Pub Date : 2023-06-28DOI: 10.4025/actascihealthsci.v45i1.61301
Antonia Norma Teclane Marques, Renata de Sousa Alves, Luciana Macatrão Nogueira Nunes, Patrícia Freire de Vasconcelos, José Maria Ximenes Guimarães
This study aimed to analyze the demand profile and the challenges of regulating access to specialized care, considering the referenced cases and the perspectives of physicians in the Family Health Strategy (FHS). This was a mixed methods study, with a quantitative and qualitative approach, carried out in an inland municipality of the state of Ceará, Brazil. Quantitative data were obtained from Primary Health Care (PHC) referral forms, registered with the regulation center. Focus groups were held, involving 13 FHS physicians. The results showed 643 referrals, the majority (74.2%) corresponded to the request for tests, and 61.6% did not have a diagnostic hypothesis, which corroborates the increase in waiting time. Spine tomography was the exam with the highest amount in relation to the shortest waiting time. Regarding consultation, otorhinolaryngology was the specialty with the highest demand (17.7%). Physicians reported weaknesses and challenges in regulation, such as communication failures and the lack of counter-referral flows, which compromise Primary Health Care coordination, continuity and resolvability. The need to reorganize and qualify the regulatory processes in the municipality is pointed out.
{"title":"Health regulation: demand and challenges of the family health strategy in an inland municipality of the State of Ceará, Brazil","authors":"Antonia Norma Teclane Marques, Renata de Sousa Alves, Luciana Macatrão Nogueira Nunes, Patrícia Freire de Vasconcelos, José Maria Ximenes Guimarães","doi":"10.4025/actascihealthsci.v45i1.61301","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.61301","url":null,"abstract":"This study aimed to analyze the demand profile and the challenges of regulating access to specialized care, considering the referenced cases and the perspectives of physicians in the Family Health Strategy (FHS). This was a mixed methods study, with a quantitative and qualitative approach, carried out in an inland municipality of the state of Ceará, Brazil. Quantitative data were obtained from Primary Health Care (PHC) referral forms, registered with the regulation center. Focus groups were held, involving 13 FHS physicians. The results showed 643 referrals, the majority (74.2%) corresponded to the request for tests, and 61.6% did not have a diagnostic hypothesis, which corroborates the increase in waiting time. Spine tomography was the exam with the highest amount in relation to the shortest waiting time. Regarding consultation, otorhinolaryngology was the specialty with the highest demand (17.7%). Physicians reported weaknesses and challenges in regulation, such as communication failures and the lack of counter-referral flows, which compromise Primary Health Care coordination, continuity and resolvability. The need to reorganize and qualify the regulatory processes in the municipality is pointed out.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135353974","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 : 2021-03-08DOI: 10.4025/ACTASCIHEALTHSCI.V43I1.55004
P. R. Mendes, Alana Taha de Araújo, Paloma Bianca Veras Bastos, Erli Neuhauss, L. Monteiro, S. Rauber
This study aimed to evaluate perceived self-esteem, resilience and stress of students entering a nursing degree. Cross-sectional study with 122 students (104 women and 18 men) of the first semester of a private institution in Distrito Federal. Evaluations were performed in March 2019. Rosenberg Self-Esteem Scale, Resilience in Higher Education and Perceived Stress, as well as a socioeconomic questionnaire were used. All procedures were carried out using the software Statistical Package for the Social Sciences (SPSS) and GraphPad Prism 6. The comparison of perceived stress between groups demonstrated that less stressed individuals were younger (19.1 ± 1.9 years old vs 22.5 ± 7.4; p = 0.030) and presented higher resilience scores (147.0 ± 16.3 vs 125.0 ± 22.5; p < 0.001). The comparison of self-esteem tertiles showed that individuals with better self-esteem were more resilient (146.0 ± 17.65 vs 133.85 ± 24.84; p = 0.037). Spearman's correlation demonstrated a negative relation between resilience score and perceived stress (r = -0.415 p = < 0.001). Students had already entered university presenting psychical deficits, such as increased stress and low self-esteem and resilience.
