Corações e mentes desvendam o Sistema Único de Saúde : visões e vivências de estudantes de enfermagem

One of the Ministry of Health s attempts at contributing to making collective health more appealing to health students is the Experience and In-Service Training within the Reality of the Unified Health Service Project (VER-SUS). Hence, the object of this investigation is to survey learners views on the teaching of nursing based in the experiences they have lived through in the VER-SUS. Its purpose is to analyze the views and lived-through experiences of nursing students on how the VER-SUS contributed to their professional education. This is a study of the descriptiveexploratory type with a qualitative approach. Eighteen undergraduate students from the nursing program at the Federal University of Rio Grande do Norte (UFRN), former VER-SUS participants, took part in this study, from 2006 to 2009. Information was collected using focus group techniques guided by a set of questions and semistructured interview with open and closed questions. The information collected was analyzed using content analysis technique, of the thematic analysis type. The UFRN Research Ethics Committee approved of the survey pursuant to Report Opinion number 223/2010 and CAAE number 0105.0.051.000-10. Lived-through experiences and in-service training gathered from the VER-SUS have contributed meaningfully to health education, as they helped understand the role of the university and of a health and nursing education within the hegemonic model of education. According to the views and lived-through experiences of nursing students who took part in the SUS project it was extremely relevant to use active methodologies in the teaching-learning process and have the facilitators act as liaisons for the SUS. It follows from this study that the VER-SUS does contribute to a health-nursing education and brings the students close to the reality of the community

Análise dos aspectos ambientais e organizacionais e estratégias de prevenção de riscos para erros de medicação em hospital de ensino

Pós-graduação em Bases Gerais da Cirurgia - FMB

Gross Motor Deficits in Children Prenatally Exposed to Alcohol: A Meta-analysis

BACKGROUND AND OBJECTIVES: Gross motor (GM) deficits are often reported in children with prenatal alcohol exposure (PAE), but their prevalence and the domains affected are not clear. The objective of this review was to characterize GM impairment in children with a diagnosis of fetal alcohol spectrum disorder (FASD) or moderate to heavy maternal alcohol intake.METHODS: A systematic review with meta-analysis was conducted. Medline, Embase, Allied and Complementary Medicine Database, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, PEDro, and Google Scholar databases were searched. Published observational studies including children aged 0 to <= 18 years with (1) an FASD diagnosis or moderate to heavy PAE, or a mother with confirmed alcohol dependency or binge drinking during pregnancy, and (2) GM outcomes obtained by using a standardized assessment tool. Data were extracted regarding participants, exposure, diagnosis, and outcomes by using a standardized protocol. Methodological quality was evaluated by using Strengthening the Reporting of Observational Studies in Epidemiology guidelines.RESULTS: The search recovered 2881 articles of which 14 met the systematic review inclusion criteria. The subjects' mean age ranged from 3 days to 13 years. Study limitations included failure to report cutoffs for impairment, nonstandardized reporting of PAE, and small sample sizes. The meta-analysis pooled results (n = 10) revealed a significant association between a diagnosis of FASD or moderate to heavy PAE and GM impairment (odds ratio: 2.9; 95% confidence interval: 2.1-4.0). GM deficits were found in balance, coordination, and ball skills. There was insufficient data to determine prevalence.CONCLUSIONS: The significant results suggest evaluation of GM proficiency should be a standard component of multidisciplinary FASD diagnostic services.

Síndrome de Burnout em cirurgiões-dentistas com diferentes atuações profissionais

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Transtorno mental comum e lazer entre estudantes da área da saúde do campus de Botucatu-UNESP: um estudo transversal

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Prática de atividade física em estudantes das áreas de saúde e não saúde de uma universidade do interior de São Paulo

