Transdisciplinaridade em saúde: uma análise integrativa da literatura

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Delimitação e alinhamento de conceitos lexicalizados no inglês norte-americano e no português brasileiro

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

O comportamento informacional de pós-graduandos da área de Educação

The study of information behavior of graduate students is important because it reveals aspects of the search and information use that will impact the performance of future researchers and other professionals. Earlier studies on the UNESP, campus of Marilia (São Paulo State, Brazil), indicated that the graduate students in the areas of Applied Social Sciences and Humanities little use information sources traditionally used for bibliographic and restricted to the sources indicated by their teachers, contrary to expectations for a student with this level of training. Continuing the theme, we investigate the information behavior of students in postgraduate programs in the field of Education with five and six notes in the latest assessment of the Coordination of Improvement of Higher Education Personnel (CAPES). This research aimed to characterize the information behavior of Brazilian post-graduate in Education; identify factors that may influence the information behavior of the participants; investigate whether there are significant differences in behavior between masters and doctoral students; check the influence of gender in information behavior of post-graduate students. Data collection was performed in two stages: the establishment of a focus group with group of 11 participants for raising subsidies for the next step, which consisted in the application of electronic questionnaire to 16 graduate regular student of programs of excellence in the Brazil. Participated in the survey 493 post-graduates, 54% doctoral students and 46% of masters students and 75% women and 25% of men. The results showed that most subjects did not participate in formal instruction to search in databases. They are open to new ideas and do not restrict your search only to information that confirms their view on the research topic. Respondents are concerned not to overlook details and have the habit of regularly seeking information on their research and were willing to...

Effect of ambulatory versus hospital treatment for gestational diabetes or hyperglycemia on infant mortality rates: a systematic review

CONTEXTO E OBJETIVO:Gestações complicadas pelo diabetes estão associadas com aumento das complicações neonatais e maternas. A complicação mais grave materna é o risco de desenvolver diabetes tipo 2 após 10-12 anos do parto. Para o controle rigoroso da glicose no sangue, as mulheres grávidas são tratadas de forma ambulatorial ou com internações hospitalares. O objetivo deste estudo é avaliar a efetividade do tratamento ambulatorial versus hospitalização em gestações complicadas por diabetes ou hiperglicemia.TIPO DE ESTUDO E LOCAL:Revisão sistemática conduzida em hospital universitário público.MÉTODOS:Uma revisão sistemática da literatura foi realizada e as principais bases de dados eletrônicas foram pesquisadas. A data da pesquisa mais recente foi 4 de setembro de 2011. Dois autores selecionaram independentemente os ensaios clínicos relevantes, avaliaram a qualidade metodológica e extraíram os dados.RESULTADOS:Apenas três estudos foram selecionados, com tamanho de amostra pequeno. Não houve diferença estatisticamente significativa entre o tratamento ambulatorial versus hospitalização em relação à mortalidade em nenhuma das subcategorias analisadas: mortes perinatais e neonatais, (risco relativo [RR] 0,65; 95% de intervalo de confiança [IC] 0,11-3,84, P = 0,63); morte neonatal (RR 0,29, IC 95% 0,01-6,07, P = 0,43), e óbitos infantis (RR 0,29, IC 95% 0,01-6,07, P = 0,43).CONCLUSÕES:Com base em estudos com risco de viés alto ou moderado, esta revisão demonstrou que não há diferença estatisticamente significante entre o tratamento ambulatorial comparado com o hospitalar na redução das taxas de mortalidade em gestações complicadas por diabetes ou hiperglicemia. Esta revisão sistemática também sugere a necessidade de mais ensaios clínicos randomizados sobre o assunto.

