Revista Contexto & Saúde

10-15

Authors: Irene Espasandín-Duarte, Manuel Portela-Romero, Sergio Cinza-Sanjurjo

El 31 de diciembre de 2019 China informó sobre un brote de neumonía susceptible de provocar síndrome de distress respiratorio del adulto. El agente etiológico causante se identificó poco más tarde como un nuevo coronavirus, que se denominó Sars-CoV-2. La enfermedad transmisible causada por este coronavirus, conocida por el acrónimo Covid-19, se extendió progresivamente a nivel mundial, lo que obligó, para controlar su expansión, a la adopción de medidas como el distanciamiento social, el confinamiento de la población y el aislamiento estricto de los enfermos. Este aislamiento estricto provocó, de manera disruptiva, cambios importantes en la comunicación profesional sanitario-paciente/familiares, que fueron especialmente significativos en la comunicación de malas noticias. Este texto refleja, en el momento álgido de la epidemia en Galicia (España), la experiencia en la comunicación de malas noticias a familiares de enfermos ancianos Covid-19 positivos. Finalmente, proponemos un decálogo de consejos sobre la comunicación telefónica de malas noticias.

22-27

Authors: Geovana de Almeida Righi , Naiára Casarin , Matheus Barros Moreira , Gabriela Castro Kuinchtner , Tainara Tolves , Luis Ulisses Signori , Antônio Marcos Vargas da Silva

Objective: to evaluate the influence of the viral control and the use of the antiretroviral therapy on the respiratory muscle strength in HIV patients. Methods: Cross-sectional study, 60 patients with HIV, both sexes, on antiretroviral therapy for at least three months or no use. They were subdivided in three groups: with ART and viral load not detectable (AGVL-; n=20); with ART and viral load detectable (AGVL+; n=20); without ART and viral load detectable (nAGVL+; n=20). The respiratory muscle strength was measured with a digital manovacuometer and the prediction values of the maximal respiratory pressure calculed using Neder et al., 1999 equation. We consid- ered inspiratory muscle weakness values of maximal inspiratory pressure (MIP) <70% of the predicted. Results: the viral load was lower in the AGVL+ than in nAGVL+, since the AGVL- showed viral load not detectable. The counting of T-CD4 was bigger in AGVL- than the others. The groups AGVL+ (60.5 [37.1-70.5]cmH2 O) and nAGVL+; n=20 (67.9 [50.3-93]cmH2 O, p<0.004) presented reduction of maximal expiratory pressure (MEP) compared with AGVL- (100,2 [71-121.9]cmH2 O), according to the predict percentage. The AGVL+ as well as the nAGVL+ has showed median values demonstrating inspiratory muscle weakness. Conclusions: The patients group using of ART and with load viral not detectable showed bigger expiratory muscle strength and was not classified with inspiratory muscle weakness. These favorable effects of the ART and of lower load viral may result in better functional outcomes which should be tested in future studies.

34-39

Authors: Dannyele Viviane Alecrim , Bianca Bejamim Otoni , Maria Luiza Rodrigues, Dandara Oliveira Souza, Vanessa Pereira Lima ,Ana Paula Santos

The objectives of this study were to obtain values for the 6-minute pegboard and ring test (6PBRT) in a sample of individuals with neurological dysfunction, to compare these values with healthy adult reference values and to verify the association of 6PBRT with trunk control. Cross-sectional study with 31 individuals of both sexes with neurological dysfunction attended at a neurofunctional rehabilitation clinic linked to the federal university. Individuals performed the 6PBRT and were evaluated through the trunk impairment scale (TIS). The values obtained in 6PBRT by individuals with neurological dysfunction were lower than those of healthy adults in all age groups studied: 30-39 (p = 0.01; T = - 5.11); 40-49 (p = 0.05; T = - 3.06); 50-59 (p = 0.01; T = - 3.29) e 60-69 (p = 0.001; T = - 6.50) years. There was moderate impairment of the trunk. There was no correlation between 6PBRT and TIS (r = 0.269; p = 0.144). According to predicted values for a healthy population, patients with neurological dysfunction, even in a rehabilitation program, have a lower than expected functional performance and endurance for their age range. The 6PBRT is a simple, fast and inexpensive test, useful for neurofunctional rehabilitation, as it is similar to activities of daily living; however it did not correlate with TIS.

49-56

Authors: Géssika Araújo de Melo , Gilvane de Lima Araújo , Aline Miranda de Vasconcelos , Nelson Torro

Fibromyalgia (FM) is characterized as a highly prevalent and disabling syndrome that mainly affects women aged 20 to 55 years. Currently there is no cure for FM, so its treatment aims to reduce symptoms, especially pain, and improve the quality of life and functionality of the individual. Pharmacological treatments have not been effective in this population, therefore, the need for complementary therapies in FM emerges. Thus, the present study aimed to analyze the state of the art about the non-pharmacological therapeutic resources used for the clinical picture of FM. This is a systematic literature review using PubMed, Psycinfo, ScienceDirect, LILACS and SciELO databases. After applying the eligibility criteria, 18 articles remained. Interest in studies on the therapeutic resources used in FM has been growing, focusing on the last two years. The most studied therapeutic possibilities in the last five years were resistance and aerobic exercises, hydrotherapy, kinesiotherapy and neuromodulation. It is noteworthy that individual characteristics should be taken into consideration when choosing treatment, due to the heterogeneity of symptoms that may be present in each patient. Finally, it is suggested that the follow-up of these individuals be multiprofessional because the clinical picture of FM is multifactorial.

