CUIDADOS DE ENFERMAGEM PRESTADOS À CRIANÇA HOSPITALIZADA COM DOR ONCOLÓGICA CRÔNICA: PERCEPÇÕES DOS PROFISSIONAIS DE SAÚDE

Objetivo: compreender a percepção dos profissionais de saúde sobre os cuidados de enfermagem prestados à criança hospitalizada com dor oncológica crônica. Método: abordagem qualitativa, ancorada nos referenciais teórico e metodológico, respectivamente, da Teoria da Complexidade e da Teoria Fundamentada em Dados. Os dados foram coletados por meio de entrevista semiestruturada e observação não participante. Participaram da pesquisa 21 profissionais de saúde. Resultados: os profissionais de saúde qualificaram como boa a assistência de enfermagem oferecida à criança com dor oncológica crônica. No entanto, foi revelada a necessidade de avanços: nos aspectos estruturais da unidade e organizacionais do cuidado, na abordagem ao familiar da criança, na abordagem à criança em precaução de contato e valorização profissional. Conclusão: o cuidado de enfermagem prestado à criança com dor oncológica crônica apresentava-se como um desafio, seja pelas necessidades de melhorias apontadas, seja por questões gerenciais e de liderança.Descritores: Enfermagem Pediátrica. Cuidados de Enfermagem. Dor do Câncer. Hospitais. Pessoal de Saúde. Criança

Gêneros televisivos, referência e atualização: o Jornal Nacional e o Balanço Geral ES

This paper aims to investigate the modes of addressing of two very different news programs: Jornal Nacional and Balanço Geral ES. Our purpose is to identify how these products update the subgenre of the television newscast, as they repeat and reinforce what is already established as "what is expected to be seen on TV news", while building a unique style that set them apart from other news programs, thus establishing their specificities. Our corpus of analysis consists of 28 full editions, which is equivalent to two weeks of broadcast of both programs: from 17 to 24 October 2015. As a result, we identify some strategies of enunciation of these products, which are effects of certain transformations in which telejournalism passes today, and which also indicate some tendencies and possible referrals of this subgenre in the future.O objetivo deste artigo é investigar os modos de endereçamento de dois telejornais bastante distintos: o Jornal Nacional e o Balanço Geral ES. A ideia é identificar de que maneira esses produtos atualizam o subgênero telejornal, na medida em que repetem e reforçam aquilo que já está consolidado como sendo “o que se espera ver em um telejornal”, ao mesmo tempo em que constroem um estilo próprio que os diferenciam dos demais telejornais, garantindo suas especificidades. Nosso corpus de análise é formado por 28 edições completas, o que equivale a duas semanas de exibição dos dois telejornais: do dia 17 ao dia 24 de outubro de 2015

HETEROSSEXISMO: aspectos internacionais desta prática contrária aos direitos humanos

O presente trabalho desenvolveu um estudo sobre o heterossexismo, e de que forma os mecanismos internacionais de proteção aos direitos humanos podem servir como medida de combate a esta prática. Neste sentido, observou-se que ainda que haja uma atuação de órgãos da Organização das Nações Unidas - ONU no combate ao heterossexismo, não há nenhum tratado ou convenção internacional específica de combate à discriminação em razão da orientação sexual, o que ocasiona um déficit na proteção internacional. Palavras-chave:  Heterossexismo;  Proteção Internacional;  Orientação Sexual.Abstract:  This paper sought to develop a study about heterosexism, and how the international mechanisms for protecting human rights can serve as a measure against that practice. In this sense, it was observed that although there is an acting organ of the United Nations to combat heterosexism, there is no specifc international treaty or convention to combat discrimination based on sexual orientation, which causes a deficit in the ternational protection.Keywords:  Heterosexism;  International Protection; Sexual Orientation

