Subjects -> MEDICAL SCIENCES (Total: 8695 journals)
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MEDICAL SCIENCES (2418 journals)                  1 2 3 4 5 6 7 8 | Last

Showing 1 - 200 of 3562 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 4)
3D Printing in Medicine     Open Access   (Followers: 5)
4 open     Open Access  
AADE in Practice     Hybrid Journal   (Followers: 6)
AAS Open Research     Open Access   (Followers: 2)
ABCS Health Sciences     Open Access   (Followers: 8)
Abia State University Medical Students' Association Journal     Full-text available via subscription   (Followers: 3)
AboutOpen     Open Access  
ACIMED     Open Access   (Followers: 1)
ACS Medicinal Chemistry Letters     Hybrid Journal   (Followers: 50)
Acta Bio Medica     Open Access   (Followers: 2)
Acta Bioethica     Open Access  
Acta Bioquimica Clinica Latinoamericana     Open Access   (Followers: 1)
Acta Científica Estudiantil     Open Access  
Acta Facultatis Medicae Naissensis     Open Access   (Followers: 1)
Acta Herediana     Open Access  
Acta Informatica Medica     Open Access   (Followers: 2)
Acta Medica (Hradec Králové)     Open Access  
Acta Medica Bulgarica     Open Access  
Acta Medica Colombiana     Open Access   (Followers: 1)
Acta Médica Costarricense     Open Access   (Followers: 2)
Acta Medica Indonesiana     Open Access  
Acta Medica International     Open Access  
Acta medica Lituanica     Open Access   (Followers: 1)
Acta Medica Marisiensis     Open Access   (Followers: 1)
Acta Medica Martiniana     Open Access  
Acta Medica Nagasakiensia     Open Access   (Followers: 1)
Acta Medica Peruana     Open Access   (Followers: 2)
Acta Médica Portuguesa     Open Access  
Acta Medica Saliniana     Open Access  
Acta Scientiarum. Health Sciences     Open Access   (Followers: 3)
Acupuncture & Electro-Therapeutics Research     Full-text available via subscription   (Followers: 8)
Acupuncture and Natural Medicine     Open Access  
Addiction Science & Clinical Practice     Open Access   (Followers: 9)
Addictive Behaviors Reports     Open Access   (Followers: 9)
Adıyaman Üniversitesi Sağlık Bilimleri Dergisi / Health Sciences Journal of Adıyaman University     Open Access   (Followers: 1)
Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi     Open Access   (Followers: 1)
Advanced Biomedical Research     Open Access  
Advanced Health Care Technologies     Open Access   (Followers: 11)
Advanced Science, Engineering and Medicine     Partially Free   (Followers: 10)
Advanced Therapeutics     Hybrid Journal   (Followers: 1)
Advances in Bioscience and Clinical Medicine     Open Access   (Followers: 7)
Advances in Cell and Gene Therapy     Hybrid Journal   (Followers: 1)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 27)
Advances in Clinical Radiology     Full-text available via subscription   (Followers: 4)
Advances in Life Course Research     Hybrid Journal   (Followers: 11)
Advances in Lipobiology     Full-text available via subscription   (Followers: 2)
Advances in Medical Education and Practice     Open Access   (Followers: 33)
Advances in Medical Ethics     Open Access   (Followers: 7)
Advances in Medical Research     Open Access   (Followers: 3)
Advances in Medical Sciences     Hybrid Journal   (Followers: 11)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 6)
Advances in Medicine     Open Access   (Followers: 3)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 5)
Advances in Molecular Oncology     Open Access   (Followers: 2)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 8)
Advances in Parkinson's Disease     Open Access   (Followers: 2)
Advances in Phytomedicine     Full-text available via subscription   (Followers: 2)
Advances in Preventive Medicine     Open Access   (Followers: 6)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 21)
Advances in Regenerative Medicine     Open Access   (Followers: 4)
Advances in Skeletal Muscle Function Assessment     Open Access  
Advances in Therapy     Hybrid Journal   (Followers: 5)
Advances in Traditional Medicine     Hybrid Journal   (Followers: 8)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 15)
Advances in Virus Research     Full-text available via subscription   (Followers: 6)
Advances in Wound Care     Hybrid Journal   (Followers: 14)
Aerospace Medicine and Human Performance     Full-text available via subscription   (Followers: 15)
African Health Sciences     Open Access   (Followers: 5)
African Journal of Biomedical Research     Open Access   (Followers: 1)
African Journal of Clinical and Experimental Microbiology     Open Access   (Followers: 4)
African Journal of Laboratory Medicine     Open Access   (Followers: 2)
African Journal of Medical and Health Sciences     Open Access   (Followers: 4)
African Journal of Thoracic and Critical Care Medicine     Open Access  
African Journal of Trauma     Open Access   (Followers: 1)
Afrimedic Journal     Open Access   (Followers: 3)
Aggiornamenti CIO     Hybrid Journal   (Followers: 1)
AIDS Research and Human Retroviruses     Hybrid Journal   (Followers: 9)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
AJSP: Reviews & Reports     Hybrid Journal   (Followers: 1)
Aktuelle Ernährungsmedizin     Hybrid Journal   (Followers: 6)
Al-Azhar Assiut Medical Journal     Open Access   (Followers: 2)
Al-Qadisiah Medical Journal     Open Access   (Followers: 1)
Alerta : Revista Científica del Instituto Nacional de Salud     Open Access  
Alexandria Journal of Medicine     Open Access   (Followers: 1)
Allgemeine Homöopathische Zeitung     Hybrid Journal   (Followers: 3)
Alpha Omegan     Full-text available via subscription  
ALTEX : Alternatives to Animal Experimentation     Open Access   (Followers: 2)
Althea Medical Journal     Open Access   (Followers: 2)
American Journal of Biomedical Engineering     Open Access   (Followers: 14)
American Journal of Biomedical Research     Open Access   (Followers: 2)
American Journal of Biomedicine     Full-text available via subscription   (Followers: 7)
American Journal of Chinese Medicine, The     Hybrid Journal   (Followers: 4)
American Journal of Clinical Medicine Research     Open Access   (Followers: 8)
American Journal of Family Therapy     Hybrid Journal   (Followers: 10)
American Journal of Law & Medicine     Full-text available via subscription   (Followers: 12)
American Journal of Lifestyle Medicine     Hybrid Journal   (Followers: 7)
American Journal of Managed Care     Full-text available via subscription   (Followers: 13)
American Journal of Medical Case Reports     Open Access   (Followers: 3)
American Journal of Medical Sciences and Medicine     Open Access   (Followers: 6)
