International Archives of Medicine (E-Journal)
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Effects of Andiroba oil (Carapa guianensis) on wound healing in alloxan-diabetic rats
Get PDFPurpose: To evaluate wound healing in diabetic rats by using topic Andiroba oil (Carapa guianensis).
Methods: Six male, adult, Wistar rats were distributed into three groups: Sham group (wound treatment with distilled water); Collagenase group (treatment with collagenase ointment); and Andiroba group (wound treatment with Andiroba oil). The wound was evaluated considering the macroscopic and microscopic parameters.
Results: The results indicated differences in the healing of incisional wounds between treatments when compared to control group. Accelerated wound healing was observed in the group treated with Andiroba oil and Collagenase in comparison to control group, especially after the 14th day. Morphometric data confirmed the structural findings.
Conclusion: There was significant effect in topical application of Andiroba oil on wound healing in rats with induced diabetes.
Keywords: Medicinal plants. Diabetes Mellitus. Wound healing. Rats
Integrative Community Therapy And Its Meaning For Student Life
Get PDFObjective: Understanding the meaning of ICT (Integrative Community Therapy) in the life of students participating in the Extension Project “O desabrochar de si: a TCI no Centro de Atenção Psicossocial”.
Method: It is an exploratory and descriptive study of qualitative approach that sought to understand the phenomenon in question using an instrument of semi-structured interview applied to students of the Education and Health Center at the Campina Grande Federal University (UFCG), Cuite campus, in the state of Paraiba.
Results: The results found enabled the construction of the following categories: Knowing the (un)known: the meeting with and approach to ICT; ICT and its mobilizing potential; and the following subcategories: Revealing a cycle of discoveries; Unveiling experiences for life. This study revealed that ICT has a relevant impact, bringing forth positive changes in the life of students in question.
Conclusion: It can be said that the participants expressed satisfaction and personal changes, since ICT availed at rescuing essential values for their lives, favoring the discovery and the finding of strengths to face the adversities of daily life. The students found in the Extension Project and in ICT a source of support for personal improvement, besides giving the opportunity for the creation and strengthening of bonds between the team, community and professors
University Extension of Elderly Health and Potency for Medical Training
Get PDFObjective: To present the potential of university extension for medical training, based on the perception of extension workers.
Method: This is an exploratory descriptive study, with a qualitative approach, carried out with medical students, former students of the university extension project of the elderly health. Wheels of conversations were made to base empirical production on a semi-structured interview script. The analysis was performed using Fiorin's speech analysis technique.
Results: It was possible to verify, in this research, the power of the university extension in the medical training, the impact generated in the accompanied elderly people and the importance of the production of bond. It was also verified the importance of providing students with more projects that can give a return to society and foster in students the need not to stop only the pathology, but mainly to awaken the motivation for a humanized and integral care.
Conclusion: The university extension provides an approximation with the community, through the bond and accountability between the academic and the elderly. In addition, it allows to contribute to improve and implant the sense of citizenship in the life of individuals.
Key words: Health of the institutionalized elderly, Medicine, Collective Health
An alternative to the orthopaedic traction table (fracture table): A prototype of low cost, easy reproduction and good applicability
Get PDFAbstract
Background: Orthopaedic traction tables are used as an aid in numerous surgical procedures. The present paper aims to present a prototype of an external device of lower limb traction, which is portable, of simple construction, and can be installed on any operating table, with possible application in surgical and teaching practices. We will compare the quality of radiographic images obtained with the help of this prototype (PT) to those images obtained with the aid of the conventional traction table (CT).
Materials and methods: Cross-sectional, observational, and double blind study, approved by the Research Ethics Committee. On two occasions 36 randomly selected radiographs of the lower limbs, 18 of which obtained on the CT and the remaining on the PT, were evaluated by nine physicians. These radiographs were obtained from three volunteer and none of them presented musculoskeletal system disorders previously diagnosed in the study. Examiners rated each picture from 1 to 5, according to the quality of the image obtained. The responses were submitted to statistical analysis by SPSS ®, v23. Comparisons were considered significant when p <0.05, with a 95% confidence interval.
