KNOWLEDGE OF HEALTH SCIENCES UNDERGRADUATE STUDENTS IN OBJECTIVE TESTS ON BASIC LIFE SUPPORT

Introduction: Sudden Cardiac Arrest (SCA) is a serious public health problem and represents one of the leading causes of death in the world. In emergency situations the assessment of the victim and care must be effective, to reduce negative outcomes and to increase the survival rate. Objective: To analyze graduation students in the Health Sciences through objective testing on Basic Life Support (BLS). Methods: This is a descriptive, observational and cross sectional study, performed in the State of São Paulo, Brazil. The study population consisted of 664 graduation students in Medicine, Nursing, Physiotherapy, Pharmacy, Nutrition and Occupational Therapy. Data collection occurred through an instrument in the form of objective tests based on the guidelines for Basic Life Support from the American Heart Association. For analysis the Shapiro-Wilk, Chi-square, Mann-Whitney and Kruskal-Wallis tests were used. The adopted confidence level was 95%. The statistical program used was Stata 11.0. Result: There was found to be a prevalence of students who were female (82.23%), single (77.56%), on the physiotherapy course (53.16%), in the freshmen year (32.2%) with previous training (54.45%) and with a median age of 22 years old. When the association between the scores was analyzed according to sex, marital status, previous training, course and year of study, the relation between the number of correct answers and previous training, course and year of study showed statistically significant differences (p < 0.001). Conclusion: 99.9% of subjects had lower score than the minimum score of 84% of Americam Heart Association, which characterizes insufficient knowledge about the basic support of life theme. Thus, there is need for continued training of health sciences students on the subject, at the undergraduate level

Waterborne risperidone decreases stress response in zebrafish

The presence of drugs and their metabolites in surface waters and municipal effluents has been reported in several studies, but its impacts on aquatic organisms are not yet well understood. This study investigated the effects of acute exposure to the antipsychotic risperidone on the stress and behavioral responses in zebrafish. It became clear that intermediate concentration of risperidone inhibited the hypothalamic-pituitary-interrenal axis and displayed anxiolytic-like effects in zebrafish. The data presented here suggest that the presence of this antipsychotic in aquatic environments can alter neuroendocrine and behavior profiles in zebrafish

Waterborne aripiprazole blunts the stress response in zebrafish

Here we provide, at least to our knowledge, the first evidence that aripiprazole (APPZ) in the water blunts the stress response of exposed fish in a concentration ten times lower than the concentration detected in the environment. Although the mechanism of APPZ in the neuroendocrine axis is not yet determined, our results highlight that the presence of APPZ residues in the environment may interfere with the stress responses in fish. Since an adequate stress response is crucial to restore fish homeostasis after stressors, fish with impaired stress response may have trouble to cope with natural and/or imposed stressors with consequences to their welfare and survival

Suffered violence, drug consumption and risk behaviors in homosexual and bisexual individuals

Background. This study examined the prevalence of violence suffered, drug use and risk behaviors in homosexual and bisexual individuals. Method. Cross-sectional, quantitative study involving 296 Lesbian, Gay, Bisexual or Transgendered individuals in the municipalities of Crato and Juazeiro do Norte, South of Ceará state, Brazil. Findings. Psychological/verbal abuse is the most prevalent and depressants of the central nervous system are chosen for consumption after victimization. Depressant and stimulant drugs were associated to dependence and risk behaviors in sexual minorities. Conclusion. Gay and bisexual people use drugs after suffering violence, with an association between drug use and developing risk behaviors. Further investigations inherent in these associations are necessary, since other factors may interact to violence, drug use and risk behaviors in sexual minorities. Â

Patient Disease Perceptions and Coping Strategies for Arthritis in a Developing Nation: A Qualitative Study