American Journal of Medicine     Hybrid Journal   (Followers: 51)
American Journal of Medicine and Medical Sciences     Open Access   (Followers: 2)
American Journal of Medicine Studies     Open Access   (Followers: 3)
American Journal of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American Journal of the Medical Sciences     Hybrid Journal   (Followers: 12)
American Journal on Addictions     Hybrid Journal   (Followers: 11)
American medical news     Free   (Followers: 3)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 6)
Amyloid: The Journal of Protein Folding Disorders     Hybrid Journal   (Followers: 5)
Anales de la Facultad de Medicina     Open Access  
Anales de la Facultad de Medicina, Universidad de la República, Uruguay     Open Access  
Anales del Sistema Sanitario de Navarra     Open Access   (Followers: 1)
Analgesia & Resuscitation : Current Research     Hybrid Journal   (Followers: 7)
Anatolian Clinic the Journal of Medical Sciences     Open Access  
Anatomica Medical Journal     Open Access  
Anatomical Science International     Hybrid Journal   (Followers: 3)
Anatomical Sciences Education     Hybrid Journal   (Followers: 2)
Anatomy     Open Access   (Followers: 3)
Anatomy Research International     Open Access   (Followers: 4)
Androgens : Clinical Research and Therapeutics     Open Access   (Followers: 3)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Angiogenesis     Hybrid Journal   (Followers: 3)
Ankara Medical Journal     Open Access   (Followers: 2)
Ankara Üniversitesi Tıp Fakültesi Mecmuası     Open Access  
Annales de Pathologie     Full-text available via subscription  
Annales des Sciences de la Santé     Open Access  
Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale     Full-text available via subscription   (Followers: 3)
Annals of African Medicine     Open Access   (Followers: 2)
Annals of Anatomy - Anatomischer Anzeiger     Hybrid Journal   (Followers: 3)
Annals of Bioanthropology     Open Access   (Followers: 5)
Annals of Biomedical Engineering     Hybrid Journal   (Followers: 19)
Annals of Biomedical Sciences     Full-text available via subscription   (Followers: 4)
Annals of Clinical Hypertension     Open Access  
Annals of Clinical Microbiology and Antimicrobials     Open Access   (Followers: 15)
Annals of Family Medicine     Open Access   (Followers: 18)
Annals of Health Research     Open Access   (Followers: 3)
Annals of Ibadan Postgraduate Medicine     Open Access  
Annals of Medical and Health Sciences Research     Open Access   (Followers: 9)
Annals of Medicine     Hybrid Journal   (Followers: 12)
Annals of Medicine and Surgery     Open Access   (Followers: 7)
Annals of Medicine and Surgery Case Reports     Open Access   (Followers: 1)
Annals of Medicine and Surgery Protocols     Open Access   (Followers: 1)
Annals of Microbiology     Hybrid Journal   (Followers: 13)
Annals of Musculoskeletal Medicine     Open Access   (Followers: 2)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Rehabilitation Medicine     Open Access   (Followers: 1)
Annals of Saudi Medicine     Open Access  
Annals of the College of Medicine, Mosul     Open Access   (Followers: 1)
Annals of the New York Academy of Sciences     Hybrid Journal   (Followers: 5)
Annals of The Royal College of Surgeons of England     Full-text available via subscription   (Followers: 3)
Annals of the RussianAacademy of Medical Sciences     Open Access  
Annual Reports in Medicinal Chemistry     Full-text available via subscription   (Followers: 7)
Annual Reports on NMR Spectroscopy     Full-text available via subscription   (Followers: 5)
Annual Review of Medicine     Full-text available via subscription   (Followers: 18)
Anthropological Review     Open Access   (Followers: 27)
Anthropologie et santé     Open Access   (Followers: 5)
Antibiotics     Open Access   (Followers: 9)
Antibodies     Open Access   (Followers: 2)
Antibody Reports     Open Access   (Followers: 1)
Antibody Technology Journal     Open Access   (Followers: 1)
Antibody Therapeutics     Open Access   (Followers: 1)
Anuradhapura Medical Journal     Open Access  
Anwer Khan Modern Medical College Journal     Open Access   (Followers: 2)
Apmis     Hybrid Journal   (Followers: 2)
Apparence(s)     Open Access   (Followers: 1)
Applied Clinical Informatics     Hybrid Journal   (Followers: 5)
Applied Clinical Research, Clinical Trials and Regulatory Affairs     Hybrid Journal   (Followers: 2)
Applied Medical Informatics     Open Access   (Followers: 14)
Arab Journal of Nephrology and Transplantation     Open Access   (Followers: 1)
Arabian Journal of Scientific Research / المجلة العربية للبحث العلمي     Open Access   (Followers: 1)
Archive of Biomedical Science and Engineering     Open Access   (Followers: 1)
Archive of Clinical Medicine     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives Medical Review Journal / Arşiv Kaynak Tarama Dergisi     Open Access  
Archives of Asthma, Allergy and Immunology     Open Access  
Archives of Clinical Hypertension     Open Access   (Followers: 2)
Archives of Medical and Biomedical Research     Open Access   (Followers: 3)
Archives of Medical Laboratory Sciences     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 5)
Archives of Medicine and Surgery     Open Access   (Followers: 1)
Archives of Organ Transplantation     Open Access   (Followers: 2)
Archives of Preventive Medicine     Open Access   (Followers: 3)
Archives of Pulmonology and Respiratory Care     Open Access   (Followers: 2)
Archives of Renal Diseases and Management     Open Access   (Followers: 2)
Archives of Trauma Research     Open Access   (Followers: 6)
Archivos de Medicina (Manizales)     Open Access   (Followers: 1)
ArgoSpine News & Journal     Hybrid Journal  
Arquivos Brasileiros de Oftalmologia     Open Access   (Followers: 1)
Arquivos de Ciências da Saúde     Open Access  
Arquivos de Medicina     Open Access   (Followers: 1)
Ars Medica : Revista de Ciencias Médicas     Open Access  
ARS Medica Tomitana     Open Access   (Followers: 1)
Art Therapy: Journal of the American Art Therapy Association     Hybrid Journal   (Followers: 20)
Arterial Hypertension     Open Access   (Followers: 1)
Artificial Intelligence in Medicine     Hybrid Journal   (Followers: 21)
Artificial Organs     Hybrid Journal   (Followers: 2)
ASHA Leader     Open Access   (Followers: 7)
Asia Pacific Family Medicine Journal     Open Access   (Followers: 4)
Asia Pacific Journal of Clinical Nutrition     Full-text available via subscription   (Followers: 13)
Asia Pacific Journal of Clinical Trials : Nervous System Diseases     Open Access   (Followers: 1)

