Revista Contexto & Saúde最新文献

{"title":"Visceral leishmaniasis seroprevalence and associated sociocultural factors in an endemic area of Sergipe, northeastern Brazil","authors":"Jamisson Bispo de Sousa Santos, Joserlândia Dos Santos, Samuel Bispo de Sousa Santos, Anita de Souza Silva, R. Campos, Grace Anne Azevedo Dória","doi":"10.21527/2176-7114.2024.48.14980","DOIUrl":"https://doi.org/10.21527/2176-7114.2024.48.14980","url":null,"abstract":"The present study aimed to investigate the presence of anti-Leishmania antibodies in samples of domiciled dogs and associate them with epidemiological indicators in the city of Lagarto, Sergipe. The diagnosis of Canine Visceral Leishmaniasis (CVL) was carried out in 755 dogs, where the rapid two-way platform immunochromatographic test (TR-DPP) (Fiocruz/Biomanguinhos) and the serological test of Enzyme-Linked Immunosorbent Assay (ELISA) were applied. The results showed that all homes with seroreactive dogs were close to abandoned land, squares and/or green areas. There was a significant association between seroactive animals and type of shelter (p=0.008); 54.8% had an indoor shelter and 45.2% of the dogs had a shelter outside their homes. The disease is geographically distributed in 14 (73.68%) of the 19 sample areas in the municipality. Of these, five (26.31%) had cases of Visceral Leishmaniasis in dogs and humans. Eight cases of Human Visceral Leishmaniasis (HVL) were reported during the years 2017 to 2020 in the municipality. Dogs that are located in areas of greatest risk impact the maintenance of natural foci of Leishmaniasis transmission to human and animal hosts in areas endemic for Visceral Leishmaniasis. Such results are essential to assist epidemiological surveillance in the municipality of Lagarto-SE with the implementation of control measures aimed at the insect vector of the disease, the sand fly, to prevent human and canine cases.","PeriodicalId":267088,"journal":{"name":"Revista Contexto & Saúde","volume":"11 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140444620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a Game Therapy program with Leap Motion Sensor on the Manual Function in Adults with Cerebral Palsy","authors":"Natália Regina Kintschner, Ana Grasielle Dionísio Corrêa, Paloma Sena Ferreira Figueiredo, R. Cymrot, S. M. Blascovi-Assis","doi":"10.21527/2176-7114.2024.48.14345","DOIUrl":"https://doi.org/10.21527/2176-7114.2024.48.14345","url":null,"abstract":"Hand motor rehabilitation programs require long-term therapy and they are generally uninteresting and repetitive for the patient who is not always motivated to achieve them. The literature shows that Virtual Reality (VR) can increase motivation and engagement in motor rehabilitation programs. The aim of this study was to evaluate the effects of game therapy program for adults with cerebral palsy. The study included five adults with CP, levels 3 and 4 from Manual Ability Classification System (MACS). The manual function was evaluated before and after the game programs by the Box and Blocks and Jebsen-Taylor tests.  The program was offered in 15 sessions, twice a week, in a care association for people with CP. The results indicated the stability of the condition, which can be expected for the adult population. Some games were more motivating and through testimonials, participants demonstrated satisfaction and suggested technical changes for better usability of the games. Motivators therapeutic resources should be considered in adult therapy with CP.","PeriodicalId":267088,"journal":{"name":"Revista Contexto & Saúde","volume":"83 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140444032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Plasma atherogenic index and triglyceride-glucose index for identifying the cardiovascular risk in women with normal biochemical and anthropometric parameters","authors":"Tatiane Draguer Dal Ponte Pinheiro, Brenda da Silva, Mariana Spanamberg Mayer, Rodrigo Fernando dos Santos Salazar, Mariana Migliorini Parisi, Gabriela Bonfanti Azzolin","doi":"10.21527/2176-7114.2024.48.13579","DOIUrl":"https://doi.org/10.21527/2176-7114.2024.48.13579","url":null,"abstract":"Women have a specific hormonal risk associated with contraception, pregnancy and menopause, in addition to more risk factors for the development of cardiovascular diseases (CVD); and rapid, non-invasive, low-cost cardiovascular risk prediction tools can streamline the identification and prevention of CVD. Objective of the study to evaluate the risk of developing CVD in adult women using cardiometabolic indices such as plasma atherogenic index (AIP) and triglyceride-glucose (TyG) index for insulin resistance. This is an observational, cross-sectional and