Recent Articles

  • To assess depressive symptoms in children

    Depression is a disorder that interferes in lives of human beings in a broad and comprehensive manner in several respects. Objectives: To assess the presence of depressive symptoms in children and make a comparison between two different groups. The research is a pilot study, who is results of a Masters dissertation who is in development. It counted on two types of samples totaling 36 children. Was realized analyzes mean comparison between samples using the Student t test for independent samples. After accomplish the analyzes between the groups previously discriminated against in the survey, it was found that there was no statistically significant difference in the total score for the instrument of depressive symptoms between the clinical and the school group. However, when the analysis was redone and the groups were outlined by a median, it was found that there was statistically significant difference in the total score for the instrument of depressive symptoms between the upper and lower group. At the end of the study it was concluded that their main objective was successfully achieved. Nevertheless, this is still an early study, which needs to be given continuity and enhanced in order to obtain even more scathing informations.

  • THE IMPORTANCE AND BENEFITS OF CHILD VACCINATION AND THE FACTORS THAT TAKE VACCINE DELAY: A REPORT OF EXPERIENCE

    Introduction: Vaccination is the most effective means of combating and preventing immunoprevolutionary diseases. This is only possible through vaccination, actions that represent one of the most important public health interventions in the control of pathologies generated by immunizable agents. which strengthens the effectiveness of vaccines. Objective: To report the experiences of nursing students in a supervised activity of the discipline Child Health on the importance and benefits of childhood vaccination and the factors that lead to vaccine delay. Methodology: Descriptive study of the type of experience report, carried out in a Basic Health Unit in the city of Maceió from March to June 2018. Outcome: During the period of the Child Health discipline, it was possible to observe the importance of childhood and the benefits that the vaccine brings, because the child who has the vaccination card in the daytime hardly gets sick by immunoprevolution. Having all the benefits of vaccination can still have a child who is not up to date with the passbook due to some factors such as: lack of information from parents about the importance of updated vaccination, logistical problems, among others. Thus, leaving children vulnerable to disease that can be prevented through the practice of vaccination. Conclusion: In the face of everything it is perceived that vaccination is a form of public health intervention in the fight against disease that can be avoided through the vaccine and also a way to reduce the costs of hospitalizations in hospitals.

  • INDUCTION OF EXPERIMENTAL TROMBOSES IN ANIMAL MODEL

    Introduction: In vivo studies, related to thrombosis, allow a better understanding of the biological behavior of molecules with thrombolytic properties. Goal: To evaluate the methodological characteristics as well as the efficacy of thrombosis induced by the association of the blood stasis method and ferric chloride (FeCl3). Methodology: Review of published literature on the topic “Experimental thrombosis”. This search was performed in the Pubmed, ScieceDirect, Scielo and Google Academic databases, by crossing the following descriptors: Thrombosis, Fibrinolytics and Cardiovascular Diseases. Articles, dissertations and theses written in Portuguese and English were selected without delimitation of the date of publication. Results: National and international studies have shown that the induction of thrombosis, by association of the methods mentioned above, is simple, cheap and reproducible. In addition, this combination of techniques allows adequate mimicking of the thrombogenic characteristics observed in humans. Conclusion: Studies in biological models are essential for understanding the mechanisms involved in thrombotic disorders.

  • PALLIATIVE CARE IN NEONATOLOGY: A PARADIGM CHANGE

    Introduction. Palliative care in neonatology involves a vision centered on the baby and his family. Assistance is not only focused on healing, but also on management of discomfort, support for family members, and parental involvement in decision making. Objective. Provide interdisciplinary care centered on the neonate and his / her family, supporting the physical, psychosocial and spiritual symptoms, helping in the decision process after the diagnosis of severe fetal disease. Methods. The interdisciplinary group “Caring for Life” was created in June 2017, which meets fortnightly for discussion of cases, scientific study and pipeline planning. Results. In the period from June 2017 to October 2018, 27 interdisciplinary team meetings were held, and 29 patients were attended, 5 of them being followed from the gestation period. There was sharing of information, providing explanations about procedures and welcoming feelings. In addition, unnecessary invasive procedures, skin-to-skin contact between the parents and the baby, avoidance of visiting hours, religious ceremonies, and farewell rituals in cases of death were avoided. Conclusion. The integral support to the family of a baby with diagnosis of serious illness can contribute to the understanding and elaboration of the situation, making possible the strengthening of the confrontation of this family. The practice in a palliative care team has provided professionals with the widening and sensitization of the gaze regarding the process of care, illness and death, qualifying care.

