Complementary And Integrative Practices By Doulas In Maternities In Fortaleza (ce) And Campinas (sp), Brazil

This study aimed to analyze the Integrative and Complementary Practices (ICP) applied by doulas in the cities of Fortaleza and Campinas-SP. This is a qualitative study encompassing fifteen doulas: nine from Fortaleza (Brazil, CE) and six from Campinas (Brazil, SP). The data were collected in the second half of 2010 by conducting semi-structured and pre-organized interviews following the procedures of thematic content analysis. The interpretations of the results were based on the idea that institutionalization of knowledge and practices happen through the conformation of nuclei and fields. The nucleus demarcates the identity of an area of knowledge and the professionals' practices, and the field demarcates the blurred limits among disciplines that can be submitted to conflicts. We observed that the support offered by doulas permeates a variety of practices framed in traditional medicine as well as in complementary and alternative medicine. ICP was associated with decreases in length of labor, superior pain management, ability of making decision and empowering of women. It is understood that the range of activities offered by doulas and the use of ICP converge to the uniqueness, respect and autonomy of women. Furthermore, it proposes a new model of awareness and practices centered on the importance of the natural process of childbirth.25110812

Fatores associados a sobreposicao de tipos de violencia contra a mulher notificada em servicos sentinela

OBJECTIVE: to identify the prevalence and the factors associated to the imposition of the different types of violence against women informed in sentry services. METHOD: transversal study accomplished through 939 notification forms of cases of violence against women, referring to the three years from 2006 to 2008 in Fortaleza, Ceará. Univariate and multiple analyses by logistic regression were realized. RESULT: the results showed a positive association between the imposition of types of violence against women with a schooling varying from illiterate to basic education and the aggression which had occurred other times. CONCLUSION: this knowledge contributes to the delineation of specific actions that aim at facing this problem, as well as generates subsidies for adequate attendance proposals and guidance for the victims who call on health services.OBJETIVO: identificar la prevalencia y los factores asociados a la sobreposición de los diferentes tipos de violencia contra la mujer notificados en servicios centinela. MÉTODO: estudio transversal realizado con 939 fichas de notificación de casos de violencia contra la mujer, referentes al trienio de 2006 a 2008, en Fortaleza, Ceará. Fueron realizados el análisis univariado y el múltiple por regresión logística. RESULTADOS: los resultados mostraron asociación positiva entre la sobreposición de tipos de violencia contra la mujer, con la escolaridad variando de analfabeta a enseñanza fundamental y la agresión haber ocurrido otras veces. CONCLUSIÓN: este conocimiento contribuye para el delineamiento de acciones específicas que tengan por objetivo enfrentar esta problemática, así como generar subsidios para elaborar una propuesta adecuada de atención y encaminamiento de las víctimas que buscan los servicios de salud.OBJETIVO: identificar a prevalência e os fatores associados à sobreposição dos diferentes tipos de violência contra a mulher, notificada em serviços sentinela. MÉTODO: estudo transversal, realizado com 939 fichas de notificação de casos de violência contra a mulher, referentes ao triênio de 2006 a 2008, em Fortaleza, Ceará. Análises univariada e múltipla por regressão logística foram realizadas. RESULTADO: os resultados mostraram associação positiva entre a sobreposição de tipos de violência contra a mulher com a escolaridade variando de analfabeta a ensino fundamental e a agressão ter ocorrido outras vezes. CONCLUSÃO: esse conhecimento contribui para o delineamento de ações específicas que visam o enfrentamento dessa problemática, assim como gera subsídios para proposta adequada de atendimento e encaminhamento das vítimas que buscam os serviços de saúde

The Prevalence of Sarcopenia in the Elderly: How the Consumption of Protein Supplement Interacts in Individuals of a Fortaleza Institution

Introduction: Sarcopenia is a natural disturb that usually affects older people consisting in strength and muscle mass loss. Sedentary lifestyle and nutritional habits are some inducing factors. Supplementation may contribute to improvements on life quality in elders predisposed to sarcopenia. Objectives: verify the relevance of protein supplementation on life quality of elders predisposed to sarcopenia. Assess the individual's evolution along the study. Methods: protein supplementation application during 45 days on 13 elders, comparing them with 13 elders in control group without supplementation. Anthropometric measurements were performed before and after the 45 days period and evaluated for each participant, as well as their nutrition, individually. Results: We observed a improvement in some anthropometric measures, and a reduction in others, that might be explained by previous pathologies already diagnosed. Muscle mass changes were positive, according with specific reference measures. Some elders reported motor strength improvements, disposition and energy. Physical active participants showed more significant results and sedentary ones. Conclusion: positive outcomes were obtained from protein supplementation in older people, and more correlated studies are still necessary, considering the field's relevancy to longevity and overall life quality

Uso de práticas integrativas e complementares por doulas em maternidades de Fortaleza (CE) e Campinas (SP)

