Concilium

Hormone replacement therapy and the incidence and prevalence of breast cancer: an integrative review

Wed, 01 May 2024 00:00:00 -0300

The objective of this study was to carry out an integrative review an integrative review to analyze the incidence and prevalence of breast cancer after hormone replacement therapy. This integrative review followed several steps, including identifying the topic, structuring the research question using the PICO strategy, defining inclusion criteria, selecting articles, evaluating and analyzing selected studies, interpreting the results and presenting the review. The use of hormone replacement therapy (HRT) is linked to a significantly increased risk of breast cancer, especially with combination therapy. The risk increases with time of use and persists after discontinuation. Although some studies have found a significant risk, estrogen-only therapy carries a lower risk, particularly for long-term use. Hormone replacement therapy, especially the combined formulation of estrogen and progestogen, is associated with a significant increase in the risk of breast cancer, persisting after discontinuation. The estrogen-only formulation has a lower risk. The duration of HRT and body mass index (BMI) also influence the risk.

Accuracy of methods for tracking anxiety and depression symptoms in childrens and adolescentes: integrative review

Wed, 01 May 2024 00:00:00 -0300

Objective: This integrative review article’s purpose is to compare the accuracy tracking methods for anxiety and depression symptoms in children and adolescentes. Methods: Studies that investigate the accuracy of diagnosis methods for anxiety and depression in children and adolescents were reviewed, including a variety of questionnaires and psychometric properties (specificity, sensibility and under the curve area) compared to the golden standard. Results: The results highlights that some questionnaires, such as SCARED and RCADS, presents sensibility and specificity appropriate for diagnosis (AUC= 0,9; 0,98 and 0,72; 0,82, respectively). However, other scales presented mixed results, indicating the necessity of further research to have a better rating of their accuracy. Conclusion: Comprehending the challenges of an accurate diagnosis for anxiety and depression in children and adolescents is essential to improve the treatment and intervention approaches. This integrative review emphasizes the significance of research about psychometric data for more diagnosis with accuracy and reliability.

Social isolation, social networks between the elderly and COVID-19

Luiza Rosa Bezerra Callado, Andrea Mathes Faustino — Wed, 01 May 2024 00:00:00 -0300

The present work seeks to answer the following question: "How did the Covid-19 union impact the social networks of the elderly in the Federal District?". The theoretical methodological proposal to be adopted in this study is a mixed approach, of the transversal type and with data analysis of the concomitant triangulation type. Among the 19 elderly people studied, there was a lot of suffering regarding the loss of the routine of contact with these networks during the Covid-19 union, especially when it comes to family networks.

Evaluating the impact of falls on functional and psychosocial aspects of older adults: a quantitative study

Wed, 01 May 2024 00:00:00 -0300

ABSTRACT
Older adults are particularly susceptible to falls, which significantly impact their quality of life, cognitive and functional health, increasing the risk of further falls, hospitalizations, and greater demand for services from the Unified Health System (SUS). This quantitative study investigated the impacts of falls on the elderly, focusing on functional and psychosocial aspects, in patients treated at the Cidade-Alta Basic Health Unit, located in Maringá-PR, between 2018 and 2023, using a questionnaire that covered socioeconomic data, medical history, and scales for geriatric depression, functional capacity, and quality of life (WhoqolBref). The study involved 81 elderly individuals, predominantly women (60%), aged 70 to 80 years, with low education levels and income up to two minimum wages. Of the participants, 20 had recent falls, mostly at home, with 85% presenting sequelae and many reporting the use of medications associated with falls. Despite signs of mild depression, the overall quality of life remained generally satisfactory, but with limitations in instrumental daily life activities, suggesting a reduction in autonomy.

Utilization of passion fruit (Passiflora cincinnata Mast.) peel flour in sweet preparation

Wed, 01 May 2024 00:00:00 -0300

The aim of this study was to develop sweets added with flour from wild passion fruit peel and evaluate their physicochemical and sensory quality. The sweets were prepared using formulations of 0%, 10%, 15%, 20%, and 25% of passion fruit peel flour and concentrated until reaching 55 °Brix, except for the 0% formulation, which was concentrated until 65 °Brix. Physicochemical analyses of moisture, pH, titratable acidity, and ash, texture, color, and sensory evaluation were conducted. The results indicated that the sweets had appropriate values for moisture, pH, titratable acidity, and ash. Texture analysis revealed that the sweets had texture values ranging from 1.0 to 5.0 N, with formulations containing added flour being firmer. Regarding color, the Lab* parameter showed that the sweets resulted in shades of white, slightly green, and yellowish depending on the addition of flour. Sensory analysis demonstrated that all sweets were well-accepted, achieving scores above 6.0 points. It was concluded that the sweets exhibited texture and color characteristics typical of passion fruit sweets and good sensory acceptability, thus representing a viable option to add greater value to the product.

