Revista Contexto & Saúde

e12394

Authors: Saymon Menezes de Souza , Guilherme Rios Silva , Daniela Leite Fabrino , Igor José Boggione Santos

Several people suffer from diseases and injuries and many of them die because of late diagnostic and/or inefficient treatment. Many of these diseases affect humans and animals, and animals can be vectors for humans. In this perspective, it is necessary works that integrate humans, animals, and ecosystems, thus, to arise One Health. Along with it, nanotechnology is a great alternative to improve health care, due to its revolutionary and complex properties. Although, how can nanomaterials be capable of working with or against cells, tissues, drugs, and medical devices? There are already many products in the market, but there are a lot of challenges to face and a whole new world to discover. This article are given the application of nanostructures in diagnostic, therapy, medical devices, tissue and implant engineering, human health and animal, and a future perspective.

e14511

Authors: Liane Bahú Machado , Aline Cammarano Ribeiro , Elisa da Conceição Rodrigues , Tassiane Ferreira Langendorf , Stela Maris de Mello Padoin , Cristiane Cardoso de Paula

Introduction: Professionals in Primary Health Care services need to provide guidance based on scientific evidence to nursing mothers and their families to promote learning and enable decision-making and safe practices for establishing and maintaining breastfeeding. These guidelines contemplate the physiology of lactation, which is a complex and abstract content for which the use of Educational Technologies is one of the viable options to promote learning through health education with users. Objective: To evaluate the usability of a video clip for learning of lactation physiology by health professionals from primary care services and identify barriers and facilitators for its use. Methodology: Transverse research applied to the knowledge translation model, with 71 participants who responded to System Usability Scale. Spearman correlation test was used. Results: Usability was excellent with the positive association of the professional to have a child health update (p = 0.023). The barriers were: restricted service time, unavailability of resources to present the music video and resistance of professionals to the use of technologies. The facilitators were: waiting room, prenatal care and childcare. Conclusion: Excellence in evaluation points to the useability potential of the music video in the permanent education of professionals and in health education with users. There is a need to minimize infrastructure and human resources barriers for use in primary care services.

e13559

Authors: Karoline Saraiva da Silva Ferreira, Israel Coutinho Sampaio Lima, Ana Suelen Pedroza Cavalcante, Cidianna Emanuelly Melo do Nascimento

To understand the articulation of care between the Psychosocial Care Center for alcohol and other drugs and the Family Health Strategy, which makes it possible to propose strategies that can improve articulation/collaboration in an interdisciplinary perspective among service professionals. This is a qualitative study, with a descriptive-exploratory nature, in two Primary Health Care Units and a Psychosocial Care Center for alcohol and other drugs, in the city of Horizonte, which is part of the metropolitan region of Fortaleza, Ceará. The study took place between March 2021 and July 2022, with the participation of 15 professionals, where the information collected was given by sending a semi-structured script via google docs, with content analysis being applied to the construction of the empirical categories analyzed according to the specific literature of this thematic field. The information collected shows that there are weaknesses in the construction of work from the perspective of the health care network. Such fragility is due to failures in the production and continuity of permanent education processes in mental health, absence of a schedule of matrix actions, fragility of referral and counter- -referral processes, impacting both the care provided and the management and co-responsibility of care. It is necessary to strengthen both the National Mental Health Policy and the Permanent Education in Health, so that the articulation between teams can be reconstructed in a fluid way

e13682

Authors: Talita Oliveira Silva , Renata Martins da Silva Pereira , Elaine Lutz Martins, Sandra Cristina de Souza Borges Silva

His research deals with the management of syphilis during pregnancy in times of the Covid-19 pandemic. The objective was to identify how the experience took place and what strategies were used by PHC nurses in the city of Rio de Janeiro regarding the management and monitoring of syphilis during pregnancy during the Covid-19 pandemic. This is a study with a qualitative approach, carried out with 23 nurses who work in Primary Health Care. Data collection took place through an online questionnaire and analysis using the Content Analysis technique. The results showed that the majority of nurses were female, postgraduate and with an average of 10 years in the profession. They experienced difficulty in treating the pregnant woman and her partner, in addition to changes in the routine of health units during the pandemic. However, they do not demonstrate significant changes in the reality already experienced in relation to syphilis. The strategies indicated to continue the monitoring of syphilis in pregnant women were the partnership with community health agents to capture and actively search for pregnant women in the community and the use of information and communication technologies to provide information and health education to pregnant women in a way that remote and accessible. It can be concluded that although the changes were small in the daily care regarding syphilis, current technologies were used for remote monitoring and guidelines for the continuity of treatment of syphilis in pregnant women.

e12986

Authors: Mayra Lopes de Oliveira, Juliana de Lara Castagnoli, Kerulyn Maria Chanivski Machado, Jaqueline Machado Soares, Flávia Teixeira, Daiana Novello

The objective of the research was to evaluate the association between gender and nutritional status of school-aged children with food acceptance. 626 students, aged between 7 and 10 years, from Guarapuava, PR, participated. Nutritional assessment was performed based on the Body Mass Index for age and gender. Despite the majority of children presenting a nutritional status of eutrophy (58.31%), a high number of students presented weight above the ideal (40.73%). Girls had a greater association with the cereals, fruits, vegetables and dairy groups. Boys, on the other hand, are more associated with foods belonging to the meat and eggs and oils and fats groups, similarly to what was observed for eutrophic children. It is concluded that gender and nutritional status of school-aged children are factors that are associated with food acceptance. The food groups with the most important associations for this public are meat and eggs, oils and fats, cereals, fruits and vegetables and dairy products.

e13745

Authors: Evely Rocha Lima, Gisele da Silveira Lemos, Talita Batista Matos, Jerusa da Mota Santana, Maria Patricia Milagres

Objective: to assess drug use during the COVID-19 pandemic by university students and associated factors. Methods: This is a cross-sectional, descriptive, analytical study, carried out in four Higher Education Institutions in the state of Bahia, Northeast region of Brazil, from April to May 2020. The population consisted of 912 university students. The collection is carried out through an online form, using Google forms platform. The questions addressed socioeconomic, demographic and lifestyle aspects, information about the use of medications before and during the Covid-19 pandemic, as well as the motivation for their use. Pearsons chi-square test was performed and to assess the association between the categorical variables, in addition to univariate analysis using the binary logistic regression model through the odds ratio (OR) considering the 95% confidence interval (CI) and a significance level of 0.05. Results: 19.7% of the sample reported having started using some medication or supplement during a pandemic, among them, 68.2% justified the use due to news or indications or on their own. Vitamin consumption was the most prevalent (34.8%). It was observed that, being a student up to 30 years old, being female and being in clinical graduation, more likely to start using drugs in the pandemic. Conclusion: It was possible to observe a reduced frequency of medication consumption without professional guidance by university students, as the classes of medication most used by the participants were vitamins and herbal medicines.

e13431

Authors: Graciela Saalfeld Conrad , Claiton Leoneti Lencina, Juliane Fernandes Monks da Silva , Paulo Maximiliano Corrêa

Introduction: Self-medication is a reality for a large portion of the population. Although directly related to this practice, the pharmacy attendant is not considered in studies that evaluate self-medication in Brazil. Very little is known about the knowledge of pharmacy attendants concerning the risks of self-medication. Objective: The present study aims to evaluate the use of self-medication by pharmacy attendants in Pelotas, Rio Grande do Sul, in addition to their knowledge about the risks involved in this practice. Method: A cross-sectional study was carried out on pharmacy attendants of private pharmacies in Pelotas. Results: 41,6% of the pharmacy attendants stated that self-medicated, at last, once a month. 66,3% declare that recommend over-the-counter medication to customers. 30,7% of the participants stated that trey already have been encouraged to indicate medicines, however, 75,2% do not consider themselves prepared to help clients with self-medications. Conclusion: Self-medication and assistance with self-medication of patients is a common practice among pharmacy attendants. Therefore, it is up to the pharmacist to assume responsibility for professionals to minimize the risks of self-medication for training and attendants.

e12921

Authors: Maurício Almeida, Thainá Richelli Oliveira Resende, Priscila Figueiredo Campos, Pedro Henrique Berbert de Carvalho

The present study performed the cross-cultural adaptation and assessment of the validity and reliability of the Male Body Attitudes Scale (MBAS) for Brazilian men. The steps of translation, synthesis of translation, back-translation, expert committee and pre-test were carried out. Then, the Brazilian version of the MBAS was applied to a sample of 454 undergraduate men, aged between 18 and 35 years. We evaluated the factor structure of the MBAS through confirmatory factor analysis (factorial validity), as well as the convergent validity by association tests between MBAS scores and symptoms of muscle dysmorphia, body dissatisfaction, drive for muscularity and psychological commitment to physical exercise. Reliability was estimated by internal consistency and test-retest stability, with an interval of two weeks. The Brazilian version of the MBAS upheld the original factor structure of the scale, composed of three factors (Musculature, Body Fat and Height) and 24 items, showing good fit indices (χ²/df = 3.523; CFI = 0.95; TLI = 0.95; SRMR = 0.06; and RMSEA = 0.06 [CI 95%: 0.06, 0.08; p = 0.019]). The MBAS also showed good convergent validity. We found adequate internal consistency (Cronbach’s alpha of 0.87) and test-retest stability (intraclass correlation coefficient of 0.89; p < 0.001), showing good reliability of the Brazilian version of the MBAS. It is concluded that the MBAS was translated and adapted for the Brazilian population and showed good psychometric qualities of validity and reliability in a sample of undergraduate men.

e12115

Authors: Ellivania Cruz Torres, Elayne Lima Meira , Sybelle Christianne Batista de Lacerda Pedrosa, Isabel Dielle Souza Lima Pio, Deuzilane Muniz Nunes

This study aims to evaluate the pharmacotherapeutic profile and quality of life of people with Systemic Lupus Erythematosus (SLE). This is an analytical, cross-sectional and quantitative study involving 29 participants that are include in the Group of Attention to the Person with Lupus, living in the municipalities of Petrolina, Pernambuco, and Juazeiro, Bahia. The sociodemographic, clinical, quality of life (WHOQOL-bref), fatigue (Fatigue Severity Scale, FSS), impact of symptoms through the Systemic Lupus Erythematosus Symptom Checklist (SSC) and also the involvement of pharmacological treatment (Brief Medication Questionaire – BMQ) were evaluated. The polypharmacy was present in 79.3% of the participants, 69.0% had low therapeutic adherence and 69.0% reported fatigue. Fifty-two potential drug interactions and a mean pharmacotherapy complexity index of 38.9±19.0 were identified. Regarding quality of life, the social and psychological relations domains obtained the best averages at 74.2±18.0 and 72.4±17.7, respectively. The study showed low therapeutic adherence, considerable presence of potential drug interactions and pharmacotherapy complexity. In addition to the high number of comorbidities, worsening fatigue, higher occurrence of SLE symptoms and its impacts interfering in the quality of life of people with SLE.

e13327

Authors: Máyra Rodrigues Fernandes , Ana Rafaela Pires Lira , Giulyane Targino Aires Moreno, Ronara Camila de Souza Groia Veloso , Lívia Pena Silveira , Brígida Dias Fernandes, Clarice Chemello

Objective: To analyze the potential clinical impact of unintended medication discrepancies to which pediatric patients are exposed on hospital admission. Methods: Descriptive observational study, conducted at the pediatric emergency unit of a university hospital, from April to August 2019. The included patients werw aged 28 days to 12 years and werw approached within 48 hours of admission. An interview was carried out with the children and their companions and their prescriptions (home and hospital) were reconciled. The discrepancies found were classified as intentional, intentional undocumented and unintentional. Descriptive analysis was performed to characterize the profile of the sample, unintentional discrepancies and the potential to harm the errors involved. The harmful potential of medication errors was assessed by a panel of eleven specialist pharmacists. Results: 69 patients were included, with a median age of 3 years, 55% male. A total of 252 medications were reconciled, with 53 (21%) involved in medication error. Almost half of the patients 28 (41%) had at least one medication error on hospital admission, with omission being the most prevalent 24 (45%). If these errors had not been detected, 31 (58%) of them could have caused harmful harm to patients (Level 3) and 181 (34%) required further monitoring or intervention to prevent harm (Level 2).Conclusion: The study demonstrates a high frequency of unintended discrepancies that were classified as potential damage in pediatric patients.

e14306

Authors: Isabel Cristina Bento , Jullyane Hott Filgueiras , Mery Natali Silva Abreu , Maria Flávia Gazzinelli , Simone Cardoso Lisboa Pereira

The objective of this study was to identify the effect of a food and nutritional educational intervention with the use of a television set with visitors to popular restaurants in Belo Horizonte / MG. This is an intervention with 4 workshops involving 14 visitors to two popular restaurants in Belo Horizonte / MG. Data collection took place through recording of the workshops. The transcribed dialogues were analyzed using the thematic-categorical Content Analysis technique proposed by Bardin. After the transcription of the speeches, the individualized reading of each statement followed, in which the following categories emerged: 1) Telenovela: scenes, characters that played and the environment; (2) Adequate and Healthy Eating: doubts and knowledge brought; (3) Difficulties reflections and intentions for changes in food (4) Soap opera as an educational strategy: learning and possibilities for expansion. It is concluded that the educational intervention, mediated by the telenovela, marked and affected the participants by the intensity of the sensations and emotions that it was able to produce. In addition, it helped to understand the objective reality, focused on the subjective dimension, and translated into a powerful strategy to overcome the difficulties inherent in traditional, superficial and fragmented educational practices, still present today.

e13935

Authors: Nathalie Ribeiro Artigas , Ana Carolina Leonardi Dutra , Nayron Medeiros Soares , Gabriela Magalhães Pereira , Vanessa Bielefeldt Leotti , Julia Schneider Krimberg , Aline de Souza Pagnussat , Carlos Roberto de Mello Rieder

Background: Individuals with Parkinson disease (PD) may have a flexed posture, but only axial postural abnormalities (PAs) are generally investigated. Purpose: The objective was to verify if PAs of the axial and appendicular skeleton observed in PD occur in an interrelated manner to maintain balance and physical function. Methods: A cross-sectional observational study. Sixty-nine indivi- duals with PD were evaluated by computerized photogrammetry. The MDS-UPDRS scale was used to analyze the physical function and the Mini-BESTest to assess balance. To determine the relationship between PAs and clinical aspects, multiple linear regression analysis was performed, setting age and levodopa equivalent dose as covariates. Results: The anterior trunk inclination angles were significantly correlated with the flexion angles of the elbows, hips and knees (p˂0.01). Larger head flexion was correlated with worsening physical function (p=0.013) and gait (p=0.043); greater trunk, hip and knee flexion were correlated with reduced postu- ral instability (p˂0.05), and greater knee flexion was correlated with improvements in gait deficits (p=0.013). Conclusion: Postural abnormalities in the axial and appendicular joints of people with PD appear to occur in an organized and interrelated manner as a body compensation used to improve physical function and reduce balance and gait deficits.

