EDUCAÇÃO PERMANENTE E TRABALHO NO SUAS: saberes em discussão

Anais do III Seminário Nacional Serviço Social, Trabalho e Política SocialO presente texto tem como objetivo compartilhar as experiências de um grupo de pesquisa que desenvolve estudos, atividades de extensão e investigações sobre a interlocução do trabalho nas políticas sociais públicas e a educação permanente, visando à formação para o atendimento das necessidades sociais dos trabalhadores e a construção de resistências à violação dos direitos sociais. Socializa resultados de uma pesquisa e destaca o uso de uma ferramenta virtual como estratégia de construção de saberes e interlocução democrática

Midline supraumbilical incision as an option for morbidly obese patients? : case report

Background: Nowadays we observe growing rates of obesity, mainly among women. It has a great impact on maternal and fetal morbimortality and requires a specific obstetric approach. Aim: To discuss different approaches to abdominal incision in cesarean section in obese patients. Case presentation: Patient with morbid obesity submitted to an elective cesarean section due to fetal macrosomia and who underwent a cesarean section with a supraumbilical median incision evolving without any postpartum complications. Conclusion: It’s important to evaluate and chose the best incision in morbidly obese pregnant women aiming to reduce difficulties in fetal extraction and postoperative complications. Midline supraumbilical incision is a good choice in these cases, reducing surgical time and postpartum hemorrhage

Avaliação dos impactos da obesidade infantil na saúde do adulto: uma revisão sistemática

A obesidade é considera um problema de saúde pública global. Esse distúrbio nutricional é prevalente na infância, possui etiologia multifatorial e ocasiona diversos impactos negativos para a comunidade. As consequências ocasionadas pelo excesso de peso nas primeiras fases da vida podem evoluir até a idade adulta.  O objetivo desse estudo é avaliar os impactos da obesidade infantil na saúde do adulto. Foi realizada uma pesquisa nas bases de dados virtuais Scielo e Pubmed, utilizando palavras-chave e delimitando critérios de inclusão e de exclusão. Encontrou-se 62 artigos, porém apenas 41 satisfizeram os critérios estabelecidos e foram utilizados no estudo de revisão. Dentre as complicações da obesidade infantil encontradas, é importante citar as doenças cardiovasculares, hipertensão, dislipidemias, disfunções renais, tumores malignos, alterações musculoesqueléticas. Assim, foi estabelecida uma relação entre a obesidade infantil e complicações na saúde do adulto

NÍVEL DE ESTRESSE PERCEBIDO E INSTABILIDADE GENÔMICA ENTRE OS USUÁRIOS DE ACADEMIA

Stress and the practice of physical exercises imply in several outcomes to the health of individuals, including cellular changes. The buccal micronucleus cytome assay (BMCyt) is a biomarker widely used to assess the impacts of lifestyle characteristics such as stress levels on nuclear changes. The aim of this study was to evaluate and relate the perceived level of stress on the occurrence of DNA damage, and other nuclear/cellular abnormalities in gym users. Descriptive cross-sectional study, carried out with 116 gym users from Madrid/Spain. A questionnaire was used to assess the perceived level of stress and BMCyt was used to assess DNA damage and other nuclear/cellular abnormalities. Of the 116 individuals evaluated, 54.3% reported being stressed at sometimes. There was no significant difference in relation to the reported stress level and the biomarkers of DNA damage (cells with micronuclei or nuclear buds), proliferative potential (frequency of basal cells), and cell death (cells with condensed chromatin, karyorrhexis, karyolysis and pyknotic) (p>0.05). However, gym users who reported being almost always/excessively stressed had significantly less frequency of binucleated cells (biomarker of cytogenetic defects) compared to individuals who reported being rarely stressed (p=0.008). Our results showed that the majority of gym users reported being stressed at sometimes. However, it was found that gym practitioners who reported being almost always/excessively stressed had a lower frequency of binucleated cellsO estresse e a prática de exercícios físicos, implicam em diversos desfechos à saúde dos indivíduos, dentre eles as alterações celulares. O ensaio de citoma de micronúcleo bucal (BMCyt) é um biomarcador amplamente utilizado para avaliar os impactos das características de estilo de vida como níveis de estresse sobre alterações nucleares. O objetivo deste estudo foi avaliar e relacionar o nível de estresse percebido com a ocorrência de dano no DNA e outras anormalidades nucleares/celulares em praticantes de academia. Estudo transversal descritivo, realizado com 116 praticantes de academia de Madrid, Espanha. Um questionário foi utilizado para avaliar o nível de estresse percebido e o BMCyt foi utilizado para avaliar a de dano no DNA e outras anormalidades nucleares/celulares. Dos 116 indivíduos avaliados, 54,3% relataram estar às vezes estressados. Não houve diferença significativa em relação ao nível de estresse relatado e os biomarcadores de dano no DNA (células com micronúcleos ou brotos nucleares), potencial proliferativo (frequência de células basais) e de morte celular (células com cromatina condensada, cariorréxicas, cariolíticas e picnóticas) (p>0,05). Contudo, os praticantes de academia que relataram estar quase sempre/excessivamente estressados apresentaram significativamente menor frequência de células binucleadas (biomarcador de defeitos citogenéticos) em relação aos indivíduos que relataram estar raramente estressados (p=0,008). Nossos resultados mostraram que a maioria dos praticantes de academia relataram estar às vezes estressados. Entretanto, verificou-se que os praticantes de academia que relataram estar quase sempre/excessivamente estressados apresentaram menor frequência de células binucleadas

