Analysis of the epidemiological profile of patients actively registered in the ostomy care service in Juiz de Fora / Análise do perfil epidemiológico dos pacientes cadastrados ativamente no serviço de ostomias de Juiz de Fora

AIM: Population-based study on the profile of ostomized patients attended by a specialized service in the city of Juiz de Fora, Brazil. METHOD: This retrospective, cross-sectional study was based on a descriptive epidemiological model. A total of 2,406 medical records of patients registered between 1988 and 2016 were analyzed and only the records of active patients (alive, not having undergone reconstruction) were selected (507 cases). The analyzed variables were gender, age, type of stoma, and the disease that led to the need for a stoma. Statistical analyzes were performed using SPSS software, version 20.0. RESULTS: Stomata were observed in 265 male patients (52.3% of the cases). The age varied from a range of 0 to 98 years. The colostomy corresponded to 63.7% of the cases. Ileostomy was the second most common type of stoma (27%) and then the urostomy (6.5%) was the third. The main causes for stoma creation were colorectal cancer (CRC) with 59.8% of cases, bladder cancer (5.9%) and others less prevalent, such as intestinal obstruction, diverticular disease, volvulus, peritonitis, colorectal injury, and inflammatory bowel disease. CONCLUSION: Colostomy was the most frequent type and the highest prevalence of stomata that was observed in males. The age group of the most ostomized patients was between the fourth and eight decade. CRC was the main cause of a diverting stoma creation. The services of ostomized care with competent and efficient multidisciplinary teams play an important rolefor the user can overcome the possible limitations of an intestinal or urinary stoma.

Avaliação institucional na Educação Superior brasileira: uma análise dos instrumentos para oferta de cursos a distância

O presente artigo busca analisar os instrumentos de credenciamento e recredenciamento institucional e de credenciamento de polo de cursos a distância em seus aspectos avaliativos considerando os estudos teóricos de Almerindo Janela Afonso, José Dias Sobrinho e Daniela da Costa Britto Pereira Lima. O intuito é verificar o enfoque dado pelo governo sobre a avaliação da educação a distância, destacando suas características, tendências e possíveis induções. Para seu desenvolvimento foram utilizadas pesquisa bibliográfica e documental. O recorte temporal engloba o período de 2014 a 2018. Conclui-se que os instrumentos são mecanismos de uma política majoritariamente regulatória para a educação a distância, com baixa ênfase na metodologia e comunicação (características importantes a serem consideradas a fim de ofertar cursos na modalidade educação a distância com qualidade) e, por consequência, em uma avaliação formativa

Incorporating sardine cooking water aromas into plant-based diets for european seabass: effects on appetite regulation, growth and sensory properties of fish flesh

Sardine cooking wastewaters are by-products of the canning industry with great potential for valorisation. We have hypothesized that they can be a source of aromas to enhance appetite when added to plant-based diets. The poor palatability of such diets often described in carnivorous species poses a recurring problem in fish farming, with harsh consequences on fish growth performance and flesh quality. Aromas from sardine cooking wastewaters were collected without processing (CW-A), processed through vacuum distillation (VD-A), or processed through liquid/liquid extraction with soybean oil (LLE-A) into plant-based diets. Each aroma was added to a plant-protein based diet for European seabass, at a concentration of 2 μg of 1-penten-3-ol/g diet, resulting in 3 experimental diets (CW, VD and LLE). A non-supplemented diet was used as a control. Each diet was assigned to triplicate fish groups (initial weight 95.7 g), that were hand-fed twice daily until apparent satiation in a recirculating saltwater system at 21 °C. After 18 weeks, fish growth performance and nutrient utilisation were evaluated. The expression in the brain of neuropeptides involved in feed intake regulation was also analysed. Moreover, flesh colour and texture were assessed instrumentally and by sensory analysis using a consumer panel. Fish fed LLE displayed a significantly higher feed intake than those fed CW which was correlated with an increased neuropeptide Y expression in the hypothalamus. However, LLE slightly hindered lipid metabolism, leading to lower available glucose and resulting in statistically similar final weights among diets. Despite variations in fillet hardness, the sensory panel revealed similar overall liking across all treatments. The findings indicate that aromas from sardine cooking wastewaters can modulate feed intake, but further refinement in processing or incorporation levels is required to potentiate their efficacy.info:eu-repo/semantics/publishedVersio