Considerations on the authenticity and nutritional aspects of green coffee products consumed in Brazil

Thu, 02 May 2024 00:00:00 -0300

Several benefits have been attributed to the consumption of green coffee, in the form of capsules or teas, mainly due to its high content of phenolic acids, which allegedly show antioxidant, antimutagenic, and anticarcinogenic activities in vitro. Chlorogenic acid is the phenolic compound present in greater proportion in coffee and the consumption of green coffee extract has been associated with health and loss of weight. However, beyond these bioactive compounds with a healthy appeal, other compounds which can have deleterious health effects should be considered in the consumption of these extracts, such as the presence of contaminants (ochratoxin A and its producing fungi), phytates, and tannins, which exhibit anti-nutritional characteristics. In that sense, this manuscript seeks to assess the composition of commercial green coffee extracts, analyzing their authenticity, nutritional and anti-nutritional aspects, to provide technical information for a qualified discussion about the effective healthiness of the consumption of commercial green coffee extracts. Nine samples of green coffee food supplements were selected and a product was prepared to serve as a standard. It was possible to identify coffee DNA in six of the commercial samples of food supplements. The products had antioxidant activity between 33 and 2408 µmol of Trolox/g. It was possible to identify chlorogenic acid in all samples with concentrations ranging from 0.023 - 20 mg / g of coffee. Six samples presented positive values for ochratoxin A, despite being within the limits of the coffee roasted legislation, there is a certain concern about the safety of these supplements.

Practices developed by midwives from territory da Bocaina to assist women in the puerperal pregnancy period

Thu, 02 May 2024 00:00:00 -0300

The objective of this study is to describe the cultural practices used by midwives from Traditional Communities in the territory of Bocaina to assist women in the puerperal pregnancy period. It is a descriptive exploratory study with a qualitative approach. Data were collected from April to November 2022, based on semi-structured interviews with midwives in these communities. Data analysis was performed using the Bardin content analysis method. It was observed that the midwives in this territory have different knowledge, but all of them pass through empirical and traditional knowledge. Despite the advancement of science, knowledge, traditions and culture are still practices that they exercise and that are intertwined with mythical-religious affair, especially when it comes to the assistance provided to women in the puerperal pregnancy period. Its cultural practices are the main methods for assisting women in the puerperal pregnancy period, highlighting the use of medicinal plants, sympathies and blessings. It is concluded that midwives, in fulfilling their role, play an important role in health care in their community, especially in women's health.

Scientific dissemination and social networks: a look at the use of Instagram in scientific divulgation

Thu, 02 May 2024 00:00:00 -0300

Social networks allied to technology made access to information faster but did not predict the legitimacy of this information. Scientific divulgation in social networks emerges to present the scientific method in didactic way with simple language, without jargon, especially in a pandemic era, of search for results and scientific understanding. According with this, the page “algas para que te quero” was created on Instagram, about the work area in Marine Biotechnology, and the use of algae in this environment, to understand the impact, difficulties and reach of the theme to the public in general. Therefore, the present work brought positive results. After a year on the page, in the insights (a resource of the platform itself), a total of 3.140 views were reached, conquering 399 followers, with an average interaction of 57.9%. The data demonstrated that there was a significant participation and interaction of users with the content provided.

Most common complications related to cholecystectomy: a systematic review

Sun, 05 May 2024 00:00:00 -0300

Cholecystectomy is one of the most commonly performed surgical procedures worldwide, indicated for cases of cholecystitis, cholelithiasis, biliary pancreatitis, or biliary neoplasms. During the procedure, factors such as variations in bile ducts, gallbladder topography, and vessels increase the risk of complications. The objective of the study is to discuss the most common complications related to cholecystectomy, based on a systematic review of original papers obtained from SciELO, PubMed, and BVS databases published between 2019 and 2024. The most commonly associated complications with this procedure are bile duct injury, biliary fistula, biliary stenosis, abscess formation, vessel injuries, gallbladder perforation, and abscess formation. Management of these complications depends on their type and severity. It was concluded that the most frequent complication was bile duct injury, which was more associated with laparoscopic technique.

