Pub Date : 2023-08-08DOI: 10.4025/actascihealthsci.v45i1.61315
Gustavo Urbanetto Baelz, Antônio Marcos Vargas da Silva, B. S. L. Duarte, E. Steffen, José Edson Paz da Silva, L. U. Signori
This study aims to evaluate the effects of acupuncture on pain and health status in women with fibromyalgia. The present randomized, controlled, double-blind clinical trialwas carried out with one sample of 40 women diagnosed with fibromyalgia .They were randomized into one acupuncture group (n = 20; 51.7 ± 6.5 years old) and one sham acupuncture group (n = 20; 49.7 ± 7.2 years old). Acupuncture (points: pericardium 6, heart 7, large intestine 4, stomach 36, spleen-pancreas 6, and liver 2, variable depth with Deqi stimulation) and sham acupuncture (15mm lateral to the acupoint, outside the meridian line) were performed for 30min., once a week, and with a four-week follow-up. Pain (Visual Analogue Scale), algometry (lateral epicondyle, trapezius, suboccipital, 2nd rib), and health status (Fibromyalgia Impact Questionnaire) was assessed before the first and after the last intervention. Data were analyzed by the intention-to-treat.Acupuncture reduced pain by 16% (p<0.001) and improved health status by 21% (p<0.001). The improvement in health status (p<0.001) is due to the increased ability to work and go out, and reduced pain, fatigue, tiredness, and depression. Acupuncture reduced pain and improved health statusin women with fibromyalgia.
{"title":"Acupuncture effects on pain and health status in women with fibromyalgia: a randomized clinical trial","authors":"Gustavo Urbanetto Baelz, Antônio Marcos Vargas da Silva, B. S. L. Duarte, E. Steffen, José Edson Paz da Silva, L. U. Signori","doi":"10.4025/actascihealthsci.v45i1.61315","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.61315","url":null,"abstract":"This study aims to evaluate the effects of acupuncture on pain and health status in women with fibromyalgia. The present randomized, controlled, double-blind clinical trialwas carried out with one sample of 40 women diagnosed with fibromyalgia .They were randomized into one acupuncture group (n = 20; 51.7 ± 6.5 years old) and one sham acupuncture group (n = 20; 49.7 ± 7.2 years old). Acupuncture (points: pericardium 6, heart 7, large intestine 4, stomach 36, spleen-pancreas 6, and liver 2, variable depth with Deqi stimulation) and sham acupuncture (15mm lateral to the acupoint, outside the meridian line) were performed for 30min., once a week, and with a four-week follow-up. Pain (Visual Analogue Scale), algometry (lateral epicondyle, trapezius, suboccipital, 2nd rib), and health status (Fibromyalgia Impact Questionnaire) was assessed before the first and after the last intervention. Data were analyzed by the intention-to-treat.Acupuncture reduced pain by 16% (p<0.001) and improved health status by 21% (p<0.001). The improvement in health status (p<0.001) is due to the increased ability to work and go out, and reduced pain, fatigue, tiredness, and depression. Acupuncture reduced pain and improved health statusin women with fibromyalgia.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"35 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87878886","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}
Pub Date : 2023-06-28DOI: 10.4025/actascihealthsci.v45i1.61853
D. Cordeiro, J. Cordeiro, Tatiana Ares da Cruz, Guilherme Schneider, D. Andrade, André Pereira dos Santos
It aimed to identify adherence to standard precautions by nursing professionals working in assistance during the COVID-19 pandemic. This is a pilot study with a cross-sectional design. The sample consisted of 169 nursing professionals. As for adherence to standard precautions, 157 (92.9%) participants claim to perform hand hygiene between care intervals. Regarding the use of gloves, most responded that they always wear them. The procedure that had the lowest adherence to standard precautions was intramuscular or subcutaneous injection (93/55%). The chi-square test (X²) indicated that there was no association with educational level, nature of the work institution, nor length of work as a nursing professional. It was concluded that adherence to standard precautions was below the recommended ideal.