67-77

Authors: Thais Fernanda Tortorelli Zarili , Maria Dionísia do Amaral Dias

Objective: Identify the perception of physicians and nurses in the Family Health of Botucatu (SP) about the main obstacles in the work process of Primary Health Care (PHC) teams and the contribution of Physical Therapy actions and services to the comprehensive care of users. Material and Methods: Study descriptive, cross-sectional design and qualitative approach. A semi-structured questionnaire was applied, formulated by the researcher, with 27 questions that address characterization of the interviewee, difficulties in the work process, the view of professionals regarding the contribution of Physiotherapy to users’ health. The dichotomous responses were analyzed according to the frequency and the answers opened according to the thematic analysis. A total of 28 professionals, mostly female, participated in the study. Results: The themes that emerged demonstrate the overload of work due to the excess of demand and difficulties in relation to the service itself, from the team and from the municipal management, that there is knowledge about the performance of Physiotherapy and that there are several demands that require this specialty, as well as understanding the contribution to the resolution of the cases attended in the service and the improvement of the quality of life of the patient. Conclusion: The insertion of the physiotherapist in the PHC and Physical Therapy networks services corroborates with the extended clinic as a tool for the care. The strengthening of its actions must be in harmony with the needs of the territory and articulated with the staff of the service.

86-93

Authors: Karin Schwambach , Carine Raquel Blat

This text seeks to assess adherence, adverse drug reaction and Sustained Virological Response (SVR) in the therapy for hepatitis C. This follow-up retrospective observational study was conducted in a specialized center for hepatitis treatment in Southern Brazil. This research included 257 patients under hepatitis C treatment with all oral direct acting antivirals in a clinical setting from March to August 2016. The data was obtained from medical records. Adherence was measured by medicines refill and Medication Possession Ratio. Of the 253 patients evaluated, 8,7% had some problem with adherence to the treatment. No cases of treatment discontinuation due to adverse drug reaction was observed. However, 1433 adverse drug reactions were identified and classified as mild, with an average of 5,6 per patient. The most frequent reactions were headache (55,7%), asthenia (47,3%), altered appetite (41,9%), dry skin (37,2%), and nausea/vomiting (35,9%). The overall SVR rate was 90,9%. Other outcomes were no response to treatment (2,0%), relapsed (2,0%), dead (0,4%), dropout (0,4%) and lost to follow-up (4,3%). In the multivariate analysis, hepatitis C virus and human immunodeficiency virus co-infection and longer treatment time were associated with higher SVR (p = 0,028 and p = 0,020, respectively). The treatments evaluated have high response rate and were well tolerated by the patients. Adherence to treatment proved to be adequate and contributed to the results. The care offered in a specialized center provides the appropriate management of the patients’ needs, contributing thus to a successful therapy.

101-112

Authors: Émilin Dreher de Lima , Carine Raquel Blatt , Rita Catalina Aquino Caregnato

Objective: To investigate how pharmacists record clinical interventions in hospitals. Method: The integrative review was used as a research method. The databases Biblioteca Virtual em Saúde, Medical Literature Analysis and Retrieval System Online, Scientific Eletronic Library Online, ScienceDirect and Web of Science have been referred to, using the combination of terms and boolean operators “(‘pharmacist’ OR ‘pharmaceutical services’ OR ‘pharmacy service, hospital’) AND (‘hospitals’) AND (‘medical records’ OR ‘health records, personal’ OR ‘electronic health records’ OR ‘registries’)”. The methodological quality of the studies was evaluated under criteria regarding level of evidence. The articles were grouped according to their subject relatedness. Results: 26 articles published between 2008 and 2018, in English, Spanish and Portuguese have been included. Most studies are originally form the USA, published in the years of 2014 and 2015. Only 31% of the studies report registry of the pharmaceuticals’ clinical activities on the medical records. Conclusions: A small portion of the articles on clinical activities of the pharmacist in a hospital makes it clear that the record regarding the practice of patient care was carried out in medical records. Most articles report the record of clinical activities in other database. The fact that the pharmacist inserts information related to his clinical activities in other databases can facilitate the measurement of clinical and economic outcomes. However, the record of clinical action in the patient’s record cannot be neglected because it is the patient’s right and duty the health professional.

122-130

Authors: Naiana Mota Buges, Renata Junqueira Pereira

This study aimed to describe the factors that influence breastfeeding mothers to donate human milk by discussing articles from the Scopus, Web of Science, Lilacs and Medline databases published since 1998, when the Brazilian Human Milk Bank Network was created. We selected 42 articles for the analysis of titles and abstracts. After applying the exclusion criteria, the final review consisted of 15 articles, and we listed the main motivating factors for human milk donation, being among them: altruism/ benevolence /empathy; excess milk and complications with breastfeeding; guidance, assistance and social support; decentralization, structure and logistics; parity and schooling. We concluded that the comprehension of the breastfeeding mothers’ behavior and feelings regarding the process of milk donation can base the creation of health policies to promote the practice of donation and improve existing ones, through maintenance and capture of new breast milk donors.

138-144

Authors: Roseane Moreira Sampaio Barbosa , Nathalia Cardoso Oliveira , Daniele Mendonça Ferreira , Patrícia Camacho Dias , Silvia Pereira , Daniele da Silva Bastos Soares , Patrícia Henriques

The present study had the objective of verifying the amounts of salt and oil added in the “lunch” meals offered in a municipal school of the state of Rio de Janeiro and compare with the recommendation of the PNAE (Brazilian School Nutrition Program). The amounts of salt and oil used in the meal preparations were initially determined from the difference between the weight of the initial and final daily salt and oil amounts available for use in Food and Nutrition Unit schools. After preparation, the total yield of the food prepa- rations was weighed and the percentage of salt/oil used in all preparations present in the meals produced that day was established. Then, the weight of the portion of the meal offered to the schoolchildren was determined and then the percentage determined previously was applied and the amount of salt / oil added in the meals offered to the schoolchildren was calculated. An average of 3,05g of salt per meal was found, higher than what is recommended by PNAE, and in relation to total fat, the portion was above the recommendation per meal, 7,5g, with a mean value of 12,54g / meal. It was concluded that is needed to reduce the amounts of so- dium and oil in the preparation of meals that are distributed to schoolchildren and that these should be standardized to not exceed the limit of 1g of salt/meal/schoolchildren and maintain the recommended lipid limit.