e12799

Authors: Hosana Rosilene da Silva , Lavínia Juliana Silva Costa , Thais Keli Almeida Prado , Rita de Cássia Avellaneda Guimarães , Elenir Rose Jardim Cury , Valter Aragão do Nascimento , Marcelo Luiz Brandão Vilela , Danielle Bogo

This study analyzed the quantity of hypertension and diabetes drugs that return to health facilities, in and out of validity, in the form of disposal, in order to measure waste. Survey forms reflected on the population’s knowledge of unnecessary acquisitions, the consequences of incorrect disposal and the waste of public resources. The diabetes medication that most returned was metformin 850mg and the hypertension medication was furosemide 40mg. However, the representative of the cost of waste was spironolactone 25mg. The lowest cost in waste was hydrochlorothiazide 40mg. It is concluded that the most returned medicine does not necessarily represent the greatest cost in waste and that the problem with disposal is much greater because most of it is made in common garbage, toilets and sinks, making it difficult to quantify it.

e12147

Authors: Rodrigo Fonseca Lima , Dyana Lemes Radinz, Renata Garcia Carneiro , Raissa Pereira Santos, Alexandre Vaz Machado

This study aimed to analyze the prescriptions of a basic health unit (BHU) from the perspective of patient safety. The research corresponded to a cross-sectional study involving prescription analysis, realized in a BHU in the Federal District. The sample analyzed came from prescriptions filed by the pharmacy, from February to July 2019. A sample calculation was performed based on the local average demand for care, resulting in 431 prescriptions to be analyzed. Most of the prescriptions were made to women (69.6%). The average age of patients whose prescriptions were analyzed was 49 years old (± 21), with a higher prevalence of young adults aged 20 to 59 years old (53.4%). Most prescriptions were made by doctors (87.7%), manual (78.9%) and originated in the public service (96.7%). Of the 1208 drugs prescribed, 191 (15.8%) were included in the list of Potentially Hazardous Drugs (PHD) used as the basis for this study or were considered to be at high risk. 147 Potential Drug Interactions (PDI) were found, of which almost 30% were of severe severity. The analyzes contributed to identify that there are flaws in the way that the prescriptions are made, which can have consequences that harm the patient’s safety. In addition, it highlights the importance of analysis from a clinical and care point of view. Furthermore, it confirms that the pharmacist is indispensable to ensure the access and safety of the user with regard to the use of drugs.

e13552

Authors: Ronivaldo de Moraes Ferreira, Paulo Roberto Rocha Júnior, Osni Lázaro Pinheiro

The clinical analysis exams help to diagnose diseases and When they contain inaccurate results they can harm medical conduct. This paper has the objective to produce and validate an educational video involving pre-analytic situations in a clinical analysis laboratory. The study was composed of three stages: 1) Producing a script and preliminary video; 2) Video validation by specialists; 3) Final production, recording, and edition of the educational video. To collect data, a data collection instrument composed of ten assertive questions that versed about the situations approached by the video, as well as their clarity and actors’ performance, followed by a Likert type scale with four items: totally agree, agree, disagree, and totally disagree, as well as an open question so that each judge could register their impressions and suggestions about every scene in the video. The analysis of this instrument was done by the agreement index calculus (IC). Were considered valid items that received IC ≥ 70%. The validation was done by specialists and two scenes of the video presented IC ≤ 70%. It was necessary to do adequacy in these scenes following the judges’ suggestions. A new preliminary video was produced, going through a new validation stage, and all of the items presented an IC ≥ 70%. The video about data collection errors in laboratory exams was validated by specialist judges, in the clinical analysis field and communication, that considered the video adequate to promote learning about the topic.

e13038

Authors: Mayara Maria Lima Pereira , Valmir Oliveira Silvino, Bruna Lorena Soares Cavalcante Sousa , Maria Teresa de Jesus Fortes Melo Magalhães, Rayane Carvalho de Moura , Isabel Maria Oliveira Macedo Lima , Meiryangela Sousa da Silva, Marcos Antônio Pereira dos Santos

Introduction: Breast cancer (BC) is the malignant neoplasm with highest incidence and mortality among women worldwide. Nu- tritional status (NS) before and after chemotherapy treatment can be decisive for prognosis and survival of the patient with BC. Objective: Systematic review of the NS before and after chemotherapy in women with BC. Methods: An extensive search on Pub- med, Web of Science, and Scopus databases was conducted. It was limited to manuscripts published until 2020 using the Boolean method with the following combinations of descriptors: “breast cancer” AND “nutritional status” AND “chemotherapy”. Results: A total of 12 articles were included in this review. Two studies with patients diagnosed with eutrophic and 10 studies with overweight patients addressed pre-chemotherapy NS. For post-treatment NS, nine studies enrolled overweight patients, two with eutrophic patients and one with patients at nutritional risk. Conclusion: Several studies confirm the association of BC and overweight/obesity with increased prevalence of the disease, poor prognosis, and reduced survival after the end of the treatment. Current data su- pport the need for interventions in the patients’ lifestyle. Further studies on the association between interventions in BC should be conducted in order to form a larger body of evidence.

e12806

Authors: Henrique Pott Junior, Eveline Tonelotto Barbosa Pott

Introduction: This study evaluated the perceptions and attitudes of the Brazilian adult population about Covid-19 vaccines, seeking to identify which factors are associated with vaccine hesitancy and lack of confidence in vaccines to support individual or group reception and guidance strategies. Methods: This study with 1,700 adults was carried out in June 2021. The survey included sociodemographic questions, general information about Covid-19, and a specific questionnaire for the vaccine. Results: Most of our sample expressed favorable opinions regarding vaccination for Covid-19, but a smaller fraction (2.2%) of respondents were hesitant about vaccination for Covid-19. Vaccine hesitant respondents were mainly males aged between 30 and 59 years. They reported that the reasons for vaccine hesitation are mainly due to uncertainty about the safety (57.9%) and efficacy (36.8%) of the vaccines, followed by the concern with its development, that is, the question of time and the adoption of a new development technology (28.9%). In addition, although the impact of groups and peers on those who hesitate to vaccinate was unclear, the perception of a low risk of contracting the disease was evident. Conclusions: It is necessary to develop targeted strategies to increase effective communication about the risks and benefits of vaccines for Covid-19. Uncertainty about the safety and efficacy of vaccines and the timing and adoption of new development techniques have significantly affected perceptions about acceptance of the Covid-19 vaccine.

e11279

Authors: Layane Costa Saraiva, Izabelle Silva de Araujo, Alisson Amorim Siqueira, Wilkslam Alves de Araújo, Gessyka Mayara Soares Gomes, Lis Maria Machado Ribeiro Bezerra, Ferdinando Oliveira Carvalho

Mobile health APPlications are health technologies widely used in health promotion and care, including the prevention and treatment of chronic diseases such as hypertension. Of the APPlications aimed at the hypertensive public, many work for blood pressure and body weight records, medication reminders, food and physical activity tips, but most are characterized as a joke and lack scientific rigor. The study aimed to develop a mobile health APPlication with nutritional and exercise guidelines for hypertensive patients, based on the main recommendations of the guidelines for hypertension and as an alternative to non-drug treatment to minimize the effects of the disease. For the development of the nutritional intervention APPlication associated with physical exercise (APPINEF), a survey of nutrition and physical exercise APPlications in the APPle Store and Google Play was carried out, construction of a paper prototype, database modeling and use of technologies free and widely disseminated in academia and the software industry. After the development and testing of the software, it was ported to the Android system and consisted of nine tables. APPINEF features a home screen for login, registration screen and main menu with six icons: food diary, exercises, reviews, contact, extra and exit. The mobile health APPlication was developed by health professionals to guide hypertensive people in eating and exercising, providing a range of functions with behavior change strategies and gamification for greater attraction and interaction of users.

e12422

Authors: Edson dos Santos Farias, Jeanne Lúcia Gadelha de Freitas, Josivana Pontes dos Santos, Marcelo Tiago Balthazar Corrêa, Rosely Valéria Rodrigues, Paulo Renato Vitória Calheiros, Wellington Roberto Gomes de Carvalho

The aim of this study was to identify the prevalence and factors associated with alcohol consumption. Cross-sectional study with 3620 adolescents from public and private schools in Porto Velho (RO), 2018. Poisson regression was performed to calculate the prevalence ratios. The prevalence of alcohol consumption was 22.2%, and the alcoholic beverage with the highest preference to beat (cachaça+vodka/cognac) 37.1%. They start consuming alcohol around 12 years. Higher alcohol consumption was associated with male risk factors (p=0.009), 14 years or more (p<0.001), private school (p=0.009), high school (p=0.010), physically active (p=0.040), two-hour mis connected to social networks (p<0.001), overweight (p=0.040) and negative health perception (p<0.001). Alcohol consumption among adolescents was high. These epidemiological findings may contribute to the implementation of public policies in schools in the control and orientation of access to alcoholic beverages.

e12993

Authors: Gabrieli de Andrade; Bruna Letícia Schulz Oyczenascz; Matias Nunes Frizzo

The present study aims to define an association between the formation of NETs and the development of pulmonary disorders in Covid-19, as well as to explore its performance as a biomarker in the disease. This is an integrative literature review, through the survey of scientific articles in the following databases: PubMed, Latin American and Caribbean Literature in Health Sciences (Lilacs) and Online Medical Literature Analysis and Recovery System (Medline) Based on the inclusion and exclusion criteria, 18 articles were selected for this review. Activation of neutrophils and formation of NETs have been defined as risk factors for mortality in Covid-19 patients. The release of NETs is fully correlated with the severity of the pulmonary pathology. Throughout this study, it is concluded that the formation of excess NETs is present in severe cases of COVID-19 and associated as a biomarker of several complications such as thrombosis and coagulopathies.

e13557

Authors: Ana Maria Jora Ferracioli Pôrto; Elias Ferreira Porto; Eduardo Filoni; Ticiane Vasques; Renan Henrique; Antonio de Castro; Daniela de Fausto;

Introduction: Functional chronic bowel constipation is a motility disorder of great relevance and prevalence worldwide. Objective: Analyze the efficiency of visceral manipulation technique in individuals with bowel constipation diagnose according to Roma III criteria. Methods: This is a crossover clinical study that included individuals of both genders aged between 20 and 40 years who had had bowel constipation symptoms for over one year. Individuals were randomized into two groups: the intervention (IG) and control (CG) groups. A four weeks washout period was given. Each volunteer underwent 24 individual osteopathic sessions, twice a week that lasted up to 30 minutes. Three intervention techniques were performed: two for the large intestine and one for the small intestine. Results: Thirty four patients were recruited but nine were excluded. Our sample consisted in 25 participants, 13 were allocated in the IG and 12 in the CG. No significant difference was found between groups for anthropometric, educational, marital status, proportion of smokers and alcoholics, and VAS for lumbar spine pain measures. Lumbar spine flexibility, was significant increased for the IG (p<0.0001). A higher proportion of patients in the IG presented reduced hard stools, effort to evacuate, incomplete evacuation feeling, anorectal obstruction sensation and manual maneuvers to facilitate evacuation after treatment (p<0.0001). A significant correlation was found between pain (VAS) and the Schober test (r=-0.41). Conclusion: This study was successful in showing that there seems to be a positive effect of the osteopathic treatment for chronic bowel constipation at short and long terms.

e13696

Authors: Manoelito Ferreira Silva Junior; Jaciane Aparecida Gomes Darabansk; Vinicius Zacharias Núgoli; Ana Clara Simões; Denise de Fátima Barros Cavalcante; Marcia Helena Baldani

The objective of the present study was to analyze the expansion of the offer of dental prostheses by the Oral Health Teams (ESB) according to Brazilian geographic regions. The time series study was carried out with secondary data from Module II of the 1st cycle (2011-2012), Module VI of the 2nd cycle (2013-2014) and Module V and VI of the 3rd cycle (2015-2018) of the External Assessment instrument of the Program to Improve Access and Quality of Primary Care (PMAQ-AB). Proportions were compared between Brazilian regions using the Chi-square test, and between years using the Cochran Q test, using the z test adjusted by the Bonferroni method (p<0.05). The identification of users in need of a prosthesis increased among the ESB in Brazil between 2012 (50.5%) and 2014 (52.4%) (p=0.001), with an increase in the Northeast (p<0.001) and a decrease in the Center- West (p=0.01). Prosthesis delivery and its follow-up decreased in Brazil in 2014 (7.7%) compared to 2012 (13.0%) and 2018 (13.5%) (p<0.001), with an increase in 2018 in the Northeast (p<0.001). In Brazil, the supply of Complete Dentures increased from 2012 (35.9%) to 2014 (42.4%), with the exception of the Midwest region (p>0.05). Removable Partial Dentures increased in Brazil from 2012 (25.7%) to 2014 (30.5%) (p<0.001), and increased in the South and Northeast (p<0.05). There was an increase in ESBs offering dental prosthesis services in Primary Care, however, there are still disparities between geographic regions.

e13659

Authors: Caik Ferreira Silva; Sáskya Jorgeanne Barros Bezerra; Beatriz de Castro Magalhães; Mauro Mccarthy de Oliveira Silva; Cinthia Gondim Pereira Calou; Glauberto da Silva Quirino; Grayce Alencar Albuquerque

Objective: To identify the domains of essential health promotion competencies of the Competencies Health Promotion Project (CompHP) developed in the academic training of nursing in relation to LGBT health. Method: Descriptive and qualitative study, developed in three Higher Education Institutions in the interior of Ceará, Brazil, between July and December 2020, with 84 nursing students, through an online questionnaire. Data were organized using thematic content analysis and analyzed using the theoretical and methodological approach CompHP. Regarding ethical aspects, the study obtained a satisfactory opinion. Results: The age of the academics ranged from 21 to 47 years old, mostly female; cisgender women; heterosexuals; from private universities and enrolled in the ninth semester. Eight CompHP domains were identified: Possibility of Change; Health Advocacy; Partnership; Communication; Leadership; Diagnosis; Implementation and Evaluation and Research, the Planning domain being unidentified. The students are able to identify the health promotion demands of the LGBT public, however, even in the presence of the domains, they refer to the need for further discussion on the subject. Conclusion: The presence of eight of the nine domains of the CompHP was identified in the training of nursing students, which suggests that they can act as health promoting agents for the LGBT population.

