Saúde mental e pandemia

Mental health is considered a second pandemic faced by Brazil, the emotional suffering of family losses, the feeling of fear, the lack of socialization concomitant with a lack of job stability have considerably increased the level of stress and psychological suffering of Brazilians, a study shows evidence that health professionals on the front line fighting COVID-19 demonstrate greater vulnerability to mental disorders considering exhaustion and suicidal ideation.A saúde mental é considerada uma segunda pandemia enfrentada pelo Brasil, o sofrimento emocional das perdas familiares, a sensação de medo, a falta de socialização concomitante com falta de estabilidade no trabalho aumentaram consideravelmente o nível de estresse e sofrimento psíquico dos brasileiro, estudo evidência  que os profissionais de saúde da linha de frente de enfrentamento à COVID-19 demonstram maior vulnerabilidade de ocorrer transtornos mentais considerando a  exaustão e ideação suicida

Estudo de aumento de casos de óbitos embrionários e fetais diagnosticados por ultrassonografia durante o surto de Zika vírus

The aim of the research was to describe the main causes of fetal death to improve the quality of care for pregnant women. The Zika virus is a virus of the Flavoviridae family, the Dengue and Chikungunya viruses also belong to this family and are transmitted by the Aedes mosquito. There is a concern of the World Health Organization and the Ministry of Health with the increase in cases of Zika virus in pregnant women, since infection with this virus can lead to the presence of neurological changes, such as microcephaly and fetal loss diagnosed by pelvic or transvaginal obstetric ultrasound. . During the period of outbreak of Zika virus infection, there was an increase in cases of deaths diagnosed by ultrasound examination, in the period from 2005 to 2020. Conclusion: The survey identified the socioeconomic level, the obstetric background, the lack of adequate medical monitoring during prenatal care and difficulty in reporting, which are factors that are directly involved with the difficulty of investigating the causes of fetal/embryonic deaths.O objetivo da pesquisa foi descrever as principais causas de óbito fetal para melhorar a qualidade de atendimento as gestantes. O Zika vírus é um vírus da família Flavoviridae, também pertencem a essa família os vírus da Dengue e Chikungunya, e são transmitidos pelo mosquito Aedes. Há uma preocupação da Organização Mundial de Saúde e do Ministério da Saúde com o aumento de casos de Zika vírus em gestantes, pois a infecção por esse vírus pode levar à presença de alterações neurológicas, como microcefalia e perda fetal diagnosticada pela ultrassonografia obstétrica pélvica ou transvaginal. Durante o período de surto da infecção por Zika vírus, houve um aumento dos casos de óbitos diagnosticados pelo exame de ultrassom, no período de 2005 a 2020. Conclusão: A pesquisa identificou o nível socioeconômico, os antecedentes obstétricos, a falta de acompanhamento médico adequado durante o pré-natal e dificuldade de notificação, os quais são fatores que estão envolvidos diretamente com a dificuldade de investigação das causas dos óbitos fetais/embrionários

Assistência de enfermagem no uso da medicina não-convencional: acupuntura

Acupuncture is part of traditional Chinese medicine and was discovered many years ago in Chinese society, it visualizes the body through the “qi” energy and through everything that moves the universe, the five elements of nature. There are several scientific studies to try to prove its effectiveness. This study aims to understand the role of professional nurses in the use of ancient Chinese medicine: acupuncture, through studies of scientific articles carried out between 2012 and 2017. In this way, it was possible to identify in the results that the trained acupuncturist nurse already showed interest before even starting the postgraduate course and that, with such practice, it is possible to develop the profession with autonomy.A acupuntura faz parte da medicina tradicional chinês e foi descoberta há muitos anos em meio a sociedade chinesa, ela visualiza o corpo através da energia “qi” e por tudo que move o universo, os cinco elementos da natureza. Há diversos estudos científicos para tentar comprovar sua eficácia. Este estudo tem por objetivo compreender o papel do profissional enfermeiro no uso da medicina milenar chinesa: a acupuntura, através de estudos de artigos científicos realizados entre 2012 e 2017. Desta forma foi possível identificar nos resultados que o enfermeiro acupunturista formado, já demonstrava interesse antes mesmo de iniciar o curso de pós-graduação e que, com tal prática, é possível desenvolver com autonomia o exercício da profissão

