ACTA SCIENTIARUM-HEALTH SCIENCES最新文献

{"title":"Resilience and anxiety in nurses in a hospital in Iran during the COVID-19 pandemic: a cross-sectional study","authors":"Hedyeh Askarpour, E. R. Davarani, Alireza Baniasadi Dahooiyeh, R. Faryabi, Mohammad Ali Sheikh Beig Goharrizi, Sara Oruei, S. Daneshi","doi":"10.4025/actascihealthsci.v45i1.58513","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.58513","url":null,"abstract":"The lack of any definitive treatment or prevention of COVID-19 disease has created a lot of stress and anxiety in societies. This study aimed to evaluate the resilience and anxiety of COVID-19 in nurses of Imam Khomeini Hospital in Jiroft and their relationship with demographic variables from April to August 2020. The present study is descriptive-analytical and cross-sectional. To select the statistical sample, the census method was used so that 80 nurses working in different wards of the hospital were selected and included in the study. The resilience measurement tool is the Connor-Davidson Resilience Questionnaire (CD-RIS). COVID-19 anxiety was assessed using a comprehensive national questionnaire. Data were analyzed using descriptive and analytical statistics Chi-square, Independent two-sample parametric t-test, and ANOVA through SPSS 20. The level of COVID-19 anxiety in nurses was moderate (19.3±11.64) and the rate of resilience was low (36.7±16.65). There is a statistically significant difference between resilience in nurses and age (p = 0.003). There was no statistically significant relationship between the rate of resilience in nurses and gender (p = 0.13), the unit of service (p = 0.87), marital status (p = 0.98), work experience (p = 0.06), and the level of education (p = 0.63). There was no statistically significant relationship between anxiety in nurses and age (p = 0.53), gender (p = 0.59), the unit of work (p = 0.48), marital status (p = 0.90), work experience (p = 0.40), and level of education (p = 0.60). The results of multivariate analysis showed that, work experience, and place of work have a statistically significant relationship with resilience and anxiety of COVID-19 in nurses, respectively (p <0.05).The level of COVID-19 anxiety in nurses is moderate and the rate of resilience is high. Given the current high-risk situation, it is important to identify nurses prone to psychological disorders to maintain and improve their mental health with appropriate strategies and techniques.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"64 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90572264","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":"Geographical distribution of dental caries in children in the southern region of Brazil","authors":"Paula Rosalen, Andressa Bulegon, Mayara Trapp Vogel, L. Rigo","doi":"10.4025/actascihealthsci.v45i1.59153","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.59153","url":null,"abstract":"The objective was to investigate the experience and severity of dental caries, from the medical records of children who visited the Children's Dental Clinic of a Faculty of southern Brazil, for four years. A cross-sectional study was carried out by analyzing 262 medical records containing information sociodemographic, as well as clinical oral data, to investigate dental caries. Amongst all children included in study, 226 (86.3%) had some teeth with experience of dental caries and 161 (61.5%) had three or more dental caries. The mean dental caries in children aged between 6-8 years was 5.3 ± 3.1, and the average in children aged between 9-12 years was 2.0 ± 1.9. There was association between the severity of dental caries (more than three teeth) and not using dental floss, as well as with the geographical location of residence. Older children were considered to be protected from dental caries. In this study, the experience of dental caries was high, especially in primary teeth, and variables such as the geographical location of residence, absence of flossing were related to the greater severity of dental caries.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"18 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81704380","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":"Influence of controlled breath on healthy adult autonomic heart modulation","authors":"L. J. Rubin Neto, K. S. Lima, Murilo Rezende de Oliveira, N. C. Righi, R. Jaenisch, G. Puntel, Antônio Marcos Vargas da Silva, L. U. Signori","doi":"10.4025/actascihealthsci.v45i1.60429","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.60429","url":null,"abstract":"Heart rate variability (HRV) is a technique that indirectly assesses the activities of the autonomic nervous system in the heart. However, during data collection there are controversies regarding the use of spontaneous or controlled breath. The