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  • FAMILY AND DEAF: HOW DO YOU COMMUNICATE?

    INTRODUCTION: Human hearing is part of a very specialized system, only in humans this system allows the processing of acoustic events, such as speech (FRAZZA et al, 2000). Hearing loss occurs when there is some type of alteration in the structures that make up the auditory system and this loss can be of different degrees and types depending on the affected location (CORMEDI, 2012). In most cases of children who have been diagnosed with deafness, it is necessary to stimulate speech therapy because this is the beginning of the process to acquire language in these individuals, since communication between family members and deaf people often becomes difficult (BOSCOLO , SANTOS, 2005). OBJECTIVES: To analyze the conception of family members about how to communicate with the deaf, identifying the means they use to communicate. METHODOLOGY: This research is a descriptive, field study, with quantitative and qualitative nature. Data collection was of a systematic nature, using as a selection criterion 10 (ten) family members, determined by convenience, who attend the Educational Audiology sector of the Clinic School of Speech-Language Pathology and Audiology at UNIPÊ-PB. The instrument used was a structured questionnaire with 7 (seven) objective and 1 (one) subjective questions. As a requirement for the start of data collection, the research project was forwarded for analysis and opinion of the Ethics Committee of the University Center of João Pessoa – UNIPÊ, fulfilling the requirements of resolution 466 \ 12 of the National Health Council (NHC). Only after the approval of the Ethics Committee, CAAE: 54711216.6.0000.5176, was the questionnaire applied. RESULTS: With the 10 interviewees, it was observed that 70% used oral language to communicate; 60% of the patients are not users of LIBRAS (Brazilian Sign Language), but they answered that it helps in the socialization of the deaf and presents no disadvantages;…

  • Compositional analysis of genetically modified soybeans placed on Taiwan market

    Soybean is an important protein source for consumers in Taiwan. Soybean production in Taiwan is not self-sufficient. Taiwan imports 2.5 million tons of soybeans annually. More than 90% of the imported soybeans are genetically modified (GM). To provide an objective assessment on safety of GM soybean and for post-market monitoring, we conducted a comparative assessment on key component compositions between imported GM soybean and local non-GM soybean from Taiwan. All the soybean samples were purchased from the local market to simulate the status of Taiwanese consumers in purchasing soybeans. The GM soybean samples were herbicide-tolerant soybeans. The content of the proximate, the amino acid composition, the fatty acid composition, vitamins, minerals, antinutritional factors, and isoflavones of soybean samples were analyzed. Most contents of the key components of the GM soybean had no significant difference with those of the non-GM soybean. However, the contents of ash, crude protein, amino acids, myristic acid, behenic acid, phosphorus, iron and phytic acid were significantly lower in the GM soybean samples, and the contents of crude fat, margaric acid, and stearic acid were significantly higher in the GM soybean samples. But they were all within the range of reference values. A total of 314 pesticide residues in each of the samples were analyzed. Glyphosate residue was detected only in GM soybean samples, but it is well below the threshold prescribed by the government. In summary, the GM soybean samples purchased from Taiwan market were shown to be substantially equivalent to non-GM soybeans.

  • Factors associated with morbidity in ICU

    The beginnings of caring for critically ill patients date back to Florence Nightingale’s work during the Crimean War in 1854, but the subspecialty of critical care medicine is relatively young. Many factors are hypothesized to contribute to the relatively high incidence and associated morbidity of medication errors in the ICU. The patients themselves are the most complex and critically ill in the hospital setting [1]. Critical care areas present a particular challenge with regard to medication errors. They are a dynamic environment with critically ill patients who often require rapid adaptation of ongoing management. ICUs can be error-prone settings, where even otherwise minor adverse events can lead to serious disability. By virtue of being sicker, older, and having more comorbidities, these patients are less resilient to errors. Because they require a higher intensity of care provision and may receive more medications, they may be at greater risk of iatrogenic harm. Pharmacokinetics of medications can also be altered in critically ill patients, principally through changes in volume of distribution and drug clearance. Large volume resuscitations, positive pressure ventilation, surgical procedures, systemic inflammatory response, and changes in protein binding, all common in ICU patients, affect the pharmacokinetics of many drugs. In addition, these patients are usually unable to help facilitate their own care, a problem aggravated by the volume of transfers to and from ICUs. Medication safety in ICUs might also be compromised because of the risks associated with the use of multiple medications per patient and the use of high-risk drugs associated with potentially severe adverse events [2]. Drugs used in the ICU are more likely to be potent, require dose calculations, have medication interactions, and be continuous infusions (which have a greater potential for error). Many medications may be used for off-label indications in the ICU setting, similar to the…