        1 2 3 4 5 6 7 8 | Last

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ABCS Health Sciences
Number of Followers: 8  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2318-4965 - ISSN (Online) 2357-8114
Published by Faculdade de Medicina do ABC Homepage  [1 journal]
  • Prevalence and associated factor with frailty syndrome in the Brazilian
           elderly attended in primary care facilities: a cross-sectional study

    • Authors: Ankilma do Nascimento Andrade Feitosa, Sheylla Nadjane Batista Lacerda, Elisangela Vilar de Assis, Luiz Carlos de Abreu, Francisco Winter dos Santos Figueiredo, Fernando Luiz Affonso Fonseca, Fernando Adami
      Abstract: Introduction: Frailty is a multidimensional syndrome that increases the vulnerability in the elderly, decreasing physiological reserves, intensifying the functional decline, being associated with numerous physical changes, determining greater risks to the elderly’s health. Objective: To analyze the association between frailty and sociodemographic conditions of the elderly met in primary care facilities in the city of Cajazeiras, northeastern Brazil. Methods: A cross-sectional study, conducted in July 2015, with 823 elderly people through semi-structured questionnaire containing the proposed frailty criteria by Linda Fried and colleagues, and analyzed using SPSS version 21. The Chi-Square test was used to assess the association between variables, considering p<0.05 as statistically significant. The sociodemographic data were collected using an instrument created by the authors. Results: The prevalence of frailty was 23.8% and is associated with older age groups (70-90 years) and older people who did not attend school (25.5%), and the main criterion of frailty found among the elderly was "slow walk" (71.7%). Conclusion: The frailty in elderly from Northeastern Brazil is associated with higher age and illiteracy.
      PubDate: 2020-11-24
      DOI: 10.7322/abcshs.45.2020.1450
      Issue No: Vol. 45 (2020)
       
  • Impact of oral conditions on the quality of life of elderly caregivers and
           oral health practices

    • Authors: Liliane Cristina Barbosa, Suzely Adas Saliba Moimaz, Nemre Adas Saliba, Tânia Adas Saliba
      Abstract: Introduction: Identifying factors related to the quality of life constitutes strategy for the actions supporting and monitoring the population health. Objective: To assess oral health practices in the elderly, the clinical conditions of oral health of the caregiver and the elderly and oral health-related quality of life of caregiver. Methods: Oral health was evaluated in 388 participants (194 caregivers and 194 elderly) by: the decayed, missing and filled teeth (DMFT) index, the use and need of prosthesis, the Oral Health Impact Profile (OHIP-14) scale and a semi-structured questionnaire. Results: Most caregivers (91.3%) acquired oral health knowledge in daily practice, 33% performed oral hygiene in the elderly and 28% reported difficulties with this activity. The average DMFT was 19.24 for caregivers and 28.70 for the elderly, both with predominance of missing teeth. Prostheses were used by 57.73% of caregivers and 63.40% of elderly. The need of protheses was high, mostly in the mandible, respectively 34.54% and 51.55%. The association between OHIP-14 and the need for total prosthesis showed an impact on the dimensions physical and psychological disabilities. The importance of religion affected the dimension psychological discomfort and physical and psychological disabilities. Caregivers over 60 years old had a 1.2 greater chance of oral health impact on quality of life compared to the 20 to 60-year-old group. Conclusion: The presence of low-value cultural contexts of self-care associated with a positive perception of oral health, even in precarious clinical conditions, minimized the impact on caregivers' quality of life.
      PubDate: 2020-11-24
      DOI: 10.7322/abcshs.45.2020.1680
      Issue No: Vol. 45 (2020)
       
  • Evaluation of quality of life, functionality and disability in patients
           with systemic sclerosis in a University Hospital

    • Authors: Amanda Maria da Silva, Letticia Cristina Santos Cardozo Roque, Rafaela Silva Guimarães Gonçalves, Angela Luzia Branco Pinto Duarte, Angélica da Silva Tenório, Andréa Tavares Dantas
      Abstract: Introduction: Systemic sclerosis (SSc) is a chronic autoimmune disease characterized by progressive fibrosis of the skin and internal organs that promotes high morbidity and mortality. Objective: To evaluate the functionality, disability and quality of life of patients with systemic sclerosis and to compare the clinical forms of the disease. Methods: Cross-sectional, descriptive and analytical study performed at the Rheumatology Clinic of the Hospital das Clínicas of the Federal University of Pernambuco (HC-UFPE) from August 2018 to April 2019. The non-probabilistic, convenience sample consisted of 60 patients diagnosed with systemic sclerosis (SSc), followed at the Rheumatology outpatient clinic of the Hospital das Clínicas, Federal University of Pernambuco. To evaluate the outcomes, the following instruments were used: Cochin Hand Functional Scale (CHFS) for hand function; 12-Item Short-Form Health Survey (SF-12) for quality of life; and Scleroderma Health Assessment Questionnaire (SHAQ) for functionality and disability. Results: The mean results for CHFS, SHAQ, SF-12 Physical Component Summary and SF-12 Mental Component Summary were 14.5 (6.0-29.75), 1.01±0.56, 35.04±8.09, 40.94±10.56, respectively. There were no significant differences in CHFS outcomes between patients with diffuse and limited forms of SSc, SHAQ and the mental component of SF-12. However, in the physical component of SF-12, a better score was found in patients with the diffuse form of the disease (p=0.04). Conclusion: Patients with SSc present an important impairment of hand function, quality of life and functional capacity, and those with limited cutaneous form present worse scores of the physical component in the evaluation of quality of life.
      PubDate: 2020-11-24
      DOI: 10.7322/abcshs.45.2020.1349
      Issue No: Vol. 45 (2020)
       
  • Risk factors and prevalence of enteroparasitic diseases in Shellfish
           Pickers from a lake area in the Northeast of Brazil

    • Authors: Rawanderson dos Santos, Wagnner José Nascimento Porto, Anna Amélia de Paula Moraes, Flaviana Santos Wanderley
      Abstract: Introduction: Intestinal parasitosis are a public health problem worldwide. There are several risk factors and a high association with some specific labor activities. Objective: The present study assessed the risk factors and prevalence of enteroparasitic diseases in shellfish pickers from one district of Maceió, Alagoas state, Brazil. Methods: Cross-sectional study of 41 female shellfish pickers including parasitological tests in fecal samples and a questionnaire with objective and subjective questions. Sand samples from their working environment were also analyzed. Results: At least one species of parasite was found in 19.51% of the fecal samples.  Pathogenic species of Giardia lamblia, Trichuris trichiura, Schistosoma mansoni, Ascaris lumbricoides, Enterobius vermicularis, from the Ancylostomatidae family, and non-pathogenic species of Entamoeba coli were found. Polyparasitism was diagnosed in 37.5% of the positive samples. A total of 57.14% of sand samples contained hookworm larvae. Regarding the risk factor, low educational level was statistically associated to the presence of parasites (p<0.05). Conclusion: Greater investment in basic education is needed to increase the knowledge about preventive measures against parasitic diseases and the promotion food-handling courses in order to change existing inadequate habits in the community. Basic sanitation is also essential in preventing environmental contamination.
      PubDate: 2020-11-24
      DOI: 10.7322/abcshs.45.2020.1332
      Issue No: Vol. 45 (2020)
       
