International Archives of Medicine (E-Journal)
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How to face the association between tobacco and psychosis?
Evidences suggest an association between tobacco and psychosis. However, the reasons why people with psychosis have a higher tendency to smoke than the general population are not yet clear. Recently, Gurillo et al. reported that daily use of tobacco is associated with an increased risk of psychotic disorder and an earlier age of onset of psychotic illness. His study also calculated a significant mean difference in age at onset, expressed in years, and estimated the prevalence of smoking in people with their first episode of psychosis. According to this and other findings, it could be said that the causes of the smoking-schizophrenia association are complex and cannot be explained solely as a result of some aspect of schizophrenia. Thus, new studies in this area are needed, as well as strategies that look for the monitoring of smoking effects in order to reduce it among individuals with schizophrenia.
Key-words: Tobacco, Psychosis, Illness
The Meaning of the Elderly Sexuality in the Nursing Consultation Context
Objective: Comprehend the meaning of the elderly sexuality in the nursing consultation context.
Method: A qualitative research, of Alfred Schutz’s phenomenological sociological approach. 41 participants, being Brazilian and Portuguese elderly. The used scene was the teaching-assistance academic unit Institute of Health Care São Francisco de Assis – Rio de Janeiro – Brazil and Health School – Polytechnical Institute of Guarda – Portugal.
Results: The analysis of the contextualization of the reason-why and its categories: Interpretations of sexuality and sex between elderly; Cultural aspects involved among the elderly.
Conclusion: The lack of correct interpretation between the sexuality meaning and sex contributes to the insight of preventive clinical care, just as for sex-related pathologies.
Keywords: Nursing; Consultation; Elderly; Teaching; Education; Sexuality; Sex
Nursing Practices In Intravenous Therapy In Newborns: An Integrative Review
Objective: to identify the evidence on nursing practices in intravenous therapy in newborns.
Method: integrative review in the PubMed, Scopus and SciELO databases. A total of 150 articles were selected, and after thorough reading, eight studies remained.
Results: Most of the studies were descriptive and cross-sectional (50%), using peripheral venous catheter (62.5%). The years varied between 2006 and 2014. Brazilian studies corresponded to 37.5%.
Conclusion: The main nursing practices were: use of saline solution for catheter clearing; use of larger caliber catheters; use of splints to support the limbs; adequate positioning of the upper limb during radiography for correct confirmation of the positioning of the tip of the peripherally inserted central catheter; management of pain with pharmacological and non-pharmacological actions. Descriptors: Nursing care; Newborn; Peripheral catheterization; Vascular access devices; Evidence-Based Clinical Practice
Vitamin D and polycystic ovary syndrome: an integrating review
Introduction: Polycystic ovary syndrome (PCOS) is the most common endocrinopathyin women of reproductive age. It causes a metabolic syndrome characterized by insulin resistance, hyperinsulinemia, and dyslipidemia. Vitamin D deficiency and its association with PCOS still represents a controversial subject in the literature.
Objective: In this context, this study aimed to understand the association between polycystic ovary syndrome and vitamin D deficiency, and how it occurs.
Method: It was an integrative review conducted in the PubMed, Scopus, LILACS, and CINAHL databases from August 2016 to January 2017, with a sample of 7 articles analyzed in their entirety.
Results: The evidences according to the studies conducted and the conclusions they identified.
Conclusions: It was concluded that we cannot yet assume that vitamin D deficiency contributes to the pathogenesis of PCOS, nor that the syndrome causes vitamin D deficiency, since the studies are controversial and there is a need for research with higher levels of evidence to clarify these doubts
Night Work And Its Implications In The Quality Of Life Of Nurses
Objective: to know the consequences that night work can bring to the quality of life of nurses, identifying the strategies adopted by nurses to stay healthy.
Method: descriptive, mixed-approach (quanti-qualitative) research, carried out with nine Nursing professionals. Data were collected in June 2016.
Results: The male gender (77.7%) prevailed, the working time in the sector was between 1 and 5 years (55.5%), with the majority still working overtime (66.6%). Most participants report being dissatisfied with the quality of their sleep, although 88.8% of professionals say they are satisfied with their quality of life. From the testimonies, we obtained the meanings that were grouped in the categories: "It is something related to my health", "It interferes with my work, family and leisure ...", Night work and basic necessities.