Cuidados paliativos: a atenção aos pacientes oncológicos

The present study was a research about pаlіаtіvo care aimed at cancer patients. The search for the results of the results was done in a bіblіgraphic way through consultation and analysis of various authors and articles. The prіncіpаl fіnаlіdаde of this work is that of аnаlіsаr а іnfluêncіа and the impact of the attention of nursing professionals in working with cancer patients in pаlіаtіvos care according to the existing lіterаturа. In the end, this teaching will elucidate the central issue that led to its beginning to give due credit to the medical care invested, as far as its applications to cancer patients are concerned.O presente estudo foi uma pesquisa acerca de cuidados pаlіаtіvos voltados а pacientes oncológicos. А pesquisa pаrа se аlcаnçаr tаіs resultados se deu de forma bіblіográfіcа por meio de consulta e análise de vários autores e artigos. А prіncіpаl fіnаlіdаde desse trabalho é o de аnаlіsаr а іnfluêncіа e o impacto da atenção dos profіssіonаіs de enfermagem na atuação com pacientes oncológicos em cuidados pаlіаtіvos de acordo com а lіterаturа existente. Ao final, esse ensаіo elucіdаrá а problemática central levаntаdа em seu início а fim de dar o devido crédito aos cuidados médicos іnvestіgаdos, no que tangem às suas аplіcаções а pacientes oncológicos

Métodos não farmacológicos de alívio da dor utilizados durante o trabalho de parto normal

oai:ojs2.globalacademicnursing.com:article/1Introduction: Non-pharmacological methods of pain relief are based on structured knowledge, which does not require sophisticated equipment to be used, being based on the structured knowledge of health professionals, used both to relieve pain and to humanize childbirth. Objective: To investigate the possibility of performing the normal delivery procedure using non-pharmacological methods, to describe the main non-pharmacological methods of pain relief, identifying the obstetric nurse's action in this scenario. Method: This is an exploratory study of literature review carried out in the databases of the Virtual Health Library and Scientific Electronic Library Online, in articles published from 2005 to 2017. Results and Discussion: They were identified as non-pharmacological methods in the relief of pain in normal childbirth: hydrotherapy, ambulation and change of position, relaxation exercises, aromatherapy, breathing technique, massage, music therapy, delivery ball, electrical stimulation and acupuncture. Conclusion: Non-pharmacological methods of pain relief have been highlighted by movements in favor of humanizing childbirth practices, seeking to decrease the use of drugs and introducing women as protagonists in this scenario.Introdução: Os métodos não farmacológicos de alívio da dor fundamentam-se em conhecimentos estruturados, que não necessitam de equipamentos sofisticados para serem utilizados, sendo baseados nos saberes estruturados dos profissionais de saúde, utilizados tanto para amenizar a dor, quanto para humanizar o parto. Objetivo: Investigar a possibilidade de realizar o procedimento de parto normal utilizando os métodos não farmacológicos, descrever os principais métodos não farmacológicos de alívio da dor identificando a ação do enfermeiro obstetra nesse cenário. Método: Trata-se de um estudo exploratório de revisão de literatura realizado nas bases de dados da Biblioteca Virtual em Saúde e Scientific Electronic Library Online, em artigos publicados no período de 2005 a 2017. Resultados e Discussão: Identificaram-se como métodos não farmacológicos no alívio da dor no parto normal: hidroterapia, deambulação e mudança de posição, exercícios de relaxamento, aromaterapia, técnica de respiração, massagem, musicoterapia, bola de parto, estimulação elétrica e acupuntura. Conclusão: Os métodos não farmacológicos de alívio da dor vêm se destacando pelos movimentos em favor das práticas de humanização do parto, buscando uma diminuição na utilização dos fármacos e introduzindo a mulher como protagonista nesse cenário. &nbsp

Esquizofrenia paranoide: o auxílio da religiosidade como benefício para qualidade de vida

