DE MORTO DE FOME A CASA DA RUINDADE: VARIAÇÃO FRASEOLÓGICA, NO INTERIOR DO MARANHÃO E DO PIAUÍ, RELATIVA À PESSOA QUE NÃO GOSTA DE GASTAR SEU DINHEIRO | FROM MORTO DE FOME TO CASA DA RUINDADE: PHRASEOLOGICAL VARIATION, IN THE INTERIOR OF MARANHÃO AND ...

Resumo: Este estudo apresenta resultados da investigação de unidades fraseológicas (UFs) referentes à questão 138 do Questionário Semântico-Lexical do Atlas Linguístico do Brasil – ALiB, área semântica convívio e comportamento social, com base nos dados de 12 localidades do interior do Maranhão e do Piauí integrantes do ALiB. Objetiva-se: investigar a presença de UFs no corpus, considerando-se fatores sociais, e examinar a produtividade dessas UFs. A Geolinguística Pluridimensional e a Lexicologia, particularmente a Fraseologia francesa, com Mejri (1997; 2012; 2017), dão suporte teórico-metodológico ao estudo. Os resultados evidenciam a presença de UFs comuns aos dois estados, tendo em vista sua proximidade geográfica e cultural, destacando-se mão de vaca e pão-duro, como as UFs mais produtivas. Abstract: This paper presents research results of phraseological units (UFs) refering the question 138 of the Semantic-Lexical Questionnaire of the Linguistic Atlas of Brazil - ALiB, semantic area, social interaction and social behavior, based on the data from 12 localities in the interior of Maranhão and Piauí, members of the ALiB. Aim: to investigate the presence of UFs in the corpus, considering social factors, and to examine the productivity of these UFs. Pluridimensional Geolinguistics and Lexicology, particularly French Phraseology, with Mejri (1997, 2012, 2017) provide theoretical and methodological support for the paper. The results show the presence of common UFs in the two states, considering their geographic and cultural proximity, standing out cow's hand and gingerbread, as the most productive UFs. Keywords: Phraseologisms; Lexical Variation; ALiB Project; VALEXTRA Project

