Revista Contexto & Saúde

5-12

Authors: Carlos Igor Mazzitelli Balsamo, Vinícius Vargas Dal Carobo, Marcia Montagner, Camila Lehnhart Vargas, Franceliane Jobim Benedet

This study aims to analyze the influence of maternal weight gain on the newborn’s nutritional status. This is a quantitative study with a cross-sectional design. The sample consisted of mothers and babies born in a maternity at usual risk. In the first 48 hours after delivery, data were collected from the medical records, the pregnant woman’s card and the interviews with the postpartum woman. Data collection was constituted by means of an evaluation instrument, in which they were divided into block: pregnancy, mother and child. A total of 184 mothers and newborns were evaluated, the mean pre-gestational weight was 60.96±11.57 kg, and the mean gestational weight gain was 13±5.18 kg, with a high frequency of inadequacies. It is noteworthy that the puerperal women with high school and from economic classes D-E, who presented insufficient or higher weight gain than recommended and had newborns classified below or above the recommended for gestational age. Thus, the monitoring of gestational weight gain is fundamental, as they can when associated with schooling and economic classification can interfere in the nutritional status of newborns.

25-35

Authors: Ana Carolina Soares Rosa, Jéssica Ribeiro Roque, Danielle Raquel Gonçalves

The presented work aimed to assess the nutritional status and food consumption of institutionalized elderly people, verifying possible relationships between them. A cross-sectional descriptive study with a quantitative approach was used, involving 48 elderly people. Weight (P), height (A), body mass index (BMI), arm circumferences (AC), calf (CC) and waist (WC), triceps skinfold (TSF), and arm muscle circumference were evaluated (AMC). The three-day 24h food record (R24h) was used to analyze food consumption and was applied to the institution’s caregivers. Spearman’s correlation was utilized to verify the relationship between anthropometry and food consumption. From this survey, it was found that the majority of the elderly were overweight and experienced abdominal adiposity according to BMI and WC, but presented malnutrition according to the assessment of AC and AMC. CC indicated depletion of muscle mass among women, and TSF indicated obesity only among men. The consumption of fibers, calcium, vitamins D and E was insufficient, while saturated fat, iron and proteins (g/kg) were above the recommendation in both sexes. There was a weak correlation between anthropometric variables and total calories, macronutrients and fibers. Thus, it was possible to confirm the nutritional status of institutionalized elderly, characterized by excess weight coexisting with muscle loss, and it is concluded that this is related to the distribution of macronutrients, especially with regard to the percentage of lipids and carbohydrates. This condition is suggested to be impaired by the sedentary lifestyle of the elderly, since the increased protein consumption did not prevent the loss of muscle mass.

47-53

Authors: Emili Paixão Trenhago, Luana Fioravanti Roland, Mariane Rosa, Loiva Beatriz Dallepiane

Hemodialysis patients elderly are subject to dietary changes anthropometric and biochemical that are caused by their own kidney disease, hemodialysis treatment and the aging process. The objective of this study was to evaluate the relationship of nutritional parameters between elderly men and women undergoing hemodialysis. In a cross-sectional study conducted in Santa Maria-RS, were considered eligible for the search elderly over 60 years of both sexes, diagnosed with chronic kidney disease who underwent hemodialysis three times a week and in treatment for at least three months. As nutritional parameters were considered anthropometric, dietary data and biochemical tests. For the comparison between male and female, the parametric variables we used the Test t de Student bicaudal for independent samples. The results indicate relationship between body mass index and sex, kilocalories, protein, carbohydrate, phosphorus, potassium, sodium and vitamin D. It was possible to conclude that the findings of this study reinforce the importance of nutritional assessment in the context of the treatment of chronic kidney in hemodialysis, aiming at a good adherence to the diet and adaptation to dialysis.

62-67

Authors: Karen Thayane de Oliveira Coqueiro, Renata Junqueira Pereira

Pregnancy is associated with a decline in iodine in the maternal body, which can lead to hypothyroidism in iodine deficient areas. For this reason, an adequate intake of this nutrient during pregnancy is essential. Insufficient maternal iodine intake negatively affects the health of the fetus and newborn, with consequences that will last a lifetime. This review aimed to describe the importance of iodine for the gestational period and the effects related to its deficiency in the mother-child binomial. Iodine is known to be essential for fetal brain development in stages such as neurogenesis, neuronal and glial cell differentiation, myelination, migration and synaptogenesis. An integrative literature review was performed, searching the main health databases Medline (National Library of Medicine, United States), via PubMed, Lilacs (Latin American and Caribbean Health Sciences Literature), SciELO (Scientific Electronic Library) Online), of works published between 2009 and 2020, in the languages: Portuguese, English and Spanish. Future studies on the role of iodine deficiency in maternal and fetal health are still needed to clarify how iodine impacts gestational and perinatal outcomes and the possibilities for intervention to prevent or minimize the undesirable effects of iodine deficiency.

80-89

Authors: Karine Oltramari, Laís dos Santos, Juliana Rodrigues Dias Guedes, Alice Freitas da Silva, Carolina Sette Barbosa Damasceno, Liziane Mery Laufer Rodrigues, Maria Rosi Marques Galvão

This study aimed to describe the strategies used to provide school feeding in Curitiba, Parana, Brazil, in the context of facing the new coronavirus pandemic in 2020. This action was primarily based on the Human Right to Adequate Food and the exceptional authorization of food distribution to public school students throughout the country, by the National School Feeding Program (Programa Nacional de Alimentação Escolar – PNAE). The action plan was to deliver the feeding kits, whose composition met the current standards and specifications of the Food Guide for the Brazilian Population, prioritizing natural and minimally processed foods. The distribution of food purchased from family farming and the adaptation of some foods in the kit to meet the special food needs were contemplated. In May and June, respectively, 131,703 and 132,562 students were attended covering public municipal schools, municipal daycare centers, and contracted daycare centers. In summary, this action reached the program universality and the assurance of food and nutritional security to the attended students during the pandemic period.

99-109

Authors: Maria Auxiliadora Resende Sampaio, Karine da Silva Oliveira, Juliane Braga da Silva, Cirliane de Araújo Morais, Stela Lopes Soares, Lidia Andrade Lourinho

Non-communicable Chronic Diseases account for about 63% of all deaths worldwide, while in Brazil they account for 72.4% of mortality. Thus, in order to reverse this scenario, it is essential to carry out not only the diagnosis of chronic underlying conditions, but also their adequate management and especially the early identification of kidney injury, in addition to the development of health prevention and promotion actions such as the screening of new cases of Chronic Kidney Disease in communities. The present study aimed to develop permanent education actions for health professionals with a focus on the early identification of renal illness in a Family Health Center in the city of Sobral/CE. A qualitative intervention research was conducted in December 2019 at a Family Health Center. Twenty-four professionals participated in the intervention and through the methodological tool of arco de Maguerez, the participants judged as applicable and easy to perform most of the attributions and guidelines that guide the care of people with Chronic Kidney Disease. Contemplative actions were elaborated to five strategies with the purpose of monitoring patients with risk factors for Chronic Kidney Disease: The performance of educational activities to the population; EPS for professionals; risk stratification for Systemic Arterial Hypertension, Diabetes Mellitus and Chronic Kidney Disease; multidisciplinary care and improved communication with health care networks. It is imperative to continue similar studies that use Permanent Health Education to discuss Chronic Kidney Disease in the context of Primary Care.