aim of this research was to compare the effects of controlled and spontaneous breath on HRV in healthy adults.The present cross-sectional study held a sample of 52 healthy volunteers (22 male, 42.3%), average of 25 (±4) years old and body mass index 22.4 (±2.7) kgm-². All the volunteers were evaluated in 2 days (at most three days between the evaluations). On each day the data were collected with spontaneous and then controlled breath (12 breaths per minute - bpm: Inspiration/Expiration: 2/3). Data were collected with a pulse frequency meter (Polar brand, model 810i). The HRV was evaluated for time and frequency domain and was analyzed using an area corresponding to 5 minutes (containing at least 256 beats per minute) by Kubios program version 2.1. In the time domain, no differences were observed between spontaneous and controlled breath. In the frequency domain, the controlled breathing reduced sympathetic activity (p<0.001) in approximately 14% and increased (p<0.001) parasympathetic activity proportionally. The autonomic modulation evaluated by low frequency/ high frequency(LF/HF) ratio decreased (p<0.001) in average -0.6 on the days evaluated. The controlled breathing (12 bpm) decrease sympathetic activity and increases parasympathetic by modifying the heart autonomic modulation.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"4 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89460662","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":"Evaluation of outpatient health services in diabetes mellitus in a middle-income setting: a retrospective cohort study involving secondary care","authors":"Felipe Martins de Oliveira, Caio Chiaradia, Silvana Marques Zaia, Ana Carolina Xavier Ordonha, Sônia Aparecida Dias Garcia, Lígia Reis, Manoel Carlos Sampaio de Almeida Ribeiro, J. Salles","doi":"10.4025/actascihealthsci.v45i1.60477","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.60477","url":null,"abstract":"In Brazil, it is necessary to assess the different levels of health care in diabetes mellitus (DM) in order to integrate them. In this retrospective cohort study, we analyzed 1,122 medical records of patients with DM from specialized services with interdisciplinary health teams (IHT) in the city of Ourinhos, São Paulo state, Brazil, to assess the impact of secondary care on glycemic control in patients with DM in those places and to compare baseline and follow-up DM care indicators concerning clinical evaluation and drug treatment regimens in the aforementioned health services. The study covered consultations carried out from September/2013 to September/2017. Data were collected from initial and final appointments in medical records and revealed an increase of 31.21% in insulin introduction and of 73.53% in regimens with three or more non-insulin antidiabetic (NIA) medications. Among the 570 patients with at least two glycated hemoglobin (A1C) measurements in the aforementioned review, 146 did not require any therapeutic adjustment between initial and final appointments, 123 required a subtle adjustment, 95, a moderate adjustment, and 206, an intense adjustment. There was a noticeably higher A1C reduction between initial and final appointments when patients who required an intense drug adjustment were compared to those who did not need any different NIA drug (p-value < 0.0001). In addition to optimizing drug treatment, essential exams in DM were performed with higher frequency, with an increase of 63% in ophthalmology evaluation performed during secondary care approach and 60.65% more individuals being screened for diabetic chronic kidney disease. IHT secondary care considered in this study, therefore, not only improved glycemic control of patients with DM, especially by optimization of NIA regimens and timely prescription of insulin, but also increased the screening for microvascular complications.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"8 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73163612","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":"Perinatal mortality profile in municipalities of Piauí’s Coastal Plain","authors":"Gabriele Mesquita Silva, Adriane Saraiva Nunes, Gisele Bezerra da Silva","doi":"10.4025/actascihealthsci.v45i1.60411","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.60411","url":null,"abstract":"Among the elements that impact Infant Mortality, Perinatal Mortality stands out, which involves deaths that occur during the period that begins at 22 completed weeks (or 154 days) of gestation (fetal period) and ends at 7 completed days after birth, that is, from 0 to 6 days of life (early neonatal period). The objective of this research is to describe the profile of perinatal deaths reported in municipalities of Piauí’s Coastal Plain from 2013 to 2017. This is a retrospective, descriptive