Podcast sobre cuidados na infância como tecnologia educacional em saúde: estudo qualitativo

Highlights The study described the use of podcasts as an educational health technology to disseminate knowledge about child care. Forty-one listeners participated in the study, and the educational technology proved enlightening, practical, accessible, and interesting. The podcast eased the dissemination of knowledge about child care. The podcast is freely accessible at any time and place. Introduction: Technological advances have transformed communication, making social media essential elements that promote easy access to information.   Objective: To understand the use of podcasts as an educational health technology for disseminating knowledge about child care. Materials and Methods: Online, descriptive, and exploratory study, with a qualitative approach, developed between March and April 2023, using an electronic form with 41 participants, listeners of the podcasts from a technological initiation project. The data was processed in the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires and analyzed according to Thematic Content Analysis.   Results: The use of the podcast was described as fundamental in the face of different doubts about child care. This educational technology proved enlightening, practical, accessible, and interesting, and the topics addressed were important for expanding the listeners’ knowledge. Furthermore, the fact of having an audio format made consuming the content and daily tasks easier. Discussion:   Changes in the participants’ behavior were observed through the use of this social media, encouraging safe practices and guidance that corroborate health education practices. It has reinforced the importance of social media as a means of disseminating information to improve care practices aimed at the pediatric population. Conclusions: The podcast is an educational health technology that eases the dissemination of knowledge to the population about child care in a free, practical, and accessible way and can, therefore, be applied to health education, having an innovative character from the perspective of digital health. How to cite this article: Borges, Joyce de Oliveira; Góes, Fernanda Garcia Bezerra; Silva, Aline Cerqueira Santos Santana; Pereira-Ávila, Fernanda Maria Vieira; Goulart, Maithê de Carvalho Lemos; Nunes, Nátale Gabriele Ferreira; Martins, Vanessa Ramos. Podcast about child care as an educational health technology: a qualitative study. Revista Cuidarte. 2024;15(3):e3845.  https://doi.org/10.15649/cuidarte.3845Introducción: Los avances tecnológicos han transformado la comunicación, convirtiendo a las redes sociales en elementos esenciales que facilitan el acceso a la información. Objetivo: Comprender el uso de podcasts como tecnología educativa en salud para difundir conocimientos sobre el cuidado de la infancia. Materiales y Métodos: Estudio online, descriptivo y exploratorio, con enfoque cualitativo, desarrollado entre marzo y abril de 2023, mediante formulario electrónico con 41 participantes, oyentes de podcasts de un proyecto de iniciación tecnológica. Los datos fueron procesados en Interface de R pour Analyses Multidimensionnelles de Textes et de Questionnaires y analizados según el Análisis de Contenido Temático. Resultados: El uso del podcast fue calificado como fundamental ante diferentes dudas sobre el cuidado de la infancia. Esta tecnología educativa resultó esclarecedora, práctica, accesible e interesante; los temas tratados fueron importantes para ampliar los conocimientos de los oyentes. Además, tener un formato de audio facilitó el consumo del contenido junto con las tareas diarias. Discusión: Se observaron cambios en el comportamiento de los participantes a través del uso de esta red social, incentivando prácticas seguras y orientaciones que corroboran las prácticas de educación en salud. Fortaleció la importancia de las redes sociales como medio de difusión de información para mejorar las prácticas de atención dirigidas a la población pediátrica.   Conclusiones: El podcast es una tecnología educativa en salud que facilita la difusión de conocimientos a la población sobre el cuidado infantil de forma práctica, accesible y gratuita y puede, por tanto, ser aplicado a la educación para la salud, teniendo un carácter innovador desde la perspectiva de la salud digital. Como citar este artículo: Borges, Joyce de Oliveira; Góes, Fernanda Garcia Bezerra; Silva, Aline Cerqueira Santos Santana; Pereira-Ávila, Fernanda Maria Vieira; Goulart, Maithê de Carvalho Lemos; Nunes, Nátale Gabriele Ferreira; Martins, Vanessa Ramos. Podcast sobre cuidados na infância como tecnologia educacional em saúde: estudo qualitativo. Revista Cuidarte. 2024;15(3):e3845.  https://doi.org/10.15649/cuidarte.3845Highlights O estudo descreveu o uso do podcast como tecnologia educacional em saúde na disseminação de conhecimentos sobre cuidados na infância. Quarenta e um ouvintes participaram do estudo em que a tecnologia educacional revelou-se esclarecedora, prática, acessível e interessante. O podcast facilitou a disseminação de conhecimentos sobre cuidados infantis. O podcast é de acesso livre e gratuito podendo ser acessado em qualquer hora e lugar. Introdução: Os avanços tecnológicos têm transformado a comunicação, tornando as mídias sociais elementos essenciais que facilitam o acesso à informação. Objetivo: Compreender o uso do podcast como tecnologia educacional em saúde para a disseminação de conhecimentos sobre cuidados na infância. Materiais e Métodos: Estudo online, descritivo e exploratório, de abordagem qualitativa, desenvolvido entre março e abril de 2023, por meio de formulário eletrônico com 41 participantes, ouvintes dos podcasts de um projeto de iniciação tecnológica. Os dados foram processados no Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires e analisados segundo Análise de Conteúdo Temática. Resultados: O uso do podcast foi descrito como fundamental frente às distintas dúvidas sobre os cuidados na infância. Essa tecnologia educacional revelou-se esclarecedora, prática, acessível e interessante, cujos temas abordados foram importantes para a ampliação do conhecimento dos ouvintes. Ademais, por possuir formato de áudio facilitou o consumo do conteúdo juntamente com as tarefas diárias. Discussão: Observaram-se mudanças no comportamento dos participantes através do uso desta mídia social, estimulando práticas e orientações seguras que corroboram com as práticas de educação em saúde. Fortaleceu a importância das mídias sociais como um meio de divulgação de informações para melhoria de práticas de cuidado voltadas à população pediátrica. Conclusões: O podcast é uma tecnologia educacional em saúde facilitadora na disseminação de conhecimentos para a população sobre os cuidados infantis de forma prática, acessível e gratuita podendo, portanto, ser aplicada para a educação em saúde, possuindo um caráter inovador na perspectiva da saúde digital. Como citar este artigo: Borges, Joyce de Oliveira; Góes, Fernanda Garcia Bezerra; Silva, Aline Cerqueira Santos Santana; Pereira-Ávila, Fernanda Maria Vieira; Goulart, Maithê de Carvalho Lemos; Nunes, Nátale Gabriele Ferreira; Martins, Vanessa Ramos. Podcast sobre cuidados na infância como tecnologia educacional em saúde: estudo qualitativo. Revista Cuidarte. 2024;15(3):e3845.  https://doi.org/10.15649/cuidarte.384

