Revista Contexto & Saúde

e12394

Authors: Saymon Menezes de Souza , Guilherme Rios Silva , Daniela Leite Fabrino , Igor José Boggione Santos

Several people suffer from diseases and injuries and many of them die because of late diagnostic and/or inefficient treatment. Many of these diseases affect humans and animals, and animals can be vectors for humans. In this perspective, it is necessary works that integrate humans, animals, and ecosystems, thus, to arise One Health. Along with it, nanotechnology is a great alternative to improve health care, due to its revolutionary and complex properties. Although, how can nanomaterials be capable of working with or against cells, tissues, drugs, and medical devices? There are already many products in the market, but there are a lot of challenges to face and a whole new world to discover. This article are given the application of nanostructures in diagnostic, therapy, medical devices, tissue and implant engineering, human health and animal, and a future perspective.

e14511

Authors: Liane Bahú Machado , Aline Cammarano Ribeiro , Elisa da Conceição Rodrigues , Tassiane Ferreira Langendorf , Stela Maris de Mello Padoin , Cristiane Cardoso de Paula

Introduction: Professionals in Primary Health Care services need to provide guidance based on scientific evidence to nursing mothers and their families to promote learning and enable decision-making and safe practices for establishing and maintaining breastfeeding. These guidelines contemplate the physiology of lactation, which is a complex and abstract content for which the use of Educational Technologies is one of the viable options to promote learning through health education with users. Objective: To evaluate the usability of a video clip for learning of lactation physiology by health professionals from primary care services and identify barriers and facilitators for its use. Methodology: Transverse research applied to the knowledge translation model, with 71 participants who responded to System Usability Scale. Spearman correlation test was used. Results: Usability was excellent with the positive association of the professional to have a child health update (p = 0.023). The barriers were: restricted service time, unavailability of resources to present the music video and resistance of professionals to the use of technologies. The facilitators were: waiting room, prenatal care and childcare. Conclusion: Excellence in evaluation points to the useability potential of the music video in the permanent education of professionals and in health education with users. There is a need to minimize infrastructure and human resources barriers for use in primary care services.

e13559

Authors: Karoline Saraiva da Silva Ferreira, Israel Coutinho Sampaio Lima, Ana Suelen Pedroza Cavalcante, Cidianna Emanuelly Melo do Nascimento

To understand the articulation of care between the Psychosocial Care Center for alcohol and other drugs and the Family Health Strategy, which makes it possible to propose strategies that can improve articulation/collaboration in an interdisciplinary perspective among service professionals. This is a qualitative study, with a descriptive-exploratory nature, in two Primary Health Care Units and a Psychosocial Care Center for alcohol and other drugs, in the city of Horizonte, which is part of the metropolitan region of Fortaleza, Ceará. The study took place between March 2021 and July 2022, with the participation of 15 professionals, where the information collected was given by sending a semi-structured script via google docs, with content analysis being applied to the construction of the empirical categories analyzed according to the specific literature of this thematic field. The information collected shows that there are weaknesses in the construction of work from the perspective of the health care network. Such fragility is due to failures in the production and continuity of permanent education processes in mental health, absence of a schedule of matrix actions, fragility of referral and counter- -referral processes, impacting both the care provided and the management and co-responsibility of care. It is necessary to strengthen both the National Mental Health Policy and the Permanent Education in Health, so that the articulation between teams can be reconstructed in a fluid way

e13682

Authors: Talita Oliveira Silva , Renata Martins da Silva Pereira , Elaine Lutz Martins, Sandra Cristina de Souza Borges Silva

His research deals with the management of syphilis during pregnancy in times of the Covid-19 pandemic. The objective was to identify how the experience took place and what strategies were used by PHC nurses in the city of Rio de Janeiro regarding the management and monitoring of syphilis during pregnancy during the Covid-19 pandemic. This is a study with a qualitative approach, carried out with 23 nurses who work in Primary Health Care. Data collection took place through an online questionnaire and analysis using the Content Analysis technique. The results showed that the majority of nurses were female, postgraduate and with an average of 10 years in the profession. They experienced difficulty in treating the pregnant woman and her partner, in addition to changes in the routine of health units during the pandemic. However, they do not demonstrate significant changes in the reality already experienced in relation to syphilis. The strategies indicated to continue the monitoring of syphilis in pregnant women were the partnership with community health agents to capture and actively search for pregnant women in the community and the use of information and communication technologies to provide information and health education to pregnant women in a way that remote and accessible. It can be concluded that although the changes were small in the daily care regarding syphilis, current technologies were used for remote monitoring and guidelines for the continuity of treatment of syphilis in pregnant women.

e12986

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

The objective of the research was to evaluate the association between gender and nutritional status of school-aged children with food acceptance. 626 students, aged between 7 and 10 years, from Guarapuava, PR, participated. Nutritional assessment was performed based on the Body Mass Index for age and gender. Despite the majority of children presenting a nutritional status of eutrophy (58.31%), a high number of students presented weight above the ideal (40.73%). Girls had a greater association with the cereals, fruits, vegetables and dairy groups. Boys, on the other hand, are more associated with foods belonging to the meat and eggs and oils and fats groups, similarly to what was observed for eutrophic children. It is concluded that gender and nutritional status of school-aged children are factors that are associated with food acceptance. The food groups with the most important associations for this public are meat and eggs, oils and fats, cereals, fruits and vegetables and dairy products.