Results: The average ratings were similar and all significance tests between the averages were higher than 0.9. The intra-observer agreement was 76.13% for the PT and 82.69% for the CT. The inter-observer agreement was low for both models. Due to its lower weight and smaller size compared to the CT and the material used for prototyping, the production cost of the PT is quite affordable.
Conclusions: The PT presented in this paper is a good alternative to CT.
Keywords: Traction table, Fracture table, Orthopaedic surgery, Orthopaedic prototype, Lower limbs
Health Demands Characteristics and Quality of Life in the Elderly Monitored in the Primary Care
Get PDFBackground: To characterize the demands of health and quality of elderly peoplemonitored in the primary care of Rio Grande do Norte/Brazil.
Methods and Findings: This is a descriptive, cross-sectional study of a quantitative approach with elderly patients monitored by the primary care. The sample was given for convenience, obtaining 120 participants. The research was conducted through an interview with theapplication of the following questionnaires: Mini Mental State Examination, Socio-demographic Data and Pain Characteristics, Short-Form-36, Mini Nutritional Assessment, the primary activities of daily living, the instrumental activities of daily living, Prism 7 and the Geriatric Depression Scale. Data analysis was performed using the SPSS statistical program, in which descriptive and association tests were used.The main demands were related to functionality, followed by nutritional and geriatric depression. The quality of life presented worse results in the domain of general health status and better scores in the emotional and mental health aspects. Regarding the dimensions, the physical health obtained aworse score.
Conclusion: Based on the characterization of the health demands found, it is suggested to perform other studies with the same population, enabling to plan and implementing a multidimensional intervention and improving the quality of life of the elderly people.
Keywords: Elderly; Quality of Life; Aging; Elderly Health; Nursing
Profile Of Burn Victims Attended By An Emergency Unit
Get PDFObjectives: to identify the sociodemographic and health profile of burn victims, knowing the characteristics of the events and detecting the major analgesics prescribed in the emergency department.
Methods: descriptive, exploratory and quantitative study with 16 burn victims treated at a Burn Treatment Unit from October 2015 to May 2016.
Results: the average age of participants was 31.8 years (± 14.1). Mostly, the subjects were male (62.5%), single (43.8%), brown (68.8%), economically active (75.0%) and coming from Aracaju and its surroundings (62.5%). Injuries from burns were mostly of second degree (93.8%) and reached the lower limbs (68.8%). The average burned body surface was 15.8% (± 11.5). The circumstances surrounding burns occurred mainly at home (50.0%), on Sundays (25.0%) and in the shifts morning (37.5%) and night (37.5%). The main etiological agent was alcohol (31.3%). All patients received analgesia in the emergency department, but the minority had pain documented (18.8%). The physician was the only professional who reported pain in their records, but did incompletely (18.8%).
Conclusion: due to the negative effects of burns, it is crucial to adopt educational and preventive measures to change the current scenario of epidemiology of such trauma.
Keywords: Burns; Epidemiology; Analgesia; Emergency
Satisfaction of users of the Family Health Strategy in a capital city of Northeast Brazil
Get PDFObjective: To analyze the satisfaction of users of the Family Health Strategy in relation to the Reliability and Safety aspects.
Method: This is a quantitative research carried out with 353 participants enrolled in an Integrated Health Center of the eastern region of a capital in the Northeast Brazil, through the SERVQUAL instrument. The data collection took place from January to May 2015, the research was approved by the Ethics and Research Committee of the UNINOVAFAPI University Center.
Results: The results indicated that in the Reliability dimension, participants agreed that the healthcare professionals record the attendance, perform on the promised date and have an interest in solving the problems. In the Security dimension, the majority of the participants were indifferent as to the behavior of the professionals generating confidence. They demonstrated security in requesting the services because they were politely attended by the professionals. Moreover, in the two dimensions analyzed, it was noticed that there is a tendency to increase satisfaction as the participants' income decreases with significant statistical relations, with satisfaction on Reliability and Security inversely proportional to income.
Conclusion: It is considered that users of the Family Health Strategy have demonstrated satisfaction with the services received, however, there is a need for more studies with different methodological approaches to better elucidate the intersubjective issues that shape the process of interaction between users, healthcare professionals and services.
Keywords: Family health; patient satisfaction; security
Healing incisional surgical wounds using Rose Hip oil in rats
Get PDFPurpose: To evaluate incisional surgical wound healing in rats by using Rose Hip (Rosa rubiginosa L.) oil.