We sought to analyze how religiosity influences the mental health of individuals in their quality of life, defining the positive aspects. Understanding from which factors the issue of religiosity is intertwined with health and the process of mental illness. This is an exploratory study of literature review carried out in the Virtual Health Library and Scientific Electronic Library Online databases in articles published from 2014 to 2018. Schizophrenia is present in all regions of the planet, presenting measures of incidence and relatively equal prevalence in populations. For the 2014 Diagnostic and Statistical Manual of Mental Disorders, the lifetime prevalence of schizophrenia would be between 0.3 and 0.7%. Its rate ranges from 0.9-11 per 1,000 inhabitants and its annual incidence is between 0.1-0.7 new cases per 1,000 inhabitants. It is estimated that schizophrenia affects 1% of the world population, that is, around 70 million individuals. This study allowed for a better understanding of schizophrenia, its aspects, reaching paranoid schizophrenia with the main objective of knowing how religiosity influences the patient with schizophrenia, the benefits that spirituality causes and improvements in the patient's quality of life.Buscou-se analisar de que forma a religiosidade influência na saúde mental dos indivíduos na qualidade de vida definindo os aspectos positivos. Entender a partir de quais fatores a questão da religiosidade se intercala com a saúde e o processo de doença mental. Trata-se de um estudo exploratório de revisão de literatura realizado nas bases de dados Biblioteca Virtual em Saúde e Scientific Electronic Library Online em artigos publicados no período de 2014 a 2018. A esquizofrenia está presente em todas as regiões do planeta, apresentando medidas de incidência e prevalência relativamente iguais nas populações. Para o Manual Diagnóstico e Estatístico de Transtornos Mentais de 2014, a prevalência da esquizofrenia ao longo da vida seria entre 0,3 e 0,7%. A sua taxa compreende de 0,9-11 por 1.000 habitantes e sua incidência anual está entre 0,1-0,7 novos casos para 1.000 habitantes. Estima-se que a esquizofrenia atinge 1% da população mundial, isto é, cerca de 70 milhões de indivíduos. Este estudo permitiu ter uma compreensão melhor sobre a esquizofrenia, suas vertentes, chegando à esquizofrenia paranoide com o objetivo principal de conhecer como a religiosidade influência no paciente com esquizofrenia, os benefícios que a espiritualidade causa e melhorias para a qualidade de vida do paciente

Esquizofrenia paranoide: o auxílio da religiosidade como benefício para qualidade de vida

We sought to analyze how religiosity influences the mental health of individuals in their quality of life, defining the positive aspects. Understanding from which factors the issue of religiosity is intertwined with health and the process of mental illness. This is an exploratory study of literature review carried out in the Virtual Health Library and Scientific Electronic Library Online databases in articles published from 2014 to 2018. Schizophrenia is present in all regions of the planet, presenting measures of incidence and relatively equal prevalence in populations. For the 2014 Diagnostic and Statistical Manual of Mental Disorders, the lifetime prevalence of schizophrenia would be between 0.3 and 0.7%. Its rate ranges from 0.9-11 per 1,000 inhabitants and its annual incidence is between 0.1-0.7 new cases per 1,000 inhabitants. It is estimated that schizophrenia affects 1% of the world population, that is, around 70 million individuals. This study allowed for a better understanding of schizophrenia, its aspects, reaching paranoid schizophrenia with the main objective of knowing how religiosity influences the patient with schizophrenia, the benefits that spirituality causes and improvements in the patient's quality of life.Buscou-se analisar de que forma a religiosidade influência na saúde mental dos indivíduos na qualidade de vida definindo os aspectos positivos. Entender a partir de quais fatores a questão da religiosidade se intercala com a saúde e o processo de doença mental. Trata-se de um estudo exploratório de revisão de literatura realizado nas bases de dados Biblioteca Virtual em Saúde e Scientific Electronic Library Online em artigos publicados no período de 2014 a 2018. A esquizofrenia está presente em todas as regiões do planeta, apresentando medidas de incidência e prevalência relativamente iguais nas populações. Para o Manual Diagnóstico e Estatístico de Transtornos Mentais de 2014, a prevalência da esquizofrenia ao longo da vida seria entre 0,3 e 0,7%. A sua taxa compreende de 0,9-11 por 1.000 habitantes e sua incidência anual está entre 0,1-0,7 novos casos para 1.000 habitantes. Estima-se que a esquizofrenia atinge 1% da população mundial, isto é, cerca de 70 milhões de indivíduos. Este estudo permitiu ter uma compreensão melhor sobre a esquizofrenia, suas vertentes, chegando à esquizofrenia paranoide com o objetivo principal de conhecer como a religiosidade influência no paciente com esquizofrenia, os benefícios que a espiritualidade causa e melhorias para a qualidade de vida do paciente

Operational performance and losses in mechanized soybean harvesting as a function of field shape