Enhanced Recovery after Elective Open Surgical Repair of Abdominal Aortic Aneurysm: A Complementary Overview through a Pooled Analysis of Proportions from Case Series Studies

Objectives: To evaluate the efficacy and safety of enhanced recovery after surgery (ERAS) programs in elective open surgical repair (OSR) of abdominal aortic aneurysm (AAA).Background: Open surgical repair of AAA is associated with high morbidity and mortality, prolonged hospital stay and high costs. ERAS programs contribute to the optimization of treatment by reducing hospital stay and improving clinical outcomes.Methods: A review of PubMed, EMBASE and LILACS databases was conducted. As only one randomized controlled trial was found, a pooled analysis of proportions from case series was conducted, considering it a complementary overview of the topic. Inclusion criteria were case series with more than five cases reported, adult patients who underwent an elective OSR of AAA and use of an ERAS program. ERAS was compared to conventional perioperative care. The pooled proportion and the confidence interval (CI) are shown for each outcome. The overlap of the CI suggests similar effect of the interventions studied.Results: Thirteen case series studies with ERAS involving 1,250 patients were compared to six case series with conventional care with a total of 1,429 patients. The pooled, respective proportions for ERAS and conventional care were: mortality, 1.51% [95% CI: 0.0091, 0.0226] and 3.0% [95% CI 0.0183, 0.0445]; and incidence of complications, 3.82% [95% CI 0.0259, 0.0528] and 4.0% [95% CI 0.03, 0.05].Conclusion: This review shows that ERAS and conventional care therapies have similar mortality and complication rates in OSR of AAA.

Early light reduction for preventing retinopathy of prematurity in very low birth weight infants

BackgroundRetinopathy of prematurity (ROP) is a complex condition of the developing retinal blood vessels and is one of the leading causes of preventable childhood blindness. Several risk factors for ROP have been studied over the past 50 years. Among them, general immaturity (low birth weight and low gestational age) and prolonged oxygen therapy have been consistently related to disease onset. However, it is understood that the progression of the disease is multifactorial and may be associated with others risk factors, such as multiple gestation, apnoea, intracranial haemorrhage, anaemia, sepsis, prolonged mechanical ventilation, multiple transfusions and light exposure. Furthermore, the precise role of these individual factors in the development of the disease has not yet been well established.ObjectivesTo determine whether the reduction of early environmental light exposure reduces the incidence of retinopathy of prematurity (ROP) or poor ROP outcomes among very low birth weight infants.Search methodsWe searched the following databases: the Cochrane Neonatal Group Specialised Register, CENTRAL (The Cochrane Library), MEDLINE, EMBASE, CINAHL, HealthSTAR, Science Citation Index Database, CANCERLIT, the Oxford Database of Perinatal Trials and www.clinicaltrials.gov. We also searched previous reviews including cross-references, abstracts, conference and symposia proceedings, and contacted expert informants. This search was updated in October 2012.Selection criteriaRandomised or quasi-randomised controlled trials that reduced light exposure to premature infants within the first seven days following birth were considered for this review. We also considered cluster-randomised controlled trials.Data collection and analysisData on clinical outcomes including any acute ROP and poor ROP outcome were extracted by both review authors independently and consensus reached. We conducted data analysis according to the standards of the Cochrane Neonatal Review Group.Main resultsData from four randomised trials with a total of 897 participants failed to show any reduction in acute ROP or poor ROP outcome with the reduction of ambient light to premature infants' retinas. The overall methodological quality of the included studies was about evenly split between those in which the classification was unclear and those in which the studies were categorised as low risk of bias. There was no report on the secondary outcomes considered in this review: quality of life measures; and time of exposure to oxygen.Authors' conclusionsThe evidence shows that bright light is not the cause of retinopathy of prematurity and that the reduction of exposure of the retinas of premature infants to light has no effect on the incidence of the disease.

Efeitos da Ventilação Mecânica não Invasiva sobre a Modulação Autonômica Cardíaca

This review is intended to gather together recent studies that explore the effects of different types of noninvasive ventilation (NIV) on the autonomic nervous system, assessed through heart rate variability (HRV). A search for papers was conducted in the PubMed, PEDro, SciELO and Lilacs databases with the following descriptors: noninvasive ventilation, CPAP ventilation, intermittent positive pressure breathing and autonomic nervous system, for the period between 2008 and 2012. After eliminating papers not addressing the topic, we selected six studies, of which five applied NIV in CPAP mode and one used biphasic positive airway pressure. In general, the findings suggest that NIV promotes changes in autonomic modulation that are dependent on the conditions of the subjects analyzed and the time when these rates are assessed, meaning acute or long-term effects.

