Revista Contexto & Saúde

001-003

Authors: Thiago Gomes Heck, Giovano Pereira Buratti, Adriane Cristina Bernat Kolankiewicz

Agora, no final de 2016, temos a satisfação de publicar mais uma edição da Revista Contexto & Saúde (RCS). Nesta data divulgamos também alguns dados sobre o processo editorial realizado nos últimos quatro anos, ou seja, dados referentes aos últimos seis números da revista. Nesta trajetória passamos por mudanças em busca de qualificação de nosso processo editorial, ampliando o número de editores, nomeando editores por área (seções da revista) e ampliando o número de seções por edição.

015-024

Authors: Francisca Alanny Araújo Rocha, Antonio Rodrigues Ferreira Junior, Carlos César Menezes Júnior, Maria Eunice Nogueira Galeno Rodrigues

The Family Health Care Strategy (FHCS) is regarded as a conducive environment to promote health in the area of Exclusive Breastfeeding (EB). In view of this situation, the nurses comprised in primary care has characteristics that enhance their work of guidance and the monitoring of mothers and babies during this process. This article examines the health promotion actions toward AME conducted by nurses from the FHCS, in the year 2015. This is a qualitative, descriptive exploratory study, conducted with eight nurses working in primary health care of a small municipal community in the north of the state of Ceará. The data collected occurred through individual semi-structured interviews carried out in Health Care Units, as well as participant observation which occurred during ‘well child’ visits and documented in the field journal by the researcher. The content of the analysis was used for the discussion of the results and generated the following categories: Dialogue is fundamental; Home visit: space orientation; AME as a family planning method; practices of health care promotion and encouragement of breastfeeding. The ethical guidelines were followed. It was perceived that the role of nurses for health promotion was related to breastfeeding and also the importance of primary health care as a enabling environment in regard to these actions. However, each professional should have its role expanded in promoting breastfeeding, in order to improve the indicators of the area and optimize the quality of life for the people under their responsibility.

034-042

Authors: Vanessa do Nascimento Silveira, Danúbia Moraes Legramante, Greice Machado Pieszak

This is a literature narrative type of descriptive and exploratory nature with a qualitative approach, which aims to analyze the publications on pediatric oncology and the implications for nursing care. The search was conducted in February 2016, the Latin American database and Caribe Health Sciences (Lilacs), we used the following descriptors: "Pediatric Nursing" and "Oncology Nursing". From the data analysis, three categories have emerged: the perspective of caring for the child cancer in the context of family and nursing staff; the impact of the feelings and emotions that permeate the disease process; and the promotion of the family oncological and child quality of life. In this sense, it is concluded that the nursing staff, should not be limited only to therapeutic protocols, but also include humanized actions that value the constant participation of the family in this context, since the cure should not be based solely on biological recovery, but the well-being and quality of life of these children

056-069

Authors: Aline Sobreira Bezerra, Fernanda de Bona Coradi

This study aimed to evaluate the meals served to children from seven months to five years old, enrolled in a municipal nursery of Rio Grande do Sul, focusing on the nutritional needs according to age and the menu level of acceptance offered. Worked with the menu served during the week and portioning for each age group. As a reference to assess the supply of nutrients to children, were used the macro and micronutrient recommendations of the national Education Development Fund. The results showed that for students of nursery was vitamin A deficiency and sodium, for maternal was vitamin A deficiency and calcium and the preschool was deficient in most nutrients offered on the menu, except for protein, vitamin C and iron. The inadequacy of the food given to the children can be justified by a deficiency in the design of the proposed menu, lack of technical data sheets and training for handlers and the lack of cooperation from handlers to follow the menu proposed and elaborated by nutritionist.

079-088

Authors: Daisy Eckhard Bondan

The physical therapy professionals are being called to enter a new field of activity that's not common being utilized in this area, until nowadays, seeking in this way information about physical therapy based on virtual reality for children with cerebral palsy, conducted a literature review in national level, on the use of Virtual Reality (VR) in the treatment of cerebral palsy, with children during physical therapy appointments. The used methodology for the research had basic and exploratory nature, aiming to verify how virtual reality is being utilized in physical therapy care for children with cerebral palsy, in Brazil. The major question in this research was: Confirm if use of Virtual Reality in physical therapy for children with cerebral palsy enables a playful service, even though it functional. From the scientific material analysis included in the national literature review, was possible to suggest that virtual reality can be a great ally to the physical therapy treatment for children with cerebral palsy.

096-103

Authors: Angelo Viana Weber, Luana Taís Hartmann Backes

The glutamate as one of the most abundant amino acids in the central nervous system (CNS) plays the role of main excitatory neurotransmitter. Thus, this review is to evaluate the relationship glutamate in the development of Huntington's disease (HD) through the excitotoxic process involving its mechanism of action, receptors and associated glutamate transporters. For this, we carried out a revie w of the literature in the VHL databases SciELO and Google Scholar. They were separated 53 articles, and selected 25. The other articles were excluded for not addressing the desired theme. The DH is a polyglutamine disease caused by a mutation in the gene encoding the protein Huntingitna. The mutant Huntingtin will promote a number of changes since the overstimulation of N-methyl D-aspartate (NMDA) to the involvement in the regulation of glutamate transporters 1 (GLT1), glutamate transporter and aspartate (Glast) and low levels of carriers subtype of excitatory amino acids 1 (EAAC1). Thus leading to neurodegeneration process by excitotoxicity by increased levels of glutamate. Thus, it would be necessary to act simultaneously on all the pathophysiology of levels to acquire more expertise in neurodegeneration mechanisms, particularly excitotoxicity by glutamate. In this sense, there is a need for a more targeted action to the pathophysiology of DH levels, in order to acquire new specific knowledge regarding the mechanisms of neurodegeneration, especially by glutamate excitotoxicity.