  • Baby led weaning: an integrative review of scientific evidence from 2011
           to 2019

    • Authors: Açucena Carfdoso Vilas Boas, Mayara Márcia Silva Neri, Cynthia Francisca Xavier Costa de Assis Silva, Lílian Gonçalves Teixeira
      Abstract: Introduction: Baby-led weaning (BLW) is an alternative approach to introducing food to infants that has become popular. Objective: To investigate the scientific evidence regarding the BLW method and its modified version, Baby-Led Introduction to Solids(BLISS). Methods: The research was carried out between June 2018 and June 2019, through the databases US National Library of Medicine National Institutes of Health (PubMed) using the following keywords: ‘BLW’, ‘Baby-led weaning’, ‘BLISS’, and ‘Baby-Led Introduction to Solids’. All original articles from in English published between 2011 and 2019 have been included. Results: Twenty-five studies were included in the analysis. Research on BLW/BLISS focused mainly on the themes: characteristics, behaviors and attitudes of mothers and children, knowledge of mothers and health professionals about feeding methods, weight and body mass index evaluation of children, evaluation of energetic and nutrient intake of children and evaluation of episodes of choking and gag reflex. Conclusion: Most research deals with BLW-related experiences and there is still little evidence on the method in terms of adequacy of energy and nutrient intake and growth in childhood. Positive points to child can be observed such as prolonged breastfeeding, greater independence when feeding and better response to satiety. The methods of food introduction do not differ in relation to the occurrence of episodes of choking.
      PubDate: 2020-11-24
      DOI: 10.7322/abcshs.45.2020.1386
      Issue No: Vol. 45 (2020)
       
  • University hazing culture: challenges that remain

    • Authors: Marco Akerman, Silmara Conchão
      Abstract: Introduction: Hazing are trials applied to new students entering the University as a ritual of initiation. Since 2010, the research "bullying with the university" studies hazing in medical courses. This study revealed the hierarchical and power relations existing among students. Its results triggered measures adopted in a Medical School from São Paulo State, Brazil. Report: This article analyzes the changes that occurred after six years of interventions in the hazing culture. In 2015, 89 new students entering Medical School made a narrative stimulated by the question: "What did you see, live and feel related to your reception in college'”. The answers were analyzed in five thematic categories. Most have reported that there is much discomfort caused by the hazing process. They naturalized these episodes and claimed that the hierarchy in medicine supports this type of treatment. Conclusion: The hierarchical structure endorses and perpetuates the superiority condition promoted by the veteran students.
      PubDate: 2020-11-24
      DOI: 10.7322/abcshs.45.2020.1451
      Issue No: Vol. 45 (2020)
       
  • The confrontation in the scenario of vaccines, health, and COVID-19

    • Authors: Waldemar de Paula Junior, Felipe Alves Fernandes, Mariléia Chaves Andrade
      Abstract: Not applicable
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1655
      Issue No: Vol. 45 (2020)
       
  • Barriers to physical activity in women with and without breast cancer

    • Authors: Maria Laura Brizio Gomes, Stephanie Santana Pinto, Marlos Rodrigues Domingues
      Abstract: Introduction: Regular physical activity (PA) is important for the entire population, equally for healthy people and survivors of breast cancer. Despite the benefits of PA, there are women who do not attain the recommendation from the World Health Organization (WHO). Objective: To describe and compare the barriers to PA in women with and without breast cancer. Methods: A cross-sectional descriptive study was performed. The consisted of 230 women with primary breast cancer diagnosed up to one year and 231 women without breast cancer. Both groups were matched by age (±5 years). The participants answered a questionnaire with questions about barriers to PA and sociodemographic, anthropometric and behavioral characteristics. Results: Women with breast cancer perceived more barriers to PA than those without diagnosis (59.4% versus 40.7%). The barriers most cited by women diagnosed with breast cancer were “feeling discomfort or pain” (59.6%) and “feeling tired” (56.1%). The barriers most mentioned by women without diagnosis were “lack of money” (21.6%) and “lack of company” (19.1%). Conclusion: Women with breast cancer report more barriers than women without the disease. Therefore, it is suggested that they have a lower level of PA in leisure time. The perceived barriers to PA among women with and without breast cancer are similar, but they differ in the physical barriers.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1404
      Issue No: Vol. 45 (2020)
       
  • Athlete older women and sedentary controls: compairing the incidence of
           frailty, physical aspects and falls

    • Authors: Letícia Pophal da Silva, Ariadne Leal Santana, Carolina Sayuri Santos Suzuki, Natália Boneti Moreira
      Abstract: Introduction: The aging process results in falls, frailty, and functional dependence. However, the practice of physical exercises can prevent negative impacts on the older adult health. Objective: To compare the incidence of frailty, physical aspects, and number of falls among older adult women and sedentary controls. Methods: The study has a cross-sectional design and included 70 community-dwelling older adult women (73.96±7.52 years). The frailty phenotype (Fried Criteria) and the history of falls in the last 12 months were analyzed, followed by the evaluation of muscle power (Five times Sit-to-Stand Test), functional mobility (Time Up and Go), balance (Mini BESTest) and fear of falling (Falls Efficacy Scale). The Mann Whitney and Chi-Square tests were used for statistical analysis. Results: The frailty rate among sedentary women (Pre-frail: 42.9%; Frail: 57.1%) was different from athlete women (Non frail: 100%). The rate of falls was the same in both groups (25.7%), however, sedentary controls fell at home (100%), while older adult athlete women fell in sports activities (88.9%). The athletes showed better scores (p<0.001) in all physical aspects when compared to the sedentary controls in muscle power (11.25 vs 24.10 seconds), functional mobility (10.01 vs. 16.04 seconds), balance (27 vs 19 points) and fear of falling (16 vs 27 points). Conclusion: Ahlete older women had lower frailty rates and fear of falling, as well as better physical aspects. The characteristics of falls were different, indicating the need and the importance of contemplating the lifestyle in prevention programs promoting healthy life for older adults.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1483
      Issue No: Vol. 45 (2020)
       
  • Risk factors influencing food habits of overweight and obese incarcerated
           women