Estresse do paciente em UTI: visão de pacientes e equipe de enfermagem

Objectives: To identify factors that act as stressors in two patients in Critical Care Units, to increase the mechanisms used by the nursing staff to mitigate the factors that cause stress to the patient and compare the responses of patients and nursing staff according to the variables degree of stress. Methods: A descriptive, exploratory and quantitative. Sample of 16 patients and 50 nursing staff. Collection of data through validated questionnaires. Results: The most stressful factors related to patients were to be staring at the ceiling, not to have privacy, not to know which day is, and hear the groans of other patients. The nursing staff reported to achieve important humanization actions in their work. When comparing the variables of stress for the patient's view of nursing staff, there were significant differences in qualitative variables of stress. Conclusions: The ICU admission was considered as non-stressful little stressful for the patient. The nursing professional has the ability to project themselves and raise awareness to the point of knowing how a given factor is stressful for paciente.Os professionals are doing their job efficiently, carefully and with respect for the norms of humanization, but this fact is not always effective to remedy the problems of all patients.Objetivos: Identificar los factores estresantes en pacientes ingresados en dos Unidades de Cuidados Críticos, levantar los mecanismos utilizados por el equipo de enfermería para minimizar los factores que desencadenan el estrés al pacientes y comparar las contestaciones de los pacientes y del equipo de enfermería según las variables del grado de estrés.Métodos: Estudio descriptivo, exploratorio y cuantitativo. La muestra estuvo compuesta de 16 pacientes y 50 colaboradores de enfermería. La recolección de datos mediante cuestionarios validados.Resultados: Los factores más estresantes para los pacientes fueron relacionados con quedarse mirando para el techo; no tener privacidad; no saber en qué día está, y escuchar los gemidos de otros pacientes. Los colaboradores de enfermería relataron realizar importantes acciones de humanización en su trabajo. Cuando comparadas las variables del estrés del paciente por la visión del equipo de enfermería, hubo diferencia significativa en las variables cualitativas del estrés.Conclusiones: El ingreso en la UCI fue considerado como no estresante a poco estresante para el paciente. El profesional de enfermería tiene la capacidad de proyectarse y sensibilizarse hasta el punto de saber en qué medida determinado factor es estresante para el paciente. Los profesionales hacen su trabajo de manera eficiente, cuidadosa y con respeto a las normas de humanización, sin embargo este hecho no siempre es eficaz para resolver los problemas levantados de todos los pacientes.OBJETIVOS: Identificar fatores que atuam como estressores em pacientes internados em duas Unidades de Cuidados Intensivos, levantar os mecanismos utilizados pela equipe de enfermagem para amenizar os fatores desencadeantes de estresse ao paciente e comparar as respostas dos pacientes e da equipe de enfermagem segundo as variáveis do grau do estresse. MÉTODOS: Estudo descritivo, exploratório e quantitativo. Amostra com 16 pacientes e 50 colaboradores de enfermagem. Coleta de dados através de questionários validados. RESULTADOS: Os fatores mais estressantes para os pacientes foram relacionados a ficar olhando para o teto, a não ter privacidade, não saber em qual dia está, e escutar os gemidos de outros pacientes. Os colaboradores de enfermagem relataram realizar importantes ações de humanização no seu trabalho. Quando comparadas as variáveis do estresse do paciente pela visão da equipe de enfermagem, houve diferença significativa nas variáveis qualitativas do estresse. CONCLUSÕES: A internação em UTI foi considerada como não estressante a pouco estressante para o paciente. O profissional de enfermagem tem a capacidade de projetar-se e sensibilizar-se a ponto de saber quanto determinado fator é estressante para o paciente.Os profissionais estão fazendo seu trabalho de maneira eficiente, cuidadosa e com respeito às normas de humanização, mas este fato nem sempre é eficaz para sanar os problemas levantados de todos os pacientes

High prevalence of oral potentially malignant disorders and risk factors in a semi-urban brazilian city:a population-based cross-sectional study

Oral Potentially Malignant Disorders (OPMDs) are defined as lesions with a greater likelihood of progressing to cancer. Population-based studies that evaluate the prevalence of OPMDs are scarce in Brazil. The aim of the present study was to determine the prevalence of OPMDs and associated risk factors in a semi-urban Brazilian population. This is a cross-sectional study, whose universe included individuals aged 40 years or older residing in a medium-sized city of northeastern Brazil. Data collection was divided into two steps: interview and oral examination. The outcome variable was the presence of OPMDs. The predictor variables were sociodemographic characteristics and risk habits. The bivariate analysis was performed through chi-square test. The crude prevalence ratios (PR) and its respective 95% confidence intervals (CI) were calculated. Poisson regression analysis with robust variance was used to calculate adjusted PRs and 95% CI. Three hundred fourteen individuals were included in the study. When asked about risk habits, 58.9% reported being current smokers or ex-smokers and 62.2% reported being current drinkers or ex-drinkers. The prevalence of OPMDs was 7.6% and was significantly higher among individuals with black skin color (p < 0.001), alcohol users (p = 0.017), and individuals with both tobacco and alcohol habits (p = 0.012). Therefore, the population in the present study had a high frequency of risk habits associated with PMDs of the oral cavity

Importância do enfermeiro auditor na gestão hospitalar e suas dificuldades: Importance of the nurse auditor in hospital management and its difficulties