{"title":"Adherence by nursing professionals to standard precautions in the COVID-19 pandemic","authors":"D. Cordeiro, J. Cordeiro, Tatiana Ares da Cruz, Guilherme Schneider, D. Andrade, André Pereira dos Santos","doi":"10.4025/actascihealthsci.v45i1.61853","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.61853","url":null,"abstract":"It aimed to identify adherence to standard precautions by nursing professionals working in assistance during the COVID-19 pandemic. This is a pilot study with a cross-sectional design. The sample consisted of 169 nursing professionals. As for adherence to standard precautions, 157 (92.9%) participants claim to perform hand hygiene between care intervals. Regarding the use of gloves, most responded that they always wear them. The procedure that had the lowest adherence to standard precautions was intramuscular or subcutaneous injection (93/55%). The chi-square test (X²) indicated that there was no association with educational level, nature of the work institution, nor length of work as a nursing professional. It was concluded that adherence to standard precautions was below the recommended ideal.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"34 5 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78937867","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}
Pub Date : 2023-06-28DOI: 10.4025/actascihealthsci.v45i1.61264
Gabriel Elias Mariano, Maria Elisa Soares, Daniele Morais Dias, Guilherme Carneiro, R. Galo
Photodynamic therapy is a technique that consists of activating a Photosensitizing Agent (PS) to form reactive oxygen species, which are important for antimicrobial action. This research aimed to carry out laboratory tests to measure singlet oxygenand superoxide radicals release as a function of different formulations and concentrations of methylene blue (MB), eosin Y (EY) and fluorescein (FL) dyes, and to compare their photodynamic efficiency. Solutions containing these compounds in a MIX solvent (glycerol, ethanol and water) irradiated with low power laser (λ= 660 nm) were analyzed. The production of singlet oxygen (1O2) was photometrically evaluated through the consumption rate of 1-3 diphenylisobenzofuran (DPBF), a 1O2 sequestering substance. Statistical analyses applied were the ANOVA and Duncan's complementary test using the Statistical Package for Social Sciences (SPSS) software. MB had greater photodynamic activity, as it presented higher values for the decrease in DPBF for the three concentrations evaluated. The mean concentration was 89.9% at 150 µM, 87.6% and 2.9 at 15 µM, and 77.3% and 2.5 at 1.5 µM. EY and FL presented similar results, with no significant difference between the concentrations. The MB at 150 µM expressed greater production of 1O2, which suggests a greater antimicrobial effect and highlights its relevancecompared to the other dyes.
{"title":"Singlet oxygen release due to different concentrations of photosensitizer","authors":"Gabriel Elias Mariano, Maria Elisa Soares, Daniele Morais Dias, Guilherme Carneiro, R. Galo","doi":"10.4025/actascihealthsci.v45i1.61264","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.61264","url":null,"abstract":"Photodynamic therapy is a technique that consists of activating a Photosensitizing Agent (PS) to form reactive oxygen species, which are important for antimicrobial action. This research aimed to carry out laboratory tests to measure singlet oxygenand superoxide radicals release as a function of different formulations and concentrations of methylene blue (MB), eosin Y (EY) and fluorescein (FL) dyes, and to compare their photodynamic efficiency. Solutions containing these compounds in a MIX solvent (glycerol, ethanol and water) irradiated with low power laser (λ= 660 nm) were analyzed. The production of singlet oxygen (1O2) was photometrically evaluated through the consumption rate of 1-3 diphenylisobenzofuran (DPBF), a 1O2 sequestering substance. Statistical analyses applied were the ANOVA and Duncan's complementary test using the Statistical Package for Social Sciences (SPSS) software. MB had greater photodynamic activity, as it presented higher values for the decrease in DPBF for the three concentrations evaluated. The mean concentration was 89.9% at 150 µM, 87.6% and 2.9 at 15 µM, and 77.3% and 2.5 at 1.5 µM. EY and FL presented similar results, with no significant difference between the concentrations. The MB at 150 µM expressed greater production of 1O2, which suggests a greater antimicrobial effect and highlights its relevancecompared to the other dyes.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"46 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75319989","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}