    • Authors: Thalise Yuri Hattori, Edilaene de Oliveira Silva, Vagner Ferreira do Nascimento, Marina Atanaka, Ana Cláudia Pereira Terças Trettel
      Abstract: Introduction: Chronic diseases stand out on the world stage due to the impact they cause on population morbidity and mortality. In the case of persons deprived of their liberty, the situation is intensified by the restriction in the choice of food and access to physical exercise. Objective: To identify the risk factors that influence the eating habits of overweight and obese incarcerated women. Methods: Cross-sectional study, conducted with 31 participants. Data collection took place in the second half of 2018, comprising individual interviews of incarcerated women using a semi-structured questionnaire and measurement of anthropometric measures. The data were systematized in electronic spreadsheets and statistical analysis was performed in a descriptive way. The study complied with ethical standards from national guidelines. Results: A greater prevalence of overweight and obesity was identified in young, multiparous women, with low education and lower income. Most used tobacco and had less than a year in prison. Despite being overweight and obese, they felt good about their body, which may be reflecting on their lifestyle, through sedentary lifestyle, self-care deficit and consumption of products and foods with low nutritional value. Conclusion: Overweight and obesity are multifactorial and are not related only to behavioral aspects. It is necessary to carry out new research approaches that clarify the health weaknesses in prison, making it possible to provide a better quality of life for this population group.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1366
      Issue No: Vol. 45 (2020)
       
  • Descriptive study of the epidemiological profile of deaths by suicide in
           the state of Roraima, Brazil, from 2014 to 2017

    • Authors: João Pedro Soares de Macedo, Thalia Inácia Araújo Cardoso
      Abstract: Introduction: Suicide is one of the top three reasons of death worldwide for the 15- to 44-year age range. The Brazilian state of Roraima has shown indicators that draw attention when compared to national rates of suicide. In this sense, for the proposal of preventive measures appropriate to the state’s reality, it is important to understand the local epidemiological particularities. Objective: to identify the epidemiological profile of deaths by suicide in the state of Roraima, Brazil, between 2014 and 2017. Methods: Descriptive, population-based documentary research. The source of information was the database from the Brazilian public health system (DATASUS). The analysis included deaths by residence caused by suicide from 2014 to 2017. Cut-outs were established according to the variables incidence by municipality, marital status, age, gender, color/race, place of occurrence and method of suicide. Results: 176 deaths were reported in the state of Roraima during the period studied. The average mortality coefficient was 8,6/100.000 inhabitants. Deaths were more frequent among men (73.9%), aged 20 to 29 years (31.2%), resident in the state capital (52.8%), brown (64.2%) or indigenous (25.6%) and single (69.9%). The main suicide method was hanging, strangulation and suffocation (87.5%), with the domicile being the most usual place (72.1%). Conclusion: The results imply the need to act on the problem, which grows in proportion and gains prominence in the national indicators. Suspicion of suicidal behavior in the face of consolidated data may reduce the incidence.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1348
      Issue No: Vol. 45 (2020)
       
  • Homes for the Aged: a study of a Health Region in Rio Grande do Sul,
           Brazil

    • Authors: Fernanda dos Santos Pascotini, Camila Gomes Nazario, Rafaela Rossini Rosa, Rosane Seeger da Silva, Elenir Fedosse
      Abstract: Introduction: With the aging of the population, the demand for Homes for the Aged (HFAs) grows. Objective: To analyze resources and population of HFAs and to check the fulfillment of the criteria from the national regulations. Methods: Descriptive quantitative study including 11 philanthropic HFAs in the state of Rio Grande do Sul, Brazil. Data was collected through a questionnaire applied to the responsible for the facility. Results: The study comprised 318 workers and 522 elders. HFAs presented: some accommodations without private bathrooms (100%); external area and administrative office (72.7%); cafeteria and support room (54.5%); ecumenical room (36.4%); rooms with more than four beds (45.5%). The prevailing reasons for admission were brought by family member (69.2%); social vulnerability (36.4%). Death was the main reason for leaving the facility. The average age of elders was 76.8 years, 58.4% were women. The dependence grade was I for 31.1%; II for 33.9%; and III for 35%. Leisure and cultural activities occurred in 72.7% of HFAs. In 27.3% there were records of visits. Only 9.1% had cooperation from families. Available human resources were nurses (72.7%); physicians and nursing assistants (63.3%); physical therapists (45.5%); psychologists (36.4%); caregivers (27.3%); occupational therapists (9.1%). In 63.3% of facilities, workers carried out mixed activities. The costs were covered by retirement pensions, partnerships, and donations. The main obstacles were financial resources or dependence on donations and rigorous health surveillance or compliance with standards. Conclusion: The HFAs partially fulfill the national criteria, impairing the quality of care provided to elders.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1329
      Issue No: Vol. 45 (2020)
       
  • High energy photobiomodulation therapy in the early days of injury
           improves sciatic nerve regeneration in mice

    • Authors: Luana Gabriel de Souza, Ramon Bauer Cardoso, Heloyse Uliam Kuriki, Alexandre Márcio Marcolino, Marisa de Cássia Registro Fonseca, Rafael Inácio Barbosa
      Abstract: Introduction: Different studies have evaluated the effects of electrophysical agents on regeneration after peripheral nerve injury. Among them, the most used in clinical and experimental research is photobiomodulation therapy (PBMT). Objective: To analyze the effect of standard energy (16.8 J) of PBMT on peripheral nerve regeneration, applied at different periods after sciatic nerve injury in mice. Methods: Thirty male Swiss mice were divided into six groups: naive; sham; control; LLLT-01 (660 nm, 16.8 J of total energy emitted in 1 day); LLLT-04 (660 nm, 4.2 J per day, 16.8 J of total energy emitted in 4 days); LLLT-28, (660 nm, 0.6 J per day, 16.8 J of total energy emitted over 28 days). The animals were evaluated using thermal hyperalgesia, Sciatic Functional Index (SFI), and Static Sciatic Index (SSI). Data were obtained at baseline and after 7, 14, 21, and 28 days after surgery. Results: For the SFI and SSI, all groups showed significant differences compared to the control group, and the LLLT-04 group presented the best results among those receiving PBMT. In the assessment of thermal hyperalgesia, there was a significant difference in the 14th day of evaluation in the LLLT-04 group. Conclusion: The application of 16.8 J was useful in sciatic nerve regeneration with an improvement of hyperalgesia, with higher efficacy when applied in four days (4.2 J/day).
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1345
      Issue No: Vol. 45 (2020)
       
  • Determining factors in the development of coronary plates and obstructions

    • Authors: Soraya Andrea Delefrate Muradas, Amanda Sayuri Nakamura, Jader Dornelas Neto, Taisa Valques Lorencete, Daniel Vicentini de Oliveira, Mirian Ueda Yamaguchi
      Abstract: Introduction: Coronary artery disease is the largest cause of mortality in the world. The main risk factors for its development include systemic arterial hypertension and type 2 diabetes mellitus. Objective: To search for predictors of the development of plaques and obstructions in coronary arteries and to determine whether the exercise test is a reliable pretest for coronary angiotomography. Methods: 883 computed tomography reports of coronaries were analyzed. Sociodemographic information, health conditions and results of the exercise test from patients were collected, along with calcium score, percentile and number of arterial segments with significant obstruction. The data were analyzed using descriptive and inferential statistics. Significance was considered for p<0.05. Results: It observed that the statistically significant predictors to the calcium score were male, being over 60 years old, having type 2 diabetes mellitus and systemic arterial hypertension. There was no relationship with high BMI and coronary obstruction. Regarding the exercise test, it was possible to observe that the majority of individuals who were positive in the exercise test, did not have a positive calcium score or significant coronary obstructions. Conclusion: The predictors for the development of coronary plaques and obstructions were male, aged ≥60 years, having type 2 diabetes mellitus and systemic arterial hypertension.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1340
      Issue No: Vol. 45 (2020)
       