e13745

Authors: Evely Rocha Lima, Gisele da Silveira Lemos, Talita Batista Matos, Jerusa da Mota Santana, Maria Patricia Milagres

Objective: to assess drug use during the COVID-19 pandemic by university students and associated factors. Methods: This is a cross-sectional, descriptive, analytical study, carried out in four Higher Education Institutions in the state of Bahia, Northeast region of Brazil, from April to May 2020. The population consisted of 912 university students. The collection is carried out through an online form, using Google forms platform. The questions addressed socioeconomic, demographic and lifestyle aspects, information about the use of medications before and during the Covid-19 pandemic, as well as the motivation for their use. Pearsons chi-square test was performed and to assess the association between the categorical variables, in addition to univariate analysis using the binary logistic regression model through the odds ratio (OR) considering the 95% confidence interval (CI) and a significance level of 0.05. Results: 19.7% of the sample reported having started using some medication or supplement during a pandemic, among them, 68.2% justified the use due to news or indications or on their own. Vitamin consumption was the most prevalent (34.8%). It was observed that, being a student up to 30 years old, being female and being in clinical graduation, more likely to start using drugs in the pandemic. Conclusion: It was possible to observe a reduced frequency of medication consumption without professional guidance by university students, as the classes of medication most used by the participants were vitamins and herbal medicines.

e13431

Authors: Graciela Saalfeld Conrad , Claiton Leoneti Lencina, Juliane Fernandes Monks da Silva , Paulo Maximiliano Corrêa

Introduction: Self-medication is a reality for a large portion of the population. Although directly related to this practice, the pharmacy attendant is not considered in studies that evaluate self-medication in Brazil. Very little is known about the knowledge of pharmacy attendants concerning the risks of self-medication. Objective: The present study aims to evaluate the use of self-medication by pharmacy attendants in Pelotas, Rio Grande do Sul, in addition to their knowledge about the risks involved in this practice. Method: A cross-sectional study was carried out on pharmacy attendants of private pharmacies in Pelotas. Results: 41,6% of the pharmacy attendants stated that self-medicated, at last, once a month. 66,3% declare that recommend over-the-counter medication to customers. 30,7% of the participants stated that trey already have been encouraged to indicate medicines, however, 75,2% do not consider themselves prepared to help clients with self-medications. Conclusion: Self-medication and assistance with self-medication of patients is a common practice among pharmacy attendants. Therefore, it is up to the pharmacist to assume responsibility for professionals to minimize the risks of self-medication for training and attendants.

e12921

Authors: Maurício Almeida, Thainá Richelli Oliveira Resende, Priscila Figueiredo Campos, Pedro Henrique Berbert de Carvalho

The present study performed the cross-cultural adaptation and assessment of the validity and reliability of the Male Body Attitudes Scale (MBAS) for Brazilian men. The steps of translation, synthesis of translation, back-translation, expert committee and pre-test were carried out. Then, the Brazilian version of the MBAS was applied to a sample of 454 undergraduate men, aged between 18 and 35 years. We evaluated the factor structure of the MBAS through confirmatory factor analysis (factorial validity), as well as the convergent validity by association tests between MBAS scores and symptoms of muscle dysmorphia, body dissatisfaction, drive for muscularity and psychological commitment to physical exercise. Reliability was estimated by internal consistency and test-retest stability, with an interval of two weeks. The Brazilian version of the MBAS upheld the original factor structure of the scale, composed of three factors (Musculature, Body Fat and Height) and 24 items, showing good fit indices (χ²/df = 3.523; CFI = 0.95; TLI = 0.95; SRMR = 0.06; and RMSEA = 0.06 [CI 95%: 0.06, 0.08; p = 0.019]). The MBAS also showed good convergent validity. We found adequate internal consistency (Cronbach’s alpha of 0.87) and test-retest stability (intraclass correlation coefficient of 0.89; p < 0.001), showing good reliability of the Brazilian version of the MBAS. It is concluded that the MBAS was translated and adapted for the Brazilian population and showed good psychometric qualities of validity and reliability in a sample of undergraduate men.

e12115

Authors: Ellivania Cruz Torres, Elayne Lima Meira , Sybelle Christianne Batista de Lacerda Pedrosa, Isabel Dielle Souza Lima Pio, Deuzilane Muniz Nunes

This study aims to evaluate the pharmacotherapeutic profile and quality of life of people with Systemic Lupus Erythematosus (SLE). This is an analytical, cross-sectional and quantitative study involving 29 participants that are include in the Group of Attention to the Person with Lupus, living in the municipalities of Petrolina, Pernambuco, and Juazeiro, Bahia. The sociodemographic, clinical, quality of life (WHOQOL-bref), fatigue (Fatigue Severity Scale, FSS), impact of symptoms through the Systemic Lupus Erythematosus Symptom Checklist (SSC) and also the involvement of pharmacological treatment (Brief Medication Questionaire – BMQ) were evaluated. The polypharmacy was present in 79.3% of the participants, 69.0% had low therapeutic adherence and 69.0% reported fatigue. Fifty-two potential drug interactions and a mean pharmacotherapy complexity index of 38.9±19.0 were identified. Regarding quality of life, the social and psychological relations domains obtained the best averages at 74.2±18.0 and 72.4±17.7, respectively. The study showed low therapeutic adherence, considerable presence of potential drug interactions and pharmacotherapy complexity. In addition to the high number of comorbidities, worsening fatigue, higher occurrence of SLE symptoms and its impacts interfering in the quality of life of people with SLE.