O impacto da endometriose na qualidade de vida das mulheres: Revisão integrativa

INTRODUCTION: Endometriosis is a disease characterized by the presence of endometrial glands and/or stroma in the external region of the uterus, inducing a chronic inflammatory reaction. It affects about 15% of women of childbearing age, reaching 16% in asymptomatic women and up to 47% in patients with infertility. OBJECTIVE: To present, according to the scientific literature, the main consequences on the quality of life of women with endometriosis. METHODOLOGY: This is a qualitative study, it refers to an integrative literature review, presenting a synthesis of the studies analyzed in full, organizing them for the elaboration of the results regarding the established theme, being carried out in the month of August 2023. RESULTS: Endometriosis directly interferes with professional activities, associated with chronic pain and psychological symptoms such as stress, anxiety and depression. In the marital context, factors associated with endometriosis such as dysmenorrhea and infertility are symptoms that have a great impact, especially infertility. FINAL CONSIDERATIONS: Therefore, it is noted that endometriosis is a serious problem for women's health, predisposed to risk factors such as obesity and early menarche that directly affect women's quality of life, in the physical, psychological and social spheres.INTRODUÇÃO: A endometriose é uma doença caracterizada pela presença de glândulas e ou estroma endometrial na região externa do útero, induzindo uma reação inflamatória crônica. Acomete cerca de 15% das mulheres em idade fértil, podendo alcançar 16% em mulheres assintomáticas e até 47% em pacientes com infertilidade. OBJETIVO: Apresentar, de acordo com a literatura científica, as principais consequências na qualidade de vida de mulheres portadoras da endometriose. METODOLOGIA: Trata-se de um estudo qualitativo, refere-se a uma revisão integrativa da literatura, apresentando uma síntese dos estudos analisados na íntegra, organizando-os para a elaboração dos resultados a respeito da temática estabelecida, sendo realizada no mês de agosto de 2023. RESULTADOS: A endometriose interfere diretamente nas atividades profissionais, associada à  dor  crônica  e aos sintomas psicológicos como o estresse, a ansiedade e a depressão. No contexto conjugal, fatores associados à endometriose como a dismenorreia e a infertilidade são sintomas que possuem grande impacto, especialmente a infertilidade. CONSIDERAÇÕES FINAIS: Portanto, nota-se que a endometriose é um sério problema para a saúda da mulher, predisposto de fatores de risco como a obesidade e a menarca precoce que afetam diretamente a qualidade de vida mulher, nos âmbitos físicos, psicológicos e social