retrospective study. Data on the metabolic, clinical and anthropometric profile of adult women were analyzed and used for risk stratification of developing CVD through the use of TyG and AIP indices. Of the participating women (n = 60, 28.55 ± 8.30 years), 50% women had an increased risk according to AIP despite having normolipidemia, normoglycemia, and normal BMI. Also, they had higher TyG index values. Further, the correlations of TyG and AIP with biometric and lipid parameters were associated with metabolic syndrome. AIP and TyG index can identify the risk of developing CVD, even in the presence of normal anthropometric and biochemical parameters.","PeriodicalId":267088,"journal":{"name":"Revista Contexto & Saúde","volume":"154 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140443808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blood transfusions per hospitalization in the local public health network of Belo Horizonte between 2008 and 2021: A time series analysis","authors":"Elias Melo de Oliveira, Marcia Kanadani Campos, Ana Virgínia Cunha Martins, Ana Flávia Dinardi Alves Pinto, Alzira de Oliveira Jorge, I. Reis","doi":"10.21527/2176-7114.2024.48.14650","DOIUrl":"https://doi.org/10.21527/2176-7114.2024.48.14650","url":null,"abstract":"Background: Blood transfusion rates are increasing worldwide. This work was a longitudinal retrospective study conducted with data referent to the use of blood components between January 2008 and December 2021 in the local public health network of Belo Horizonte, Minas Gerais, at Hospital Risoleta Tolentino Neves (HRTN), Hospital Metropolitano Dr. Célio de Castro (HMDCC), and Hospital Metropolitano Odilon Behrens (HMOB). Objective: This study sought to describe the time series of the number of blood transfusions and blood transfusion rates per general hospitalization through a time series analysis. Methods: Through data from the Hospital Information System of the Unified Health System (HIS-SUS), this study formulated six monthly time series of the number of blood transfusions and blood transfusion rates per hospitalization. The stationarity, trend, and seasonality of the time series were verified by the unit root test, using the Mann-Kendall and the Fisher tests, respectively. The normality hypothesis of the data was verified by the Shapiro-Wilk test. All of the statistical tests considered a significance level of 5%. Results: The average monthly blood transfusion rates per hospitalization observed in this study were 45.5%, 26.9%, and 26.3% at HRTN, HMDCC, and HMOB, respectively. The highest decrease in the number of blood transfusions was observed at HMDCC and the highest decrease in blood transfusion rates was observed at HRTN. Packed red blood cells were the most commonly used blood component at HRTN, HMOB, and HMDCC (54.6%, 58.3%, and 65.4%, respectively). The time series showed that they were non-stationary, with a downward trend and the presence of a 12-month seasonal component. Conclusion: The decline in the number of blood transfusions should be considered a positive phenomenon in public health due to best use and quality management, since a decrease in blood donation rates was also observed.","PeriodicalId":267088,"journal":{"name":"Revista Contexto & Saúde","volume":"53 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140444377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative analysis of the protein content and nutritional label of whey protein, plant-based, and animal proteins supplements","authors":"Lívia Velloso Fabris, Leonardo Moreira dos Santos, Giuseppe Potrick Stefani","doi":"10.21527/2176-7114.2024.48.14497","DOIUrl":"https://doi.org/10.21527/2176-7114.2024.48.14497","url":null,"abstract":"The consumption of protein supplements is increasingly part of the everyday life of adults in general and is associated with a healthier lifestyle. However, a constant lack of commitment to the quality of these products by companies poses risks to consumers’ health. Therefore, this study aims to analyze the protein content and compare it with the nutrition label of different protein supplements. This is an analytical original investigation. It was verified whether the food supplements comply with the label presented through food analysis (Kjeldahl method, ash content and moisture percentage) of the composition of various national and international brands (n=51). A total of 51 different protein-based supplements sold in Brazil were analyzed. The results showed that the protein values advertised on the nutritional label are similar to what the product has (P value > 0,05) and are within the 20% tolerance limit according to the current law. Also, there are similarities between different types of products (P