  • Feelings reported by adolescents after food ingestion: a comparative study

    • Authors: Naíza Carvalho Rodrigues, Marize Melo dos Santos, Suzana Maria Rebêlo Sampaio da Paz, Adriana de Azevedo Paiva, Thaís Rodrigues Nogueira, Betânia de Jesus e Silva de Almendra Freitas, Cecília Maria Resende Gonçalves de Carvalho
      Abstract: Introduction: Food is closely linked with emotions in a complex relationship. The imaginary and symbolic meaning attributed to food has been little studied and the act of eating needs to be better understood. Objective: To analyze the association of adolescents´ feelings to selected foods. Methods: Cross-sectional study with 995 adolescents from public and private schools in Teresina, PI, Brazil. It was a Supplementary Project to the Brazilian national survey ERICA (Estudo de Riscos Cardiovasculares em Adolescentes). Adolescents had to choose one of the following feelings to selected food: well-being/satisfaction, malaise, no feeling, aversion. For the option aversion, the participant had to indicate if it was related to smell, color, appearance, or taste. Adolescents´ feelings to foods were analyzed by type of school, sex, and age range, using Pearson's chi-square (c²) or Fisher's exact tests. Results: There was significant differences regarding the type of school for the feeling to chocolate (p=0.015); vegetables (p=0.003); leafy greens (p=0.005); healthy sandwich/natural fruit juice (p≤0.001); high fat red meat (p=0.046); fruit/natural fruit juice (p≤0.001). For sex, there was significant difrerences for healthy sandwich/natural fruit juice (p=0.001); beans and rice (p=0.021) and high fat red meat (p=0.005). There was significant differences between age groups for sandwich, chips, soda and ice cream (p=0.018); pasta (p=0.047) and high fat red meat (p=0.021). Well-being predominated in almost all foods and aversion was poorly reported. Conclusion: The results suggest that adolescents' feelings are not directed to specific foods.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1323
      Issue No: Vol. 45 (2020)
       
  • The influence of body composition on the motor capacities of first-year
           university students from Physical Education course

    • Authors: César Milagres da Silva, Thiago da Costa Barros, Siomara Aparecida da Silva
      Abstract: Introduction: University entrance is a milestone in behavior change for young people. Changes that occur during university attendance are crucial for a healthy adult life. Worldwide high rates of obesity and low levels of physical activity are worrying, and they are related to motor coordination, which is a predictor of sustained motor practice. Objective: To analyze the influence of body composition on the motor skills of incoming university students. Methods: 137 university students of the program in Physical Education (21.8±3.6 years) took part in the study. Body composition (body mass index, percentage of fat, waist/hip ratio), motor coordination without/with ball (KTK and TECOBOL-short tests), and physical fitness tests (PROESP-br) were analyzed through descriptive statistics, t-student test and Pearson correlation. The statistical significance was p≤0.05. Results: Comparisons between sexes revealed differences in the physical and motor tests, with the exception of the sit-and-reach tests and the balance beam. There was correlation between body composition and both physical and motor tests. Moreover, the percentage of fat was correlated with cardiorespiratory fitness tests (r=-0.769; p≤0.001), lower limb strength (r=-0.710; p≤0.001), upper limb strength (r=-0.604; p≤0.001), velocity (r=0.672; p≤0.001), and dribble of TECOBOL (r=0.502; p≤0.001). Conclusion: Motor skills are related to body composition indicators in young university students who engaged in Physical Education program.
      PubDate: 2020-10-06
      DOI: 10.7322/abcshs.45.2020.1331
      Issue No: Vol. 45 (2020)
       
  • Acknowledgment to reviewers

    • Authors: ABCS Health Sciences
      PubDate: 2020-05-05
      DOI: 10.7322/abcshs.45.2020.1522
      Issue No: Vol. 45 (2020)
       
  • Aspects of dental care for patients hospitalized in a medical clinic from
           a university hospital

    • Authors: Maurício Pereira Macedo, Luana Carneiro Diniz Souza, Rita da Graça Carvalhal Frazão Corrêa, Fernanda Ferreira Lopes
      Pages: 1198 - 1198
      Abstract: Introduction: The current context of multiprofessional approach in health is based on quality of care and patient safety, with the key contribution of the dentist in the hospital team to improve the health of hospitalized patients. Objective: To characterize the systemic and buccal profile of patients treated in a medical clinic of a University Hospital from the Brazilian Public Health System, aiming to provide information for guiding dental care in the multidisciplinary attendance in the hospital setting. Methods: Retrospective observational study carried out on 104 clinical records with data collection about general characteristics, systemic alterations, habits, oral situation and dental treatments of hospitalized patients attended by the dentist. Results: There was a high frequency of hypertensive patients (36.5%) and with cardiac problems (33.6%). A significant association between diabetes (60%) and hypertension (50%) in the age group from 60 to 75 years of age was observed. For most patients, the frequency of oral hygiene was less than three times a day (54.3%), without flossing (85.7%). Biofilm (73.3%), dental calculus (70.5%), prosthesis use (25.7%), with poor hygiene (14.3%) and prosthetic stomatitis (8.6%) were recorded. Among the treatments performed by dentist, basic periodontal therapy (71.4%) and exodontia (39%) were noteworthy.  Conclusion: The high frequency of biofilm presence, dental calculus, prosthesis with poor hygiene and basic periodontal therapy performed during the hospitalization denote the need for dental care with preventive activities.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1198
      Issue No: Vol. 45 (2020)
       
  • Isometric exercises have high responsiveness to lower limbs

    • Authors: Márcio Rabelo Mota, Matheus Barros, Bruno Pinheiro de Carvalho, Rafael Nascimento Souza, Felipe Alves Machado, Alessandro Oliveira, Renata Aparecida Elias Dantas, Sacha Clael
      Pages: 1250 - 1250
      Abstract: Introduction: For post-surgical rehabilitation of the anterior cruciate ligament, the medialis and the lateralis vastus need to be worked on for good recovery. There is the discussion about the isometric and isotonic exercises to be used in the rehabilitation phase, and their results diverge in the literature. Objective: This study aims to compare the activation of the medialis and the lateralis vastus in isometric and isotonic exercises. Methods: Eleven subjects (seven men and four women) physically active and experienced in resistance training participated in the study. Anamnesis, anthropometric assessment, 10 Repetition maximum (RM) load test, maximum voluntary isometric contraction test and squat test were performed. Results: For the vastus lateralis of the right leg, the electromyographic activity was significantly higher in the maximal isometric voluntary contraction compared to the dynamic squatting (p<0.05). The same was observed for the left leg (p<0.05). Conclusion: Recruitment of the medial and the lateral vastus in isometric exercises is higher in relation to isotonic exercises.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1250
      Issue No: Vol. 45 (2020)
       
