Pub Date : 2020-07-17DOI: 10.4025/actascihealthsci.v42i1.48889
Talita Araujo Souza, F. B. Andrade
This study aimed to verify the association of social inequalities with infant mortality rate so as to infer what has changed in Brazil with the implementation of the Pact for Life. This was an epidemiological ecological study of the time series type with spatial correlation carried out through the Mortality Information System, considering the years from 1996 to 2016. For the development and analysis of the data, the 161 Intermediate Regions of Urban Articulation were considered. The infant mortality coefficient in the years studied was the dependent variable, and as independent variables, the ones selected were the Human Development Index, Gini Index, percentage of poor people and the coverage of the Family Grant Program. Descriptive data were analyzed in the Statistical Package for the Social Sciences. Mortality data were spatialized to determine bivariate spatial autocorrelations using the Geoda software. It was identified in the results that there was a decrease in the infant mortality rate in the decades; spatial autocorrelation showed high coefficients in the Northeast in the first decade, and higher coefficients in the North and Midwest in the second decade. In the bivariate analysis of the infant mortality coefficient with the Human Development Index, greater autocorrelation was observed in the Southeast, South and Midwest regions in the two decades; with the Gini index, the first decade showed autocorrelation in the North and Northeast, and in the second decade, there was autocorrelation in the North, Northeast, and Midwest. When assessed with poverty, autocorrelation was observed in the North and Northeast; and with coverage of the Family Grant Program, autocorrelation was concentrated in the Northeast. Even before and after the release of the Pact for Life, social inequalities were directly related to infant mortality. The Pact, which had one of its indicators the reduction in infant mortality, was effective when evaluated in isolation, however, despite the decrease in this problem.
{"title":"Implementation of the pact for health in Brazil: what changes did it bring to child mortality?","authors":"Talita Araujo Souza, F. B. Andrade","doi":"10.4025/actascihealthsci.v42i1.48889","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v42i1.48889","url":null,"abstract":"This study aimed to verify the association of social inequalities with infant mortality rate so as to infer what has changed in Brazil with the implementation of the Pact for Life. This was an epidemiological ecological study of the time series type with spatial correlation carried out through the Mortality Information System, considering the years from 1996 to 2016. For the development and analysis of the data, the 161 Intermediate Regions of Urban Articulation were considered. The infant mortality coefficient in the years studied was the dependent variable, and as independent variables, the ones selected were the Human Development Index, Gini Index, percentage of poor people and the coverage of the Family Grant Program. Descriptive data were analyzed in the Statistical Package for the Social Sciences. Mortality data were spatialized to determine bivariate spatial autocorrelations using the Geoda software. It was identified in the results that there was a decrease in the infant mortality rate in the decades; spatial autocorrelation showed high coefficients in the Northeast in the first decade, and higher coefficients in the North and Midwest in the second decade. In the bivariate analysis of the infant mortality coefficient with the Human Development Index, greater autocorrelation was observed in the Southeast, South and Midwest regions in the two decades; with the Gini index, the first decade showed autocorrelation in the North and Northeast, and in the second decade, there was autocorrelation in the North, Northeast, and Midwest. When assessed with poverty, autocorrelation was observed in the North and Northeast; and with coverage of the Family Grant Program, autocorrelation was concentrated in the Northeast. Even before and after the release of the Pact for Life, social inequalities were directly related to infant mortality. The Pact, which had one of its indicators the reduction in infant mortality, was effective when evaluated in isolation, however, despite the decrease in this problem.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77022086","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 : 2020-07-17DOI: 10.4025/actascihealthsci.v42i1.48746
Deise Mariana Aguiar da Costa, Isabel Cristina Cavalcante Carvalho Moreira, C. N. Gomes, Adrielly Caroline Oliveira, Jaciane Santos Marques, E. Santana, D. Rocha, Maria Nauside Pessoa da Silva
The objective of this study was to analyze the sociodemographic, clinical and therapeutic profile of psychiatric hospitalizations related to mental and behavioral disorders. This is an analytical cross-sectional study conducted in a hospital reference in psychiatric treatment in Teresina, Piauí, Brazil. The data were collected with the aid of a form to characterize the sociodemographic, clinical and therapeutic aspects of hospitalizations. The SPSS version 22.0 was used. There was analysis of 291 medical records of patients admitted during the period from February to May 2018, which revealed the year 2018 with the highest rate of psychiatric hospitalization, 239 (82.1%). There was prevalence of men 184 (63.2%), unmarried 209 (71.8%), with a mean age of 38.4 years. There was also a predominance of patients with low schooling. The sex was statistically associated with the use of illicit drugs (p:0.003), suicide attempts (p:0.04) and type of admission (p:0.006). On the other hand, schooling was associated with abandonment (p:0.008); suicide attempt (p:0.033) and previous hospitalizations (p:0.006). Many factors and comorbidities increase the possibility of the patient rehospitalization.