155-162

Authors: Vilton Emanoel Lopes de Moura e Silva , Valmir Oliveira Silvino , Jefferson Fernando Coelho Rodrigues Júnior , Alyson Felipe da Costa Sena , Carlos Eduardo Neves Amorim , Christian Emmanuel Torres Cabido , Marcos Antônio Pereira dos Santos

Introduction: The use of food supplements with esthetic or performance-enhancing goals has been largely investigated. Thermogenics are supplements that increase energy expenditure through thermogenesis and are widely consumed by individuals seeking to improve body composition and exercise performance. Objective: To evaluate the effects of a commercially available thermogenic supplement on post-exercise blood pressure responses. Materials and Methods: Twenty-seven healthy young men participated in the study. Nine volunteers were assigned in the control group (21.67 ± 1.87 years), nine in the thermogenic group (24.00 ± 4.18 years), and nine in the placebo group (23.67 ± 3.04 years). The volunteers performed a treadmill aerobic exercise session for 60 minutes at 60 to 85% HRmax after the treatment protocol. The hemodynamic variables were measured at rest and during 60 minutes in the post-exercise recovery. The normality of the data was evaluated using the Shapiro-Wilk test. Baseline momentum and post-exercise recovery were analyzed using the two-way Anova test (group versus time factors), with Bonferroni post-hoc test. The level of statistical significance was set at p <0.05. Results: The thermogenic supplement did not significantly compromise post-exercise hypotension when compared to the other groups. However, thermogenic supplementation increased the blood pressure in >5 mmHg, which reportedly plays an important role in cardiovascular diseases. Conclusion: The use of the thermogenic Lipo 6 Black Ultra Concentre Nutrex® did not alter PEH in healthy youngsters. However, since an increase in the blood pressure was observed, this supplementation must be administered with caution.

170-176

Authors: Paula Roldão da Silva , Waynne Ferreira de Faria , Jadson Marcio da Silva , Géssika Castilho dos Santos , Raphael Gonçalves de Oliveira , Antonio Stabelini Neto

The physical fitness levels of adolescents are an important indicator of their lifestyle and can prevent the development of cardiomethabolic risk factors. The present study has the intention to compare the cardiomethabolic risk factors in adolescents from the changes in the physical fitness components related to health after three years of tracing. Participated in the research 93 adolescents. Motor tests were applied according to the Fitnessgram manual (back-saver sit and reach; curl- -up; push-up; and progressive aerobic cardiovascular endurance run) and the cardiomethabolic risk factors were evaluated: waist circumference; resting blood pressure; colesterol HDL; triglycerides, and blood sugar in fast in two moments (2014 and 2017). In order to compare the cardiomethabolic risk factors from the changes in the physical fitness components during the tracing period the test Kruskal-Wallis or Anova one-way was applied. A significant improvement of the AFRS components was observed through the years, except to the cardiorespiratory fitness. No differences in the cardiomethabolic risk factors were identified from the maintenance of the physical fitness components related to health during the tracing period.

185-190

Authors: Andressa da Silveira , Bruna Thais Garcez Alves , Mariely Piovesan Elauterio , Flávia Oliveira e Silva , Yasmin Sabrina Costa , Neila Santini de Souza

Objective: to describe the participation of family members in clinical care and school monitoring of children and adolescents with special needs (Crianes) from the perspective of health and education professionals from the Association of Parents and Friends of Exceptional People (Apae). Method: qualitative study, participatory type, where the production of data occurred through the development of the dynamics of creativity and sensitivity in the life line. Ten health and education professionals from the clinic and school participated in the dynamic, where the production took place through the metaphor of a clothesline that represented the life line of each professional in the face of the question that generates debate. The productions were phrases and drawings built individually and socialized in groups. The statements were audio recorded, transcribed and subjected to discourse analysis in the French current. Results: the productions and speeches highlighted the importance of the participation of families in favor of the development of the skills of children and adolescents and that the impact is positive even in adherence to treatment and care at home. Conclusion: health and education professionals realize the importance of the work they do with Crianes. For them, the development process, the acquisition of skills and adherence to treatment will only be satisfactory with the collective efforts of the family, clinic and school in favor of the health and education of the Crianes.

200-209

Authors: Simone do Nascimento Idalino , Amanda Castro

This paper aims to understand the social representations of postpartum depression in social networks. This research is qualitative, exploratory, and documentary, researched through facebook posts and comments, within groups on postpartum depression. From the reports of online mothers, an analysis corpus was formed with the aid of IrAMuTeQ 0.7 software. From this corpus, a descending hierarchical classification was performed, that allows a lexical analysis of the textual material, maintains contexts (lexical classes), highlighted by a specific vocabulary and by the text patterns in which these words are inserted. The results show that the social representations of postpartum depression in social networks bring the idea that the lack of support among family members, family conflicts, the presence of psychological distress or chemical dependence in the family and the lack of bond are variables that would influence in the occurrence of postpartum depression, which refers to the relevance of family and social support as a health promotion strategy. In this sense, social and health programs should take into account the presence of the family in the process of promotion and prevention in women’s health.

217-227

Authors: Patricia Menezes Schmitt, Sabrina Felin Nunes , Anaelena Bragança de Moraes, Ana Paula Ramos de Souza

Objective: It was analyzed the evolution of play in babies with and without psychic risk and the relationship with child development from nine to 24 months. Method: The study is quantitative, observational and retrospective. The data were obtained through the play analysis script, prepared for the research. The cognitive aspects of baby play, intersubjective relation and analysis of maternal investment were observed. Thirty-two children and their mothers were evaluated by child development clinical indicators of reference/risk and the PREAUT Signs were used to detect the psychic risk. Results: There was a significant association in the child’s pleasure with the object, as well as the pleasure and commitment of the mother in the play with psychic risk group. The creative use of the object in children appears late in group with psychi suffering Conclusion: Psychically distressed children and their mothers had fewer creative constructs compared to those without suffering.

