Electronic Journal Collection Health

The importance of playful care and medical interaction in the child treatment process in hospitals

2025-04-02T20:14:34+00:00

Objective: To analyze playful care and interaction in the hospital environment, highlighting the humanization of care in the pediatric sector as a factor that promotes the psychosocial development of children and encourages a better relationship between patients and families with health professionals and effective adherence to treatment. Methods: Study based on the production of qualitative and quantitative questionnaires, answered by the patients' guardians, the children and the professionals in the hospital bed or in the toy library. Results: Two professionals and 16 patients aged 1 year and 11 months to 12 years participated, and the length of hospital stay varied from 1 to 15 days. The professionals reported having a good professional-patient relationship and using playful measures. The guardians responded regarding the use of the toy library and the good relationship with the professionals, highlighting possible improvements. The patients mentioned how they felt in the toy library and the improvements they would like to see according to their age group. Conclusion: It is concluded that humanized care, through play, promotes better acceptance of the health-disease complex, alleviating stressors and enabling a better environment for the patient and their guardian, facilitating adherence to treatment.

Phenotypic characterization of bacterial isolates resistant to sodium hypochlorite (0.025%) obtained from lettuce sold in the municipality of Ananindeua, state of Pará, Brazil

2025-04-02T20:08:34+00:00

Objective: The study aimed to perform a phenotypic characterization of bacterial isolates resistant to 0.025% sodium hypochlorite obtained from lettuce samples commercialized in the metropolitan region of Belém, Brazil, assessing their resistance and antimicrobial susceptibility profiles. Methods: Lettuce samples were collected from supermarkets and open markets. Bacterial counts were conducted on Plate Count Agar supplemented with 0.025% sodium hypochlorite. Isolates were biochemically identified, and the Minimum Inhibitory Concentration (MIC) was determined. Antimicrobial susceptibility tests using disk diffusion assessed resistance to antibiotics. Results: Although sodium hypochlorite reduced 99% of bacterial colonies, 84 resistant isolates were identified, primarily Gram-positive Bacilli (45%) and Enterobacteriaceae (31%), including Escherichia coli and Salmonella spp. The mean MIC was 0.1%, and three multidrug-resistant profiles were observed among Enterobacteriaceae, displaying resistance to amoxicillin and other antibiotics. A significant inverse correlation was found between the MIC and inhibition halos formed by amoxicillin (r = -0.24; p = 0.0423). Conclusion: Sodium hypochlorite at the recommended concentration is effective, but the detection of resistant and multidrug-resistant strains raises concerns about bacterial adaptation. Continuous monitoring is necessary to update sanitization protocols and safeguard public health.

Frailty syndrome and associated factors in elderly individuals enrolled in a basic health unit

2025-04-02T20:12:52+00:00

Objective: To identify factors associated with frailty syndrome in elderly individuals enrolled in a basic health unit. Methodos: This is a longitudinal study, part of the Extension Project “Promotion and Rehabilitation of Functionality of the Elderly for Activities of Daily Living - Phase II”, limited to elderly individuals living in the community monitored by a Basic Health Unit in the city of Guarapuava. Results: Poor sleep quality was associated with frailty in 63.5%, hypertension in 78.3%, functionality in instrumental activities of daily living in 53.7%, obesity in 64.7%, cognitive impairment in 66.6%, low level of physical activity in 77%, risk of falls in 56.3%, polypharmacy in 64.8%, fatigue in 84.5%. The study was approved by the ethics committee. Conclusion: The factors associated with frailty found were poor sleep quality, hypertension, functional dependence for daily activities, obesity, cognitive impairment, low level of physical activity, risk of falls, polypharmacy and fatigue. The variables depression, family functionality and nutritional status were not associated. The results highlight the need for more investment in health promotion actions and interventions aimed at prevention, as well as control of diseases.

