El contacto piel con piel en el nacimiento y llanto del recién nacido durante la vacunación contra la Hepatitis B

OBJETIVO: Testar a efetividade do contato pele a pele entre mãe e filho após o nascimento na redução do comportamento de estresse/dor manifestado pelo choro do recém-nascido (RN), decorrente do procedimento de vacinação contra a Hepatite B. MÉTODOS: Estudo comparativo quase-experimental abrangendo 40 RN a termo, divididos em dois grupos, com ou sem contato pele a pele com suas mães após o nascimento, e que foram comparados quanto ao tempo de choro durante a vacinação contra Hepatite B. RESULTADOS: Variações no tempo de choro foram observadas nos dois grupos durante as fases desse procedimento. CONCLUSÃO: O efeito do contato na diminuição do tempo de choro dos RN, não foi demonstrado estatisticamente. Clinicamente, a Síndrome do Chamado pelo Estresse foi observada, bem como a efetividade do período de contato, na modulação do comportamento de choro dos neonatos, enquanto estes estiveram sob o momento terapêutico.OBJECTIVE: To test the effectiveness of skin to skin contact, between mother and child after birth, in reducing stress and pain behavior manifested by the cries of the newborn (NB), from the procedure of vaccination against Hepatitis B. METHODS: This is a quasi-experimental comparative study covering 40 full-term newborns, divided into two groups, with or without skin contact with their mothers after birth, and were compared in terms of time crying during vaccination against Hepatitis B. RESULTS: We observed, in both groups, changes in crying time during the phases of the process. CONCLUSION: The effect of contact in reducing crying time of neonates was not demonstrated statistically. Clinically, during the treatment time was observed Calling Syndrome caused by stress, as well as the effectiveness of the contact period in modulating the behavior of crying in newborns.OBJETIVO: Comprobar la efectividad, del contacto piel con piel entre madre e hijo después del nacimiento, en la reducción del comportamiento de estrés y dolor manifestado por el llanto del recién nacido (RN), proveniente del procedimiento de vacunación contra la Hepatitis B. MÉTODOS: Se trata de un estudio comparativo casi-experimental abarcando 40 RN a término, divididos en dos grupos, con o sin contacto piel con piel con sus madres después del nacimiento, y que fueron comparados en lo que se refiere al tiempo de llanto durante la vacunación contra la Hepatitis B.. RESULTADOS: Se observó en los dos grupos, variaciones en el tiempo de llanto durante las fases de ese procedimiento. CONCLUSIÓN: El efecto del contacto en la disminución del tiempo de llanto de los RN, no fue demostrado estadísticamente. Clínicamente, durante el momento terapéutico, fue observado el Síndrome del Llamado causado por el estrés; así como la efectividad del período de contacto en la modulación del comportamiento del llanto en los recién nacidos