{"title":"Psychiatric hospitalizations related to mental and behavioral disorders in a psychiatric hospital","authors":"Deise Mariana Aguiar da Costa, Isabel Cristina Cavalcante Carvalho Moreira, C. N. Gomes, Adrielly Caroline Oliveira, Jaciane Santos Marques, E. Santana, D. Rocha, Maria Nauside Pessoa da Silva","doi":"10.4025/actascihealthsci.v42i1.48746","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v42i1.48746","url":null,"abstract":"The objective of this study was to analyze the sociodemographic, clinical and therapeutic profile of psychiatric hospitalizations related to mental and behavioral disorders. This is an analytical cross-sectional study conducted in a hospital reference in psychiatric treatment in Teresina, Piauí, Brazil. The data were collected with the aid of a form to characterize the sociodemographic, clinical and therapeutic aspects of hospitalizations. The SPSS version 22.0 was used. There was analysis of 291 medical records of patients admitted during the period from February to May 2018, which revealed the year 2018 with the highest rate of psychiatric hospitalization, 239 (82.1%). There was prevalence of men 184 (63.2%), unmarried 209 (71.8%), with a mean age of 38.4 years. There was also a predominance of patients with low schooling. The sex was statistically associated with the use of illicit drugs (p:0.003), suicide attempts (p:0.04) and type of admission (p:0.006). On the other hand, schooling was associated with abandonment (p:0.008); suicide attempt (p:0.033) and previous hospitalizations (p:0.006). Many factors and comorbidities increase the possibility of the patient rehospitalization.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78684555","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 : 2020-07-09DOI: 10.4025/actascihealthsci.v42i1.51437
Breno Feitosa da Silva, T. A. Guedes, V. Janeiro, É. C. Ferreira, S. M. Araújo, L. Ciupa
Concerning the specificities of a longitudinal study, the trajectories of a subject's mean responses not always present a linear behavior, which calls for tools that take into account the nonlinearity of individual trajectories and that describe them towards associating possible random effects with each individual. Generalized additive mixed models (GAMMs) have come to solve this problem, since, in this class of models, it is possible to assign specific random effects to individuals, in addition to rewriting the linear term by summing unknown smooth functions, not parametrically specified, then using the P-splines smoothing technique. Thus, this article aims to introduce this methodology applied to a dataset referring to an experiment involving 57 Swiss mice infected by Trypanosoma cruzi, which had their weights monitored for 12 weeks. The analyses showed significant differences in the weight trajectory of the individuals by treatment group; besides, the assumptions required to validate the model were met. Therefore, it is possible to conclude that this methodology is satisfactory in modeling data of longitudinal sort, because, with this approach, in addition to the possibility of including fixed and random effects, these models allow adding complex correlation structures to residuals.