Interventions with adolescents aimed at the impact of social media on body image

2025-04-02T20:01:50+00:00

Objective: To analyze studies that apply interventions to mitigate the negative effects of social media on adolescents' body image. Methods: This is an integrative review, in which a search was conducted in the PubMed, ScienceDirect, Lilacs, and Medline databases via BVS, using Health Science Descriptors (DeCS) related to "body image," "adolescents," and "social media," with the boolean operator "AND" to cross the descriptors. The inclusion criteria were: full-text articles that adhered to the topic, in Portuguese and English, published in the last 10 (ten) years between 2014 and 2024. Results: Eight articles were included that met the inclusion and exclusion criteria, addressing interventions with adolescents targeting the impact of social media on body image. Final considerations: It can be concluded that there is a significant demand for interventions related to body image and the influence of social media among adolescents. Therefore, it is necessary to improve interventions that address social media use and body image concerns to prevent and reduce possible negative impacts on youth health.

Integrative and complementary health practices: an integrative review of studies on the comparison between aromatherapy and placebo control

2025-04-02T20:06:47+00:00

Objective: To investigate existing studies with aromatherapy and the placebo effect in the last 5 years. Method: this study is characterized as an integrative literature review, considering scientific articles from the last 5 years. Searches were carried out with descriptors "complementary therapies" and "placebo effect" related to the theme addressed on the Lilacs, Scielo and Pubmed platforms. Results: In the search carried out, six articles were included from a total of 130 studies initially compulsed with the theme. The articles dealt with aromatherapy and placebo in post-COVID treatment, in the treatment of anxiety disorder and neuroradiology, the gag reflex in dental treatment, working memory in people with multiple sclerosis disease, fatigue and sleep quality during the COVID-19 pandemic, and the decrease in pain sensation during the application of insulin injection. Conclusion: There is a growing search for alternative treatments, as well as a significant increase in research using some integrative practices, especially aromatherapy.

Arrowroot biopolymer (Maranta arundinacea L.) as a promising matrix for incorporating bioactive compounds and other applications

2025-04-02T19:59:34+00:00

Objective: To list and analyze studies that have investigated the use of the biopolymer arrowroot (Maranta arundinacea L.) as an innovative matrix in the development of technological products for the incorporation of bioactives, with a focus on biomedical, pharmaceutical and technological applications. Methods: Articles were selected from the PubMed, Scielo and Scopus databases, considering publications between 2013 and 2023. Twelve studies were included in the final review based on the application of inclusion and exclusion criteria, ensuring the relevance and quality of the studies selected for analysis. Results: It was observed that arrowroot is mainly used in the incorporation of essential oils, plant extracts and polysaccharides for the development of biodegradable and bioactive packaging, nutritious edible films and healing polymer membranes. These studies highlight the potential of arrowroot to promote functionality and sustainability in biomedical and pharmaceutical products. Final considerations: This study highlights arrowroot as a promising, low-cost matrix for innovation in biomaterials, encouraging further research and practical applications in this area.

Analysis of the quality of life of medical students

2025-04-02T19:57:39+00:00

Objective: To analyze the quality of life of medical students at a university in the state of Santa Catarina. Methods: This is a descriptive quantitative study, in which 305 students participated, 224 females and 81 males. Data were obtained through the application of an individual questionnaire (WHOQOL-BREF) and analyzed using the Chi-square independence test and Fisher's Exact test. Comparison between groups was conducted using a two-factor Analysis of Variance (ANOVA) F-test, followed by Tukey's multiple comparison test. Results: The lowest-rated domain among students was the physical domain, while the environmental domain received the highest ratings. The psychological and social domains obtained average ratings, and no relationship was found between a decline in quality of life and academic progression. Conclusion: There may be a psychosomatic relationship between the physical and psychological domains, and there is negligence on the part of students regarding their quality of life, since a large portion evaluated their quality of life as “good”.

Epidemiology of suicide attempts in a state in the Amazon region

2025-04-02T19:56:18+00:00

Objective: To characterize the epidemiological profile of suicide behavior victims in the State of Amapá from a gender perspective between 2018 and 2022. Methods: Observational, descriptive, and cross-sectional study using secondary data from the National System of Notifiable Diseases (ICD Y09 - violence, subitem self-inflicted injury). Descriptive analyses were conducted, along with the chi-square test (p < 0.05) to assess the association between gender and variables such as age group, race/color, disability, alcohol use, means used, and repetition of the injury. Results: There were 829 cases, with 75% of the victims being female and 25% male, with the highest incidence among young people (20 to 29 years) and adolescents (15 to 19 years), showing a high rate of repeated self-harm (52%). The variables gender, age group, means used, place of occurrence, and repetition of the injury showed a significant association, highlighting the overlap of risk factors. Conclusion: The study emphasizes the importance of preventive interventions and continuous mental health care, sensitive to the needs of women and men at different life stages and highlights the need to combat underreporting and improve epidemiological information quality.