Pub Date : 2023-06-28DOI: 10.4025/actascihealthsci.v45i1.61090
Lamiaa Elsayed Mokhtar Deef, Kadry Abdelkader El-bakry, L. Habbak, S. S. El-Naeli
Patulin, a known fungal poison, is an important pollutant in apples and products derived from apples and fodder. Ginger improved the liver function and prevents hepatotoxicity against many toxins and used in treatment of various diseases. The genetic toxicity of patulin in the liver of rats using the comet assay in vivo was investigated and effect of ginger (Zingibe officinale) on DNA damage induced by patulin. Five groups of adult male Sprague Dawley rats were used. The rats were given 3.75 mg kg-1 intraperitoneal (i.p) patulin. The rats were treated with ginger at a dose (100 mg kg-1) for four weeks and eight weeks. DNA damage was measured in the liver of rats using a standard genetic toxicity tests comet assay. Tail length and percentage of tail DNA within the comet increased significantly (p <0.05) in patulin group (p =0.01), (p =0.000) respectively, compared with control group a time-dependent manner, indicating an increase in DNA damage. The liver tissue showed signs of improvement in DNA damage after treating rats with ginger. In conclusion, these results indicate that patulin is genotoxic at the injected dose and that liver is an important target organ. Instead, ginger therapy can reduce DNA damage in liver cells from the toxicity caused by patulin.
{"title":"Estimation of antigenotoxic properties of Ginger (Zingibe officinale) for DNA Damage after Exposure to Patulin in rats","authors":"Lamiaa Elsayed Mokhtar Deef, Kadry Abdelkader El-bakry, L. Habbak, S. S. El-Naeli","doi":"10.4025/actascihealthsci.v45i1.61090","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.61090","url":null,"abstract":"Patulin, a known fungal poison, is an important pollutant in apples and products derived from apples and fodder. Ginger improved the liver function and prevents hepatotoxicity against many toxins and used in treatment of various diseases. The genetic toxicity of patulin in the liver of rats using the comet assay in vivo was investigated and effect of ginger (Zingibe officinale) on DNA damage induced by patulin. Five groups of adult male Sprague Dawley rats were used. The rats were given 3.75 mg kg-1 intraperitoneal (i.p) patulin. The rats were treated with ginger at a dose (100 mg kg-1) for four weeks and eight weeks. DNA damage was measured in the liver of rats using a standard genetic toxicity tests comet assay. Tail length and percentage of tail DNA within the comet increased significantly (p <0.05) in patulin group (p =0.01), (p =0.000) respectively, compared with control group a time-dependent manner, indicating an increase in DNA damage. The liver tissue showed signs of improvement in DNA damage after treating rats with ginger. In conclusion, these results indicate that patulin is genotoxic at the injected dose and that liver is an important target organ. Instead, ginger therapy can reduce DNA damage in liver cells from the toxicity caused by patulin.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88291891","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}
Pub Date : 2023-06-28DOI: 10.4025/actascihealthsci.v45i1.61272
Gustavo Correia Basto da Silva, Osires de Medeiros Melo Neto, Robson Kel Batista de Lima, N. Andrade, R. Olinda, A. Cavalcanti
The objective was to characterize the notifications of urban violence against women, according to psychological, physical and sexual typologies. This is a cross-sectional, documentary, descriptive and analytical research, based on the notification forms of the Brazilian Notifiable Diseases Information System between the years 2014 and 2017, referring to a city in the Northeast. The independent variables were divided according to the most prevalent types of violence, while the dependent ones followed the characteristics suggested by the notification forms. The data were analyzed using the Chi-square and Fisher's Exact tests, with a significance level of 5%, in addition to calculating the Chance Ratio. RStudio was used as statistical software.447 notification forms were included, with the following prevalences being observed: psychological (80.1%), physical (39.2%), and sexual (21%), with a predominance of women with low educational level (<8 years of study), non-white race, without companions and heterosexuals. Most of the notifications pointed to the repetition of violence, occurring mainly at night, in homes and public roads, in the form of threats, and the use of body strength. Women are exposed to psychological, physical, and sexual violence, especially to the psychological form, possibly because they have a pattern intrinsically associated with other types.