study with a quantitative analysis approach, resulting from the Course Completion Work entitled ‘Perinatal mortality profile in municipalities of Piaui’s Coastal Plain’. The sample consisted of death certificates and infant death and fetal death investigation forms of children whose mothers lived in the Coastal Plain, PI, and who had their deaths confirmed in the perinatal period, between January 2013 and December 2017. During the study period, the Perinatal Mortality Rate (PMR) of the Coastal Plain, PI, was 22.97 deaths per 1,000 births, with little variation between 2013 and 2017. Fetal deaths were predominant, comprising 61.9% of the sample. Hospital deaths that occurred in Parnaíba were the most frequent, revealing this to be the reference municipality in the region. This shows the need for greater attention on the part of health professionals and managers to such conditions, in order to improve the quality of care for pregnant women, parturient women, and newborns.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"26 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86164514","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":"Increasing awareness of radiation hazard and radiation protection among medical staff","authors":"Abdullah Asiri","doi":"10.4025/actascihealthsci.v45i1.59256","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.59256","url":null,"abstract":"The purpose of this study was to measure and increase the awareness of the risk of ionizing radiation and its protection among medical staff (non-radiological staff) at Najran region. This study was conducted in selected hospitals and health centers in the Najran region, for the medical staff (both gender, age: 22-60 years), as they were classified into four groups doctors, nurses, administrative staff, and workers, in which their data were collected through a distributed questionnaire. A two-stage questionnaire, where the first phase included their general awareness of the risks of ionizing radiation and its protection, while the second phase included measuring their awareness post the educational week that was held on September 26, 2020 - October 1, 2020. The general result of the study showed insufficient awareness of the risk of ionizing radiation and its protection among medical staff, adequate awareness increase after implementing the educational week, and the estimated rate of increasing their awareness by 90% in different gender and ages groups. The group of males and females between the ages of 22 and 30 recorded the highest participation and awareness at both pre and post-educational weeks compared to other groups.It is important to improve the level of knowledge and awareness regarding radiation hazards and radiation protection to prevent injuries among medical staff in hospitals.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"2 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83301236","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":"Evaluation of the organizational innovation and self-efficiency levels of health workers","authors":"Vasfiye Bayram Değer, Birgul Vural Doğru, Nurgül Arslan","doi":"10.4025/actascihealthsci.v45i1.59107","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.59107","url":null,"abstract":"The aim of this study was determine whether the personal features of the participants create a difference in terms of organizational innovation. This study was conducted with 1234 nurses and midwives. A multiple regression model was created to see and predict the effect on individuals' total innovative scores and self-efficacy scores. The total innovative and the self-efficacy score are predicted with multiple regression analyses. It was observed that the variable that most affected both the total innovative score and the self-efficacy score of the individuals was the education level of the individuals. The fact that midwives and nurses have a certain level of innovative and self-confidence is important for the society to receive better and faster health services. In this study, it was observed that the education level was important for the development of innovative and self-confidence in both groups.