e13858

Authors: Anna Karollyne do Nascimento; Carolina Heitmann Mares Azevedo Ribeiro; Maria Pantoja Moreira de Sena; Marcos Valério Santos da Silva; José Luiz Fernandes Vieira; Luann Wendel Pereira de Sena

Anemia affects almost a quarter of the world's population and causes numerous damages to various tissues, causing low oxygenation and signs and symptoms such as shortness of breath, lack of appetite, headache, dizziness and learning disabilities. However, there are no data on anemia in children in northern Brazil, which is necessary to establish reliable parameters for reestablishing the health of these patients. Our objective was to evaluate cases of anemia reported in children in the northern region of Brazil.This are a retrospective cross-sectional study, carried out over a period of one year. Demographic characteristics were noted, all children were carefully assigned to the study. The blood collection procedure was performed according to the established protocol. A total of 600 patients were included in the study. Most were female (52.5%), brown (51.6%), with a family income of 1 to 2 minimum wages and incomplete primary education. Anemia was more evident in ages 9 to 12 years (74.8%) and the proportion of children with hematocrit, iron, and ferritin below 35%, 50 µg/dL and 7 µg/L, respectively, was higher among children’s patients with anemia. In addition, they had numerous morphological classification variables, compared to the hemametric index. The study showed that anemia affects children. In view of the magnitude of the risks presented in this article, preventive measures for this pathology must be implemented to guarantee the integrity of the health of these patients, under penalty of irreversible damage for future generations.

e13815

Authors: Patrícia de Menezes Dias; Ana Paula Seerig; Franceliane Jobim Benedetti; Camila Lehnhart Vargas

The aim of this work is to describe the development of a photo serial album to assist health professionals in the guidelines on the ways of presenting complementary food. This is a study on the production of a serial album with photographs as a visual resource for menus prepared for children. One of the criteria for the creation process was to develop a product that is easy to use and understand by health professionals, about the composition of meals according to the age group of children, from 6 to 12 months. For the production of the serial album, a search was made in the scientific literature, preparation of the menus, preparation of meals, photographic capture of the portioning of the dishes, development of the product layout and graphic printing. The study resulted in a serial album with 12 photographs of menus for main meals and snacks with explanatory text about the different textures and amounts according to the age of the child. Positive eating practices supported by easy-to-use and visually attractive teaching materials such as the serial album produced, favor the promotion of healthy eating in childhood and the formation of an adequate eating behavior, strengthening the construction of good habits for the future.

e13348

Authors: Bruno Borges Deminicis; Renata Gomes da Silveira Deminicis

The objective was to evaluate the microbiological quality and pH of ground beef sold in supermarkets in southern Bahia, Brazil. Sample collection and preparation of "ground meat" were carried out in which the pH was measured and microbiological analyzes were carried out to count mesophilic aerobic bacteria, molds and yeasts, developed from the Most Probable Number (MPN) of total coliforms and Coliforms at 45ºC or thermotolerant, Escherichia coli test, Salmonella test and coagulase-positive Staphylococcus count. The most likely number of total coliforms ranged from 21 to 2.7 x 104 MLN/g (mean 3.5x103 MPN/g), and coliforms at 45ºC or thermotolerant coliforms from <3 to 5 x 103 MPN/g (mean 1. 3x103 MPN/g). The presence of Escherichia coli was confirmed in 70% of the samples. The presence of Salmonella was not detected in any of the samples, and positive Staphylococcus coagulase was <100 CFU/g in all samples present. All ground beef samples had a pH between 5.5 and 7.

e13880

Authors: Gabriela do Nascimento Toniolo Bertolo; Kimberly Fontoura do Nascimento; Tamires Daros dos Santos; Patrícia Severo do Nascimento; Isabella Martins de Albuquerque

Post-Covid-19 Syndrome is characterized by the persistence and/or appearance of new symptoms and abnormalities that persist beyond 12 weeks from the onset of acute Covid-19 and are not attributable to alternative diagnoses. Among the symptoms described in the literature regarding Post-Covid-19 Syndrome, musculoskeletal pain is among the most frequent. The present study aimed to review the literature and identify the form of presentation and predictive factors for musculoskeletal pain in Post-Covid-19 Syndrome. A comprehensive literature search was performed in the following databases: Medline (via PubMed), Embase, PEDro, Lilacs, Scopus, Web of Science and Cinahl from April 22 to June 14, 2022. Of the 2,044 articles found, 16 were included, comprising a total of 13,089 patients. The results showed that myalgia (27.12%, 11 studies), arthralgia (28.88%, 9 studies), arthromyalgia (43.07%, two studies) and musculoskeletal pain (15.3%, one study) were the pain musculoskeletal symptoms disorders present in Post-Covid-19 Syndrome. Female gender was a risk factor for the presence of arthralgia and myalgia in the Post-Covid-19 Syndrome, while age between 40 and 59 years was associated with persistence of arthromyalgia. And high body mass index (BMI) was a predictive factor for the presence of myalgia. The severity of the infection and the need for hospitalization were not predictors for the presence of myalgia and arthralgia in the Post-Covid-19 Syndrome. Future studies with a higher level of evidence and greater methodological rigor are encouraged.

e14381

Authors: Ingrid Cavalcante Sarquis; Karla Angélica Silva do Nascimento

The eyeball has functional differences and is very sensitive to aggressions, requiring special attention. One must pay attention to ophthalmologic emergencies, which represent a danger of ocular damage, sometimes irreversible, and must be treated as soon as possible. Thus, we sought to develop a mobile application as a quick guide, in which the doctor can select his diagnostic suspicion, ask questions, and see the appropriate treatment. This is a research of technological production for medical use, quantitative, descriptive, and transversal. During the development of the application, it was necessary to apply a questionnaire with professionals in the area, aiming to identify their level of contribution in diagnoses in ophthalmologic urgencies. The results show favorable responses to the application, focusing on ophthalmologic urgencies, with the presence of images and easy handling. The application presents itself as a teaching tool, as well as in diagnoses, prevention of damage, monitoring and control of complications in ophthalmologic emergencies.

e14175

Authors: Luciano Guiraldelli; Matheus de Souza Fontanelli; Gabriel Couto Correa; Frederico Pauzer Migliorini; Guilherme Souza Santos; Gustavo Zampier dos Santos Ulbrich; Anderson Zampier Ulbrich

Background: Using the support of a handrail during cardiopulmonary exercise testing (CPET) may alter physiologic parameters. The purpose is investigate the effects of handrail usage during the CPET in the metabolic parameters outcomes of young adults. Material and Methods: 39 young adults (age in years, 20.8 ± 2.9) of both sexes, 17 woman and 22 men performed two treadmill CPET on Ellestad protocol, in non-consecutive days. The first (T1) offered access to the support of a handrail; after 7 days, the second (T2) was performed without it. Differences between protocols for metabolic variables were compared using paried the t-test and repeated measures ANOVAS with interaction. Results: Regardless of sex, all participants exhibited superior results of metabolic parameters at T2 in contrast to T1. During T2, there was a major perception of respiratory and muscular effort, as well as a higher respiratory quotient for both sexes. When comparing T1 with T2, the VE/VCO2 slope was also significantly higher for women (29.31 ± 4.7 and 27.27 ± 4.53). For both sexes, when comparing the tests by stages, it was observed in stages 2, 3 and 4 higher values in the metabolic parameters for T2. The percentile difference for both sexes was 17% higher in S3 for women (T1=26.20±4.1 ml.kg-1.min-1;T2 28.79±4.2 ml.kg-1.min-1) and men (T1= 40.07±6.6 ml.kg-1.min-1; T2 45.92±4.8 ml.kg-1.min-1).Conclusion: The holding of the handrail attenuated the participants' cardiorespiratory and metabolic responses by more than 15% during CPET. Material and Methods: 39 young adults (age in years, 20.8 ± 2.9) of both sexes, 17 woman and 22 men performed two treadmill CPET on Ellestad protocol, in non-consecutive days. The first (T1) offered access to the support of a handrail; after 7 days, the second (T2) was performed without it. Differences between protocols for metabolic variables were compared using paried the t-test and repeated measures ANOVAs with interaction. Results: Regardless of sex, all participants exhibited superior results of metabolic parameters at T2 in contrast to T1. During T2, there was a major perception of respiratory and muscular effort, as well as a higher respiratory quotient for both sexes. When comparing T1 with T2, the VE/VCO2 slope was also significantly higher for women (29.31 ± 4.7 and 27.27 ± 4.53). For both sexes, when comparing the tests by stages, it was observed in stages 2, 3 and 4 higher values in the metabolic parameters for T2. VO2 was approximately 17% higher at T2, stage 3, for women and men. Conclusion: The holding of the handrail attenuated the participants' cardiorespiratory and metabolic responses by more than 15% during CPET.

e13338

Authors: Hertaline Menezes do Nascimento Rocha; Mônica Viviany Silveira Trindade; Nicoly Gabrielly Brito Nascimento; Thaiane Santana Santos; Aryel Andrade de Jesus; Anny Giselly Milhome da Costa Farre; Valter Joviniano de Santana Filho

Objective: a pilot study aimed at monitoring admissions in the emergency department (ED) of a University Hospital utilizing the Information System and Monitoring of Emergency Department Admissions (Simips). The Simips system was designed to track ED admissions, generate information, and provide valuable insights to enhance clinical practice, bed management, care quality, and patient safety risk assessment. Method: this study was a pilot investigation that monitored admissions of adult patients in the Emergency Department (ED) from admission for inpatient care until discharge, using the Simips system. The sample consisted of medical records of adult patients admitted for inpatient care in the ED during the period from June to August 2019. Socio-epidemiological data, severity scores, nursing care dependency scores, National Early Warning Score (News), occurrence of adverse events, length of stay, and discharge outcomes were collected. Results: 158 medical records were analyzed, with a median age of 65 years. In terms of nursing care dependency, 89% were classified as requiring minimal care on the first day of hospital admission. The frequency of adverse events was 39.2%, with medication administration delay (12%) and lack of medication reconciliation (8.9%) being the most prevalent. Conclusion: the study revealed a prolonged length of stay for patients admitted for inpatient care in the emergency department, with a predominant presence of elderly patients and a high incidence of adverse events.

e13963

Authors: Ana Pereira Alvarenga; Milena Serenini Bernardes; Marina de Oliveira Verissimo; Laís Amaral Maís; Renan Serenini Bernardes; Lílian Gonçalves Teixeira; Giovana Longo-Silva; Maysa Helena de Aguiar Toloni

The Bolsa Família Program has been the objective of studies that show the impact of reducing extreme poverty and reducing food and nutritional insecurity (FNI). Objective: investigate the prevalence of FNI and factors associated among families with children under seven years old participating in the Bolsa Família Program, residing in a municipality in the south of the state of Minas Gerais. Methods: Quantitative cross-sectional study conducted with 145 families and 206 children under seven years old were evaluated. Results: The prevalence of FNI was 77.9%, and 15.9% of severe insecurity. The association between FNI and family income (p = 0.024), food after receiving the benefit (p = 0.006), bean consumption (p = 0.016) and snack foods (p = 0.006) were found among children of two to seven years. In addition, iron deficiency anemia was associated with the introduction of stuffed crackers (p = 0.023), packet chips (p = 0.044) and petit suisse cheese (p = 0.014) before the age of two. Conclusion: Therefore, it is expected that this research contributes to the generation of scientific evidence that will be used in decision making to improve management efficiency by redefining priorities and qualification of professionals involved in the program.

e13335

Authors: Diana R. Pereira , Natália Guerra , Patrícia Matos

Cognitive complaints and alterations related to cancer may reduce well-being, quality of life, and daily functioning. More recently, prospective memory (PM), i.e., the ability to plan a future intention, to maintain it during a variable delay time in which people are typically engaged in other tasks, and to retrieve it when the expected circumstances arise, has fostered increased attention in cancer research. Examples are to remember to ask for a certain information during a medical appointment (event-based PM – EBPM) or to take medication at certain hours (time-based PM – TBPM). This work aimed to provide an overview of the main findings related to PM functioning in people with history of cancer. A qualitative systematic review of the literature was conducted following the PRISMA guidelines and 20 articles published between 2000 and 2020 were included. People with cancer history (vs. healthy controls) tended to report more PM complaints and worst objective PM performance, especially when considering EBPM tasks. Some treatments such as chemotherapy, androgen deprivation therapy, and radiotherapy negatively impacted PM. Importantly, changes in PM were associated with lower quality of life. Also, fatigue and depression appeared to contribute to PM impairment. A puzzling finding was the lack of association between objective and subjective measures of PM, which implies that different facets might underly cancer-related PM changes. Taken together, the inclusion of PM measures when probing cancer-related cognitive impairment is relevant not only to better assess and characterize the cancer experience across time, but also to inform interventions and cognitive rehabilitation approaches

e13329

Authors: Thayná Champe da Silva , Maria Goreti Finkler , Letícia Slodkowski , Jaíne Gabriela Frank , Poliana Ribas Tolfo , Dioneia Dalcin , Iara Denise Endruweit Battisti , Zelia Caçador Anastácio

Introduction: When considering the development model adopted in Brazilian agriculture that increases the demand for chemical substances, studies that analyze or impact the use of pesticides are relevant to measure the developments in the affected statistics. Thus, this study aimed to conduct a bibliographic review on a digital platform, seeking scientific publications from 2009 and 2019 related to the exposure of managers to pesticides. Methodo: In this research, we used PubMed to survey scientific articles published in the last 10 years (1º/1/2009-12/31/2019), related to the exposure of managers and pesticides in rural areas. Results: Initially, a selection of 207 publications was performed, considering the title, followed by abstracts from a record remover that do not fit the inclusion records. After a screening, 15 studies remained in the set. Discussion: The publications produced in the period from 2009 to 2019, referring to the exposure of managers to pesticides in the rural area, show case studies, evidence or evidence of damage caused by the health of pregnant women and their babies, such as problems of weight gain. gestational weight, premature participation, underweight children, pesticides in the blood of the mother and newborns, presence of selected agricultural pesticides in the cerebral cortex of the brain, abortion, among other health problems. Conclusions: Future prospective, individual-level studies with large sample sizes are needed to better assess the potential impact of pesticide exposure on the health of pregnant women and newborns.