Masking darkened substrates with highly translucent litithium dissilicate

2025-04-02T19:54:06+00:00

Objectives: To evaluate the effect of an internal ceramic layer in masking a darkened substrate using highly translucent lithium disilicate, without compromising its adhesion properties. Methods: We evaluated the bond strength of lithium disilicate in the microshear test after application of IPS InLine PoM Opaquer BL1/BL2 ceramic (Ivoclar Vivadent, Schaan, Liechtenstein) with a control group, a test with hydrofluoric acid etching for 20 seconds, and another test with application for 60 seconds (n=15). The colour was recorded on a digital spectrophotometer and analysed based on CIEDE2000, and the groups were divided into 4 ceramic thicknesses (n=15). Results: The use of internal ceramics significantly increased the bond strength (p<0.005) compared to the non-applied group. The ANOVA test showed a statistically significant difference between the groups (p<0.05) when evaluating the effect of make-up on the final shade. Conclusion: The substrate masking occurred effectively at all thicknesses, and bond strength was not adversely affected.

Evaluation of a digital application for epidemiological risk analysis in rural establishments and properties

2025-04-02T19:52:18+00:00

Objective: Carry out a field test to evaluate the “CREPER” application (Epidemiological risk calculator for rural properties and establishments). Methods: This is a field study, survey type, with cross-sectional technological evaluation, descriptive design and quantitative approach, conducted with eight employees of the official veterinary service of the state of Maranhão, of both sexes and over 30 years of age. Previous training was provided for use of the tool and field testing was carried out to evaluate its functionalities, usability and level of satisfaction. A questionnaire was applied via Google Forms to obtain the data analyzed by descriptive statistics (mean and standard deviation). For grading and classification of the results, the Likert Scale and System Usability Scale (SUS) were used, respectively. The study was approved by the Research Ethics Committee. Results: The evaluators were over 30 years old and had a minimum of five years of professional experience. The functionality obtained an average score of 60.63 (SD ±1.16; minimum 60 and maximum 62.5), considered “Average”, gradual “D”, “Good”. Usability obtained an average SUS score of 92.19 (SD ±6.04; minimum 65 and maximum 80) considered “Acceptable”, gradual “A”, “Best imaginable”. Conclusion: The application was considered acceptable as an auxiliary tool in animal epidemiological surveillance.

The early effect of pelvic floor kinesiotherapy as biofeedback on urinary incontinence in patients undergoing prostatectomy

2025-04-01T19:53:52+00:00

Objective: To describe the early effect of pelvic floor kinesiotherapy as biofeedback on urinary incontinence in patients undergoing prostatectomy. Methods: Integrative literature review. The descriptors were used in vocabularies controlled in DECS: Prostatectomy, Therapeutics and Urinary incontinence. A search for articles was carried out in SciELO and PUBMED, using the Boolean operator “AND”. Articles in English and Portuguese that addressed the topic were included. Duplicate articles and/or articles that did not fit the topic, research, reflection, opinion, comments, theoretical essays, editorials, letters and reviews were excluded. The search identified 84 articles, 48 from PUBMED and 36 from SciELO. After screening, which included analysis of titles, abstracts and full texts, 78 articles were excluded as they did not meet inclusion criteria or themes, 06 articles were included. Results: Kegel exercises strengthen the perineal muscles, treating pelvic floor hypotonia. Kinesiotherapy can result in rapid recovery of urinary continence in patients undergoing prostatectomy. Final considerations: The effectiveness of kinesiotherapy, including Kegel exercises and early pelvic floor muscle training (PFMT), in improving urinary symptoms, increasing pelvic muscle strength and recovering urinary continence stands out.