116-127

Authors: Raquel Borelli Finatto, Karin Hepp Schwambach

The Pharmaceutical Services is a fundamental part of the health care service. For its effective implementation in the context of the Unified Health System it is essential to have as a basic principle guiding the pharmaceutical services cycle, which must be properly planned to ensure the quality and effectiveness of services provided. In this context, the qualification of management is possible through the planning, organization and structuring of the developed activities group. That way, the Strategic Situational Planning appears as an instrument to achieve this objective, because it is a participatory method, that allows you to analyze reality, diagnose problems and develop strategies to solve a given situation. This study presents the case report of the lived experience through the development of an operating plan for Pharmaceutical Services of a municipality in the metropolitan region of Porto Alegre. It can be said that planning is a management tool which, through analysis and discussion of reality, seeks to propose alternatives, identify ways to enable a transformation and take actions to implement the planned activities. The Strategic Situational Planning tool by drawing the operating plan and the interaction with the different actors in the workshop was very rich and contributed to the service organization

139-148

Authors: Daiany de Carvalho, Natália Silva, José Alexandre Bachur, Juliana Luzia França Mesquita, Aline do Carmo França-Botelho

Burnout is a psychological syndrome resulting from chronic interpersonal stressors at work and is characterized by: emotional exhaustion, depersonalization and decrease Involvement Staff at Work. Health professionals have been highlighted as very vulnerable to burnout because they are exposed daily to an enabling work environment, dealing with illness, suffering and death. The aim of the study was to determine whether there is burnout in health care professionals working in two cities of Minas Gerais, Araxá and Santa Juliana. This is a field research, quantitative, exploratory, cross, performed with 75 professionals. Inventory Maslach Burnout was used for – for Health Research Services (Maslach Burnout Inventory – Human Services Survey – MBI HSS). The overall sample averages were: 20.2%, 6.8% and 34.7% for emotional exhaustion, depersonalization, and reduced personal accomplishment, respectively. These percentages are classified as average levels of burnout in all dimensions. As for individual analysis, there was a high level in all three dimensions simultaneously in 6.7% (5 volunteers) of the sample. The presence of at least one dimension at a high level was found in 62.5% (47 volunteers). The results indicate the presence of Burnout in the samp le, which may compromise the health and quality of life, as well as adversely affect the professional performance of these professionals

165-172

Authors: Maria de Lourdes Custódio Duarte, Kelly Viana, Agnes Olschowsky

Attention to crack users has been guaranteed from reformulations Brazilian law, given that the traditional and exclusionary model of psychiatric care has changed from the Psychiatric Reform. Thus, the Centers for Psychosocial Care (CAPS) Alcohol and Drugs constitute services created from the psychiatric reform that aims to mental health care in the territory. It has the objective to describe the strategies used by a CAPS AD the western border of Rio Grande do Sul to guarantee the attention to crack users. This study it is an experience report and that there was the daily service from July to October 2012. It was evident that the Support Groups, the Vocational workshops and home visits by this service are understood as activities strategies for comprehensive care and ensuring attention to crack users a quality service, the logic of the Unified Health System

186-195

Authors: Lucas Vieira Assunção, Jefferson Fernando Coelho Rodrigues Júnior, Igor Ferreira Nunes, Vânia Silva Macedo Orsano

Introduction: Strength Training (ST) has been broadly used due to its benefits to the subjects. It presents many structures and methods, with different objectives. Objective: To compare the effects of the ascending and descending pyramid method in the net number of maximum repetitions (MR) produced in three series in the exercise curl machine in a strength training session. Methods: 10 young women (24,5 ± 8,5 years old; 53,9 ± 14,1 kg; 158 ± 7 cm) performed the strength training for at least six months. The data was obtained in four non -consecutive days during two weeks. For the ascending pyramid, it was performed three series with intensities of 70%, 80% and 90% of the load of 1MR, and for the descending pyramid the order of the intensity was the inverse, with an interval between series of three minutes. In order to analyse the difference between the methods, it was used the Student t-test with significance level of 5%. Results: There was no significant difference between the net numbers of maximum repetitions performed in both protocols. However, in the intensities of 90% and 80%, it was performed a greater number of maximum repetitions in the descending pyramid protocol. In the ascending pyramid protocol, on the other hand, there was a greater number of MR in the intensity of 70% compared to the descending pyramid method in the same intensity. Conclusion: Descending pyramid method would be beneficial for the adaptation in the transition of tensional trainings to the metabolic trainings and when he training is with progressive increasing of load volume, ascending pyramid method is pointed out to be more efficient