{"title":"Analyzing weight evolution in mice infected by Trypanosoma cruzi","authors":"Breno Feitosa da Silva, T. A. Guedes, V. Janeiro, É. C. Ferreira, S. M. Araújo, L. Ciupa","doi":"10.4025/actascihealthsci.v42i1.51437","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v42i1.51437","url":null,"abstract":"Concerning the specificities of a longitudinal study, the trajectories of a subject's mean responses not always present a linear behavior, which calls for tools that take into account the nonlinearity of individual trajectories and that describe them towards associating possible random effects with each individual. Generalized additive mixed models (GAMMs) have come to solve this problem, since, in this class of models, it is possible to assign specific random effects to individuals, in addition to rewriting the linear term by summing unknown smooth functions, not parametrically specified, then using the P-splines smoothing technique. Thus, this article aims to introduce this methodology applied to a dataset referring to an experiment involving 57 Swiss mice infected by Trypanosoma cruzi, which had their weights monitored for 12 weeks. The analyses showed significant differences in the weight trajectory of the individuals by treatment group; besides, the assumptions required to validate the model were met. Therefore, it is possible to conclude that this methodology is satisfactory in modeling data of longitudinal sort, because, with this approach, in addition to the possibility of including fixed and random effects, these models allow adding complex correlation structures to residuals.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77748525","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 : 2020-07-03DOI: 10.4025/actascihealthsci.v42i1.48190
C. Sampaio, Y. M. Évora
This study aimed to develop and evaluate a prototype with opportunities for improvement for the e-SUS Primary Care module, integrated in the proprietary system used at the research site, with a view to improving the health information system. It is an applied research, with a qualitative approach, in the action-research modality. The population consisted of all (30) Community Health Agents assigned to six Family Health Centers in the city of Ribeirão Preto, State of São Paulo, Brazil and six computer experts, who agreed to participate in the research by signing the Informed Consent Form. The study was developed in three stages. Stage 1 Knowledge brought by the Community Health Agent (CHA): observation, by the researcher, of the execution of professional activities in the Electronic Unified Health System of Primary Health Care and unstructured interview, between May and July 2016; Stage 2 Construction of the prototype with opportunities for improvement for the e-SUS AB module. We used the AXURE RP Pro 7.0 software. Stage 3Evaluation of the prototype by the CHA and computer experts. An evaluation instrument was developed considering the specifications described by ISO/IEC 25010, 9241 and 14598 with the parameters: poor, fair, good and excellent. The results show the importance of knowing the aspects related to the way of working, or behavior, that can influence the final quality of the data inserted in the Health Information Systems. In the same way, such systems aim to obtain inputs for the definition of the requirements and goals of usability, in order to meet the different user roles identified, and also reinforces the relevance of looking at own systems, acquired in the private market or developed in the municipality. The rapprochement between the researcher and the people involved in the investigated situation allowed for the detection of gaps between the indispensable components to carry out the actions that aim to consolidate computerization in health and, above all, to outline potential solutions to the problems identified.
这项研究的目的是开发和评估一个原型，为e-SUS初级保健模块提供改进的机会，将其集成到研究地点使用的专有系统中，以改进卫生信息系统。这是一项行动研究模式下的定性应用研究。研究对象包括巴西圣保罗州里贝贝奥普雷托市6个家庭健康中心的所有(30)名社区健康代理人和6名计算机专家，他们通过签署知情同意书同意参与研究。这项研究分三个阶段进行。第一阶段社区卫生代理人(CHA)带来的知识:2016年5月至7月，研究人员观察初级卫生保健电子统一卫生系统的专业活动执行情况和非结构化访谈;阶段2:构建原型，为e-SUS AB模块提供改进的机会。我们使用了AXURE RP Pro 7.0软件。第三阶段由CHA和计算机专家对原型进行评估。根据ISO/IEC 25010、9241和14598标准的描述，研制了一种评价仪器，参数为:差、一般、好、优。结果表明，了解与工作方式或行为相关的方面的重要性，这些方面会影响插入卫生信息系统的数据的最终质量。以同样的方式，这些系统旨在为可用性的需求和目标的定义获得输入，以满足所确定的不同用户角色，并且还加强了查看自己的系统的相关性，这些系统是在私人市场获得的或在市政当局开发的。研究人员与参与调查情况的人员之间的和解，使我们能够发现必要组成部分之间的差距，以便采取行动，巩固卫生领域的计算机化，最重要的是，概述所确定问题的潜在解决办法。