A auditoria de enfermagem é uma área em expansão, ainda pouco explorada por&nbsp; profissionais e acadêmicos, bem como por gestores, a implantação desse serviço representa a racionalização da assistência prestada, garantindo o uso de materiais e humano de forma eficiente, eficaz e com a qualidade esperada em cumprimento com as normas vigentes.O objetivo proposto por esse trabalho é elencar as principais dificuldades encontradas pelo enfermeiro auditor durante sua atuação, além de relatar a importância do mesmo no processo de análise das contas hospitalares. Para o desenvolvimento da pesquisa, optou-se pelo método da revisão integrativa, sendo a amostra composta por 13 artigos, dispostos nos bancos de dados online, para a pesquisa utilizou-se os descritores, auditoria de enfermagem, administração hospitalar, a mesma foi realizada entre o mês de outubro de 2015 a janeiro de 2016. A pesquisa obteve como resultado a montagem de 3 categorias sendo elas, participação do enfermeiro auditor na qualidade assistencial, atrelação burocrática e barreiras que dificultam/inviabilizam o trabalho do enfermeiro auditor

ABSENTEÍSMO DO TRABALHADOR DE ENFERMAGEM: IMPACTOS NA SAÚDE DO PROFISSIONAL E NA ASSISTÊNCIA

O absenteísmo entre os profissionais de enfermagem tem aumentado significativamente nos últimos anos, tornando-se relevante à medida que apresenta reflexos sobre a qualidade da assistência e sobre a vida dos profissionais. Objetivou-se apontar nas publicações científicas as morbidades associadas aos afastamentos dos profissionais de enfermagem e as implicações do absenteísmo na assistência prestada. Trata-se de um estudo de revisão integrativa. Os dados foram obtidos através das bases de dados virtuais e em formato de gráficos e quadros. Teve-se como questão de pesquisa: Quais as principais causas de absenteísmo do profissional de enfermagem evidenciados na literatura científica? Foram selecionadas 19 publicações na busca na Biblioteca Virtual de Saúde. Foram produzidos mais estudos na Região Sudeste um total de 9 publicações, equivalente a 47%. O tipo de metodologia com maior incidência nas produções analisadas foi a abordagem quantitativa n=11 (58%). Os artigos demonstraram que as doenças que mais afastam os profissionais do ambiente de trabalho são as osteomusculares. Sugere-se que medidas de controle devam ser adotadas para diminuir o índice de afastamento das atividades ocupacionais, minimizar o sofrimento dos profissionais, reduzir os gastos públicos e melhorar a qualidade da assistência

Treatment interruption of biological drugs and tofacitinib in rheumatoid arthritis: A systematic review of case reports

The aim of this study was to evaluate interruption of treatment with biological drugs and tofacitinib due to adverse events in patients with rheumatoid arthritis. A systematic review was performed in the electronic databases MEDLINE, Cochrane, Scopus, CRD, IPA, Lilacs and Scielo. Case reports addressing interruption of treatment due to any adverse event related to abatacept (ABA), adalimumab (ADA), anakinra (ANA), certolizumab pegol (CER), etanercept (ETA), golimumab (GOL), infliximab (IFX), rituximab (RTX), secukinumab (SEC), tocilizumab (TCZ), tofacitinib (TOF) or ustekinumab (UST) in rheumatoid arthritis patients were evaluated. Baseline data, patient profile, previous and current treatments, cause of discontinuation and information on reintroduction of treatment were extracted from the case reports. One hundred and fifty-four studies (154 patients) reported 162 discontinuations of rheumatoid arthritis treatment due to adverse events (ETA = 57; IFX = 46; ADA = 32; TCZ = 13; RTX = 5; ANA = 3; GOL = 2; ABA = 2; TOF = 1; CER = 1; SEC = 0 and UST = 0). The mean age of patients was 56 (± 12.1) years and 82% were female. Seventy-four adverse events were confirmed (related to used drug), and 138 were observed in patients using anti-TNF. The most common adverse events were infections (21%), skin disease (15%), autoimmune disease (13%) and hematological disorders (9%). Case reports are important in the detection of rare adverse events and should be considered in the choice of appropriate therapy for patients

Association between socioeconomic factors and origin of hospital referrals among patients with oral cancer