011-019

Authors: Leticia A. Santiago, Sérgio Augusto Yukio Hissayassu, Paula Moura Del Comuni

Identify, through a national and international bibliographic review, the main factors that corroborate with the Early Maternal Weaning (WMD) in Brazil and the United States of America, and to establish a comparative analysis of these countries. Descriptive study, based on a review of the literature, from Portuguese and English, available in the Scientific Electronic Library Online (SciELO) and Public Medline (PubMed) databases, published between 2003 and 2017, in the thematic area Sciences of Health. In PubMed, the descriptor Exclusive breastfeeding was used, being found 60 manuscripts. In SciELO, with the combination of the descriptors Breastfeeding and Weaning, it was observed 49 studies. It was observed that the mother’s return to the labor market was one of the main risk factors for WMD in both countries. However, in Brazil the legal support offered by maternity leave reflected in 41% of Exclusive Breastfeeding (EB) until six months, while in the US, the absence of this right led to a national average of only 8% for the WMD. The study showed that legislative support has a positive impact on the mother’s adherence to EB by collaborating in the interaction between the mother-child binomial, stimulating the practice of breastfeeding.

030-036

Authors: Tânia Regina Kinasz, Ana Laura Almeida Dias , Dálete Campos Mariano , Mayara Barbosa Lima

The objective was to analyze the generation of solid organic waste originating from plate waste by patients the as internment clinic and the type of diet of a university hospital in the Cuiabá city of Mato Grosso, Brazil, and the factors that had contributed in this generation. An descriptive transversal study was carried. Were analyzed. 41 patients were questioned. For the calculation of the average portion meal of distributed and of the portion meal of plate waste the weight, method was used and as reference standard the rate of 20% for the plate waste. The index was determined by type of diet. For evaluation of the factors that, in the vision of the patients influence in the generation of solid organic waste happened of the plate waste ingestion questionnaire with open question was used. It was observed that the generation of solid organic waste originating of plate waste varied according to the consistency of the diets and clinics internment. Alimentary habits and preferences,sensation of gastric fullness, high portion, nauseous, inappetence, dinner time had been the cited reasons more for the rejection of the diet. The redefinition of per capita in accordance with the preparations, the redefinition of portions in accordance with the consistency of the diet for clinic internment and the standardization of the utensils and the execution of this standardization will be able to contribute for the reduction of the rate of organic waste originating the food wastage.

044-051

Authors: Caroline Topanotti Dagostin , Flavia Karine Rigo, Louyse Sulzbach Damázio

Colorectal cancer represents the most common malignant neoplasm of the gastrointestinal tract and the third leading cause of cancer-related death in the world. It may be hereditary or sporadic, with the latter accounting for approximately 95% of cases. Several risk factors contribute to the development of this neoplasia, however, feeding seems to be the most influential factor, since it is able to modulate the composition of the intestinal microbiota. The objective of this study was to review the literature regarding the feeding and triggering of colorectal cancer, the relationship of a high meat diet in the development of this pathology and to investigate the vegetarian diet acting as a possible prevention factor. The method is a narrative bibliographical review, based on original article searches and review. The high consumption of red and processed meat may be related to the appearance of colorectal cancer by causing changes in the microbiota, as well as producing N-nitroso compounds, polycyclic aromatic amines and polycyclic aromatic hydrocarbons, compounds considered genotoxic. In addition, heme iron can elevate the synthesis of reactive oxygen species and stimulate the endogenous formation of N-nitroso compounds. However, vegetarian food may be able to prevent dysbiosis and keep the intestinal microbiota healthy due to the high consumption of plant foods that provide phytochemicals, antioxidants and anti-inflammatories, that is, potential anti-tumorigenic agents. In conclusion that through changes in eating and behavioral habits, it becomes possible to delay or prevent the onset of cancer.

014-019

Authors: Tainara Boito , Valeria Hartmann , Daiana Argenta Kümpel , Graziela De Carli

The objective of this study was to verify the adjustment of a menu in a municipal early childhood school in the town of Ibiraiaras – RS –, considering the recommendations of the National Food School Program. A transversal study was carried out through the evaluation of a menu offered to the children, according to the PNAE recommendations and the Qualitative Evaluation method of the Menu Preparations (AQPC). Yet, it was verified the acceptability by using the facial hedonic scale. It was observed that the menu offered to those children did not show the majority of nutrientes approached by the PNAE. According to the AQPC method, it was observed the daily servings of fruits and vegetables that are offered to the students and the little quantity of fatty meat and food which are rich in sulfur in their meals. The acceptability test was carried out with 61 children, of which the female prevailed (57%), in which they seemed to accept well the meals offered to them, showing an average of 87% acceptability. It is important to emphasize that the food offered in this school may influence positively the students’ school performance, since it improves their ability to concentrate. Despite having good acceptability, the menu offered to them must be reviewed for a better adequacy of macro and micronutrientes, according to the PNAE recommendations, so that they offer the necessary nutrients for the children’s adequate growth and development.

027-032

Authors: Francisco Regis da Silva, Ana Erbênia Pereira Mendes

The objective of this study was to describe body image, nutritional status and risk behaviors for eating disorders in a group of adult bodybuilders in Limoeiro do Norte, Ceará. It is a cross-sectional, descriptive study. The data were collected in three academies located in the city of Limoeiro do Norte, Ceará, during the month of August of 2013 to September of 2014. Data collection was performed through the application of a semi-structured nutritional assessment protocol, containing information related to body perception and nutritional status. Data were tabulated and analyzed using descriptive statistics (mean, absolute and relative frequencies, variance and percentage) using the Microsoft Excel® program, 2010. A predominance of males (SM) was observed with 72% (n = 43); And 28% (n = 17) females (SF). Regarding the conception of the body image, 53.48% (n = 23) of the individuals of the MS declared to feel normal. However, it should be noted that 30.23% (n = 13) are not satisfied with their body image. With respect to SF, 41.17% (n = 07) considered themselves normal. However, 41.17% (n = 07) do not like their body image. Regarding the feelings expressed by the participants of the research, in addition to what they considered sufficient, it was observed that 39.53% (n = 17) of MS had no feeling associated with eating disorders, but 60.46% (N = 26) presented feelings, such as: guilty, distressed, upset and disgusted. It can be inferred that the study population has the risk of developing eating disorders, especially when analyzing the feelings developed in relation to “the act of eating a lot”.