e13188

Authors: Cristiana Ferreira , Paula Cristina Martins

Worldwide, the number of youngsters diagnosed with a mental disorder has increased substantially. However, teenagers involved in acts considered delinquent, particularly those who are at juvenile detention facilities, seem to be especially vulnerable to the development of psychopathologies. In Portugal, there are few studies regarding the mental health problems of these young people and the interventional responses they have been receiving in these institutions. However, there is some evidence of a sharp increase in the use of psychoactive drugs. This becomes worrying when considering the short-term side effects of psychopharmaceuticals and the lack of knowledge about their medium and long-term effects. Thus, this study aimed to characterize the mental health problems and subsequent interventional responses among adolescents in juvenile Portuguese detention facilities. To this end, ten psychologists working in these six institutions and twelve specialists in the field were interviewed. In addition, a questionnaire was applied to the directors of five of these organizations, through which data on 95 youths were accessed. The data point to a high rate of behavioral, emotional, and cognitive problems in these young people. However, the mental health evaluation procedures are insufficient, as well as the respective psychological intervention. Nevertheless, 54% of the youngsters were taking psychopharmaceuticals. The results raise concerns regarding the possibility of psychopharmaceuticals being used, in some cases, as a way to overcome the limitations of psychological intervention in the mental health problems of these adolescents.

e13371

Authors: Regina Ferreira Alves , José Alberto Gomes Precioso

Physical activity is considered a positive health behavior, with the influence of physical exercise on the well-being and quality of life of university students being widely recognized and that the lifestyles acquired during the academic period are likely to be maintained throughout life. The aim of this study was to explore the relationship between physical exercise, sedentary behavior and the well-being of students from an university in northern Portugal. This cross-sectional study involved 840 students (55.4% female). Data collection was conducted using a survey validated, self-administered questionnaire composed by Godin Leisure-Time Exercise Questionnaire to measure physical activity, to which was added an item concerning sedentary behavior and the WbHPS (Well-being Health Perception Scale) to measure well-being. The practice of physical exercise; well-being and health perception are correlated, indicating that sedentary students revealed a lower level of well-being and health perception. The items that most contribute to the low scores of the scale in sedentary university students are the perception of health and satisfaction with physical fitness. This study highlights the importance of physical exercise in promoting students’ well-being, showing that higher education institutions should not be limited to the development of professional skills, but include strategies that promote holistic development, including practice of physical exercise.

e13315

Authors: Cláudia Thomé da Rosa Piasetzki, Eva Teresinha de Oliveira Boff, Danieli Maria Corassa

Arterial systemic hypertension (ASH) and diabetes mellitus (DM) are prevalent pathologies present in population attended by the Family Health Strategy (FHS) in the municipality of Bozano, in the countryside of the State of Rio Grande do Sul / Brazil. It has 2160 registered users, 114 of whom are diagnose with DM and 502 with ASH. Considering this data and the great demand for appointments with a Nutritionist, the Hypertensive and Diabetic Group was created. Objective: Empower users to acquire knowledge about their pathologies and become aware that the effectiveness of the treatment depends on their own health care actions. Methodology: Field research, exploratory, with descriptive and cross-sectional design and quantitative and qualitative approach, carried out with a group of hypertensive and diabetic patients from the Municipality of Bozano. Results: It was realized 8 meetings, adding up to 70 participants. The ages varied between 35 and 82 years, with an average of 65.47 years, with 52 (74.3%) elderly and 18 (25.7%) adults, 62.9% women. Among the participants, 35.7% reported being hypertensive, 7.1% diabetics, 21.4% hypertensive, and diabetics and 5.7% others. Most participants (65.7%) are overweight and have a high risk for cardiovascular diseases (85.7%). Participants reported having learned about diabetes and hypertension, eating healthier, drinking more water, exercising and taking care of their body and mouth hygiene. Conclusion: The meetings have a positive impact and can be consider an effective strategy of food and nutrition education for hypertension and diabetes.

e13527

Authors: Camilly Cardoso da Silva , Cláudia Maria Messias , Nathália Manoela Condeixa Corrêa , Paula Mendes Marinho , Ana Luiza de Oliveira Carvalho , Patrícia Salles Damasceno de Matos

The objective of this presentation was to identify, based on the literature, the technologies used by nurses in the care of women who are victims of violence and to describe the technologies related to the need of women who are victims of violence. The search was carried out in the database of the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes), Pubmed, Lilacs, Scielo, BDENF, Medline, Coleciona SUS, PAHO and Ibecs. Resulting in a total of 12 articles, these were arranged in two thematic units that address: the use of light technologies in the assistance of women victims of violence; and the limits and potential in the care of women victims of violence. The research content reveals the importance of inserting the theme in the nurses’ performance, using and recognizing technology as a tool for care practice.

e13481

Authors: Débora de Aro Navega , Ana Cláudia Bortolozzi

Rates of syphilis are high in Brazil, so know the experiences of people regarding treatment can help to improve care practices for more effective responses to this epidemic. This qualitative-descriptive research analyzed the reports of people cured of syphilis about their experiences while treating the infection. Four men and four women who were patients of a Brazilian public health service participated from the study. Data were collected through semi-structured interview, recorded on audio, whose full transcripts were analyzed in thematic categories. The data showed the valorization of oneself and one’s own health as motivators for treatment adherence. The vulnerability to Sexually Transmitted Infections and the adoption of preventive attitudes were reassessed. The injections of the medication caused physical pain and were associated with suffering from guilt because they has not being protecting themselves. Knowing about the cure was a relief, but the fear of reactivating the infection remained. It was challenging to reveal the diagnosis to the sexual partner and deal with their reactions. Gender inequality permeated the reactions of partners’ refusals to treatment and condom use. It also highlights the fear of prejudice and the effective discrimination, as well as the need for social support. It is concluded that even for people who adhere to the treatment of syphilis, it can be permeated by different types of emotional suffering. An assistance favorable to adherence should include emotional support, good professionalpatient communication and the use of anesthetics to reduce the injection pain.

e13486

Authors: Marcieli Schlotefeldt Klein , Lize Elena Kaufmann Back , Suzymeire Baroni , Iara Denise Endruweit Battist

Among the occupational risks of agricultural work, the use of pesticides stands out, which are related to acute intoxications, chronic diseases and reproductive problems. Thus, studies on this theme are necessary to monitor the incidence of poisoning by the use of pesticides in rural workers. The aim of the study was to verify of the frequency of pesticide poisoning by analyzing the micronucleus of the oral mucosa of those exposed to these compounds. All study participants are male, aged between 18 and 59 years old, non-smokers, non-alcoholics and live in a municipality in the state of Rio Grande do Sul, Brazil. Samples of the oral mucosa were collected to analyze micronuclei from 27 farmers in the summer season, when there is intense use of pesticides. Three slides were made per individual, stained with Giemsa and analyzed under an optical microscope, counting 1000 cells per slide, making up 3000 cells per participant. Cells with micronucleus and nuclear abnormalities were counted. The data were analyzed using the statistical software R. The project was approved by the Research Ethics Committee of the Federal University of Fronteira Sul. As a main result, 74.0% of rural workers had more than three cells with micronuclei in 3,000 cells with significant difference compared to the control group. This evidences acute intoxication due to the use of pesticides associated with non-use Personal Protective Equipment (PPE), including other exposure factors. Therefore, there is a need to monitor rural workers exposed to pesticides.

e13346

Authors: Maria da Graça Alexandre , Cristianne Maria Famer Rocha , Paulo Roberto Antonacci Carvalho

Introduction: Analyzing infant mortality data may show changes in the epidemiological profile of the population of a municipality and the complex combination of biological, socioeconomic and assistance factors present in infant death. Objective: To present the process of surveillance of infant death, after the creation of the Committee for the Prevention of Late Fetal and Infant Mortality (CMI) in Porto Alegre / RS, with a view to preventing death. Methodology: Retrospective study with a descriptive quantitative approach about infant mortality in the city. The research took place with the Municipal Health Secretariat of Porto Alegre (SMSPA), through the Vitais – Health Analyzes tool of the SMSPA’s General Health Surveillance Coordination and the systematic observation of the IMC monthly meetings. Results: From 2001 to 2019, the highest occurrence of deaths was in 2001, with a decrease of 64.86% in the period from 2001 to 2010 and of 75.00% in the period from 2011 to 2019. The proportion of neonatal deaths in relation to the total number of deaths among children under 1 year of age was 61.15%, with the main cause of diseases originating in the perinatal period. Deaths considered preventable are reducible by appropriate actions for diagnosis, treatment and health promotion. Conclusions: Infant mortality is linked to preventable causes, being potentially preventable with the resources currently available. Knowing the factors involved in the infant death event contributes to the improvement in the organization of the municipal maternal and child health care system and to the reduction of preventable deaths in children.

e13488

Authors: Diovana Moreno de Camargo , Anna Paula Abreu , Alessandra Glitzenhirn Meincke , Carolina Reinke Ciechowicz , Fernanda Dallazen Sartori , Pollyana Windmöller , Eliane Roseli Winkelmann

Introduction: The treatment for individuals affected by sepsis must be as early possible because it is known that the length of hospital stay in thse patients in prolonged, leading to numerous limitations and even the risk of dying. Sepsis has become of great impact on health due to the fact that it is one of the responsible for the high rates of hospital mortality. Objectives: To analyze the incidence of hospitalizations and mortality from sepsis over a period of one year in a hospital in the northwest of the state of Rio Grande do Sul. Methodology: Cross-sectional, analytical, retrospective, observational study, carried out through data collection in medical records data made available by the hospital, through the International Code of Diseases – Sepsis (ICD 10 – A41) of hospitalized patients from January to December 2018. Results: In total, 112 patients diagnosed with sepsis were hospitalized. The average age was 70.40 years, with a predominance of males. The hospital stay was 10 days and in the intensive care unit 2 days. The use of invasive and non-invasive mechanical ventilation was 31.3% and 8%, respectively. Mortality occurred in 51.8% of cases hospitalized with sepsis, with the predominance in the age group above 81 years. Conclusions: Mortality was significant in patients, showing a higher prevalence in the age group above 81 years. It can also be observed that the length of hospital stay was high as well as the use of invasive mechanical ventilation.

e13345

Authors: Alessandra Glitzenhirn Meincke , Diovana Moreno de Camargo , Pollyana Windmöller, Fernanda Dallazen Sartori, Magliani Reis Fiorin Martel , Eliane Roseli Winkelmann

Introduction: Chronic Obstructive Pulmonary Disease (COPD), worldwide, is one of the main causes of morbidity and mortality. Currently, the fourth cause of death in the world, tending to be the third cause of death by 2020. Therefore, it is important to identify the profile of these patients in order to implement strategies for intervention and mitigation of the condition. Objective: To analyze the profile of patients hospitalized with COPD in 2018 in a large IV hospital in the interior of the State of Rio Grande do Sul. Methods: A cross-sectional study of patients admitted between January and December 2018. The data was collected in August 2019, with a specific computerized report provided by the hospital, through the International Code of Disease- COPD (ICD 10 - J44), respecting the confidentiality of information. The following were collected for analysis: age, sex, length of hospital and Intensive Care Unit (ICU) stay, hospital mortality, use of Non-Invasive Ventilation (NIV) and Invasive Mechanical Ventilation (IMV), and physiotherapy sessions. Presentation of data as mean ± standard deviation. Results: Composed sample of 33 patients, mean age 70.48±11.03 years, predominantly male 21 (64%) individuals. The mean time of ICU and hospital stay was 0.91±2.55 and 9.76±15.33 days, respectively. Five patients (15.2%) were for IMV and 23 patients (69.7%) used NIV. The mean physiotherapeutic sessions were 29.45±26.40. The general mortality was 8 patients (24.24%) and 6 (28.6%) were male. Conclusion: The patients presented advanced age, predominating male gender. Mortality is similar to that described in the literature, and NIV prevailed in the hospital approach.

e12344

Authors: Magali Feron Kirschner Sonza Carolina Renz Pretto Sabrina Azevedo Wagner Benetti Christiane de Fátima Colet

Objective: to compare quality of life, medication adherence and indications of depression in chronic renal patients undergoing hemodialysis, in two nephrological units. Method: cross-sectional study with 183 patients who were diagnosed with chronic kidney disease, on hemodialysis. Individual interview conducted using the instruments: sociodemographic questionnaire, Kidney Disease and Quality of Life Short-Form, Beck Depression Inventory and 8-item Morisky Medication Adherence Scale. Data analyzed with descriptive and inferential statistics. Results: 63,4% of the patients were male and 90,7% retired. The dimension of quality of life that obtained the highest average in both units was “Support from the Dialysis Team”, while “Work Situation” and “Limitations caused by physical problems”, the lowest averages. “Effects of Kidney Disease” and medication adherence showed higher averages in Unit I. Also, 47% of patients in Unit I and 33% of the other unit had symptoms indicative of depression. Conclusions: the comparison of patients from two units reaffirmed that chronic kidney disease affects negatively the quality of life of patients, that the prevalence of depression is high and medication adherence can reduce the perception of the effects of the disease. Interventions are necessary in order to promote medication adherence and well-being

e11856

Authors: Luciária Silva Souza , Alessandra Souza de Oliveira , Pollyanna Viana Lima , Naiane Pereira dos Santos , Luciana Araújo dos Reis

Objective: to evaluate the social support for the elderly living with HIV/Aids, through the satisfaction of the elderly with the social support received. Methods: this is an exploratory, descriptive study with a quantitative and qualitative approach, developed in a specialized Care and Support Center of reference in care for people living with STIs and HIV/Aids in a municipality in Bahia. The sample consisted of 26 people aged 60 years or older diagnosed with HIV/Aids. Data collection took place through an interview, using a semi-structured script, a questionnaire with sociodemographic data, a questionnaire for searching port workers and the Social Support / ESSS Satisfaction Scale for assessing social support. Results: there was a higher frequency of elderly men (69.23%), with a higher score for marital status than without a partner (65.38%), with education (84.62%) and income of up to 1 minimum wage (69.23%). In relation to the level of satisfaction with social support, there was an average level of satisfaction with social support (36.31), a very low level with family satisfaction (5.69), moderately satisfied with intimacy (10, 23) and with social activities (9.38). Conclusion: it was found that the elderly who live with HIV / AIDS demonstrate a commitment to support coming socially, and have an instability with the level of satisfaction in relation to the social support received. Thus, this factor interferes with the quality of life of the elderly, which can result in psychosocial damage. Thus, the family, professional and social support network is fundamental.

e11844

Authors: Fabiana Morandi Jordão , Patrícia Fernandes Massmann , Dhennifer Garcia Alves , Wilmara Batista Silva Aires , Amanda Pinheiro de Sousa , Lusiângela Soares Silva