value > 0,05) regarding their ash and water content. In conclusion, the nutrition facts of protein supplements reflect the reality of the bran of these products.","PeriodicalId":267088,"journal":{"name":"Revista Contexto & Saúde","volume":"22 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140443098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Bisphenol-A exposure triggers superoxide-nitric oxide imbalance and immunocompetence impairment of Eisenia fetida earthworm","authors":"B. O. Turra, I. D. da Cruz, N. A. C. Bonotto, C. F. Teixeira, M. Mastella, Wellington Claudino Ferreira, I. Jung, E. A. S. Musachio, M. Prigol, F. Barbisan","doi":"10.21527/2176-7114.2024.48.14558","DOIUrl":"https://doi.org/10.21527/2176-7114.2024.48.14558","url":null,"abstract":"Bisphenol-A (BPA) is an endocrine-disrupting molecule associated with the risk of several non-transmissible chronic diseases. We postulated that BPA triggers oxidative alterations, altering immunocompetence and contributing to physiological dysfunction. To evaluate the effects of BPA on the oxidative and immune system, Californian earthworms were reared in a culture medium containing different BPA concentrations for 24 and 72 h. Coelomocytes were used to evaluate the effects of BPA on oxidative markers, cellular proliferation, and apoptosis, and immunocompetence effects were investigated by yeast-exposure assay and the modulation of genes related to immune response. Low BPA concentrations induced coelomocyte proliferation, imbalanced superoxide/NO levels, higher micronucleus frequency, and apoptosis. BPA also induced Amp1 gene overexpression and a low efficiency of dead yeast capture. The association between DNA damage and changes in innate immune metabolism could be related to the action of BPA, which is associated with the risk of physiological disturbances and non-transmissible chronic diseases.","PeriodicalId":267088,"journal":{"name":"Revista Contexto & Saúde","volume":"18 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140442529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute effects of slow, controlled breathing exercises on arterial pressure and autonomic cardiac modulation in hypertensive patients","authors":"L. J. Rubin Neto, G. Puntel, Dhayan Quevedo Ferrão, Mireli Hemann Lamberti, Bruno Cesar Correa Arbiza, Katieli Santos de Lima, Antônio Marcos Vargas Da Silva, L. U. Signori","doi":"10.21527/2176-7114.2024.48.13894","DOIUrl":"https://doi.org/10.21527/2176-7114.2024.48.13894","url":null,"abstract":"The aim of the present study was to evaluate the influence of slow, controlled breathing exercises (SCBE) on arterial pressure and autonomic cardiac modulation in hypertensive patients. 29 hypertensive patients were evaluation in two data collections (period between 1 to 3 days). In each evaluation, data were collected after 10 min of spontaneous breathing (between 12 and 20 breaths per minute – bpm) and 10 min of SCBE (12 bpm, in the rhythm of standardized verbal stimulus). The arterial pressure was evaluated by a multi-parameter monitor and the autonomic cardiac modulation by the rate variability technique. The SCBE reduced systolic arterial pressure (1st evaluation: -4.8 mmHg and 2nd evaluation: -4.3 mmHg), decreased sympathetic activity by 18% and modified autonomic modulation by about 50%. SCBE reduced both systolic arterial pressure and sympathetic activity and can be used in control arterial pressure of hypertensive patients.","PeriodicalId":267088,"journal":{"name":"Revista Contexto & Saúde","volume":"29 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140444455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Desfechos maternos associados às intervenções no trabalho de parto de nulíparas de baixo risco","authors":"T. Coelho, Régia Christina Moura Barbosa Castro, Camila Chaves Da Costa, Jéssica Lourenço Carneiro, Nathanael de Souza Maciel, Ana Kelve de Castro Damasceno","doi":"10.21527/2176-7114.2024.48.13932","DOIUrl":"https://doi.org/10.21527/2176-7114.2024.48.13932","url":null,"abstract":"Este estudo objetivou analisar os desfechos maternos associados às intervenções realizadas durante o trabalho de parto de nulíparas de baixo risco. Trata-se de um estudo transversal, com 534 parturientes nulíparas. Foram utilizados modelos de regressão gamma e regressão logística, para o nível de significância p<0,05. O uso do partograma, venóclise, métodos não farmalógicos para alívio da dor, analgesia neuroaxial e manobra de valsalva estão associados a redução do tempo do período expulsivo. A cardiotografia na admissão (OR=0,20), ocitocina (OR=0,22) e jejum (OR=0,15) durante o trabalho de parto diminuíram as chances de parto vaginal, enquanto que, partograma (OR=11,00) e métodos não