Person-centered practice in the Portuguese Healthcare Services: a scoping review protocol

Recognizing the importance of the international advancements on person-centered practice (PCP) with positive implementation outcomes at the varied levels of healthcare systems, this scoping review will examine the PCP in Portuguese healthcare services. The Joanna Briggs Institute (JBI) guidance for scoping reviews will be followed. The Population (P) Concept (C) Context (C) mnemonic will scaffold research questions, the inclusion and exclusion criteria, and the searching strategy. Literature reporting on person-centeredness domains at the macro-, meso-, and micro levels applied to Portuguese healthcare services in Portuguese and English will be considered for inclusion. Accordingly, MEDLINE, CINAHL, SCOPUS, LILACS, SCIELO, Open Access Scientific Repository of Portugal (RCAAP), and Open gray will be searched. The literature will be screened for eligibility by two independent reviewers, first by title and abstract and subsequently by full text. A data extraction matrix designed to answer the research questions will be used for the included literature. The charted data will be thematically analyzed and presented graphically, with a narrative description of the literature characteristics. The results are expected to inform healthcare stakeholders at varying levels about the PCP domains where further improvements might be required in order to raise the quality of care to the international gold standards.info:eu-repo/semantics/publishedVersio

DIETA DO BAGRE ESTUARINO Cathorops arenatus (VALENCIENNES, 1840) NA ILHA DE MAIANDEUA, PARÁ, BRASIL

Cathorops arenatus (Siluriformes: Ariidae) inhabits shallow waters and is abundant in the North coast of Brazil. Despite its local use and susceptibility to overexploitation and pollution, basic biological information is lacking to shape conservation actions. Thus, information on the feeding of C. arenatus in the North coast of Brazil are provided herein. Specimens were sampled in one expedition during the rainy season and in another in the dry season, using horizontal trawling along a 10-m line. Food contents of 68 specimens were analyzed. They exhibited 13 food items and fed mainly on Haparcticoida copepods and plant fragments. A high number of specimens exhibited sediment in their digestive tract. No differences in the diet composition between hydrological seasons were observed. C. arenatus exhibit a benthivorous feeding habit in the Amazonian estuary, which agrees with other species of the genus, and no temporal variation in its diet was found, which may be related to the community dynamics of its main prey.Keywords: Amazon estuary, Ariidae, trophic ecology.Cathorops arenatus (Siluriformes: Ariidae) habita águas rasas e é abundante na costa Norte do Brasil. Apesar da sua abundância, uso local e suscetibilidade à superexploração e poluição, informações biológicas básicas para nortear ações de conservação são escassas. Portanto, informações sobre a dieta de C. arenatus na região costeira Norte do Brasil são aqui apresentadas. Indivíduos foram amostrados em uma expedição na estiagem e em outra na estação chuvosa, utilizando arrastos horizontais na praia ao longo de 10m. O conteúdo alimentar de 68 espécimes foi analisado, que apresentou 13 itens alimentares e se alimentaram predominantemente de copépodos Haparcticoida e fragmentos de plantas superiores. Um alto número de espécimes apresentou sedimento em seus tratos digestivos. Não foram observadas diferenças na composição da dieta entre estações hidrológicas. C. arenatus exibiu hábitos alimentares bentívoros no estuário Amazônico, o que está de acordo com outras espécies do gênero, e variações temporais em sua dieta não foram encontradas, o que pode estar relacionado à dinâmica de comunidade de suas presas principais.Palavras-chave: Ariidae, ecologia trófica, estuário amazônico