{"title":"Electronic Unified Health System: opportunities for improvement","authors":"C. Sampaio, Y. M. Évora","doi":"10.4025/actascihealthsci.v42i1.48190","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v42i1.48190","url":null,"abstract":"This study aimed to develop and evaluate a prototype with opportunities for improvement for the e-SUS Primary Care module, integrated in the proprietary system used at the research site, with a view to improving the health information system. It is an applied research, with a qualitative approach, in the action-research modality. The population consisted of all (30) Community Health Agents assigned to six Family Health Centers in the city of Ribeirão Preto, State of São Paulo, Brazil and six computer experts, who agreed to participate in the research by signing the Informed Consent Form. The study was developed in three stages. Stage 1 Knowledge brought by the Community Health Agent (CHA): observation, by the researcher, of the execution of professional activities in the Electronic Unified Health System of Primary Health Care and unstructured interview, between May and July 2016; Stage 2 Construction of the prototype with opportunities for improvement for the e-SUS AB module. We used the AXURE RP Pro 7.0 software. Stage 3Evaluation of the prototype by the CHA and computer experts. An evaluation instrument was developed considering the specifications described by ISO/IEC 25010, 9241 and 14598 with the parameters: poor, fair, good and excellent. The results show the importance of knowing the aspects related to the way of working, or behavior, that can influence the final quality of the data inserted in the Health Information Systems. In the same way, such systems aim to obtain inputs for the definition of the requirements and goals of usability, in order to meet the different user roles identified, and also reinforces the relevance of looking at own systems, acquired in the private market or developed in the municipality. The rapprochement between the researcher and the people involved in the investigated situation allowed for the detection of gaps between the indispensable components to carry out the actions that aim to consolidate computerization in health and, above all, to outline potential solutions to the problems identified.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81817444","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 : 2020-07-03DOI: 10.4025/actascihealthsci.v42i1.50847
Nathalia Rodrigues Bulka, A. C. M. Hacke, Valeria Gremisk Pawlak, R. Pereira, L. Esmerino, J. Vellosa
Luffa operculata is a medicinal plant widely used in the treatment of rhinosinusitis in Brazil. The aim of this work was to carry out a preliminary analysis of the antioxidant and antimicrobial profile of Luffa operculata extracts. The antioxidant activity of the commercial solution, hydroalcoholic extract, infusion and ethanolic extract obtained from the commercialized fruit were evaluated for 2,2′-Azinobis(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) and 2,2-Diphenyl-1-picrylhydrazyl (DPPH) radicals. The antimicrobial activity was determined by minimum inhibitory concentration against the pathogens Staphylococcus aureus, Escherichia coli and Candida albicans. It was shown that the hydroalcoholic extract exhibited the highest antioxidant and antimicrobial activity when compared to the aqueous and ethanolic extracts by the methods employed on this work. Thus, the extracts of Luffa operculata are a good source of active principles with pharmacological activity.
{"title":"Preliminary evaluation of antioxidant and antimicrobial activities of Luffa Operculata (L.) Cong. extracts","authors":"Nathalia Rodrigues Bulka, A. C. M. Hacke, Valeria Gremisk Pawlak, R. Pereira, L. Esmerino, J. Vellosa","doi":"10.4025/actascihealthsci.v42i1.50847","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v42i1.50847","url":null,"abstract":"Luffa operculata is a medicinal plant widely used in the treatment of rhinosinusitis in Brazil. The aim of this work was to carry out a preliminary analysis of the antioxidant and antimicrobial profile of Luffa operculata extracts. The antioxidant activity of the commercial solution, hydroalcoholic extract, infusion and ethanolic extract obtained from the commercialized fruit were evaluated for 2,2′-Azinobis(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) and 2,2-Diphenyl-1-picrylhydrazyl (DPPH) radicals. The antimicrobial activity was determined by minimum inhibitory concentration against the pathogens Staphylococcus aureus, Escherichia coli and Candida albicans. It was shown that the hydroalcoholic extract exhibited the highest antioxidant and antimicrobial activity when compared to the aqueous and ethanolic extracts by the methods employed on this work. Thus, the extracts of Luffa operculata are a good source of active principles with pharmacological activity.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82841548","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 : 2020-07-03DOI: 10.4025/actascihealthsci.v42i1.48896
Pamela Kaezynski Maciel, C. Peters, C. Lange, Denise Somavila Przylynski Castro, Jéssica Noema da Rosa Braga, Pablo Stolz