121-133

Authors: Jéssica Tainara de Macedo Maia, Odair José Mendes Souza Júnior, Edilson Coelho Sampaio

It is noticed that in Graduation there are major changes, marked by individual and collective experiences, which imply greater accountability, sociability, adequacy of standards, methodologies, groups and unknown people, these aspects can become stressful and sickening factors. The primary objective was to analyze the influence of the academic environment on mental health and its reflexes on the occupational performance of the Occupational Therapy students at the University of the Amazon and the secondary objective was to develop a guidance manual to assist Occupational Therapy students and other students of courses and distinct universities in the search for psycho-emotional support in the Network and in the services offered at Universities. The research was of the qualitative type, of case studies, through the open and structured interview, developed by the researchers, called “The academic environment and Mental Health of the students”, which contains initial data, self-assessment of the mental state, institutional evaluation and four questions subjective. Participants were 4 students of Occupational Therapy at Unama, through non-probability sampling for convenience. The responses point to a greater compromise in the performance of the Rest and Sleep occupation. Listing the main causes: difficulty managing time, frequent anxiety, not being able to relax at night, constant thinking about the activities that will be carried out the next day. The primary and secondary objective was achieved, so that it was found that in the academic environment there are stressors and that these impact the students’ Occupational Performance, mainly in rest and sleep. At the end of the research it was possible to develop a booklet aimed at promoting the mental health of academics.

144-157

Authors: Sandra Dal Pai, Tassiane Langerdorf, Daiane Fernanda Brigo Alves, Karina Andressa Cavalheiro Zimmermann, Pâmella Pluta, Evelise Moraes Berlezi, Adriane Cristina Bernat Kolankiewicz

The objective of this stydy is to identify the factors that interfere in the culture of patient safety in primary health care. Integrative review was performed in the Lilacs, PubMed, WoS and Scopus databases in may 2019. The level of evidence classification was used to perform a critical evaluation of the primary studies. There were 26 scientific productions. The factors that interfere in the culture of patient safety in primary health care are conditions related to permanent education, communication, working conditions and leadership. The scientific evidence shows that some factors interfere positively, others negatively affect the culture of patient safety in primary health care and should be used in order to effect health actions for users.

170-177

Authors: Carolina Pratas, Patrícia Coelho, José Aguila

Introduction: Cardiac rehabilitation programs aim to improve exercise tolerance and increase the functional capacity of patients with cardiac disease, as well as to educate and accompany them in the control of their cardiovascular risk factors. Objective: To understand the benefits of a cardiac rehabilitation program in patients who have suffered acute myocardial infarction. Methods: The data were collected through the consultation of the clinical processes of individuals who had acute myocardial infarction between 2015 and 2016, which made a total of 20 individuals, including 18 males aged 46 to 83 years and 2 of the genus female, 61 and 63 years respectively. Data were also collected regarding heart rate, systolic and diastolic blood pressure, oxygen saturation and workload before and after integration into the rehabilitation program. Results: Of the 20 individuals evaluated, there was a statistically significant improvement between the two moments of evaluation in the body mass index with a mean decrease of 1.73 kg / m2 (p = 0.023), a mean decrease of 4, 64 cm in the abdominal perimeter (p <0.001) and an increase of 29 W in the workload (p <0.001). Although no statistically significant relationship was found in the remaining variables, the data obtained demonstrate that there is an improvement in the mean values studied between the two moments studied. Discusion/Conclusions: It is verified that individuals with acute myocardial infarction when integrating a cardiac rehabilitation program have additional and independent benefits of pharmacological treatment.

5-11

Authors: Caroline Nunes Pinto Fernandes,Maria Lia Coutinho Carvalho Ximenes, Mirizana Alves de Almeida

Objective: Characterize the care profile of patients treated at an oncological intercurrence unit. Methodology: Quantitative, descriptive and documentary research, approved with protocol No. 2.926.639. The study took place at Haroldo Juaçaba Hospital (HHJ). Population composed of patients admitted to the Cancer Intercurrent Unit. We retrospectively analyzed the electronic medical records of patients seen between February and April of 2018 at the Unit, collecting socio-demographic and clinical data. Results: Of the 100 charts that compose the sample, an average age of 57 years (+15 years) was identified, being 68% female. Regarding marital status, the largest portion of the sample was married (59%). About the origin 65% were from the capital and 35% from the inland. Comorbidities were recorded in 47% of the patients. The most accomplished therapy was chemotherapy (82%). Regarding the primary tumor location in these patients, gastrointestinal tumors (23%) and breast cancer (21%) were the predominant ones. There were records of complications during the stay in the unit in 84% of the medical records. With a very varied level of functionality, 40% were independent, 26% needed occasional dependence and 34% were totally dependent. The request was identified in only 13% of the medical records. However, 55% of the patients in the unit received physical therapy. Conclusion: The study made it possible to define the characterization of the care profile of patients who were treated at the oncology unit at the HHJ, providing data with the potential to contribute to future studies and implement management measures to improve the quality and safety of care in the service which was a study scenario.

22-31

Authors: Tamires Daros dos Santos, Sheila Jacques Oppitz, Yessa do Prado Albuquerque,Adriane Schmidt Pasqualoto, Aron Ferreira da Silveira, Isabella Martins de Albuquerque

The objective of this study was to systematically review the literature on the efficacy of adding balance training (BT) into pulmonary rehabilitation (PR) programs, in comparison to conventional PR to improve postural balance in individuals with chronic obstructive pulmonary disease (COPD). The search strategy was applied in the PubMed/MEDLINE, SciELO, LILACS, PEDro, Scopus and Web of Science databases, with no restriction as regards the year of publication or language, according to the PRISMA recommendations. Inclusion criteria were: clinical trials involving BT in PR to improve postural balance in subjects with COPD, published up to June 2019. Two reviewers selected the studies, extracted the data and assessed the risk of bias, using Cochrane’s Handbook, independently. Of the 172 potentially eligible studies, 2 were included, with a total of 107 patients with COPD, of whom 56 were allocated in the intervention group (BT additionally to conventional PR) and the others in the control group (conventional PR). Balance training additionally to PR provided an improvement in postural balance in relation to conventional PR, however no significant differences were found between the groups regarding the level of confidence in performing specific activities and tolerance to the exercise. The studies presented a low risk of bias (high quality). These findings suggest that the addition of BT into conventional PR programs is more effective to improve postural balance in comparison to conventional PR. However, given the low number of studies available, there is no robust evidence to support clinical decision making.