本研究旨在评估护理专业学生的自尊感、适应力和压力。对联邦区一所私立学校第一学期的122名学生(104名女生和18名男生)进行横断面研究。评估于2019年3月进行。采用Rosenberg自尊量表、高等教育弹性和感知压力量表以及社会经济问卷。所有程序均使用SPSS软件和GraphPad Prism 6进行。组间压力感知比较显示，压力小的个体年龄更小(19.1±1.9岁vs 22.5±7.4岁);P = 0.030)，表现出较高的心理弹性评分(147.0±16.3 vs 125.0±22.5;P < 0.001)。自尊水平的比较表明，自尊水平高的个体心理弹性更强(146.0±17.65 vs 133.85±24.84);P = 0.037)。心理弹性评分与感知压力呈负相关(r = -0.415 p = < 0.001)。学生们已经进入大学，表现出心理缺陷，比如压力增加、自尊和适应力下降。
{"title":"Perceived self-esteem, resilience and stress of students entering a nursing degree","authors":"P. R. Mendes, Alana Taha de Araújo, Paloma Bianca Veras Bastos, Erli Neuhauss, L. Monteiro, S. Rauber","doi":"10.4025/ACTASCIHEALTHSCI.V43I1.55004","DOIUrl":"https://doi.org/10.4025/ACTASCIHEALTHSCI.V43I1.55004","url":null,"abstract":"This study aimed to evaluate perceived self-esteem, resilience and stress of students entering a nursing degree. Cross-sectional study with 122 students (104 women and 18 men) of the first semester of a private institution in Distrito Federal. Evaluations were performed in March 2019. Rosenberg Self-Esteem Scale, Resilience in Higher Education and Perceived Stress, as well as a socioeconomic questionnaire were used. All procedures were carried out using the software Statistical Package for the Social Sciences (SPSS) and GraphPad Prism 6. The comparison of perceived stress between groups demonstrated that less stressed individuals were younger (19.1 ± 1.9 years old vs 22.5 ± 7.4; p = 0.030) and presented higher resilience scores (147.0 ± 16.3 vs 125.0 ± 22.5; p < 0.001). The comparison of self-esteem tertiles showed that individuals with better self-esteem were more resilient (146.0 ± 17.65 vs 133.85 ± 24.84; p = 0.037). Spearman's correlation demonstrated a negative relation between resilience score and perceived stress (r = -0.415 p = < 0.001). Students had already entered university presenting psychical deficits, such as increased stress and low self-esteem and resilience.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83188439","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 : 2021-03-08DOI: 10.4025/ACTASCIHEALTHSCI.V43I1.55223
Fernanda Santana da Silva, Jefferson Oliveira Silva, Matheus Felipe Guimarães Aguiar, João José Lopes Santos Neto, R. F. D. Rocha, V. Guimarães
Visceral leishmaniasis (VL), also known as ‘calazar’, is a serious chronic disease caused by Leishmania species from Leishmania (Leishmania) donovani complex, which the disease is characterized by abdominal swelling (hepatosplenomegaly) and may evolve to death in extreme cases. In this sense, the aim of our study was to assess the epidemiological profile of the cases found in Montes Claros (Minas Gerais state). A retrospective or cross-sectional study was carried out using secondary data provided by Health Information System (SINAN/HM) of Brazil from January 2010 to February 2020. Our data has shown that VL is an endemic disease in Montes Claros region, with 413 VL cases reported, 62.00% (252) male, average age ± standard deviation (years), and 93.46% (386) lived in Montes Claros city. The presence of comorbidities was observed in 13.70% (54) of the patients and in 7.26% (30). As for the evolution of the disease, 246 (59.56%) were cured, 30 (7.26%) died due to VL. Between 2010 and 2015, Glucantime stands out, in which 46 (11.13%) patients used the drug, followed by common Amphotericin B 24 (13.48%) and liposomal Amphotericin B 38 (21.34%). In the period between 2016 and 2020, the most prevalent drug was liposomal Amphotericin B, with 71 (29.83%) patients using it, followed by Glucantime 45 (18.9%). The condition evolved to death. We conclude that Montes Claros is still an endemic area for VL with an increased number of cases over time and a noticeable shift in patient profile towards children and young people. Joint efforts from different areas of scientific knowledge and public health services are needed to improve the effectiveness of visceral leishmaniasis surveillance and control actions. The population can contribute to this process of disease prevention and control, through educational actions in health and the environment.