This study aimed to learn about the conditions of access to health services that seniors living in rural areas have, as well as their satisfaction. This is a qualitative, descriptive and exploratory research conducted in a municipality located in the southern region of Rio Grande do Sul, Brazil. It included 19 elderly individuals registered in three Basic Health Units organized in the form of Family Health Strategy. Data were collected between July and August 2018 through semi-structured interviews, which were analyzed based on Minayo's operational proposal. Afterwards, two categories were defined: "Access to health services used by elderly residents of rural areas" and "Satisfaction with health services used by elderly residents of rural areas". Concerning access, many are the difficulties faced, such as long distances to be traveled until arriving at a health service, poor road conditions, limitations related to public transport days, timetables and itineraries, lack of human and material resources, and long waiting time to make appointments with specialists and schedule exams through the Brazilian Unified Health System. As for satisfaction, the main complaint of the elderly participants refers to issues involving, above all, health management and work process, such as delay in making health care appointments, although most participants reported being satisfied with the care provided by health professionals. It is worth noting that learning about the conditions of access to health services used by elderly people living in rural areas and their satisfaction contributes to the planning, implementation, development and evaluation of public health actions, programs and policies.
{"title":"Accessibility and satisfaction of the elderly living in rural areas in relation to the health services.","authors":"Pamela Kaezynski Maciel, C. Peters, C. Lange, Denise Somavila Przylynski Castro, Jéssica Noema da Rosa Braga, Pablo Stolz","doi":"10.4025/actascihealthsci.v42i1.48896","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v42i1.48896","url":null,"abstract":"This study aimed to learn about the conditions of access to health services that seniors living in rural areas have, as well as their satisfaction. This is a qualitative, descriptive and exploratory research conducted in a municipality located in the southern region of Rio Grande do Sul, Brazil. It included 19 elderly individuals registered in three Basic Health Units organized in the form of Family Health Strategy. Data were collected between July and August 2018 through semi-structured interviews, which were analyzed based on Minayo's operational proposal. Afterwards, two categories were defined: \"Access to health services used by elderly residents of rural areas\" and \"Satisfaction with health services used by elderly residents of rural areas\". Concerning access, many are the difficulties faced, such as long distances to be traveled until arriving at a health service, poor road conditions, limitations related to public transport days, timetables and itineraries, lack of human and material resources, and long waiting time to make appointments with specialists and schedule exams through the Brazilian Unified Health System. As for satisfaction, the main complaint of the elderly participants refers to issues involving, above all, health management and work process, such as delay in making health care appointments, although most participants reported being satisfied with the care provided by health professionals. It is worth noting that learning about the conditions of access to health services used by elderly people living in rural areas and their satisfaction contributes to the planning, implementation, development and evaluation of public health actions, programs and policies.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85847765","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}
Nursing Care Systematization (NCS) is an organized and systematized process that concerns nursing professionals who provide quality assistance, being a mandatory tool in all health centers. Despite this factor, there is a visible resistance from nursing to the operationalization of a systematized care. Thus, the present study aims to analyze the applicability of nursing care systematization and the knowledge that primary care nurses have of this process. This is a descriptive, cross-sectional study with quanti-qualitative approach, conducted with nurses working in primary care teams from a regional health zone in the state of Paraná, Brazil. Out of the 44 participant nurses, only 20.5% claimed to take all steps in the nursing process during their care practice, and 43.2% do not know about the Resolution of the Federal Nursing Council that addresses NCS application. This low NCS applicability is worrisome, since it is related to the quality, resolution and security of care provision. The applicability of the systematization within the assessed teams is quite fragmented and small; besides, their NCS knowledge is insufficient considering that this is such a relevant tool to a nurse’s professional practice. It is possible to notice numerous fragilities and difficulties in the application of NCS to primary care, with highlight to time availability, overworked nurses, and need for training.