{"title":"Psychological, physical and sexual violence against brazilian women: a cross-section study","authors":"Gustavo Correia Basto da Silva, Osires de Medeiros Melo Neto, Robson Kel Batista de Lima, N. Andrade, R. Olinda, A. Cavalcanti","doi":"10.4025/actascihealthsci.v45i1.61272","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.61272","url":null,"abstract":"The objective was to characterize the notifications of urban violence against women, according to psychological, physical and sexual typologies. This is a cross-sectional, documentary, descriptive and analytical research, based on the notification forms of the Brazilian Notifiable Diseases Information System between the years 2014 and 2017, referring to a city in the Northeast. The independent variables were divided according to the most prevalent types of violence, while the dependent ones followed the characteristics suggested by the notification forms. The data were analyzed using the Chi-square and Fisher's Exact tests, with a significance level of 5%, in addition to calculating the Chance Ratio. RStudio was used as statistical software.447 notification forms were included, with the following prevalences being observed: psychological (80.1%), physical (39.2%), and sexual (21%), with a predominance of women with low educational level (<8 years of study), non-white race, without companions and heterosexuals. Most of the notifications pointed to the repetition of violence, occurring mainly at night, in homes and public roads, in the form of threats, and the use of body strength. Women are exposed to psychological, physical, and sexual violence, especially to the psychological form, possibly because they have a pattern intrinsically associated with other types.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73200606","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}
Pub Date : 2023-06-28DOI: 10.4025/actascihealthsci.v45i1.60517
J. P. Schwartz, Taisa Boamorte Ravelli, S. Ruf, D. B. Ravelli
The aim of this study was to perform a three-dimensional evaluation of Herbst appliance effects on the mandibular canines.The subjects consisted of 23 Class II:1 patients (12 men, 11 women), mean age of 15.76± 1.75 years, consecutively treated with a Flip-Lock Herbst®appliance (TP Orthodontics, Inc., La Porte, IN, USA). The lower anchorage unit for the Herbst appliance consisted of two anchor bands connected by a lingual arch with 3mm distance from the incisor’s lingual surface. Treatment changes in mandibular canine inclination and mandibular intercanine width at the cusp and apex levels were evaluated by means of cone-beam computed tomography images (i-CAT® Classic unit, Imaging Sciences International, Hatfield, PA, USA) obtained before and after treatment with the Herbst appliance. There were no statistical differences between genders. Herbst appliance treatment did not result in any statistically significant changes for mandibular canine inclination and mandibular intercanine width. There were associations between mandibular canine inclination and mandibular intercanine width at the cusp (/r/ = 0.43 to 0.66) and apex levels (/r/ = 0.34 to 0.60). The three-dimensionalcone-beam computed tomography analysis of the mandibular canine segment revealed that the Herbst appliance with a mandibular anchorage unit distant from the incisor’s lingual surface does not change mandibular canine inclination and mandibular intercanine width significantly during treatment. However, large interindividual differences may result in undesired amount of mandibular canine anchorage loss in individual patients.