Conclusion: It was found that night work has negative social impacts that affect workers' personal and social lives. These negative aspects are compounded by poor working conditions, double working hours, overtime, among other factors
Prevalence Of Maxillary Sinus Jaw Mucuous Cysts In University Dental Radiology Service
Background: Mucosal cyst of the maxillary sinus or antral pseudocyst is one of great importance injury, being the pathology that affects more the maxillary sinus. Their discovery, in most cases, it is for the interpretation of the images in routine panoramic radiography. Aims: The research aimed to evaluate the prevalence of mucous cyst in maxillary sinus in radiology clinic at Ceara Federal University. Material and Methods: To this study conduction, were analyzed 1996 panoramic radiographs from a digital file obtained between April 2011 to April 2013 Results:. Aspects as gender, affected side and teeth absence next to the cyst in the respective quadrant were evaluated.It was observed in the sample the occurrence of 45 patients with suggested images of mucous cysts in maxillary sinus,making a prevalence of 2,25%. From them, 26 (57,8%)were female and 19 (42,2%) were male. 48 maxillary sinuswere affected with the wound, from which28 (58,3%) it was in the left side and 20 (41,7%) in the right site. Three patients presented the wound in both sides, what represents 6,7% of the affected patients. From those 48 Mucous retention cyst, 40 (83,3%) were not related to an edentulous area in ipsilateral quadrant and 8 (16,7%) were shown next to an edentulous area. Conclusion: The conclusion was that the cyst of retention mucous in the maxillary sinus had prevalence in males and in the left side of the maxillary sinus. It was not found a relation between the cyst and the edentulous area
Prevalence of Arbovirus Infections among Pregnant Women at a Maternity Hospital School
Objective: Survey the prevalence of arbovirus infections among pregnant women provided with care at a maternity hospital school in Recife, Pernambuco, Brazil.
Method: Descriptive, cross-sectional, retrospective, and quantitative study, carried out with data collected from the notification forms filled in during obstetric screening between August 2015 and July 2016.
Results: Positive serology was found for arboviruses in 40.2% of the 103 suspected cases. Serology was not performed or it showed inconclusive results in 59.8% of the cases. Dengue fever occurred in 44% of the cases, chikungunya in 34%, and zika fever in 22%. Infections were more frequent among pregnant women over 20 years old, with low income and low schooling levels, living in Recife (48.5%) and Olinda, Pernambuco, Brazil (24.3%). The most frequently mentioned symptoms were arthralgia (94%), exanthema (82%), and fever (78%). Infections occurred within the first trimester of pregnancy (54.5%), 63.3% of the pregnant women had to be hospitalized, and 45.4% of them did not undergo morphological ultrasonography. Most babies were born full-term and they had adequate weight. The prevalence of microcephaly was 9.7% when considering cases of arbovirose and 62.5% when considering specific cases of zika fever.
Conclusion: The prevalence and repercussions of arboviruses justify the consolidation of actions to fight Aedes aegypti, as well as the effective deployment of clinical protocols and recommendations aimed at the mother and child care
Quality Of Life Of Patients With Breast And Gynecological Cancer Faced With Anticancer Chemotherapy
Quality of life of patients with breast and gynecological cancer faced with anticancer chemotherapy
Backgroud: the evaluation of quality of life in cancer patients is of interest to researchers due to its impact on health policies. The aim of this study was to assess the quality of life of patients with breast and gynecological cancer, undergoing chemotherapy.
Methods and Findings: this was a quantitative, descriptive and longitudinal study, conducted in the Clinical Hospital of the Triangulo Mineiro Federal University. To assess the quality of life, the Portuguese brief version of the World Health Organization Quality of Life (WHOQOL-BREF) instrument was applied. The paired Student’s t-test was used for the analysis of the means of/ the scores of the domains. The study included 14 women. The lowest means were observed in the physical domain, 51.78±15.89 and 50.25±15.37, respectively before and after treatment. There was also a compromise of the psychological and environment domains, however, the data analyzed did not show statistical significance. The main limitation of this study is the sample size.
Conclusion: quality of life presents itself as an important factor for the measurement of results in clinical studies.
Keywords: Quality of Life; Breast Neoplasms; Genital Neoplasms, Females; Chemotherapy
Is Music Effective For Pain Relief In Burn Victims?
Objective: to describe the effect of music on pain of burn victims during the dressing change.
Methods: applied, descriptive, exploratory and quantitative research held in a Burn Treatment Unit from October 2015 to April 2016. The study included 16 burn victims who were divided in three groups: A: patients heard music before dressing; B: patients hear music during dressing; C: patients did not hear music.
Results: the average age was 31.8 years (± 14.1) and most of the subjects were male. Lower limbs and trunk were the most affected parts of the body, especially with second-degree burns and which affected an average of 15.8% (± 11.5) of the body surface. There was a predominance of gospel music (50.0%). The music reduced the average heart rate and oxygen saturation, but did not change ventilatory rate. There was a decrease in the average of pain intensity in groups GB (p = 0.0505 and GC (p = 0.0055). During the dressing, the burning was unanimous characteristic for all subjects, in the same manner as verbal reports was the form of manifestation.
Conclusion: music proved to be a simple and effective resource in controlling pain in burn victims.
Keywords: Burns; Music; Pain
Are There Scientific Evidences that the Stem Cell Use Is Benefic to Patient with Dilated Cardiomyopathy?
The dilated cardiomyopathy (DCM) is one of the most important causes of cardiac insufficiency, leading to morbidity and mortality augment, due to therapeutic restriction. Objective: To search scientific evidences about the treatment of dilated cardiomyopathy with stem cells use. Results: The stem cells use in this pathology has shown benefits through human and animals experiments, verified through images and laboratorial exams. Conclusion: Even with positive results, this treatment requires deeper studies that can show consistent vantages of this therapy in humans