Perception of family health strategy users on emergency service

Objective: To analyze the users' perception of the Family Health Strategy on the urgent and emergency care provided in primary healthcare. Method: A qualitative descriptive exploratory study with 30 users. A semi-structured interview was used as a data collection technique. The data were processed using the software Alceste 4.8. Results: Four classes were constructed: User satisfaction with the urgent and emergency care; Unit structure for urgent / emergency care; Justifications for seeking urgent and emergency care; Understanding of the meanings of urgent and emergency. Conclusion: The study showed that users are satisfied with the care received in the units although they present ambiguity when it comes to their physical structure. The respondents also failed to conceptualize urgent and emergency, and showed that the cause that led them to seek the healthcare units were changes in blood pressure, diabetes and trauma

Analysis of scientific production on Zika virus and pregnancy

Objective: to analyze the international scientific production on Zika virus and pregnancy. Methods: a bibliometric survey was carried out in the ISI Web of Knowledge/Web of Science database, using the search terms “Pregnancy”, “ZikV” and “Bibliometrics”, from the export of this data to the HistCite ™ bibliometric analysis software. Results: 355 publication records were identified and the 11 most cited articles were selected in the Web of Science (global) and those most cited in the selected articles (local) in 207 different journals indexed to the database in question, written by 2,435 authors who had links with 799 institutions, located in 59 countries. Conclusion: obscure aspects remain about the natural history of Zika virus in pregnant women, clinical profile, epidemiology, and lack clarity about the existence of cofactors associated with infection by Zika virus. Descriptors: Pregnancy; Zika Virus; Bibliometrics

Industrialized food consumption by children under 2 years of age attended at a nutritionist's office at a municipal maternity hospital

Objective: To evaluate industrialized food consumption by children under 2 years old attended at a nutritionist's office. Method: Quantitative descriptive study, conducted in a municipal maternity hospital. The sample was composed of 175 children. The instrument used for collecting data was a structured 24-hour recall questionnaire on the children's food intake. The data were processed by using the SPSS software, 17,0, and the graphs were drawn in Excel. Results: The consumption of industrialized food starts early in life, between 4 and 6 months of age, with foods such as yoghurt (25,75%) and processed soup (6,06%) and increases with age, up to 20% for industrialized coffee and soup; 76,47% for yoghurt; 32% for instant noodles and 24% for coffee, when the child is over 12 months. Conclusion: The results show the need to prioritize nutritional education actions towards this context

Analysis of antimicrobial prescriptions in primary healthcare

Objective: To evaluate prescription receipts for antimicrobial prescriptions prescribed in primary healthcare units in a capital city in the Northeast region of Brazil. Method: An evaluative, analytical study. Information from the central distribution of essential medicines and the receipts of antimicrobial prescriptions were used. Results: There were 2,232 prescription receipts analyzed, in which metronidazole (250 mg) was prescribed in 28% of the evaluated prescription receipts, the “pill” pharmaceutical form in 30.7%, and the “oral” administration form in 78.2%. In the prescriptions prescribed by nurses, 80.7% were intended for users with sexually transmitted infections. With the exception of the pharmaceutical form, only 34.7% of the prescriptions were in accordance with the Nursing protocol recommendations. There is still no information on the concentration (43.7%), the dosage (39.9%) and the treatment time (36.8%). Conclusion: The evaluated receipts of antimicrobial prescriptions do not accurately follow the guidelines of Resolution No. 20/2011, nor of the instituted Nursing protocol. Objetivo: Avaliar receitas com prescrição de antimicrobianos retidas nas unidades de saúde da Atenção Primária de uma capital da região Nordeste do Brasil. Método: Estudo avaliativo, analítico. Foram utilizadas as informações da central de distribuição de medicamentos essenciais e as receitas com prescrição de antimicrobianos. Resultados: Foram analisadas 2.232 receitas, nas quais o metronidazol (250 mg) foi prescrito em 28% das receitas avaliadas, a forma farmacêutica “comprimido” em 30,7% e a forma de administração “oral” em 78,2%. Nas receitas prescritas por enfermeiros, 80,7% destinavam-se para usuários com infecção sexualmente transmissível. Com exceção da forma farmacêutica, somente 34,7% das receitas estavam em concordância com as recomendações do protocolo de Enfermagem. Há, ainda, inexistência de informações sobre a concentração (43,7%), a posologia (39,9%) e o tempo de tratamento (36,8%). Conclusão: As receitas com prescrição de antimicrobianos avaliadas não seguem com precisão as orientações da Resolução nº 20/2011, e nem do protocolo de Enfermagem instituído. Objetivo: Evaluar recetas con prescripción de antimicrobianas retenidas en las unidades de salud de la atención primaria de una capital de la región Nordeste de Brasil. Método: Estudio evaluativo, analítico. Fueron utilizadas las informaciones de la central de distribución de los medicamentos esenciales y las recetas con prescripción de los antimicrobianos. Resultados: Fueron analizadas 2.232 recetas, en las cuales lo metronidazol (250 mg) fue prescrito en 28% de las recetas evaluadas, la forma farmacéutica “comprimido” en 30,7% y la forma de administración por vía oral en 78,2%. En las recetas prescritas por los enfermeros, 80,7% eran para usuarios con infección sexualmente transmisibles. Con excepción de la forma farmacéutica, solo 34,7% de las recetas estaban en concordancia con las recomendaciones de lo protocolo de Enfermería. Todavía hay inexistencia de informaciones acerca de la concentración (43,7%), la posología (39,9%) y el tiempo del tratamiento (36,8%). Conclusión: Las recetas con prescripción de antimicrobianos evaluadas no siguen con precisión ni las orientaciones de la resolución nº 20/2011, ni del protocolo de Enfermería instituido.publishersversionepub_ahead_of_prin