{"title":"Epidemiological aspects of visceral leishmaniasis in the municipality of Montes Claros-MG","authors":"Fernanda Santana da Silva, Jefferson Oliveira Silva, Matheus Felipe Guimarães Aguiar, João José Lopes Santos Neto, R. F. D. Rocha, V. Guimarães","doi":"10.4025/ACTASCIHEALTHSCI.V43I1.55223","DOIUrl":"https://doi.org/10.4025/ACTASCIHEALTHSCI.V43I1.55223","url":null,"abstract":"Visceral leishmaniasis (VL), also known as ‘calazar’, is a serious chronic disease caused by Leishmania species from Leishmania (Leishmania) donovani complex, which the disease is characterized by abdominal swelling (hepatosplenomegaly) and may evolve to death in extreme cases. In this sense, the aim of our study was to assess the epidemiological profile of the cases found in Montes Claros (Minas Gerais state). A retrospective or cross-sectional study was carried out using secondary data provided by Health Information System (SINAN/HM) of Brazil from January 2010 to February 2020. Our data has shown that VL is an endemic disease in Montes Claros region, with 413 VL cases reported, 62.00% (252) male, average age ± standard deviation (years), and 93.46% (386) lived in Montes Claros city. The presence of comorbidities was observed in 13.70% (54) of the patients and in 7.26% (30). As for the evolution of the disease, 246 (59.56%) were cured, 30 (7.26%) died due to VL. Between 2010 and 2015, Glucantime stands out, in which 46 (11.13%) patients used the drug, followed by common Amphotericin B 24 (13.48%) and liposomal Amphotericin B 38 (21.34%). In the period between 2016 and 2020, the most prevalent drug was liposomal Amphotericin B, with 71 (29.83%) patients using it, followed by Glucantime 45 (18.9%). The condition evolved to death. We conclude that Montes Claros is still an endemic area for VL with an increased number of cases over time and a noticeable shift in patient profile towards children and young people. Joint efforts from different areas of scientific knowledge and public health services are needed to improve the effectiveness of visceral leishmaniasis surveillance and control actions. The population can contribute to this process of disease prevention and control, through educational actions in health and the environment.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86117796","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 : 2021-03-08DOI: 10.4025/ACTASCIHEALTHSCI.V43I1.54202
L. Magalhães, B. S. Borges, P. Pinto, C. Alves, R. H. Alves da Silva
This research study aimed at applying the morphometric quantification of the canine index for sexual dimorphism in a Brazilian sample. This was an observational study and the convenience sample consisted of 90 adult participants (45 male subjects and 45 female subjects), aging from 18 to 35 years. With the aid of a digital caliper, the intraoral mesiodistal measurement of the permanent mandibular right canine (MD43) and the intercanine distance (IC) were taken by three examiners. The measurements were applied to the mandibular canine index formula to estimate sex based on the morphometric features of human canines. The applicability of this approach for sexual dimorphism was assessed based on the mandibular canine index (MCI) calculated by the formula. The MCI was higher in male than in female subjects. In the total sample, the MCI overall mean accuracy rate for sexual dimorphism was 52.22%. In male subjects, the MCI was able to properly differentiate sex in 82.22% of the sample, while in female subjects the accuracy rate decreased to 22.22%. These results call the attention to the careful use of MCI especially for Forensic Anthropology. In particular, the accuracy of the method was close to the random of a sample that contained both sexes. Thus, the MCI should not be used as the only tool for sexual dimorphism.
