The effects of Integrative and Complementary Practices on labor/ Os efeitos das Práticas Integrativas e Complementares no trabalho de parto

OBJECTIVE: Although the birth process has undergone important transformations, pain is a central element, because it influences the experiences experienced by the mother and the baby during and after labor, with an important role in the care and watch of maternal and child health. Integrative and Complementary Practices is a technical innovation in the health area, recommended worldwide by the World Health Organization since the middle of the last century and, in Brazil, by the Ministry of Health. The aim of this study is to analyze the effects of Integrative and Complementary Practices on labor pain. METHODS: systematic review of the literature. RESULTS: 17 articles were considered of great relevance and are related to the following practices: Acupressure, Sacral Massage, Aromatherapy, Auriculotherapy, Swiss Balls, Crenotherapy, Immersion Baths,  Acupuncture, Music Therapy, Reflexology and Respiratory Practices. CONCLUSIONS: The study corroborated the positive effects of Integrative and Complementary Practices on pain relief during labor.

Women's perspective on breast cancer screening: a cross-sectional observational study in the Southeast region / Perspectiva da mulher sobre o rastreio do câncer de mama: um estudo observacional transversal na região Sudeste

Objective: to analyze the knowledge of women in the Southeast region about breast cancer and its forms of early detection.Methods: a semi-structured questionnaire filled out via an online platform was adopted, whose variables were related to women's knowledge about breast cancer screening.Results: When assessing the knowledge about which exam is most used for screening in relation to the age variable, the most relevant result was that the majority of the interviewees, 57.5%, chose the correct option, that is, mammography. The option that addressed self-examination as the screening technique was also quite selected: among women aged 18 to 25 years and 35 to 45 years, it was, respectively, 31.2% and 28.9%. From 26 to 34 years old, this assertion was even more expressive, that is, 53.4% of the interviewees. When evaluating the participants' knowledge about the age group at which the first mammogram should be performed, in the general population, only 6.2% of the total participants selected the option from 50 to 69 years and in relation to the frequency only 16 .6% of the total number of interviewees selected the correct option according to the Ministry of Health.Conclusion: The data obtained show that most of the interviewees have doubts about the national protocols for the early detection of breast cancer. The efforts of preventive medicine suggest encouraging information through public policies that help educate the population about prevention and health promotion techniques

O impacto do uso da colchicina na mortalidade de pacientes com COVID-19 / The impact of the use of colchicine on the mortality of patients with COVID-19

INTRODUÇÃO: COVID-19 é uma patologia respiratória semelhante à gripe e pode se tornar uma doença respiratória grave, ocasionando disfunção orgânica e levando ao óbito. Devido a sua propagação exagerada a OMS declarou uma “emergência de saúde pública de interesse internacional”. O objetivo deste estudo é analisar o impacto da colchicina na mortalidade de pacientes infectados pelo SARS-COV-2. METODOLOGIA: Trata-se de uma revisão da literatura realizada entre abril e maio de 2021, utilizando a base de dados Pubmed como fonte, buscando os descritores do DeCS: “colchicine”, "coronavírus", “mortality” e o operador boleano ''AND''. RESULTADOS: Foram encontrados 26 artigos publicados entre 2020 e 2021, englobando trabalhos caso-controles, metanálises, ensaios clínicos randomizados, revisões sistemáticas, estudos coorte e revisão de literatura, destes foram selecionados 10 para escrever a discussão . DISCUSSÃO:  O uso da colchicina diminui o estado inflamatório exacerbado causado pela infecção do SARS-COV-2, reduzindo complicações e o óbito dos pacientes. Seu uso aumentou a sobrevida, reduz o tempo e a necessidade do uso de oxigenoterapia, a gravidade da doença e previne hospitalização. CONCLUSÃO: Os estudos demonstraram benefícios da colchicina principalmente na morbimortalidade de pacientes hospitalizados por COVID-19. No entanto, são necessários mais estudos.