Effects on appetite regulation, growth and sensory properties of fish flesh

Funding Information: This work was supported by Project “MobFood – Mobilizing scientific and technological knowledge in response to the challenges of the agri-food market” (POCI-01–0247-FEDER-024524), financed by ERDF, through PORTUGAL2020/COMPETE2020/ Lisb@2020. Publisher Copyright: © 2024Sardine cooking wastewaters are by-products of the canning industry with great potential for valorisation. We have hypothesized that they can be a source of aromas to enhance appetite when added to plant-based diets. The poor palatability of such diets often described in carnivorous species poses a recurring problem in fish farming, with harsh consequences on fish growth performance and flesh quality. Aromas from sardine cooking wastewaters were collected without processing (CW-A), processed through vacuum distillation (VD-A), or processed through liquid/liquid extraction with soybean oil (LLE-A) into plant-based diets. Each aroma was added to a plant-protein based diet for European seabass, at a concentration of 2 μg of 1-penten-3-ol/g diet, resulting in 3 experimental diets (CW, VD and LLE). A non-supplemented diet was used as a control. Each diet was assigned to triplicate fish groups (initial weight 95.7 g), that were hand-fed twice daily until apparent satiation in a recirculating saltwater system at 21 °C. After 18 weeks, fish growth performance and nutrient utilisation were evaluated. The expression in the brain of neuropeptides involved in feed intake regulation was also analysed. Moreover, flesh colour and texture were assessed instrumentally and by sensory analysis using a consumer panel. Fish fed LLE displayed a significantly higher feed intake than those fed CW which was correlated with an increased neuropeptide Y expression in the hypothalamus. However, LLE slightly hindered lipid metabolism, leading to lower available glucose and resulting in statistically similar final weights among diets. Despite variations in fillet hardness, the sensory panel revealed similar overall liking across all treatments. The findings indicate that aromas from sardine cooking wastewaters can modulate feed intake, but further refinement in processing or incorporation levels is required to potentiate their efficacy.publishersversionpublishe

Nursing care to adolescent woman in labor in the light of Wanda Horta’s theory

Objective: To know the nursing care of the teenager during labor, and thus to identify the factors influencing, and analyze the nursing care of the adolescent woman in labor. Method: It is an exploratory qualitative research through interviews with 08 midwives of the maternity ward of University Hospital Professor Alberto Antunes (UFAL). Data were categorized according to Bardin analysis technique and the theoretical reference the Theory of Basic Human Needs Wanda Horta. Results: It was possible to identify 03 thematic units that show the care of nursing to the adolescent parturient, emphasizing the reception, the approach of the team and formation of the bond and of the nurses, and the care itself. Conclusion: The study made it possible to highlight the care provided, which happens in a generalized way, thus making it possible to identify the factors that determine how care is provided and its difficulties

Cervical cancer tracking in Minas Gerais: assessment of data from Cervical Cancer Information System (SISCOLO)

ObjectiveTo evaluate the indicators related to cervical cytology, quality, frequency of cellular changes and informed follow-up of high-grade lesions in Minas Gerais and its macro-regions of health. Methods a descriptive study based on data from the Cervical Cancer Information System (SISCOLO) from 2006 to 2011. Results The ratio of cervical cytopathologic exams in women aged 25 to 59 years remained stable, but did not reach the goal set by the state. Approximately 75% of the exams were performed in the target population and there was a progressive reduction in the proportion of cervical cytopathologists without previous cytology. On average, 51.2% of the exams were performed within a year. Regarding the quality of the exam, the positivity index was categorized as low throughout the analyzed period. We observed a low percentage of follow-up reported in the state.Conclusion The results evidenced the need to improve the tracking program regarding the quality of the exam, as well as the correct orientation regarding the age group and the periodicity, aiming to guarantee the target population's access and referral for diagnostic investigation and treatment of precursor lesions, when indicated.Objetivo: Avaliar os indicadores relacionados à oferta de exames citopatológicos do colo do útero, sua qualidade, frequência de alterações celulares e seguimento informado de lesões de alto grau, em Minas Gerais e suas macrorregiões de saúde. Métodos: Estudo descritivo com base em dados do Sistema de Informação do Câncer do Colo do Útero (SISCOLO), de 2006 a 2011. Resultados: A razão de exames citopatológicos do colo do útero em mulheres de 25 a 59 anos manteve-se estável, porém sem alcançar a meta estadual pactuada. Aproximadamente 75% dos exames foram realizados na população-alvo e houve progressiva redução na proporção de citopatológicos do colo do útero sem citologia anterior. Em média, 51,2% dos exames foram realizados no período de até um ano. Quanto à qualidade do exame, destaca-se o índice de positividade, categorizado como baixo durante todo o período analisado. Observou-se baixo percentual de seguimento informado no estado. Conclusão: Os resultados evidenciam a necessidade de aprimoramento do programa de rastreamento em relação à oferta e qualidade do exame, bem como ao direcionamento correto quanto à faixa etária e à periodicidade, visando garantir o acesso da população-alvo e o encaminhamento para a investigação diagnóstica e tratamento das lesões precursoras, quando indicado