This study aimed to analyze the Integrative and Complementary Practices (ICP) applied by doulas in the cities of Fortaleza and Campinas-SP. This is a qualitative study encompassing fifteen doulas: nine from Fortaleza (Brazil, CE) and six from Campinas (Brazil, SP). The data were collected in the second half of 2010 by conducting semi-structured and pre-organized interviews following the procedures of thematic content analysis. The interpretations of the results were based on the idea that institutionalization of knowledge and practices happen through the conformation of nuclei and fields. The nucleus demarcates the identity of an area of knowledge and the professionals' practices, and the field demarcates the blurred limits among disciplines that can be submitted to conflicts. We observed that the support offered by doulas permeates a variety of practices framed in traditional medicine as well as in complementary and alternative medicine. ICP was associated with decreases in length of labor, superior pain management, ability of making decision and empowering of women. It is understood that the range of activities offered by doulas and the use of ICP converge to the uniqueness, respect and autonomy of women. Furthermore, it proposes a new model of awareness and practices centered on the importance of the natural process of childbirth.Universidade de Fortaleza. Programa de Pós-Graduação em Saúde Coletiva. Fortaleza, CE, BrasiUniversidade Estadual de Campinas. Faculdade de Ciências Médicas. Programa de Pós-Graduação em Tocoginecologia. Campinas, SP, BrasilUniversidade de Fortaleza, Centro de Ciências da Saúde, Fortaleza, CE, BrasilUniversidade Federal de São Paulo. Programa de Pós-Graduação em Saúde Coletiva. São Paulo, SP, BrasilUniversidade Estadual de Campinas. Faculdade de Ciências Médicas. Programa de Pós-Graduação em Saúde Coletiva. Campinas, SP, BrasilUniversidade Federal de São Paulo. Programa de Pós-Graduação em Saúde Coletiva. São Paulo, SP, BrasilWeb of Scienc

ATUAÇÃO DO FISIOTERAPEUTA NO DESMAME DA VENTILAÇÃO MECÂNICA: UMA REVISÃO DE LITERATURA

Introdução: O desmame da ventilação mecânica (VM) pode ser definido como a transição da ventilação artificial para a ventilação espontânea em pacientes que permaneceram em VM por um período superior a 24 horas. O fisioterapeuta é relevante nesse processo, auxiliando na condução da Ventilação Mecânica (VM), desde o preparo e ajuste do VM à intubação, evolução durante esse processo, desmame do suporte ventilatório e extubação. Objetivo: Realizar uma revisão sistemática acerca da Atuação do Fisioterapeuta no desmame da VM. Métodos: Estudo seccional e documental realizado por meio de revisão sistemática da literatura disponível na biblioteca virtual de saúde (BIREME). Os critérios de inclusão foram: estudos que tratassem sobre a atuação do Fisioterapeuta no desmame da ventilação mecânica, sendo esses temas abordados em conjunto, artigos publicados em português, inglês ou espanhol, textos completos disponíveis online e datados entre 2004 a 2014. Resultados: Através desta revisão observou-se de uma maneira geral como se dá a atuação do Fisioterapeuta na condução do desmame da ventilação mecânica, evidenciando os benefícios e os parâmetros ventilatórios mais utilizados objetivando o sucesso nesse processo. Conclusão: Foi evidenciado vários benefícios da Fisioterapia na unidade de terapia intensiva UTI e da importância desse profissional na condução da ventilação mecânica e no desmame

Chromoblastomycosis and Chagas' disease: a case study in the Brazilian Northeast/ Cromoblastomicose e doença de Chagas: um estudo de caso no nordeste brasileiro

Background: Chromoblastomycosis is a disease caused by melanized fungi that have a slow evolution, and the disease may be chronic due to a lack of treatment at the onset of the disease. Besides chromoblastomycosis, other neglected diseases primarily affect people of low-income living in rural areas. The objective of this study was to analyze a case of coinfection with Trypanosoma cruzi and Fonsecaea pedrosoi in a patient with these agents. Methods: For the diagnosis of chromoblastomycosis, a biopsy of the lesion site was performed, and fungal tests were performed with KOH, cultured on Sabouraud Dextrose and Mycobiotic Agar. A microculture on the Potato Agar Dextrose was performed, followed by histopathology stained with hematoxylin-eosin. The diagnosis of Chagas disease, with the examination of gout on a slide, and staining using the Walker method. Results: The thick drop blood test was positive for Trypanosoma cruzi. Additionally, muriform brown corpuscles were visualized in the direct mycological biopsy, and also Fonsecaea pedrosoi was identified through the culture and microcultivation and sequencing, being thus diagnosed the chromoblastomycosis. Conclusions: Chromoblastomycosis and Chagas disease are neglected diseases in Brazil, especially in the states of the Northeast and North regions, where the prevalence of cases is still high