Information on the capacity, operational efficiency, and performance of the harvester is very important in the management of agricultural mechanized systems, influencing decisions made with the aim of optimization. This study aimed to evaluate times, movements, and quality of mechanical soybean harvest operations in different shapes of the plots. Operational performance parameters of the harvester and variables representative of the agronomic aspects of the crop were used as indicators through statistical process control tools. Mechanized harvesting was carried out at a farm located in Uberaba, Minas Gerais, and the experimental design was completely randomized, with 18, 28, and 24 repetitions in irregular, rectangular, and trapezoidal fields, respectively. The activities of the harvester (harvest, unloading, handling, and climate charts) were monitored. The indicators of quality for harvester performance were: forward speed, engine and cylinder rotation and concave opening. The losses were determined: on the platform, internal mechanisms, total and in relation to productivity. The managerial efficiency and shunt time presented better results for the trapezoidal and rectangular section, respectively. All quality indicators evaluated were within the limits of statistical control, characterizing quality and reliability of the soybean harvesting operation.Information on the capacity, operational efficiency, and performance of the harvester is very important in the management of agricultural mechanized systems, influencing decisions made with the aim of optimization. This study aimed to evaluate times, movements, and quality of mechanical soybean harvest operations in different shapes of the plots. Operational performance parameters of the harvester and variables representative of the agronomic aspects of the crop were used as indicators through statistical process control tools. Mechanized harvesting was carried out at a farm located in Uberaba, Minas Gerais, and the experimental design was completely randomized, with 18, 28, and 24 repetitions in irregular, rectangular, and trapezoidal fields, respectively. The activities of the harvester (harvest, unloading, handling, and climate charts) were monitored. The indicators of quality for harvester performance were: forward speed, engine and cylinder rotation and concave opening. The losses were determined: on the platform, internal mechanisms, total and in relation to productivity. The managerial efficiency and shunt time presented better results for the trapezoidal and rectangular section, respectively. All quality indicators evaluated were within the limits of statistical control, characterizing quality and reliability of the soybean harvesting operation

Operational performance and losses in mechanized soybean harvesting as a function of field shape

Information on the capacity, operational efficiency, and performance of the harvester is very important in the management of agricultural mechanized systems, influencing decisions made with the aim of optimization. This study aimed to evaluate times, movements, and quality of mechanical soybean harvest operations in different shapes of the plots. Operational performance parameters of the harvester and variables representative of the agronomic aspects of the crop were used as indicators through statistical process control tools. Mechanized harvesting was carried out at a farm located in Uberaba, Minas Gerais, and the experimental design was completely randomized, with 18, 28, and 24 repetitions in irregular, rectangular, and trapezoidal fields, respectively. The activities of the harvester (harvest, unloading, handling, and climate charts) were monitored. The indicators of quality for harvester performance were: forward speed, engine and cylinder rotation and concave opening. The losses were determined: on the platform, internal mechanisms, total and in relation to productivity. The managerial efficiency and shunt time presented better results for the trapezoidal and rectangular section, respectively. All quality indicators evaluated were within the limits of statistical control, characterizing quality and reliability of the soybean harvesting operation

Quality of life following allogeneic, hematopoietic stem cell transplantation: a longitudinal study

Este estudo teve como objetivo avaliar a qualidade de vida de pacientes submetidos ao transplante de células-tronco hematopoéticas alogênico, comparando as fases pré-transplante de células-tronco hematopoéticas, o momento do isolamento protetor na Enfermaria e o pós-transplante de células-tronco hematopoéticas imediato. A amostra foi composta por sete pacientes (quatro homens e três mulheres) submetidos ao transplante de células-tronco hematopoéticas no primeiro semestre de 2008. Na coleta de dados foi utilizado o Questionário Genérico de Avaliação de Qualidade de Vida (SF-36), aplicado individualmente em situação face a face. A comparação das médias obtidas nas fases pré-transplante de células-tronco hematopoéticas e Enfermaria evidenciou diferença estatisticamente significante nos domínios Capacidade Funcional (p=0,022) e Dor (p=0,036). Comparando-se as etapas da Enfermaria e do pós-transplante de células-tronco hematopoéticas, evidenciou-se diferença significativa no Estado Geral de Saúde (p=0,036). Não foram encontradas diferenças estatisticamente significantes entre as variáveis no pré e pós-transplante de células-tronco hematopoéticas. Desse modo, comparando-se as três etapas do transplante foi possível verificar que houve depreciação da qualidade de vida durante o isolamento protetor na Enfermaria, seguida de recuperação dos aspectos mensurados.This research aimed to assess the quality of life of patients undergoing allogeneic, hematopoietic stem cell transplantation, comparing the pre-hematopoietic stem cell transplantation phase with the phase of protective isolation in the ward and theimmediate post-hematopoietic stem cell transplantation. The sample comprised seven patients (four men and three women) who were submitted to this procedure in the first half of 2008. For the data collection, the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) was used and individually applied in face-to-face situations. The comparison between mean data collected in the pre-hematopoietic stem cell transplantation phase and in the ward revealed a statistically significant difference in Functional Capacity (p=0.022) and Pain (p=0.036). When comparing the ward and post-hematopoietic stem cell transplantation phases, a significant difference in General Health (p=0.036) was clearly shown. There was no statistically significant difference between the pre- and post-hematopoietic stem cell transplantation variables. Thus, when comparing the three transplantation phases, it was found that the quality of life diminished during protective confinement in the ward, followed by the recovery of the evaluated aspects