Objective: to analyze the epidemiological profile of the new coronavirus disease in the municipality of Pontal do Araguaia, Mato Grosso. Method: descriptive and retrospective epidemiological study, using secondary data for the period from April 17 to October 23, 2020. Results: in the interval of 28 epidemiological weeks, 288 cases were confirmed, of which 52.4% were women, among whom there was a predominance of age between 30 and 39 years (24.7%) and between 40 and 49 years (22, 22%). Most patients had symptoms (92.36%), with a predominance of cough (51%), while only 8% of patients had comorbidities, with diabetes mellitus being the most frequent. Hospitalization occurred in 10% of cases. Regarding deaths, most of them were women with a mean age of 74 years. Conclusion: primary health care has been able to sustain the necessary care to control the transmission of the new coronavirus in the municipality studied.

e9543

Authors: Débora Canassa Volpato, Edilson Almeida Oliveira, Rogério Toshiro Okawa, Jorge Juarez Vieira Teixeira

The choice of an appropriate psychotropic agent requires knowledge of mechanism of action of the enzyme cytochrome P-450 system. The objectives of this study were to identify the sociodemographic predictors of elderly people with potential risks for serious interactions between psychotropic drugs via cytochrome P-450 attended at primary care and the prevalence of interactions. This is a cross-sectional study, carried out from 8/2014 to 8/2016, with elderly patients in an electronic medical record in public pharmacies. 1,603 elderly were investigated, with mean age of 74 years, mostly women (73.1%), of white race (80.6%) and unmarried (60%). Potential serious interactions were identified in 13.5% of the patients involving psychotropic medications and 29.4% involving psychotropic and non-psychotropic drugs. The polypharmacy was 65.0%, with a significant association with the presence of serious interactions between psychotropic medications (OR = 3.8, CI 1.7 - 8.3) and between psychotropic and non-psychotropic drugs (OR = 8.8, CI 4.5 – 17.3). Psychoanaleptics and psycholeptics also showed a significant relationship with the presence of potential serious interactions (OR 1.5, CI 1.1 - 2.2, OR 1.9, CI 1.3-2.9), respectively. CYP3A4 and CYP2D6 enzymes were more frequent. It is concluded that patients between the sixth and eighth decade of life associated with polypharmacy have high risk for serious potential interactions between psychotropic drugs involving cytochrome P-450, with a high prevalence of serious interactions.

e10935

Authors: Bruna Carolina Ulsenheimer , Tatiana Melina Caduri , Silvana Konageski Dalla Rosa , Luciana Mori Viero , Luciane Ribeiro Viana

The aim of this study was to evaluate the prevalence, biochemical behavior and the profile of sensitivity and resistance of Escherichia coli strains isolated in the Northwest region of the State of Rio Grande do Sul (RS). A total of 919 samples of mastitic milk from the Northwest region of the State of RS were analyzed. Bacterial culture, biochemical and antibiogram tests were carried out at the Laboratory of Veterinary Microbiology at Unijuí. For the culture, was carried out to the sow of milk in sheep blood agar 5% and in MacConkey agar. The following biochemical tests were developed: hydrogen sulphide and indole gas production, motility, citrate, urease production, in addition to carbohydrate fermentation tests (glucose, arabinose, lactose, mannose, mannitol, sorbitol, sucrose and trehalose). As for the antibiogram, aliquots of milk were spread on Mueller Hinton agar, and the antibiotic discs were placed on this. It was observed in this research that Escherichia coli was one of the most prevalent bacterium in the studied region. The biochemical profile found was highly positive for glucose, lactose, maltose, mannitol, sorbitol, sucrose and trehalose tests. This bacterium showed greater antimicrobial sensitivity to enrofloxacin (92%), ciprofloxacin (85%) and gentamicin (82%), and resistance to penicillin (95%), ampicillin (86%) and erythromycin (80%). It is possible to verify that mastitis caused by Escherichia coli, represents an obstacle to milk production, due to the great impact caused to the sector, both economic and sanitary, in addition to the risks caused to public health.

e13209

Authors: Mayra Helena Bonifácio Gaiato , Marina Cristina Zotesso , Lidiane Ferreira , Rodrigo da Rosa Silveira , Renata Diodato

Autism Spectrum Disorder (ASD) is a condition focused on aspects of neurodevelopment, and has gained prominence in the literature due to the increase in diagnosis rates and importance of understanding the disorder, but less emphasis is given to parents and guardians of children with ASD, who are subject to intense emotional experiences and variables after the diagnosis and search for adequate help for the treatment. The objective of the present work was to analyze the understanding of parents and guardians of children with ASD about the disorder, treatment and its variations, as well as the experiences of the diagnosis and their emotional perceptions. A total of 894 parents and/or guardians were evaluated through a questionnaire on a digital platform, in which three criteria were investigated: I. About the child; II. Treatment and therapy; and III. Studying autism. The results indicated that those responsible are subject and prone to psychological illness, such as exhaustion, depression and anxiety for dealing with new and challenging issues that encompass ASD and the acceptance of it to their loved ones, highlighting a greater participation of mothers, experiences of prejudiced actions, high rates of dubious treatments found by those responsible with promises of a cure for autism, in addition to a high search for online courses and information about autism. Thus, highlighting the importance of looking at the care and emotional and behavioral support of parents and guardians of children with autism, so that such rates of illness can be mitigated, valuing the parental care of such guardians.

e11026

Authors: Thayná Menezes Santos, Maria Izabel Siqueira Andrade, Patrícia Fortes Cavalcanti de Macêdo, Tafnes Pereira Oliveira, Niedja Silva Lima, Isabella Costa Ribeiro

Considering the rapid spread of Covid-19, the scientific community has been looking for ways to recognize factors that may interfere with the outcome of viral infection. Despite the lack of studies with the new coronavirus, it is known that adequate serum levels of micronutrients are essential for the organic response to infectious diseases. Thus, we aim to review the effects of vitamin A, D, iron, zinc, or folate deficiency on the prognosis of patients with respiratory infections with manifestations similar to Covid-19 and discuss about supplementation of the nutrients analyzed in this review. The search was conducted in the databases PubMed, Lilacs, and SciELO, including observational studies published between 2010-2020, with results for individuals with respiratory tract infections with manifestations similar to Covid-19. Six articles met the inclusion criteria, all of which were related to deficiencies of vitamins A and D. In general, vitamin A deficiency was associated with cough, fever, and greater total respiratory resistance. Regarding vitamin D, the lack of this nutrient led to higher rates of ICU admission, the need for mechanical ventilation, and mortality. Evidence linking specific relationships between nutritional deficiencies and Covid-19 remain lacking due to the small number of studies and heterogeneities in population subgroups. In conclusion, deficiencies of vitamins A and D seem to negatively affect the prognosis of respiratory tract infections. Supplementation of these nutrients for prevention or treatment of patients diagnosed with Covid-19 should respect serum levels, nutritional status and housing conditions (e.g.,endemic location) of individuals.

e10733

Authors: Luiza Arend , Rosângela Marion da Silva , Susan Bublitz, Etiane de Oliveira Freitas, Daiana Foggiato de Siqueira , Elisa Gomes Nazario

Objective: to evaluate the risk of pressure ulcer in users hospitalized with chronic non-communicable diseases who are in the pre- and postoperative period. Method: quantitative, descriptive study, carried out with users aged at least 18 years old, diagnosed with a chronic non-communicable disease, with a minimum hospital stay of 48 hours. Data collection took place in May 2019, and a sociolaboral form and the Braden Scale were used. Qualitative variables were presented in simple and relative frequency, and quantitative variables in measures of central tendency and dispersion measures. Results: 45 people participated, with an average age of 64,5 years. The most common chronic non-communicable disease was systemic arterial hypertension. Four users with pressure ulcer in the sacrococcygeal and calcaneus regions were identified. The predominant risk classification in the groups with and without pressure ulcer was low risk. Conclusion: the results demonstrated the importance of qualified and standardized nursing care in assessing risk and preventing the development of pressure ulcer in the hospital environment.

e7653

Authors: Mariele Tais Hahn ,Marcia Werklehr Paganotto Lopes, Vera Regina Medeiros Andrade

Introduction: Breast Cancer is the most frequent neoplasm and the major cause of cancer death in women worldwide. Objective: to compare breast cancer mortality rates in the municipality Santo ngelo, with data from Brazil, Rio Grande do Sul and Southern Region. Methods: its study based on secondary data collected from the Department of Informatics of the Sistema Único de Saúde. Results: there is an increased numbers of deaths from the age of 20 years, reaching a peak in the age range of 50-59 years. Comparing the rates adjusted for age of Santo ngelo with Brazil and the South Region, a statistically significant difference observed. Conclusion: we conclude that in Santo ngelo, the mortality rate due to breast cancer is higher than in Brazil and the Southern Region.

e11191

Authors: Dionatan dos Santos Delevati , Antônio de Castro , Edi Franciele Ries, Verginia Margareth Possatti Rocha ,Marcos Antônio de Oliveira Lobato , Valéria Maria Limberger Bayer

This study aimed to evaluate whether a health intervention of the Health Surveillance (HS), which integrates the municipal system of the city of Santa Maria/RS, contributed to the improvement of the management of Health Service Waste (HSW) generated in the Health Units (HU) of the municipality. This is a near-experimental study, in which the intervention was included in a set of educational actions, of short duration on the Management of Waste Health Services (MWHS) with health professionals from the basic health network of the said municipality. Seventy four percent of the participants of the health training action showed their use of the knowledge acquired, however 76% of them did not pass on the information to their health team. In 52% of the US inspected, the research participant stated that he felt qualified to prepare the Health Waste Management Plan (HWMP); however, after the intervention 24% delivered the HWM. There was a reduction of non-conformities regarding packaging, management of sharp waste and internal storage. However, there was no improvement associated with the health intervention performed in the study (p > 0.05). The research showed a reduction of non-conformities in US, however the intervention had no effect on the improvement of MWHS. Identifying, conditioning and managing the temporary storage of HSW were variables with reduction of non-conformities, however segregation showed an increase in non-compliance. This is attributed to the lack of theoretical and practical knowledge at this stage of the process or the absence of Permanent Health Education (PHE) practices focused on the theme in question.

e12110

Authors: Nathállia Resende de Melo Barbosa , Dayani Galato , Raissa Pereira Santos , Alexandre Vaz Machado

Objective: describe the perspective of the use and supply of Miconazole Nitrate 20mg/g vaginal cream from prescriptions attended by the pharmacy of the Basic Health Unit (BHU) in the Federal District, Brazil. Methodology: cross-sectional observational study carried out at the BHU pharmacy with data from the Alphalinc system and information on the Miconazole Nitrate prescriptions for vaginal cream dispensed between February and July 2020. Results: 74.5% of the prescriptions were for patients aged between 25 and 64 years. 72.7% of the patients had no previous drug withdrawals registered in the system. Of the supplies made on the same day of the prescription date, 91.3% of the prescriptions were issued at the study’s BHU. The medical professional category prescribed 52.4% of prescriptions. The prescribed dosage was in accordance with the protocol in 74.9% of the prescriptions. Regarding the use information complementary to the dosage expressed in the prescriptions, the most frequent one was about the time of application of the medication, appearing in 83.1% of them. 47.2% of the prescriptions contained only Miconazole as a medicament, and, of those that presented another substance, the most frequent was Fluconazole, being prescribed in 22.5% of them. Conclusion: in addition to describing the profile of the prescriptions for Miconazole Nitrate vaginal cream, the study reinforced the concept of health promotion and disease prevention in the family health strategy, based on reflections on aspects involving primary health care, pharmaceutical services and women’s health.

e11677

Authors: Isabel Cristina Pacheco van der Sand , Andressa da Silveira , Fernanda Beheregaray Cabral , Carolina de Oliveira das Chagas

Objective: To identify in the literature the influence of self-efficacy in breastfeeding on breastfeeding outcomes and to know the protective factors to self-efficacy in breastfeeding. Method: Integrative review study, searching the Virtual Health Library, using the keywords breastfeeding, self-efficacy and women’s health. Results: The review comprises 17 articles, published between 2014 and 2018, in Portuguese and Spanish. Self-efficacy in breastfeeding is essential in the intention, protection and maintenance of breastfeeding, especially exclusive breastfeeding. Among the protective factors for self-efficacy, the previous experience of women stood out, learning through observation, verbal persuasion, constructs of the Social Cognitive Theory, and educational strategies that anchor the planning and execution of actions to promote breastfeeding. Conclusions: Health education, with recognition of self-efficacy in breastfeeding and use of the “Breastfeeding Self-Efficacy-Scale”, contributes to the promotion, protection, support and maintenance of breastfeeding.

e11425

Authors: Julia Matzembacher dos Santos , Thiago Gomes Heck

Oxidative stress is the result of reactive oxygen species (ROS) overproduction and/or a decline in antioxidant defense mechanisms. Oxidative stress can be marked by deleterious effects to DNA, proteins, and lipids structure, changing cell homeostasis, and contributing to the development of metabolic diseases as type two diabetes (T2D), characterized mainly by insulin resistance in several tissues, as skeletal muscle. The T2D development and its complications are related to mitochondrial dysfunction and oxidative stress, as well as pro-inflammatory state and metabolic unbalance. Acute exercise represents a necessary type of challenge to whole-body homeostasis. Therefore, regular exercise (sum of acute exercise challenges) promotes antioxidant, anti-inflammatory, and metabolic adaptations induced by each stress induced by the exercise session, evoking a hormesis effect (from mitochondria to many tissues) that is beneficial for T2D prevention and treatment. Despite of a considerable research information in the field, the characterization of the sources and pathways of ROS generation in T2D and during exercise still a matter for investigation. Therefore, the multifaceted effects of oxidative stress in T2D and the link of exercise in T2D are discussed in this narrative review.

e12329

Authors: Angélica Pereira da Cruz , Geraldo Eduardo Guedes de Brito , Júlio César Guimarães Freire , Pâmela Karine Bravin , Silvia Lanziotti Azevedo da Silva, Adriane Pires Batiston

To identify the profile of physiotherapists and their work and compare them to other NASF-AB professionals from two state capitals in Brazil. This is a cross-sectional, quantitative study, carried out between January and March 2020 in João Pessoa/PB and Campo Grande/MS, with 182 workers from the Nasf-AB. A structured instrument was used, with questions that characterized the participants and their work process. The comparison between “physical therapists” and “other professionals” was performed using the chi-square test (12 nominal variables) and the Mann-Whitney test (eight quantitative variables). Most physiotherapists were women, aged 55-45 years, 3 years in Nasf-AB, linked to the team for more than 18 months, wished to work in Nasf-AB, trained for more than five years, satisfied with their work and team and how much their practices are centered on the needs of users and dissatisfied with the infrastructure to act. They dedicated 50% or more of their weekly workload to individual consultations, between 10% and 40% to collectives, 20% to 50% with other Nasf-AB professionals and 10% to 40% with the ESF. The little investment in PHC specializations differentiated physiotherapists from other professionals (p = 0.049). Physiotherapists performed more specializations in areas not associated with PHC. However, the other profile and work process characteristics did not differentiate them. The use of quantitative variables, such as the percentages of weekly time dedicated to individual, collective and activities with other professionals, expanded the understanding of the work of Nasf-AB.