  • Analysis of vaccine losses by temperature changes in a Health Region from
           Minas Gerais State, Brazil

    • Authors: Naiara Cristina Silva Simões, Isabela Flávia dos Santos, Valéria Conceição Oliveira, Eliete Albano de Azevedo Guimarães, Heuler Souza Andrade
      Pages: 1261 - 1261
      Abstract: Introduction: Immunobiologicals are of great importance for the prevention and eradication of diseases. However, the lack of maintenance of the cold chain generates several problems related to losses of these substances, burdening an important amount of public resources. Objective: To analyze vaccine losses in a Health Region (Região Ampliada de Saúde Oeste) of Minas Gerais State in Brazil. Methods: This is a descriptive study, based on secondary data obtained through forms used by the regional health agency (Superintendência Regional de Saúde, SRS), to register losses of immunobiologicals due to temperature changes. Forms from February 2016 through January 2018 were analyzed. The data was organized and validated by double typing. Results: Vaccine losses were caused by lack of electrical energy (40.83%), followed by equipment failure (36.67%), and professional error (10%). As a consequence, 17,229 bottles of vaccines (65.78%) were discarded, corresponding to 111,145 doses. The financial loss was R$ 604,340.31. Conclusion: Losses of vaccines due to temperature changes were relevant in the studied region, damaging the budget for the local health network. Therefore, it is suggested that measures to minimize these losses should be adopted.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1261
      Issue No: Vol. 45 (2020)
       
  • Impact of an Exercise Protocol on Sexuality and Quality of Life of
           Climacteric Women

    • Authors: Maria Teresa Pace do Amaral, Tânia Terezinha Scudeller, Marcella Carvalho Franco dos Santos, Natalia Vidal Guidorzi, Miriam Raquel Diniz Zanetti
      Pages: 1263 - 1263
      Abstract: Introduction: Climacteric is a period of transition between the reproductive and non-reproductive phases of the woman, due to hypoestrogenism. Some symptoms such as vasomotor and urogenital disorders and sexual dysfunctions are characteristics of this period that can interfere negatively in women´s quality of life. However, specific exercises can positively influence the improvement of these conditions. Objective: To verify the impact of a physiotherapist supervised exercise protocol on menopausal symptoms, sexuality and quality of life of climacteric women. Methods: A descriptive study with physiotherapeutic intervention through a specific exercise protocol. Participated in the study 18 women attended to Instituto da Mulher e Gestante, in the city of Santos (SP). Results: The women underwent initial physiotherapeutic evaluation, answered the Sexuality Questionnaire Female Sexual Function Index, Kupperman Menopausal Index and SF-36 quality of life. They were then submitted to health education about climacteric period and also to a physiotherapist supervised exercise group, once a week, lasting 50 minutes, for 12 weeks. The same questionnaires were reapplied at the end of this period. Conclusion: The protocol of specific group exercises supervised by physiotherapist did not influence sexual function, but it was effective for better quality of life and decreased significantly climacteric symptomatology.
      PubDate: 2020-05-04
      DOI: 10.7322/abcshs.45.2020.1263
      Issue No: Vol. 45 (2020)
       
  • Users’ perception of the Community Centers for physical activity from
           two cities in Ceará, Brazil

    • Authors: Maria Dayanne Luna Lucetti, Valeska Virgínia Freitas de Santana, Eglídia Carla Figueiredo Vidal, José Adelmo da Silva Filho, Antonio Germane Alves Pinto
      Pages: 1266 - 1266
      Abstract: Introduction: The practice of physical activity provides benefits to health and, consequently, to people's quality of life, helping to promote health and prevent disease. Objective: To understand the perception of the users about the physical activity poles with emphasis on the structure, functioning and professional support in health promotion practices. Methods: This is an exploratory qualitative approach. The locus of the study involved two community poles of physical activity, one of them being the Health Academy Program (PAS) in different municipalities. The sample counted on 15 participants, being 5 of one pole and 10 of the other to which the PAS works. Data were collected through the semistructured interview and synthesized through thematic analysis. Results: Disagreements were observed in relation to the statements of the population about the community physical activity pole and on the pole of the Health Academy Program. It was evidenced the absence of qualified professionals to assist in the practice of the exercises and to make necessary orientations regarding the practice of the activity. It was also noted that the distance between the residence and the pole can be a potential incentive or discouraging, since the location of the distant poles of the homes makes it difficult for the population to routinely adhere to physical activities. Conclusion: Prevalence among the interviewees of dissatisfaction about the organization and functioning of the community poles of physical activity.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1266
      Issue No: Vol. 45 (2020)
       
  • Knowledge of academics and health professionals on Basic Life Support

    • Authors: Alan Carlos Nery dos Santos, Jefferson Petto, Ramon Martins Barbosa, Renata Ferreira de Moura, Gabriela Nery dos Santos, Ana Marice Teixiera Ladeia
      Pages: 1276 - 1276
      Abstract: Introduction: Inadequate assessment and lack of knowledge of the applicable procedures in emergencies are factors that can result in greater population morbidity and mortality. Objective: To systematically review studies in the national literature on the knowledge of academics and health professionals in basic life support and cardiorespiratory arrest. Methods: Systematic review of studies published in journals indexed in SciELO and LILACS databases. Search terms: “Cardiopulmonary Resuscitation”, “Basic Life Support”, “Cardiac Arrest”, “Health Education” and “Knowledge”. Complete articles published until December 2018 were included. They analyzed the knowledge of students and/or graduated health professionals about basic life support and its procedures, as well as teaching strategies. Studies with undergraduate health professionals and/or with hospital conduct and/or advanced life support were excluded. Results: Searches identified 60 articles, 16 of which were included. Of these, eleven were observational and five were intervention studies. The observational studies identified the lack of knowledge of 1,178 academics and 335 professionals about the identification of cardiorespiratory arrest, the sequence of basic life support, ventilation/compression ratio, interruption of compressions and use of the automatic external defibrillator. The intervention studies, involving 24 students and 189 professionals, indicated that active learning strategies can improve knowledge. Conclusion: Results indicate that students and graduated health professionals have limitations in their knowledge about the cardiopulmonary arrest and basic life support, which may result in great damage and short survival to emergency patients. 
      PubDate: 2020-05-04
      DOI: 10.7322/abcshs.45.2020.1276
      Issue No: Vol. 45 (2020)
       
