Revista Contexto & Saúde

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