43-50

Authors: Yasmin dos Santos Borges, Maria Amélia Bagatini, Tatiana Cecagno Galvan

Goal: This study aims to trace an epidemiological profile of staff attended in the physiotherapy clinic of a refrigerator in Rio Grande do Sul. Method: The research is characterized as a retrospective observational study. The population was composed of 49 tokens. The inclusion criterion was to have complete physiotherapeutic care records and the exclusion criteria were to have incomplete records or to have repeated records (reassessment records). All statistical analyzes were performed in the SPSS version 8.0 and p significant when less than 0.05. Results: A prevalence of males was identified, married, median age at 36 years and low level of schooling. The production sector was the one that presented the most complaints (46.9%) and the most pointed segments with presence of discomfort was the upper limb (46.7%). Analyzing the comparisons, it was found significant between the complaint site and the worker’s sex, where women had more complaints of chest pain (p = 0.044) and cervical (p = 0.053). Conclusion: In this study, the following epidemiological profile was found: most men, with an average age of 35 years, married, with low education, working hours with an average of 520 minutes daily. As for the practice of physical activity, most were active, do not use continuous medication and have moderate pain / discomfort. Despite the small sample size, there are comparisons that show women with a higher frequency of chest and cervical pain, when compared to men. These data demonstrate the need for preventive physical therapy to assist in diagnosing the causes of these discomforts with a subsequent plan of action to eradicate them.

57-66

Authors: Luise Ferreira de Queiroz, Miriam Cabrera Corvelo Delboni, Marciane Montagner Missio, Claudia Morais Trevisan

Objective: The study sought to assess the functionality and quality of life of children with Cerebral Palsy according to the anatomical distribution based on the activity and participation component of the International Classification of Functionality, Disability and Health. Methods: Cross-sectional, descriptive study, with survey of data through the Gross Motor Function Measure, Pediatric Disability Assessment Inventory and Children’s Quality of Life Questionnaire. Data analysis was performed using descriptive statistics, presented as mean and standard deviation. The convenience sample of the study was composed of children diagnosed with bilateral and unilateral Cerebral Palsy. Results: In the study 52% (n = 10) had unilateral paralysis and 48% (n = 9) bilateral. In the Function Measure instrument, the score did not show significant variation for the type of paralysis. In the Inventory, children with bilateral paralysis achieved higher scores on functional skills and lower scores in the caregiver’s care area. The Questionnaire showed that children with bilateral paralysis have a higher quality of life than those with unilateral paralysis. The anatomical distribution of Paralysis in bilateral and unilateral was not decisive to define changes in functionality. The contextual factors (physical, social and attitudinal) showed substantial influence, since physical conditions of the environment and attitudes of caregivers emerged as the main changes. Conclusions: The study allowed a global analysis of functionality and quality of life in CP, where children with bilateral CP accept better their physical condition and children with unilateral CP tend to neglect the hemibody, impairing their own functional abilities.

75-84

Authors: Anelize Gabriele Peressute Ribeiro, Ana Beatriz Pacífico, Edina Maria de Camargo, Thiago Silva Piola, Wagner de Campos

Objective: to verify the relationship between the components of the school and family environment with the level of physical activity in children from the municipal education system of Curitiba-PR. Methods: Descriptive correlational study, with cross- -sectional design. The sample consisted of children aged 9 and 10 years (n = 461; 51.19% boys), with a probabilistic character, and was selected from 10 municipal schools in the city of Curitiba-PR. Family and school environment and level of physical activity were assessed using questionnaires validated in the literature. For the data analysis, descriptive statistics and Poisson regression were used. Results: The level of physical activity of the girls can be maximized by the number of sports areas in the school (PR: 1.61; 95% CI: 1.01-2.57), presence of ≥ 2 spaces in the residence for the practice of physical activity (PR: 1.23; 95% CI: 1.09-1.40), living in an apartment (PR: 1.09; 95% CI: 1.01-1.19) and receiving encouragement from parents (PR: 1 , 10; 95% CI: 1.01-1.20). For boys: always receive support from parents (watch) for the practice of physical activity (PR: 1.13; 95% CI: 1.01-1.28), have the presence of the guardian ≥ 4 hours/day (PR: 1, 11; 95% CI: 1.02-1.19), and at school having money exclusively for recreational materials (PR: 1.38; 95% CI: 1.01-1.91), were positively associated with higher levels of physical activity. Conclusion: Components of the school and family environment showed a higher probability of children, between 9 and 10 years old, being classified as being sufficiently active. It is suggested studies with both environments (family and school) being studied together in order to expand knowledge on the topic.

94-101

Authors: Reginaldo Luiz do Nascimento, José Roberto Andrade do Nascimento Junior, Layane Costa Saraiva, Lélio Ferreira dos Santos, Marcus Vinicius Oliveira Carneiro,Flavio de Sousa Araujo, Ferdinando Oliveira Carvalho

The objective of the study was to compare the physical fitness of sedentary individuals in the city of Petrolina-PE according to sex, age group and cardiovascular risk through the waist-height relationship. The sample consisted of 3,173 individuals of both sexes, sedentary and aged between 18 and 64 years. Body mass, height, waist and hip circumference, skinfolds, motor tests (flexibility, elbow flexion and trunk flexion), systolic and diastolic blood pressure and resting heart rate, and later calculated waist-hip and waist-height ratio and mean arterial pressure, still estimating the maximum volume of oxygen. For data analysis, Mann-Whitney and Kruskal-Wallis “U” tests were used, with significance of p <0.05. The results showed that there were significant differences (p <0.05) in all measures evaluated in relation to the sex of sedentary individuals. The results were significant when compared to the male and female age groups for all variables within the 25th, 50th and 75th percentiles, and also when comparing the groups with the lowest and highest cardiovascular risk. It was concluded that male participants have better physical fitness than women, and this tends to worsen with advancing age for both sexes, in addition to the subjects classified as having higher cardiovascular risk had worse physical fitness.

118-129

Authors: Ana Elisa Messetti Christofoletti, Larissa Cerignoni Benites, Roberto Tadeu Iaochite,Erik Vinícius de Orlando Dopp, Priscila Missaki Nakamura

This paper aimed to explore the characteristics that a smartphone application should contain to reduce Sedentary Behavior (SB) and sociodemographic factors associated with the time of the use of the smartphone in adolescents. Four hundred and eighty-two adolescents answered the SB Questionnaire, Regular Physical Activity Questionnaire for Adolescents and weight and height measurement for the calculation of BMI (kg/m²). The logistic regression test was performed to associate the variables with the smartphone (p ≤0.05). Eight individuals participated in the semi-structured interview to explore what should be contained in a smartphone application to decrease SB and analyzes were done by simple coding. The mixed methodology identified that girls present a higher risk of using the smartphone (p=0.002) and having high SB (p<0.001). The interviews elucidated that a smartphone application to decrease the SB of adolescents should contain: social relation, goals, reward, messages, updates and it can have a game format.