{"title":"Nursing Care Systematization: Applicability to Primary Care","authors":"Emilli Karine Marcomini, Nanci Verginia Kuster de Paula, Daiane Cortêz Raimondi","doi":"10.4025/actascihealthsci.v42i1.48465","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v42i1.48465","url":null,"abstract":"Nursing Care Systematization (NCS) is an organized and systematized process that concerns nursing professionals who provide quality assistance, being a mandatory tool in all health centers. Despite this factor, there is a visible resistance from nursing to the operationalization of a systematized care. Thus, the present study aims to analyze the applicability of nursing care systematization and the knowledge that primary care nurses have of this process. This is a descriptive, cross-sectional study with quanti-qualitative approach, conducted with nurses working in primary care teams from a regional health zone in the state of Paraná, Brazil. Out of the 44 participant nurses, only 20.5% claimed to take all steps in the nursing process during their care practice, and 43.2% do not know about the Resolution of the Federal Nursing Council that addresses NCS application. This low NCS applicability is worrisome, since it is related to the quality, resolution and security of care provision. The applicability of the systematization within the assessed teams is quite fragmented and small; besides, their NCS knowledge is insufficient considering that this is such a relevant tool to a nurse’s professional practice. It is possible to notice numerous fragilities and difficulties in the application of NCS to primary care, with highlight to time availability, overworked nurses, and need for training.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83937487","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 : 2020-07-03DOI: 10.4025/actascihealthsci.v42i1.50918
Paulo Ricardo de Oliveira Medeiros, G. F. D. Duca, A. Streb, Isabel Heberle, L. Leonel, A. Gerage
The aim of the study was to investigate the association between different anthropometric indicators and high blood pressure in adults with obesity.This is a cross-sectional study with a nonprobabilistic sample of adults with obesity. Systolic and diastolic blood pressure were measured using automated equipment (OMRON, model 742 HEM). The anthropometric indicators used were body mass index (BMI), relative fat mass (RFM), waist circumference (WC), waist-to-stature ratio (WSR) and waisthip ratio (WHR). The data were analyzed by crude and adjusted (sex and age) linear regression, adopting a level of significance p <0.05. Among the 63 adults with obesity evaluated (38 woman; 35.27±7.02 years; BMI: 33.46±2.89 kg m; RFM: 39.98±6.70; WC: 109.38±10.15 cm; WSR: 0.64±0.05; WHR: 0.93±0.01), it was observed that the increase in systolic blood pressure was directly associated with the indicators RFM (p=0.011; Cohen’s F2= 0.42), WC (p=0.003; Cohen’s F2= 0.49), WSR (p=0.010; Cohen’s F2= 0.42) e WHR (p=0.001; Cohen’s F2= 0.52), but not to BMI (p=0.100). The elevation of diastolic blood pressure was directly associated with all the anthropometric indicators analyzed: BMI (p=0.040; Cohen’s F2= 0.14), RFM (p= 0.006; Cohen’s F2= 0.21), WC (p=0.002; Cohen’s F2= 0.26),WSR (p=0.004 Cohen’s F2=0.23) and WHR (p=0.012; Cohen’s F2=0.19). It was concluded blood pressure elevation was directly associated with the anthropometric indicators investigated and, among them, the WHR and the WC presented the best predictive capacity for systolic blood pressure and diastolic blood pressure elevations, respectively.