039-045

Authors: Andressa da Silveira , Natalia Barrionuevo Favero , Júlia Heinz da Silva, Daniele Prochinski Rodrigues , Ana Paula Castro Caurio

To describe home care in the daily life of patients living in chronic health conditions. A qualitative, descriptive, exploratory and documentary study. The data collection was mediated through the semi-structured interview, recorded in digital media, with 15 participants. The enunciations were analyzed from the thematic categorization. Changes in lifestyle, eating habits, medication intake and glycemic control and blood pressure are exalted in the daily care of patients living in chronic conditions. The daily life of these patients is permeated by the need for change to improve health conditions. Nursing and the interdisciplinary team should carry out activities aimed at daily care, promoting moments of reflection, sensitive listening, appreciation of the subjects and participation that will reflect in the commitment and adoption of healthy habits.

053-058

Authors: Gabriel de Palma Varela , Rafaella Zulianello dos Santos

Introduction: It is known that life expectancy has been increasing in the last decades and, concomitantly, the recommendations for a healthier lifestyle by the elderly. Among these recommendations is the practice of exercise, such as resistance training, which has drawn attention due to growing evidence of its benefits in this population. There is, however, a lack of studies in the literature that demonstrate the motivation of the elderly to practice of resistance training. Objective: To investigate the motivation for the practice of resistance training in the elderly in the city of Palhoça (SC). Methods: Applied, quantitative, descriptive, survey and cross-sectional research. The sample was non-probabilistic for convenience, composed of elderly people practicing resistance training in the city of Palhoça. For analysis of the motivation for the practice of resistance training was applied the Inventory of Motivation to the Regular Practice of Physical Activity and Sport (Imprafe-54). The instrument contains 54 questions divided into six domains: stress management, health, sociability, competitiveness, aesthetics and pleasure. RESULTS: Twenty-four elderly patients, mean age of 61.2 (± 4.9) years, who practiced resistance training for 10.3 (± 10.7) years and who attended the gym on average 4.3 (± 1.1) days per week. The dimension that most motivates the elderly to practice resistance training is health, to the detriment of the competitiveness dimension, which was the least cited evaluated. There was no significant difference between the sexes in any dimension. Conclusion: The main motivation for the practice of resistance training in the elderly of the city of Palhoça was the health dimension; already the least motivating dimension for this practice is competitiveness.

065-071

Authors: Fernanda Carolina Toledo da Silva , Lígia Maria Presumido Braccialli , José Pedro Ferreira

Physical fitness and health status are related to the regular practice of physical activity that provides better levels of cardiorespiratory endurance, muscular strength, among other benefits, to physically active individuals. Adapted physical activity may help prevent contractures or deformities. The aim of this study was to verify the level of participation, physical activity and quality of life of Brazilians and Portuguese with physical disability. Participated in this study were 53 Brazilians and 67 Portuguese with physical disabilities aged between 19 and 59 years. Three questionnaires were used: PASIPD, WHOQOL-Bref and Participation Scale. Regarding the level of physical activity, the Brazilians reached the average score of 23.54 and the Portuguese 19.07 MET hr/d. Regarding the level of quality of life, the Portuguese obtained better scores than the Brazilians in all domains of the questionnaire. In the participation scale, the average of Brazilians was 16.29 and the Portuguese 19.40 points, both of which are in the second class: mild restriction. With this study it was identified that the level of physical activity and the level of participation of the Brazilians were better than those of the Portuguese. However, no statistically significant difference was found. Quality of life domains, Brazilians scored less than the Portuguese, and there was a significant statistical difference in the environmental and physical domains, indicating that the Portuguese perceive better their environmental and physical quality of life than the Brazilians.

079-090

Authors: Maria Rosa da Silva , Josineide Francisco Sampaio , Ewerton Amorim Santos

The Sorriso de Plantão Extension University Project is formed by students from several undergraduate courses, mostly from the health area. It seeks to promote the well-being of hospitalized children, to solve idleness and hospital stress. The objective is the identification of the competences and abilities of the members related to empathy and its contribution in professional training in health. A questionnaire was applied to know the profile of the group and used the Brazilian instrument validated Empatia Inventory (IE), data tabulated in spreadsheets in Microsoft Excel 2010 and analyzed through inferential statistics in the SPSS program. All clown doctors working in 5 hospitals in the city of Maceió / AL were investigated between 2016/2017. It is verified that 51.6% are under 21 years and are more than two years in the project; 89.2% are health students and 84.9% are public institutions. It is observed members with high rate of Perspective Analysis (45,1); Altruism (31,3); Interpersonal Flexibility (31.3) and Affective Sensitivity (37.9) below in relation to IE normative data. Thus, the Project contributes with deconstructed teaching of traditional and differentiated, related to empathy, values, attitudes, human relations and professional training in health making relevant student participation in the period in which it participates in the project, improving or even developing the necessary ability to the future professional exercise chosen.

100-106

Authors: Guilherme Hammarstrom Dobler , Márcio Gonçalves Ferreira, Gustavo Henrique Mendes Bedendo , Fernando Silvério Ferreira da Cruz

The use of animals in research requires critical thinking, judgment and analysis, mainly because pain and stress are not easily evaluated in animals. However it is important to consider that they feel pain equal to humans. Objective: Review about laboratory animal anesthesia making appointments based in their specificity. Anesthesia in laboratory animals has as guideline to conduct the scientific experiments with the most rigorous mastery, in order to generate minimum stress to the animals and, on the other hand, to be able to collect data with excellence. Methods: This review arises from research in databases as Pubmed, SciELO and Bireme, and from literary review. Results and Discussion: The findings point to the main peculiarities among the species and techniques of anesthesiology used in the present. The main drugs and routes for use in mice, Wistar rats and rabbits have been described. The results found in this review confirm the need to understand the differences between the species and the pharmacological knowledge to perform the appropriate anesthetic management for each species.