139-148

Authors: Joyce Duailibe Laignier Barbosa Santos, Cristina Vianna Moreira dos Santos

This article objective is reflect about the importance of network articulation management in the confront against violence in woman, looking for information about this theme in bibliography studies, books and science journals, by means of the narrative review methodology. It’s also sought, through this article, to present information about the challenge of violence in Brazil, the current legislation about violence situations, and confront network importance. The discussion is essential in view of numerous cases present by growing up phenomenon oh violence in the national scene. It is concluded that this complex and constant phenomenon should be understood as a public health problem that requires more and more deeper reflections and effective actions. The proposal isn’t to deplete the theme, but take a think with several theorists and a discussion about the importance of active management in the confront against violence in woman process.

157-165

Authors: Hailê Zeul Panisson Taschetto, Teles Medeiros, Regina Gema Santini Costenaro, Léris Salete Haeffner, Franceliane Jobim Benedet

Regular nutritional assessment is one condicionality of the Bolsa Familia Program that must follow all recommended steps of Brazilian Food and Nutrition Surveillance System protocol. However, it was observed that protocol was not accomplished in all extension in the city of Jaguari- RS, south of Brazil. That way, it was leaving out the opportunity for identifying children nutritional disorders and act in order to take adequate measures. An action research was performed in order to effectively implement a food and nutrition surveillance protocol. First, it was verified the way Food and Nutrition Surveillance System was been operated and it was also checked nutritional status from children enrolled in program. Then, operating changings were set up in anthropometric assessments and it was realized a training in anthropometry for health professionals. Monitoring performed during an anthropometric assessment showed positive results in the process of food and nutrition surveillance protocol implementation.

175-180

Authors: Ana Regina Leão Ibiapina Moura, Andreia Aparecida Andrade de Santana, Jaine Francielle Ribeiro de Alencar, Tuane Rodrigues de Carvalho, José Fernando Vila Nova de Moraes

The aim of the present study was to analyze the expenses of the Brazilian Public Health System (SUS) with the treatment of obesity in adolescents aged 15 to 19 years. Data were analyzed through the Brazilian Hospital Information System (SIH) of the SUS, which are processed and made available by the Technology Department of the SUS (Datasus). The options used in the research were based on the expenses with the treatment of obesity of adolescents aged 15 to 19 years, of both sexes, and in the different regions of Brazil. Data was analyzed from 2008 to 2018. An increase in the expenses with the treatment of obesity for the cited ages was seen. In 2008, R$190,015.83 was spent, while in 2018 this value increased to R$ 918,564.40. The total amount spent in the analyzed period was R$5.570,080.93. When analyzed by sex, between 2008 and 2018, girls cost more to the public system than boys (R$ 4,035,282.05 vs. R$ 1,534,798,88, respectively). Regarding regions, the South and Southeast Regions were the one that cost more to the Brazilian public health system. It is concluded that there has been a substantial increase in the costs of the treatment of obesity in adolescents, accompanying the increase of excessive weight in this age span. Moreover, girls cost more to the system and the South and Southeast Regions concentrated most of these expenses.

189-198

Authors: Priscilla Shirley Siniak dos Anjos Modes, Maria Aparecida Munhoz Gaíva, Caroline Aparecida Coutinho Monteschio

Objective: To analyze the nursing care practice, aimed at encouraging and promoting healthy eating in the nursing visit to children under two years of age. Method: Exploratory descriptive research with a qualitative approach, carried out in four Family Health Units (USF), in the city of Cuiabá-MT. The participant observation was used in nine nursing consultations to the child between six and 24 months, in the units selected for the study. Results: It was identified the thematic category Promotion of healthy eating habits in the nursing consultation to the child. During the consultations, nurses encouraged and promoted complementary feeding, investigating feeding practices and mentoring mothers. On the other hand, specific actions like orientations about the peculiarities of the infantile feeding and influence of the cultural aspects were not contemplated. Conclusion: Investments in the training of nurses are fundamental for an integral care focused on nutrition.

209-214

Authors: Bruna Carolina Ulsenheimer, Silvana Konageski Dalla Rosa, Christiane de Fatima Colet, Luciana Mori Viero, Luciane Ribeiro Viana Martins

Objective: To evaluate essential oils extracted from the lavender flower and leaf (Lavandula dentata L.) and basil (Ocimum basilicum L.), regarding their antimicrobial action against the bacterium Pseudomonas aeruginosa, isolated from bovine mastitic milk. Method: Collection, identification and cataloging of the selected plants was carried out, and after extraction of essential oils by the method of steam dragging, by hydrodistillation. The analyzes were performed in triplicate, at the Veterinary Microbiology Laboratory of Unijuí, for bacterial culture in plates, compared to 20 μl of essential oil, kept in a bacteriological oven at 36ºC for 24 hours. Results: The antimicrobial sensitivity profile of the essential oils tested against the strains of Pseudomonas aeruginosa, presented the following results: for the essential oil of the basil flower 7 mm in the size of the inhibition halo in the three tests, for the basil leaf, there was the highest inhibitory activity, with 12 mm halos in two samples and 14 mm in the third. As for lavender flower oil, it showed an inhibition halo of 6 mm, 7 mm and 9 mm in each test, and for lavender leaf oil it presented results similar to that of its flower, with 8 mm in two tests and 6 mm on the other. Conclusions: It is suggested that the essential oil of the basil leaf may be a source of compounds with therapeutic potential in combating the pathogenic bacteria Pseudomonas aeruginosa. It appears that the use of essential oil is an alternative for the treatment of mastitis in dairy cattle.

226-235

Authors: Michele John Müller Lunardelli, Matheus William Becker, Carine Raquel Blat

Introduction: Drug induced liver injury is a type of adverse drug reaction. Its occurrence is the cause of fulminant liver failure in 13% to 30% of cases. The. Russel Uclaf Causality Assessment Method (Rucam) is a specific algorithm for the determination of drug-induced liver disease. The aim is to translate and validate the Rucam algorithm into the Portuguese. Methods: The translation and the inverse translation of the algorithm was performer. The validation of content verified by the application of the algorithm translated to a real case, by doctors, pharmacists and nurses. Results: 41 valid answers were obtain. The average time for the application was 17 + 10 minutes. The mean score observed was 7.58 + 3.48 (probable causal relationship). The score differences found between the different professional categories were not statistically significant (p = 0.800). Discussion: The Rucam algorithm has seven domains: time of onset of liver disease, duration of disease, risk factors, concomitant use of drugs, and exclusion of alternative causes, previous virus history, and response to drug exposure. Such information allows greater accuracy in the confirmation of suspected adverse reaction, favoring the identification of drugs with hepatotoxic potential. Conclusion: The Portuguese translated Rucam algorithm proved to be a useful tool for investigating causality between liver injury and drugs, which can be apply by doctors, nurses and pharmacists.

