Perception of Hospitalized Users About Humanized Nursing Care in a Municipal Hospital of Itaituba, Pará-Brazil.

Objective: to understand the perception of hospitalized users about humanized nursing care in a municipal hospital in Itaituba, Pará. Field study of exploratory and descriptive type of qualitative approach. Method and Procedures: The research was developed in a Municipal Hospital of Itaituba, Pará (HMI); 23 patients hospitalized in the medical and surgical clinic sector participated in the research. Data were collected by means of a semi-structured interview questionnaire made up of two parts: socioeconomic data from the survey participants and open questions on the perception of the hospitalized user about the humanized care received during hospitalization, which were collected using the saturation technique. The data analysis was performed using the Bardin technique. Results: 78% of the participants were female, 48% married, the prevailing age range was between 19 and 87 years old; 39% of the surveyed had incomplete primary education and 74% had income of up to one minimum wage. With the analysis of content three thematic categories emerged: "user perception of nursing care", "humanized care and its importance" and "evaluation and suggestions on nursing care". Conclusion: The great majority of participants of the survey showed to be satisfied with the care provided by nursing professionals, besides highlighting humanization as an important point for reestablishing health and highlighted the use of communication, attention and empathy for others as a factor of humanization

Influence of sociodemographic factors on eating motivations - modelling through artificial neural networks (ANN)

This study aimed at investigating the influence of some sociodemographic factors on the eating motivations. A longitudinal study was carried conducted with 11960 participants from 16 countries. Data analysis included t-test for independent samples or ANOVA, and neural network models were also created, to relate the input and output variables. Results showed that factors like age, marital status, country, living environment, level of education or professional area significantly influenced all of the studied types of eating motivations. Neural networks modelling indicated variability in the food choices, but identifying some trends, for example the strongest positive factor determining health motivations was age, while for emotional motivations was living environment, and for economic and availability motivations was gender. On the other hand, country revealed a high positive influence for the social and cultural as well as for environmental and political and also for marketing and commercial motivations.This is the peer-reviewed version of the following article: Guine, R. P. F.; Ferrao, A. C.; Ferreira, M.; Correia, P.; Mendes, M.; Bartkiene, E.; Szucs, V.; Tarcea, M.; Matek-Sarić, M.; Cernelić-Bizjak, M.; Isoldi, K.; EL-Kenawy, A.; Ferreira, V.; Klava, D.; Korzeniowska, M.; Vittadini, E.; Leal, M.; Frez-Munoz, L.; Papageorgiou, M.; Djekić, I. Influence of Sociodemographic Factors on Eating Motivations - Modelling through Artificial Neural Networks (ANN). International Journal of Food Sciences and Nutrition 2020, 71 (5), 614–627. [https://doi.org/10.1080/09637486.2019.1695758]

Effects of the aqueous extract from Tabebuia roseoalba and phenolic acids on hyperuricemia and inflammation.

Tabebuia species (Bignoniaceae) have long been used in folk medicine as anti-inflammatory, antirheumatic, antimicrobial, and antitumor. The aim of this study was to investigate if aqueous extract from the leaves (AEL) of Tabebuia roseoalba (Ridl.) Sandwith, Bignoniaceae, and its constituents could be useful to decrease serum uric acid levels and restrain the gout inflammatory process. HPLC analysis identified caffeic acid and chlorogenic acid in AEL. Antihyperuricemic effects and inhibition of liver XOD (xanthine oxidoreductase) by AEL and identified compounds were evaluated in hyperuricemic mice. Anti-inflammatory activity was evaluated on MSU (monosodium urate) crystal-induced paw edema. In addition, AEL antioxidant activity in vitro was evaluated. AEL, caffeic, and chlorogenic acids were able to reduce serum uric acid levels in hyperuricemic mice probably through inhibition of liver xanthine oxidase activity and significantly decreased the paw edema induced by MSU crystals. AEL showed significant antioxidant activity in all evaluated assays. The results show that the AEL of Tabebuia roseoalba can be a promising agent for treatment for gout and inflammatory diseases. We suggest that caffeic and chlorogenic acids may be responsible for the activities demonstrated by the species

Anti-inflammatory and antinociceptive activities of Campomanesia adamantium.