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"33 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89451113","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":"The relationship between social media addiction levels and alexithymia in young people at home during pandemic process","authors":"M. Celik, Fatma Karasu","doi":"10.4025/actascihealthsci.v45i1.60941","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.60941","url":null,"abstract":"This study was conducted to determine the relationship between social media addiction levels and alexithymia in young people who were at home during the pandemic process. The descriptive and cross-sectional study was conducted with 520 young people between 01.01.2021-15.01.2021. Data were collected using a personal information form, Social Media Addiction Scale and Toronto Alexithymia Scale. Kruskal-Wallis, Mann-Whitney U tests and correlation and regression analysis were used to evaluate the data. The total score average of the Social Media Addiction Scale of the youth was 94.65 ± 37.63 and the total score average of the Toronto Alexithymia Scale was 50.04 ± 12.14. It was determined that 44.6% of the Toronto Alexithymia Scale received 51 points. A positive and moderate correlation was found between Social Media Addiction Scale and Toronto Alexithymia Scale (r = 0.463, p = 0.001). Social media addiction was found to affect alexithymia by 21.3% according to the regression analysis. It has been determined that the social media addiction levels of the young people are medium and their alexithymia levels are high. It has been found that there is a significant relationship between social media addiction and alexithymia.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"6 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79762779","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":"Tragacanth and xanthan gum natural polymers for formulation of clotrimazole mucoadhesive gel","authors":"Z. Hesari, Mohammad Sadegh Bakhshi Emmamzadehhashemi, E. Aboutaleb","doi":"10.4025/actascihealthsci.v45i1.55651","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.55651","url":null,"abstract":"Clotrimazole is an antifungal agent, widely used in vulvovaginal and oropharyngeal candidiasis. Currently available clotrimazole (especially vaginal) dosage forms, have some limitations, including: leakage, messiness and low residence time, which leads to poor patient compliance. Therefore, in this study, a clotrimazole mucoadhesive gel has been developed as a suitable strategy due to their high water content, increased local retention time, lubrication and patient compliance. Xanthan gum and tragacanth with different portions were utilized as natural mucoadhesive gel forming polymers. Gel formulations were subjected to physico-chemical evaluations including gel viscosity, FTIR spectroscopy, spreadability, scanning electron microscopy (SEM) images of hydrogel chains, and release kinetic. Results demonstrated that among 8 developed formulas, formulation F1 showed the appropriate properties including controlled drug release (63.13% in 6h) with higuchi release kinetic, higher mucoadhesion (77.71 dyne cm-1) and drug content (94.47%) and relatively low spreadability (3.5 cm) which is suitable for local drug delivery. FTIR spectroscopy revealed there is not incompatibility between clotrimazole and other excipients in formulations. Combination of natural polysaccharides can form a proper mucoadhesive gel matrix for delivery of synthetic or natural drugs.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"51 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77271661","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":"Anatomical in vivo study of variations in zygomatic bone: pneumatization and foramina","authors":"César Felipe de Gouvêa Carvalho, E. S. Tolentino, Matheus Herreira-Ferreira, W. M. Takeshita, L. Iwaki, M. Chicarelli","doi":"10.4025/actascihealthsci.v45i1.58021","DOIUrl":"https://doi.org/10.4025/actascihealthsci.v45i1.58021","url":null,"abstract":"To determine the prevalence and characteristics of the zygomatic bone pneumatization (ZBP) and the presence and diameter of zygomaticofacial (ZFF), zygomaticoorbital (ZOF) and zygomaticotemporal (ZTF) foramina, correlating the findings with sex, age and facial skeletal pattern using cone beam CT (CBCT). 563 CBCT scans (1,126 ZB) were assessed and the type (uni/multilocular) and laterality of ZBP were determined, in addition to the presence and diameter of ZFF, ZOF and ZTF. Data was correlated with sex, age and facial pattern. 64 patients (11.37%) presented ZBP, with no differences among sex, age, facial patterns and types (p>0.05). Most pneumatizations were bilateral (68%; p<0.01). ZFF, ZOF and ZTF were detected in 926 (82.2%), 988 (87.7%) and 818 (72.6%) ZB, respectively. Differences were found for ZFF between age groups (p <0.005; >21-60 years). No differences were found for diameters (p >0.05). There is no relationship between sex, age and facial skeletal pattern with the presence of ZBP. The presence of ZFF was related to the age group. The knowledge about ZB anatomy and its variations is helpful for image interpretation as part of clinical and surgical treatment planning for this region.","PeriodicalId":42839,"journal":{"name":"ACTA SCIENTIARUM-HEALTH SCIENCES","volume":"39 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75296749","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}