The world’s population is having more and more difficulties in performing their daily activities and leisure, becoming, this way, more sedentary. Sedentary lifestyle can be considered as a reduction or as a lack of physical activity, less than the minimum volume suggested by the World Health Organization (WHO). Physical activity changes the behavior and some environmental acts. This study aimed to identify the NAF of students in the area of Physical Education and Healt Nursing and compare it with identified students’ levels non-health areas, being Production Engineer and Pedagogy. Aimed to correlate the found volume of 15 participants, with the state of cardio respiratory fitness (VO2max). The study included 125 students of both sexes from a university located in São Paulo state country. We conducted a cross-sectional study from August to October of 2012. For the initial test of the volume of physical activity we used the International Physical Activity Questionnaire (IPAQ) long version. In order of assessing cardio respiratory fitness, the Katch and McArdle seat test (1981) was used. Data were analyzed according to Physical Activity Level (PAL) presented by the university students in sessions 1, 2, 3, 4 of the IPAQ, and 15 students’ results were correlated with VO2max test. From these results we can say that: IPAQ session 1 showed that students in the health area are statistically superior to the non-health students area to the high-active classification. In session 2 the results were significant and superior to the health area and very active in sedentary classification. The session 3 results were very similar to session 1, showing that the health area as high-active with statistics differences. In session 4 we can see very significant results for health area in high-active areas and irregular actives. A total of 4 sessions found significant results for very active and sedentary. When was the attempt of association between levels 15 participants found the IPAQ long version and test bank VO2max, the results showed no significant association. The results of this study show a need for policies to encourage physical activity in the University environment, emphasizing a greater need for students who do not work in healthcare.

Artes orientais de movimentos: alternativas às terapias do campo da saúde. uma possibilidade de investigação para a psicologia do esporte. um exemplo de pesquisa fenomenológica

This research analyzes the discourse of teachers of ancient oriental arts, namely: Yoga, Tai Chi Chuan, Kung Fu, Lian Gong, Qwan Ki Do, reveals the meaning that subjects have about what are the benefits to health of those already considered practical alternatives conventional treatment of health. The research uses the phenomenological method specifically the method of the phenomenon. The method first provides a pre-reflection on the oriental arts, exposing not systematically, some curiosities changing between aspects of oriental arts: historical, main teaching methods, styles, the character of struggle, why are linked to health, the benefits of their practices, movements, philosophy, concepts, ways of acting, the roots, the basics. In this article the pre-reflection does not appear to meet the standards of Congress page limit. Rather concentrate on the next step of the research and present the phenomenon situated in the experience of those who have experienced it in the case of the five arts teachers mentioned above. The method performs individual analysis or ideographic analysis of the five discourses of teachers from each oriental art and then conducts the general or nomothetic. The result is presented an analysis of generalities, convergence, divergence and individuality of meanings expressed by the subject, to finally develop a discussion of these data and weave a synthesis. The analyzes reveal that Eastern practices currently as some of these five analyzed here, those involving aspects of struggle and concentration are excellent allied health development and well-being. Understanding the philosophical aspect is inherent in the practice of the movements, although the character of the struggle, which they transmit through knowledge of their origins and roots is the current thinking routine that generates a life philosophy of selfhelp, self-enabling and tranquility preparation to overcome the tensions, disputes, everyday challenges. The speeches also reveal that the psychophysical aspects of diseases are real, because the practices of movements and the physical drilling of these oriental arts have enabled visible improvements in health by working the mental and the physical in an integrated manner. Masters must have all the knowledge to better meet today's society, preserving these cultures, passing them through the generations.

Assistência em saúde: revisão integrativa do conhecimento produzido à luz da complexidade

This is part of an integrative review whose object of study was the production of knowledge in journals concerning nursing studies that have used the Theory of complexity as a theoretical framework. This study gathers seven articles collected from a literature review of 18 publications found on the databases: Medical Literature Analysis and Retrieval Sistem on-line (MEDLINE), Literatura Latino-Americana e do Caribe emCiências da Saúde (LILACS) and Cumulative Index to Nursing and Allied Health Literature (CINAHL) from 1998 to 2008. In the two former databases, the following combination of key words was used: “complexity theory” and “health” and “nursing”, and in the third: “complexidade” and “saúde” and “enfermagem. Content analysis was the methodological framework that allowed for organizing the knowledge aggregated in the theme: Health Care. It was observed that the Complexity Theory has based the comprehension of the health care process, pointing out the care provider with his practices and the environment.

O processo de revisão por pares: uma revisão integrativa de literatura

OBJETIVO: Avaliar as evidências disponíveis na literatura sobre o processo de revisão por pares de artigos científicos na área da saúde. MÉTODOS: Revisão integrativa de literatura, na qual foram realizadas buscas nas bases de dados da Literatura Latino-Americana e do Caribe em Ciências da Saúde, National Library of Medicine, Medical Literature Analysis and Retrieval System Online e Cumulative Index to Nursing and Allied Health Literature. Um total de 12 estudos foi analisado. RESULTADOS: Foi demonstrado que existem muitas críticas ao processo em razão de sua subjetividade, porém acredita-se na necessidade dos mesmos. CONCLUSÃO: Este processo é imprescindível para a difusão do conhecimento, sendo uma etapa essencial no julgamento de manuscritos científicos, no entanto, considera-se importante que se façam mudanças no sentido de reduzir a subjetividade para garantir credibilidade ao processo.