本研究的目的是进行赫氏矫治器对下颌犬齿的三维评价。受试者包括23例II:1例患者(男性12例，女性11例)，平均年龄15.76±1.75岁，连续使用fliplock Herbst®矫治器(TP Orthodontics, Inc.， La Porte, IN, USA)进行治疗。Herbst矫治器的下锚定单元由两个锚定带组成，由距切牙舌面3mm距离的舌弓连接。使用Herbst矫治器治疗前后，通过锥形束计算机断层扫描图像(i-CAT®Classic unit, Imaging Sciences International, Hatfield, PA, USA)评估下颌犬齿倾斜度和下颌犬齿间宽度的治疗变化。性别间无统计学差异。赫布斯特矫治器治疗对下颌犬齿倾斜度和下颌犬齿间宽度没有任何统计学意义上的改变。下颌犬齿倾斜度与下颌尖间宽度(/r/ = 0.43 ~ 0.66)和下颌尖间宽度(/r/ = 0.34 ~ 0.60)呈正相关。对下颌犬齿段的三维锥束计算机断层分析显示，在治疗过程中，Herbst矫治器的下颌支抗单元距离切牙舌面较远，对下颌犬齿的倾斜度和下颌犬齿间宽度没有明显的影响。然而，较大的个体间差异可能导致个体患者下颌犬齿支抗损失的不期望数量。
{"title":"Tomographic evaluation of changes induced by herbst treatment - buccolingual inclination of mandibular canines and the intercanine distance","authors":"J. P. Schwartz, Taisa Boamorte Ravelli, S. Ruf, D. B. Ravelli","doi":"10.4025/actascihealthsci.v45i1.60517","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.60517","url":null,"abstract":"The aim of this study was to perform a three-dimensional evaluation of Herbst appliance effects on the mandibular canines.The subjects consisted of 23 Class II:1 patients (12 men, 11 women), mean age of 15.76± 1.75 years, consecutively treated with a Flip-Lock Herbst®appliance (TP Orthodontics, Inc., La Porte, IN, USA). The lower anchorage unit for the Herbst appliance consisted of two anchor bands connected by a lingual arch with 3mm distance from the incisor’s lingual surface. Treatment changes in mandibular canine inclination and mandibular intercanine width at the cusp and apex levels were evaluated by means of cone-beam computed tomography images (i-CAT® Classic unit, Imaging Sciences International, Hatfield, PA, USA) obtained before and after treatment with the Herbst appliance. There were no statistical differences between genders. Herbst appliance treatment did not result in any statistically significant changes for mandibular canine inclination and mandibular intercanine width. There were associations between mandibular canine inclination and mandibular intercanine width at the cusp (/r/ = 0.43 to 0.66) and apex levels (/r/ = 0.34 to 0.60). The three-dimensionalcone-beam computed tomography analysis of the mandibular canine segment revealed that the Herbst appliance with a mandibular anchorage unit distant from the incisor’s lingual surface does not change mandibular canine inclination and mandibular intercanine width significantly during treatment. However, large interindividual differences may result in undesired amount of mandibular canine anchorage loss in individual patients.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"2009 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82604361","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}
Pub Date : 2023-06-28DOI: 10.4025/actascihealthsci.v45i1.61523
Lucas Vinícius de Lima, Gabriel Pavinati, C. Sala, Isadora Gabriella Pascholotto Silva, G. Amaral, Carla Franciele Höring, Nelly Lopes de Moraes Gil, G. Magnabosco
Objective: to trace the clinical-epidemiological panorama, distribution, and incidence of HIV cases by macroregional and regional health of Paraná. Material and Methods: descriptive epidemiological study, carried out with data obtained by the Notifiable Diseases Information System regarding HIV/AIDS cases registered in the state of Paraná between 2018 and 2019. Data were analyzed by descriptive statistics. The study was authorized by the State Department of Health of Paraná and had a favorable opinion from the Research Ethics Committee. Results: 6,023 cases of HIV/AIDS were reported, with a prevalence of male, white, mean age of 35 years old, complete high school and college, and predominance of sexual transmission. The epidemiological characteristics corroborate the findings in the literature and are similar to the national profile. There were cases of mother-to-child vertical transmission during pregnancy and via transfusion, suggesting possibilities for effective action. East macroregional had the highest number of cases and incidence coefficient. Conclusion: the HIV/AIDS epidemic represents a multidimensional challenge for the health sector, considering its magnitude, severity, costs, and dissemination. Despite the improvement in infection prevention and health promotion strategies, the numbers of new infections per year are relevant and stable. The regionalization of information allows the individualization of epidemiological data, enabling the adoption of more effective strategies that correspond to local needs. Therefore, this study brings great contributions to local managers to direct strategies for assistance, surveillance, and control of this condition of great importance to public health.
