及这一革命性诊断技术的基本分子和临床方面。关键词:液体活检;肿瘤。:文献综述
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引用次数: 0
POTENTIAL THERAPEUTIC EFFECT OF ZIKA VIRUS IN GLIOBLASTOMA TREATMENT 寨卡病毒在胶质母细胞瘤治疗中的潜在疗效
Pub Date : 2018-07-06 DOI: 10.14295/AIMJ.V2I4.36
Sâmia Israele Braz do Nascimento, Sheezara Teles Lira dos Santos, Bárbara Torquato Alves, Kevellyn Cruz Aguilera, A. C. Menezes, Ana Maria Correia Alencar, Ana Maria Lima Carneiro de Andrade, Daniel Gonçalves Leite, Antonio Marlos Duarte de Melo
Since the twentieth century, humanity has been experiencing a public health reality marked by numerous mosquito-borne diseases (belonging to the arthropod class), known as arboviruses. The Zika virus has become in recent years a risk to Brazilian and international public health due to its devastating effect due to its pathogenesis but also to fetal neurological development, causing serious health problems such as microcephaly and Guillain-Barré Syndrome, but also myelitis and meningoencephalitis. However, scientists studying the Zika virus have been trying to use the agent's ability to cause infections in healthy cells to attack and destroy cancer cells, such as the case of grade IV astrocytoma known as Gliobastoma Multiforme (GBM), which is a tumor of the very aggressive central nervous system and worse prognosis among primary cancers. As a result of effective therapy for GBM and the tropism of this etiological agent for brain cells, the hypothesis is that this virus would cause cell death in glioblastomas through metabolic alterations induced by the induced viral infection, but further studies must be carried out to demonstrate this therapeutic advantage in using the virus for the treatment of this malignant disease. Keywords: Zika virus; Gliobastoma Multiforme; Tumor of the Central Nervous System.
自20世纪以来,人类一直经历着一种公共卫生现实,其特征是许多蚊媒疾病(属于节肢动物纲),即虫媒病毒。近年来,寨卡病毒已成为巴西和国际公共卫生的一个风险,因为它的发病机制具有毁灭性影响,而且还会影响胎儿神经发育,导致严重的健康问题,如小头症和格林-巴罗综合征,以及脊髓炎和脑膜脑炎。然而,研究寨卡病毒的科学家一直在试图利用这种药物在健康细胞中引起感染的能力来攻击和摧毁癌细胞,比如被称为多形性胶质母细胞瘤(GBM)的四级星形细胞瘤,这是一种侵袭性很强的中枢神经系统的肿瘤,在原发性癌症中预后较差。由于对GBM的有效治疗以及该病原体对脑细胞的倾向,假设该病毒会通过诱导病毒感染引起的代谢改变导致胶质母细胞瘤细胞死亡,但必须进行进一步的研究以证明使用该病毒治疗这种恶性疾病的治疗优势。关键词:寨卡病毒;Gliobastoma多形性;中枢神经系统肿瘤。
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引用次数: 0
HANSEN’S DISEASE EPIDEMIOLOGICAL PROFILE CHARACTERIZATION IN CAJAZEIRAS REGION IN THE STATE OF PARAÍBA paraÍba州cajazeiras地区汉森病流行病学特征分析
Pub Date : 2018-06-26 DOI: 10.14295/AIMJ.V2I4.33
Larissa Araújo do Carmo, L. Silva, S. Barbosa, Symara Abrantes Albuquerque de Oliveira Cabral, M. N. Alves, Jailma dos Santos Barbosa, Danielly Gonçalves Sombra Lima
Hansen’s Disease is a chronic, infectious and slowly evolving disease caused by the etiologic agent Mycobacterium leprae, or Hansen's bacillus. The contagion is by secretions of the upper airways and droplets of saliva. Although it is a basically cutaneous disease, it can also affect peripheral nerves, eyes and eventually other organs. Its presentation is manifested in four clinical forms: indeterminate, tuberculoid, borderline or dimorphic and virchowian. And the operational classification for therapeutic purposes consists of two groups: paucibacillary and multibacillary. Objective: To characterize the epidemiological profile of leprosy cases in Cajazeiras - PB. This is a quantitative study, exploratory and descriptive, based on the collection of secondary data contained in the leprosy notification sheets of the Aging and Notification Information System (SINAN), in the period from 2012 to 2016. The work was carried out with the data obtained in the macro-region of Cajazeiras, which gathers about fourteen municipalities. A total of 468 cases of leprosy were reported in the period from 2012 to 2016. Regarding the sociodemographic characteristics, it was identified that the majority are male, brown, age group between 30 and 39 years old and schooling with incomplete elementary school. In relation to the clinical characterization of leprosy, the data show a predominance of the dimorphic form and multibacillary operational classification. It is concluded that it is important to reorganize the work process in order to integrate the control actions to the primary care services, especially in the Family Health Teams, with emphasis on the collective approach.