244-251

Authors: Gislane Romano Mendonça, Ana Lúcia Fernandes Pereira, Adriana Gomes Nogueira Ferreira, Marcelino Santos Neto, Richard Pereira Dutra, Virgínia Kelly Gonçalves Abreu

Kombucha is a beverage produced from the fermentation of teas by symbiotic cultures of bacteria and yeasts. This beverage gained popularity due to its health benefits and its antioxidant properties that may be greater than that of unfermented infusions. Kombucha also has antibacterial activity against pathogenic Gram-positive and Gram-negative bacteria, with the main antibacterial component being acetic acid. Moreover, it has anti-cancer, anti-diabetic, anti-inflammatory, hepatoprotective and detoxifying properties. Thus, the aim of this integrative review is to evaluate scientific production on the antioxidant properties and antimicrobial effects of kombuchas. The integrative review was based on systematic steps, in the Scopus and ScienceDirect databases. The searches followed the inclusion criteria: studies that addressed the antioxidant and antimicrobial properties of kombucha, available in full in english, portuguese and spanish, with no limited publication period. Excluded: theses, dissertations, reviews (systematic, narrative and integrative), opinion articles and editorials. 18 articles were included, 7 articles determined antibacterial activity and observed that kombuchas have greater effects than unfermented infusions. Most articles determined the antioxidant activity of kombuchas from different substrates, mainly green and black teas. All articles showed an increase in the antioxidant activity of kombuchas during fermentation. Thus, kombucha can be a healthy alternative for maintaining levels of free radicals and fighting pathogenic microorganisms for those who consume it.

259-266

Authors: Francielly Zilli, Stefanie Griebeler Oliveira

Objective: to identify how the care of the self of patients with advanced oncological disease is done from interpersonal relationships with family, friends, and health professionals. Method: qualitative research, case study type, having as reference the post-critical theories, specifically the post-structuralist aspect of the field of foucaultian studies. Seven patients linked to a Home Care Service participated in the study. The production of information was from March to June 2018, and occurred with the use of therapeutic activities and participant observation. The information was transcribed and analyzed from the approximation of the statements with the code “care of the self”. Results: from the care of the self established with family members, we observed that patients are encouraged to look back to themselves and recognize themselves from the support they receive. Friends offer spaces for speech and self-recognition, besides helping with patient care. On the other hand, the healthcare team directs the care of the self of patients from prescriptive practices. Conclusions: in the statements, it was possible to identify how much the care of the self can be incited by interpersonal relationships, reinforcing how much the practice consists of double return, being present in the daily life of patients.

275-282

Authors: Tatiana Corrêa Ribeiro, Sandra Trevisan Beck, Amanda Borges Oliveira, Laura Vielmo

The aim of the present study was to verify the quality and monitoring of the specialized outpatient service offered to people living with HIV/AIDS. A descriptive study was carried out through the analysis of secondary data related to responses to the standard questionnaire Qualiaids, which seeks to evaluate and monitor the organization of SUS health services that accompany the treatment of HIV infection. Access to the questionnaire applied in 2017 was obtained after a formal request to the Qualiaids Research Team. A Specialized Unit (UE) under the management of the municipality and a Specialized Service (SE) under federal management were evaluated, located in a municipality in the interior of Rio Grande do Sul. The difficulties related to the three evaluation dimensions were verified: Technical management of work, Availability of resources and organization of the assistance process, without having the objective of comparing the services, as they are at different levels in the care network. Both services highlighted as a managerial difficulty the accumulation of function and the little integration between primary care and specialized service. The US presented 13.9% of absences in the scheduled medical consultations and the SS 19%, with satisfactory assistance, mainly in relation to adherence to antiretroviral therapy (ART), an important factor to achieve national goals 90-90-90 (diagnosis, treatment and viral suppression). The systematic assessment of adherence to ART associated with the sharing of care are fundamental factors for comprehensive care for PLHIV

6-18

Authors: Luiz Arthur Rangel Cyrino , Daniela Delwing-de-Lima , Oliver Matheus Ullmann, Thayna Patachini Maia , Ana Carolina Sardo

This article is a review of the effect of oxidative stress on Bipolar Disorder (BD). This disease is characterized as being chronic, severe with high morbidity, mortality, and high suicide rates. It is a progressive disease with episodes becoming successively shorter and frequent over time. Multiple alterations occur in the brain such as changes in neuroplasticity, neurotransmission, failures in apoptosis, activation in the immune-inflammatory process, with changes in the calcium signaling pathway; and more recently, on oxidative stress. These events involve a pathological reorganization in the brain and therefore are associated with morphological changes such as, a reduction in the volume of the prefrontal cortex, hippocampus, and an enlarged amygdala. These structural and biochemical changes are known as neuroprogression, with a difference between the initial and final stages of BD. Neurons and glial cells have a high energy demand, where biochemical and anatomic changes affect these cells and mainly organelles such as mitochondria. Mitochondria is a specialized organelle that generates adenosine triphosphate. It is considered the primary source of reactive oxygen species, produced through the electron transport chain, leading to oxidative stress. The role of oxidative stress in the pathophysiology of BD has been investigated in several studies, and consistently reported changes in antioxidant enzymes, lipid peroxidation, and nitric oxide levels. Pathophysiological mechanisms of BD contributes to an improved understanding of disease activity and may reveal possible solutions for diagnosis and prognosis.

27-34

Authors: Renata Campos , Andressa Antunes Bortoti , Chelin Auswaldt Steclan , Pollyana Weber da Maia Pawlowytsch , Miriam Cristina José Valério , Cinthia Helena Paluch , Luiz Cláudio Fernandes

Objective: To investigate the effect of supplementation with fish oil (FO) rich in omega-3 fatty acids, on renal and pulmonary variables, mortality and, lipid peroxidation in rats with sepsis. Methods: Sepsis was induced by puncture and cecal ligation (CLP). FO (1 g/kg/day, orally) was given for seven days before CLP. CLP groups (CLP without FO, n=10) and CLP+FO (supplemented with FO, n=10) were studied. The variables lipid peroxidation, lung and renal histology were analyzed regarding its structure and presence of polymorphonuclear (PMN), lung edema index, renal function and survival rate. Results: The lipid peroxidation was not different for CLP+FO group (p=0.06). Histology, regarding structure, the CLP+FO group had lower structural damage, both in the lung and kidney tissues, however, the PMN cells counting was not different between the groups, for both systems. The rate of lung edema, although lower in the CLP+FO group, was not significantly different from that found in the CLP group (p=0.59). FO supplementation did not cause any change in the survival rate (p>0.05). Renal function, studied by urea and creatinine concentration was not different between the groups (p>0.05). Conclusion: FO supplementation, in the dose and period studied, did not improve renal, pulmonary and mortality rate in rats with sepsis.