Uma Corporeidade para a Naturologia: problematizações e possibilidades

This article will reflect on new possibilities of thinking about the concept of body in the field of naturology, based on “Uma Fenomenologia do Corpo” and “Corporeidades... Inspirações Merleau-Pontianas”, from the author Terezinha Petrucia da Nóbrega, as bibliography. GOAL: Our main goal is to point out and amplify the bodily and sensitive knowing in naturology, in a way where we stop reproducing reductionists or dualists conceptions of body, current in the health field. METHOD: It is a theoretical-reflexive research, developed by systematic and profound reading of the author’s work and other articles and researches regarding notions, techniques and approaches of the concept of body in naturology. DISCUSSION: In naturology publications, we come across body comprehensions that perpetuate its instrumental and biologist aspect, in which the body is seen as a receptacle of therapeutic techniques and tools. The theory proposed by Nóbrega allow us to consider the body’s phenomenology, its experiences, esthesia and relation with the knowledge process. CONCLUSION: Further study on the author’s bibliography and on Merleau-Ponty’s and his interlocutors phenomenology perspectives is suggested in order to deepen on the reflexivity regarding the concept of body, in a way we can avoid the risk of reproducing, in naturology, the instrumentalizing patterns of the body in the health field.Neste artigo pretende-se refletir, apoiado na bibliografia “Uma Feno-menologia do Corpo” e “Corporeidades: Inspirações Merleau-Pontia-nas...” da autora Terezinha Petrucia da Nóbrega, acerca de novas pos-sibilidades para a concepção de corpo no campo de saber da naturo-logia. OBJETIVO: Objetivamos apontar e ampliar o fazer e o saber corpóreo e sensível na naturologia, de forma a não reproduzirmos as concepções de corpo reducionistas ou dualistas ora vigentes no cam-po da saúde. MÉTODO: trata-se de uma pesquisa bibliográfica teóri-ca-reflexiva, desenvolvida através de leitura sistemática e em profun-didade da literatura da autora e de levantamento de artigos e pesqui-sas que trabalharam noções, técnicas e abordagens do corpo na natu-rologia. RESULTADOS/DISCUSSÃO: nas publicações da naturologia nos deparamos com compreensões sobre o corpo que perpetuam seu aspecto instrumental e biologizante, na qual o corpo se mostra mero receptáculo passível de aplicação de técnicas e ferramentas terapêuti-cas. A teoria da corporeidade proposta por Nóbrega nos permite con-siderar a fenomenologia do corpo, a experiência vivida, a estesia, e suas relações com o processo de conhecimento. CONSIDERAÇÕES FINAIS: sugere-se o aprofundamento dos estudos na literatura da au-tora, perspectiva fenomenológica de Merleau-Ponty e de seus interlo-cutores, que consideramos essenciais para aprofundarmos a reflexivi-dade acerca do corpo e da corporeidade de forma a evitar o risco de a naturologia reproduzir os padrões instrumentalizadores do corpo, no campo da saúde

The reusing technology of guava peel, pulp and core for cookies elaboration / A tecnologia do reaproveitamento da casca, polpa e núcleos de goiaba para a elaboração de biscoitos

The objective of this study was to develop highly nutritious cookies from flour made with guava peel, pulp and cores, obtained by drying and milling the different parts of the fruit, and to test the acceptance by potential consumers. The treatments contained flour made from guava peel, pulp and core in the following percentages: 5.0%, 10.0%, 15.0% and 20.0%. Sensory analysis was performed using a preference-ranking test. The experimental results were subjected to statistical analysis, which showed a preference for guava cookies with 5% peel and core flour. The cookies made with guava pulp flour showed no significant differences among the treatments. The analysis of fibers showed that all the cookies may be considered to have a large amount of fibers. Therefore, the use of residues from the guava juice and jam industries may be commercially viable in the production of cookies, including the previously unexplored possibility of using guava pulp in the development of a new product. 

Knowledge of the municipal health managers about the National Policy on Integrative and Complementary Practices and its influence on the provision of homeopathy in the Local Unified Health System

