Revista Contexto & Saúde

001-002

Authors: Thiago Gomes Heck

A Revista Contexto & Saúde (RCS), com sua publicação inicial em 2001 (v.1, n.1), destacava e registrava a participação e a inserção do então Departamento de Ciências da Saúde da Universidade Regional do Noroeste do Estado do Rio Grande do Sul (Unijuí) no contexto das discussões acerca das ações de profissionais de saúde com implicações diretas e indiretas na sociedade. Na apresentação da edição inaugural, escrita pelo professor doutor Gilmar Antonio Bedin, as relações profissional-paciente e acadêmica-sociedade, são abordadas como processos de necessária e contínua reflexão para o aprimoramento ao cuidado com a saúde humana, como ação inerente ao reconhecimento da dignidade da pessoa humana.

010-022

Authors: Ibrahim Clós Mahmud, Isabel Ortiz Pereyra

The pseudomembranous colitis (PMC) is a disease caused by toxins of Clostridium difficile, which, its main risk factor for colonization,the use of prolonged antibiotic therapies. The aim of this paper is to analyze a case of PMC diagnosed in a Regional Hospital de Santa Maria – Rio Grande do Sul – Brazil – in 2014 and a review of the literature on the subject. During the period from February to December 2014 was conducted data collection patient with their medical records. In the end, the literature search in databases of Scielo, PubMed and MedLine was performed. The PMC is a disease that primarily presents with fever, abdominal pain and diarrhea, which if not treated early can be fatal. It was identified that the patient made use of different antibiotics for the evolution of their initial illness, with that increase the risk of PMC. It was noted that health teams need training about the use of antibiotics and the PMC. It is also held emphasis on new therapeutic available that are still used by very few professionals.

028-031

Authors: Guilherme Hammarstrom Dobler, Eliane Reis, Francesca Werner Ferreira

Introduction: This work comes through a study of macroinvertebrates and fish fauna of the drainage ditches associated with the stream Crespo, located in the county of Chiapetta – RS. Objectives: are to evaluate the impaction and environmental quality of forest fragment by chemical and taxonomic analysis above this site, and relate to environmental degradation to quality of life, health quality. Method: At collection points, set up a distance of approximately 10 meters in mesh networks whose ends were placed 0.1 cm between adjacent (shading) to ensure isolation of the sampled area. There were two collections at each point in opposite shifts and different days, drag netting. At all points are collected water samples for determination of biochemical parametres. Results and Discussion: In this study was observed that the number of individuals caught (401) belonging to four phyla, class six, eleven and twenty orders families show a low biodiversity. Conclusion: The research reinforces that drainage of wetlands is harmful to biodiversity and the agriculture uses may cause irreversibles damages to life forms including humans.

041-049

Authors: Letícia Dahmer, Tiago Bittencourt de Oliveira, Carlos Kemper, Amanda Pontin Sant’Ana, Gabrielly Lunkes de Melo, Janine Goldschmidt de Avila

Rate the quality of life of hypertensive and diabetic leads us to the impact of treatment of the condition on physical and psychosocial problems of the patient caused by changes in lifestyle of the carriers of these chronic diseases. This knowledge allows clarification on the adaptation and acceptance of the disease and its treatment. This study aimed to evaluate the quality of life of hypertensive and diabetic patients who participated in a program of health education. This study was observational and cross-sectional survey of the type being conducted with hypertensive and diabetic patients attending health education group Project on Education for Work-PEW-Health Surveillance 2013-2015. A socioeconomic and cultural questionnaire was administered in addition to the standardized and validated questionnaire of quality of life – WHOQOL-BREF. Twenty-five patients were interviewed, of these 68% were female. The domain scores were found for Physical 59.00 (± 15.67), psychological 69.16 (± 14.12), social 69.33 (± 11.71), environment 64.25 (± 12.30). The overall average score was 72.44 (± 9.12). The results were positive, whereas values above 50 are interpreted as satisfactory. The results of this study demonstrate the importance of evaluating the quality of life of hypertensive and diabetic, since the discovery and treatment can affect the quality of life in many ways. Moreover, it is the duty of health professionals to guide and help effectively the pathology of these patients. That minimize the impacts on quality of life that the disease or the treatment might cause.