Disturbios neuropsicológicos e síndrome da apneia do sono em crianças

Obstructive Sleep Apnea Syndrome (OSAS) is characterized by snoring and / or repetitive pauses in breathing during sleep associated with hypoxemia and hypercapnia. Affects approximately 1-3% of children, especially preschoolers. There is an association of OSAS with negative impact on neurocognitive development. However, there are few studies using protocols to assess cognition and behavioral disorders in children with OSAS. The objective of this study was to analyze the major studies related to the topic within the last two decades. The main studies published between 1995 to 2011 were identified through MEDLINE and LILACS databases. We selected the most relevant for OSAS in children, neurocognitive effects and association between obstructive disorders / OSAS in the target population (children). It was concluded that the studies analyzed showed that there is strong evidence regarding the overlapping of OSAS in children with neurocognitive disorders and that treatment of OSAS has positive impact on neurocognitive development.

Implantes tipo plataforma modificada: revisión de literatura

The purpose of this revision was to explore the concept of Platform Switching in implantology and its acting in the clinical practice. The concept of platform switching will be considered together with a revision of pertinent literature, with the purpose of providing guidelines based on scientific evidences. The following databases were used: Pubmed, Library Cochrane and ISI in the last 17 years. The inclusion approaches were: clinical articles, laboratorials and of revision on the topic, in English language. 41 articles were selected, using the describers "platform switching dental implants", "platform shifting and dental implants", "expanded platform dental implant". In accordance with this revision, implant them platform switching they present a rate of more favorable bony remodeling that you implant them conventional. This fact seems to be resulting of a group of biological factors and mechanics. The concept of platform switching has important relevance in the aesthetic area.

Odontologia baseada em evidência: etapas e métodos de uma revisão sistemática

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Transtorno dismórfico corporal: uma revisão de literatura

This study aimed to review articles about BDD published from 1980 to 2008, indexed in Lilacs, Francis, Scielo, Psychinfo and Ovid's databases. The main categories of analysis in the study were bibliography, method, results and their specifications. Among the results it is emphasized the considerable increase of publications from 1996 on and the low frequency of national publications on this topic. The articles consulted were mostly of characterization, their designs were more frequent as the non-experimental and experimental and used the verbal report as the main source of data collection. The results of the investigated studies focus mainly the typical behaviors and characteristics of the population diagnosed with BDD. This paper discusses the articles consulted, their contributions to the area and knowledge gaps.

Treinamento ambiental:revisão de literatura e sugestões de pesquisa

This article aims to list the studies on environmental training published in the Scopus and Web of Science databases, to emphasize the publications most relevant according to the number of citations in other research, list the most prominent authors regarding the topic, the contexts studied and the researcher’s countries of origin. The concepts of environmental management and environmental training were reviewed. The systematic literature review is presented as the methodology, which has as its results the identification of the most influential papers studied in the area, the countries of origin of researchers and the relation between context and origin of the researcher, concluding that Brazil stands out in the study of the theme. That there is a small number of researchers studying different contexts in their country of origin and that partnership between researchers from different countries are required for studies in the area. The study presents as a limitation the still restricted access to some journals presenting articles on the topic, making it impossible to analyze them. It contributes with researchers and those responsible for human resource managers in organizations because it shows the most relevant studies of the area in a compiled form.

Dançando o ritmo do preconceito: uma análise do estido waacking com o enfoque no sexo masculino

Understanding dance in all its educational aspects, creative and liberating, this of course work completion back motivating information for new studies and reflections. This study did a literature review to contextualize and detail reach the story and how it perpetuates in practice the dance style Waacking, sought the understanding of how the body is inserted in our society, made notes on the Sport Psychology regarding the topic fear and shame, and pledged to address the conflicting issues of gender and sexuality, to then be possible to develop what has been objectified. This study sought to establish whether there are national publications on the Waacking dance style and what their contributions to the Brazilian context, verifying the presence of stereotypes and prejudices to males in it are inserted. As used method, the survey was conducted in online databases having the following sites as a source of scientific academic content to nationwide: Google Scholar (like the filter to search only in Portuguese language - as the focus of the research is to gather national publications); Journals Portal CAPES / MEC; and SciELO - (Scientific Electronic Library Online). The review process took place using the categorization model, which was essential to be able to extract the information that met relevant from the criteria that have been pre-established, thus enabling the completion of this work Completion of course

Práticas integrativas e complementares no SUS: revisão integrativa

Pós-graduação em Saúde Coletiva - FMB