The social determinants of the health-disease process and the challenge of comprehensive care have led the World Health Organization to propose Complementary and Alternative Medicines to be included in health policies. In Brazil in 2006 the National Policy on Integrative and Complementary Practices (PNPIC) was published. It is a tool for the institutionalization of homeopathy in the Unified Health System (SUS). This paper analyzes the knowledge of health managers of municipalities of São Paulo on PNPIC, and its influence on homeopathic care. In 2008, the municipalities that performed homeopathic consultations from 2000 to 2007 were identified in DATASUS, managers were interviewed and the results were analyzed quantitatively and qualitatively: of the 645 municipalities, 47 had offered homeopathy and 42 of them were interviewed. Of these, 26% knew about PNPIC, 31% knew little, 41% were unaware of it. It should be stressed that those aware of it stated that they use PNPIC to: instruct the local government about homeopathy; the construction of specific legislation and the increase in homeopathic services. The conclusion is that PNPIC is unknown by health managers and those that know it use it to make known the homeopathic medical rationale and justify its application in the SUS.Os determinantes sociais do processo saúde-doença e o desafio da integralidade do cuidado levaram a Organização Mundial da Saúde a propor as Medicinas Alternativas e Complementares para comporem as políticas de saúde. No Brasil, em 2006 foi publicada a Política Nacional de Práticas Integrativas e Complementares (PNPIC); ferramenta para a institucionalização da homeopatia no Sistema Único de Saúde (SUS). Este trabalho analisa o conhecimento dos gestores da saúde de municípios de São Paulo sobre a PNPIC e sua influência na atenção em homeopatia. Em 2008 foram identificados no Datasus os municípios que realizaram consultas homeopáticas entre 2000-2007, os gestores foram entrevistados e os resultados analisados quanti-qualitativamente: dos 645 municípios, 47 ofertaram homeopatia e com 42 foram realizadas entrevistas. Desses, 26% conhecem a PNPIC, 31% a conhecem pouco e 41% a desconhecem. Destaca-se que aqueles conhecedores afirmaram utilizar a PNPIC para: instruir o governo municipal sobre a homeopatia; a construção de legislação própria e o incremento dos serviços homeopáticos. Conclui-se que a PNPIC é desconhecida pelos gestores da saúde e aqueles que a conhecem utilizam-na para tornar conhecida a racionalidade médica homeopática e justificar sua indicação no SUS.21322

Association between adiposity indicators, metabolic parameters and inflammatory markers in a sample of female adolescents

The aim of this study was to investigate the association between total and abdominal adiposity with metabolic parameters and inflammatory markers, in female adolescents. The sample consisted of 53 adolescents aged 13 to 17 years from a public school in Curitiba, Brazil. The adiposity indicators studied were body mass index (BMI), waist circumference (WC), trunk fat mass (TKFM), total fat mass (TFM) and body fat percentage (BF%) measured by dual-energy X-ray absorptiometry. The metabolic and inflammatory parameters studied were systolic blood pressure (SBP), diastolic blood pressure (DBP), glucose, insulin, homeostasis model assessment index for insulin resistance (HOMA-IR), lipids, C-reactive protein (CRP), interleukin-6 (IL-6), tumor necrosis factor alpha (TNF-α), leptin, adiponectin and resistin. Eighty percent of WC variation, 87% of TKFM and TFM, and 73% of BF% were predicted by BMI variation. There was a significant positive correlation between all indicators of adiposity with SBP, DBP, insulin, HOMA-IR, CRP and leptin. Triglycerides were positively correlated with BMI and WC, and adiponectin correlated negatively with BMI. TNF-α, IL-6, glucose, total cholesterol, and high- and low-density lipoprotein cholesterol did not correlate to the studied variables. BMI showed a significant association with most of the parameters studied, and WC was slightly better than BMI to predict insulin resistance in this specific population.59432533

Phytochemical screening and evaluation of cytotoxicity of stem bark extracts of Anaxagorea dolichocarpa and Duguetia chrysocarpa (Annonaceae)

Purpose: To investigate the phytochemistry and cytotoxic activity of stem bark extracts from Anaxagorea dolichocarpa and Duguetia chrysocarpa - two species of the Annonaceae family.Methods: The crude ethanol bark extracts (EtOH) of the plants were obtained by maceration. The crude extracts were suspended in a mixture of methanol (MeOH) and water (H2O) (proportion 3:7 v/v) and partitioned with hexane, chloroform (CHCl3) and ethyl acetate (AcOEt) in ascending order of polarity to obtain the respective fractions. The extracts were evaluated on thin layer chromatography (TLC) plates of silica gel to highlight the main groups of secondary metabolites. Cytotoxicity was tested against human tumor cell lines - OVCAR-8 (ovarian), SF-295 (brain) and HCT-116 (colon) - using 3- (4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2H-tetrazolium bromide (MTT) assay.Results: The screening results demonstrated that all the extracts were positive for the presence of flavonoids and tannins. The presence of alkaloids also was detected in some extracts. The hexane extract of A. dolichocarpa showed the strongest cytotoxicity against HCT-116 with cell growth inhibition of 89.02 %.Conclusion: The findings demonstrate for the first time the cytotoxic activity of the extracts of A. dolichocarpa and D. chrysocarpa, thus providing some evidence that plants of the Annonaceae family are a source of active secondary metabolites with cytotoxic activity.Keywords: Annonaceae, Anaxagorea dolichocarpa, Duguetia chrysocarpa, Anti-cancer agents, Ovarian, brain and colon cell line