114-119

Authors: Vagner Ferreira do Nascimento, Thalise Yuri Hattori, Ana Cláudia Pereira Terças, Ana Carla Ferreira Picalho

Objective: To characterize the violence deaths portrayed by the television media in Southwest Mato Grosso, Brazil. Method: Exploratory study, using a quantitative approach, using access data and public domain from a television news channel, open channel, based in the mesoregion of the Southwest of Mato Grosso, Brazil. Data collection was performed between June and October 2015, through daily recording of programs. Results: Violence deaths evidenced in this study were mostly of young men, mostly caused by gunshot wounds followed by firearms, usually occurring on weekends and at night. Conclusion: This situation directly implies a negative impact on society, especially on the country’s productive strength, on family disorganization, on increasing mistrust in interpersonal relations or on fomenting hostile behavior in the face of everyday conflicts.

127-132

Authors: Luciene da Silva Guedes , Bruno Silva Milagres, Stefan Vilges de Oliveira

The objective of this study is to update the epidemiological profile of hantavirosis in Brazil. For this, a descriptive and retrospective study of the reports of cases of hantavirosis was carried out to the Information System of Notification Diseases(Sinan) of the Ministry of Health from 2007 to 2017. There were 16,260 reports of hantavirosis cases at Sinan, where 8% were confirmed and the most affected regions are South, Southeast and Center West. The most affected age group was 20 to 49 years and males. The symptoms of the disease are nonspecific, where the most frequent was fever and the confirmatory diagnosis of cases occurred by laboratory tests. Most of the cases reported that the possible infection occurred in work activities, in the rural area and in the places close to the host’s habitat. Almost all cases were hospitalized, and deaths were around 40%. The data obtained reinforce the need to intensify surveillance of the disease in the country, with a view to reducing sickness and death due to hantavirosis.

008-012

Authors: José Nilson Rodrigues de Menezes, Monique de Paula Monte Costa, Ana Celina do Nascimento Silva Iwata, Priscila Mota de Araujo, Liliana Gama Oliveira, Cleidiane Gonzaga Damasceno de Souza, Paulo Henrique Palácio Duarte Fernandes

Objective: Analyzing the elder’s vision about their own process of aging. Materials and Methods: It was about a descriptive research, with quantitative approach, developed at Nami (Integrated Medical Atenttion Nucleus), from Fortaleza University, located on Desembargador Floriano Benevides street, 221, in Edson Queiroz neighborhood. Twenty elderly people participated from both sex, from 60 years up who had physical therapy at Nami from February to March of 2016. The pieces of information were achieved by semistructured interview, recorded, fully transcribed, in a reserved room. Results: After transcription, reading and rereading the interviews, emerged three following categories: to be old in the society, dieling with the inevitable physical changes and the old age acceptance. Analyzing the comments, It could be noticed that the elders are more participatory and aware about their process of aging. However, it is also noticed, a kind of conformism about to be old, nevertheless, nothing what can intervene widely in their age. Final Considerations: Actually, it can be identifyed a positive response related to aging. The age acceptance by the age process awareness, specially about the physical changes, makes the elderly people not to abstain from their daily activities, nor it is about their socialising, becoming, in this way, much happier in this life stage.

019-026

Authors: Bruna Damaceno Vargas, Arthur Basso, Thais Valença Rodrigues, Luana Bizzi Silva, Monica Gatzke, Matias Nunes Frizzo

Biotechnology is an association of scientific and technological knowledge that uses part of it to produce goods and services for humanity and the environment, as well as the creation of living beings from laboratory practices. Biotechnology today is necessarily a tool available to the researcher, which allows the acquisition of genetically modified plants in a more predictable way with a higher food production. Thus, the present study aimed to carry out a bibliographical research on the relationship between biotechnology and agriculture to obtain genetically modified foods (GMOs). For this purpose a descriptive review of the scientific literature was carried out, addressing subjects related to Biotechnology, Agriculture and Genetically Modified Organisms. Science applied to agriculture has succeeded not only in increasing food productivity, but in reducing or even eliminating environmental damage. Modern agricultural techniques are increasing productivity and at the same time improving soil fertility and protecting the environment, air, water and land. GMOs are those organisms, in this case plants, which have their genetic material modified by the introduction of one or more genes through the technique of molecular biology. In this context, it is undeniable the tendency that the transgenic production could generate, besides a growth in the agricultural productivity, an increase in the qualitative order of the food, enabling an action in the prevention of numerous diseases.

034-041

Authors: Francisco Jaime Rodrigues de Lima Filho, Ingrid Grangeiro Bringel Silva, Nalva Kelly Gomes de Lima, Michellane de Miranda Pontes, Ylkiany Pereira de Souza, Thayse Wilma Nogueira de Oliveira

The present article aims to identify in the literature scientific evidence about the use of health education in primary care as a promoter of healthy aging. This is a bibliographical review, developed in the Latin American Literature in Health Sciences (Lilacs), Nursing Database (BDENF) and Scientific Electronic Library Online (SciELO) electronic databases, applying the following descriptors: Aging, Health Education and Primary Care. The descriptors were associated in the databases using the boolean operator “and”. As inclusion criteria, we chose: original papers, published between 2008 and 2017, in order to reach the highest scientific evidence on the subject, in English, Portuguese and Spanish, available online free of charge. It was verified that the educational actions are understood as necessary for attention to the elderly, although the professionals point out difficulties to perform them, such as: lack of preparation to deal with the issue, lack of management and lack of inputs. It is concluded that educational actions have the potential to guarantee improvement in the quality of life of the elderly, both in biological and psychosocial aspects.