e13327

Authors: Máyra Rodrigues Fernandes , Ana Rafaela Pires Lira , Giulyane Targino Aires Moreno, Ronara Camila de Souza Groia Veloso , Lívia Pena Silveira , Brígida Dias Fernandes, Clarice Chemello

Objective: To analyze the potential clinical impact of unintended medication discrepancies to which pediatric patients are exposed on hospital admission. Methods: Descriptive observational study, conducted at the pediatric emergency unit of a university hospital, from April to August 2019. The included patients werw aged 28 days to 12 years and werw approached within 48 hours of admission. An interview was carried out with the children and their companions and their prescriptions (home and hospital) were reconciled. The discrepancies found were classified as intentional, intentional undocumented and unintentional. Descriptive analysis was performed to characterize the profile of the sample, unintentional discrepancies and the potential to harm the errors involved. The harmful potential of medication errors was assessed by a panel of eleven specialist pharmacists. Results: 69 patients were included, with a median age of 3 years, 55% male. A total of 252 medications were reconciled, with 53 (21%) involved in medication error. Almost half of the patients 28 (41%) had at least one medication error on hospital admission, with omission being the most prevalent 24 (45%). If these errors had not been detected, 31 (58%) of them could have caused harmful harm to patients (Level 3) and 181 (34%) required further monitoring or intervention to prevent harm (Level 2).Conclusion: The study demonstrates a high frequency of unintended discrepancies that were classified as potential damage in pediatric patients.

e14306

Authors: Isabel Cristina Bento , Jullyane Hott Filgueiras , Mery Natali Silva Abreu , Maria Flávia Gazzinelli , Simone Cardoso Lisboa Pereira

The objective of this study was to identify the effect of a food and nutritional educational intervention with the use of a television set with visitors to popular restaurants in Belo Horizonte / MG. This is an intervention with 4 workshops involving 14 visitors to two popular restaurants in Belo Horizonte / MG. Data collection took place through recording of the workshops. The transcribed dialogues were analyzed using the thematic-categorical Content Analysis technique proposed by Bardin. After the transcription of the speeches, the individualized reading of each statement followed, in which the following categories emerged: 1) Telenovela: scenes, characters that played and the environment; (2) Adequate and Healthy Eating: doubts and knowledge brought; (3) Difficulties reflections and intentions for changes in food (4) Soap opera as an educational strategy: learning and possibilities for expansion. It is concluded that the educational intervention, mediated by the telenovela, marked and affected the participants by the intensity of the sensations and emotions that it was able to produce. In addition, it helped to understand the objective reality, focused on the subjective dimension, and translated into a powerful strategy to overcome the difficulties inherent in traditional, superficial and fragmented educational practices, still present today.

e13935

Authors: Nathalie Ribeiro Artigas , Ana Carolina Leonardi Dutra , Nayron Medeiros Soares , Gabriela Magalhães Pereira , Vanessa Bielefeldt Leotti , Julia Schneider Krimberg , Aline de Souza Pagnussat , Carlos Roberto de Mello Rieder

Background: Individuals with Parkinson disease (PD) may have a flexed posture, but only axial postural abnormalities (PAs) are generally investigated. Purpose: The objective was to verify if PAs of the axial and appendicular skeleton observed in PD occur in an interrelated manner to maintain balance and physical function. Methods: A cross-sectional observational study. Sixty-nine indivi- duals with PD were evaluated by computerized photogrammetry. The MDS-UPDRS scale was used to analyze the physical function and the Mini-BESTest to assess balance. To determine the relationship between PAs and clinical aspects, multiple linear regression analysis was performed, setting age and levodopa equivalent dose as covariates. Results: The anterior trunk inclination angles were significantly correlated with the flexion angles of the elbows, hips and knees (p˂0.01). Larger head flexion was correlated with worsening physical function (p=0.013) and gait (p=0.043); greater trunk, hip and knee flexion were correlated with reduced postu- ral instability (p˂0.05), and greater knee flexion was correlated with improvements in gait deficits (p=0.013). Conclusion: Postural abnormalities in the axial and appendicular joints of people with PD appear to occur in an organized and interrelated manner as a body compensation used to improve physical function and reduce balance and gait deficits.

e12799

Authors: Hosana Rosilene da Silva , Lavínia Juliana Silva Costa , Thais Keli Almeida Prado , Rita de Cássia Avellaneda Guimarães , Elenir Rose Jardim Cury , Valter Aragão do Nascimento , Marcelo Luiz Brandão Vilela , Danielle Bogo