Landscaping characterization of the campus at the UEMG Ituiutaba, Minas Gerais, Brazil

Sun, 05 May 2024 00:00:00 -0300

The purpose of this work was to characterize the landscape of the campus at the University of the Minas Gerais State (in portuguese, Universidade do Estado de Minas Gerais - UEMG), located at Ituiutaba. As for such, the local plants were identified ranging from herbaceous to shrub type, due to them being the most commonly employed to perform alterations for landscape purposes. Subsequently, some areas of the campus were photographed to create a landscape characterization of the scenery in regard to its landscape's composition and vegetation. 102 species of herbaceous, subshrub, and shrub plants were found belonging to 39 families; 38.23% being native and the other 61.77% being non-native (cultivated, naturalized, and exotic). In regard to the landscape’s composition in loco, the principles of message, equilibrium, scale, dominance, harmony, and climax were contemplated. Furthermore, in regard to the guiding principles for the selection of vegetable species, it was observed that aesthetic, functional and temporal attributes were incorporated in all the analyzed areas. In conclusion, the landscape’s composition of the campus at the UEMG Ituiutaba fulfills its aesthetic, functional and ecological roles, however it’s worth highlighting that the adequate handling can be the defining factor in assuring the continuity of these functions.

Evaluation of the barriers to organizational learning in a port sector company

Marlon Rodrigo da Luz, Marcelo Leandro de Borba, Denise Abatti Kasper Silva — Mon, 13 May 2024 00:00:00 -0300

Competitive advantage is an essential factor for the development and longevity of businesses. It is associated with companies' ability to learn, manage their knowledge, and recognize and accurately interpret opportunities and barriers to learning processes. This work aimed to identify the barriers to organizational learning in a company in the port sector. For this, an instrument was used, such as an interview script composed of 27 questions, grouped by model learning process: Intuition, interpretation, integration and institutionalization (4I) and subgrouped by influencing factors, with semi-structured questions aimed at identifying the barriers to organizational learning present in the company. The results were analyzed based on the recordings of the interviewees' speeches. The main results showed 28 of the 80 barriers listed in the adopted model, highlighting those related to the intuition process, especially those with a personal action factor, revealing opportunities for improvement in actions and mechanisms to promote the creation of knowledge and the generation of innovative ideas.

Budget planning for an undergraduate course at a higher education institution

Mon, 13 May 2024 00:00:00 -0300

Planning is crucial in the organizational context, especially budget planning, which aims to direct efforts to achieve objectives effectively. This study investigates the budget planning of undergraduate course coordinators in IES, considering the complexities involved. The research uses a qualitative approach, interviewing nine coordinators to understand their perspectives, difficulties, and financial strategies. The results show that, despite economic and institutional limitations, coordinators recognize the importance of budget planning for the growth of courses. They face challenges in budget execution, acquiring supplies, and adapting to the market. It is concluded that budget planning is fundamental to guide the growth of courses, and coordinators demonstrate skills and commitment to dealing with financial demands, seeking partnerships and innovative strategies. The research highlights the need for further studies for continuous improvements in IES.

Cultivating ornamental fish: an entrepreneurial action with sustainable development, sustainability and local development

Mon, 13 May 2024 00:00:00 -0300

In this bibliographical research, we analyzed the theoretical and functional aspects aimed at creating public policies that encourage solutions aimed at the cultivation and commercialization of ornamental fish based on local development, aligned with the Sustainable Development Goals – SDGs. The article has the following structural architecture – introduction followed by the literature review, where the themes are addressed – local development, sustainable development and sustainability and entrepreneurship. The methodology that guided it has basic elements in the integrative review, with Scielo and Periódicos Capes databases whose analysis sought to inspect articles published in the period from 2007 to 2023. The results and discussions are presented based on the survey carried out, the texts that include the theme of this study on entrepreneurship and local and sustainable development, presented in the table with articles related to the topic addressed.

Postoperative complications in patients undergoing Anterior Cruciate Ligament (ACL) Reconstruction

Mon, 13 May 2024 00:00:00 -0300

Objective: To discuss the influence of anterior cruciate ligament reconstruction (ACLR) on the prevalence of postoperative osteoarthritis (OA). Methods: Literature review of articles published in the last 10 years in English available in the PubMed and Capes Portal databases. As Boolean operators descriptors “AND”: “Postoperative Complications” AND “Anterior Cruciate Ligament Reconstruction” AND “Osteoarthritis”. Results: Patients were analyzed in an interval of up to 20 years after the ACLR, comparing the risk and association factors that corroborate for the development of OA, such as: ages, physical conditions, injury time, postoperative period. In addition, meniscectomy, which is the total or partial removal of the meniscus, is the most determining factor in the increase of OA cases. Conclusion: It is observed that the performance of the ACLR together with the risk factors and additional injuries influence the increase in the prevalence of osteoarthritis.