Population medical genetics : translating science to the community

Rare genetic disorders are currently in the spotlight due to the elevated number of different conditions and significant total number of affected patients. The study of these disorders is extremely helpful for the elucidation of physiological processes related with complex disorders. Isolated populations are instrumental for the study of genetic disorders, considering their homogeneity and high proportion of affected patients in a small geographic area. These favorable conditions lead to the creation of a new discipline, known as "population medical genetics", which integrates medical genetics, population genetics, epidemiological genetics and community genetics. In order to develop practical activities in this new discipline, the National Institute of Population Medical Genetics (INaGeMP) was created in 2008 in Brazil. INaGeMP has developed several tools and funded numerous research activities. In this review, we highlight three successful projects developed in the first 10 years of INaGeMP activities (2008-2018): a newborn screening pilot study for MPS VI in Northeast Brazil, the study of Machado-Joseph disease in Brazilian families with Azorian ancestry, and the high twinning rate in a small town in southern Brazil. The results of these projects in terms of scientific output and contributions to the affected communities highlight the success and importance of INaGeMP

Rarity of monodominance in hyperdiverse Amazonian forests.

Tropical forests are known for their high diversity. Yet, forest patches do occur in the tropics where a single tree species is dominant. Such "monodominant" forests are known from all of the main tropical regions. For Amazonia, we sampled the occurrence of monodominance in a massive, basin-wide database of forest-inventory plots from the Amazon Tree Diversity Network (ATDN). Utilizing a simple defining metric of at least half of the trees ≥ 10 cm diameter belonging to one species, we found only a few occurrences of monodominance in Amazonia, and the phenomenon was not significantly linked to previously hypothesized life history traits such wood density, seed mass, ectomycorrhizal associations, or Rhizobium nodulation. In our analysis, coppicing (the formation of sprouts at the base of the tree or on roots) was the only trait significantly linked to monodominance. While at specific locales coppicing or ectomycorrhizal associations may confer a considerable advantage to a tree species and lead to its monodominance, very few species have these traits. Mining of the ATDN dataset suggests that monodominance is quite rare in Amazonia, and may be linked primarily to edaphic factors

12,500+ and counting: biodiversity of the Brazilian Pampa

Knowledge on biodiversity is fundamental for conservation strategies. The Brazilian Pampa region, located in subtropical southern Brazil, is neglected in terms of conservation, and knowledge of its biodiversity is fragmented. We aim to answer the question: how many, and which, species occur in the Brazilian Pampa? In a collaborative effort, we built species lists for plants, animals, bacteria, and fungi that occur in the Brazilian Pampa. We included information on distribution patterns, main habitat types, and conservation status. Our study resulted in referenced lists totaling 12,503 species (12,854 taxa, when considering infraspecific taxonomic categories [or units]). Vascular plants amount to 3,642 species (including 165 Pteridophytes), while algae have 2,046 species (2,378 taxa) and bryophytes 316 species (318 taxa). Fungi (incl. lichenized fungi) contains 1,141 species (1,144 taxa). Animals total 5,358 species (5,372 taxa). Among the latter, vertebrates comprise 1,136 species, while invertebrates are represented by 4,222 species. Our data indicate that, according to current knowledge, the Pampa holds approximately 9% of the Brazilian biodiversity in an area of little more than 2% of Brazil’s total land The proportion of species restricted to the Brazilian Pampa is low (with few groups as exceptions), as it is part of a larger grassland ecoregion and in a transitional climatic setting. Our study yielded considerably higher species numbers than previously known for many species groups; for some, it provides the first published compilation. Further efforts are needed to increase knowledge in the Pampa and other regions of Brazil. Considering the strategic importance of biodiversity and its conservation, appropriate government policies are needed to fund studies on biodiversity, create accessible and constantly updated biodiversity databases, and consider biodiversity in school curricula and other outreach activitie