O lúdico como motivador no processo de aprendizagem na 1ª série do ensino fundamental

O presente trabalho é uma reflexão sobre o lúdico como importante recurso estimulador da aprendizagem na primeira série do Ensino Fundamental. O objetivo desta pesquisa foi o de evidenciar as contribuições do lúdico para facilitar o processo de aprendizagem e explicitar suas contribuições para o desenvolvimento integral da criança através dos jogos e brincadeiras. Para tanto, buscamos fundamentar a pesquisa através da bibliografia existente, onde os autores estudados apresentam contribuições que são compatíveis com a abordagem sistêmica, tendo ao longo desta dissertação destacado aspectos importantes tais como: a origem e evolução do lúdico na educação; o jogo e as características do desenvolvimento infantil e da atividade lúdica e os correspondentes parâmetros necessários para a educação lúdica. No decorrer do relato de experiência, procuramos confrontar as vivências teóricas e práticas em seu aspecto motivador e facilitador da aprendizagem. Para alcançar o objetivo proposto realizamos uma pesquisa fundamentada em pressupostos qualitativos, na qual utilizamos os seguintes instrumentos: o planejamento e observação sistemática de aulas lúdicas voltadas para o desenvolvimento integral da criança e da sua aprendizagem. Na análise dos dados, foi evidenciado a importância do lúdico como recurso motivador e estimulador da aprendizagem. Também estabelecemos a relação entre afetividade e cognição, evidenciando o papel do professor tanto na construção do conhecimento como na promoção do desenvolvimento integral dos alunos. Ao término do trabalho, concluímos que a compreensão do lúdico vai além de uma sistematização de conteúdos; jogos, brincadeiras, aprendizagem e liberdade devem andar de mãos dadas, esta é a proposta para um novo conceito de educação

Breastfeeding practices, consumption of ultra-processed foods in complementary feeding and associated factors in premature children

Breastfeeding and a suitable eating plan in the first years of life are crucial for the development of premature children. Early exposure to ultra-processed foods (UPF) can lead to an increased risk of chronic diseases. To analyze premature infants for breastfeeding practices, intake of ultra-processed foods, their health risks and other associated factors. Data on diet and sociodemographic variables were investigated using questionnaires. We used anthropometric assessment according to WHO growth curves and laboratory tests to analyze the lipid profile. From the whole sample, 51% never received exclusive breastfeeding, or received it for less than a single month; 29% received between four and six months; in 84% another food was introduced before six months. After the stratification of consumption between “none/one type” and “more than one type” of UPF, the variables “child's age” and “family history of overweight/obesity” were positively associated. After bivariate and multivariate analyzes, a greater diversity of UPF intake was associated with family income <2 minimum wages and employed mothers. Premature infants are at risk of early weaning and use of AUP before even six months of corrected age