Characterization of the domestic canine and feline population in the city of Mineiros/GO, Brazil

Mon, 13 May 2024 00:00:00 -0300

The aim of the present study was to qualitatively and quantitatively characterize the domiciled population of dogs and cats in the city of Mineiros/GO. It is a basic, descriptive quali-quantitative research, through a population survey (animal census type). A total of 20,623 animals were counted, with 16,091 dogs and 4,532 cats. 43% were female dogs, 35.02% male dogs, 12.21% female cats, and 9.77% male cats. 73.89% of the population in this census is characterized as adult and 8.35% as elderly. 84.39% of dogs and cats are not neutered. Only 0.30% of animals have some form of identification (microchip or tattoo). 73.15% of animals were adopted, and 11.02% were born at home. 33.54% have supervised access, and in 27.91% of cases, access is unsupervised. 80.15% received some form of antiparasitic treatment in the last year. 58.57% of animals were vaccinated for rabies. 22.84% have never taken their pets to the veterinarian. The data found provide insights for the development of public policies aimed at controlling zoonoses, urban planning, and animal health in the municipality of Mineiros/GO.

Cellular profile of the skin and ocular surface in healthy shih-tzu dogs

Mon, 13 May 2024 00:00:00 -0300

Cytology involves analyzing individual cells and is crucial for diagnosing skin and ocular surface diseases. The skin acts as a barrier against various threats and communicates with the immune system via receptors. The conjunctiva also provides protection to the eyes. This study aimed to describe the cytological profiles of healthy Shih-Tzu dogs' skin and ocular surfaces, assessing how age impacts these profiles. Materials for cytological analysis were collected using a nylon microbrush and evaluated with the Schirmer test. Results showed lymphocytes were predominant in ocular cytology (RE - 47%, LE - 41.93%), while polymorphonuclear cells dominated in nasal fold (62%) and palmar pad cytologies (100%). Superficial cells were prevalent in all regions (RE 83.11%, LE 90.52%, palmar pads 100%, nasal fold 96.91%). Malassezia spp was detected in all areas. This research underscores the cellular variations across different anatomical sites and provides insights into normal cytological patterns in these dogs.

The importance of sustainable practices and whole foods in Brazilian schools

Edson de Souza Pereira, Lucio Fabio Cassiano Nascimento — Mon, 13 May 2024 00:00:00 -0300

This review article analyzes the importance of sustainable practices and whole foods in Brazilian schools. The qualitative data was collected from articles corresponding to the years 2018 to 2022, through access to: SCIELO, CAPES journal portal and the BDTD (Brazilian Digital Library of Theses and Dissertations) under the criteria: national and complete publications, and with the themes: (i) integral use of food; (ii) existence of the practice and incidences in the consumption of food in its entirety; (iii) investigation of the importance of sustainability and its implication today. Of the 23 articles, 14 were selected, with consultations on laws for discussion and analysis. The aim is to highlight the provocation and promotion of healthy food consumption. School communities provide food as one of the premises for forming healthy eating habits. Therefore, the SDGs: 2, 4 and 12 - zero hunger and sustainable agriculture, quality education and responsible consumption and production - are correlated with situations in which school meals reflect on food waste.

Correlation between cytomegalovirus (CMV) viral load and mortality rate in individuals with acquired immunodeficiency syndrome (AIDS)

Mon, 13 May 2024 00:00:00 -0300

AIDS (acquired immunodeficiency syndrome) stems from immune deficiency caused by HIV (human immunodeficiency virus). CMV (cytomegalovirus), opportunistic in HIV/AIDS patients, is associate with mortality at elevated viral loads in individuals with AIDS. Objective: accomplish an integrative review to analyze the relation between CMV viral load and mortality rate in patients with AIDS. Methods: Usage of full review was made by following the said steps: theme identification and research questions structuring; definition of inclusion criteria; selection of articles based on scientific data; evaluation and analysis of selected studies; result interpretation and display of the final full review; insert method description. Result: High CMV viral loads are associated with elevated mortality in individuals with AIDS. Conclusion: It confirms the presence of a correlation between an increase in CMV viral load and an increase in the mortality rate of immunosuppressed patients, associates with viral loads ≥ 1000 copies/ml, marking this as a risk cutoff.

The use of medicinal cannabis as an alternative treatment for depressive disorders: integrative review

Mon, 13 May 2024 00:00:00 -0300

Objective: to analyze, through an integrative review, the use and applicability of medicinal cannabis as a complementary treatment in patients with depression such as unipolar disorder. Methods: the research question was “Is it effective in using medicinal cannabis as a complementary method for treating patients with depression due to unipolar disorder?”. The databases used were PubMed and Portal Capes (published between 2018-2023), with the search strategy (Depression” OR “Psychic Symptoms”) AND (“Cannabidiol” OR “Cannabis”) AND (“Young Adult” OR “Adolescent” OR “Young”). Results: there is work that supports the use of cannabis as an alternative treatment for depression; the majority, however, affirm the ineffectiveness of the compound in improving depression, with some even demonstrating its harm. Positive results ranged from 34.8% to 53% of the sample. Conclusion: there is no rigorous consensus on the benefits and harms of the medicine, and new research in the area is necessary.