e9430

Authors: Sebastião Gonçalves de Barros Neto

Pharmaceutical practice has been changing in Brazil and, due to the public health policies in the country, demands improvement to assure the integrality of actions. The objective of this research is to analyze the discourses of pharmacy professionals about the pharmaceutical clinic practices in the Basic Healthcare Units (UBS) of the Municipal Government of Vitória/ES (PMV), according to the principles of integrality. In order to achieve that, twelve participants were interview individually. From the analysis of the textual data, carried out through the use of the software Alceste, four classes were categorized, grouping the discourses about their actions regarding the irrational use of medicines, the addition of clinic-pharmaceutical practice in the Nucleus for the Support of Family Health (Nasf), the receiving and legal directing of clinic attributions in the municipal area, and, finally, the obstacles to be surpassed for the integrality of Pharmaceutical Care. The results show that there is no uniformity in regards to the clinical pharmaceutical actions. The integration of their actions with the staff of the NASF, in spite of demanding new competences, creates opportunity for the systematization of Pharmaceutical Care and the operationalization of the principle of integrality. Therefore, for its consolidation, professional qualification, legal directing and dismantlement of structural limitations are imperative.

e11160

Authors: Marcelo de Maio Nascimento

With aging, cognitive performance, gait and balance are affected. Therefore, older adults find it difficult to perform two or more tasks simultaneously, in everyday life situations. Objective: To summarize studies that investigated the relationship between gait, balance and falls in the elderly using the dual task paradigm. Methodology: Integrative literature review that included studies published between 2008 and 2021, carried out in the electronic databases PubMed, CINAHL and Web of Science with the MeeSH descriptors: gait OR walk OR balance OR posture OR age (60 years or older) OR accidental falls OR falls OR dual-task OR dual-task OR dual-task OR cognitive-task paradigm. Results: 1280 studies were found and 34 selected. It was found that the dual-task paradigm is a useful strategy for the prior identification of older adult fallers, in addition to the fact that dual-task exercises can benefit gait and balance performance, reducing the risk of falls. Conclusion: Dual-task paradigms are effective measures to identify gait and balance disorders. In the context of older adult fall, the use of this methodology has advantages over single-task exercises. Future studies should seek homogeneity between the assessment measures, and seek a better detailing of the exercises used.

e11837

Authors: Michell Vetoraci Viana , Danyela Gomes Viana , Monica Cattafesta , Almir Franca Ferraz , Luciane Bresciani Salaroli , Douglas Roque Andrade , Aylton Figueira Junior

Objective: To evaluate the sociodemographic, work, lifestyle and nutritional status associated with low concentration of HDL-c from steel mills. Method: This is an observational, analytical and cross-sectional investigation that evaluated the independent variables (so- ciodemographic, work, lifestyle and nutritional status) associated with a low concentration of HDL-c of steel workers, considering the sample universe of 4,500 employees of a company in the steel sector, located in the city of Vitória – ES/Brazil. Results: After multiple analyses, it was identified that with the increase in age, there is an increased ratio of more than one chance in HDL-c below (OR 1.11, 95%CI 1.06 – 1.15, p<0.001), while working 12 hours or more increases the chances of having HDL-c below the recommended by 26% (OR 0.26, 95%CI 0.08 – 0.81, p=(0.020). When evaluating life habits, it was found that insufficiently active employees were 3.52 times more likely to HDL-c levels below recommended (OR 3.52, 95%CI 1.40 – 8.89, p=0.008). Conclusion: The results of the present study allow conclude that the low level of HDL-c in employees of the steel sector is associated with multifactorial conditions, especially for age over 40, working time over 12 hours/day and physical inactivity. Although few studies have addressed the issue related to steel workers, we suggest programs that promote increased physical activity as intervention for prevention, health promotion, seeking to improve HDL-c values, and consequently, reduce the risks associated with the health of employees, especially physical inactivity.

e11681

Authors: Wesley Tavares da Silva , Djair de Lima Ferreira Júnior

The study aims to evaluate the profile of antimicrobial susceptibility of isolates of assisted women in basic health units in the city of Caruaru, Pernambuco. This is a descriptive cross-sectional study and quantitative approach. The results of uroculture tests with antibiogram were analyzed in women from 18 to 35 years of age, from January to December 2019. The data were collected on the Pulse Saúde platform, interfaced with the municipal laboratory. There were 295 urocultures in users served at UBS Salgado I/II and São João da Escócia II, with an amount of 51 positive urocultures. Of isolates, 92.16% corresponded to enteric gram-negative bacilli, while 7.84% corresponded to gram-positive cocci. A good sensitivity to nitrofurantoin was visualized among gram-negative and gram-positive microorganisms. Antimicrobials such as ciprofloxacin and amoxicillin/clavulanic acid have proven effective in most infectious agents of the urinary tract. The knowledge of the prevalence and frequency of infectious agents provides the optimization of treatment, thus reducing the appearance of new bacterial resistances. For this, it is necessary that epidemiological studies are carried out periodically, since data on the development of antibiotic resistance vary from time to time and region.

e10150

Authors: Alana Seifert Costa Bergano , Natália Cristina de Oliveira , Fabio Marcon Alfieri

Objective: To analyze the effect of percutaneous electrostimulation associated with physical exercise on abdominal fat in young women. Method: A prospective, randomized, single-blind clinical study was conducted in which 40 volunteers, aged 18 to 38 years, with waist / height ratio (WHtR) between 0.44 and 0.80. Participants underwent an evaluation of body composition by bioimpedance and perimetry, and answered a lifestyle questionnaire. The group was divided in two small groups: a control group (physical activity) and an experimental group (electrostimulation associated with physical activity), and both performed 10 sessions with 50 minutes for each modality. Data were analyzed with descriptive statistics and two-way Anova for repeated measures. The level of significance α was set at 5% (α <0.05). Results: In the questionnaire, both groups were classified as having a very good lifestyle. The comparison of results regarding body assessments revealed a significant reduction in waist perimeter in both groups, and in abdominal perimeter only in the experimental group. There was a reduction in fat mass percentage only in control group. Conclusion: Percutaneous electrostimulation combined with physical exercise was efficient in reducing waist perimetry. Despite this, no significant reduction in weight or fat mass was observed as an effect of electrostimulation.

23-31

Authors: Taisa Soares da Silva, Cristina de Santana Farias, Felisberto Farias dos Santos, Irineu Ferreira da Silva Neto, Ana Emília Formiga Marques

Integrative and Complementary Health Practices (Pics) aim to provide a holistic approach, with the aim of promoting health, and providing a good balance between technology, science and humanization. Thus, this article aims to assess the perception of future graduates of the pharmacy course on the role of the pharmacist in Pics. A field research was carried out at a Faculty of Pharmacy in Cariri Cearense. Currently, the college is approved by 10 classes of the pharmacy course. The sample used in the study was composed of students from the ninth and tenth semesters of the Pharmacy course. The results of the study show that 85.3% of academics have knowledge about Pics, however, many are not sure about their knowledge about them. It was possible to observe that students would indicate homeopathy, acupuncture, floral therapy and medicinal plants to treat certain diseases, which may be possible by pharmacists according to specific specifications. Finally, it is considered that the results of this work can contribute by adding values on the evidenced findings, assisting in the discussion of new studies on integrative and complementary practices.

41-53

Authors: Lucélia Hernandes Lima , Carine Raquel Blatt , Marcelo Schenk de Azambuja

Introduction: The monitoring and continuous evaluation of the actions developed in Pharmaceutical Care are strategies for the search for quality, especially in hospitals. A good evaluation aims to reduce uncertainties, improve the effectiveness and monitoring of actions and provide relevant decision-making by assisting in the service management policy. Objective: To develop an evaluation and monitoring matrix for a pharmacy in a hospital. Method: It is an evaluative study. In order to elaborate and validate the content the following steps have been developed: bibliographic review, proposition on dimensions and elaboration of indicators, focus group with experts to validate and prioritize the dimensions and application of the delphi technique to the indicators for relevance and valuation. Cronbach’s alpha coefficient has been used to measure the reliability of the indicators. Results: Five dimensions and 70 indicators have been identified for the evaluation of Hospital Pharmacy, distributed as follows: Care Management (n=15), Human Resources Management (n=13), Drug Management (n=13), Financial Management (n=12) and Patient Clinic Management (n=17). The dimension Drug Management has been prioritized by the specialists for validation and valuation. This dimension resulted in a matrix, with nine indicators. Conclusion: The study has shown the importance of evaluation and monitoring for Hospital Pharmacy management and the capacity of executing consensus methods to quality indicators in high complexity services. The instruments with indicators developed for the dimension Drug Management has shown evidence of validity and good reliability.

68-80

Authors: Karina Schettert Kerschner, Eduarda Batu de Souza, Viviane Cecilia Kessler Nunes Deuschle

Ultraviolet radiation causes cumulative and irreversible skin aggressions and photoprotection remains the most effective way to prevent skin cancer and photoaging. Many beneficial effects attributed to medicinal plants and their bioactive compounds have been the subject of studies. Objective: to develop cosmetic formulations containing the commercial extract of P. granatum, added or not with synthetic organic sunscreen and evaluate the stability and the Sun Protection Factor. Method: the formulations were developed containing 1, 3 and 10 % of the extract of P. granatum, with or without 7 % of octyl methoxinamate, in non-ionic cream, and its physical-chemical stability was evaluated, by determining the organoleptic characteristics, pH and viscosity. Spreadability and SPF in vito were also evaluated. Results: the formulations containing only the extract of P. granatum showed the greatest variations in the stability study and octyl methoxinamate seems to interfere with stability. Conclusion: it is concluded that the formulation containing 10 % of P. granatum extract and 7 % of octyl methoxinamate presented, in addition to adequate stability, an increase in SPF, which would provide a reduction of organic sunscreens in photoprotective formulations. It is recommended that this formulation be kept at room temperature and protected from light, heat and humidity

92-105

Authors: Silvia Pereira , Letícia Bottino, Alexandra Anastacio Monteiro Silva, Daniele Mendonça Ferreira, Daniele Silva Bastos Soares, Patrícia Dias Camacho, Patrícia Henriques, Roseane Moreira Sampaio Barbosa

Carry out a nutritional intervention through the construction and implementation of the Technical Preparation Form focusing on the adequacy of the supply of sodium and lipids in food preparations. Step 1. Diagnosis: Analysis of the amount of lipid using the technique of extraction using the Soxhlet and sodium apparatus by weighing the amount of added salt used and calculating the amount of sodium using the Brazilian Table of Food Composition and application of the script to observe the preparation method. Step 2. Intervention: Development and implementation of the Preparation Technical Sheets using the model recommended by the National School Feeding Program. Step 3. Evaluation of acceptability by students according to the Program manual, analysis of the use of Technical Preparation Sheets by the observation guide and quantity by the method already mentioned above. An adequate lipid value was observed, with sodium, 67.5% above that recommended by the program for two meals (up to 600 milligrams). After the implementation of the technical preparation sheets, the amount of sodium was reduced to 26.4% of the recommendation and that of lipid remained adequate. The intervention was effective in promoting a standardization of the production of rice and beans through the Technical Preparation Form with an adequate amount of oil and added salt, promoting greater nutritional quality

116-129

Authors: Laine de Carvalho Guerra Pessoa Mamede, Rafaela Lira Formiga Cavalcanti de Lima, Alexandre Sérgio Silva, Rubens Batista Benedito, Lydiane de Lima Tavares Toscano, Nadjeanny Ingrid Galdino Gomes, Elisama Araújo de Sena, Maria da Conceição Rodrigues Gonçalves

Hypovitaminosis D is considered a worldwide epidemic with implications that may affect the health of workers. This is a cross-sectional study conducted with 91 workers from Food and Nutrition Units in order to assess the prevalence of hypovitaminosis D and the associations with metabolic parameters. Were evaluated regarding their sociodemographic and occupational profile, exposure to sunlight, anthropometric data and blood pressure. The following exams were performed: 25-hydroxyvitamin D [25(OH)D] and other metabolic parameters. There was a prevalence of 61.54% of the deficiency/insufficiency of 25(OH)D serum levels. No associations were confirmed between the vitamin D status and the sociodemographic and occupational characteristics through the Poisson regression. There was an increased prevalence in patients with diabetes and hypertriglyceridemia. Individuals with high Total Antioxidant Capacity (TAC) values showed a reduction in the prevalence of hypovitaminosis D. In conclusion, a high prevalence of hypovitaminosis D was found among the workers, related to increased blood glucose and triglyceride levels with TAC proving susceptible to reduce this deficiency/insufficiency. The need to monitor laboratory parameters in the health surveillance of workers is stressed.

149-157

Authors: Giovana Secchi da Campo, Nandiny Paula Cavalli, Melissa Medeiros Braz

Pregnancy can be defined as a period of approximately 40 weeks, in which physiological and mechanic adaptations occur, along with strong psychological modifications. Being a moment of vulnerability, it can be negatively influenced by factors such as urinary incontinence, high-risk pregnancy or even a negative body image. Thus, the aim of this study was to compare body image and the occurrence of urinary incontinence in high-risk and usual risk pregnant women. An observational study with a quantitative and cross-sectional approach was conducted to evaluate the occurrence of urinary incontinence and body image of pregnant women. The sample was divided into two groups: high-risk (n=34) and usual risk (n=31) pregnant women. For the data collection, an identification file was applied, collecting data such as obstetric history, followed by the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF), and the Body Image Measurement Scale (BIMS). It was observed that both groups were dissatisfied with body image, and urinary incontinence occurrence was moderately above to what is found in literature. No relationship between urinary incontinence and body satisfaction was observed in either group. There was no relationship between urinary incontinence and body image. The pregnant women from both groups presented dissatisfaction regarding body image, and the occurrence of urinary incontinence was slightly higher than that observed in literature.