{"title":"Sexual dimorphism applying the mandibular canine index in a Brazilian sample: a pilot study","authors":"L. Magalhães, B. S. Borges, P. Pinto, C. Alves, R. H. Alves da Silva","doi":"10.4025/ACTASCIHEALTHSCI.V43I1.54202","DOIUrl":"https://doi.org/10.4025/ACTASCIHEALTHSCI.V43I1.54202","url":null,"abstract":"This research study aimed at applying the morphometric quantification of the canine index for sexual dimorphism in a Brazilian sample. This was an observational study and the convenience sample consisted of 90 adult participants (45 male subjects and 45 female subjects), aging from 18 to 35 years. With the aid of a digital caliper, the intraoral mesiodistal measurement of the permanent mandibular right canine (MD43) and the intercanine distance (IC) were taken by three examiners. The measurements were applied to the mandibular canine index formula to estimate sex based on the morphometric features of human canines. The applicability of this approach for sexual dimorphism was assessed based on the mandibular canine index (MCI) calculated by the formula. The MCI was higher in male than in female subjects. In the total sample, the MCI overall mean accuracy rate for sexual dimorphism was 52.22%. In male subjects, the MCI was able to properly differentiate sex in 82.22% of the sample, while in female subjects the accuracy rate decreased to 22.22%. These results call the attention to the careful use of MCI especially for Forensic Anthropology. In particular, the accuracy of the method was close to the random of a sample that contained both sexes. Thus, the MCI should not be used as the only tool for sexual dimorphism.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79551761","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 : 2021-03-08DOI: 10.4025/ACTASCIHEALTHSCI.V43I1.53729
G. Kumari, Vikram Singh, Bimal Chhajer, A. Jhingan
Type 2 Diabetes Mellitus (T2DM) is a costly, lifestyle-related disorder, its management is very critical and challenging hence lifestyle intervention may a cornerstone in the reversal and management of T2DM. This study designed to assess the impact of lifestyle intervention holistic (LIH) Model on blood glucose levels (BGL), Health-Related Quality of Life (HRQOL), and medical treatment cost in T2DM patients. This prospective, quasi-experimental study was conducted among 224 T2DM patients in Delhi Diabetes Research Center (DDRC), New Delhi. The study participants were allocated into two groups-Lifestyle Intervention Counseling (LIC) group received lifestyle-based counseling through the LIH model while the Usual-care group received only standard treatment. Study outcomes were assessed at baseline, 3rd, 6th, and 12th month and data were analyzed through SPSS. Study results revealed that LIC participants had decreased in fasting blood glucose 0.26 mg dL (-4.37 to 4.89), blood glucose postprandial -70.16 mg dL (-85.15 to 55.16), HbA1C -2.82% (-5.26 to 0.37), medicine cost (p < 0.004), hospitalization cost (p < 0.011), and cost of surgery (p < 0.0005). A significant improvement also observed in HRQOL and adherence towards a holistic model in LIC group. The study concludes that lifestyle-based counseling and its adherence was cost-effective and significantly improves BGL, HRQoL, and medical treatment in T2DM patients.