This study analyzed the quantity of hypertension and diabetes drugs that return to health facilities, in and out of validity, in the form of disposal, in order to measure waste. Survey forms reflected on the population’s knowledge of unnecessary acquisitions, the consequences of incorrect disposal and the waste of public resources. The diabetes medication that most returned was metformin 850mg and the hypertension medication was furosemide 40mg. However, the representative of the cost of waste was spironolactone 25mg. The lowest cost in waste was hydrochlorothiazide 40mg. It is concluded that the most returned medicine does not necessarily represent the greatest cost in waste and that the problem with disposal is much greater because most of it is made in common garbage, toilets and sinks, making it difficult to quantify it.

e12147

Authors: Rodrigo Fonseca Lima , Dyana Lemes Radinz, Renata Garcia Carneiro , Raissa Pereira Santos, Alexandre Vaz Machado

This study aimed to analyze the prescriptions of a basic health unit (BHU) from the perspective of patient safety. The research corresponded to a cross-sectional study involving prescription analysis, realized in a BHU in the Federal District. The sample analyzed came from prescriptions filed by the pharmacy, from February to July 2019. A sample calculation was performed based on the local average demand for care, resulting in 431 prescriptions to be analyzed. Most of the prescriptions were made to women (69.6%). The average age of patients whose prescriptions were analyzed was 49 years old (± 21), with a higher prevalence of young adults aged 20 to 59 years old (53.4%). Most prescriptions were made by doctors (87.7%), manual (78.9%) and originated in the public service (96.7%). Of the 1208 drugs prescribed, 191 (15.8%) were included in the list of Potentially Hazardous Drugs (PHD) used as the basis for this study or were considered to be at high risk. 147 Potential Drug Interactions (PDI) were found, of which almost 30% were of severe severity. The analyzes contributed to identify that there are flaws in the way that the prescriptions are made, which can have consequences that harm the patient’s safety. In addition, it highlights the importance of analysis from a clinical and care point of view. Furthermore, it confirms that the pharmacist is indispensable to ensure the access and safety of the user with regard to the use of drugs.

e13552

Authors: Ronivaldo de Moraes Ferreira, Paulo Roberto Rocha Júnior, Osni Lázaro Pinheiro

The clinical analysis exams help to diagnose diseases and When they contain inaccurate results they can harm medical conduct. This paper has the objective to produce and validate an educational video involving pre-analytic situations in a clinical analysis laboratory. The study was composed of three stages: 1) Producing a script and preliminary video; 2) Video validation by specialists; 3) Final production, recording, and edition of the educational video. To collect data, a data collection instrument composed of ten assertive questions that versed about the situations approached by the video, as well as their clarity and actors’ performance, followed by a Likert type scale with four items: totally agree, agree, disagree, and totally disagree, as well as an open question so that each judge could register their impressions and suggestions about every scene in the video. The analysis of this instrument was done by the agreement index calculus (IC). Were considered valid items that received IC ≥ 70%. The validation was done by specialists and two scenes of the video presented IC ≤ 70%. It was necessary to do adequacy in these scenes following the judges’ suggestions. A new preliminary video was produced, going through a new validation stage, and all of the items presented an IC ≥ 70%. The video about data collection errors in laboratory exams was validated by specialist judges, in the clinical analysis field and communication, that considered the video adequate to promote learning about the topic.

e13038

Authors: Mayara Maria Lima Pereira , Valmir Oliveira Silvino, Bruna Lorena Soares Cavalcante Sousa , Maria Teresa de Jesus Fortes Melo Magalhães, Rayane Carvalho de Moura , Isabel Maria Oliveira Macedo Lima , Meiryangela Sousa da Silva, Marcos Antônio Pereira dos Santos

Introduction: Breast cancer (BC) is the malignant neoplasm with highest incidence and mortality among women worldwide. Nu- tritional status (NS) before and after chemotherapy treatment can be decisive for prognosis and survival of the patient with BC. Objective: Systematic review of the NS before and after chemotherapy in women with BC. Methods: An extensive search on Pub- med, Web of Science, and Scopus databases was conducted. It was limited to manuscripts published until 2020 using the Boolean method with the following combinations of descriptors: “breast cancer” AND “nutritional status” AND “chemotherapy”. Results: A total of 12 articles were included in this review. Two studies with patients diagnosed with eutrophic and 10 studies with overweight patients addressed pre-chemotherapy NS. For post-treatment NS, nine studies enrolled overweight patients, two with eutrophic patients and one with patients at nutritional risk. Conclusion: Several studies confirm the association of BC and overweight/obesity with increased prevalence of the disease, poor prognosis, and reduced survival after the end of the treatment. Current data su- pport the need for interventions in the patients’ lifestyle. Further studies on the association between interventions in BC should be conducted in order to form a larger body of evidence.