farmacológicos para alívio da dor no parto aumentaram as chances (OR=2,12). O estudo não revelou associação entre as intervenções e o grau de laceração perineal. O uso de ocitocina (OR=3,04), a realização manobra de kristeller (OR=9,03) demonstraram aumentar as chances de intercorrências após o parto, com prevalência para a hemorragia pós-parto. Conclui-se que as intervenções durante o trabalho de parto de nulíparas devem ser individualizadas e minimizadas, de modo a serem implementadas para obtenção de desfechos favoráveis às parturientes e seus conceptos.","PeriodicalId":267088,"journal":{"name":"Revista Contexto &amp; Saúde","volume":"187 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140443620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bolsa Família e (in)segurança alimentar em município mineiro: Estudo com crianças até sete anos","authors":" Ana Pereira Alvarenga, Milena Serenini Bernardes, Mariana Veríssimo, Laís Amaral Maís, R. Bernardes, Lílian Gonçalves Teixeira, Giovana Longo-Silva, M. Toloni","doi":"10.21527/2176-7114.2023.47.13963","DOIUrl":"https://doi.org/10.21527/2176-7114.2023.47.13963","url":null,"abstract":"O Programa Bolsa Família tem sido objeto de estudos que mostram o impacto na redução da extrema pobreza e na redução da insegurança alimentar e nutricional (IAN). Objetivo: investigar a prevalência de IAN e fatores associados entre famílias com crianças menores de sete anos participantes do Programa Bolsa Família, residentes em um município do sul do estado de Minas Gerais. Métodos: Estudo transversal quantitativo realizado com 145 famílias e 206 crianças menores de sete anos. Resultados: A prevalência de IAN foi de 77,9% e de insegurança grave de 15,9%. A associação entre INF e renda familiar (p = 0,024), alimentação após o benefício (p = 0,006), consumo de feijão (p = 0,016) e salgadinhos (p = 0,006) foi encontrada entre crianças de dois anos. a sete anos. Além disso, a anemia ferropriva foi associada à introdução de biscoito recheado (p = 0,023), salgadinho de pacote (p = 0,044) e queijo petit suisse (p = 0,014) antes dos dois anos. Conclusão: Espera-se, portanto, que esta pesquisa contribua para a geração de evidências científicas que serão utilizadas na tomada de decisão para melhorar a eficiência da gestão por meio da redefinição de prioridades e qualificação dos profissionais envolvidos no programa. \u0000 ","PeriodicalId":267088,"journal":{"name":"Revista Contexto &amp; Saúde","volume":"152 S304","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139006433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilização de software para o monitoramento de internações em pronto-socorro: Estudo-piloto","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","doi":"10.21527/2176-7114.2023.47.13338","DOIUrl":"https://doi.org/10.21527/2176-7114.2023.47.13338","url":null,"abstract":"Objetivo: realizar o monitoramento das internações no pronto-socorro de um Hospital Universitário utilizando o Sistema de Informação e Monitoramento das Internações no Pronto-Socorro (Simips) que foi criado com o objetivo de monitorar as internações no PS e gerar informações que auxiliem na prática assistencial e na gestão de leitos, da qualidade da assistência e de riscos assistenciais. Método: trata-se de estudo-piloto que monitorou as internações de pacientes adultos em PS, da admissão em regime de internação até a saída, utilizando o Simips. A amostra foi composta por prontuários de pacientes adultos admitidos em regime de internação no PS durante os meses de junho a agosto de 2019. Foram coletados dados socioepidemiológicos, escore de gravidade, escore de dependência dos cuidados de enfermagem, escore News, ocorrência de eventos adversos, tempos de permanência e os desfechos de saída. Resultados: foram analisados 158 prontuários de pacientes com mediana de 65 anos de idade. No grau de dependência dos cuidados de enfermagem, 89% foram classificados como cuidados mínimos no primeiro dia de internação hospitalar. A frequência de eventos adversos foi 39,2% e o atraso na terapêutica (administração) medicamentosa (12%) e a ausência de conciliação medicamentosa (8,9%) foram os mais prevalentes. Conclusão: o estudo mostrou um tempo de permanência no alto de pacientes em regime de internação no PS, com predominância de pacientes idosos e uma alta incidência de eventos adversos.\u0000 \u0000desfecho, de forma clara, rápida e acessível, mostrou-se importante ao apontar situações que necessitam de intervenção imediata para melhorar a qualidade e segurança da assistência.","PeriodicalId":267088,"journal":{"name":"Revista Contexto &amp; Saúde","volume":"230 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139006069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}