{"title":"HIV in Paraná: clinical-epidemiological overview, distribution, and incidence by macroregional and regional health","authors":"Lucas Vinícius de Lima, Gabriel Pavinati, C. Sala, Isadora Gabriella Pascholotto Silva, G. Amaral, Carla Franciele Höring, Nelly Lopes de Moraes Gil, G. Magnabosco","doi":"10.4025/actascihealthsci.v45i1.61523","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.61523","url":null,"abstract":"Objective: to trace the clinical-epidemiological panorama, distribution, and incidence of HIV cases by macroregional and regional health of Paraná. Material and Methods: descriptive epidemiological study, carried out with data obtained by the Notifiable Diseases Information System regarding HIV/AIDS cases registered in the state of Paraná between 2018 and 2019. Data were analyzed by descriptive statistics. The study was authorized by the State Department of Health of Paraná and had a favorable opinion from the Research Ethics Committee. Results: 6,023 cases of HIV/AIDS were reported, with a prevalence of male, white, mean age of 35 years old, complete high school and college, and predominance of sexual transmission. The epidemiological characteristics corroborate the findings in the literature and are similar to the national profile. There were cases of mother-to-child vertical transmission during pregnancy and via transfusion, suggesting possibilities for effective action. East macroregional had the highest number of cases and incidence coefficient. Conclusion: the HIV/AIDS epidemic represents a multidimensional challenge for the health sector, considering its magnitude, severity, costs, and dissemination. Despite the improvement in infection prevention and health promotion strategies, the numbers of new infections per year are relevant and stable. The regionalization of information allows the individualization of epidemiological data, enabling the adoption of more effective strategies that correspond to local needs. Therefore, this study brings great contributions to local managers to direct strategies for assistance, surveillance, and control of this condition of great importance to public health.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"14 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90535771","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}
Pub Date : 2023-06-28DOI: 10.4025/actascihealthsci.v45i1.61437
Alberto Sumiya, E. Pavesi, Rafael de Menezes Reis, Juliberta Alves de Macêdo, Carlos Podalirio Borges de Almeida, J. Spengler, Fabiano Silva Locks Júnior, C. Trelha
Workers in Primary Health Care (PHC) play a key role in coping with COVID-19, which required personal and work-flow changes, causing physical and emotional overload and stress, which could lead to Burnout Syndrome (BS). The objective of this study was to check the prevalence of BS in health professionals working in PHC in the municipality of Curitibanos, state of Santa Catarina, Brazil. The research was carried out between November 2020 and May 2021, a sociodemographic questionnaire, and the Brazilian version of the Maslach Burnout Inventory - Human Services Survey (MBI-HSS), which contains 22 questions and three dimensions - Emotional Exhaustion (EE), Depersonalization (DP) and Personal Fulfillment (PF), were applied. Data were collected and analyzed descriptively with subsequent statistical comparison. Participants were50 volunteers aged 40.1 ± 9.5 years, time in the profession of 10.8 ± 7.9 years. Results of the MBI-HSS showed the prevalence of risk was moderate for EE and high for DP and PF. However, no significant difference was detected between the MBI-HSS dimensions and sociodemographic variables. In conclusion, the prevalence of risk was 17.6+11.4 points in EE (moderate); 6.6+5.0 points in DP (moderate) and 36.8+6.6 points in RP (high), indicating that the evaluated population already demands some need for contingency or preventive care because it has a clear predisposition to BS. However, there was no statistical association with sociodemographic variables.