062-066

Authors: Nayara Mendes Cruz, Jhenne Daynny Aristides Cruz, Amanda de Figueiroa Silva Carmo, Laísla Alves Moura, Daniela de Alencar Lubarino, Rodolpho Kleber Malta Brito

Know the perception of nurses regarding the prevention of pressure ulcers for patient safety. Qualitative research conducted at a university hospital, through a semistructured interview. Applied content analysis. Revealed ignorance of the existence of ulcer prevention protocols by professionals, who used it often did not. The change in position was the most reported conduct. There is disparity between the conduits held ulcer prevention and scientific bases,

076-083

Authors: Vanessa Ketzer Lucca, Nádia Rosana Fernandes de Oliveira

The present study aims to analyze the consumption of rice and beans mixture for schoolchildren aged between 9 and 12 years, of both sexes, enrolled in a public school located in the municipality of Ijuí (RS). Data has been collected through a semi structured dietary survey and been tabulated at Excel® 2010 and posteriorly analyzed and described. From the total sample 52,4% were boys and 47,6% were girls. 35.7% (n = 15) reported consuming mixing rice and beans every day of the week (7 days), two main meals of the day, lunch and dinner. It was also found that the majority of students, 40% (n = 16), consumes two to three tablespoons of rice and 50% (n= 20), two scoops of beans. The findings of this study show that the tradicional Brazilian diet keeps being consumed by children that are in growth phase and forming eating habits.

001-002

Authors: Paulo Ricardo Nazario Viecili

Neste mundo globalizado, onde podemos obter informações em quantidades e velocidades surpreendentes, ainda estamos longe de atingir resultados dignos de uma saúde realmente efetiva e humanizada. Efetiva no que tange a aplicação de tudo que descobrimos e aprendemos a todos a necessitados, tanto preventivamente como terapeuticamente, e humanizada porque ainda tratamos os indivíduos como mercadoria, ou como objeto de uma obrigação profissional. Sem contar ainda, com a velha discussão sobre como a ação multiprofissional, que deve atuar de modo interdisciplinar, e até transdisciplinar, para somar esforços e aperfeiçoar o trato e o tratamento aos necessitados.

011-015

Authors: Regina Helena Medeiros, Lísia Fensterseifer, Simone Machado, Karen Viegas

The Professional Master emphasizes the capacity of interfering and thinking about the practice, considering problem, research and intervention points. A goal was establish to describe the experience of the implementation of a professional master program of Nursing in Rio Grande do Sul (RS), joining the areas of education and health. Three phases were chosen: 1) Putting the Professional Master program into health and nursing contexts. 2) Legal aspects. 3) Concentration area, performance lines and subjects. The consolidation of the course has been taking place through projects and subjects.

023-031

Authors: Maíra Antonello Rasia, Monica Motta Lino

Influenza is an acute infectious disease classified into types: A, B and C. For the antigenic variation of influenza A viruses, H1N1 emerged, with significant pathogenic potential. It is a literature search with searching databases of SciELO and Lilacs in the years 2007 to 2012 has the objective of analyzing the care provided by nursing staff with customer grievances and symptoms of H1N1. It was found in this study that nursing care te main focus on prevention and vaccination, as well as in early identification of the virus through the signs and symptoms. This study has clarified the context of H1N1 influenza and approaches to be taken in contact with suspected or confirmed case, since in practice one realizes doubt of nursing behaviors with the customer with suspected or confirmed case of this disease. Thus, it is suggested that the increase of studies and guidelines in health care, including work with strategies to contain the spread of disease, disease prevention actions and actions aimed qualify and humanize assistance to affected by it.