171-182

Authors: Deise Iop Tavares, Gessica Bordin Viera Schlemmer, Tamires Daros dos Santos, Aline dos Santos Machado, Janine Barbosa da Silva, Melissa Medeiros Braz, Alecsandra Pinheiro Vendrusculo

This study aims to investigate whether there is a correlation between body image, self-esteem, perception of aging, postural balance and handgrip strength in elderly women after practicing Pilates in Water. Descriptive, quasi-experimental study, with a sample composed of sedentary elderly women with preserved cognitive and functional independence. The instruments Body Appreciation Scale, Rosenberg’s Self-Esteem Scale, Aging Perceptions Questionnaire, Timed Up and Go and the manual dynamometer were used. The Pilates in Water protocol was divided into warm-up, strengthening in general and stretching. Statistical analysis was performed using Pearson’s correlation coefficient and Spearman’s correlation test, and the intensity was classified by Malina’s criterion. 33 elderly women (71.5 ± 5.48 years old), overweight (27.02 ± 4.42) and good body image, self-esteem and perception of aging participated in this study. They also had a low risk of falls and low handgrip strength. A moderate correlation between body image and perception of aging was observed after the Pilates in Water exercises protocol with regard to positive beliefs about how to deal with aging. Still, a high correlation was observed between postural balance and handgrip strength. It is concluded that these data are important because means must be directed to provide healthy aging and quality of life for the elderly

198-208

Authors: Melissa Medeiros Braz, Emiláini Sacerdote Rister

Women with negative genital self-image may experience sexual dysfunction. Still, it can be related to discomfort in the pelvic floor. The aim of this study is to investigate the relationship between genital self-image, sexual function and discomfort in the pelvic floor in young university women. This is an observational and cross-sectional study with 102 undergraduate and graduate students, from a total of 135 participants, between 18 and 29 years old, sexually active. An identification form relating to personal data, anamnesis, complaints and sexual activity, the Female Sexual Function Index (FSFI), Pelvic Floor Distress Inventory (PFDI-SF-20) and Female Genital Self-Image Scale (FGSIS) questionnaires were applied. The total FGSIS score indicated positive genital self-image, FSFI good sexual function and PFDI-20 discomfort in the low pelvic floor. There was a positive relationship between genital self-image and sexual function and an inverse relationship with discomfort in the pelvic floor. Women had positive genital self-image, good sexual function and low discomfort in the pelvic floor, and the variables were related to each other.

221-235

Authors: Mariana Lectícia Beraldi, Fernanda de Freitas Mendonça, Sarah Beatriz Coceiro Meirelles Félix

The Permanent Health Education (PHE) is a strategy that searches to transform the practice and organization of the work process from the demand of its own work. A exploratory, descriptive, qualitative research, case study type, that aimed to unveil the arrangements built by the health team that allowed the work management during the qualification program of the Primary Health Care. The data was collected in the period of July 2018 to April 2019 through observation-participant study tool and semi structed interviews with workers of a Family Health Care Unit in a city of Paraná. The results showed many arrangements developed by the work team: general and staff meetings, joint effort for risk stratification and setting-up groups for the users. The protagonism of the workers enabled the program to be a space for PHE. It is concluded that the seal drove the team to develop and work in cooperation. The PHE developed by the staff gave the opportunity to minimize the logics of the vertical process catch and give quality to its arrangements.

253-264

Authors: Premma Hary Mendes Silva, Jackson Ronie Sá Silva

Leprosy is a serious public health problem that historically affects populations living in poor living conditions. In Brazil, leprosy is a disease that affects the poorest sections of the population. Although it is a disease that, once treated, presents significant possibilities of cure and does not present a risk of contagion; due to cultural prejudice, a situation of stigma in relation to the disease still persists. When recognized as hansenian, the individual is permeated by a set of degrading designations. Thus, we recognize prevention through Health Education as a noble aspect in leprosy control, and one of the forms used is information through educational materials. With this investigation we intend to understand the discourses on the prevention of leprosy conveyed on posters, booklets, pamphlets and guidance guides aimed at health professionals and patients, distributed in health posts and units in the municipality of São Luís, Maranhão. For this, theoretical-methodological strategies of documentary research were used in the investigation. The documents analyzed gave evidence that in the dissemination of information on leprosy prevention, what prevails is the biomedical discourse on diagnosis, treatment and cure. The sociocultural aspects of the disease with regard to prejudice are absent or are approached timidly in the documents. Moreover, sociocultural information, such as alerting to aspects of prejudice, is not perceived. Language is clearly clinical-biomedical and there is a concern to disseminate among health professionals and patients only that leprosy has a cure.

279-289

Authors: Bruna da Silva Rodrigues, Juliedy Waldow Kupske, Renan Felipe Rasia, Thais Severo Dutra, Moane Marchesan Krug, Paulo Ricardo Moreira, Kalina Durigon Keller, Rodrigo de Rosso Krug

The aim of the study was to analyze the effects of physical exercise on physical fitness and quality of life of patients with chronic renal failure undergoing hemodialysis. This is an intervention study, with a sample of 13 patients on hemodialysis at the Renal Clinic of Hospital São Vicente de Paulo. The program was applied in 2019/2 (August to December) and took place during the first two hours of hemodialysis (intradialitic), three times a week lasting 20/70 minutes. The same consisted of active stretching, warm-up, cycle ergometer training, resistance training and stretching. Participants in the physical exercise program showed improvement in all physical valences evaluated, occurring significantly in upper limb resistance (pre-test = 17.85 ± 4.54; post-test = 20.69 ± 7.62; p = 0.034) and handgrip strength (pre-test = 28.15 ± 9.39; post-test = 28.62 ± 12.61; p = 0.048), as well as a significant improvement in quality of life in pain domain (pre-test = 73.15 ± 26.92; post-test = 91.46 ± 18.78; p = 0.016), vitality (pre-test = 78.00 ± 15.48; post-test = 90.08 ± 9.03; p = 0.010) and social aspects (pre-test = 71.31 ± 28.63; post-test = 85.92 ± 22.42; p = 0.050). We conclude that the resistance exercise program has several benefits for patients on Hemodialysis.

299-309

Authors: Jessica Cristina Costa Barbosa, Alessandra Esquivel Sales, Nora Manoukian Forones, Edvane Birelo Lopes De Domenico

The objective was to identify the quality of life of patients with gastrointestinal cancer and chronic pain and to correlate the quality of life with sociodemographic, clinical, therapeutic and pain gradation data. This is a cross-sectional, quantitative study, in which patients with gastrointestinal cancer and chronic pain attended at the gastroenterology clinic of a general hospital in the city of São Paulo participated. A sociodemographic and clinical questionnaire, the EORTC-QLQC30 instrument and the Brief Pain Inventory (BPI) were used. Data analysis: descriptive and analytical, correlating the variables with the QoL domains. Thirteen patients participated in the study, mostly male, married, economic classification C2 (61.5%). All were in pain at the time of data collection, with a mean of 2.54 (SD=2.88) by BPI and with the worst score reported in the last 24 hours at 8.15 (SD=2.03). The main changes in QoL evidenced were, in addition to pain: fatigue, insomnia and loss of appetite, and the more advanced the disease, the worse the symptoms and the functional impairment. The data showed that patients live with pain of moderate intensity and, if worse clinical condition, greater intensity. Pain compromises the quality of life of these patients in multiple aspects, showing that measures need to be taken to favor pain control, from the drug therapy regimen to educational and care activities

322-331

Authors: Ingrid Bergmam do Nascimento Silva, Milenna Azevedo Minhaqui Ferreira, Anna Cláudia Freire de Araújo Patrício, Brenda Feitosa Lopes Rodrigues, Maria Hellena Ferreira Brasil, João Agnaldo Nascimento, Richardson Augusto Rosendo da Silva

Objective: To analyze the presence of depression and anxiety of people living with HIV, as well as the association of depression on anxiety. Method: Cross-sectional, quantitative study, conducted between january and july of the year 2019. The participants were 100 people living with HIV who received outpatient care at a Hospital for infectious diseases, northeast, Brazil. A socio-demographic questionnaire, Hamilton Depression Scale and Beck anxiety scale were used. There was descriptive and inferential statistical analysis with KRUSKL Wallis tests and T test, considering significant when p ≤ 0.05. Results: It was identified that 64% were men, 70% heterosexual, 50% had between 20 and 30 years and 90% contracted HIV by sexual contact, 42% had depression and 52% had minimal anxiety. The influence of depression on anxiety (p = 0,041) was evidenced, as well as an association between depression and anxiety scores (p = 0.001). Conclusion: The hypothesis that depression influences the anxiety of people with HIV was confirmed.

345-361

Authors: Marcela Milrea Araújo Barros, Ivone Evangelista Cabral

Objective: To analyze scientific publications regarding the trend in the literature on the relationship between air pollution and respiratory disorders in early childhood. Method: This is a narrative review of original articles and systematic reviews in English, Portuguese, French and Spanish, available in Lilacs, PubMed/Medline, Scopus, EBSCO/CINAHL, EVIP-NET and Cochrane Library databases. In the search, descriptors were combined in trio with Boolean operators and/or in November 2019, without a definition of time frame. Results: Of the 1,702 results, 42 publications between the years 1993-2019 were included. After eliminating duplicates, peer reviewers performed the analysis by grouping them into three decades (1990, 2000, 2010). The centrality of the epidemiological model in the concepts related to the respiratory condition, the environment and the child’s vulnerability stands out as a trend. However, the cause-and-effect relationships disregarded the structural determinants of society, critical of the child’s health and the air pollutants that influenced hospitalizations. Therefore, they determined hospitalizations for respiratory conditions due to causes sensitive to primary care. Conclusion: Promoting healthy environments and reducing preventable deaths requires looking beyond the clinical-epidemiological model. Facing this problem requires rethinking the way to produce knowledge articulating health and environment.

375-384

Authors: Ana Cláudia de Carvalho Fernandes, Thuane Sales Gonçalves, Hágabo Mathyell Silva, Carina de Morais Neves, Isabela Viana Oliveira, Djenane Ramalho de Oliveira, Adriana Maria Kakehasi, Maria Raquel Costa Pinto, Mariana Martins Gonzaga do Nascimento

Rheumatoid arthritis (RA) is a inflammatory, chronic disease, which can bring several consequences to the individual. Patients with RA can present several comorbidities that may influence the clinical evolution of RA. Objective: evaluate the association between comorbidities and the RA activity profile among patients attending a rheumatology clinic of a public university hospital. Methods: this is a cross-sectional study, which collected demographic, diseases, lifestyle habits and RA profile data from a representative sample of patients with RA attending the outpatient clinic. A descriptive analysis of these data was performed, as well as univariate and multivariate analyzes to evaluate factors associated with the DAS28 (Disease Activity Score 28). Results: two hundred and one patients were included, a female majority (85.6%; n = 172) was detected and the mean age was 60.3 ± 11.5. Seven patients (3.5%) were obese, 17 (8.5%) smokers, 106 (52.7%) hypertensive, 38 (18.9%) diabetic and 72 (35.8%) had dyslipidemia. A mean functional comorbidity index of 2.3 ± 1.19 and a mean of 4.2±2,2 diseases per patient were identified. Age equal or greater than 60 years (OR = 0.40, 95% CI 0.21-0.74) and be diabetic (OR = 2.96, 95% CI, 30-6,74) were statistically significantly associated with moderate or high DAS28. Conclusion: the presence of comorbidities was frequent among patients with RA. Furthermore, age equal to or greater than 60 years was negatively associated, and a diagnosis of diabetes mellitus (DM) positively associated with moderate to high disease activity according. The findings reinforce the need for DM monitoring among these patients, especially the younger ones.

396-408

Authors: Gracielle Pampolim, Alessandra Miranda Ferres, Isabelle Gadiolli Verzola, Glenda Pereira Lima Oliveira

The aim of the this study was to verify the prevalence and associated factors with negative self-perceived health in the elderly population assisted by primary health care in a community in Vitória – Espírito Santo. An observational, cross-sectional analytical study was carried out with 241 elderly people from a community in Vitória, Espírito Santo. Self-perceived health was the outcome variable, and sociodemographic characteristics, lifestyle and health characteristics were the exposure variables. Data were analyzed using Pearson’s Chi-Square test and the Prevalence Ratio was calculated for variables significantly associated with the outcome (p <0.05). The prevalence of negative self-perceived health was 46.5%, and the factors associated with the outcome were: white race, polypharmacy, incapacity for daily activities, depressive symptoms, risk of falls and negative perception of quality of life. The findings of this study can assist in the management of care provided to the elderly, aiming at maintaining and recovering the independence, autonomy and health of the elderly, and thus contribute to a better quality of life for this population.

18-32

Authors: Taís Fátima Soder, Fábia Benetti, Rúbia Garcia Deon, Dionara Simoni Hermes Volkweis, Cenio Back Weyh

Food and Nutrition Education (FNE) represents one of the most important practices and strategies to encourage the incorporation of healthy eating habits of an emancipatory character in the lives of new generations. In this perspective, the study aimed to identify the perception of managers about FNE in the school context. It is a qualitative investigation with a hermeneutic approach. As for the ends, it involves exploratory descriptive research and as for the means, field research. Data were collected through recorded interviews with education secretaries and nutritionists, technicians responsible for school meals (12 respondents) from some municipalities in the Middle and Upper Uruguay / RS. The choice of the sample is considered simple probabilistic and random. Content analysis was chosen as a strategy for discussing the data obtained in the field research. When asked about the perception of FNE at school, respondents highlighted these actions as reflective practices, health promoters, trainers of actors and food autonomy. Regarding what could be done, they highlighted the need for constant encouragement, integrative projects, teacher training on the subject and, also, the importance of FNE work in the family environment. It is concluded that the school presents itself as a favorable environment for the development of problematic, dialogical FNE strategies and, considering the local reality, promoting the need for management and adequate planning of these actions.

45-56

Authors: Maísa de Lima Claro, Luisa Helena de Oliveira Lima, Artemízia Francisca de Sousa, Wolney Lisboa Conde, Luís Eduardo Soares dos Santos, Hengrid Graciely Nascimento Silva, Ana Roberta Vilarouca da Silva

This study aimed to investigate the association between nutritional status and infants’ psychomotor neurodevelopment. It consisted of a cross-sectional study, carried out with children aged 1 month to 23 months and 31 days, living in the municipality of Picos / Piauí, without previous diagnosis of neurodevelopmental delay. The variables investigated were socioeconomic, demographic, as well as anthropometric data by measuring weight and length, for later classification and categorization of failures. The neurodevelopment assessment was performed using the Developmental Milestones contained in the Small Child Welfare Survey Scale. Subsequently, a descriptive statistical analysis was carried out, in addition to performing the Likelihood Ratio, at a significance level of 5% to assess the association between the outcome variable with anthropometric failures. Of the children evaluated, 9.4% had a positive screening for the suspected delay in neuropsychomotor development, with category 3 of the anthropometric failures having the highest prevalence (9.1%). In this work, no statistical association was verified between nutritional status, through the use of anthropometric failures, with delays in child neurodevelopment. Thus, it is concluded that although there was no statistical association, both adopted screening tools proved viable both to assess and to guide interventions, aiming to improve nutritional status and child neurodevelopment and reinforcing the importance of carrying out this monitoring more detailed.