{"title":"Burnout Syndrome in Primary Health Care professionals during the COVID-19 pandemic","authors":"Alberto Sumiya, E. Pavesi, Rafael de Menezes Reis, Juliberta Alves de Macêdo, Carlos Podalirio Borges de Almeida, J. Spengler, Fabiano Silva Locks Júnior, C. Trelha","doi":"10.4025/actascihealthsci.v45i1.61437","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.61437","url":null,"abstract":"Workers in Primary Health Care (PHC) play a key role in coping with COVID-19, which required personal and work-flow changes, causing physical and emotional overload and stress, which could lead to Burnout Syndrome (BS). The objective of this study was to check the prevalence of BS in health professionals working in PHC in the municipality of Curitibanos, state of Santa Catarina, Brazil. The research was carried out between November 2020 and May 2021, a sociodemographic questionnaire, and the Brazilian version of the Maslach Burnout Inventory - Human Services Survey (MBI-HSS), which contains 22 questions and three dimensions - Emotional Exhaustion (EE), Depersonalization (DP) and Personal Fulfillment (PF), were applied. Data were collected and analyzed descriptively with subsequent statistical comparison. Participants were50 volunteers aged 40.1 ± 9.5 years, time in the profession of 10.8 ± 7.9 years. Results of the MBI-HSS showed the prevalence of risk was moderate for EE and high for DP and PF. However, no significant difference was detected between the MBI-HSS dimensions and sociodemographic variables. In conclusion, the prevalence of risk was 17.6+11.4 points in EE (moderate); 6.6+5.0 points in DP (moderate) and 36.8+6.6 points in RP (high), indicating that the evaluated population already demands some need for contingency or preventive care because it has a clear predisposition to BS. However, there was no statistical association with sociodemographic variables.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"35 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91189223","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}
Pub Date : 2023-06-28DOI: 10.4025/actascihealthsci.v45i1.61110
Fabiane Pertille, A. Alberti, Josiane Aparecida de Jesus, Bruna Becker da Silva, Renan Souza, Guilherme Rosa de Abreu, C. M. Comim, R. J. Nodari Júnior
Dermatoglyphics can be used as a supporting tool in the early detection of type 2 Diabetes Mellitus in women. The present study aims to investigate the fingerprints of women with type 2 diabetes mellitus through the dermatoglyphic method, and to compare them with women without the disease. It was conducted by obtaining the fingerprints of all 10 fingers of 268 women – which is known as the dermatoglyphic method –, using the Dermatoglyphic Reader®, with data processed in SPSS (IBM SPSS), version 20.0, and a significance level of p< 0.05. The researched groups are homogeneous for the age, weight and height variables. The group of women with diabetes had a higher average number of lines on the left thumb, as well as the highest total number of lines on the left hand. Moreover, they had a greater number of deltas, in addition to presenting the whorl shape on fingers 1 to 5 of the left hand, and 1 to 4 of the right hand. We concluded that women with type 2 diabetes had a mark of observation concerning their biological individuality on their fingerprints that differs from that of women without the disease.