COMPOSIÇÃO PAISAGÍSTICA E ARBORIZAÇÃO DO CAMPO DE INSTRUÇÃO DE SANTA MARIA

The Education Field of Santa Maria (CISM) is a private Army area, located in the district of SaintValentine and currently used for conducting military maneuvers and eventually serving as a placeto community visitation. At this place, there are fragments of native vegetation, as well asspecimens of this flowering composes the CISM surrounding landscape. This flora is preserved inpart due to lack of users awareness. This study aims to propose a planning and landscaping designwithin the precepts of environmental education techniques. According to the observations and evaluations, it was observed that the tropical garden composition is the most appropriated, sincethe most present species are used in these compositions. In this sense, the place was visited andthe photographic recording of the species, such as its correct identification and variables ofdendrometric interest surveys, were accomplished. Through environmental education techniques,it is possible to suggest a landscaping composition suitable for the existing species andarchitectural elementshttp://dx.doi.org/10.5902/223611703891O Campo de Instrução de Santa Maria (CISM) é uma área privada do Exército, localizada no Distrito de São Valentim e utilizada para realização de manobras militares e eventualmente servindo de local de visita à comunidade. Neste local, encontram-se fragmentos de vegetação nativa, assim como exemplares desta flora compõem a paisagem de entorno da sede do CISM. Essa flora encontra-se em parte preservada, devido à falta de conhecimento dos usuários. Este estudo tem como objetivo planejar e propor um projeto paisagístico dentro dos preceitos da educação ambiental técnica. De acordo com as observações e avaliações realizadas, observou-se que a composição de um Jardim Tropical é a mais adequada, visto que a maioria das espécies presentes são elementos utilizados nessas composições. Com este objetivo, foram realizadas visitas ao local, registro fotográfico das espécies, bem como sua correta identificação e levantamento de variáveis dendrométricas de interesse. Através da educação ambiental técnica, é possível sugerir uma composição paisagística adequada ao local e às espécies e elementos arquitetônicos já existentes

Postural adjustments and kinematic index finger features in frail older adults under different equilibrium constraints

Background: Anticipatory postural adjustments (APAs) are significantly affected by age and may represent restrictions on functional independence. Previous studies in young adults have already highlighted that changing postural stability (i.e., seated vs. upright posture) affects the motor planning and APAs. In frail older adults (FOAs), the effect of these different conditions of postural stability have not yet been established, and the present study aimed to disentangle this issue. Methods: Participants executed an arm-pointing task to reach a diode immediately after it turned on, under different conditions of stability (seated with and without foot support and in an upright posture). A kinematic profile of the index finger and postural electromyographic data were registered in their dominant-side leg muscles: Tibialis anterior, soleus, rectus femoris, and semitendinosus. Results: The main finding of this study was that the adopted posture and body stabilization in FOAs did not reflect differences in APAs or kinematic features. In addition, they did not present an optimal APA, since postural muscles are recruited simultaneously with the deltoid. Conclusion: Thus, FOAs seem to use a single non-optimal motor plan to assist with task performance and counterbalance perturbation forces in which they present similar APAs and do not modify their kinematics features under different equilibrium constraints

Aquatic exercise associated or not with grape juice consumption-modulated oxidative parameters in Parkinson disease patients : a randomized intervention study

Parkinson's disease (PD) is a neurodegenerative disorder with significant motor disabilities and cognitive decline. Importantly, the imbalance of oxidative stress is related to PD physiopathology and progression. This study aimed to evaluate the impact of grape juice consumption associated with an aquatic exercise protocol on oxidative stress parameters and cognitive function in individuals with PD. The participants were randomized into two groups: grape juice group (GJG) and control group (CG) and were submitted to 4 weeks of an aquatic intervention (twice a week, approximately 60 minutes/session). The GJG also consumed 400 ml of grape juice per day (integral and conventional) during this period. Cognitive function was assessed by the Montreal Cognitive Assessment (MoCa) questionnaire. For the analysis of oxidative stress markers, specifically lipid oxidative damage (TBARS), proteins (Carbonil), acid uric and the activity of antioxidant enzymes (superoxide dismutase, glutathione peroxidase and catalase), blood collection were done before and after intervention. No changes were observed in cognitive function after intervention in both groups. Regarding biomarkers, a reduction of antioxidant enzymes, thiobarbituric acid reactive substances (TBARS) and uric acid was observed in both groups. However, only the GJG showed a significant reduction on protein oxidation levels after intervention. In conclusion, the consumption of grape juice associated with an aquatic exercise protocol might be consider an effective alternative to reduce the oxidative damage in PD, reinforcing the importance of this intervention in promoting beneficial impact in this population

AVALIAÇÃO DAS PRÁTICAS HIGIÊNICO SANITÁRIAS NA PRODUÇÃO DE AÇAÍ NA TIGELA: DIAGNÓSTICO E INTERVENÇÃO

The aim of this work was to evaluate the nutritional and microbiological quality of ready-to-eat açai, the physical and functional conditions of establishments that market this product and to verify the presence of microorganisms at handlers’ hands and nostrils. Twenty-three establishments in the city of Goiânia–Goiás were evaluated and açaí samples were obtained in two steps: before and after the training of handlers about good manufacturing practices. A decrease in the counts of total coliforms (from 26.08% to 8.7% of samples), coagulase positive staphylococci (from 78.26% to 65.2% of samples) and aerobic mesophiles (from 100% to 73.91% of samples) was observed between steps. The presence of microorganisms at handlers’ hands and nostrils did not present statistical difference between the two steps. According to the applied checklist, six items showed reduced compliance. After the training of handlers, the microbiological contamination of açaí decreased, and the presence of E coli in handlers’ nostrils was no longer observed, which highlights the importance of training about the implementation Good Manufacturing Practices to ensure food sanitary quality.El objetivo de este trabajo fue evaluar la calidad nutricional y microbiológica del açai listo para comer, las condiciones físicas y funcionales de los establecimientos que comercializan este producto y verificar la presencia de microorganismos en las manos y fosas nasales de los manipuladores. Se evaluaron 23 establecimientos en la ciudad de Goiânia – Goiás y se obtuvieron muestras de açaí en dos pasos: antes y después de la capacitación de los manipuladores sobre las buenas prácticas de fabricación. Se observó una disminución en los recuentos de coliformes totales (del 26.08% al 8.7% de las muestras), estafilococos coagulasa positivos (del 78.26% al 65.2% de las muestras) y mesófilos aeróbicos (del 100% al 73.91% de las muestras) entre los pasos. La presencia de microorganismos en las manos y fosas nasales de los manipuladores no presentó diferencias estadísticas entre los dos pasos. Según la lista de verificación aplicada, seis ítems mostraron un cumplimiento reducido. Después de la capacitación de los manipuladores, la contaminación microbiológica del açaí disminuyó y ya no se observó la presencia de E. coli en las fosas nasales de los manipuladores, lo que resalta la importancia de la capacitación sobre la implementación de Buenas Prácticas de Manufactura para garantizar la calidad sanitaria de los alimentos.O objetivo deste trabalho foi avaliar a qualidade nutricional e microbiológica do açaí pronto para consumo, as condições físicas e funcionais dos estabelecimentos que comercializam esse produto e verificar a presença de microrganismos nas mãos e nas narinas dos manipuladores. Foram avaliados 23 estabelecimentos da cidade de Goiânia-Goiás e as amostras de açaí foram obtidas em duas etapas: antes e após o treinamento dos manipuladores sobre as boas práticas de fabricação. Observou-se uma diminuição nas contagens de coliformes totais (de 26,08% para 8,7% das amostras), estafilococos positivos para coagulase (de 78,26% para 65,2% das amostras) e mesófilos aeróbicos (de 100% para 73,91% das amostras). A presença de microrganismos nas mãos e nas narinas dos manipuladores não apresentou diferença estatística entre as duas etapas. De acordo com a lista de verificação aplicada, seis itens apresentaram conformidade reduzida. Após o treinamento dos manipuladores, a contaminação microbiológica do açaí diminuiu e a presença de E. coli nas narinas dos manipuladores não foi mais observada, o que destaca a importância do treinamento sobre a implementação de Boas Práticas de Fabricação para garantir a qualidade sanitária dos alimentos

An experience on environmental education applied to public health system workers

Apesar do crescente interesse sobre a educação ambiental e saúde na sociedade, a formação acadêmica ainda tem se mantido distante quanto à capacitação de profissionais de saúde com conhecimento e envolvimento sobre as questões ambientais. A Universalidade, como um princípio do Sistema Único de Saúde de assegurar a saúde como um direito de todos e como um direito humano à manutenção da vida individual e social, torna imprescindível a formação dos profissionais de saúde neste âmbito. Trata-se de um relato de experiência de uma atividade desenvolvida por alunas do Mestrado Profissional em Ensino na Saúde da Faculdade de Medicina da Universidade Federal do Rio Grande do Sul que visou construir e aplicar estratégias pedagógicas de sensibilização aos trabalhadores de saúde para a educação ambiental, embasadas nos fundamentos do Sentipensar e no conceito de universalidade de modo a formar agentes multiplicadores para a educação ambiental. A experiência desenvolvida proporcionou interação com a temática contextualizada aos ambientes de trabalho.Despite the growing interest in environmental education and health in society, academic courses of the health area still neglect the training of health professionals with knowledge about environmental issues. Universality, as a principle of the Public Health System to ensure health as a common right and as a human right to the maintenance of individual and social life, can only be attained through the training of health professionals with this conviction. This is an experience report of an activity developed by students of the Master Degree Program in Health Teaching of the Medicine School ate the Federal University of Rio Grande do Sul. The article reports the aim to build and apply teaching strategies to raise awareness on health workers for environmental education. This study is based in the fundamentals of Sentipensar and the universality concept in order to form multipliers for environmental education. The experience developed some interactions with its theme in the work environments