  • Alternative Measures to Chronic Pain Management

    “No pain no gain” still is one of the most widely used inspiring quote. With that spirit, chronic pain sufferers should find heaven on earth at some point of life. However, chronic pain is a widespread and complex set of conditions that are often difficult and expensive to treat. The Institute of Medicine (US) estimated that chronic pain affects over 100 million Americans [1] and is associated with $874 billion in healthcare costs annually [2]. Of this, close to 10% ($78 billion) is associated with the economic burden of prescription opioid overdose, abuse and dependency [3]. Pain increases depression 3-5-fold [4-6] and 50–90% of chronic pain patients report insomnia that warrants clinical attention [7-10]. Conventional pain killers are usually associated with a variety of adverse side effects, such as constipation, urinary retention, nausea, sedation, respiratory depression, low platelet count, sexual dysfunction and hyperalgesia [11-14]. Pain affects more than 65% cancer patients [15], distressing or intolerable in more than one‐third of patients [16]. Although, WHO described opioids as essential medicines for pain control but distribution shows substantial inequity, 10% of the world’s population consuming more than 90% of the world’s supply [17], 80% opioids consumed by US alone [18-23]. Famous celebrities like Bruce Lee, Chris Penn, Elvis Presley, Heath Ledger, Anna Nicole Smith died from opioid overdose. Also, some 85% of primary care physicians perceived their training in pain management to be inadequate in a Pan-European survey [24,25]. Along with these, fear of dependence, prescription diversion, regulatory scrutiny, withdrawal symptoms, opioid-related adverse events and deaths limit its use. Although, abuse and availability of medical cannabis are big issues, several studies support use of cannabis/marijuana in cancer pain management [26-36]. Its social acceptability is gradually increasing around the world [37], but many studies oppose it’s use or at least demand further investigation…

  • Lifestyle Issues and Prevention of Recurrent UTIs

    UTI is one of the most prevalent diseases with diverse etiological agents annually affecting 250 million and causes death of 150 million people worldwide [1,2]. Adult women are 30 times more likely than men to develop a UTI [3]. Although the estimated mortality rate is generally lower than with RTIs, it may rise up to 26% if complicated with bacteremia or septic shock [4]. Financial burden of UTIs exceeds $3.5 billion in US alone [5] whereas more than 50% of the antibiotics prescribed for a suspected UTI in older adults being considered unnecessary [6]. More interestingly, nosocomial UTIs account for nearly 40% of all hospital acquired infections [7] and around 50% of UTI in children are missed [8]. Recurrent UTIs (RUTIs) are mostly caused by frequent sexual intercourse, heterosexual lack of circumcision receptive anal intercourse (without a condom), multiple sexual partners (each sex partner shares his/her UGT microbiota with the other), use of spermicide and a new sexual partner, sexual intercourse with addicted partners, sexual intercourse with sex workers, sexual intercourse with online dating friends, sexual intercourse with a new sex partner within less than 2 months [9-20]. Traditional lifestyle factors such as fluid intake and diet are not considered independent risk factors now [15]. UTIs account for nearly 25% of all infections [16]. Sexual intercourse ≥3 times/week was associated with greater frequency of UTI [21]. Close proximity of the urethral meatus to the anus and shorter urethra, is a likely factor [22-26]. Many other factors have been thought to predispose women to RUTIs, such as voiding patterns pre- and post-coitus, wiping technique, wearing tight undergarments, deferred voiding habits and vaginal douching; nevertheless, there has been no proven association [16]. Although, genital hygiene practices such as frequency of coitus, urinating after coitus, washing genitals precoitus, male partner washing genitals precoitus,…

  • Dengue Protection and Cure: Bangladesh Perspective

    Up to 50-100 million infections are now estimated to occur annually in over 100 endemic countries, putting almost half of the world’s population at risk. Bangladesh is one of the countries that are affected by dengue viruses. Dengue is a viral infection caused by four types of viruses (DENV-1, DENV-2, DENV-3, DENV-4) belonging to the Flaviviridae family. These mosquitoes thrive in areas with standing water, including puddles, water tanks, containers and old tires. Lack of reliable sanitation and regular garbage collection also contribute to the spread of the mosquitoes. The disease has probably been known since the Chinese described it in 420 AD. Outbreaks are increasing although there is no human-to-human transfer, only mosquito-to-human viral transfer. Africans described “ka dinga pepo” as cramp-like seizure caused by an evil spirit. The Spanish may have changed “dinga” to dengue since it means fastidious or careful in Spanish, which describes the gait of people trying to reduce the pain of walking. With the number of patients rising, hospitals outside Dhaka are facing huge challenges to cope with the pressure, mostly due to lack of diagnosis chemicals, kits and other medical support.