41-48

Authors: Sonja Skinner , Madison Wade , Courtney Iaccobaci , Roderick Hutcherson , Julia Matzenbacher dos Santos

A prevalent desire in the sports world is the acceleration of post-exercise recovery; therefore, many studies have examined the use of dietary supplements before, during, and after exercise to determine the positive effects on athletes as a catalyst for recovery. Overall, studies have found that adaptations to regular exercise promotes advantageous reactions in the body to boost the immune system, prevent dyslipidemia and muscle loss, and increase bone density. However, exercise at an increased intensity or duration usually performed under competitive settings can deplete glycogen stores, increase lactic acid, form an excess amount of reactive oxygen species (ROS), increase tissue damage, and decrease immunologic function. This review incorporated studies that tested the use of fruits as a strategy to attenuate the period by which the body buffers the increase in acidity and inflammation, scavenge ROS and to regenerate muscle damage after high intensity exercise. Therefore, the effect of fruit intake rich in vitamins and those containing polyphenolic ring-based flavonoids and carbohydrates was discussed. Nutrient supplementation can enhance recovery after high intensity exercise, particularly fruits of red-blue color such as cherries and blueberries seem to decrease oxidative stress, inflammation, and muscle damage. In summary, each fruit has specific targets to offset body regeneration, avoid over training, and improve overall performance.

55-61

Authors: Denise Silva de Oliveira, Júlia Matzenbacher dos Santos , Kayorrany Gomes Galvão do Prado Andreia Vitor Couto Amaral, Sandra Aparecida Benite-Ribeiro

Aims: The aim of the study was to verify if the induction of Type 2 Diabetes Mellitus (T2DM) by the association of streptozotocin and high fat diet causes hepatic alterations and if physical exercise can influence these alterations. Methods: 46males Wistar rats were divided into two groups: A high fat group (HF) that received a diet containing 60% of fat for 8 weeks and on the 14th received a single dose of streptozotocin (25mg/kg); a control group (C) that received a standard diet and a single dose of citrate buffer. Animals were them divided into two subgroups: one sedentary (S) and the other submitted to physical exercise (PE), totalizing four groups: C-S; C-PE; HF-S; HF-PE. Body weight and capillary glucose were measured weekly. After euthanasia hepatic concentrations of triacylglycerol (TAG), very low-density lipoprotein (VLDL); alanine transaminase (ALT), aspartate transaminase (AST), arginase; plasma concentration of glucose, urea, and 8-isoprostane (an oxidative stress marker) were measured. Results: Capillary glucose was higher in HF-S and HF-PE compared to C-S and C-PE groups. There were no differences in ALT, AST, arginase, oxidative stress concentration among the groups. Urea concentration was lower in HF-S and HF-PE than in C-PE. Liver TAG and VLDL were higher in the HF-PE group when compared to the C-S. Conclusions: The used protocol induced T2DM but not liver diseases or increase in blood oxidative stress. Besides, PE acted in synergy with high fat diet and STZ inducing accumulation of TAG and VLDL in hepatic tissue, an effect that could either represents lipotoxicity or a protective mechanism to conserve energy.

5-9

Authors: Valmir Oliveira Silvino, Regis Bernardo Brandim Gomes, Sérgio Luiz Galan Ribeiro, Davyson de Lima Moreira, Marcos Antonio Pereira dos Santos

Since the first case of Covid-19 reported in late 2019, it has quickly spread throughout the world and became a pandemic. Because of its high transmission rate, Covid-19 is a huge threat to public health worldwide. Fever is a common symptom of patients with severe acute respiratory syndromes (Sars), including Covid-19 disease. Infrared thermography (IT) is widely used to mass-screen the skin temperature of people in crowded places, such as hospitals and airports. This is of importance for patients and health professionals as it drastically decreases the risk of transmission due to the minimal contact between the evaluator and the subject. Infrared thermography strategy has already been widely used for the screening of febrile people during the outbreak of other pandemics such as H1N1 and Ebola. We here describe the potential of IT to identify febrile people who may be infected with COVID-19 and provide recommendations for their monitoring and management during this pandemic based on literature data.

16-21

Authors: Dany Geraldo Kramer, Geraldo Barroso Cavalcanti Junior , Nathalie de Sena Pereira

Hydrochloroquine (HCQ) is an analogue of chloroquine, which was designed for malaria therapy. Over the past few decades has been observed. the potential for application in other pathologies, such as autoimmune diseases, oncology and viral infections. In this sense, HCQ has been investigated for use against coronavirus disease 2019 (Covid-19), which has infected hundreds of thousands of people and resulted in thousands of deaths worldwide. The objective was to discuss the potential use of HCQ in coronovirus infections. Based on this revision, it was observed that HCQ could inhibit viral replication in vitro due to its accumulation in the lysosome and cell Golgi complex and presenting low cost. However, there is no evidence regarding its effectiveness and there are several adverse reactions and clinical contraindications. In conclusion, randomized, blinded, clinical trials about coronavirus treatments needs to be concluded to provide clinical protocols for Covid-19.

28-33

Authors: Grasiéle Costa Matos , Rosangela Moraes de Campos , Paulo Ricardo Moreira , Michele Ferraz Figueró , Graziela Valle Nicolodi , Rodrigo de Rosso Krug , Kalina Durigon Keller

This study was aimed to evaluate the presence and degree of frailty of patients with chronic renal disease undergoing hemodialysis treatment stratified by sex, age, physical activity and physiotherapy practice. Fragility was evaluated through three questionnaires: Edmonton Frail Scale, Functional Clinical Vulnerability Index-20 (IVCF-20) and Survey of Health Aging and Retirement in Europe (SHARE-FIx). Data were analyzed using mean, standard deviation, percent, student’s t-test, Pearson’s Chi-square, Variance Analysis (Anova) and adjusted residue analysis. The sample was composed of 94 patients on hemodialysis treatment. It was possible to identify the presence of fragility in the sample and it showed correlation with gender and age, and with other variables no relation was found. It was concluded that the studied sample presented fragility mainly in the degrees of moderate to severe, and the greater the age, the greater the severity of the fragility. It is suggested that new studies be carried out in order to identify early the fragility syndrome, allowing some preventive intervention and chronic kidney patients.