Tooth avulsion as one of the injuries during high impact sports

2025-04-01T19:44:50+00:00

Objective: To evaluate dental avulsions prevalence in sports practice and to investigate the athletes and coaches’ knowledge and management of this trauma. Methods: An integrative literature review was conducted in PubMed, DOAJ and BVS databases, using the descriptors tooth avulsion, dental trauma, sport, football, baseball, snowboard, volleyball, hockey, basketball with the boolean operator AND. Inclusion criteria: publications between 2014 and 2024 showing cited descriptors: in the abstract and title; studies in English, Portuguese, Spanish; randomized clinical trials, cohort studies and clinical case report ; in humans. Results: A total of 155 studies were retrieved in the searches. After removing duplicates, the titles, abstracts, and language of the studies were analysed and 90 were excluded. Subsequently, 17 studies were eligible, read in full and were included in this integrative review. Final cosiderations: Avulsion is one of the most prevalent dental traumas among athletes and coaches of high and medium-risk sports; anatomical factors (overjet, Angle class II division 1 malocclusion and inadequate lip coverage) predispose to the occurrence of trauma; coaches and athletes demonstrate limited knowledge regarding the immediate and late management of traumatized teeth; inflammatory root resorption, ankylosis, infraocclusion, pulp necrosis and need for extraction are common complications in avulsed teeth.

Prenatal dental care in a municipality along the Purus River in the south of the state of Amazonas

2025-04-01T19:42:06+00:00

Objective: To describe the knowledge and consumption of functional foods for self-service restaurant users in the capital of Piauí. Methods: This was a cross-sectional study, conducted with 161 individuals of both sexes, aged from 20 to 59 years. Users were investigated regarding the definition of functional foods. The usual diet was evaluated using a food frequency questionnaire, adapted for functional foods, with consumption categories: habitual, not habitual, rarely consumed and never consumed. The data were analyzed by descriptive statistics using IBM SPSS Statistics software. The study was approved by the Research Ethics Committee. Results: The sample, with mean age of 38.6 ± 9.0 years, presented male majority (57.8%) and complete higher education (73.3%). Of this, only 36.6% of the individuals correctly defined “functional foods”, in contradiction to what was expected for high schooling as a determinant of knowledge and food quality. The usual diet was characterized by a low weekly intake of fruits, vegetables, whole grains, legumes, unsaturated oils, fish, oilseeds, teas and spices. Conclusion: It is concluded that the active adult population participating in this study has inadequate knowledge about functional foods, which are not included in their usual diet.

Construction and validation of scenario for clinical simulation of cardiorespiratory arrest

2025-04-01T17:38:33+00:00

Objective: To develop and validate a realistic simulation scenario on cardiorespiratory arrest (CPA) and apply it together with a lecture, assessing the knowledge, satisfaction, and self-confidence of the nursing team with this teaching method. Methods: This is a quantitative intervention study carried out between May and September 2022. The scenario was developed in five stages: Overview, Scenario, Design Progression, Debriefing, and Evaluation. For validation, the Content Validity Index (CVI) was used, considering a value greater than 0.75 as adequate. After validation, the scenario was applied as institutional training in a cardioneurovascular hospital, following the following phases: pre-test, clinical simulation, lecture, and post-test. Results: The scenario was validated by five judges, obtaining an average CVI of 0.95. Subsequently, 186 nursing professionals participated in the simulation. The data showed a significant improvement of 19% in post-test performance. Conclusion: The study confirmed the effectiveness of realistic simulation associated with the expository class, contributing to the immediate retention of knowledge and satisfaction among nursing professionals.

Clinical importance of p16, Ck7 expression and histological findings in uterine cervix immature metaplasia

2025-04-01T17:31:39+00:00

Objective: To investigate potential molecular markers as prognostic factors in immature squamous metaplasia (ISM) in the cervix and to evaluate the clinical significance of finding typical and atypical ISM in the cervical epithelium of the patient. Methods: A total of 79 cases were selected in a retrospective cross-sectional study (2011-2019). Women with typical or atypical ISM were evaluated according to sociodemographic, cytological, and colposcopy criteria. The biopsy samples were evaluated by anatomopathological and immunohistochemical analysis, in which the expression of P16INK4a (p16) and Ck7 was investigated. Results: Cytological analysis showed a higher frequency of atypical squamous cells of undetermined significance with high-grade lesions. Regarding colposcopy analysis, both groups presented similar results. The negativity of p16 and Ck7 expression was associated with a favorable outcome. However, no correlations were found between the expression of p16 and Ck7 and typical or atypical ISM. In addition, a kappa value of 0.087 was obtained, confirming the significant interobserver variability of the study. Conclusion: The absence of p16 and Ck7 can be used as biomarkers of favorable prognosis, but they did not show correlations with classifications of typical or atypical ISM in the cervix. Therefore, other effective methodologies for screening this patient profile should be further investigated.