Ethnopharmacological relevance: Campomanesia species are used in folk medicine as anti-in?ammatory, anti-rheumatic, anti-diarrheal and hypocholesterolemic. Aim of the study: The present study investigated the in vivo anti-in?ammatory and antinociceptive properties of ethyl acetate (AE) and aqueous (Aq) extracts from leaves of Campomanesia adamantium and in vitro anti-in?ammatory activity of AE and its isolated ?avonols, myricitrin and myricetin. Materials and methods: The antinociceptive activity of AE and Aq was evaluated using acetic acid- induced writhing and formalin methods. The in vivo anti-in?ammatory effect of AE and Aq was evaluated using carrageenan-induced paw oedema in mice. AE, myricitrin and myricetin were evaluated for their abilities to modulate the production of NO, TNF-a and IL-10 in LPS/IFN-g stimulated J774.A1 macrophages. Results: It was found that orally administrated AE and Aq (125 and 250 mg/kg) inhibited carrageenan- induced paw oedema in mice. AE (125 and 250 mg/kg) and Aq (125 mg/kg) reduced the time to licking at the second phase of the formalin method in vivo in mice. AE (250 mg/kg) and Aq (125 mg/kg) also reduced the number of writhes. AE, myricitrin and myricetin inhibited NO (320 mg/mL and 6.25?100 mM, respectively) and TNF-a production by macrophages (320 mg/mL for AE, 100 mM for myricitrin and 25?100 mM for myricetin). AE (160 and 320 mg/mL), myricitrin (50 and 100 mM) and myricetin (25?100 mM) increased IL-10 production by macrophages. Conclusions: The ethyl acetate and aqueous extracts from Campomanesia adamantium showed anti- nociceptive and anti-in?ammatory effects supporting the use of the plant in folk medicine. The results suggest that anti-oedematogenic effect promoted by aqueous extract involves several anti- in?ammatory mechanisms of action. The antinociceptive effect shown by aqueous extract can be due to the modulation of release of in?ammatory mediators involved in nociception. The anti-in?ammatory effects of AE and of its isolated ?avonols may be attributed to inhibition of pro-in?ammatory cytokines production, TNF-a and NO and to the increased of IL-10 production

Idosos e o uso desordenado de psicofármaco na atenção básica/ Elderly people and the disordered use of psychopharmaceuticals in basic care

Uma das parcelas significativas dos medicamentos prescritos no Brasil é da classe dos psicofármacos, essas drogas interferem no sistema nervoso central, essa utilização aumentada é um problema de todo o mundo. Objetivo: Analisar através da literatura científica artigos que discorram sobre o uso de forma desordenada de psicotrópicos em pacientes idosos. Metodologia: Trata-se de uma revisão narrativa da literatura. foram utilizadas produções científicas com bases nos periódicos: Lilacs, Bdenf e Scielo, entre os anos de 2012 a 2017. Como critérios de inclusão optou-se por artigos apenas no idioma português, e estudos de natureza qualitativa, quantitativa e revisão da literatura. Além dos descritores: Transtorno Depressivo, Antidepressivos e Adesão à Medicação. Resultado: É necessário que haja uma reestruturação dos serviços de saúde afim de poder oferecer aos pacientes idosos uma maior segurança na conduta terapêutica aplicada, afim de minimizar os efeitos colaterais adversos, orientando sobre o uso correto das medicações de acordo com suas necessidades, através de profissionais especializados e prescritores capacitados. Conclusões: Desta forma, o trabalho apresentado refere-se a um estudo bibliográfico, de caráter narrativo, buscando refletir sobre o cuidado da saúde mental dos idosos, afim de poder estabelecer uma ponte entre o sujeito e o seu contexto de vida em que está inserido

Evalution through artificial neural networks of the sociodemographic Influences on food choices

Introduction: The EATMOT Project is a multinational study that is being carried out in 16 countries about different eating motivations, given their recognized importance in the definition of people’s dietary patterns. Objective: This study investigated the influence of sociodemographic factors on some types of eating motivations, specifically: health related factors; economic and availability aspects; emotional determinants; social, cultural and religious influences; marketing and advertising campaigns and finally environmental concerns. Methods: This is a longitudinal observational study carried out on a non-probabilistic sample with 11960 participants. For the analysis of the data were used the T-test for independent samples or ANOVA with Post-Hoc Tukey HSD, depending on the case. The modelling through artificial neural networks included 7 input variables (sociodemographic characteristics) and 6 output variables (the eating motivations’ groups). Results: Variables like age, marital status, country, living environment, level of education or professional area significantly influenced all the types of eating motivations analysed. However, regarding gender, no significant differences were observed for two of the six types of motivations analysed: economic & availability and marketing & commercial. The results of the ANN modelling showed that the strongest positive factors determining the eating motivations were age for health, country for emotional motivations, gender for economic & availability, country for social & cultural, country for environmental & political, and finally country also for the marketing & commercial motivations. Conclusions: These results highlight the importance of the sociodemographic characteristics as determinants for eating patterns around the globe, and particularly the geographic location.info:eu-repo/semantics/publishedVersio

