Acompanhamento das ações e serviços em uma equipe de saúde da família: Relato de experiência / Follow-up of actions and services in a family health team: Experience report

A estratégia de saúde da família é fundamental para reorientação da atenção básica, proposta pelo Ministério da saúde. Com isso, as unidades de saúde da família devem atuar com base nos princípios e diretrizes estabelecidos- a fim de garantir a qualidade de vida da população- como a integralidade e a territorialização, que buscam obter o diagnóstico de saúde, identificando o perfil epidemiológico e sociodemográfico das famílias, para atuar especificamente nos riscos e fragilidades do território em questão. Este estudo objetiva a descrição do acompanhamento do conjunto de ações e serviços prestados por uma equipe de saúde da família. Trata-se de um estudo qualitativo, descritivo do tipo relato de experiência, ocorrido em março de 2020, descrito por estudantes do primeiro período do curso de graduação em medicina da Faculdade de Ciências Médicas da Paraíba. Durante a vivência, os alunos realizaram visitas em domicílios e acompanharam a rotina da equipe de saúde da família em uma unidade de saúde da família do município de João Pessoa, Paraíba. Para a produção do relato foram utilizadas anotações, imagens, bem como discussão da experiência vivenciada. Tendo em vista a importância dessa vivência para a formação médica e aperfeiçoamento o conhecimento adquirido ao longo das aulas teóricas, os autores concluem que a compreensão do funcionamento das unidades de saúde por meio de atividades prática, o cotidiano e o atendimento nos territórios, que é de suma importância para o desenvolvimento acadêmico

Implementation of a Brazilian Cardioprotective Nutritional (BALANCE) Program for improvement on quality of diet and secondary prevention of cardiovascular events: A randomized, multicenter trial

Background: Appropriate dietary recommendations represent a key part of secondary prevention in cardiovascular disease (CVD). We evaluated the effectiveness of the implementation of a nutritional program on quality of diet, cardiovascular events, and death in patients with established CVD. Methods: In this open-label, multicenter trial conducted in 35 sites in Brazil, we randomly assigned (1:1) patients aged 45 years or older to receive either the BALANCE Program (experimental group) or conventional nutrition advice (control group). The BALANCE Program included a unique nutritional education strategy to implement recommendations from guidelines, adapted to the use of affordable and regional foods. Adherence to diet was evaluated by the modified Alternative Healthy Eating Index. The primary end point was a composite of all-cause mortality, cardiovascular death, cardiac arrest, myocardial infarction, stroke, myocardial revascularization, amputation, or hospitalization for unstable angina. Secondary end points included biochemical and anthropometric data, and blood pressure levels. Results: From March 5, 2013, to Abril 7, 2015, a total of 2534 eligible patients were randomly assigned to either the BALANCE Program group (n = 1,266) or the control group (n = 1,268) and were followed up for a median of 3.5 years. In total, 235 (9.3%) participants had been lost to follow-up. After 3 years of follow-up, mean modified Alternative Healthy Eating Index (scale 0-70) was only slightly higher in the BALANCE group versus the control group (26.2 ± 8.4 vs 24.7 ± 8.6, P <.01), mainly due to a 0.5-serving/d greater intake of fruits and of vegetables in the BALANCE group. Primary end point events occurred in 236 participants (18.8%) in the BALANCE group and in 207 participants (16.4%) in the control group (hazard ratio, 1.15; 95% CI 0.95-1.38; P =.15). Secondary end points did not differ between groups after follow-up. Conclusions: The BALANCE Program only slightly improved adherence to a healthy diet in patients with established CVD and had no significant effect on the incidence of cardiovascular events or death. © 2019 The Author

Neotropical freshwater fisheries : A dataset of occurrence and abundance of freshwater fishes in the Neotropics

The Neotropical region hosts 4225 freshwater fish species, ranking first among the world's most diverse regions for freshwater fishes. Our NEOTROPICAL FRESHWATER FISHES data set is the first to produce a large-scale Neotropical freshwater fish inventory, covering the entire Neotropical region from Mexico and the Caribbean in the north to the southern limits in Argentina, Paraguay, Chile, and Uruguay. We compiled 185,787 distribution records, with unique georeferenced coordinates, for the 4225 species, represented by occurrence and abundance data. The number of species for the most numerous orders are as follows: Characiformes (1289), Siluriformes (1384), Cichliformes (354), Cyprinodontiformes (245), and Gymnotiformes (135). The most recorded species was the characid Astyanax fasciatus (4696 records). We registered 116,802 distribution records for native species, compared to 1802 distribution records for nonnative species. The main aim of the NEOTROPICAL FRESHWATER FISHES data set was to make these occurrence and abundance data accessible for international researchers to develop ecological and macroecological studies, from local to regional scales, with focal fish species, families, or orders. We anticipate that the NEOTROPICAL FRESHWATER FISHES data set will be valuable for studies on a wide range of ecological processes, such as trophic cascades, fishery pressure, the effects of habitat loss and fragmentation, and the impacts of species invasion and climate change. There are no copyright restrictions on the data, and please cite this data paper when using the data in publications