Analysis of academic dropout of the dentistry course following the SARS-CoV-2 pandemic period

2025-04-01T17:30:11+00:00

Objective: To investigate the variables associated with post-pandemic dropout in the Dentistry course. Methods: This is an observational, cross-sectional, descriptive, quantitative study, using questionnaires. A total of 94 students, aged between 15 and 30 years, in the first year of the Dentistry course at the Federal University of Ceará – Fortaleza campus were interviewed. The data were expressed in absolute and percentage frequencies and analyzed using Fisher's exact test or Pearson's chi-square test (p ≤ 0.05). Variables with significant association were subjected to the multinomial logistic regression (MLR) model. Results: Variables with significant association were subjected to the multinomial logistic regression (MLR) model. The probability of dropping out of the course was higher among younger students and those in the first semester (95.7%). Furthermore, approximately 78% of potential dropouts had not experienced any practical dental experience. The MLR indicated that the lack of experience in clinical activities increased the probability of dropping out of the course by 20.77 times. Conclusion: Although the pandemic posed challenges to education in Brazil at all levels, the main reasons for dropout were being in the first semester and the lack of clinical experience in the initial semesters of the course.

Changes in routine arising from the COVID-19 and associations with developmental outcomes of infants 18 to 24 months

2025-04-01T17:24:52+00:00

Objective: To correlate the results obtained by the Bayley Scale of Development III on the motor and language domains, and to identify aspects of the routine modified by the pandemic and the developmental outcomes of typical infants aged 18 to 24 months. Methods: Analytical cross-sectional study that evaluated neurotypical infants aged 18 to 24 months, born at term, using the Bayley Scales of Infant and Toddler Development®-III. Results: Receptive communication (RC) showed a positive correlation with mothers fixed working hours, living with both parents, in relation to the mother is favorable, and with parents' interest in seeking out research to assess their children. However, it was negative with more "TV time". Expressive Communication (CE) was correlated with a higher family income and with "Searching for research". The Language variable (LGG=CR+CE) added positive with higher "Paternal Education" and with the infant had crawling (p = 0.040). In motor skills, the Fine Motor Scale (Mot F) correlated with a higher family income, while the Gross Motor Scale (Mot G) showed a negative with the number of people living in the same house and pregnancy stress on pandemic. Conclusion: Routines modified by the pandemic context correlate with child development markers, mainly concerning language.

Factors associated with resilience in elderly people with diabetes

2025-04-01T15:19:36+00:00

Objective: To analyze the factors associated with resilience in elderly individuals with diabetes mellitus. Methods: This is a cross-sectional, analytical study with a quantitative approach, with 98 elderly individuals with diabetes treated at the outpatient clinic of a public hospital in the city of Recife, Pernambuco, northeastern Brazil. For data collection, sociodemographic variables, clinical conditions, behavioral habits and the Connor-Davidson Resilience Scale (RISC-Br) were investigated. Data were analyzed using descriptive and inferential statistics with the aid of SPSS, version 22.0. Results: The majority were women (71.4%), with a mean age of 67.7 years (±5.82) and a mean time since diabetes diagnosis of 16.6 years (±9.0). Low resilience was more prevalent (65.3%) and was associated only with obesity (p=0.028). Conclusion: It is concluded that nutritional status interferes with resilience, making it necessary to include psychological aspects in assistance to elderly people with diabetes with a view to glycemic control.

Neuroprotection in neonatal ICUs: a pillar in multiprofessional health training

2025-04-01T15:00:29+00:00

Objective: To discuss neuroprotective practices in the context of the NICU and to highlight the importance of teaching the subject to multiprofessional health residents. Literature review: Neuroprotective practices aim to promote neurological development and minimize damage to hospitalized newborns, through interdisciplinary, humanized approaches based on scientific evidence. These practices include appropriate management of the newborn and include welcoming family members and providing guidance to the team and the family. Thus, considering that multiprofessional residencies are spaces for teaching neuroprotective practices, it is necessary to use dynamic pedagogical strategies that favor active and inclusive learning of the subject, stimulating the development of essential skills to work in NICUs in an integrated and collaborative way. Final considerations: By encouraging residents to learn, teaching activities help to improve neonatal care, with better health outcomes. As a result, health teams will be able to offer sensitive and competent care to newborns and their families.