Clinical Characteristics of Patients with Tetralogy of Fallot who Underwent an Invasive Procedure for Arrhythmias

Introduction: Tetralogy of Fallot (TOF) is a cyanotic congenital heart disease that has an incidence of sudden cardiac death of 0.2% per year, being arrhythmias the main cause of its occurrence. Objective: To compare characteristics of TOF patients referred for electrophysiological study (EPS) against those that were not (No-EPS). Method: Retrospective cohort with 215 patients (57.2% men; age = 29 ± 4) with corrected TOF (median of three years, ranging from 0.33 to 51) that underwent EPS between 2009-2020. The primary outcome was composed of death, implantable cardiac defibrillator (ICD) requirement and hospitalization. Results: Pre-syncope (EPS = 4.7%, No-EPS = 0%; p = 0.004), syncope (EPS = 7.1%, No-EPS = 1.7%; p = 0.056) and palpitations (EPS = 31%, No-EPS = 5.8%; p < 0.001) were symptoms that justified electrophysiological investigation. ICD was implanted in 24% of EPS and 0.6% of No-EPS (p=0.001). Twenty-six percent of the EPS group presented non-sustained ventricular tachycardia, while 0% in No-EPS (p = 0.012). The EPS group had more atrial fibrillation or atrial Flutter (35.7% vs. 6.9%; p < 0.001). The EPS patients had a wider QRS duration than the no-EPS group (171.12 ± 29.52 ms vs. 147 ± 29.77 ms; p < 0.001). Also, 26.2% of EPS performed ablation to correct macroreentrant atrial tachycardias. The incidence of primary outcome (death + ICD requirement + hospitalization) was higher in patients in the EPS group compared to the No-EPS group (p = 0.001). However, the total of seven deaths occurred during the clinical follow-up, but without differences between the groups (EPS = 4.7% vs. No-EPS = 2.8%; p = 0.480). Conclusion: EPS group had a profile of greater risk, more complex heart disease, and a greater occurrence of the primary outcome when compared to the No-EPS group

Clinical Characteristics of Patients with Tetralogy of Fallot who Underwent an Invasive Procedure for Arrhythmias

Introduction: Tetralogy of Fallot (TOF) is a cyanotic congenital heart disease that has an incidence of sudden cardiac death of 0.2% per year, being arrhythmias the main cause of its occurrence. Objective: To compare characteristics of TOF patients referred for electrophysiological study (EPS) against those that were not (No-EPS). Method: Retrospective cohort with 215 patients (57.2% men; age = 29 ± 4) with corrected TOF (median of three years, ranging from 0.33 to 51) that underwent EPS between 2009-2020. The primary outcome was composed of death, implantable cardiac defibrillator (ICD) requirement and hospitalization. Results: Pre-syncope (EPS = 4.7%, No-EPS = 0%; p = 0.004), syncope (EPS = 7.1%, No-EPS = 1.7%; p = 0.056) and palpitations (EPS = 31%, No-EPS = 5.8%; p < 0.001) were symptoms that justified electrophysiological investigation. ICD was implanted in 24% of EPS and 0.6% of No-EPS (p=0.001). Twenty-six percent of the EPS group presented non-sustained ventricular tachycardia, while 0% in No-EPS (p = 0.012). The EPS group had more atrial fibrillation or atrial Flutter (35.7% vs. 6.9%; p < 0.001). The EPS patients had a wider QRS duration than the no-EPS group (171.12 ± 29.52 ms vs. 147 ± 29.77 ms; p < 0.001). Also, 26.2% of EPS performed ablation to correct macroreentrant atrial tachycardias. The incidence of primary outcome (death + ICD requirement + hospitalization) was higher in patients in the EPS group compared to the No-EPS group (p = 0.001). However, the total of seven deaths occurred during the clinical follow-up, but without differences between the groups (EPS = 4.7% vs. No-EPS = 2.8%; p = 0.480). Conclusion: EPS group had a profile of greater risk, more complex heart disease, and a greater occurrence of the primary outcome when compared to the No-EPS group