050-060

Authors: Milton Jorge Lobo Barbosa , Pedro Paulo Rodrigues , Aline Maria Lobo Barbosa, Luciano Moreira Alencar , Evanira Rodrigues Maia

Primary Health Care (PHC) is defined as the first level of health care for the population of the Unified Health System (SUS),in order to provide the population with comprehensive health care. In this context, the Ministry of Health created in 2011 the National Program for Improving Access and Quality of Primary Care (PMAQ), aimed at establishing changes in the work process that result in quality and access to services, articulated with a evaluation and certification. This article aims to analyze aspects of PMAQ-AB implementation as a professional evaluation system in APS. This was an Integrative Review, carried out from March to July 2018. The guiding question was: “What were the main aspects of the assessment of professional care implemented by PMAQ-AB in Brazil?”. In the selection of the sample, the original and full articles were published, published in Portuguese, English and Spanish, which portray the theme in question. The results showed that the process of evaluating professional attention is part of this program, leading to the search for improvement in care delivery. With regard to the preferential entry door condition, the results point to a perception of the ESF teams in general more positive than the users. It should be emphasized that the study presents as limitations the restricted number of bases, suggesting broader research on the subject and that minutily approach the components of the team and their performance.

069-077

Authors: Suelen Franco Pedrotti, Virgínia Petrini Maszlock , Tânia Alves Amador

Objective: Collect data from Internet news on the theft of medicines in Brazil in 2014, 2015 and 2016. Method: A cross-sectional and documental research was held in the second semester of 2016, using the mechanism of search Google® and filters determined by the authors. Results: As a result, 3320 news were recovered, which 288 were analyzed and 76 were included in the study. Discussion: The research demonstrated the importance of implementing actions for all sectors involved in the supply chain and commercialization. Conclusions: These actions can reduce the thefts. It can also alert to the need to discuss the issue among the Pharmacy students and pharmacists, avoiding harm to patients’ health.

084-090

Authors: Isabele Ferreira Lisboa , Jaqueliny dos Reis Vaz , Francieli Carniel

This is a transversal, exploratory and with quantitative approach study, which the objective is outline the profile of the breastfeeding in nursing mothers attended by the basic health service of Ji-Paraná – RO. The sample was composed by 100 nursing mothers who went to the Basic Health Unit. The data was collected through a survey composed and adapted of Nogueira(2009), applied in the period from July to August of 2016. The results obtained showed that the nursing mothers had between 20 and 30 years old, 90% lived with their partners, 30% completed high school and only 7% completed the university education, 61% do not have employment relationship, 54% are first pregnancy, 52% have difficulties to nurse, 95% believed that exclusive breastfeeding and colostrum are important, and 100% completed the prenatal on the last pregnancy. In relation to who gave the information about breastfeeding to the nursing mothers, the predominance was of nurses (70%). The conclusion is that mothers have knowledge about breastfeeding, even with the majority being young and first pregnancy and presenting some difficulties, they are always inclined to give the best for their children.

095-103

Authors: Bruna Simch , Fabíola Dresch , Mônica Jachetti Maciel

Due to the influence of contamination of hospital surfaces on the dissemination of pathogenic microorganisms in the hospital environment, this study aimed to identify the microbiota present on hospital surfaces of a Sterilized Material Center (CME) before and after the hygiene, and to evaluate the susceptibility of the bacteria found in front to antibiotics used in treatments for infections. Samples were collected on different surfaces of a CME before and after sanitization. The microorganisms were identified and after isolation, an antimicrobial susceptibility test was performed by the disc diffusion method according to standardization of the Clinical Laboratory Standards Institute (CLSI). A total of 10 strains analyzed at each moment, were found 10 strains before hygiene and 8 strains after (n = 18). Acinetobacter baumannii was the most frequent microorganism, accounting for 50% of the strains found; Followed by Yersinia pseudotuberculosis 11.1% and coagulase negative Staphylococcus (SCN) 11.1%. The antimicrobial susceptibility test was performed with all 18 strains and all showed resistance to at least one antibiotic. Considering the results, it was concluded that A. baumannii was the most frequent pathogen, before and after hygiene. The most resistant microorganisms were strains of A. baumannii, Proteus penneri and SCN, presenting resistance to four antibiotics.

111-115

Authors: Caroline Maria Franke , Valéria Baccarin Ianiski, Linda Cristina Sangoi Haas

Under the logic of the Single Health System (SUS), shared consultations carried out by professionals from different areas are used as a tool for health promotion and disease prevention, as well as for the purpose of increasing care and giving autonomy to the subjects to make decisions about their own health. The multiprofessional residences help in this process, having a greater number of professionals and qualifying them for the integral care to the user in the Primary Care. This article is an experience report about the realization of shared consultations carried out by resident health professionals in the areas of nutrition and physical education, as well as highlighting the importance of multiprofessional work carried out in a Basic Family Health Unit of one municipality of the Northwest region of the state of Rio Grande do Sul. Physical educators and nutritionists work in a similar way, aiming at the care without the use of pharmacological treatments, aiding in the process of promotion and recovery of health and in the prevention of diseases through stimulation adherence to healthy lifestyle habits, with special attention to the adoption of healthy eating and regular practice of physical activities. In this expanded logic of care, health professionals and users are held accountable for the care process, and the user is the protagonist of health care.

009-014

Authors: Ana Cláudia Seus Falke , Viviane Marten Milbrath , Vera Lucia Freitag

Introduction: Childhood hospitalization can develop confused and dichotomous feelings in the child and family, such as death and healing, sadness and joy, fear and trust, thus making the hospital an environment of painful experiences of great importance for life, thus, it is important that nursing professionals develop strategies that minimize these feelings. Objective: To know the strategies used by nursing professionals to approach hospitalized children. Method: Descriptive and exploratory study, with qualitative approach, carried out in the period from June to December 2015, in the pediatrics of a Teaching Hospital in the south of Rio Grande do Sul/Brazil, with eight nursing professionals (three nurses and five nursing technicians). The study was approved by the Research Ethics Committee of the College of Medicine of the Federal University of Pelotas, under number 1.195.440, 08/24/2015. Results: The nursing team uses playful actions, as well as the dialogue in order to approach the child in the hospital environment, in order to create a bond and minimize the trauma that hospitalization can cause. Conclusions: The nursing team needs to use strategies such as toys and dialogue in order to reduce the impact of hospitalization for children, favoring a humanized care not only for the child, but also for the family.

