Revista Contexto & Saúde

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.