e12806

Authors: Henrique Pott Junior, Eveline Tonelotto Barbosa Pott

Introduction: This study evaluated the perceptions and attitudes of the Brazilian adult population about Covid-19 vaccines, seeking to identify which factors are associated with vaccine hesitancy and lack of confidence in vaccines to support individual or group reception and guidance strategies. Methods: This study with 1,700 adults was carried out in June 2021. The survey included sociodemographic questions, general information about Covid-19, and a specific questionnaire for the vaccine. Results: Most of our sample expressed favorable opinions regarding vaccination for Covid-19, but a smaller fraction (2.2%) of respondents were hesitant about vaccination for Covid-19. Vaccine hesitant respondents were mainly males aged between 30 and 59 years. They reported that the reasons for vaccine hesitation are mainly due to uncertainty about the safety (57.9%) and efficacy (36.8%) of the vaccines, followed by the concern with its development, that is, the question of time and the adoption of a new development technology (28.9%). In addition, although the impact of groups and peers on those who hesitate to vaccinate was unclear, the perception of a low risk of contracting the disease was evident. Conclusions: It is necessary to develop targeted strategies to increase effective communication about the risks and benefits of vaccines for Covid-19. Uncertainty about the safety and efficacy of vaccines and the timing and adoption of new development techniques have significantly affected perceptions about acceptance of the Covid-19 vaccine.

e11279

Authors: Layane Costa Saraiva, Izabelle Silva de Araujo, Alisson Amorim Siqueira, Wilkslam Alves de Araújo, Gessyka Mayara Soares Gomes, Lis Maria Machado Ribeiro Bezerra, Ferdinando Oliveira Carvalho

Mobile health APPlications are health technologies widely used in health promotion and care, including the prevention and treatment of chronic diseases such as hypertension. Of the APPlications aimed at the hypertensive public, many work for blood pressure and body weight records, medication reminders, food and physical activity tips, but most are characterized as a joke and lack scientific rigor. The study aimed to develop a mobile health APPlication with nutritional and exercise guidelines for hypertensive patients, based on the main recommendations of the guidelines for hypertension and as an alternative to non-drug treatment to minimize the effects of the disease. For the development of the nutritional intervention APPlication associated with physical exercise (APPINEF), a survey of nutrition and physical exercise APPlications in the APPle Store and Google Play was carried out, construction of a paper prototype, database modeling and use of technologies free and widely disseminated in academia and the software industry. After the development and testing of the software, it was ported to the Android system and consisted of nine tables. APPINEF features a home screen for login, registration screen and main menu with six icons: food diary, exercises, reviews, contact, extra and exit. The mobile health APPlication was developed by health professionals to guide hypertensive people in eating and exercising, providing a range of functions with behavior change strategies and gamification for greater attraction and interaction of users.

e12422

Authors: Edson dos Santos Farias, Jeanne Lúcia Gadelha de Freitas, Josivana Pontes dos Santos, Marcelo Tiago Balthazar Corrêa, Rosely Valéria Rodrigues, Paulo Renato Vitória Calheiros, Wellington Roberto Gomes de Carvalho

The aim of this study was to identify the prevalence and factors associated with alcohol consumption. Cross-sectional study with 3620 adolescents from public and private schools in Porto Velho (RO), 2018. Poisson regression was performed to calculate the prevalence ratios. The prevalence of alcohol consumption was 22.2%, and the alcoholic beverage with the highest preference to beat (cachaça+vodka/cognac) 37.1%. They start consuming alcohol around 12 years. Higher alcohol consumption was associated with male risk factors (p=0.009), 14 years or more (p<0.001), private school (p=0.009), high school (p=0.010), physically active (p=0.040), two-hour mis connected to social networks (p<0.001), overweight (p=0.040) and negative health perception (p<0.001). Alcohol consumption among adolescents was high. These epidemiological findings may contribute to the implementation of public policies in schools in the control and orientation of access to alcoholic beverages.

e12993

Authors: Gabrieli de Andrade; Bruna Letícia Schulz Oyczenascz; Matias Nunes Frizzo

The present study aims to define an association between the formation of NETs and the development of pulmonary disorders in Covid-19, as well as to explore its performance as a biomarker in the disease. This is an integrative literature review, through the survey of scientific articles in the following databases: PubMed, Latin American and Caribbean Literature in Health Sciences (Lilacs) and Online Medical Literature Analysis and Recovery System (Medline) Based on the inclusion and exclusion criteria, 18 articles were selected for this review. Activation of neutrophils and formation of NETs have been defined as risk factors for mortality in Covid-19 patients. The release of NETs is fully correlated with the severity of the pulmonary pathology. Throughout this study, it is concluded that the formation of excess NETs is present in severe cases of COVID-19 and associated as a biomarker of several complications such as thrombosis and coagulopathies.

e13557

Authors: Ana Maria Jora Ferracioli Pôrto; Elias Ferreira Porto; Eduardo Filoni; Ticiane Vasques; Renan Henrique; Antonio de Castro; Daniela de Fausto;