Special education, pandemic and social representations: a state of the art survey

Mon, 13 May 2024 00:00:00 -0300

The Covid-19 Pandemic represented obstacles for students with Special Education Needs. In this context, we aimed to understand the Social Representations of researchers on Special Education during the Covid-19 pandemic. Through “State of the Art” and Hermeneutics research, with the theoretical contribution of the Theory of Social Representations, we interpreted publications by researchers on the subject in CAPES journals. To systematize the results, we used the IRaMuTeQ software, which made it possible to understand Social Representations through the Word Cloud and the Similitude Tree. We infer that the Social Representations on Special Education highlighted the difficulties of the educational process and the need for actions in the post-pandemic context such as efficient Policies, teachers and professionals’ formation aimed at providing assistance, the construction of new educational models and approaches.

The main morbidities and mortality rates in bacterial meningitis

Mon, 13 May 2024 00:00:00 -0300

Bacterial meningitis in children has high rates of unfavorable outcomes, i.e., neurological sequelae and mortality. The literature shows the clinical characteristics, the therapeutic approach, the results of MB and the factors related to them. Objective: The aim of this integrative review is to describe the main neurological sequelae and mortality rates in bacterial meningitis in children, as well as the clinical aspects that predict these outcomes. Methods: An integrative review was carried out involving 6 observational studies on bacterial meningitis in children aged from infants to 15 years, published in the last five years (period 2018-2023) and selected from the Portal Capes and PubMed databases. Result: Bacterial meningitis in children has high rates of unfavorable outcomes, i.e., neurological sequelae and mortality. The literature shows the clinical characteristics, the therapeutic approach, the results of MB and the factors related to them. Conclusion: Childhood bacterial meningitis is associated with high mortality rates and has motor deficits, cognitive impairment, visual impairment, hearing impairment and hydrocephalus as the main neurological sequelae. In addition, patients who manifest stage III TBM, staphylococcal, polymicrobial and pneumococcal etiologies, a post-neurosurgical environment, septicemia and septic shock, systemic factors and neurological problems may present unfavorable outcomes.

Study on Common Mental Disorders (CMD) in medical residents victims of aggressions in the Medical Residency Program in the state of Paraná

Mon, 13 May 2024 00:00:00 -0300

Medical residency entails supervised on-the-job training, where the dual role of worker and learner subjects’ residents to constant internal tension, potentially triggering common mental disorders (CMD). This cross-sectional, quantitative study involved 165 medical residents, administering three simultaneous virtual questionnaires on sociodemographic data, aggressions, abuse, mistreatment, and CMD. A significance level of 5% was utilized. Among residents frequently subjected to aggression, abuse, and mistreatment, 89.23% were classified as possible CMD cases (p < 0.001). Preceptors and supervisors were the most reported aggressors (66.15%). "Depreciation or humiliation" (p = 0.018), "assignment of punitive rather than educational tasks" (p = 0.022), and "threat of harm" (p = 0.008) were the most associated frequent aggression modalities with the classification of possible CMD cases. Imbalance among emotional, mental, and social spheres is linked to poor technical performance and inefficiency in patient relations.

Obesity as a risk factor after cardiovascular surgery

Mon, 13 May 2024 00:00:00 -0300

Cardiac surgery is surgical procedure, so, as every surgery, there are risks, including in the postoperative period. Obesity can be a raising factor for complications during the surgery process, in the postoperative period and treatment, as it is frequently associated with various metabolic disorders and complicates access to the heart, being, therefore, a very important analysis for clinical practice.

The effect of cannabidiol in the treatment of behavioral symptoms in children and adolescents with autism: an integrative review

Mon, 13 May 2024 00:00:00 -0300

Objective: to conduct an integrative review which seeks to analyze the effects of cannabidiol in children and adolescents with Autism Spectrum Disorder (ASD). Method: an integrative review was conducted following several methodological steps, including identifying the topic and formulating the research question using the PICO strategy. The guiding question was: "What is the effect of Cannabidiol (CBD) in the treatment of autism spectrum disorder (ASD) in children and adolescents?" Inclusion criteria were defined for selecting relevant articles, followed by the search and selection of articles in scientific databases Portal Capes and PubMed, with no use of search filters. The studies were evaluated and analyzed; the results were then interpreted. Finally, the integrative review consolidated knowledge about the possible effects of CBD as an intervention for ASD. Conclusion: the integrative review highlights the possible effects of cannabidiol (CBD) in the treatment of autism, showing significant improvement of symptoms with minimal side effects. Although still not widely disseminated, CBD appears to be a functional therapy for ASD.