{"title":"Effect of lifestyle intervention holistic approach on blood glucose levels, health-related quality of life and medical treatment cost in type 2 diabetes mellitus patients","authors":"G. Kumari, Vikram Singh, Bimal Chhajer, A. Jhingan","doi":"10.4025/ACTASCIHEALTHSCI.V43I1.53729","DOIUrl":"https://doi.org/10.4025/ACTASCIHEALTHSCI.V43I1.53729","url":null,"abstract":"Type 2 Diabetes Mellitus (T2DM) is a costly, lifestyle-related disorder, its management is very critical and challenging hence lifestyle intervention may a cornerstone in the reversal and management of T2DM. This study designed to assess the impact of lifestyle intervention holistic (LIH) Model on blood glucose levels (BGL), Health-Related Quality of Life (HRQOL), and medical treatment cost in T2DM patients. This prospective, quasi-experimental study was conducted among 224 T2DM patients in Delhi Diabetes Research Center (DDRC), New Delhi. The study participants were allocated into two groups-Lifestyle Intervention Counseling (LIC) group received lifestyle-based counseling through the LIH model while the Usual-care group received only standard treatment. Study outcomes were assessed at baseline, 3rd, 6th, and 12th month and data were analyzed through SPSS. Study results revealed that LIC participants had decreased in fasting blood glucose 0.26 mg dL (-4.37 to 4.89), blood glucose postprandial -70.16 mg dL (-85.15 to 55.16), HbA1C -2.82% (-5.26 to 0.37), medicine cost (p < 0.004), hospitalization cost (p < 0.011), and cost of surgery (p < 0.0005). A significant improvement also observed in HRQOL and adherence towards a holistic model in LIC group. The study concludes that lifestyle-based counseling and its adherence was cost-effective and significantly improves BGL, HRQoL, and medical treatment in T2DM patients.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79190509","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 : 2021-03-08DOI: 10.4025/ACTASCIHEALTHSCI.V43I1.54789
Maria Maiely Bezerra Gomes, S. D. Santos, Jefferson Nunes dos Santos, Valdirene Pereira da Silva Carvalho, Ana Karine Laranjeira de Sá, Cláudia Fabiane Gomes Gonçalves, Valquíria Farias Bezerra Barbosa, Nelson Miguel Galindo Neto
The Brazilian nation has rich population diversity, and this makes it responsible for guaranteeing the social rights of all. In this perspective, this research seeks to categorize which are the main challenges in access to health that the rural populations face and to understand how the execution of this health care is carried out by professionals from the perspective of rural people. This is a crosssectional study with a qualitative approach, carried out at the Nossa Senhora Aparecida Settlement, located in the municipality of Pesqueira (Pernambuco state) in 2018. The results demonstrate that the challenges faced by settled families are due to the difficulty of access to health services. In view of this, the rural population chooses to keep their cultural practices focused on their health alive. Therefore, it is common to use herbal medicines and mystics related to religious beliefs in self-care practices. It was concluded that the current public policies have gaps in their implementation, especially in terms of accessibility, security, health education, equity and respect for cultural differences. In addition, there is precariousness at the national level of studies focused on the health determinants and determinants of the rural population, which makes it necessary that more research be carried out so that new public policies can emerge.
{"title":"Challenges to access health faced by rural population and their perception regarding healthcare","authors":"Maria Maiely Bezerra Gomes, S. D. Santos, Jefferson Nunes dos Santos, Valdirene Pereira da Silva Carvalho, Ana Karine Laranjeira de Sá, Cláudia Fabiane Gomes Gonçalves, Valquíria Farias Bezerra Barbosa, Nelson Miguel Galindo Neto","doi":"10.4025/ACTASCIHEALTHSCI.V43I1.54789","DOIUrl":"https://doi.org/10.4025/ACTASCIHEALTHSCI.V43I1.54789","url":null,"abstract":"The Brazilian nation has rich population diversity, and this makes it responsible for guaranteeing the social rights of all. In this perspective, this research seeks to categorize which are the main challenges in access to health that the rural populations face and to understand how the execution of this health care is carried out by professionals from the perspective of rural people. This is a crosssectional study with a qualitative approach, carried out at the Nossa Senhora Aparecida Settlement, located in the municipality of Pesqueira (Pernambuco state) in 2018. The results demonstrate that the challenges faced by settled families are due to the difficulty of access to health services. In view of this, the rural population chooses to keep their cultural practices focused on their health alive. Therefore, it is common to use herbal medicines and mystics related to religious beliefs in self-care practices. It was concluded that the current public policies have gaps in their implementation, especially in terms of accessibility, security, health education, equity and respect for cultural differences. In addition, there is precariousness at the national level of studies focused on the health determinants and determinants of the rural population, which makes it necessary that more research be carried out so that new public policies can emerge.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82243034","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 : 2021-02-26DOI: 10.4025/ACTASCIHEALTHSCI.V43I1.53934