TRAINING OF NURSES FOR FAMILY HEALTH STRATEGY

Este estudo propõe refletir sobre a formação dos enfermeiros para atuação na Estratégia Saúde da Família. O processo de modernização científica e tecnológica que tem alterado a construção do conhecimento e as relações com o mundo do trabalho, produz discussões sobre a necessidade de mudanças na formação desses profissionais. Tal processo indica uma formação com um novo perfil de enfermeiros, capaz de atender as necessidades de saúde no contexto atual, possibilitando a quebra de paradigmas e a formação de novos conceitos que desenvolva ampla visão das questões de saúde, discuta seus determinantes e condicionantes, elenque prioridades e planeje ações em equipe, em espaço comunitário, permeado por saberes científicos e do senso comum, no qual o usuário é protagonista de seu próprio cuidado. 

Análise da produção científica sobre Zika vírus e gravidez

Objetivo: analisar a produção científica internacional sobre Zika vírus e gravidez. Métodos: pesquisa bibliométrica realizada na base de dados ISI Web of Knowledge/Web of Science, com os termos de busca “Pregnancy”, “ZikV” e “Bibliometrics, efetuada a partir da exportação destes dados para o software de análise bibliométrica HistCiteTM. Resultados: foram identificados 355 registros de publicação e selecionados os 11 artigos mais citados na Web of Science (global) e aqueles mais citados no conjunto de artigos selecionados (local), em 207 periódicos distintos indexados à base de dados em questão, escritos por 2.435 autores que possuíam vínculos com 799 instituições, localizadas em 59 países. Conclusão: persistem aspectos obscuros sobre a história natural do Zika vírus em gestantes, o o perfil clínico, a epidemiologia, e falta clareza sobre a existência de cofatores associados à infecção pelo Zika vírus

Exploring Early Prediction of Chronic Kidney Disease Using Machine Learning Algorithms for Small and Imbalanced Datasets

Chronic kidney disease (CKD) is a worldwide public health problem, usually diagnosed in the late stages of the disease. To alleviate such issue, investment in early prediction is necessary. The purpose of this study is to assist the early prediction of CKD, addressing problems related to imbalanced and limited-size datasets. We used data from medical records of Brazilians with or without a diagnosis of CKD, containing the following attributes: hypertension, diabetes mellitus, creatinine, urea, albuminuria, age, gender, and glomerular filtration rate. We present an oversampling approach based on manual and automated augmentation. We experimented with the synthetic minority oversampling technique (SMOTE), Borderline-SMOTE, and Borderline-SMOTE SVM. We implemented models based on the algorithms: decision tree (DT), random forest, and multi-class AdaBoosted DTs. We also applied the overall local accuracy and local class accuracy methods for dynamic classifier selection; and the k-nearest oracles-union, k-nearest oracles-eliminate, and META-DES for dynamic ensemble selection. We analyzed the models’ performances using the hold-out validation, multiple stratified cross-validation (CV), and nested CV. The DT model presented the highest accuracy score (98.99%) using the manual augmentation and SMOTE. Our approach can assist in designing systems for the early prediction of CKD using imbalanced and limited-size datasets

Analysis of scientific production on Zika virus and pregnancy

Objective: to analyze the international scientific production on Zika virus and pregnancy. Methods: a bibliometric survey was carried out in the ISI Web of Knowledge/Web of Science database, using the search terms “Pregnancy”, “ZikV” and “Bibliometrics”, from the export of this data to the HistCite ™ bibliometric analysis software. Results: 355 publication records were identified and the 11 most cited articles were selected in the Web of Science (global) and those most cited in the selected articles (local) in 207 different journals indexed to the database in question, written by 2,435 authors who had links with 799 institutions, located in 59 countries. Conclusion: obscure aspects remain about the natural history of Zika virus in pregnant women, clinical profile, epidemiology, and lack clarity about the existence of cofactors associated with infection by Zika virus.Objetivo: analisar a produção científica internacional sobre o Zika vírus e a gravidez. Métodos: pesquisa bibliométrica realizada na base de dados ISI Web of Knowledge/Web of Science, com os termos de busca “Pregnancy”, “ZikV” e “Bibliometrics, efetuada a partir da exportação destes dados para o software de análise bibliométrica HistCite™. Resultados: foram identificados 355 registros de publicação e selecionados os 11 artigos mais citados na Web of Science (global) e aqueles mais citados no conjunto de artigos selecionados (local), em 207 periódicos distintos indexados à base de dados em questão, escritos por 2.435 autores que possuíam vínculos com 799 instituições, localizadas em 59 países. Conclusão: persistem aspectos obscuros sobre a história natural do Zika vírus em gestantes, o perfil clínico, a epidemiologia, e falta clareza sobre a existência de cofatores associados à infecção pelo Zika vírus.