40-48

Authors: Letícia Hermes , Simone Nicolini de Simoni , Angela Regina Maciel Weinmann , Marcia Keske-Soares

Child development is built on fundamental pillars, also called domains, including motor and language, which gradually emerge from complex cascades of biological and physical interactions. The main of this integrative literature review was to synthesize studies that evaluated some interaction process between gross motor development and oral language components, especially the acquisition of the first speech sounds productions, in a typical developmental process in children from zero to 36 months of age. Through a systematic literature search, six studies published between 2001 and 2015 were synthetically integrated into a critical review. The selected studies do not offer a consensus that can probably be explained by the methodological heterogeneity, especially marked by the limited sample number, diversity of objectives, instruments and methods of analysis, notably marked by the outcome variable being centred on general domain scores, or milestones. punctual. The last one mentioned seems to be more specific in flagging the interaction component that is reflected in the domain as a whole. In this complex interactional process, motor development seems to pave the way for the development of oral language, especially in the first speech productions, favouring a greater exploration of the environment and generating a greater communicative response, especially from parents and caregivers. We suggest further studies that compare developmental milestones in a parallel between the domains, with longitudinal delineation and multivariate analysis, in order to approach the antecedent-consequent relationship that would best explain this interaction process, which is not yet fully elucidated.

57-66

Authors: Renato da Costa Teixeira , Raimunda Silvia Gatti Norte

This article analyzes the process of reorientation of professional training in health. The aim of this study was analyze the impact of the participation in PET-Health programs in the training of physiotherapists, graduates of a public university. It used a qualitative methodology, being interviewed 10 physiotherapists who had participated in the program. The results showed that participants fully experienced the practice of health care, providing a critical view of work processes. On the other hand, weaknesses were verified regarding what is recommended by the current Curricular Guidelines for the physical therapy course. Participation in the PET-Health program occurred as a complementary activity, not articulated to graduation, with the consequence of the difficulty in developing a clear definition of the physiotherapist’s performance in Primary Care. Such results demonstrate the need to rethink training in physiotherapy at the University in order to meet the National Curriculum Guidelines in force and prepare graduates to the job market in the perspective of the principles and guidelines of the Unified Health System, ensuring the quality of individual health care and collective.

78-85

Authors: Elisa Ana Bremm , Vanessa Adelina Casali Bandeira

The objective was to analyze the profile of antidepressant use and presence of depressive symptoms among users of a municipal pharmacy. This is a cross-sectional and quantitative study carried out with users of antidepressants in a public pharmacy in a city in the northwest of Rio Grande do Sul. Data collection was performed using a semi-structures questionnaire on sociodemographic characteristics and health conditions and application of Beck Depression Inventory. 84 users of antidepressants participated in the study, with a mean age of 55.23 ± 13.5 years. Among users, 83% had no symptoms or mild symptoms of depression. Among the sociodemographic characteristics, most were women (73.8%), with a partner (70.2%), incomplete elementary schooling (54.8%) and lived in the countryside (66.7%). Fluoxetine (24.5%) was the most used medication and the time of use of antidepressants had a median of 3 years. No statistical differences were identified between the presence of depressive symptoms and sociodemographic characteristics and health conditions. It is evident that the profile of users of antidepressants is similar to national characteristics with prevalence in women, low education and income. It was found that about 80% of users had no symptoms or mild symptoms, the time of using antidepressants reached 40 years and 16% of the participants used two or more antidepressants

94-100

Authors: Débora Cristina Krauser , Roberta Cattaneo Horn, Gabriela Bonfanti-Azzolin , Regis Augusto Norbert Deuschle , Viviane Cecilia Kessler Nunes Deuschle

Quality control is an important process in drug preparation and should cover all stages of production. Deviations in the quality of a drug can cause various damages to the patient’s health. The Unified Health System (SUS) has free distribution of medicines to the population and the purchase of these medicines is made through bids. In this sense, the objective of this work was to perform physical-chemical quality control tests of tablets dispensed in a Public Pharmacy in a northwestern municipality of Rio Grande do Sul. The following drugs were supplied by the Public Pharmacy: Furosemide 40 mg, Enalapril 10 mg and Propranolol 40 mg. The tests were: physical aspect analysis, average weight, friability, disintegration time and dosing. Furosemide failed the average weight test and passed the other tests. Propranolol, however, failed the dosing assay, being below specifications and approved in the other tests. Enalapril showed compliance in all tests performed. These results demonstrate that drugs can compromise the health of the public system user and stricter inspection criteria should be adopted in the pharmaceutical industries.

113-121

Authors: Thayná Menezes Santos , Keila Fernandes Dourado , Maria Izabel Siqueira de Andrade

This study aimed to verify, based on the literature, the effects of selenium supplementation on the glycemic parameters of polycystic ovary syndrome (PCOS). The study is a systematic review and meta-analysis of randomized clinical trials with a search conducted by two researchers from January to May of 2019, with temporal delimitation of the last ten years, in a database such as Pubmed, Bireme and Medline, using the keywords polycystic ovary syndrome, selenium, and insulin resistance. After the search the articles were filtered according to the proposed theme, using the Prisma protocol. Inclusion criteria were: randomized clinical trials with women with PCOS using selenium supplementation, including the Portuguese, Spanish and English languages. Three articles were selected at the end to compose the systematic review and meta-analysis. We applied Kappa index interavers. Statistical analyzes were performed in MedCalc software with presentation of odds ratios and their respective 95% confidence intervals. The results indicate that supplementation had positive effects in two of the three articles analyzed, whereas in one article the effect was negative with increased insulin resistance. Despite this, the analysis of the measure summarized by the meta-analysis showed that there were no effects for the group of cases with selenium supplementation. This meta-analysis showed that selenium supplementation does not appear to be important in the glycoprotein control related to PCOS, since it resulted in greater benefit for the control group of the studies analyzed.

131-137

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

Objective: Evaluate the prevalence factors on the nutritional status of school-age children. Method: The study included 626 children of both sexes, aged 7 to 10 years, enrolled in 18 municipal schools. They were evaluated as variables of sex, age and education. Nutritional status was assessed by Body Mass Index (BMI). Results: The mean age, weight and height were 8.49 ± 0.79 years, 33.58 ± 9.32 kg and 1.34 ± 0.07 meters, respectively. Most children attend the 4th grade of elementary school, with nutritional status of eutrophic (58.31%), but a large number of overweight students (40.73%). There was no significant difference (p>0.05) in nutritional status on the variables sex, age and education. Nevertheless, a higher frequency of obesity was observed in males aged between 9 and 10 years and attending the 4th grade of elementary school. Conclusion: The nutritional status of school-age children is not influenced by sex, age and education.