044-053

Authors: Franciele Gaertner, Aline Schneider, Stella Spanevello, Christiane Colet

The aim of this study was to investigate how to use insulin and factors related to this treatment, and identify adverse reactions from the use of insulin and potential contribution of the pharmacist. The research was qualitative and quantitative held from instrument to collect data and interview users with DM type I and II using insulin and withdraw pharmacy municipal Panambi/RS. The results of this study show some flaws in insulin treatment, the proper domain of application technique, as well as the rotation of application sites, among which stands out the reuse of the whole syringe / needle, besides recommended in the literature, as well as performing aseptic needle using alcohol swab. It was also unaware of the majority of the respondents about the possible storage of insulin in use at room temperature, and the lack of hypoglycemia as an adverse reaction by some respondents. Thus, whereas some of the procedures performed by users do not agree with the recommendations, it is for health professionals, be in constant updates in order to correctly guide the users, as the correct use of insulin is of fundamental importance in order to have good control of the disease. For this it is necessary involvement of patients and health professionals, highlighting the endocrinologist and pharmacist. For otherwise there may lead to losses the health of patients

065-069

Authors: Danielle Celi Santos Scholz, Maria de Lourdes Custódio Duarte, Mariana Mattia Correa, Odete Messa Torres, Rodrigo Souza Balk, Elinar Maria Strack

The present study aims to describe the experience of students of the Nursing Education Program at Work (EPW) Mental Health in the collective construction of the Project Therapy (PT) of a Psychosocial Care Center (PCC) in southern Brazil. The Therapeutic Project is a guiding document these services serving as a tool for management of service and care to the users. Were highlighted challenges and opportunities after the construction of the PT that service. Regarding the potential of PCC highlights the importance of therapeutic workshops developed in service and in relation to the challenges, highlights the need matricial consolidation of mental health in primary care. Therefore, we emphasize the importance of Therapeutic PCC Projects to guide the actions of professional service and outreach projects of relevance to health services, community, teachers and students.

075-080

Authors: Maria de Lourdes Custódio Duarte, Liene Maria Pereira Campos, Lais Monteiro, Moroni Correia Oliveira

Therapeutic and self-help groups has been a strategy for the recovery of users of tobacco people, providing a space to overcome the difficulties encountered in the process of ceasing cigarette use. Has the objective to present the participation of PET/Health, Federal University of Pampa (Unipampa) fellows with the group of smoking in the Outpatient Mental Health Clinic of Uruguayana in Rio Grande do Sul. This is an experience report students linked to the Unipampa Education Program for Work (PET) during the actions performed on a group of smoking in Outpatient Mental Health in the municipality of Uruguayana in the year 2012 evidenced the presence of female participants and difficulty of completely ceases nicotine use. Most users also have symptoms of anxiety and increased appetite which can often lead to weight gain and a return to cigarette use. The actions taken by students in PET smoking group has been important in view of the positive impacts on the health of members of the group, providing greater awareness and smoking cessation, promoting quality of life and access to information to people.

087-091

Authors: Marcos Roberto Tovani Palone, Thaieny Ribeiro da Silva, Cristiane Denise da Silva Moralejo, Renata de Almeida Pernambuco, Gisele da Silva Dalben

The purpose of this study was to evaluate oral hygiene status and habits of patients with clefts. The study comprised retrospective analysis of a questionnaire routinely applied at the Dental Prevention Sector of HRAC-USP, including questionnaires of 424 patients attending the sector. The mean daily frequency of toothbrushing was 3.3 times; 27.9% used the dental floss regularly and 39.6% at times; 69.4% presented regular oral hygiene. There was statistically significant association between age range, plaque score and utilization of dental floss; socioeconomic level and utilization of dental floss; and frequency of toothbrushing, plaque score and utilization of dental floss. Patients with clefts should be continuously encouraged to improve their habits and oral hygiene, especially at young ages, with emphasis to regular flossing; specialized craniofacial centers and general dental clinics assisting these patients should provide oral health counseling on a routine basis.