Methods: Twenty-one days after the oophorectomy procedure, twenty-seven female, adult, Wistar rats were distributed into three groups: Control group (wound treatment with distilled water); Collagenase group (treatment with collagenase ointment); and Rose Hip group (wound treatment with Rose Hip oil). Each group was distributed according to the date of euthanasia: 7, 14 and 21 days. The wound was evaluated considering the macroscopic and microscopic parameters.
Results: The results indicated differences in the healing of incisional wounds between treatments when compared to control group. Accelerated wound healing was observed in the group treated with Rose Hip oil in comparison to the control and collagenase, especially after the 14th day. Morphometric data confirmed the structural findings.
Conclusion: There was significant effect in topical application of Rose Hip oil on incisional surgical wound healing
Clinical And Epidemiological Aspects Of Hepatitis B Virus And Hepatitis C Virus In Fortaleza-Ceara
No full textIntroduction: Viral hepatitis is among the main problems that affect public health globally. The knowledge of the clinical and epidemiological situation of hepatitis B and hepatitis C is necessary for the establishment of prevention and control strategies together with individuals and communities in vulnerable situations.
Objective: To investigate the clinical and epidemiological aspects of the population affected by hepatitis B and hepatitis C from 2007 to 2014, in Fortaleza, Ceara, Brazil.
Methodology: Descriptive, retrospective study involving data from the Notifiable Diseases Information System, with analysis of gender, age, race, illicit drug use, sex partnerships, tattoo/piercing, transfusion, dialysis and transplantation. Chi-squared tests were used for statistical analysis of the variables.
Results: It was reported 779 cases of hepatitis B and 756 of hepatitis C. Regarding the HBV, 69.7% were male, 77.5% of brown color, and a median age of 36 years. Regarding risk factors, there was highlight for sexual practice and number of sex partners (p = 0.001), blood transfusion (p = 0.011) and use of tattoo/piercing (p = 0.011). As for HCV, 57.7% were male and the mean age was 46 years. As for risk factors, the injecting drug use (p = 0.001), the presence of three or more partners (p = 0.001) and the use of tattoo/piercing (p = 0.021) stood out. Regardless of gender, age or race and drug use, transfusions and age over 40 years increased the risk for hepatitis. There were still high percentages of missing data in several variables.
Conclusion: This study contributes to alert the Brazilian health authorities on the importance of these infections and the need to expand and strengthen current health policies, and allows reflection on control strategies for hepatitis.
Keywords: Hepatitis B; Hepatitis C; Risk factors
Low Irisin Levels in Patients with Type 2 Diabetes Mellitus without Current Treatment: A Systematic Review
No full textBackground: The Irisin is a myokine associated with the improvement on insulin resistance caused by diet and increased physical energy expenditure. Recent studies have shown that patients with Type 2 Diabetes Mellitus (T2DM) have reduced levels of irisin, showing it as a potential marker for various endocrine and cardiovascular diseases. This study aimed to verify if T2DM patients never treated or without ongoing treatment have reduced levels of irisin when compared to individuals with other metabolic profiles.
Methods and Findings: Systematic review of the literature, considering the primary studies published in 2012 to 2016, with the outcome Irisin levels in patients never treated or without current treatment in the ambience of Type 2 Diabetes Mellitus. The search was conducted through the electronic database Scopus (Elsevier), using the key words: "Irisin", "Human" and "Diabetes Mellitus". From the 91 studies found, 8 met the eligibility criteria. Significant differences were found on levels of irisin in patients with T2DM compared to normoglycemic individuals, obese and/or pre-diabetic. On average, there was a reduction of 15 pg/ml in plasma levels of irisin in diabetics. However, a minority of studies says that this relationship does not exist.
Conclusion: Irisin reduced levels were found in patients with T2DM and is also related to lipid profile, with the risk of developing endocrine diseases, such as diabetes and obesity, and high risk for cardiovascular diseases because of its relationship with endothelial dysfunction. This generates the need for research in order to explore the isolation and clinical use of irisin for treatment of disorders related to imbalance in energy demand, obesity and diabetes.
Descriptors: Irisin, Human, Diabetes Mellitus