The complex networks of an entrepreneurship and innovation ecosystem: proposal for a representation model

Mon, 13 May 2024 00:00:00 -0300

This article presents a proposal for a representation model of entrepreneurial innovation ecosystems, based on the Theory of Complex Networks, in order to understand the complexity of the relationships between its actors. The methodology used was a qualitative approach, of a bibliographic and documentary nature, which defined categorized axes based on the dimensions of politics, economy, culture, support institutions, human capital and access to the market, present in an entrepreneur. The model that will contribute to supporting the connections and dissemination of knowledge in an entrepreneurial innovation ecosystem, providing insights for its actors to analyze public policies based on their impact in terms of multidimensional development was applied in the city of Salvador/BA, as proof concept. Its application allowed the collection of mapping results from the main actors in the ecosystem of the capital of Bahia, in addition to identifying the dissemination of knowledge as an important dimension for the development of new actions and partnerships between them to foster innovation.

Introduction dynamics: the advancement of peacock bass (Cichla sp.) in aquatic ecosystems of the pantanal (mato grosso)

Tue, 14 May 2024 00:00:00 -0300

The aim of this study was to survey the spatial distribution of the Cichla sp. species in aquatic bodies around the municipality of Cáceres-MT and the evolution of records for the Brazilian Pantanal. Collections took place in the marginal lakes and troughs of the Caramujo, Padre Ignácio and Paraguay rivers, with collections during high and low water periods in 2018 and 2019. Interviews were conducted with fishermen using a semi-structured questionnaire and obtaining locations where tucunaré occur. Secondary data was obtained by searching for articles on the occurrence of species in the Pantanal. Thirty-five specimens of Cichla kelberi were caught in 21 localities in the study area. Interviews revealed 44 localities, predominantly on the left banks of the Paraguay River. In the literature, there have been 9 studies on the occurrence of tucunaré in the Brazilian Pantanal, 7 of which in the southern Pantanal. The data points to a distribution of C. piquiti further south and C. kelberi further north in the biome, which may be due to the routes of introductions and the characteristics of the biome reducing the speed of diffusion.

Assement of the risks of the use of food supplements and ther drug interactions in the elderly population

Tue, 14 May 2024 00:00:00 -0300

OBJECTIVE: To assess the risks of using dietary supplements and their drug interactions in the elderly population. METHODOLOGY: This is a descriptive-discursive review, carried out on the VHL, Ministry of Health and Scielo portals. Inclusion criteria were articles with a 10-year version that discussed drug interactions among the elderly. Exclusion criteria Researches that discuss these topics in non-senile population. OUTCOME: As the dietary supplement market expands globally, recognition of drug and supplement interactions is vital to preventing morbidity and mortality. However, the risks of combinations are little known by consumers and there is an increase in reports of hepatotoxicity; hypotension; hypoglycemia and platelet antiaggregation, in addition to reduced pharmacological efficacy or bioavailability. CONCLUSION: Food supplementation when administered with drugs incorrectly causes interaction, leading to ineffectiveness in the treatment by reducing absorption or potentiating the action. Furthermore, the SFD is underreported and little elucidated, which compromises assessing the nature of these interactions.

Arts in schools curricula: disputes and possibilities for human emancipation

Yure Pereira de Abreu, Elvis de Azevedo Matos — Tue, 14 May 2024 00:00:00 -0300

This paper aims to discuss the role of arts in the educational field. Presenting an overview on the contradictions of the capitalist system and its influence on the strategies into the curricula. We try to present a critical review in which some political aspects have an important presence and define the aspirations for more space for arts in schools. We also bring an utopian proposition focusing arts in educations as a way to find self constructions achieve freedom in a social context, based on creativity and solidarity to human development.

City status and property registration: publicity of urbanistic-environmental information

Tue, 14 May 2024 00:00:00 -0300

The City Statute regulates the Federal Constitution, regulating the use of urban property for the benefit of the collective good, security and well-being of citizens, in harmony with our Magna Carta, which establishes that everyone has the right to an ecologically balanced environment in favor of present and future generations. This article conducts a study on the importance of the Property Registry in the consolidation of sustainable cities by publishing comprehensive information of an urban-environmental nature in the registration of properties. For this research, technical procedures of bibliographic and documentary nature were adopted, through articles, books, websites, laws and the Brazilian Federal Constitution, with an exploratory objective. In the end, it is concluded that there is a legal shelter for the real estate registries to insert all the pertinent information to the property, including environmental assets and liabilities, providing everyone with the exercise of the right to environmental information, as well as contributing to the formation of a preventive judgment of disputes and the construction of a socio-environmental balance.