002-009

Authors: Franciéli Aline Conte, Carolina Zanetti, Lígia Beatriz Bento Franz, Silamara Beatriz Steinmtz, Maurício da Silveira Soares, Vitor Buss

La asistencia al hogar es en la actualidad una importante forma de cuidado a través de los profesionales de las áreas de la salud que, más allá de la intervención, enfatizan a la prevención. Este tipo de asistencia he crecido y siendo ofrecido no solo por el sistema particular, sino también por el sistema público/gratuito. La post-menopausia es una fase natural, donde uno de los principales cambios es por reducción de hormonas esteroides y el cese de ciclos menstruales. El propósito de este artículo es abordar la atención nutricional en el hogar y demostrar la práctica de este cuidado en el área de nutrición. El trabajo se desarrolló a través de seguimiento mensual de mujeres en situación después de la menopausia con sobrepeso y obesidad del municipio de Catuípe (RS), de las cuales participaran 26 mujeres por un período de seis meses. Se hicieran orientaciones nutricionales, planes de alimentación, mediciones antropométricas, recetas de dieta y materiales informativos sobre algunos alimentos. Los seguimientos mensuales encontraron que estas mujeres mostraron disminución en la masa corporal, niveles de grasa corporal, circunferencia de la cintura y los cambios en los hábitos alimenticios. Este estudio tiene una gran importancia en la salud coletiva, para la promoción y recuperación de la salud y prevención de enfermedades relacionadas con la obesidad a través de trabajos de educación nutricional individual en los hogares.

020-027

Authors: Juliana Raquel da Silva Damer, Ricardo Eugenio Dill, Aldoir de Almeida Gusmão, Terimar Ruoso Moresco

Infections occurring after ingestion of food or water contaminated with pathogenic microorganisms or toxins. Although meat is a food rich in nutrients, it can be like a culture media for microbial growth. The aim of this study was to quantify the indicators of hygienic quality and detect the presence of Salmonella sp. in samples of grounded beef sold in northwestern of Rio Grande do Sul State. This work used the methodology described by APHA 2001. The samples were collected at points of sale, packed in cool boxes and transported to the Laboratory of Microbiology UFSM, Palmeira das Missões Campus. All the 14 samples of ground beef analyzed were contaminated with total coliforms and termotolerant coliforms, indicating poor hygienic conditions in the processing procedure. Counts of E. coli were present in 85.71% of the samples, and in 14.28% was detected Salmonella spp. representing a serious risk to the health of the consumer population. The results suggests there is need of a greater oversight by the government organs, as well as provide training for food handlers in order to reduce the contamination levels and the risk that people may be exposed to.

036-042

Authors: Reginaldo Passoni dos Santos, Lilia Regina Mariano, Fernanda Brod, Fabiana Regina Gomes, Aramasi Paim, Daniele Laís Brandalize Rocha

Chronic kidney disease is undoubtedly a public health problem, mainly due to its high rate of morbidity and mortality. Health education for the general population can prevent its development and progression. The objective was to present the results of the activities performed by nursing students during a fair prevention of kidney disease. The opening of the exhibition took place in a city in the interior of Paraná. Were the following activities: individual registration, measurement of blood pressure, check weight, height and waist circumference, history and urinalysis and serum creatinine test. Health education was conducted during these activities, according to the needs presented by each participant. The subjects had instituted their participation was voluntary. The females amounted to 61.9% of the population served. Hypertension and diabetes were prevalent comorbidities. 43.2% of participants had hypertension measured on site. 28.37% were overweight and over 30% obese. 4.44% had proteinuria and glucosuria and 4.10% creatinine level changed. The public attended the fair for the prevention of kidney disease profile presented quite varied. Health education helped to clarify questions of population and the transmission of knowledge.

047-051

Authors: Maria de Lourdes Custódio Duarte, Dienice Beltran Silveira, Moroni Correa Oliveira

The matricial part of the integration of primary care with mental health , which suggest the involvement of a multidisciplinary team to build therapeutic interventions users in their own territory. This paper reports the experience of matricial conducted from a discipline of Mental Health II by students of Nursing, Federal University of Pampa. This experience has occurred in the months of July and August 2013, in partnership with the Center for Psychosocial Care and Basic Health Unit in the city of Uruguayana through home visits and case discussions. Throughout this process it was possible to establish the link with users in mental distress and their families, interventions and guidelines on the health/disease process and train the team of primary care for this care. We conclude that the placement experience was of great importance for academics, users, families and professionals contributing to the mental health cases are treated in that territory, thus avoiding unnecessary referrals.