Introduction: Functional chronic bowel constipation is a motility disorder of great relevance and prevalence worldwide. Objective: Analyze the efficiency of visceral manipulation technique in individuals with bowel constipation diagnose according to Roma III criteria. Methods: This is a crossover clinical study that included individuals of both genders aged between 20 and 40 years who had had bowel constipation symptoms for over one year. Individuals were randomized into two groups: the intervention (IG) and control (CG) groups. A four weeks washout period was given. Each volunteer underwent 24 individual osteopathic sessions, twice a week that lasted up to 30 minutes. Three intervention techniques were performed: two for the large intestine and one for the small intestine. Results: Thirty four patients were recruited but nine were excluded. Our sample consisted in 25 participants, 13 were allocated in the IG and 12 in the CG. No significant difference was found between groups for anthropometric, educational, marital status, proportion of smokers and alcoholics, and VAS for lumbar spine pain measures. Lumbar spine flexibility, was significant increased for the IG (p<0.0001). A higher proportion of patients in the IG presented reduced hard stools, effort to evacuate, incomplete evacuation feeling, anorectal obstruction sensation and manual maneuvers to facilitate evacuation after treatment (p<0.0001). A significant correlation was found between pain (VAS) and the Schober test (r=-0.41). Conclusion: This study was successful in showing that there seems to be a positive effect of the osteopathic treatment for chronic bowel constipation at short and long terms.

e13696

Authors: Manoelito Ferreira Silva Junior; Jaciane Aparecida Gomes Darabansk; Vinicius Zacharias Núgoli; Ana Clara Simões; Denise de Fátima Barros Cavalcante; Marcia Helena Baldani

The objective of the present study was to analyze the expansion of the offer of dental prostheses by the Oral Health Teams (ESB) according to Brazilian geographic regions. The time series study was carried out with secondary data from Module II of the 1st cycle (2011-2012), Module VI of the 2nd cycle (2013-2014) and Module V and VI of the 3rd cycle (2015-2018) of the External Assessment instrument of the Program to Improve Access and Quality of Primary Care (PMAQ-AB). Proportions were compared between Brazilian regions using the Chi-square test, and between years using the Cochran Q test, using the z test adjusted by the Bonferroni method (p<0.05). The identification of users in need of a prosthesis increased among the ESB in Brazil between 2012 (50.5%) and 2014 (52.4%) (p=0.001), with an increase in the Northeast (p<0.001) and a decrease in the Center- West (p=0.01). Prosthesis delivery and its follow-up decreased in Brazil in 2014 (7.7%) compared to 2012 (13.0%) and 2018 (13.5%) (p<0.001), with an increase in 2018 in the Northeast (p<0.001). In Brazil, the supply of Complete Dentures increased from 2012 (35.9%) to 2014 (42.4%), with the exception of the Midwest region (p>0.05). Removable Partial Dentures increased in Brazil from 2012 (25.7%) to 2014 (30.5%) (p<0.001), and increased in the South and Northeast (p<0.05). There was an increase in ESBs offering dental prosthesis services in Primary Care, however, there are still disparities between geographic regions.

e13659

Authors: Caik Ferreira Silva; Sáskya Jorgeanne Barros Bezerra; Beatriz de Castro Magalhães; Mauro Mccarthy de Oliveira Silva; Cinthia Gondim Pereira Calou; Glauberto da Silva Quirino; Grayce Alencar Albuquerque

Objective: To identify the domains of essential health promotion competencies of the Competencies Health Promotion Project (CompHP) developed in the academic training of nursing in relation to LGBT health. Method: Descriptive and qualitative study, developed in three Higher Education Institutions in the interior of Ceará, Brazil, between July and December 2020, with 84 nursing students, through an online questionnaire. Data were organized using thematic content analysis and analyzed using the theoretical and methodological approach CompHP. Regarding ethical aspects, the study obtained a satisfactory opinion. Results: The age of the academics ranged from 21 to 47 years old, mostly female; cisgender women; heterosexuals; from private universities and enrolled in the ninth semester. Eight CompHP domains were identified: Possibility of Change; Health Advocacy; Partnership; Communication; Leadership; Diagnosis; Implementation and Evaluation and Research, the Planning domain being unidentified. The students are able to identify the health promotion demands of the LGBT public, however, even in the presence of the domains, they refer to the need for further discussion on the subject. Conclusion: The presence of eight of the nine domains of the CompHP was identified in the training of nursing students, which suggests that they can act as health promoting agents for the LGBT population.

e13858

Authors: Anna Karollyne do Nascimento; Carolina Heitmann Mares Azevedo Ribeiro; Maria Pantoja Moreira de Sena; Marcos Valério Santos da Silva; José Luiz Fernandes Vieira; Luann Wendel Pereira de Sena

Anemia affects almost a quarter of the world's population and causes numerous damages to various tissues, causing low oxygenation and signs and symptoms such as shortness of breath, lack of appetite, headache, dizziness and learning disabilities. However, there are no data on anemia in children in northern Brazil, which is necessary to establish reliable parameters for reestablishing the health of these patients. Our objective was to evaluate cases of anemia reported in children in the northern region of Brazil.This are a retrospective cross-sectional study, carried out over a period of one year. Demographic characteristics were noted, all children were carefully assigned to the study. The blood collection procedure was performed according to the established protocol. A total of 600 patients were included in the study. Most were female (52.5%), brown (51.6%), with a family income of 1 to 2 minimum wages and incomplete primary education. Anemia was more evident in ages 9 to 12 years (74.8%) and the proportion of children with hematocrit, iron, and ferritin below 35%, 50 µg/dL and 7 µg/L, respectively, was higher among children’s patients with anemia. In addition, they had numerous morphological classification variables, compared to the hemametric index. The study showed that anemia affects children. In view of the magnitude of the risks presented in this article, preventive measures for this pathology must be implemented to guarantee the integrity of the health of these patients, under penalty of irreversible damage for future generations.