Troponina no Infarto Agudo do Miocárdio sem Supradesnivelamento do Segmento ST: Uma Revisão Sistemática

This work presents a systematic review on the role of troponin in Non-ST Elevation Myocardial Infarction (NSTEMI). The introduction underscores the significance of troponin as a sensitive biomarker for myocardial injury, particularly in the context of NSTEMI. The methodology outlines a rigorous approach following PRISMA guidelines, including inclusion and exclusion criteria, database searches, and study quality assessment. The development section covers the analysis of results, highlighting diagnostic sensitivity, long-term prognostic value, and challenges in interpreting troponin levels. The conclusion underscores the clinical relevance of troponin, emphasizing its role in rapidly identifying patients, risk stratification, and prognosis in NSTEMI. The evolving diagnostic methodology and challenges to be addressed are also discussed, pointing towards future directions in research.Este trabalho apresenta uma revisão sistemática sobre o papel da troponina no Infarto Agudo do Miocárdio (IAM) sem Supradesnivelamento do Segmento ST. A introdução destaca a importância da troponina como biomarcador sensível de lesão miocárdica, especialmente em contextos de IAM sem supra de ST. A metodologia descreve a abordagem rigorosa seguindo as diretrizes do PRISMA, incluindo critérios de inclusão e exclusão, busca em bases de dados e avaliação da qualidade dos estudos. O desenvolvimento abrange a análise dos resultados, destacando a sensibilidade diagnóstica, prognóstico a longo prazo e desafios na interpretação dos níveis de troponina. A conclusão ressalta a relevância clínica da troponina, enfatizando seu papel na rápida identificação de pacientes, estratificação de risco e prognóstico em IAM sem supra de ST. Discute-se também a evolução da metodologia diagnóstica e desafios a serem abordados, apontando para direções futuras na pesquisa

Perspectivas epidemiológicas, clínicas e terapêuticas do transtorno bipolar em comorbidade com o uso de drogas: revisão de sistemática: Epidemiological, clinical and therapeutic perspectives of bipolar disorder in comorbidity with drug use: a systematic review

Conhecida como transtorno maníaco-depressivo, atualmente possui um novo nome: Transtorno Afetivo Bipolar, visto que com o passar do tempo foi se percebendo que esse transtorno não se tratava de uma alteração psicótica, e mais de um prejuízo afetivo. O transtorno bipolar possui alguns tipos, não se caracterizando em apenas uma forma, sua manifestação varia conforme o indivíduo e suas tendências, disforia e/ou euforia porém independente da forma expressa o paciente bipolar pode ter sua vida social comprometida, se não tratada, visto a irregularidade no estado de humor; bem como pode fazer uso de substâncias psicoativas, o que prejudica a sua condição clínica. Objetivo central da pesquisa é de apresentar a correlação do transtorno bipolar com o uso de drogas, mediante uma revisão de literatura integrativa realizada entre os meses de março de 2022 a julho de 2022, através da busca de artigos científicos nos bancos de dados online PubMed, Scielo e Google Acadêmico, utilizando como critério de refinamento de pesquisa artigos de todas as línguas publicados entre os anos 2000 e 2022

Zika Brazilian Cohorts (ZBC) Consortium: Protocol for an Individual Participant Data Meta-Analysis of Congenital Zika Syndrome after Maternal Exposure during Pregnancy.

Despite great advances in our knowledge of the consequences of Zika virus to human health, many questions remain unanswered, and results are often inconsistent. The small sample size of individual studies has limited inference about the spectrum of congenital Zika manifestations and the prognosis of affected children. The Brazilian Zika Cohorts Consortium addresses these limitations by bringing together and harmonizing epidemiological data from a series of prospective cohort studies of pregnant women with rash and of children with microcephaly and/or other manifestations of congenital Zika. The objective is to estimate the absolute risk of congenital Zika manifestations and to characterize the full spectrum and natural history of the manifestations of congenital Zika in children with and without microcephaly. This protocol describes the assembly of the Consortium and protocol for the Individual Participant Data Meta-analyses (IPD Meta-analyses). The findings will address knowledge gaps and inform public policies related to Zika virus. The large harmonized dataset and joint analyses will facilitate more precise estimates of the absolute risk of congenital Zika manifestations among Zika virus-infected pregnancies and more complete descriptions of its full spectrum, including rare manifestations. It will enable sensitivity analyses using different definitions of exposure and outcomes, and the investigation of the sources of heterogeneity between studies and regions

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio