Hot Articles

  • Brazil Big Quilombo: Experiencing Experience in Pernambuco Quilombola Community

    Introduction: Marked by exclusion and isolation from society over the years, quilombola communities in Brazil are kept invisible in the various social spheres. Based on the knowledge of the National Health Policy of the Black Population, its importance and the objectives that emphasize the prioritization of the reduction of ethnic-racial inequalities, against racism and discrimination in health institutions and services, it is necessary to know the particularities of this public with regard to health care offered. Objective: With the desire to know the current structure of a quilombola community this work brings the report of the experience to a remnant quilombo community in the interior of the state of Pernambuco by a group of collective health residents. Methods: Experience report on a visit to a remaining quilombo community, located in the district of São Lourenço, in the municipality of Goiana, in the Zona Norte Mata de Pernambuco, where a discussion was then held with the residents’ association president and the religious leadership of the community. Results and Discussion: The quilombo was certified in 2005, with a remnant of 3,500 people with more or less 900 families, predominantly urban, still preserving brands of their ancestors in the ways of working, clothing, food and forms of health care, with diseases prevalent in the community such as: Leprosy, tuberculosis, sickle cell anemia. The visit brought a different look to this population that still suffers from prejudice, racism and human violence, has also helped us to reflect the weaknesses of health practices in the municipality and throughout the Brazilian territory. Conclusion: Given the experience, it was possible to observe that there is still a predominance of prejudice by the community itself in its identification as a quilombola and, above all, the insertion of new health and cultural practices, highlighting the violence and fragility of…

  • Scenario of Insertion Of Nutritionist Professionals in Health Services In Recife – Pernambuco

    Introduction: The topic of Human Resources has been occupying space in the researches related to Collective Health due to the importance of the workforce for health services in contributing to the execution of a health system based on Primary Care, such as the Brazilian National Health Service (SUS). Objective: To describe the scenario of the insertion of nutrition professionals in health services in Recife – Pernambuco. Methodology: This is a descriptive study with quantitative approach. This research was carried out with secondary data from the National Registry of Health Facilities (CNES). The population of study are nutrition professionals registered at CNES until December 2016 in the city of Recife, Pernambuco. To select the sample, the EpiInfo program was used. Thus, 219 out of 1077 nutritionists registered in the CNES database were selected to be part of the study, SPSS Statistics 22 was used for the presentation and analysis of the data. Results and Discussion: Among the 219 professionals analyzed, 95% (207) are female and 5% (12) are male. 15.52% (34) of these are registered in other cities besides Recife. Regarding their workplace, 66.5% (145) worked in hospitals, 15.1% (33) in specialized services, 12.8% (28) in Primary Care services and 5.5% (12) in management, 86.7% (189) provide services to SUS. The average workload among the professionals studied was 43 hours per week in SUS services. The sample was quite heterogeneous, regarding the sex and the insertion scenario. Conclusion: Nutritionists in the municipality of Recife are mostly female. Regarding the insertion scenario, the hospital and specialized services area correspond to the main services where this professional is inserted, surpassing Primary Care services, requiring further studies that clarify this limbo of professionals in this level of attention.

  • Instrumenting Community Health Agents to Address Child and Youth Violence at Home

    Introduction: This is an experience report of a descriptive nature related to the project of university extension, developed by two professors and four undergraduate students in Nursing at the Federal Institute of Education, Science and Technology / IFPE, Campus Pesqueira. This research is linked to the extension project entitled “Child and adolescent as victims of domestic violence: sensitization workshops with Community Health Agents (ACS) of the municipality of pesqueira – PE to recognize and cope with child and juvenile violence.” Objectives: The objective of this study was to use the ACS through awareness-raising workshops to recognize cases of domestic violence against children and to adopt means to confront this event. Methodology: The methodology was adopted focusing on the interests and knowledge of the participants, aiming at empowering the individuals’ autonomy and emancipation. The study was carried out between February and October 2017 and had a weekly workload of twenty hours. For the development of the activities, the Family Health Strategies of the Municipality of Pesqueira-PE were selected, justifying the choice of the fact that these units present socio-economic vulnerability; as well as because it has already been a scenario of research on domestic accidents with children, thus characterizing itself as a context of teaching, research and extension experiences. Results and discussion: The sample consisted of 31 ACS, and guiding questions were elaborated to to construct a plan of intervention in the face of a case of violence, guaranteeing the continuity of care in the primary care network. Conclusion: The research becomes relevant as the ACS are aware of the occurrences of child and juvenile violence and the subjects involved can reflect on the importance of adopting preventive behavior to minimize these cases.

  • Assess the level of knowledge about sustainability, appreciation of popular knowledge and the concept of health of children, pre-teenagers and teenagers from low-income community of the neighborhood Pina, Recife-PE

    This study aimed to review three activities undertaken by the Group of Biological Sciences, Federal University of Pernambuco (UFPE) with young people between 2 and 14 years of the NGO in Recife-PE, in search of each methodology effect applied to learning students. In the days of group visits, the activity was applied at three different times relative to the time that young people are playing football, and analyzed how they behaved in relation to the activity brought. It was observed more interest and curiosity in applied after the game, where children and adolescents were already filled, and able to do something different. Observed indicates that in addition to the theme of a dynamic, the occasion and the way it will be displayed directly influences the knowledge that students can absorb a day of visits to the project.

  • Health Education in the Construction Of Knowledge about Trichomoniasis for Students of the Areas of Engineering and Geosciences of the Federal University of Pernambuco

    Introduction: According to National Policy for Integral Attention to Men’s Health, the male teenager is risk group for health problems by not adopting preventive practices. This program includes the prevention of sexually transmitted infections (STI). Trichomoniasis is a non-viral STI widely disseminated. However, 92% of cases are registered in women. Overall, man presents with asymptomatic. When affected the man may develop secretion urethral, lesions in the seminal vesicle, penis, prostate and urethra. This framework directs man as responsible for transmission of parasitosis. Additionally, Trichomoniasis is risk factor for HIV, HPV, herpes, gonorrhea, chlamydia and syphilis. Objetive: To build knowledge about trichomoniasis among male students of the courses of engineering and geosciences. Methodology: It’s a research-extension quantitative, descriptive and transversal what happened during the 2nd semester of 2017 in the hall do Centro de Tecnologia e Geociências-UFPE. The strategy of educational intervention was based on wheels of conversations. We set up a stand with billboards and posters and activities were conducted about the epidemiology, transmission, pathogenesis, prevention and treatment of trichomoniasis. we proceeded with caution, respect and consider individuality. Results and Dsicussion: Intervention reached 513 students with an average age of 22.16±3.53 (minimum 15 and maximum 40). Of these, 91.6% reported not knowing what is trichomoniasis. Leaflets on Trichomonas vaginalis and trichomoniasis were distributed. In addition to this material, we distributed leaflets, acquired in partnership with the State Health Secretariat, on HIV / AIDS, Syphilis, Hepatitis A, B and C. The students were instructed on the correct use of condoms and we distribute about 1.500 male condoms, 100 female condoms and 500 sachets of lubricating gel. Conclusion: Our educational intervention come to contribute with programs sensitization of STIs and made possible the construction of knowledge about trichomoniasis. Our results indicate that male students of engineering and geosciences deserve attention in sex…

  • Multiprofessional treatment and approach in patients

    Introduction: Amyotrophic Lateral Sclerosis (ALS) is a degenerative disease that affects motor neurons in a progressive and generalized way, with an incidence ranging from 0.3 to 3.6: 100.000 people per year. Objective: To analyze the importance of multiprofessional care for patients with ALS. Methodology: Literature Review through the Pubmed and Uptodate databases with the descriptors “Amyotrophic lateral sclerosis” and “multidisciplinary”. Results and Discussion: ALS is the most common motor neuron disease in the world, with weakness, spasticity, hyperreflexia, muscular atrophy and fasciculations. It is very much associated with depression, cognitive, behavioral and mood disorders, causing social and economic problems for patients and their families. Its prognosis is bleak, with death after about two to three years of diagnosis. Riluzole is a safe and effective drug for the management of ALS, capable of prolonging survival in about six months. In May 2017 the use of Edaravone for the treatment of ALS was approved, so the current therapeutic recommendation is the use of this as an adjunct to Riluzole. According to a 2017 review of the Journal of Multidisciplinary Healthcare, more important than drug therapy itself in ALS, is the multiprofessional approach. Currently there is evidence of the importance of the role of neurologist, gastroenterologist, palliative care specialist, physiotherapist, occupational therapist, speech therapist, nutritionist, nurse, psychologist and social worker in the treatment of ALS – each professional with different skills, knowledge and experience must act together to provide the best possible care for patients in this situation and their families. Conclusion: Despite the socioeconomic difficulties found in Brazil, it is scientifically proven the importance of the multidisciplinary approach not only for patients with ALS, but also for their families, so that it should be encouraged in different care settings.

  • The nurse’s importance in the aid to a congenital condition of cardiopathy

    Introduction: Cardiopathy is a chronic disease that affects the heart structure, preventing or disturbing its healthy operation. The congenital status of this disease affects by consequence the fetus’ growth and maturation which in serious cases harms the child’s development. It is in this moment that the professional role of nursing is crucial by the constant aid, both to the patient and its family. Objective: Emphasizing the nurse’s importance in the aid to a congenital condition of cardiopathy. Methodology: A search was carried out in the SCIELLO virtual library and in the LILACS database, using the descriptors “Congenital Cardiopathy”, “Nursing”, “Children Affected by Heart Diseases”, “Risk Factors”. Were separated 25 articles dated between 2011 and 2016. With the complete text and in Portuguese language, totaling 8. After reading the articles, 5 studies provided the information of this summary. Results and Discussion: In context where the congenital cardiopathy highlights and causes issues since the child first years of life, the nurse comes as the principal aid parts to the family. This starts during the pregnancy by raising awareness of the the risk factors and it extends to the everyday care with the patient. Children that presents cardiovascular diseases exhibit a frequent need for nursing diagnostic. Besides the professional and flexible aid from all in this area, pediatrics count with this flexibility to interact and caring for patients. Conclusion: We can conclude that the professional nurse figure is of the utmost importance for the follow-up of congenital cardiopathy. The nurse must exercise his/her knowledge to aid in the patient’s care process, in addition to support their family. The professional care must be started in the antenatal support, following the child’s life until the disease is stable.

  • The Adverse Effects Of Prolonged Use Of Corticosteroids And (Non-Steroidal Anti-Inflammatory Drugs) Nsaids In Rheumatoid Arthritis

    Introduction: Rheumatoid arthritis (RA) is a chronic disease whose main symptom is inflammation of the joints. The main drugs given to fight this disease are corticosteroids that have anti-inflammatory action and (non-steroidal anti-inflammatory drugs) NSAIDs. While drugs are extremely useful in the treatment of this disease, corticosteroids have a list of side effects if used too much and for long time. Objective: emphasize the adverse effects of prolonged use of corticosteroids and (non-steroidal anti-inflammatory drugs) NSAIDs in rheumatoid arthritis. Methodology: This study deals with a literature review performed in databases the SciELO and Pubmed, using combinations of descriptors “Rheumatoid Arthritis”, “Corticosteroids”, “Consequences”. 101 articles were found, from which 6 were selected the reading of the respective digests. Results and Discussion: The studies and research already carried out on this subject have shown that 20-40% of patients, adults or elderly, who use (non-steroidal anti-inflammatory drugs) NSAIDs at risk of having gastric ulcer, as well as 42% of users have likely increased incidence of cardiovascular events. Their prolonged use may also increase in 5-6 mmHg the average pressure in patients with hypertension..Hospitalization is more frequent in patients who ingest steroids, being admitted with sepsis 0.05% compared with 0.02% of those who did not. As to thrombus formation, the rate of hospitalization was 0.14% versus 0.09% and fractures was 0.51% versus 0.39%. In the face of variables involving rheumatoid arthritis, NSAIDs and corticosteroids, while treating the condition can cause a lot of damage to the patient if administered without interruption. Conclusion: It is necessary further studies on the adverse effects of drugs, research on palliative alternatives and new therapeutic strategies such as drug therapy, physical therapy, psychosocial support and surgical treatments.

  • Systematization of Patient Assistance With Primary Progressive Multiple Sclerosis

    Introduction: Multiple sclerosis is an immunological disease wich affects the Central Nervous System leading to the progressive destruction of a part of the structure of the nerves and interfering in the conduction of the signal of nervous stimulation. Objective: Identify Nursing diagnoses present in a Primary Progressive Multiple Sclerosis patient. Methods: It is a descriptive study of the clinical case report type carried out from June to July 2016. Data collection was performed using physical examination and medical records. Results: R.M.S. 44 years old, was admitted to a university hospital in Recife-PE referring to symmetric and ascending numbness in the lower limbs in a continuous and progressive way, imbalance, difficulty in walking, constipation, retention and urinary urgency, besides erectile dysfunction. Imaging examinations revealed neuroimaging suggestive of demyelinating lesions. Magnetic resonance imaging showed hypertensive foci in the T2 region in supratentorial (predominantly colosal), medullary and left hemipons compartments, some of which presented contrast uptake. Cerebrospinal fluid (CSF) was collected through lumbar puncture with negative results for toxoplasmosis, schistosomiasis, cytomegalovirus, HIV and HTLV 1 and 2 serologies. Nursing diagnoses identified: Impairment of physical mobility related to muscular paresis and imbalance; Risk for injuries related to impaired sensory and motor capacity; Impaired urinary and intestinal elimination related to a dysfunction of the nervous system; Speech and swallowing impaired by glossopharyngeal nerve involvement. The Nursing practices prescribed according to the respective diagnoses listed were: Assist the patient while walking; Record and monitor the values of urine output and intestinal elimination; Accompany the patient during dietary intake. Conclusions: After performing the procedures, patient evolved with improvement of the condition and was guided to follow-up through the outpatient clinic of the referred hospital.

  • To analyze the importance of the nursing professional in controlling the risk factors that cause heart failure in the elderly

    Introduction: Despite the technological advance and the increase in population longevity, heart diseases continue to affect the elderly intensely, making nursing professionals’ need for assistance more evident. In the case of a non-congenital state, several risk factors that emphasize the influence of the nurse in the role of prevention and care for patients with such pathology can be highlighted. Objective: To analyze the importance of the nursing professional in controlling the risk factors that cause heart failure in the elderly. Methodology: A search was performed in the LILACS database, as well as in the SCIELO virtual library, using the descriptors “Cardiopathic Diseases”, “Elderly”, “Risk Factors”. We found 23 articles published in the period from 2011 to 2016, with the complete text and in the Portuguese language, totaling 6 articles. After reading the articles, 4 studies assisted in the production of this summary. Results and Discussion: Faced with such facts, the importance of nursing care in cases of elderly patients with heart disease is undeniable; Assistance ranging from prevention in basic care programs with the explanation of risk factors to palliative care. Due to the vulnerability of the elderly, attention and help must be redoubled to prevent this weakness from reaching its final state, since they are more likely to develop joint diseases than cardiopathy. Conclusion: Faced with these facts, we can emphasize that cardiovascular diseases affect, mainly, the elderly population because they are a risk group, as they need special assistance from nursing professionals. Thus, the orientation role of nurses and other health professionals is essential for the reduction of the rate of heart disease in the elderly population.