Connecticut Poison Control Center. 2002 and 2003 Annual Report and Poison Exposure Statistics

The Connecticut Poison Control Center (CPCC) at the University of Connecticut Health Center (UCHC) was established in 1957 under Connecticut General Statute 10a- 132. The CPCC’s main responsibility is to provide 24-hour emergency toxicology management consultations for victims of poisoning, and serve as a source for pharmacology and toxicology-related information. The center monitors the epidemiology of human poisoning and provides surveillance for environmental and occupational chemical exposures, drug abuse, and pharmaceutical interactions and adverse effects. The CPCC performs toxicological research, and provides formal toxicology instruction for allied health professionals, as well as professional and consumer poison prevention education. The CPCC is one of 63 nationwide centers certified by the American Association of Poison Control Centers (AAPCC), and the only poison center in the state of Connecticut. The AAPCC establishes standards of care for poisoning and administers the Toxic Exposure Surveillance System (TESS), a national database of poisoning statistics, to which the CPCC is a contributor.

A systematic review of the methods used to assess race and racial disparities in uterine fibroid research

Context: Black women are reported to have a higher prevalence of uterine fibroids, and a threefold higher incidence rate and relative risk for clinical uterine fibroid development as compared to women of other races. Uterine fibroid research has reported that black women experience greater uterine fibroid morbidity and disproportionate uterine fibroid disease burden. With increased interest in understanding uterine fibroid development, and race being a critical component of uterine fibroid assessment, it is imperative that the methods used to determine the race of research participants is defined and the operational definition of the use of race as a variable is reported for methodological guidance, and to enable the research community to compare statistical data and replicate studies. ^ Objectives: To systematically review and evaluate the methods used to assess race and racial disparities in uterine fibroid research. ^ Data Sources: Databases searched for this review include: OVID Medline, NML PubMed, Ebscohost Cumulative Index to Nursing and Allied Health Plus with Full Text, and Elsevier Scopus. ^ Review Methods: Articles published in English were retrieved from data sources between January 2011 and March 2011. Broad search terms, uterine fibroids and race, were employed to retrieve a comprehensive list of citations for review screening. The initial database yield included 947 articles, after duplicate extraction 485 articles remained. In addition, 771 bibliographic citations were reviewed to identify additional articles not found through the primary database search, of which 17 new articles were included. In the first screening, 502 titles and abstracts were screened against eligibility questions to determine citations of exclusion and to retrieve full text articles for review. In the second screening, 197 full texted articles were screened against eligibility questions to determine whether or not they met full inclusion/exclusion criteria. ^ Results: 100 articles met inclusion criteria and were used in the results of this systematic review. The evidence suggested that black women have a higher prevalence of uterine fibroids when compared to white women. None of the 14 studies reporting data on prevalence reported an operational definition or conceptual framework for the use of race. There were a limited number of studies reporting on the prevalence of risk factors among racial subgroups. Of the 3 studies, 2 studies reported prevalence of risk factors lower for black women than other races, which was contrary to hypothesis. And, of the three studies reporting on prevalence of risk factors among racial subgroups, none of them reported a conceptual framework for the use of race. ^ Conclusion: In the 100 uterine fibroid studies included in this review over half, 66%, reported a specific objective to assess and recruit study participants based upon their race and/or ethnicity, but most, 51%, failed to report a method of determining the actual race of the participants, and far fewer, 4% (only four South American studies), reported a conceptual framework and/or operational definition of race as a variable. However, most, 95%, of all studies reported race-based health outcomes. The inadequate methodological guidance on the use of race in uterine fibroid studies, purporting to assess race and racial disparities, may be a primary reason that uterine fibroid research continues to report racial disparities, but fails to understand the high prevalence and increased exposures among African-American women. A standardized method of assessing race throughout uterine fibroid research would appear to be helpful in elucidating what race is actually measuring, and the risk of exposures for that measurement. ^

The role of environmental tobacco smoke in the development and exacerbation of asthma among children in developing countries: A systematic review