汉森氏病是由麻风分枝杆菌或汉森氏杆菌引起的一种慢性、传染性和缓慢发展的疾病。传染是通过上呼吸道的分泌物和唾液飞沫。虽然它基本上是一种皮肤疾病,但它也会影响周围神经、眼睛,最终影响其他器官。其临床表现有四种形式:不确定型、结核型、边缘型或二型型和病毒性。治疗目的的操作分类包括两组:少菌和多菌。目的:了解卡哈泽拉斯- PB地区麻风病例的流行病学特征。这是一项定量、探索性和描述性研究,基于收集2012年至2016年期间老龄化和通报信息系统(SINAN)麻风病通报单中包含的二级数据。这项工作是利用在Cajazeiras大区域获得的数据进行的,该区域聚集了大约14个城市。2012年至2016年期间,共报告了468例麻风病例。关于社会人口特征,确定了大多数是男性,棕色皮肤,年龄在30至39岁之间,小学教育程度不高。关于麻风病的临床特征,数据显示二形型和多菌型手术分类的优势。结论是,必须重新组织工作流程,以便将控制行动纳入初级保健服务,特别是家庭保健小组,重点是集体办法。
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引用次数: 0
THE INFLUENCE OF POSTPARTUM DEPRESSION ON INFANT BEHAVIOR 产后抑郁对婴儿行为的影响
Pub Date : 2018-06-02 DOI: 10.14295/AIMJ.V2I4.32
Nadja Coelho da Silva, L. Bernardo, N. C. D. Silva, L. Parente, Conceição Maria Santos Correia de Souza, Maria das Graças Nascimento Silva, M. L. Telles
Abstract: Postpartum depression can reach up to 15% of pregnant women in developed countries, 25% in underdeveloped countries and up to 40% throughout the perinatal period. Depressive mothers interact less with their children, they show less love and affection, and this may have an impact on the lives of these infants in the future. Babies who lived in this context had problems with language acquisition, cognitive impairment, delay in achieving developmental milestones, attachment insecure, low self-esteem. It is essential that the diagnosis of depression be made as early as possible so that therapeutic and preventive measures are implemented in a timely manner in order to provide healthy child growth and ensure the good mental health of these mothers.Keywords: Postpartum depression; childish behaviour; mother-child relationship; diagnosis; pharmacological treatment; combination therapy;
摘要:产后抑郁症在发达国家可达15%的孕妇,在不发达国家可达25%,在整个围产期可达40%。抑郁的母亲与孩子的互动更少,她们表现出的爱和情感更少,这可能会对这些婴儿未来的生活产生影响。在这种环境下生活的婴儿有语言习得问题,认知障碍,发育迟缓,依恋不安全,自卑。必须尽早诊断抑郁症,以便及时实施治疗和预防措施,以使儿童健康成长,并确保这些母亲的良好心理健康。关键词:产后抑郁症;幼稚的行为;母子关系;诊断;药物治疗;联合治疗;
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引用次数: 1
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Amadeus International Multidisciplinary Journal
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