  • FEELING OF REFUSAL OF A PREGNANT IN FACE OF A GESTACIONAL LOSS: EXPERIENCE REPORT

    Introduction: The Project of Interdisciplinary Actions in Maternal and Child Health proposes actions directed to the health of the mother-baby binomial, accompanying from the prenatal to the infantile development, from an interdisciplinary perspective, involving Nursing, Psychology and Social Assistance courses of Federal University of Alagoas, Campus Arapiraca. Situations of gestational loss are often accompanied in the design practices. When considering the aspects of attachment and affection already present in the mother by the child, fetal or neonatal death brings to the surface the suffering expected before the death of a loved one, mourning being a natural process of passing through loss. Considering the stages of mourning pointed out by Elizabeth Klub-Ross, one of our experiences observed the phase of negation of a mother during the situation of gestational loss. Objective: This study aims to report the performance and importance of the interdisciplinary team in the face of gestational loss. Methodology: Descriptive study of the type of experience report based on the experience of students of Nursing and Psychology, Federal University of Alagoas. The experience in question happened in September of 2018, in a maternity hospital in the city of Arapiraca-Alagoas. Results: During a prepartum visit, we were confronted with a young woman at the 33rd gestational week who had received the news that her baby during the second trimester of pregnancy diagnosed with microcephaly was anencephalic and had almost no beating auscultation. The pregnant woman was 3 centimeters dilated and was informed of the remote possibilities of her son surviving. Faced with the news that her son’s chances of being born dead were high, she presented herself by caressing her belly and resistance to dialogue, by confining herself to reporting that her pregnancy was high risk. The elusive behavior evidenced the anticipation of mourning. The members of this project, being…

  • COGNITIVE PROFILE IN ELDERLY WITH MEMORY CHANGE COMPLAINTS

    Introduction: Population aging has increased over the years and directly affecting the health system. Latin America is considered to be a region where good information about dementia is lacking. Objective: The objective of this study was to evaluate the cognitive profile of the elderly with complaints of memory impairment. Method: The study was performed with patients who were being followed up at a public hospital in Recife – PE. Data were collected through the CERAD neuropsychological battery. Results and Discussion: 42 elderly people were evaluated in the first half of 2018, of which 13 were men and 29 were women with a mean age of 74.12 years. The majority, 74.36%, did not present scores compatible with GDS depression and MMSE was normal in 69.05% of the elderly; 66.67% presented alterations in the design of the clock and the majority presented alterations in the evocations of immediate and late words and also in the recognition of words. The CDR scores for 34.15% were compatible with mild dementia and moderate dementia classified 24.39% by CDR. Conclusions: Measures to diagnose the cognitive profile in the elderly are fundamental for the elderly to have a good quality of life and qualified treatment from health professionals.

  • IDENTIFICATION AND REVELATION OF GESTACIONAL LOSS: EXPERIENCE REPORT

    Introduction: The Project for Interdisciplinary Actions in Maternal and Child Health consists of a strategy focused on maternal and child health care, as an extension project of the Federal University of Alagoas, Campus Arapiraca, with a focus on interdisciplinarity encompassing the courses: Nursing, Psychology and Social assistance. From the experiences in the project, a gestational loss situation caught the attention of the members of the same. According to the Ministry of Health fetal death is characterized as the death of the product of gestation before expulsion or complete extraction of the maternal body. The fact that, after separation, the fetus shows no sign of life indicates death. Objectives: To report the experience of a woman who suffered gestational loss accompanied by project members during action in a maternity. Methodology: Descriptive study of the type of experience report based on the experience of students of Nursing and Psychology, Federal University of Alagoas. The experience in question happened in May of 2018, in a maternity in the city of Arapiraca-Alagoas. Results: During the project actions we had contact for two consecutive days with a pregnant woman, term, primípara, accompanied by the husband and the mother. She reported pain in the lower back and lower belly. The first day was in the latency phase of labor and was advised by the nurse on call to wander to help in uterine dynamics. The next day, the parturient was in active labor, she was accompanied by her mother and the psychology student, until then everything went without complications. On this occasion the nurse asked us to listen to the fetal heartbeat, however, we could not detect them and we informed her that she was initially able to perceive fetal bradycardia and then no longer identified them. With this, the parturient was referred to the surgical…

  • AMENIZING FEAR: INTERVENTION PROPOSAL FOR PRE-SURGICAL PREPARATION IN CHILDREN THROUGH SKINNER’S MODELING

    Introduction: The child’s hospitalization can be perceived as a threatening experience, favoring the emergence of a situation of suffering during hospitalization, as well as the moment before a surgical procedure that often involves a state of fear. Objective: To propose psychological intervention for pre-surgical children of a hospital of high complexity in the city of Recife-PE. Methodology: Use of modeling as a form of pre-surgical preparation of children, aged between 6 and 12 years, based on the theoretical basis of Behavioral Approach Theory. The intervention will happen by modifying the behavior by means of successive approximations, similar responses with the target response, divided into five stages. Play materials will be used, such as patient doll, kit dodói, surgical instruments, infirmary kit, surgical room design, among others. Results: It is known that there is usually a deficiency related to the qualification of the health team regarding the emotional assistance of the preoperative patient, which can lead to doubts, fears, anxiety and fantasies about the surgical procedure. Therefore, pre-surgical preparation is a tool that can be used in pediatric wards because it is understood that it is necessary to provide the child with resources that facilitate his perception of the reality of the surgery and its purpose. Conclusion: To mitigate the fear of the child in a pre-surgical preparation is necessary and is possible through several expressive resources, besides the modeling. It is suggested that this care in pre-surgical preparation be routine in the hospital, strengthening and contributing to improve the discomforts of pediatric patients.