e13815

Authors: Patrícia de Menezes Dias; Ana Paula Seerig; Franceliane Jobim Benedetti; Camila Lehnhart Vargas

The aim of this work is to describe the development of a photo serial album to assist health professionals in the guidelines on the ways of presenting complementary food. This is a study on the production of a serial album with photographs as a visual resource for menus prepared for children. One of the criteria for the creation process was to develop a product that is easy to use and understand by health professionals, about the composition of meals according to the age group of children, from 6 to 12 months. For the production of the serial album, a search was made in the scientific literature, preparation of the menus, preparation of meals, photographic capture of the portioning of the dishes, development of the product layout and graphic printing. The study resulted in a serial album with 12 photographs of menus for main meals and snacks with explanatory text about the different textures and amounts according to the age of the child. Positive eating practices supported by easy-to-use and visually attractive teaching materials such as the serial album produced, favor the promotion of healthy eating in childhood and the formation of an adequate eating behavior, strengthening the construction of good habits for the future.

e13348

Authors: Bruno Borges Deminicis; Renata Gomes da Silveira Deminicis

The objective was to evaluate the microbiological quality and pH of ground beef sold in supermarkets in southern Bahia, Brazil. Sample collection and preparation of "ground meat" were carried out in which the pH was measured and microbiological analyzes were carried out to count mesophilic aerobic bacteria, molds and yeasts, developed from the Most Probable Number (MPN) of total coliforms and Coliforms at 45ºC or thermotolerant, Escherichia coli test, Salmonella test and coagulase-positive Staphylococcus count. The most likely number of total coliforms ranged from 21 to 2.7 x 104 MLN/g (mean 3.5x103 MPN/g), and coliforms at 45ºC or thermotolerant coliforms from <3 to 5 x 103 MPN/g (mean 1. 3x103 MPN/g). The presence of Escherichia coli was confirmed in 70% of the samples. The presence of Salmonella was not detected in any of the samples, and positive Staphylococcus coagulase was <100 CFU/g in all samples present. All ground beef samples had a pH between 5.5 and 7.

e13880

Authors: Gabriela do Nascimento Toniolo Bertolo; Kimberly Fontoura do Nascimento; Tamires Daros dos Santos; Patrícia Severo do Nascimento; Isabella Martins de Albuquerque

Post-Covid-19 Syndrome is characterized by the persistence and/or appearance of new symptoms and abnormalities that persist beyond 12 weeks from the onset of acute Covid-19 and are not attributable to alternative diagnoses. Among the symptoms described in the literature regarding Post-Covid-19 Syndrome, musculoskeletal pain is among the most frequent. The present study aimed to review the literature and identify the form of presentation and predictive factors for musculoskeletal pain in Post-Covid-19 Syndrome. A comprehensive literature search was performed in the following databases: Medline (via PubMed), Embase, PEDro, Lilacs, Scopus, Web of Science and Cinahl from April 22 to June 14, 2022. Of the 2,044 articles found, 16 were included, comprising a total of 13,089 patients. The results showed that myalgia (27.12%, 11 studies), arthralgia (28.88%, 9 studies), arthromyalgia (43.07%, two studies) and musculoskeletal pain (15.3%, one study) were the pain musculoskeletal symptoms disorders present in Post-Covid-19 Syndrome. Female gender was a risk factor for the presence of arthralgia and myalgia in the Post-Covid-19 Syndrome, while age between 40 and 59 years was associated with persistence of arthromyalgia. And high body mass index (BMI) was a predictive factor for the presence of myalgia. The severity of the infection and the need for hospitalization were not predictors for the presence of myalgia and arthralgia in the Post-Covid-19 Syndrome. Future studies with a higher level of evidence and greater methodological rigor are encouraged.

e14381

Authors: Ingrid Cavalcante Sarquis; Karla Angélica Silva do Nascimento

The eyeball has functional differences and is very sensitive to aggressions, requiring special attention. One must pay attention to ophthalmologic emergencies, which represent a danger of ocular damage, sometimes irreversible, and must be treated as soon as possible. Thus, we sought to develop a mobile application as a quick guide, in which the doctor can select his diagnostic suspicion, ask questions, and see the appropriate treatment. This is a research of technological production for medical use, quantitative, descriptive, and transversal. During the development of the application, it was necessary to apply a questionnaire with professionals in the area, aiming to identify their level of contribution in diagnoses in ophthalmologic urgencies. The results show favorable responses to the application, focusing on ophthalmologic urgencies, with the presence of images and easy handling. The application presents itself as a teaching tool, as well as in diagnoses, prevention of damage, monitoring and control of complications in ophthalmologic emergencies.

e14175

Authors: Luciano Guiraldelli; Matheus de Souza Fontanelli; Gabriel Couto Correa; Frederico Pauzer Migliorini; Guilherme Souza Santos; Gustavo Zampier dos Santos Ulbrich; Anderson Zampier Ulbrich