Overweight and low height in children of urban, rural and indigenous communities

Changes in lifestyle have led to an increase of overweight in the juvenile population. However, there are limited studies about this topic in relation to an indigenous population. The aim of this study is to verify the overweight and height defi cit in children aged 8 and 9 years, of both sexes, from urban, rural and indigenous communities of the city of Nova Laranjeiras in the State of Paraná. The 277 (148 boys) students were divided into three groups: rural (n = 100), urban (n = 99) and Indian communities (n = 78). The measurements taken were body mass (kg), height (m) and body mass index. The statistics method was an analysis of covariance and chi-square test (P <.05). Among the 277 schoolchildren, the prevalence of overweight was 14.6% in the rural area, 27.1% in urban area and 30.3% in the indigenous area in boys, and 15.7% in rural areas, 17.6% in urban and 20% in Indian girls. There was no difference in the frequency of overweight among groups for both sexes. The prevalence of height defi cit was different between the groups; it was higher in indigenous children than urban and rural children. Among the Indians, 42.4% of boys and 51.1% girls had low stature. Only indigenous children were overweight and of low height, while being prevalent in 15.1% of boys and 11.1% girls. Low stature is frequent in indigenous populations, and it would be ideal to have more research to identify its causes and consequences. Children showed high rates of overweight in all regions, demonstrating that poor eating habits and a sedentary lifestyle are not only characteristics of urban centres

Actions of protection for children and teenagers in situations of violence

Objective: The study aimed to analyze the welfare protection actions carried out to children and teenagers in situations of violence. Method: It’s a quantitative study conducted in the municipality of Jequié, Bahia, with the collaboration of 29 professionals from The Guardianship Council, The Welfare Reference Center, Women’s Police Station and four units of Family Health. The data were collected in 2012 through semistructured interview. A thematic content analysis was used for data processing. Results: The results showed two categories: prevention and educational campaigns where guidance and management of situations of violence, highlighting that the reporting of cases of violence is still not prioritized. Conclusion: Despite the actions taken by each service are complementary, professionals still do not carry out the networking. We emphasize the need for training of professional care services to develop more effective and coordinated interventions to face up the violence against children and adolescents

Caracterização sociodemográfica e clínica de pacientes portadores de hepatite C crónica

Objective: To describe the sociodemographic and clinical characterization of patients with chronic hepatitis C followed at the outpatient clinic of a reference hospital in infectology.Method: A cross-sectional, descriptive, quantitative study with chronic hepatitis C patients attended at a referral hospital during November 2015 to April 2016 with a sample of 47 users. Results: The participants were male (76.6%), 57 years old (57.5%), brown (38.3%), married (55.3%), (61.7%), with a discovery time of up to 6 years (68.1%), not knowing the form of contamination (57.5%), immunized against hepatitis B (65.9%), undergoing drug therapy (85.1%) with Ribavirin (55.6%); And 70.2% had adverse effects. Conclusion: Sociodemographic and clinical characterization assist the clinical practice of the multiprofessional team with patients with chronic hepatitis CObjetivo: Describir la caracterización sociodemográfica y clínica de los pacientes portadores de hepatitis C crónica acompañados en el ambulatorio de un hospital de referencia en infectología. Método: Estudio transversal, descriptivo, cuantitativo, con usuarios portadores de hepatitis C crónica asistidos en el ambulatorio de un hospital de referencia durante noviembre de 2015 a abril de 2016 con una muestra de 47 usuarios. Resultados: Los participantes son de sexo masculino (76,6%) con rango de edad superior a 57 años (57,5%), pardo (38,3%), casado (55,3%), con grado de escolaridad (31,9%), y residente en la capital (61,7%), con tiempo de descubrimiento de hasta 6 años (68,1%), desconociendo la forma de contaminación (57,5%), inmunizado contra la hepatitis B (65,9%), realizando tratamiento medicamentoso (85,1%) con Ribavirina (55,6%); Y el 70,2% presentó efectos adversos. Conclusión: La caracterización sociodemográfica y clínica auxilian en la práctica clínica del equipo multiprofesional con los portadores de hepatitis C crónica.Objetivo: Descrever a caracterização sociodemográfica e clínica dos pacientes portadores de hepatite C crônica acompanhados no ambulatório de um hospital referência em infectologia. Método: Estudo transversal, descritivo, quantitativo, com usuários portadores de hepatite C crônica assistidos no ambulatório de um hospital referência durante Novembro 2015 a Abril de 2016 com uma amostra de 47 usuários. Resultados: Os participantes encontram-se no sexo masculino (76,6%) com faixa etária acima de 57 anos (57,5%), pardo (38,3%), casado (55,3%), com grau de escolaridade fundamental incompleto (31,9%), e residente na capital (61,7%), com tempo de descoberta de até 6 anos (68,1%), desconhecendo a forma de contaminação (57,5%), realizando tratamento medicamentoso (85,1%) com Ribavirina (55,6%); e 70,2% apresentaram efeitos adversos. Conclusões: A caracterização sociodemográfica e clínica auxiliam na prática clínica da equipe multiprofissional com os portadores de hepatite C crônica

Metastatic Vulvar Squamous Cell Carcinoma in a Mare

Background: Squamous cell carcinoma (SCC) is a common cutaneous neoplasm in horses, which mainly affects the external genitalia, oral cavity, and periocular region. The development of SCC metastases is rare in these animals, and the most common occurrence is a marked local infiltration. Exposure to ultraviolet rays and skin depigmentation are the main etiological factors of SCC. Definitive diagnosis of the neoplasm is performed through histological examination of lesions. The present report describes the clinical, anatomopathological, and immunohistochemical (IHC) aspects of a case of metastatic SCC, with the vulva as the primary site in a mare. Case: A 17-year-old mare, mixed breed, was referred to the Veterinary Hospital of the Universidade de Passo Fundo (UPF), with history of areas of depigmented skin (pinto coat), and  clinical history of anorexia, frequent episodes of colic, and recumbency. During clinical evaluation, heart rate (68 bpm), rectal temperature (38.4ºC), and respiratory rate (48 mpm) were elevated, and the oral mucosa was pale. The mare also had an ulcerated tumor mass involving the vulva, which extended to the inguinal region and involved the mammary gland. A cytological aspirate of the vulvar tumor was performed, in which no neoplastic cells were found. Next, a biopsy of 2 distinct areas of the vulva was performed. The material was sent for anatomopathological examination, which showed markedly pleomorphic malignant squamous cells, with individual keratinization and high mitotic index, organized in trabeculae with rare keratin pearl-like formations. The exam allowed the diagnosis of SCC Grade II. Due to the poor prognosis and high cost of treatment, the owner consented to euthanasia and necropsy examination. During necropsy, the vulvar tumor mass was grayish, firm to hard, infiltrative, and had friable areas. Tumor foci suggestive of metastasis were also observed in inguinal, mesenteric, mediastinal and renal lymph nodes, adrenal glands, lung, pericardium, medullary canal, intercostal muscles, right 15th rib, and tissue surrounding the azygos vein. Samples from all organs were collected for anatomopathological examination. Diagnosis of metastatic vulvar SCC was confirmed through histological and IHC studies, which evaluated the expression of cytokeratins (AE1/AE3), as well as the proliferative activity of neoplastic cells through the PCNA marker. Discussion: The diagnosis of metastatic SCC was obtained through the observed clinical, necroscopic, histological, and IHC characteristics. This neoplasm usually appears in depigmented regions exposed to ultraviolet light, and older animals are more likely to be affected. The mare in the present case had areas of depigmented skin (pinto coat). The animal was kept in a paddock outdoor and exposed to constant solar radiation. Although rare in horses, manifestation of anorexia, progressive weight loss, and frequent colic episodes and recumbency may be closely related to the multiple sites of metastasis in the present case. The main histological findings of the neoplasm were the dense proliferation of malignant squamous cells with individual keratinization, arranged in a trabecular pattern and with rare formations of keratin pearls, in line with previous studies. During IHC evaluation, the neoplastic cells showed expression of cytokeratins (AE1/AE3), as well as high proliferative activity evidenced by the PCNA marker. Given this background, the present report describes the clinical, anatomopathological, and IHC aspects of a case of metastatic SCC with a primary site in the vulva of a mare. Keywords: equine, genital neoplasm, tumor embolism, squamous cell carcinoma, metastasis, immunohistochemistry