Cardiovascular risk and physical activity practice in children and adolescents of Muzambinho/MG: influence of gender and age

INTRODUÇÃO E OBJETIVO: A doença cardiovascular inicia na infância e está atrelada à presença de fatores de risco cardiovascular (FRC). A prevalência desses fatores varia em diferentes populações brasileiras, tendo sido estudada principalmente em cidades de médio e grande porte. Este estudo avaliou a prevalência dos FRC e da prática de atividade física (AF) em crianças e adolescentes de Muzambinho, uma cidade de pequeno porte. MÉTODO: Foram avaliados 205 sujeitos (entre sete e 18 anos - 108 do gênero masculino). Foram medidos: peso, estatura, glicemia, colesterolemia, pressão arterial (PA) e prática de AF. As comparações foram realizadas pelo teste do Qui-quadrado. RESULTADOS: A prevalência de sobrepeso foi de 19% e de valores alterados de PA, glicemia e colesterolemia foram de, respectivamente, 11, 5 e 15%. Não houve diferença na prevalência dos FRC entre os sexos. O tabagismo, o alcoolismo, a PA alterada e a insuficiência de AF aumentaram com a idade. Setenta e nove por cento dos sujeitos praticavam AF de locomoção, 10% ocupacional, 97% nas aulas de educação física, 72% no recreio e 90% de lazer. Noventa e dois por cento foram considerados ativos. A prática de AF ocupacional foi maior nas meninas e aumentou nos meninos com a idade. A prevalência de AF de lazer e recreio diminuiu com a idade nos dois sexos. CONCLUSÃO: A prevalência de FRC, exceto do sedentarismo, foi expressiva, não diferiu entre os sexos e aumentou com a idade. A prática de AF de todos os tipos foi alta, diferenciou-se entre os sexos e diminuiu com a idade.INTRODUCTION AND OBJECTIVE: Cardiovascular disease begins at infancy and it has been linked to the presence of cardiovascular risk factors (CRF). Prevalence of these factors varies a lot among different Brazilian populations and has been mostly studied in big and medium size cities. Thus, this study assessed the prevalence of CRF and physical activity (PA) in children and adolescents from Muzambinho, a small city in the state of Minas Gerais. METHODS: 205 subjects (7 to 18 years - 108 males) were studied. Body weight and height, glycemia, cholesterolemia, blood pressure (BP), and PA were measured. Comparisons were made by Qui-square test. RESULTS: Obesity and altered values of BP, glycemia, and cholesterolemia were found, respectively, in 19, 11, 5 and 15% of the subjects. There was no difference between genders, while the prevalence of smokers, drinkers, altered BP, and inactivity increased with age. Seventy-nine percent of the subjects practiced community PA; 10% occupational PA; 97% physical education classes; 72% PA during school recess; and 90% leisure time PA. Ninety-two percent of them were active. Occupational PA was higher in girls, and increased with age in boys. Leisure time and during school recess PA decreased with age in both genders. CONCLUSION: Except for physical inactivity, prevalence of CRF was high, did not differ between genders, and increased with age. High levels of all kinds of PA were found; they differed between genders, and decreased with age.CNPqUSP - Pró-Reitoria de Graduaçã