Validation of educational technology for self-care of elderly people with Diabetes Mellitus

Tue, 14 May 2024 00:00:00 -0300

The objective was to develop and validate an educational technology (ET) for self-care for elderly people with type 2 diabetes mellitus (T2DM) treated in primary health care. A methodological development study was carried out with the preparation of a printed ET validated by 33 expert judges and 41 elderly people who met the healthy functional class criteria of the Brazilian Diabetes Society. The Content Validity Index (CVI) was considered equal to or greater than 0.80 in the objective blocks, content, language, relevance, illustrations, layout, motivation and culture. The ET entitled “Booklet for elderly people on self-care in Diabetes Mellitus”, with 28 pages, presents Nurse Dora teaching self-care through guidance and games. It was validated by the judges with an overall CVI of 0.88 and by the target audience with a CVI of 0.97. The ET went through the entire methodological process with due scientific rigor, being validated by professionals and the target audience, allowing its use to support educational practices to promote self-care for elderly people.

Humanist education: a case study on educational services for children and adolescents in situations of social vulnerability

Gisele Carozza de Souza Risso, Tânia Maria Rechia Schroeder — Tue, 14 May 2024 00:00:00 -0300

Considering the challenges found today in society, especially in the area of Education, this work seeks to reflect on the propositions of Humanist Education, which considers the person in a continuous process of discovering his own Being, connecting with other people and groups, aiming at self-realization, as well as valuing the full use of their potential and capacities, in which feelings and experiences play an important role as a growth factor. Thus, the phenomenological research at Mansão do Caminho aimed to find out how Humanist Education is put into practice. The research allowed the knowledge of the didactic-pedagogical fundamentals of Mansão do Caminho in Salvador (BA) in the educational service for children and adolescents in socially vulnerable situations, focusing on pedagogical practices that aim to educate for the appropriation of humanist values. As the main objective of Mansão do Caminho, the Institution not only exercises the function of teaching and social assistance, but seeks to educate and promote the Human Being in an integral way.

Hematologic response to hypotensive anesthesia during orthognathic surgery

Tue, 14 May 2024 00:00:00 -0300

Orthognathic surgery is a routine procedure with a high potential to cause hemorrhagic complications. Usually, hypotension protocols are used to stabilize and control bleeding and provide adequate surgical site visualization. The literature presents several protocols and a vast number of modifications of those, however, reports on systemic alterations due to hypotension protocols in orthognathic surgery are still scarce. In this report, the evaluation of laboratory parameters of 50 patients who underwent orthognathic surgeries was recorded before and after the surgical procedure, allowing comparison of those to normal values. While most parameters remained normal, renal clearance presented higher values, which suggests prolonged hypotension may lead to light negative effects on renal function.

The principle of segregation: an analysis from the perspective of Weber's ideal type and Habermas' Theory of Communicative Action

Thiago Miranda, Wilson Eccard, Marcelo Santiago — Tue, 14 May 2024 00:00:00 -0300

This article seeks, through concepts and standards, and using ongoing research, to investigate the principle of segregation of functions and its application in the control of public expenditure from the perspective of Weber's ideal type and Habermas' theory of communicative action. . Through documentary and bibliographical research, it was possible to partially conclude that civil servants, teams or sectors should not perform functions in different phases of public expenditure, including and especially in phases that involve judgment and inspection; the principle of segregation of functions is also based on Weber's bureaucratic ideal type, in the sense that the specialization and expertise of the civil servant tends to increase the degree of precision and excellence of the activities carried out by him; This principle also finds support in Habermas' theory of communicative action.

The impact of palliative care and parental involvement on the emotional health of children with cancer: an integrative review

Tue, 14 May 2024 00:00:00 -0300

The objective of this study was to carry out an integrative review to analyze the impact of palliative care and parental involvement on the emotional health of children with cancer. For the search, the PubMed database was considered, with the following descriptors: “Mental health; Palliative care; Health; Oncology". Articles using only the English language were included, with individuals aged between 0 and 18 years old, with publication data from 2019 to 2023. After the research carried out, 5 articles were selected, in which it was identified that children undergoing Palliative care presents increased fear, pain relief and fewer depressive symptoms. In addition, research shows that parents have an important role in alleviating the negative impacts of cancer treatment on children. Parents are adept at palliative care, due to some factors, such as: lack of recognition, accessibility and understanding of how palliative care works. Therefore, it is concluded that the impacts of exposure to palliative care and parental involvement are beneficial to the emotional health of the patient. oncological child.