{"title":"Anthropometric indicators associated with blood pressure elevation in adults with obesity","authors":"Paulo Ricardo de Oliveira Medeiros, G. F. D. Duca, A. Streb, Isabel Heberle, L. Leonel, A. Gerage","doi":"10.4025/actascihealthsci.v42i1.50918","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v42i1.50918","url":null,"abstract":"The aim of the study was to investigate the association between different anthropometric indicators and high blood pressure in adults with obesity.This is a cross-sectional study with a nonprobabilistic sample of adults with obesity. Systolic and diastolic blood pressure were measured using automated equipment (OMRON, model 742 HEM). The anthropometric indicators used were body mass index (BMI), relative fat mass (RFM), waist circumference (WC), waist-to-stature ratio (WSR) and waisthip ratio (WHR). The data were analyzed by crude and adjusted (sex and age) linear regression, adopting a level of significance p <0.05. Among the 63 adults with obesity evaluated (38 woman; 35.27±7.02 years; BMI: 33.46±2.89 kg m; RFM: 39.98±6.70; WC: 109.38±10.15 cm; WSR: 0.64±0.05; WHR: 0.93±0.01), it was observed that the increase in systolic blood pressure was directly associated with the indicators RFM (p=0.011; Cohen’s F2= 0.42), WC (p=0.003; Cohen’s F2= 0.49), WSR (p=0.010; Cohen’s F2= 0.42) e WHR (p=0.001; Cohen’s F2= 0.52), but not to BMI (p=0.100). The elevation of diastolic blood pressure was directly associated with all the anthropometric indicators analyzed: BMI (p=0.040; Cohen’s F2= 0.14), RFM (p= 0.006; Cohen’s F2= 0.21), WC (p=0.002; Cohen’s F2= 0.26),WSR (p=0.004 Cohen’s F2=0.23) and WHR (p=0.012; Cohen’s F2=0.19). It was concluded blood pressure elevation was directly associated with the anthropometric indicators investigated and, among them, the WHR and the WC presented the best predictive capacity for systolic blood pressure and diastolic blood pressure elevations, respectively.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82769606","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 : 2020-07-03DOI: 10.4025/actascihealthsci.v42i1.48114
Jean Artur Mendonça Barboza, Larissa Isabelle Soares Souza, M. S. Cerqueira, P. R. Andrade, H. Santos, J. J. Ferreira
The purpose of this study was to analyze skin temperature (Tsk) responses after a short-term maximum effort test in middle-distance runners. A quasi-experimental study was conducted with ten men (age 23.5±5.10 years) who trained 5 days per week, 2 to 3 hours per day, and were submitted to thermographic evaluation before and after Cooper's 12-minute run test (CRT). The mean temperature of the anterior-superior, posterior-superior, anterior-inferior, and posterior-inferior regions was compared between the sides (i.e., left and right) before and after CRT. The paired t-test showed a significant decrease in Tsk after CRT in the following regions: right pectoralis major (-3.4%), left pectoralis major (3.4%), and abdomen (-5%) in the anterior-superior view (p<0.01); and in the upper right trunk (-1.9%), upper left trunk (-1.9%) and lower back (-2.9%) in the posterior-superior view (p<0.05). In the lower limbs, a significant increase in temperature of the left knee (1.6%), and right (3.6%) and left ankles (2.9%) in the anterior view (p<0.05), as well as in the right (4.3%) and left ankles (3.7%) in the posterior view (p<0.05) were observed. There was no difference in temperature between the right and left sides. In conclusion, the Tsk change of middle-distance runners was symmetrical between sides, decreasing in upper limbs and trunk and increasing in lower limbs after a short-term maximum effort test.
{"title":"Skin temperature of middle distance runners after a maximum effort test","authors":"Jean Artur Mendonça Barboza, Larissa Isabelle Soares Souza, M. S. Cerqueira, P. R. Andrade, H. Santos, J. J. Ferreira","doi":"10.4025/actascihealthsci.v42i1.48114","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v42i1.48114","url":null,"abstract":"The purpose of this study was to analyze skin temperature (Tsk) responses after a short-term maximum effort test in middle-distance runners. A quasi-experimental study was conducted with ten men (age 23.5±5.10 years) who trained 5 days per week, 2 to 3 hours per day, and were submitted to thermographic evaluation before and after Cooper's 12-minute run test (CRT). The mean temperature of the anterior-superior, posterior-superior, anterior-inferior, and posterior-inferior regions was compared between the sides (i.e., left and right) before and after CRT. The paired t-test showed a significant decrease in Tsk after CRT in the following regions: right pectoralis major (-3.4%), left pectoralis major (3.4%), and abdomen (-5%) in the anterior-superior view (p<0.01); and in the upper right trunk (-1.9%), upper left trunk (-1.9%) and lower back (-2.9%) in the posterior-superior view (p<0.05). In the lower limbs, a significant increase in temperature of the left knee (1.6%), and right (3.6%) and left ankles (2.9%) in the anterior view (p<0.05), as well as in the right (4.3%) and left ankles (3.7%) in the posterior view (p<0.05) were observed. There was no difference in temperature between the right and left sides. In conclusion, the Tsk change of middle-distance runners was symmetrical between sides, decreasing in upper limbs and trunk and increasing in lower limbs after a short-term maximum effort test.