  • UTIs in Chronic Health Situations

    UTIs are a severe public health problem and are caused by a range of pathogens, but most commonly by Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, Enterococcus faecalis and Staphylococcus saprophyticus. High recurrence rates and increasing antimicrobial resistance among uropathogens threaten to greatly increase the economic burden of these infections. UTIs typically occur when bacteria enter the urinary tract through the urethra and begin to multiply in the bladder. Although the urinary system is designed to keep out such microscopic invaders, these defenses sometimes fail. If left untreated, a urinary tract infection can have serious consequences. Adult women are 30 times more likely than men to develop a UTI, with almost half of them experiencing at least one episode of UTI during their lifetime. Uncomplicated lower UTI remains one of the most commonly treated infections in primary care. A complicated UTI is an infection associated with a condition, such as a structural or functional abnormality of the genitourinary tract, or the presence of an underlying disease. Diagnosis of a UTI is based on a focused history, with appropriate investigations depending on individual risk factors. The paper reviews several chronic conditions that are risk factors for UTIs in human being.

  • POST-BARIATRIC SURGERY NUTRITIONAL REQUIREMENTS – Part 2 (Recommendation of macro and micronutrients and Nutritional Therapy)

    In order to minimize nutritional complications and create conditions for greater long-term success, it is important to predict, prevent and correct nutritional changes in pre-post surgery, with careful monitoring and nutritional supplementation according to guidelines. Priorities are the nutritional education of the patient/family, aiming at good eating habits, within their lifestyle and socioeconomic and cultural conditions. Nutrients Regular follow-up with a specialized nutritionist is essential to facilitate adequate weight loss and to assess the intake of micronutrients that may be inadequate due to the gastric restriction of the gastric band (BG) and sleeve gastrectomy (GV) techniques; of gastric restriction and dysabsorption in gastric bypass (BGYR) and minor gastric restriction and major dysabsorption in biliopancreatic bypass (BPD) and duodenal switch (BPD-DS). The latter 2 carry greater risk for protein malnutrition and micronutrient deficiencies. In all techniques except BG, there are functional and hormonal changes involved in the control of hunger and appetite, food intake, satiety, metabolic glucose change and changes in intestinal hormones such as ghrelin, GLP-1 and PYY.

  • POST-BARIATRIC SURGERY NUTRITIONAL REQUIREMENTS – Part 1 (Nutritional Therapy in the evolution of diet and Dumping Syndrome)

    Bariatric surgery is a form of treatment for morbid obesity (Body Mass Index – BMI – ≥ 40 Kg/m2) and, in patients with comorbidities such as diabetes mellitus from a BMI ≥ 35 Kg/m2. Bariatric diet protocols are defined by each surgical team and may vary in the progression of dietary consistency. However, they all share common nutritional goals such as: – Maximize weight loss and absorption of essential nutrients – Maintain adequate hydration – Avoid vomiting and dumping syndrome Nutritional guidance is based on a diet with minimal calories and high in essential nutrients, ensuring healing and minimizing loss of lean mass. The diet should reduce reflux, early satiety and dumping syndrome, at the same time increasing the expected weight loss for each period and, later, the maintenance of the acquired weight. Women who become pregnant should be monitored for adequate weight gain and specific supplementation, meeting the needs of the mother and fetus. Diet stage and progression The progression of diet consistency is based on post-surgical recommendation protocols. To improve the results, patients and family members already receive, in the preoperative period, a structured postoperative diet, with examples of menus and recommendations regarding the type of food, preparations, volume, in addition to basic notions of dietary technique.