145-154

Authors: Louyse Sulzbach Damázio , Raquel Genuino Teixeira Grassi , Tuany Cardoso Mattos , Danielle Celso , Emanuel de Souza , Eduarda Schultze , Ângela Martinha Bongiolo

To evaluate biochemical and nutritional characteristics and an association with a body composition of vegetarians and omnivores of the municipality of Criciúma – Santa Catarina. Plasma parameters, serum vitamin B12 levels (in vegetarians), body mass index, waist circumference, body composition, reasons for a vegetarian diet and time of vegetarianism and socioeconomic evaluation were evaluated. Thirty-four adult subjects participated in the study, of which 11 were oactoactovegetarians, 11 were vegans and 12 years old, with a daily average of 25.24 years and female predominance. In the classification of nutritional status, 97% of the evaluated patients presented a BMI. Surgery ended in 72% of ovolactovegetarians (90.9%), vegans (81.8%) and moderate risk (33.3%). There was much more than body fat and percentage of lean mass (36.4%) among ovolactovegetarians (27.3%) and vegans (18.2%). The total cholesterol was normal in 100% of the oactoactovegetarians, 81.8% of the vegans and in the fruits they were elevated in 58.3%. At glycemia, 50% of the eggs were rich in diabetes, while 100% of ovaractovegetarians and 81.8% vegans met normoglycemia. There is a greater predominance of omnivorous individuals (41.66%) with hemoglobin below ideal and indicative of anemia, compared to 27.3% in vegetarians. Serum levels of vitamin B12 in vegetarians are within the ideal range, with a mean of 362.86pg / ml. We conclude that vegetarians have differences in lipid plasmatic levels, glycemic and waist circumference when compared to omnivores.

163-169

Authors: Bruno Cesar Correa Arbiza , Natiele Camponogara Righi , Anelise Lunardi Delevati , Léo José Rubin Neto , Antonio Marcos Vargas da Silva , Gustavo Orione Puntel , Luis Ulisses Signori

Resistance exercise (ER) performed at high intensity results in the delayed onset muscle soreness (DOMS) and diminishes functionality. Different forms of recovery after exercise have been studied to alleviate discomfort and improve functionality. The aim of the present study was to evaluate the effects of passive (PR) and active (AR) recovery on DOMS and the functionality of physically active volunteers after RE session. The sample consisted of 15 volunteers, with a mean age of 24.2 (± 2.2) and body mass index of 24.7 (± 2.5) kg/m2 , submitted to ER protocol and the forms of recoveries. The RE sessions (squats, extension chair and leg press) consisted of 4 sets of 10 repetitions with 80% of the maximum load (1 week interval between evaluation and sessions). The DOMS was evaluated by Visual Analog Scale 24 h, 48 h and 72 h after RE session. Functionality (muscle strength assessed by isometric peak torque, flexibility, power, agility, speed and fatigue strength) was assessed 30 min after the interventions (AR or PR). The AR was more efficient in reducing the DOMS in relation to the PR in the three evaluated moments (24 h: -1,3, 48 h: -1,3 and 72 h: -1,5 points; p < 0.005). AR improved approximately 9% of lower limb muscle strength compared to PR. The other functional variables showed no differences between recoveries. RA decreases DOMS and attenuates muscle strength loss after RE in physically active volunteers.

177-184

Authors: Giovanna Costa Falcão , Tatiana Evangelista da Silva Rocha

The objective of this study was to understand the perception of the health professionals around metabolic syndrome. It is a qualitative research, descriptive, exploratory and of area, performed with health professionals manned in two Community Health Centers in Palmas/ Tocantins, through interview by using a semi-structured questionnaire being analyzed by the Content Analysis methods. According to the speech similarity it was grouped to the interview analysis the professional categories of nursing and medicine, community health agent and nurse technician, since the first group has stood out further about the topic and shown less strangeness around the term, however still without further development according to literature. To the same purposes, the results were divided in categories: concept and diagnosis, treatment, risk factors, preventive actions. The higher education professionals demonstrated greater understanding around metabolic syndrome, but still notes that it is necessary greater understanding about the topic, to the real importance of this condition be recognized. In this way, there will be suitable provision of assistance to the patients, avoiding the emergence of new cases of metabolic syndrome and chronic diseases get settled, causing economic and social consequences to the country.

191-199

Authors: Cenise Cristina Zago Cassiano , Bibiana Arantes Moraes , Nilce Maria da Silva Campos Costa

The goal of this study was to analyze internships and practical training activities in the undergraduate course in odontology at a federal public institution of higher education, provided by Pró-Saúde (National Program of Training in Health) and PET- -Saúde (Program of On-the-job Training in Health). The study analyzed Group Training in Odontology Stage II and the non- -curricular module of PET-Saúde/Health Care Network training, through documentation of professional training activities in the Brazilian public health system (SUS), from the perspective of the trainer. A qualitative study with data triangulation was carried out through documentary analysis of the pedagogical documentation of the course as well as the course guide itself, participant observation in the field of the internship or training, and content analysis of semi-structured interviews with trainers of the modules. The results showed the predominance of the training was guided by the National Curricular Guidelines (DCN) with the contribution of programs cited in teaching-service-community integration, favoring the implementation of the DCN in practical situations. The interprofessionality, however, is incipient, reflecting a lack of clarity and willingness of the professionals involved to develop it. This research endorses the continued participation of students in internships and other opportunities for learning, reflection and understanding of SUS.

210-216

Authors: Eduardo Matias dos Santos Steidl , Bruna Franciele da Trindade Gonçalves, Nathalia de Morais Rockenbach, Adriane Schmidt Pasqualoto, Renata Mancopes

Objective: to investigate the effects of manual therapy (TM) on respiratory function and quality of life of subjects with COPD. Methods: were evaluated 18 subjects with a mean age 66.06±8.86 years, 61.1% (11) men and mean %FEV 40.28±16.73 after manual therapy program. The outcome measures were: heart rate (HR), respiratory frequency (RF), oxygen saturation (Sats), maximal inspiratory (MIP) and expiratory (MEP) pressures, feeling of dyspnoea and quality of life (SGRQ). Results: there was a significant difference in HR (p=0.04), respiratory frequency (p=0.007), Sats (p<0,0001), maximal inspiratory and % (p<0,0001), maximal inspiratory pressures and % (p=0,001). In quality of life the domains symptoms (p=0.001), impact (p=0.001) and total score (p=0.001) differed before and after the program. Conclusion: the manual therapy program improved the vital parameters, increased the respiratory muscle strength and interfered positively in quality of life.

228-236

Authors: Kemily Benini Costa , Yaisa França Formenton, Marcia Niituma Ogata

The study aims to analyze the perceptions and meanings of HIV/Aids among family health workers and the consequences of assisting people living with the infection. It is a qualitative research, developed with the 14 professionals of the multi-professional team of the Family Health Strategy in a city of São Paulo. The data were collected by semi-structured interview and interpreted by content analysis. Three categories of analysis were constructed. 1. Relationship with care in which HIV/Aids refers to the condition of abnormality; 2. Individual, family and social impact marked by prejudice and judgment by the form of contagion and 3. HIV/Aids and sexuality in prevails as a cause of contamination the illicit sexual acts and the amount of partners, as well as blaming the person to acquire the condition. It is observed a predominance of the permanence of group concepts and risk behavior. Despite changes in the epidemiological profile of the disease over time and the introduction of antiretroviral therapy, professionals reproduce and carry stigmatizing perceptions resulting in falsely modified discourses that bring to the surface primary symbolisms of infection related to incorrectness, fear, and prejudice. The perception and meanings attributed can reflect in their care practice impacting on the effectiveness of integral health care.