The Brazilian Unified Health System (SUS) is responsible for offering free assistance to more than 100 million Brazilians, including treatment of oral cancer lesions. Considering that the Brazilian public system aids the most vulnerable population, this study analyzed whether the origin of hospital referrals of patients with oral cancer is associated with socioeconomic factors. A cross-sectional study was carried out from cancer hospital records of the National Cancer Institute (RHC-INCA), considering the primary locations (C00 to C06) diagnosed between 2016 and 2019. Data on gender, skin color (white and non-white), education (no schooling, incomplete or complete elementary education; high school; incomplete and complete higher education) and origin of referral (SUS and non-SUS) were analyzed by multiple logistic regression (p<0.05). Higher referral rates by the SUS were observed in 2017 (OR=1.27; 95% CI=1.098-1.480) and 2018 (OR=1.28; 95% CI=1.101-1.490); no differences were found between the years 2016 and 2019. Regarding gender, men were 40% more likely to have the SUS as the source of referral (OR=1.40; 95% CI=1.233-1.600). Non-white individuals were 34% more likely to have the SUS as the source of the referral (OR=1.34; 95% CI=1.190-1.512). Illiterate individuals or individuals who only attended elementary school were 6.38 times more likely to be referred by the SUS than individuals with higher education (OR=6.38; 95% CI=5.228-7.796). It is concluded that the origin of hospital referrals via SUS of patients with oral cancer is associated with socioeconomic factors

Prevalence and Risk Factors for Bruxism in Children with Congenital Zika Virus Syndrome: A Case-Control Study

Objective: To determine the prevalence of possible sleep and awake bruxism and its related risk factors in children with Congenital Zika Virus Syndrome. Material and Methods: The case group consists of 20 children with congenital Zika, age range from 5 to 6 years old, and the control group consists of 120 regular children of the same age group. A questionnaire was used to assess bruxism and associate possible risk factors such as medications, systemic disorders, and sleep relationships, and a validated Oral Behaviors Checklist (OBC) was applied. Absolute and percentage frequencies of each outcome variable and mean and standard deviation of each item of the OBC questionnaire were calculated, respectively, compared between case and control groups using Fisher\u27s exact or Pearson\u27s chi-square and Mann-Whitney tests. Results: Only 25% of the children with microcephaly do not present swallowing difficulty, significantly lower compared to the 95.8% of the children in the control group who do not (p&lt;0.001). The occurrence of bruxism was significantly higher in the case group (47.4%) compared to the control group (10.2%). In addition, 89.8% of children did not grind their teeth in the control group, compared to only 52.6% in the case group. There was a statistically significant difference between the case and control group (p&lt;0.001). Conclusion: Dysphagia, feeding routes, and reflux in children with cerebral palsy are risk factors for possible awake bruxism, and children with congenital Zika virus syndrome showed a prevalence for possible bruxism compared to regular children

Biochemical and microbiological analysis of the saliva of institutionalized elderly : with edentulism, use of dentures and presence of biofilm

To analyze biochemical and microbiological parameters of the saliva of institutionalized elders and to investigate the relation of these parameters with edentulism, use of dentures and presence of biofilm. A cross-sectional study carried was out in seven long-term institutions. Samples (n=161) of unstimulated saliva were collected for analysis of salivary flow, quantification of total proteins and identification of microorganisms. Oral examination was carried out to verify the number of missing teeth, the use of dentures and the presence of visible biofilm on the surface of teeth and dentures. Associations were performed using chi-square or Fisher?s exact test (?0.05). Associations were observed between the presence of dentures biofilm and the colonization of Streptococcus sp. (p=0.038) and Candida sp. (p=0.03). The absence of teeth and use of dentures do not influence the amount of total proteins and the microorganisms count in saliva. Denture biofilms are associated with the presence of Streptococcus sp. and Candida sp. in saliva of institutionalized elders