Márcio Botelho Pedrosa, B. Tenorio, F. D. C. Tenório, R. N. Morais, R. Nogueira, V. A. Júnior
Studies have shown the influence of magnetic fields on several biological systems. Some of these fields, such as shortwave (SW) magnetic fields, have been used for therapeutic purposes. However, the possible adverse effects caused by this treatment still need to be better understood. The present study aimed to ascertain whether a single daily exposure (15 min.), for 15, 30 and 60 days, to SW magnetic field (27.12 MHz) can impede spermatogenesis. Exposure to SW magnetic fields did not change the weight of body, testis, epididymis, prostate, seminal vesicle or the gonadosomatic index. The plasma testosterone levels and testicular component volumes (seminiferous tubules, lumen, lamina propria, connective tissue, blood vessels, intertubular tissue) also remained unchanged. Histopathological analysis and spermatogenesis markers showed no changes after exposure to SW magnetic fields. However, some analyses showed changes in the lamina propria, daily sperm production, individual volume and population of Leydig cells. In conclusion, exposure to SW magnetic field for up to 60 days seems to be safe for spermatogenesis, but this exposure caused minor testicular changes that need to be better understood in the long term. This is of particular interest to health professionals who handle such SW devices for long periods of time.
{"title":"Effects of the 27.12 MHz magnetic field emitted by short-wave equipment on spermatogenesis","authors":"Márcio Botelho Pedrosa, B. Tenorio, F. D. C. Tenório, R. N. Morais, R. Nogueira, V. A. Júnior","doi":"10.4025/ACTASCIHEALTHSCI.V43I1.53934","DOIUrl":"https://doi.org/10.4025/ACTASCIHEALTHSCI.V43I1.53934","url":null,"abstract":"Studies have shown the influence of magnetic fields on several biological systems. Some of these fields, such as shortwave (SW) magnetic fields, have been used for therapeutic purposes. However, the possible adverse effects caused by this treatment still need to be better understood. The present study aimed to ascertain whether a single daily exposure (15 min.), for 15, 30 and 60 days, to SW magnetic field (27.12 MHz) can impede spermatogenesis. Exposure to SW magnetic fields did not change the weight of body, testis, epididymis, prostate, seminal vesicle or the gonadosomatic index. The plasma testosterone levels and testicular component volumes (seminiferous tubules, lumen, lamina propria, connective tissue, blood vessels, intertubular tissue) also remained unchanged. Histopathological analysis and spermatogenesis markers showed no changes after exposure to SW magnetic fields. However, some analyses showed changes in the lamina propria, daily sperm production, individual volume and population of Leydig cells. In conclusion, exposure to SW magnetic field for up to 60 days seems to be safe for spermatogenesis, but this exposure caused minor testicular changes that need to be better understood in the long term. This is of particular interest to health professionals who handle such SW devices for long periods of time.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77969339","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 : 2021-02-26DOI: 10.4025/ACTASCIHEALTHSCI.V43I1.54332
Ana Paula de Sousa Silva Baquião, Leonardo Melo Guedes, C. Mármora, R. Peres, F. Grincenkov
Multiprofessional Health Residency Programs were created to further align health training with the needs of the population and, through an emphasis on teamwork, have been contributing to the consolidation of the Brazilian Unified Health System. The present study sought to understand the perceptions of a group of multiprofessional residents in Hospital Care about interdisciplinarity and interprofessionality within the scope of teamwork. This is a qualitative study that had the participation of 29 multiprofessional residents in the ‘Hospital Care’ area of concentration, all female (six psychologists, six social workers, six nurses, six physiotherapists and five nutritionists). Data were collected by means of a semi-structured interview script. The corpus was subjected to thematic content analysis. Most of the participants: (1) reported that their first contact with the notion of interdisciplinarity occurred when they were in college, which led to them assimilating it as a synonym for joint action, and (2) claimed to have no knowledge of the notion of interprofessionality, but valued the horizontalization of relations between health professionals. Additionally, important conditions concerning both interdisciplinarity and interprofessionality were not emphasized by the participants. Further studies on the subject are needed, due to its importance for public health.