  • THE ROLE OF BASIC CARE IN FOLLOW-UP PATIENT WITH CHRONIC PAIN

    INTRODUCTION: Chronic pain can be considered a pathology and not just a symptom, which negatively influences people’s quality of life, causing a decrease in autonomy, isolation and impact on social life. In this context, considering the pain related to chronic health problems, it can be stated that Primary Care represents a strategic service due to its high capillarity and potential to identify health needs of the population, supporting the organization of care throughout the healthcare network. health services. OBJECTIVE: To discuss the role of primary care in the management of patients with chronic pain. METHOD: This is a descriptive study of qualitative approach, conducted through literature review. DISCUSSION: Social determinants can be considered to strongly impact the prevalence of chronic diseases as well as their reflexes such as pain. Social inequalities, differences in access to goods and services, low education, and inequalities in access to information generally determine a higher prevalence of chronic diseases and diseases resulting from the evolution of these diseases. In this context, Primary Care plays a fundamental role as it represents a high capillarity strategic service. CONCLUSION: Primary Care has great potential to identify the health needs of the population, supporting the organization of care throughout the health services network, contributing to factors that negatively impact the health of the population causing pain and psychological distress.

  • A Study on Bird Diversity and Abundance in a Lowland of the Centre Region of Cameroon (Ekoko II village) confirm High Diversity in the Congo Basin Forest and a Greater Dominance in the Distribution of Species in the Lowlands

    Cameroon is one of the six Congo Basin Forest countries. The Centre region of Cameroon (Central Africa) is a relictual site in which several expeditions by naturalist ornithologists have permitted to describe many new birds’ specimens. Only in recent years, very few bird surveys have been conducted in this area to get an idea about the new or old taxa that make up this region. We conducted a bird survey in a locality of the Centre region of Cameroon, Nsimalen district of Mfou (more precisely in the Ekoko II village) to investigate the avifauna as well as to explore the abundance, diversity and distribution and eventually their reasons. To obtain the abundance of bird species, we used the mist-netting method and captured birds during eleven months. In order to analyse diversity and distribution of this avifauna in their life environment, we performed analyses with SAS/STAT and PAST software. We caught 227 individuals belonging to 24 birds’ families. Compared with previous surveys in this region, we newly recorded one family (Phylloscopidae), one genus (Phylloscopus) and two species: Phylloscopus bonelli and Criniger ndussumensis. In the Ekoko II avifauna, many are sedentary but there is also a great mixture of birds described as seasonal migrants, intra-African migrants, residents, etc. Values of the obtained diversity indexes show that the Nsimalen village exhibits a great avifaunistic diversity. Our results show an absence of the supremacy of one species (H’=3.14) and the value of the Equitability index (J’=0.80) supports an equal distribution of the individuals. Then the pattern of distribution of the species also appears to lean on ecological factors and in this case, the vegetation which would have played a main role in their distribution with a mix of specialists and generalists birds or even migratory birds due to the abundant vegetation. Otherwise, our study…

  • Anti-inflammatory Activity of Saccharum Officinarum Linn (Poaceae) Juice in Animal Models

    Saccharum officcinarum (SOC) juice has been used for treatment and management of several conditions including urinary tract infection, diabetes, constipation, tooth decay and bad breath according to folklore. This study was carried out to explore the anti-inflammatory effects of the juice of Saccharum officinarum in doses of 2.5, 5.0, 10.0 and 20.0 mL/kg using the following models in rats – carrageenan, histamine, serotonin, formalin-induced paw oedema, and cotton-pellet granuloma. Also employing the following models in mice – castor oil-induced diarrhea and xylene-induced ear oedema. Animals were pretreated with aspirin (100 mg/kg; p.o), cyproheptadine (10 mg/kg; p.o.), atropine (1 mg/kg p.o), dexamethasone (5 mg/kg; p.o.) and celecoxib (20 mg/kg p.o.). Oral administration of SOC juice significantly (p