74-83

Authors: Caroline Taiane Thumé, Luana Fioravanti Roland, Fabiana Assmann Poll

Objective: to evaluate the nutritional status and clinical conditions of patients with pressure injury in the in-hospital period, in a teaching hospital in the interior of the state of Rio Grande do Sul. Methodology: cross-sectional study with hospitalized patients aged 18 years or older who have pressure injuries. Demographic data such as age and sex, presence of institutionalization, clinical information, as reason for hospitalization, underlying pathologies, location of pressure injury, and variables of interest for the assessment of nutritional status such as weight and height, generating body mass index, arm circumference, calf circumference and weight loss were collected from the electronic medical records of April to August 2020. Results: the sample of patients with pressure injury was predominantly of elderly (80.49%), female, with pressure injury in the sacrococcygea region, with one to two previous pathologies, followed by three to four, especially cardiovascular diseases, including diabetes mellitus and systemic arterial hypertension. The most prevalent reason for hospitalization was kidney diseases. For adults, the prevalent nutritional status was overweight/obesity, obtained by body mass index. In elderly patients, malnutrition prevailed in all forms of evaluation, and with weight loss. Conclusion: in the clinical and nutritional profile of patients with pressure injury, mostly elderly people, a higher prevalence of two to four comorbidities and nutritional status outside normal weight (by body mass index) was detected, especially malnutrition.

97-105

Authors: Cleidivania Glécia Pereira, Annalu Moreira Aguiar, Rafael de Carvalho Mendes, Ana Emilia Formiga Marques

Over time, various diseases have been suggested, so the pharmaceutical industry has found the need to produce new pharmaceutical products, consequently, there has been an increase in the disposal of these drugs. RDC 222/2018, determines how establishments that provide health services should develop waste management, however this RDC does not cover consumer disposal. Residential disposal is a content that needs to be addressed more, as the act of incorrect disposal has caused a great impact on the environment. The study aims to identify how and where users dispose of residential medicines. This study is an integrative review and aims to address the disposal of residential drugs. Using the descriptors: Disposal of medicines, environmental impact, drug withdrawals, user awareness. The inclusion criteria were articles in Portuguese, published in the period from 2009 to 2019 and that addressed the topic directly and the exclusion criteria were: duplicate articles in the databases, systematic review articles, articles that did not address the specific topic of the work, and which did not include the period from 2009 to 2019 as a search in the VHL and SciELO databases. The search resulted in 119 in the VHL database and 21 in the SciELO database, after which the filters with inclusion and exclusion criteria were applied, and a previous reading was carried out, thus resulting in 10 articles in which they addressed the researched topic clearly. The evaluation of the studies shows the need to implement measures to improve the current situation, since most of the population does not receive guidance or has no option to discard medicines that are no longer used.

116-127

Authors: Sara da Silva Khalil, Maria Cristina Soares Rodrigues, Omar Arafat Kdudsi Khalil

Analyze the use of potentially inappropriate medications (PIMs) in prescriptions for the older adults in a long-term care institution, according to the Beers Criteria 2015. Observational cross-sectional study of medical records of 77 older adults living in a long-term care institution in Goiás, Brazil, on health data and medicines used. The analysis of PIMs was performed through descriptive analyzes. The social and institutionalization profile of the older adults showed a predominance of men, with an average age of 78.8 years and the majority institutionalized for less than 4 years. The most prevalent drugs such as PIM-1 were diazepam, omeprazole and risperidone, such as PIM-2 diazepam, risperidone and citalopram and PIM-3, hydrochlorothiazide and acetylsalicylic acid. Drug prescriptions for the elderly should be centered on individual circumstances and therapeutic goals. Thus, this study contributes to the practice of elderly patient safety using an explicit tool for the analysis of PIMs.

143-155

Authors: Iara da Silva Passos, Maria Caroline Andrade dos Santos, Ana Caroline Silva Santos, Izabel Cristina Pereira Rocha, Elisdete Maria Santos de Jesus, Chiara Erminia da Rocha, Giselle de Carvalho Brito

Objective: To analyze in literature the role of pharmacists in the care of people with atopic dermatitis. Methodology: This is a systematic review study in the Medline / PubMed, LILACS and Web of Science databases, using the descriptors: dermatitis, eczema pharmacist. Will be included articles written in English, Portuguese and Spanish, which are characterized as studies on the role of the pharmacist for people with atopic dermatitis. Results: The research initially identified 923 results in the databases, which after the selection process, only four articles were included in the review. The main services identified were health counseling and education, which had an impact on clinical, humanistic and economic results. The main clinical results were information on the treatment of AD, adequate use of emollients and improved understanding of AD; the economic one, on the other hand, resulted in a decrease in health care expenses; and humanistic, the caregivers were satisfied with the various aspects of the service and were more confident about the treatment. Conclusion: Despite the few studies analyzed, it can be seen that the role of the pharmacist is centralized in the care of patients with AD providing counseling services, health education, contributing with information about the disease, symptoms, pharmacological and non-pharmacological treatment and in reducing problems regarding the use of medicines

165-179

Authors: Carlos Alexandre Molena Fernandes, Karine Oltramari, Nelson Nardo Junior, Greice Westphal

Introduction: Metabolic syndrome (MetSyn) is a disorder that involves a series of symptoms associated to obesity and metabolic modifications, and increases the risk of developing cardiovascular disease and type 2 Diabetes Mellitus. The study of new possibilities of non-pharmacological strategies is fundamental for the primary prevention of MetSyn. Objective: The aim of this work was to evaluate the responses to the ingestion of flaxseed oil associated or not associated with physical exercise in hypertensive rats (SHR) with lipid changes induced by the administration of dexamethasone (Dexa) regarding the body weight, and glycaemic and lipid profiles, in comparison with the drug treatment with metformin. Methodology: After 24 days of experiment (details at the material and methods session), the 20-week-old animals were submitted to the glucose tolerance test (GTT) and lipid profile evaluation. Results: The results showed that the administration of Dexa in SHR animals promoted a framework of hyperglycaemia, dyslipidaemia and attenuated the insulin resistance common in the SHR, thus producing an experimental model with several components of the human MetSyn. The effects on weight gain indicated an important preventive action of flaxseed oil and exercise on the weight evolution of SHR-Dexa animals. Furthermore, the ingestion of flaxseed oil associated or not with exercise promoted significant improvements on hyperglycaemia and glucose intolerance in these animals. Regarding the lipid profile, the treatments with flaxseed oil and exercise promoted reductions in triglyceride levels and HDL-c increase. Conclusion: However, the combination of these two non-pharmacological interventions was more effective than the isolated treatments.

192-200

Authors: Raphaela Espanha Corrêa, Rute Estanislava Tolocka

Evidences have shown that Physical Activity (PA) can decrease side effects, such as fatigue and pain, as well as promote increase of muscular endurance, oxygen consumption and quality of life of patients with different phases of cancer treatments. However, studies have demonstrated that patients with cancer diagnosis may show insufficient levels of PA. Therefore, it is necessary to check the profile of such patients. Thus, the aims of this study were to verify the level of physical activity and its association with the characteristics of the patients’ profile. It is a field study that included 247 patients of both sex, above 18 years old any type of cancer. The International Physical Activity Questionnaire-Ipaq-Bref was used to measure PA and the clinical profile was assessed using a questionnaire. The breast cancer was most common type (32.4%), the mean age was 60.08 ± 13.12 and patients in general have inadequate levels of PA, independent of treatment phase. It was found negative association between age and time of PA (rho=- 0.145, p<0.05), years of diagnosis were associated with the level of PA: less than one year of diagnosis can be a significant predictor of low physical activity level (OR= 28.457; 95% CI 1.706 – 474.589; p= 0.020) and for moderate physical activity level (OR= 29.578; 95% CI 1.409 – 620.746; p= 0.029). Implementation of public policies to spread information and to offer PA programs to patients with cancer are needed, especially in the beginning of the treatment.

214-224

Authors: Giulliane Ramos Londero, Melissa Medeiros Braz

Objective: The survey’s aim is to investigate the use of sexually transmitted infections (STIs) preventive methods by young women who have sex with other women. Methods: Observational research, using cross-sectional and quantitative approach, performed between January and April of 2018. The sample was composed of women aged between 18 and 29 years. To collect all the data, na adapted questionnaire with four fields was used: identification, gynecologic history, personal knowledge about STI contamination and the access to information about sexually transmitted infections preventive methods. Results: The majority of the interviewed (54,5%) report to know some STI prevention methods in sexual relations between women, but don’t use them in their sexual relations. Only 8,9% use some barrier method in their sexual relations without sexual accessories, and 9,8% use some method when there are sexual accessories involved. Conclusion: Women who have sex with women (WSW) know about the STIs contagion risks they are exposed to when having unprotected sex, but still don’t have the habit of using preventive methods. Health professional don’t consider them as a contagion risk group and don’t give them information about how to properly protect themselves and about the importance of embracing the barrier methods as a daily practice.

240-255

Authors: Aline Baldissera Leal, Taís Fim Alberti, Andrea Ad Reginatto

The study aimed to develop an educational technology that would contribute with nursing guidelines for hospitalized newborn family members (NBs). Descriptive and qualitative case study, developed at the Neonatal Intensive Care Unit (Utin) of the Santa Maria University Hospital (HUSM). Data collection was carried out first through a questionnaire with nurses from the Utin and then through interviews with the mothers of the newborns. From the data collected, an educational video was built, following the methodology of Filatro (2008). Afterwards, he was submitted to an evaluation / validation process by the Center for Permanent Education in Health (Neps) and by nurses of the Utin of the hospital in question. The process included Neps meeting and recorded interviews with the nurses, grouping the speeches into two thematic groups: Content, technical-aesthetic aspects and pedagogical proposal of the educational video and Educational technology as a tool in the Health Education of family members. The evaluators agreed that the video contained all the necessary information and suggestions for improvement, such as which were accepted and included in the final edition. It is concluded, with the validated video, that it has quality to be used with the target audience in the waiting room, leaving a material for institutional use, that will enable a better understanding in relation to hospitalization. In addition, a developed research can point to a method for the development of others materials, mediated by technologies, specifying the humanization in the reception in health institutions.

271-279

Authors: Katieli Santos de Lima, Themis Goretti Moreira Leal de Carvalho, Carine Cristina Callegaro

The objective of this study was to verify the accuracy of the Berlin Questionnaire (BQ) and the Epworth Sleepiness Scale (ESE) to identify obstructive sleep apnea (OSA) in individuals with Chronic Heart Failure (CHF). Nineteen individuals with CHF (57.2 ± 6.6 years old, 12 men) were submitted to portable polysomnography. The BQ was used to investigate the risk of OSA and the ESE was used to assess excessive daytime sleepiness. Thirteen patients were diagnosed with OSA (IAH≥15/h) by portable polysomnography, but only three of them had excessive daytime sleepiness. Eleven patients were classified at high risk for OSA by the BQ. This questionnaire shows a sensitivity, specificity, positive and negative predictive values of 38.4%, 50%, 62.5 and 27.2%, respectively. ESE shows a sensitivity of 25%, a specificity of 100%, a positive predictive values of 100% and negative predictive values of 43.7%. The area under the ROC curve for QB was 0.44 and for ESE was 0.38. Both QB and ESE showed insufficient accuracy to identify OSA in individuals with CHF. In conclusion, BQ and ESE show insufficient accuracy to identify OSA in individuals with CHF. New questionnaires could be developed to screen OSA in patients with heart failure.

290-303

Authors: Suzely Adas Saliba Moimaz, Denise de Toledo Rós, Aryane Kame Tamanaha, Nemre Adas Saliba, Tânia Adas Saliba

The aim of this study were to verify the use of dental care and oral health condition perception of high-risk pregnant women. This cross-sectional, inquiry-type research was performed with 1200 high-risk pregnant women who received prenatal care in a specialized health care reference center, in the period of two years. Women in advanced pregnancy and those who were not able to answer the questions were excluded. The data were analyzed in Epi Info 7.4.1 and Bioestat 5.3 software, at 5% significance level. The most prevalent changes to the classification of high-risk pregnancies were maternal age (39.08%), hypertension (26.90%), and diabetes (10.32). From the total respondents, 40.08% had visited the dental office over 1 year ago, which was associated with age and occupation (p<0.002). Unemployed pregnant women were 2.03 times more likely to use the dental service less than a year ago (p=0,010). From the respondents, 72.17% reported their teeth and gingiva as “fair” or “very poor”, and 75.58% reported having had a toothache. The oral health condition perception was related to age (p=0.0156), level of education (p<0.0001), income (p<0.0001), occupation (p<0.0001), marital status (p<0.0001), and dental care utilization (p<0.0001). It can be concluded that the dental care utilization by high-risk pregnant women was still low, although a portion of the patients reported oral health as “fair” to “very poor”. Maternal age and obesity were the most prevalent conditions for high gestational risk.

324-334

Authors: Daniela Buriol, Maria Denise Schimith, Luiza Camila Jerke, Christiani Andrea Marquesini Rambo, Vivian De Franceschi Brondani, Andiara Luiz Ramos Soares

Objective: to analyze the trend of knowledge production in Dissertations and Theses defended in the Postgraduate Programs in the health area in Brazil about Diabetes Mellitus type 2. Method: this is a narrative review, carried out at the Bank of Theses and Dissertations Coordination for the Improvement of Higher Education Personnel. A search was carried out in October 2020. Of the studies found, 30 were selected for analysis using the selection criteria. Results: Among the trends of study objects, the following stand out: clinical-epidemiological profile, self-care and educational actions for people with type 2 Diabetes Mellitus. As for the clinical epidemiological profile, most were female, elderly, married, with low education and income, hypertension and dyslipidemia were the predominant risk factors. Self-care for the feet was performed correctly. However, life habits were considered difficult to change. Educational actions such as groups and booklets contribute to changes in lifestyle, knowledge about the disease and adherence to treatment. Conclusion: research on Diabetes Mellitus is a priority, in order to help managers and health professionals in the implementation of actions, policies and programs that can guide qualified patients and control the diseases.