020-026

Authors: Mariane Gonzaga Goi , Daniela Ramos Oliveira

It is t is about a review of literature, using method of a narrative type, whose objective was to know the scientific production of nursing about palliative care. The search was performed in the online databases Lilacs, BDENF and Medline. Ten original articles published in these databases have been included, which deal with “The patient without possibility of cure: perceptions of nurses and multidisciplinary team” and “The role of communication in the practice of palliative care”. It was possible to verify that there are few studies produced by the nursing about palliative care and to verify that there is concern of some researchers about the development of this subject, but it is still incipient. The professionals lack the training to enable better assistance and the use of communication strategies is necessary in this perspective of care.

036-042

Authors: Fernanda Penido Matozinhos, Manoel Messias Pacheco de Freitas, Glaucia Tatiane Pontes Pascoal, Juliana Oliveira Santos, Lilian Ismenia de Jesus, Suely Medeiros dos Santos, Valeria Aparecida da Silva, Larissa Cristina Silva Bastos

The nutritional problems are, undoubtedly, one of the most important public health problems worldwide, are directly rela- ted to socioeconomic conditions and cultural underprivileged and have as their biggest victim, the child. In this context, it is worth noting that one of the ways to prevent, diagnose and treat cases of child morbidity is characterized by actions that aim to improve and control of possible eating disorders. One of these actions refers to nutritional assessment. Thus, this article describes the experience carried out with children aged 1 to 5 years of age enrolled in a nursery schools located in a muni- cipality in the metropolitan region of Belo Horizonte, Minas Gerais. The goal of the experiment and study was to report the experience of an assessment of the nutritional status, by means of anthropometric values of these children, in addition to educational actions for children and educators outside the scenario encountered.The study was conducted with 62 children and the variables for the same were sex, age, weight (kg), height/height (cm) and body mass index (BMI) (kg/m2). Initially, education activities were carried out in health and then there was the test of weight and height of the children. BMI values in the children were introduced to the children’s BMI graphic. The data were processed and analyzed using the Statistical Software program (Stata). This study showed that a trend for underweight disorder is even more aggravating than overweight and also showed that some progress are being made, but the underweight and overweight are major problems in the field of child care. The attention to children’s health is a priority within the care for public health care and the inclusion in the child’s environment made us reflect on the need for better attention concerning to our country’s adults future.

053-057

Authors: Willian Guerra de Lima, Bruna Knob, Fernanda Lorenzet Bresolin, Letícia Aparecida Bolzan, Dáfne dos Santos Ribeiro, Caroline Zanin, Matheus Santos Gomes Jorge, Lia Mara Wibelinger

Introduction: Dermatopolymyositis and rheumatoid arthritis are rheumatic diseases that can occur in concomitance, cause pain and impact on postural balance and quality of life of affected individuals. Aim: The objective of the present study was to verify the effects of physiotherapy in an individual with dermatopolymyositis and rheumatoid arthritis. Materials and Methods: It is a case study, woman, 49 years old, with diagnosis of dermatopolymyositis at 25 years and of rheumatoid arthritis at 23 years. Physiotherapy intervention consisted of 30 sessions of kinesiotherapy (19 sessions) and hydrokinesiotherapy (11 sessions). Were performed exercises of Muscle stretching, muscle strengthening, manual therapy, proprioception, postural balance and gait. Results: There was a decrease in pain in three points (visual analogue scale), increase of the postural balance in five points (Berg balance scale) and improvement of the quality of life in aspects functional capacity, limitation by emotional aspects, social aspects, pain, general health and vitality (questionnaire quality of life SF-36). Conclusion: The proposed physiotherapeutic plan was beneficial in pain, postural balance and quality of life in an individual with dermatopolymyositis and rheumatoid arthritis.

069-076

Authors: Giordana Gabrielle Frick, Matias Nunes Frizzo

Anemia affects everyone 1.62 billion people, pregnant women and children and some of the population groups most affected. This study proposes to determine the prevalence of anemia and its determinants in pregnant women. Were analyzed for hemoglobin (Hb), hematocrit (Ht) and mean corpuscular volume (MCV) of 107 pregnant women, with only 77 of them were interviewed, due to the fact that 3 resulted in abortion and 27 did not reside in the municipality, to determine the characteristics and determinants in the development of anemia. It was found 14% (n=15) pregnant women with Hb less than 11g/ dL, among them, three 3% (n=3) with Ht less than 33%. Still, 14% (n=15) patients had MCV below 80 fL. Among the pregnant women interviewed, 16% (n=12) had anemia, these eight 67% (n=8) with incomes less than two minimum wages, 75% (n=9) reported as educated elementary school and 25% (n=3) consumed fewer foods containing iron and non ferrous sulfate used as a supplement. The prevalence of anemia was 14% in the 107 pregnant women evaluated. This number being directly related to the socioeconomic conditions of the pregnant women, which reflected in the knowledge of the pathology as well as in the diet during pregnancy. This index serves as an important indicator for the accomplishment of measures that make it possible to identify, prevent, and guide these pregnant women.

083-090

Authors: Yeril Chana Benitez, Elitiele Ortiz dos Santos, Ernande Valentin do Prado

This article presents an experience report of a Cuban doctor linked to the “More Doctors” Program, on the implementation of an intervention made in a Family Health Strategy in the municipality of Boa Vista/RR. The intervention aimed to improve care for adults with Systemic Arterial Hypertension and/or Diabetes Mellitus in the coverage area. The actions were carried out from March to June 2015, and had the participation of all the professionals of the team. Were developed monitoring and evaluation actions, organization and management, qualification of clinical practice and public engagement. There was better organization of the service, integration and capacitation of professionals to work in primary care. It was also possible to improve the care of the target group with increased coverage, access and adherence to the actions of health promotion.