<p>Abstract</p> <p>Background</p> <p>There is little prior research on the burden of arthritis in the developing world. We sought to document how patients with advanced arthritis living in the Dominican Republic are affected by and cope with their disease.</p> <p>Methods</p> <p>We conducted semi-structured, one-to-one interviews with economically disadvantaged Dominican patients with advanced knee and/or hip arthritis in the Dominican Republic. The interviews, conducted in Spanish, followed a moderator's guide that included topics such as the patients' understanding of disease etiology, their support networks, and their coping mechanisms. The interviews were audiotaped, transcribed verbatim in Spanish, and systematically analyzed using content analysis. We assessed agreement in coding between two investigators.</p> <p>Results</p> <p>18 patients were interviewed (mean age 60 years, median age 62 years, 72% women, 100% response rate). Patients invoked religious and environmental theories of disease etiology, stating that their illness had been caused by God's will or through contact with water. While all patients experienced pain and functional limitation, the social effects of arthritis were gender-specific: women noted interference with homemaking and churchgoing activities, while men experienced disruption with occupational roles. The coping strategies used by patients appeared to reflect their beliefs about disease causation and included prayer and avoidance of water.</p> <p>Conclusions</p> <p>Patients' explanatory models of arthritis influenced the psychosocial effects of the disease and coping mechanisms used. Given the increasing reach of global health programs, understanding these culturally influenced perceptions of disease will be crucial in successfully treating chronic diseases in the developing world.</p

Precarização do trabalho e alternativas de renda / Volatility of work and income alternatives

Este artículo es el resultado de las investigaciones llevadas a cabo en Viçosa Minas Gerais con grupos de recolectores de materiales reciclables, organizados en asociaciones. El análisis se basó en el marco teórico de la sociología del trabajo, que abarca temas relacionados con el mundo del trabajo y los cambios experimentados en éste, y sobre la base de la economía solidaria y la teoría cooperativa. Se abordan temas como el proceso de reestructuración, el modelo neoliberal, la liofilización de la organización, la flexibilidad, la inseguridad, la explotación, la reducción y la inseguridad laboral, relacionados con la solidaridad autogestionada y entendida como forma alternativa de desarrollo.This paper shows a result of a research carried out in Viçosa Minas Gerais with some groups of recyclable material collectors organized into associations. Analysis drew on a theoretical framework of sociology of work which covers topics related to labor environment and changes experienced, and based on Solidar- ity Economy and cooperative theory. This paper deals about topics, such as restructuring process, neoliberal model, organizational lyophilization, flexibility, insecurity, exploitation, shrinkage and job insecurity related to self-managed solidarity, all of them examined as alternative income [email protected]@[email protected]é[email protected]

Effects Of Environmental Factors And Atmospheric Pollution in the Incidence of Hospital Admissions of Patients With Stroke In São Paulo City By Stroke In São Paulo City

Introduction: Stroke is one of the major causes of morbidity and mortality worldwide, difficult to treat and recover. The risk of developing stroke may be associated with environmental factors. Objective: To analyze the association between ambient temperature, air humidity and atmospheric pollution with the incidence of hospital admissions for stroke in the city of São Paulo in 2016. Methods: This is an ecological study, carried out by secondary data collection in the city of São Paulo in 2016. The definition of Stroke was according to the tenth revision of the International Classification of Diseases in codes: I60, I61, I63 and I64. Results: There was a positive correlation between the incidence of hospital admissions for stroke and in SO2&nbsp; in air (rho: 0.80, p=0002) in women. In men there was a positive correlation between the number of hospital admission and&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; SO2 concentration (rho: 0.570, p=0.005). Conclusion: We observed a positive correlation between the incidence of stroke and the concentration of the atmospheric pollutant SO2, an important fact for the intervention in the dispersion of pollutants

Temporal Trend of the Prevalence of Modifiable Risk Factors of Stroke: An Ecological Study of Brazilians between 2006 and 2012

Stroke is one of the leading causes of death worldwide, including in Brazil. This study aimed to analyze the temporal trend of the prevalence of modifiable risk factors of stroke from 2006 to 2012. This ecological study was conducted by secondary analysis in May 2018, using data from the surveillance of risk factors and protection for chronic diseases by telephone inquiry (VIGITEL) available in the Department of Informatics of the Unified Health System (DATASUS). The modifiable risk factors of stroke in Brazilians were systemic arterial hypertension, diabetes mellitus, abusive alcohol consumption, overweight, and obesity. Overall, there was a significant increase in the risk factors of diabetes (&beta; = 0.30, P = 0.001, r2 = 0.99), overweight (&beta; = 0.50, P = 0.002, r2 = 0.98), and obesity (&beta; = 0.88, P &lt; 0.001, r2 = 0.96). However, there was a stability in the prevalence of hypertension (&beta; = 0.25, P = 0.320, r2 = 0.88) and alcohol abuse (&beta; = 0.32, P = 0.116, r2 = 0.49). There was an increase in the prevalence of diabetes mellitus, overweight, and obesity, but stability in systemic arterial hypertension and abusive alcohol consumption in the Brazilian population