Toilet training: eliminatory dysfunctions resulting

2025-04-01T14:58:18+00:00

Objetivo: Analisar as evidências científicas sobre o desenvolvimento infantil relacionadas ao sistema urinário, a micção e os desafios e estratégias de manejo parentais frente a enurese e encoprese das crianças. Métodos: Revisão integrativa de literatura, realizada entre setembro de 2021 e agosto de 2022, utilizando os descritores: “Desenvolvimento infantil” AND “Micção”; “Desenvolvimento infantil” AND “Sistema urinário”; “Desenvolvimento infantil” AND “Encoprese”; “Desenvolvimento infantil” AND “Enurese”; “Criança” AND “Encoprese”; “Criança” AND “Enurese”. A estratégia de busca permitiu encontrar 144 publicações nas bases de dados LILACS, PubMed e SciELO, publicadas no período de 2011 a 2021, sendo que quatro foram excluídas por serem duplicadas. Resultados: Existem múltiplos fatores que influenciam a aquisição do controle esfincteriano, sendo elas a maturidade socioemocional da criança, sua capacidade intelectual, determinantes culturais além de interações psicológicas entre eles e seus cuidadores. Nesse aspecto, intervenções terapêuticas multidisciplinares voltadas para o manejo comportamental e com foco na influência familiar têm demonstrado sucesso na resolução da incontinência urinária e fecal. Conclusão: Reconhecer os sinais de prontidão, promover hábitos saudáveis e orientar adequadamente os pais e cuidadores sobre o desfralde são atitudes indispensáveis para a obtenção de resultados positivos na aquisição do controle de esfíncteres.

The deficiency in the teaching of first aid in undergraduate nursing courses in the state of Pará

2025-04-01T14:55:15+00:00

Objective: To analyze the teaching of first aid in nursing courses at public and private Higher Education Institutions (HEIs) in Pará. Methods: Quantitative, descriptive and exploratory research carried out in the first semester of 2024. The raw data of the curricular components (Curriculum, Course Curriculum and Course Pedagogical Project) were retrieved from the websites of the HEIs in Pará with active status on the e-MEC portal. Results: 24 HEIs met the inclusion criteria (21 private and 3 public). The Course Curriculum was the component most frequently found (54%), especially in private HEIs. First aid is covered late in most courses, mainly in the 7th period (42%), with a workload of 60 to 267 hours, inserted from the 3rd to the 8th period, and with greater inclusion in the Urgency and Emergency subjects, without delimiting the discipline in a single discipline. Conclusion: The study revealed limitations in the teaching of first aid in nursing courses in Pará, requiring its insertion from the first semesters, longitudinally and exclusively, to better qualify the care of future nursing professionals and possibly reduce mortality in Pará.

Analysis of eating behavior and intestinal habits of children with Autism Spectrum Disorder

2025-04-01T14:50:52+00:00

Objective: To characterize the profile of eating and bowel habits of children with Autism Spectrum Disorder (ASD), correlating them with the anthropometric data of child growth. Methods: This is a cross-sectional, quantitative, descriptive, and observational study. A questionnaire was applied to caregivers of autistic children, and anthropometric data of the target population were collected. Results: It was found that children with ASD exhibit motor and behavioral difficulties during feeding, with instances of food selectivity. A trend was observed in selecting foods based on texture, with a preference for crunchy foods (34.6%). It was found that 15.4% of children with ASD have very short stature, 21.7% have excess weight, and 33.3% of children aged 0 to 5 years are obese. The analysis of gastrointestinal complaints showed that 1 in 4 children reported constipation. Conclusion: There is a tendency for food selectivity, in addition to motor and behavioral difficulties during meals. Frequent occurrences of constipation were identified. Susceptibility to overweight and obesity was observed in children aged 0 to 5 years.