Factores del ambiente de la hospitalidad: un estudio de la experiencia de consumo de homosexuales del Nordeste Brasileño

Esta investigación tiene el objetivo general de identificar los factores ambientales de la hospitalidad que impulsan los homosexuales entrevistados a vivieren experiencias memorables de consumo en los hoteles y hostales. Se utilizó el enfoque cualitativo de tipo descriptivo. Desde esta perspectiva, gays de dos Estados del Nordeste de Brasil fueron entrevistados. Los relatos se presentaron a fin de mejorar la formación de categorías. En cuanto a los resultados, se consideró que la experiencia de consumo se almacena como un rendimiento positivo o negativo debido a factores relacionados con la prestación de servicios y la infraestructura. Por lo tanto, se constató que el entorno de servicios de hospitalidad influye en el consumo de los homosexuales entrevistados a punto de hacerla memorable.The overall goal of this research is identifying environmental factors in hospitality that lead the interviewed homosexuals to memorable consumer experiences at hotels and inns. This research was conducted under descriptive qualitative approach. According to this perspective, gays from two states of the northeast of Brazil were interviewed. The narratives were presented in order to enhance the formation of categories. Regarding results, it was observed that the experience of consumption is memorized as positive or negative due to the performance of factors related to service provision and infrastructure. Therefore, it was noticed that the hospitality servicescape influences the consumption experience of the interviewed homosexuals to a point that it becomes memorable

Estimativa do potencial energético dos resíduos sólidos urbanos com uso da tecnologia de digestão anaeróbica em biodigestores

Este artigo tem por como objetivo estimar o potencial energético da fração orgânica dos resíduos sólidos urbanos dispostos no aterro sanitário de Caieiras com o uso da tecnologia de digestão anaeróbica em biodigestores. Para estimar o potencial energético foram usados dois modelos matemáticos que permitem estimar a produção de metano em função dos diversos fatores que interferem no processo (concentração de acetato e de micro-organismos, variação do pH, dentre outros). De acordo com os resultados obtidos seria possível uma potência elétrica mínima de 32,5 MW e uma potência máxima de 47,0 MW. Baseados nos resultados obtidos, conclui-se que a produção anual de eletricidade, obtidas a partir da combustão do biogás, produzido a partir do processo de digestão anaeróbia, representa cerca de 70% do consumo de energia elétrica (residencial, comercial, rural, industrial e iluminação pública) do município de Caieiras (no qual o aterro está localizado), no ano de 2016.This paper aims to estimate the energy potential of the organic fraction of municipal solid waste disposed at the Caieiras landfill with the use of anaerobic digestion technology in digesters. In order to estimate the energy potential, two mathematical models were used to estimate methane production as a function of the various factors that influence the process (acetate and microorganisms concentration, pH variation, among others). According to the results obtained would be possible a minimum electric power of 32.5 MW and a maximum power of 47.0 MW. Based on the results obtained, it is concluded that the annual production of electricity, obtained from the combustion of biogas, produced from the anaerobic digestion process, represents about 70% of the electric energy consumption (residential, commercial, rural, industrial And public lighting) of the municipality of Caieiras (in which the landfill is located), in the year 2016.Asociación Argentina de Energías Renovables y Medio Ambiente (ASADES