{"title":"Fingerprint Patterns in Women with Type 2 Diabetes Mellitus: Computerized Dermatoglyphic Analysis","authors":"Fabiane Pertille, A. Alberti, Josiane Aparecida de Jesus, Bruna Becker da Silva, Renan Souza, Guilherme Rosa de Abreu, C. M. Comim, R. J. Nodari Júnior","doi":"10.4025/actascihealthsci.v45i1.61110","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.61110","url":null,"abstract":"Dermatoglyphics can be used as a supporting tool in the early detection of type 2 Diabetes Mellitus in women. The present study aims to investigate the fingerprints of women with type 2 diabetes mellitus through the dermatoglyphic method, and to compare them with women without the disease. It was conducted by obtaining the fingerprints of all 10 fingers of 268 women – which is known as the dermatoglyphic method –, using the Dermatoglyphic Reader®, with data processed in SPSS (IBM SPSS), version 20.0, and a significance level of p< 0.05. The researched groups are homogeneous for the age, weight and height variables. The group of women with diabetes had a higher average number of lines on the left thumb, as well as the highest total number of lines on the left hand. Moreover, they had a greater number of deltas, in addition to presenting the whorl shape on fingers 1 to 5 of the left hand, and 1 to 4 of the right hand. We concluded that women with type 2 diabetes had a mark of observation concerning their biological individuality on their fingerprints that differs from that of women without the disease.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"40 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89582207","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}
Pub Date : 2023-06-23DOI: 10.4025/actascihealthsci.v45i1.60029
Rodrigo Santiago Barbosa Rocha, Cássia Oliveira Cabral da Paz, Janine Brasil de Araújo Moraes, Letícia de Barros Rocha, Mary Lucy Ferraz Maia Fiuza de Mello, S. C. Sales, Guilherme Euzébio Lemes, P. Ávila
Immobility in the bed of pediatric patients in intensive care units increases the risk of morbidities such as pneumonia, with consequences for autonomic function. Physiotherapy based on physical exercise is part of the rehabilitation process and can modify autonomic function. To compare the effects of two physical therapy protocols, one conventional and the other based on physical exercise, on heart rate variability, length of stay and invasive mechanical ventilation in children with ventilator-associated pneumonia. This is a randomized clinical trial, the volunteers were divided into a control group (submitted to a physiotherapy protocol with only breathing exercises and passive mobilization) and an experimental group (submitted to a physiotherapy protocol based on physical exercise). Patients aged 1 to 8 years, on invasive mechanical ventilation, with pneumonia were included. The rehabilitation protocol took place for 4 consecutive days. The collection of heart rate variability occurred in the pre-protocol period, on the 2nd day, 1 day after the end of the protocol. 25 patients completed the study. There was a reduction in the time of invasive mechanical ventilation in the experimental group (p = 0.01). There was an improvement in the heart rate variability of the experimental group in all indices (p < 0.01). The post-protocol analysis of the groups showed significant values in all variables (p < 0.05). Exercise-based physical therapy protocol improved autonomic heart rate modulation and reduced IMV time in children with ventilator-associated pneumonia.
{"title":"Early mobilization in children with pneumonia in mechanical ventilation: randomized clinical trial","authors":"Rodrigo Santiago Barbosa Rocha, Cássia Oliveira Cabral da Paz, Janine Brasil de Araújo Moraes, Letícia de Barros Rocha, Mary Lucy Ferraz Maia Fiuza de Mello, S. C. Sales, Guilherme Euzébio Lemes, P. Ávila","doi":"10.4025/actascihealthsci.v45i1.60029","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.60029","url":null,"abstract":"Immobility in the bed of pediatric patients in intensive care units increases the risk of morbidities such as pneumonia, with consequences for autonomic function. Physiotherapy based on physical exercise is part of the rehabilitation process and can modify autonomic function. To compare the effects of two physical therapy protocols, one conventional and the other based on physical exercise, on heart rate variability, length of stay and invasive mechanical ventilation in children with ventilator-associated pneumonia. This is a randomized clinical trial, the volunteers were divided into a control group (submitted to a physiotherapy protocol with only breathing exercises and passive mobilization) and an experimental group (submitted to a physiotherapy protocol based on physical exercise). Patients aged 1 to 8 years, on invasive mechanical ventilation, with pneumonia were included. The rehabilitation protocol took place for 4 consecutive days. The collection of heart rate variability occurred in the pre-protocol period, on the 2nd day, 1 day after the end of the protocol. 25 patients completed the study. There was a reduction in the time of invasive mechanical ventilation in the experimental group (p = 0.01). There was an improvement in the heart rate variability of the experimental group in all indices (p < 0.01). The post-protocol analysis of the groups showed significant values in all variables (p < 0.05). Exercise-based physical therapy protocol improved autonomic heart rate modulation and reduced IMV time in children with ventilator-associated pneumonia.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"339 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80739754","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}
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