{"title":"Interdisciplinarity and interprofessionality in teamwork: perceptions of multiprofessional residents in Hospital Care","authors":"Ana Paula de Sousa Silva Baquião, Leonardo Melo Guedes, C. Mármora, R. Peres, F. Grincenkov","doi":"10.4025/ACTASCIHEALTHSCI.V43I1.54332","DOIUrl":"https://doi.org/10.4025/ACTASCIHEALTHSCI.V43I1.54332","url":null,"abstract":"Multiprofessional Health Residency Programs were created to further align health training with the needs of the population and, through an emphasis on teamwork, have been contributing to the consolidation of the Brazilian Unified Health System. The present study sought to understand the perceptions of a group of multiprofessional residents in Hospital Care about interdisciplinarity and interprofessionality within the scope of teamwork. This is a qualitative study that had the participation of 29 multiprofessional residents in the ‘Hospital Care’ area of concentration, all female (six psychologists, six social workers, six nurses, six physiotherapists and five nutritionists). Data were collected by means of a semi-structured interview script. The corpus was subjected to thematic content analysis. Most of the participants: (1) reported that their first contact with the notion of interdisciplinarity occurred when they were in college, which led to them assimilating it as a synonym for joint action, and (2) claimed to have no knowledge of the notion of interprofessionality, but valued the horizontalization of relations between health professionals. Additionally, important conditions concerning both interdisciplinarity and interprofessionality were not emphasized by the participants. Further studies on the subject are needed, due to its importance for public health.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90322562","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 : 2021-02-11DOI: 10.4025/ACTASCIHEALTHSCI.V43I1.52932
A. A. Margret, M. Sukanya, C. Johnson, S. Kulandaivel, N. Nagendran
Unravelling the efficacy of gut biome has a major impact on health. An unbalanced microbiome composition is linked to many common illnesses such as gut dysbiosis, mental deformities and immunological imbalance. An optimistic influence on the gut biome can be made by consuming probiotics. This would stimulate neuroprotection and immunomodulation intended by heavy metals pollution. Lead is a major source of neurotoxin that can induce neural deformities. Lactobacillus species isolated from curd were characterized to confirm its specificity. Zebra fish was reared at standard conditions and preclinical assessment on the intensity of induced neurotoxin lead was performed. The embryo toxic assay, immunomodulation effects and animal behavioural models endorsed the consequence of neurotoxicity. Different concentrations of bacterial isolate with standard antidepressant was considered for analysing the vigour of toxicity and its influence on cognitive behaviour by novel tank diving method. The restrain in the animal behaviour was also conferred by all the test samples with a decreased bottom dwelling time which was authenticated with haematology and histopathological studies. The alterations in morphology of the lymphocytes were balanced by the treated test samples. This study paves a twofold potential of probiotic as neuroprotectant and immune modulator against heavy metal toxicity.