Transtornos psiquiátricos na infância: diagnóstico precoce, intervenções eficazes e considerações éticas

Reconhecer e abordar precocemente transtornos psiquiátricos na infância é vital, pois cerca de 20% das crianças enfrentam desafios que impactam emocionalmente. Com raízes genéticas evidentes desde o segundo trimestre fetal, a intervenção eficaz pode não apenas melhorar a qualidade de vida imediata, mas também reduzir o risco de complicações psiquiátricas ao longo da vida, exigindo uma gestão completa que leve em conta sintomas, contexto de desenvolvimento, ambiente familiar e estressores externos. Este estudo teve como objetivo investigar estratégias para o diagnóstico precoce, implementação de intervenções eficazes e considerações éticas no manejo de transtornos psiquiátricos na infância. Para o alcance desse propósito, realizou-se uma revisão sistemática da literatura, utilizando as base de dados Scielo, Lilacs e Medline. Com a análise dos resultados, concluiu-se que são indispensáveis avaliações clínicas extensas, aplicação de instrumentos psicométricos validados e investigação de fatores desencadeantes para garantir uma avaliação precisa. A participação ativa dos pais, especialmente na terapia cognitivo-comportamental (TCC), é destacada, assim como a necessidade de estratégias personalizadas de manejo. Além disso, a reflexão ética sobre fatores socioculturais e a consideração da criança como um sujeito de direitos são elementos cruciais para uma abordagem integral e contextualizada no cuidado de transtornos psiquiátricos na infância, visando promover o bem-estar duradouro

Propriedades da Alcachofra com Ênfase na Composição Nutricional/Properties of Artichoke with Emphasis on Nutritional Composition

O uso de plantas medicinais consiste em uma das mais antigas formas de prática medicinal utilizada tanto, para o tratamento quanto, para a cura e prevenção de doenças. Dentre as plantas medicinais de maior relevância, a alcachofra (Cynara scolymus L.) tem recebido destaque, devido aos seus efeitos benéficos sob a saúde humana. Diante disso, o objetivo do estudo foi identificar as propriedades da alcachofra com ênfase na composição nutricional. Para isso, foi realizada uma revisão narrativa através da busca em bancos de dados eletrônicos acerca das propriedades da alcachofra. As bases de dados consultadas foram: Scientific Electronic Library Online (SciELO), Biblioteca Virtual em Saúde (BVS) e outras Revistas Eletrônicas de Saúde, com dimensão temporal entre 2001 e 2018, nos idiomas português e inglês. Pode-se verificar com os dados obtidos, que a alcachofra atua com benefícios frente a doenças hepáticas, saúde intestinal, diabetes, apetite e hipercolesterolemia e suas propriedades bioativas estão associadas diretamente a sua composição química

O Design Universal Para Apprendizagem e a Pedagogia das Estacoes: As Multiplas Temporalidades / Espacialidades do Aprender nas Escolas.

This article explores school inclusion processes, with a view to problematizing the learning hegemonies of time and space in educational institutions. It presents partial results of the research project; 'A Escola Para Todos' (The School for All) and responds to the question: How can Universal Design for Learning (UDL), which is somewhat similar to the 'pedagogy of the seasons,' qualify inclusive experiences in schools? By providing an integrative review of the salient features of UDL and pedagogy of the seasons, the paper questions the hegemony of time-space teaching and learning in schools by drawing on narrative theory. Methodologically, this part of the research provides an integrated reflection on critical conceptual attributes incorporating; UDL, the temporalities and spatialities of learning, and concepts of inclusive education. The results of this stage of the research show that it is necessary to overcome the hegemony of time and linear space in learning and teaching processes in order to arrive at school inclusion. Despite similarities between UDL and 'pedagogy of the seasons' tensions remain between these approaches. Not least as reflected in the overcoming of paradoxes such as the necessity to address universal requirements while also tending to particular learner requirements, or equally, while recognizing the variability of strategies without losing sight of more global pedagogical approaches. This challenge is accentuated when the UDL concept of 'expert learners' is further interrogated