Background: Using the support of a handrail during cardiopulmonary exercise testing (CPET) may alter physiologic parameters. The purpose is investigate the effects of handrail usage during the CPET in the metabolic parameters outcomes of young adults. Material and Methods: 39 young adults (age in years, 20.8 ± 2.9) of both sexes, 17 woman and 22 men performed two treadmill CPET on Ellestad protocol, in non-consecutive days. The first (T1) offered access to the support of a handrail; after 7 days, the second (T2) was performed without it. Differences between protocols for metabolic variables were compared using paried the t-test and repeated measures ANOVAS with interaction. Results: Regardless of sex, all participants exhibited superior results of metabolic parameters at T2 in contrast to T1. During T2, there was a major perception of respiratory and muscular effort, as well as a higher respiratory quotient for both sexes. When comparing T1 with T2, the VE/VCO2 slope was also significantly higher for women (29.31 ± 4.7 and 27.27 ± 4.53). For both sexes, when comparing the tests by stages, it was observed in stages 2, 3 and 4 higher values in the metabolic parameters for T2. The percentile difference for both sexes was 17% higher in S3 for women (T1=26.20±4.1 ml.kg-1.min-1;T2 28.79±4.2 ml.kg-1.min-1) and men (T1= 40.07±6.6 ml.kg-1.min-1; T2 45.92±4.8 ml.kg-1.min-1).Conclusion: The holding of the handrail attenuated the participants' cardiorespiratory and metabolic responses by more than 15% during CPET. Material and Methods: 39 young adults (age in years, 20.8 ± 2.9) of both sexes, 17 woman and 22 men performed two treadmill CPET on Ellestad protocol, in non-consecutive days. The first (T1) offered access to the support of a handrail; after 7 days, the second (T2) was performed without it. Differences between protocols for metabolic variables were compared using paried the t-test and repeated measures ANOVAs with interaction. Results: Regardless of sex, all participants exhibited superior results of metabolic parameters at T2 in contrast to T1. During T2, there was a major perception of respiratory and muscular effort, as well as a higher respiratory quotient for both sexes. When comparing T1 with T2, the VE/VCO2 slope was also significantly higher for women (29.31 ± 4.7 and 27.27 ± 4.53). For both sexes, when comparing the tests by stages, it was observed in stages 2, 3 and 4 higher values in the metabolic parameters for T2. VO2 was approximately 17% higher at T2, stage 3, for women and men. Conclusion: The holding of the handrail attenuated the participants' cardiorespiratory and metabolic responses by more than 15% during CPET.

e13338

Authors: Hertaline Menezes do Nascimento Rocha; Mônica Viviany Silveira Trindade; Nicoly Gabrielly Brito Nascimento; Thaiane Santana Santos; Aryel Andrade de Jesus; Anny Giselly Milhome da Costa Farre; Valter Joviniano de Santana Filho

Objective: a pilot study aimed at monitoring admissions in the emergency department (ED) of a University Hospital utilizing the Information System and Monitoring of Emergency Department Admissions (Simips). The Simips system was designed to track ED admissions, generate information, and provide valuable insights to enhance clinical practice, bed management, care quality, and patient safety risk assessment. Method: this study was a pilot investigation that monitored admissions of adult patients in the Emergency Department (ED) from admission for inpatient care until discharge, using the Simips system. The sample consisted of medical records of adult patients admitted for inpatient care in the ED during the period from June to August 2019. Socio-epidemiological data, severity scores, nursing care dependency scores, National Early Warning Score (News), occurrence of adverse events, length of stay, and discharge outcomes were collected. Results: 158 medical records were analyzed, with a median age of 65 years. In terms of nursing care dependency, 89% were classified as requiring minimal care on the first day of hospital admission. The frequency of adverse events was 39.2%, with medication administration delay (12%) and lack of medication reconciliation (8.9%) being the most prevalent. Conclusion: the study revealed a prolonged length of stay for patients admitted for inpatient care in the emergency department, with a predominant presence of elderly patients and a high incidence of adverse events.

e13963

Authors: Ana Pereira Alvarenga; Milena Serenini Bernardes; Marina de Oliveira Verissimo; Laís Amaral Maís; Renan Serenini Bernardes; Lílian Gonçalves Teixeira; Giovana Longo-Silva; Maysa Helena de Aguiar Toloni

The Bolsa Família Program has been the objective of studies that show the impact of reducing extreme poverty and reducing food and nutritional insecurity (FNI). Objective: investigate the prevalence of FNI and factors associated among families with children under seven years old participating in the Bolsa Família Program, residing in a municipality in the south of the state of Minas Gerais. Methods: Quantitative cross-sectional study conducted with 145 families and 206 children under seven years old were evaluated. Results: The prevalence of FNI was 77.9%, and 15.9% of severe insecurity. The association between FNI and family income (p = 0.024), food after receiving the benefit (p = 0.006), bean consumption (p = 0.016) and snack foods (p = 0.006) were found among children of two to seven years. In addition, iron deficiency anemia was associated with the introduction of stuffed crackers (p = 0.023), packet chips (p = 0.044) and petit suisse cheese (p = 0.014) before the age of two. Conclusion: Therefore, it is expected that this research contributes to the generation of scientific evidence that will be used in decision making to improve management efficiency by redefining priorities and qualification of professionals involved in the program.