{"title":"Facilitating the gut brain axis by probiotic bacteria to modulate neuroimmune response on lead exposed zebra fish models","authors":"A. A. Margret, M. Sukanya, C. Johnson, S. Kulandaivel, N. Nagendran","doi":"10.4025/ACTASCIHEALTHSCI.V43I1.52932","DOIUrl":"https://doi.org/10.4025/ACTASCIHEALTHSCI.V43I1.52932","url":null,"abstract":"Unravelling the efficacy of gut biome has a major impact on health. An unbalanced microbiome composition is linked to many common illnesses such as gut dysbiosis, mental deformities and immunological imbalance. An optimistic influence on the gut biome can be made by consuming probiotics. This would stimulate neuroprotection and immunomodulation intended by heavy metals pollution. Lead is a major source of neurotoxin that can induce neural deformities. Lactobacillus species isolated from curd were characterized to confirm its specificity. Zebra fish was reared at standard conditions and preclinical assessment on the intensity of induced neurotoxin lead was performed. The embryo toxic assay, immunomodulation effects and animal behavioural models endorsed the consequence of neurotoxicity. Different concentrations of bacterial isolate with standard antidepressant was considered for analysing the vigour of toxicity and its influence on cognitive behaviour by novel tank diving method. The restrain in the animal behaviour was also conferred by all the test samples with a decreased bottom dwelling time which was authenticated with haematology and histopathological studies. The alterations in morphology of the lymphocytes were balanced by the treated test samples. This study paves a twofold potential of probiotic as neuroprotectant and immune modulator against heavy metal toxicity.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74271325","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 : 2021-02-11DOI: 10.4025/ACTASCIHEALTHSCI.V43I1.51421
R. Soares, Aíla Marôpo Araújo
Population aging in Brazil increases on a large scale due to declining fertility and mortality. This phenomenon can be influenced by several factors (demographic, biological and social), making them determinants for the health conditions of the elderly populations residing in different geographic areas. The present study aims to identify the functional limitation in elderly residents of urban and rural areas of Brazil. This is a descriptive epidemiological study with a quantitative approach. It was evidenced that the functional limitation for activities of daily living and instrumental activities of daily living are concentrated in the northeast region, mainly in the urban area. The following states presented the highest proportions of daily life activity limitation in urban areas: Alagoas (11.60%), Rio Grande do Norte (10.95%), Pernambuco (10.36%) and Paraíba (9.62%). For activities of daily living in the rural area were found in the states of Paraíba (12.19%), Maranhão (8.93%), Piauí (8.85%) and then Pernambuco (7.24%). Data from the functional limitation for instrumental activities of daily living again highlighted the Northeast region, with the states of Rio Grande do Norte (26.01%), Paraíba (25.96%), Maranhão (25.72%) and Alagoas (24.57%). Lastly, it was verified that the elderly woman exhibits greater proportions of functional limitation in relation to the elderly of the masculine sex, standing out again the northeastern region of the country.
{"title":"Functional limitation on elderly people in the northeast and the feminization of eld in urban and rural areas of Brazil","authors":"R. Soares, Aíla Marôpo Araújo","doi":"10.4025/ACTASCIHEALTHSCI.V43I1.51421","DOIUrl":"https://doi.org/10.4025/ACTASCIHEALTHSCI.V43I1.51421","url":null,"abstract":"Population aging in Brazil increases on a large scale due to declining fertility and mortality. This phenomenon can be influenced by several factors (demographic, biological and social), making them determinants for the health conditions of the elderly populations residing in different geographic areas. The present study aims to identify the functional limitation in elderly residents of urban and rural areas of Brazil. This is a descriptive epidemiological study with a quantitative approach. It was evidenced that the functional limitation for activities of daily living and instrumental activities of daily living are concentrated in the northeast region, mainly in the urban area. The following states presented the highest proportions of daily life activity limitation in urban areas: Alagoas (11.60%), Rio Grande do Norte (10.95%), Pernambuco (10.36%) and Paraíba (9.62%). For activities of daily living in the rural area were found in the states of Paraíba (12.19%), Maranhão (8.93%), Piauí (8.85%) and then Pernambuco (7.24%). Data from the functional limitation for instrumental activities of daily living again highlighted the Northeast region, with the states of Rio Grande do Norte (26.01%), Paraíba (25.96%), Maranhão (25.72%) and Alagoas (24.57%). Lastly, it was verified that the elderly woman exhibits greater proportions of functional limitation in relation to the elderly of the masculine sex, standing out again the northeastern region of the country.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82543706","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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