The prevalence of metabolic skin diseases in the population with Diabetes Mellitus

Tue, 14 May 2024 00:00:00 -0300

Objective: To carry out an integrative review of the literature on the prevalence of dermatological diseases in individuals with Diabetes Mellitus (DM) types 1 and 2. Methods: this integrative literature review Result: Dermatophytosis was the skin lesion most frequently associated with DM, types 1 and 2, with a 48% prevalence in the studies analyzed. Conclusion: there is a clear need for early diagnosis of injuries and subsequent adequate treatment, in addition to proper adherence to glycemic control, so that systemic complications do not occur.

Post covid cognitive deficit in adults without previous disabilities: integrative review

Tue, 14 May 2024 00:00:00 -0300

Objective: To carry out an integrative review of the literature on the impact of COVID-19 on cognitive impairment in previously healthy individuals. Methods: This is an integrative review of the literature, carried out in the PubMed and Portal Capes databases (published from 2020 to 2023), with the following terms in English combined with Boolean operators "AND" and "OR": "Covid "AND Memory, Covid AND Dementia, Covid AND Cognitive Impairment; Memory"; OR Short-Term Memory; AND "Cognitive Impairment" OR Mild Cognitive Declines OR Cognitive Declines OR Impairment with Cognitive Dysfunctions; AND "SARS-CoV-2" OR Covid-19, OR "Covid" AND "Dementia". Results: The results of this article show that a large proportion of study participants had at least one neurological sequelae after a COVID-19 infection: 47.9%, insomnia 21.6%, anxiety or depression: 25.52%, changes ; in short and long-term memory: 52.74%, attention deficit: 33.79%. Conclusion: It is possible to conclude that there is a special difference in the mental quality of patients before and after Covid, and more research should be done to find out. the creation of an effective treatment protocol.

Comparing decision-making strategies in accounting franchises and independent brands: a causation and effectuation approach

Edna Torres de Araujo, Tales Andreassi — Tue, 14 May 2024 00:00:00 -0300

This study examines the decision-making performance of entrepreneurs choosing between accounting franchises and independent brands through the lens of Causation and Effectuation theories. The research question addressed is: How does decision-making performance manifest when starting an accounting franchise versus an independent brand in light of Causation and Effectuation theories? This quantitative study employed a survey approach. The research population consisted of accounting enterprises—both franchises and independent brands—registered with the Brazilian Federal Accounting Council (CFC, 2023). The subjects were 718 entrepreneurs, including 312 accounting franchisees and 406 independent brand owners. The study utilized a questionnaire adapted from Chandler et al. (2011), Brettel et al. (2012), Appelhoff et al. (2015), and Neely, Gregory & Plattys (1995), with data analyzed using Structural Equation Modeling via the Partial Least Squares (PLS) approach. The findings provide crucial and practical insights for entrepreneurs who participated in the study and those facing similar decisions between launching their own brand or investing in a franchise. Both franchise and independent brand entrepreneurs can evaluate the best way to proceed by applying both the Causation and Effectuation theories.

Morphological aspects of the heart of young rats subjected to high and medium intensity progressive resistance physical exercise protocols

Luna Sara Campos Vaz, Márcia Reimol de Andrade, Laila Cristina Moreira Damázio — Tue, 14 May 2024 00:00:00 -0300

The present study investigated the effects of medium and high intensity physical exercise on the morphology of the heart of young rats, after carrying out two physical exercise protocols on the stairs, medium and high intensity. We used 24 young male Wistar rats, 21 days old, divided into three groups: sedentary control group (CG, n=8), group trained with medium intensity physical exercises (GM, n=8) and group trained with physical exercises high intensity (GA, n=8). For 4 weeks, the animals in the GM and GA groups were subjected to a medium and high intensity physical exercise protocol. The physical exercise protocol was applied over a period of 4 weeks, 5 days a week. After training, the animals were euthanized and the heart was removed for weighing, analysis of macroscopic morphology (left ventricular thickness, weight, analysis of diameter and ventricular area); The 5um sections were then processed and stained with Hematoxylin and Eosin (HE) for subsequent histomorphometric analysis of the cardiomyocytes. The results did not demonstrate significant differences in the macroscopic parameters of the heart (weight, left ventricular thickness, ventricular area, total area, ventricular diameter). A significant difference was observed in the area of cardiomyocytes in the left ventricle of rats that exercised with high intensity. It is concluded that rats exercising at high intensity showed an increase in the area of cardiomyocytes compared to rats that exercised at medium intensity and sedentary ones. Thus, it is concluded that progressive resistance physical exercise on the vertical ladder when performed at high intensity promotes cardiomyocyte hypertrophy in young rats.