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76861597","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 : 2020-04-22DOI: 10.4025/actascihealthsci.v42i1.46808
S. D. Silva, Bruna Kruczewski, S. F. Cetolin, Andreia Dalla Vecchia, V. Beltrame
The perioperative period comprises the moments before, during and after surgery. Based on the concern about the care for and safety of patients in this process, this study sought to assess the quality of surgical procedures in a hospital environment. It is an epidemiological, descriptive and retrospective research conducted at Santa Terezinha University Hospital [Hospital Universitário Santa Terezinha], in the municipality of Joaçaba, Santa Catarina (SC). The investigation aimed to identify the reasons for surgical cancellation, as well as immediate postoperative complications that occur in the postanesthesia care unit. A total of 456 records from surgery cancellation daily maps and 361 medical records of patients in postoperative care were analyzed. Results show that the main cause for cancellation of surgeries was transfer or unscheduled procedure (23.1%), but 27% of the unscheduled surgeries did not have the reason for cancellation reported. Adult (over 80%) and female individuals were the majority for both cancelled surgeries and postoperative complications. The most frequent postoperative complication was hypotension. Among performed surgeries, thoracic ones (41.8%) were most prevalent, while abdominal/pelvic (49%) surgeries were the most cancelled. It is concluded that a big portion of the cancelled surgical procedures could have been prevented, since only 6.8% of them were related to clinical conditions.
围手术期包括手术前、手术中和手术后的时间。基于对这一过程中患者的护理和安全的关注，本研究试图评估医院环境下外科手术的质量。这是一项流行病学、描述性和回顾性研究，在圣卡塔琳娜州joa巴市Santa Terezinha大学医院[医院Universitário Santa Terezinha]进行。该调查旨在确定手术取消的原因，以及发生在麻醉后护理单位的即时术后并发症。分析了456份手术取消日图记录和361份术后护理患者病历。结果显示，手术取消的主要原因是转移或计划外手术(23.1%)，计划外手术中有27%没有报告取消的原因。取消手术和术后并发症以成人(80%以上)和女性居多。术后最常见的并发症是低血压。在已进行的手术中，取消最多的是胸部手术(41.8%)，而取消最多的是腹部/骨盆手术(49%)。结果显示，被取消的手术中，与临床状况有关的手术只占6.8%，因此大部分手术本来是可以避免的。
{"title":"Perioperative safety indicators: surgery cancellation and immediate postoperative complications","authors":"S. D. Silva, Bruna Kruczewski, S. F. Cetolin, Andreia Dalla Vecchia, V. Beltrame","doi":"10.4025/actascihealthsci.v42i1.46808","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v42i1.46808","url":null,"abstract":"The perioperative period comprises the moments before, during and after surgery. Based on the concern about the care for and safety of patients in this process, this study sought to assess the quality of surgical procedures in a hospital environment. It is an epidemiological, descriptive and retrospective research conducted at Santa Terezinha University Hospital [Hospital Universitário Santa Terezinha], in the municipality of Joaçaba, Santa Catarina (SC). The investigation aimed to identify the reasons for surgical cancellation, as well as immediate postoperative complications that occur in the postanesthesia care unit. A total of 456 records from surgery cancellation daily maps and 361 medical records of patients in postoperative care were analyzed. Results show that the main cause for cancellation of surgeries was transfer or unscheduled procedure (23.1%), but 27% of the unscheduled surgeries did not have the reason for cancellation reported. Adult (over 80%) and female individuals were the majority for both cancelled surgeries and postoperative complications. The most frequent postoperative complication was hypotension. Among performed surgeries, thoracic ones (41.8%) were most prevalent, while abdominal/pelvic (49%) surgeries were the most cancelled. It is concluded that a big portion of the cancelled surgical procedures could have been prevented, since only 6.8% of them were related to clinical conditions.","PeriodicalId":7185,"journal":{"name":"Acta Scientiarum. Health Science","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85869133","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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