Overview of dengue vaccination in children and adolescents in the state of Mato Grosso

2025-04-01T13:52:35+00:00

Objective: Describe the panorama of dengue vaccination in children and adolescents in the state of Mato Grosso. Methods: This is an ecological, descriptive, and cross-sectional study that used data from the Ministry of Health, through the Localiza SUS platform, and other sources from the federal government and health institutions, in the year 2024, using the following variables: sex, age, ethnicity, and municipalities of application. Results: Since the beginning of the state vaccination campaign against dengue in 2024, using the Qdenga vaccine, 17,112 doses have been applied to the target audience, represented by individuals aged 10 to 14 years, up to the 35th epidemiological week. However, in the period analyzed, this group's adherence to the complete vaccination schedule was low, with only 17.5% of those vaccinated returning to receive the second dose of the vaccine. Conclusion: The increase in the incidence of the disease, especially in 2024, highlights the need to reinforce control measures. The study reaffirms the use of the vaccine as an important preventive measure available in the SUS, and highlights that it should be widely disseminated in conjunction with health education actions.

Analysis of the epidemiological profile of leprosy cases

2025-04-01T13:45:31+00:00

Objective: To analyze the Epidemiological Profile of leprosy cases in the Metropolitan Region of João Pessoa-PB. Methods: Exploratory, documentary, analytical, quantitative, descriptive-retrospective study with data provided by the Secretariat of Health of the State of Paraíba (SES), present in the state of SINAN, from 2019 to 2023. The data was organized through them records sent by la SES. y tabulated in Microsoft Excel 2019®. For the process, Jamovi® software was used. Results: For the epidemiological profile, 1,370 cases were analyzed, with the highest record in 2019 with 362 reported cases, and a coefficient of 27.75 cases/100,000 inhabitants. The profile of people with leprosy is predominant: male 56.5%; brown color 75.4%; age 35 to 64 years 57.5%; incomplete primary education 40.4%. The majority of cases present the dimorphic form of the disease 40.8%, low degree of disability 40.9% and multibacillary characteristics 71.6%. Conclusion: despite the increase in early detection, active search and adequate monitoring, the analyzed region appears to be endemic.

Prevalence of gestational diabetes mellitus in a school laboratory in Goiás

2025-04-01T13:43:34+00:00

Objective: To estimate the prevalence of gestational diabetes and analyze the relationship between the risk of gestational diabetes in two age groups, as recommended by the Brazilian Diabetes Society. Methods: A cross-sectional study investigated changes in blood glucose levels and the Oral Glucose Tolerance Test (OGTT) during pregnancy, using data from the Clinical Laboratory of the Pontifical Catholic University of Goiás from 2018 to 2023. The study compared changes in tests among pregnant women divided into two age groups (≤ 25 years and > 25 years) to determine the prevalence of gestational diabetes mellitus (GDM). Results: The study evaluated 461 pregnant women, revealing a significant relationship between age and the risk of gestational diabetes mellitus (GDM), with 60.1% of pregnant women over 25 years old presenting with GDM, compared to 39.9% of pregnant women up to 25 years old. Most pregnant women had normal fasting blood glucose levels, but there was a significant increase in levels after glucose overload in those with GDM. The correlation between age and fasting blood glucose levels was moderate, highlighting the importance of early screening. Conclusion: The results presented highlight the complexity of the interactions between age, fasting blood glucose, and response to glucose overload during pregnancy.

Optimization of the process of room disinfection using ultraviolet C radiation

2025-04-01T13:41:09+00:00

Objective: To evaluate the energy efficiency of approaches used by equipment for room disinfection by UVC (ultraviolet C) radiation. Methods: The study considered only commercially available disinfection equipment that has scientific evidence verified through scientific articles. The evaluation was carried out based on simulations and mathematical models. In this evaluation, the energy consumption of the equipment was compared after the application of the approaches in a simulated control environment. The comparison of the consumption of the approaches was made considering the same disinfection points in the environment and for the same microorganisms and disinfection rates. Results: The evaluation showed that one of the approaches allowed a 64.71% reduction in electricity consumption, due to the reduction of the equipment's power to one fifth of its original value, without compromising the environment's disinfection capacity. Conclusion: This reduction is capable of enabling the use of scientifically proven equipment, since, as current equipment requires high electrical power to operate, only a few electrical outlets can supply energy to this equipment. Therefore, the equipment can be connected to any available socket in the environment where disinfection will be carried out, which can be essential during pandemic periods, such as COVID-19.