Environmental tobacco smoke (ETS) is an important indoor air pollutant associated with adverse effects on the respiratory health of the general population, especially people with asthma. ETS consists mainly of sidestream smoke from burning cigarettes and a smaller quantity of mainstream smoke which is exhaled by the smoker. At least one out of every three children is frequently exposed to ETS. ^ This paper reviewed the literature for studies on the role of ETS in the development and exacerbation of asthma among children in developing countries, specifically the low and middle income countries from the year 1980 to the present. The databases searched in this systematic review were: Ovid Medline; PubMed (National Library of Medicine); and Cumulative Index to Nursing and Allied Health (CINAHL) (EBSCOhost). Out of a total of 197 articles initially identified, only four studies (two from China, one from Macedonia and one from Brazil) were rated by two independent raters as being of high quality, and were selected for final abstraction, synthesis and evidence weighting. Results from these four studies suggests that, in developing countries, ETS exposure is associated with childhood asthma, and that asthma prevalence increases with an increase in the amount and duration of exposure to ETS. Similarly, exposure to ETS is associated with persistent cough, current night dry cough, and exacerbation of asthma symptoms. ^ Therefore, as is the case in developed nations, there is suggestive evidence in the literature that ETS exposure plays substantial role in the development and/or exacerbation of asthma among children in developing countries. To decrease the likelihood of new asthma development, enhance asthma control, and reduce the rate of medical service utilization in children exposed to ETS, smoking should be eliminated at home and in public places.^

Knowledge and Attitudes of Young People in Nigeria about HIV/AIDS---A systematic review

Background: HIV/AIDS has remained one of Nigeria's biggest health and social issues for decades. People aged between 10 and 24 are the most affected. Research into why this population subset is affected is very pertinent. We therefore conducted a systematic review of the Knowledge and Attitudes of young people in Nigeria about HIV/AIDS to understand where the gaps between knowledge and attitudes can be bridged. ^ Methods: We conducted searches in Medline, PubMed, African Index Medicus, Cumulative Index of Nursing and Allied Health. WHO and UNAIDS documents were also searched. Other journals were hand searched. Searches were for studies between 1986 (when HIV/AIDS was first reported in Nigeria) till date. In addition, data abstraction and quality assessment were done. ^ Results: 279 titles and abstracts were found and 33 articles in full text were appraised critically and 17 articles were selected based on our criteria. This revealed a dearth of well conducted studies in the literature despite the enormity of the HIV/AIDS epidemic. Constructs for Knowledge and attitudes were itemized on two tables for each article based on the Health Belief Model. Even though many of the studies showed high level of knowledge about HIV/AIDS, it did not impact attitudes about the disease. Also fear and anxiety prevented participants from acquiring knowledge. These recurring themes arguably were not limited to any region or area, background or group. ^ Conclusion: There is a need for future research to be culturally sensitive with a focus on attitudes and correction of misconceptions about HIV/AIDS among our youth.^

A medical book collection for physician assistants

Selecting resources for physician assistants is challenging and can be overwhelming. Although several core lists exist for nursing, allied health, and medical libraries, judging the scope and level of these resources in relation to the information needs of the physician assistant is difficult. Medical texts can be highly specialized and very expensive, in essence, “overkill” for the needs of the physician assistant. This bibliography is meant to serve as a guide to appropriate medical texts for physician assistants. Titles were selected from the Brandon/Hill list, Doody's Electronic Journal, and various other reference resources. Resources were evaluated based on the subject and scope, audience, authorship, cost, and currency. The collection includes 195 titles from 33 specialty areas. Standard texts in each area are also included.

Mapping the literature of cytotechnology

The major purpose of this study was to identify and assess indexing coverage of core journals in cytotechnology. It was part of a larger project sponsored by the Nursing and Allied Health Resources Section of the Medical Library Association to map the literature of allied health. Three representative journals in cytotechnology were selected and subjected to citation analysis to determine what journals, other publication types, and years were cited and how often. Bradford's Law of Scattering was applied to the resulting list of cited journals to identify core titles in the discipline, and five indexes were searched to assess coverage of these core titles. Results indicated that the cytotechnology journal literature had a small core but wide dispersion: one third of the 21,021 journal citations appeared in only 3 titles; another third appeared in an additional 26 titles; the remaining third were scattered in 1,069 different titles. Science Citation Index Expanded rated highest in indexing coverage of the core titles, followed by MEDLINE, EMBASE/Excerpta Medica, HealthSTAR, and Cumulative Index to Nursing and Allied Health Literature (CINAHL). The study's results also showed that journals were the predominantly cited format and that citing authors relied strongly on more recent literature.