RISCO DE LESÃO RELACIONADA AO POSICIONAMENTO CIRÚRGICO: AVALIAÇÃO EM HOSPITAL UNIVERSITÁRIO BRASILEIRO

Objective: to assess the risk of developing injuries related to surgical positioning. Method: a cross-sectional study was carried out at the Surgical Center of a public university hospital in Paraná, Brazil. A sample (n=146) of elective surgical adults was evaluated from February to April 2019, using the Risk Assessment Scale for the Development of Injuries resulting from Surgical Positioning and extraction of sociodemographic variables. Descriptive and inferential statistical analysis was performed. Results: we identified a homogeneous distribution between men (49.3%) and women (50.7%). Orthopedics was the most frequent surgical specialty (39.7%). According to the Risk Assessment Scale for the Development of Injuries Resulting from Surgical Positioning, the following variables were disregarded: use of conventional mattress + cotton field cushions as a support surface (100%); supine position (78%); upper limbs with an opening less than 90º (70.5%); regional anesthesia (54.1%); surgical time of 1-2 hours (46.6%) and age group from 18 to 39 years (41.1%). The mean score was 17.6 (±3.29) points, indicating that 75.3% of the sample had a low risk of developing injuries related to surgical positioning. Conclusion: around a quarter of the sample had a higher risk of injury due to the surgical position.Objetivo: evaluar el riesgo de desarrollar lesiones relacionadas con el posicionamiento quirúrgico. Método: estudio transversal realizado en el Centro Quirúrgico de un hospital universitario público de Paraná, Brasil. Se evaluó una muestra (n = 146) de adultos quirúrgicos electivos de febrero a abril de 2019, utilizando la Escala de Evaluación de Riesgo para el Desarrollo de Lesiones resultantes del Posicionamiento Quirúrgico y extracción de variables sociodemográficas. Se realizó análisis estadístico descriptivo e inferencial. Resultados: identificamos una distribución homogénea entre hombres (49,3%) y mujeres (50,7%). La ortopedia fue la especialidad quirúrgica más frecuente (39,7%). De acuerdo con la Escala de Evaluación de Riesgos para el Desarrollo de Lesiones por Posicionamiento Quirúrgico, se descartaron las siguientes variables: uso de colchón convencional + cojines de campo de algodón como superficie de apoyo (100%); posición supina (78%); miembros superiores con apertura menor a 90º (70,5%); anestesia regional (54,1%); tiempo quirúrgico de 1-2 horas (46,6%) y grupo de edad entre 18 y 39 años (41,1%). La puntuación media fue de 17,6 (± 3,29) puntos, lo que indica que el 75,3% de la muestra tenía un riesgo bajo de desarrollar lesiones relacionadas con el posicionamiento quirúrgico. Conclusión: alrededor de una cuarta parte de la muestra tenía un mayor riesgo de lesión debido a la posición quirúrgica.Objetivo: avaliar o risco para desenvolvimento de lesões relacionadas ao posicionamento cirúrgico. Método: estudo transversal com amostra (n=146) de adultos cirúrgicos eletivos do Paraná, Brasil. Aplicou-se a Escala de Avaliação de Risco para o Desenvolvimento de Lesões decorrentes do Posicionamento Cirúrgico e extração de variáveis sociodemográficas. Procedeu-se análise estatística descritiva e inferencial. Resultados: homens (49,3%) e mulheres (50,7%) tiveram distribuição equânime de atendimento majoritariamente pela ortopedia (39,7%). Pela escala aplicada, destacou-se: uso de colchão convencional+coxins de campo de algodão como superfície de suporte (100%); posição supina (78%); membros superiores com abertura inferior a 90º (70,5%); anestesia regional (54,1%) e tempo cirúrgico de 1-2h (46,6%). Constatou-se escore médio de 17,6±3,29 pontos e 75,3% da amostra apresentou baixo risco de desenvolver lesões do posicionamento cirúrgico. Conclusão: em torno de um quarto da amostra apresentou maior risco de lesão decorrente da posição cirúrgica

Cuidados de Enfermagem prestados à parturiente adolescente sob a luz da Teoria de Wanda Horta Nursing care to adolescent woman in labor in the light of Wanda Horta’s theory

Objetivo: conhecer os cuidados de Enfermagem prestados à adolescente durante o trabalho de parto, e assim identificar os fatores os influenciam e analisar os cuidados de Enfermagem prestados à parturiente adolescente. Método: é uma pesquisa qualitativa exploratória, realizada através de entrevista com 08 enfermeiras obstétricas da maternidade do Hospital Universitário Professor Alberto Antunes – UFAL. Os dados foram categorizados de acordo com a técnica de análise de Bardin e tendo como referencial teórico a Teoria das Necessidades Humanas Básicas de Wanda Horta. Resultados: foi possível identificar 03 unidades temáticas que evidenciam como o cuidado de Enfermagem à parturiente adolescente, destacando-se o acolhimento, a aproximação da equipe e formação do vínculo e das enfermeiras, e os cuidados em si. Conclusão: o estudo possibilitou evidenciar os cuidados prestados, que acontecem de forma generalizada, possibilitando assim identificar os fatores que determinam como os cuidados são prestados e suas dificuldade