Distribution of the magnetic resonance service in the state of Pernambuco

2025-03-31T18:36:36+00:00

Objective: To analyze the distribution of the MRI service in the state of Pernambuco. Methods: This is a descriptive and cross-sectional study, developed with secondary data on magnetic resonance equipment from the National Registry of Health Establishments and magnetic resonance exams from the Ambulatory Information System, considering the year 2022. To compare the distribution of equipment and the provision of exams, the SUS care parameters present in Consolidation Ordinance nº 1/2017 were used. Results: Pernambuco presented a quantity of equipment close to what was necessary, however, exams were carried out 75% below that recommended by the need parameter. The geographic distribution showed, except in Health Regions I and XII, the concentration of equipment in just one municipality in the region, with the majority located in private providers. The used capacity of the equipment was less than 50% in almost the entire state. Final considerations: Increasing the use of magnetic resonance equipment capacity in Pernambuco is a necessity, considering the insufficient supply of exams and inadequate distribution of equipment across the state.

Oral biofilm control in hospital dentistry to prevent ventilator-associated pneumonia

2025-03-31T18:32:56+00:00

Objective: The aim is to detect information in the cientific literature on actions in hospital dentistry for the prevention of ventilator-associated pneumonia (VAP) to stimulate evidence-based practice (EBP) regarding the control of oral biofilm for the prevention of VAP. Methods: The present work is an integrative literature review, in which scientific articles available in the Biblioteca Virtual em Saúde (BVS) were searched until November 2024, using the filters “full text”, “last 10 years”, in Portuguese and English languages. The descriptors and strategy “oral biofilm AND hospital infection AND pneumonia” were used. Results: 19 articles were found in the BVS. After applying the inclusion and exclusion criteria, six articles were evaluated in full and included in the present study. It was observed that all the included articles presented conducts in hospital dentistry for the prevention of VAP, promoting EBP regarding the control of oral biofilm for the prevention of VAP. Final considerations: Hospital dentistry allows the implementation of specific care to control oral biofilm in hospitalized individuals, which contributes to the reduction of oral microbial proliferation and consequent prevention of VAP.

The integration between orofacial harmonization and implantology

2025-03-31T18:27:37+00:00

Objective: To analyze the interrelationship between orofacial harmonization practices and implant dentistry through an integrative review. Methods: This is a descriptive study of the integrative literature review type with articles published between 2014 and 2024, in English and/or Portuguese with complete text, selected through the databases: PubMed, MEDLINE, SciELO and BVS, using the descriptors: “Dental Implants”, “Esthetics” and “Mouth Rehabilitation”. Results: After careful analysis of the scientific articles, the final sample consisted of 19 articles, which described evidence of satisfactory results with the combined use of hyaluronic acid and/or botulinum toxin and/or biostimulators in Implantology, promoting greater patient satisfaction and treatment success. Final considerations: Current literature conjectures that substances used in orofacial harmonization (HOF) bring benefits to the success of a dental implant, optimizing aesthetic and functional results. The integration between orofacial harmonization and implant dentistry proves to be a promising approach in oral rehabilitation.

Analysis of AIDS cases in the city of Belém do Pará

2025-03-31T18:25:58+00:00

Objective: Characterize the epidemiological profile of AIDS cases in the city of Belém, Pará, Brazil, in the period 2019-2023 Methods: A descriptive study, with a quantitative approach, based on the analysis of AIDS cases in the city of Belém, Pará, Brazil, in the period 2019-2023. The research was carried out using secondary data available in the Notifiable Diseases Information System (SINAN). Results: Based on the data presented, an epidemiological profile was formed that reveals that male individuals, aged 20 to 34 years, of mixed race, with high school education and who identify as heterosexual, are the most vulnerable to the disease, as they represent the majority of notifications in the Belém region. In total, there are 1,024 cases in the period from 2019 to 2023. Conclusion: HIV/AIDS continues to have a high rate of infection, especially among young, brown, heterosexual men and high school. There is a need for more education in schools and improvements in patient reception where nurses must be trained and humanized in their nursing consultation, overcoming stigma. In Belém do Pará, despite the reduction in cases, more studies and multidisciplinary actions are still needed to combat the epidemic.