  • Factors associated with breastfeeding in children aged 6 to 23 months

    • Authors: Thais Fernanda Sehnen de Souza, Larissa Naiana Rauber, Angelica Rocha de Freitas Melhem, Daniele Gonçalves Vieira, Catiusce Cabreira da Silva, Paula Chuproski Saldan
      Pages: 1282 - 1282
      Abstract: Introduction: The period between gestation and 24 months of age corresponds to the moment of opportunities for the development and growth of the child. Objective: To analyze factors associated with breastfeeding in children aged 6 to 23 months. Methods: Cross-sectional study carried out during the National Polio Vaccination Campaign 2012 in Guarapuava, Paraná Brazil with children aged 6-23 months, comprising a sample of 1,750 individuals. For the identification of the factors associated with breastfeeding, Poisson regression models were applied, estimating Prevalence Ratios (PR) and 95% Confidence Intervals (95% CI). Bivariate models were developed covering each of the independent variables and the dependent variable. Results: The independent factors associated with early breastfeeding interruption in 1,355 infants were: use of baby-bottle (PR 4.74, CI 3.45-6.52), use of pacifier (PR 1.47, CI 1.30-1.66), not being breastfed in the first hour of life (PR 1.14, CI 1.05-1.25) and mother working out of home (PR 1.12, CI 1.01-1.24). Maternal schooling lower than 8 years was a protective factor for the continuity of breastfeeding (PR 0.88, CI 0.80-0.96).  Conclusions: The use of nipples, not being breastfed in the first hour of life and maternal work interfered in the continuity of breastfeeding. From this knowledge it is possible to propose recommendations for actions to promote breastfeeding at the local level.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1282
      Issue No: Vol. 45 (2020)
       
  • Analysis of epidemiological profile and ventilator parameters of puerperas
           submitted to mechanical ventilation by electrical impedance tomography

    • Authors: Nayara Oliveira Lima Gerhardt, Thayssa Costa de Oliveira, Ingrid da Costa Noronha de Almeida, Rosângela Leão Oliveira, Pablo Fabiano Moura das Neves, Pablo Apoena Ramos Gomes da Silva, Reinaldo Luiz da Silva Ferreira, Paulo Eduardo Santos Avila
      Pages: 1306 - 1306
      Abstract: Introduction: Pregnancy-related diseases have aggravated the situation of postpartum women, who end up using Mechanical Ventilation (MV) when admitted to Intensive Care Units (ICU). Although VM has benefits, it is associated with deleterious effects that can be minimized with the use of Electrical Impedance Tomography (EIT). Objective: The aim was analyze the epidemiological profile and ventilatory parameters of mothers, which developed HELLP Syndrome, Sepsis and/or Acute Respiratory Distress Syndrome (ARDS), under MV and monitored with EIT. Methods: The study was observational, retrospective and prospective cross-sectional, conducted between March and September 2018, using data collection forms filled from a sociodemographic, obstetric and ventilatory database of postpartum women admitted to an adult ICU. Results: Sample consisting of 13 puerperal women, 8 with sepsis (61.5%), 7 with HELLP syndrome (53.8%) and 4 with ARDS (30.8%), demonstrating that 5 patients (38.5%) evolved with more than one of these pathologies. Regarding the ventilatory parameters evaluated, VT 378.9 (± 103.9) were observed and mean values found for PEEP 9.8 (±1.9) and driving pressure 11.1 (±1.4) are below those recommended by the literature, predicting lower mortality and morbidity index. Conclusion: The relevance of the driving pressure assessment in the MV setting was demonstrated, a parameter assessed by the EIT and directly related to Cstat, PEEP, VT and optimization of regional pulmonary ventilation. We highlight the need for future research that presents greater clinical significance regarding the profile of postpartum women in relation to the increasingly frequent diseases in this population.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1306
      Issue No: Vol. 45 (2020)
       
  • Breast cancer surgery does not impact long-term pulmonary function and
           respiratory muscle strength

    • Authors: Clarissa Medeiros da Luz, Marina Palú, Julia Deitos, Manuela Karloh, Ana Rosa de Oliveira, Anamaria Fleig Mayer
      Pages: 1314 - 1314
      Abstract: Introduction: Long-term disabilities are frequently related to postoperative complications on breast cancer patients. Objective: To assess the effect of breast cancer surgery on pulmonary function and respiratory muscle strength over the course of 60 days after the surgery. Methods: Prospective study with 32 women. Pulmonary function was evaluated using spirometry and respiratory muscle strength was evaluated using manovacuometry. The evaluations were performed in preoperative period, between 12 to 48h after surgery, 30 and 60 days after the surgery. Results: Vital capacity (VC) and inspiratory capacity (IC) were diminished 48h after surgery (VC: 2.18±0.63; IC: 1.71±0.49; p<0.01 vs baseline), returned to the baseline parameters after 30 days (VC: 2.76±0.60; CI: 2.16±0.57; p<0.01 vs PO48h) and were maintained after 60 days of the surgery (VC: 2.64±0.60; CI: 2.11±0.62; p<0.01 vs PO48h). No difference was observed in tidal volume over the evaluations, except when comparing 60 days to the 48h after surgery values (0.84±0.37 vs 0.64±0.19, respectively; p=0.028). Respiratory muscle strength was reduced 48h after surgery (MIP: -33.89±12.9 cmH2O; MEP: 39.72±21.0 cmH2O; p<0.01 vs basal) and returned to baseline values after 30 (MIP: -50.1±21.2 cmH2O; MEP: 59.86±24.7 cmH2O; p<0.01 vs PO48h) and 60 days of the surgery (MIP: -50.78±19.2 cmH2O; MEP: 61.67±23.4 cmH2O; p<0.01 vs PO48h). Conclusion: Breast cancer surgery does not impact pulmonary function and respiratory muscle strength 30 days after the surgery.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1314
      Issue No: Vol. 45 (2020)
       
  • Nurses´ perspectives on practices from problematization:
           Convergent-care research

    • Authors: Bruno da Silva Santos, Suellen Rodrigues de Oliveira Maier, Renata Marien Knupp Medeiros, Michele Salles da Silva, Mariana Silva Vieira Fachim, Marília Duarte Valim, Marcos Vítor Naves Carrijo
      Pages: 1317 - 1317
      Abstract: Introduction: Nursing care in critical units requires knowledge and much attention from the professionals who perform it, especially in the decision-making process, as they are decisive for maintaining the life of others. Objective: To investigate the nurses’ perspective about their practices from the problematization with educational strategy. Methods: This is a descriptive, convergent care study with four nurses from the coronary unit of a hospital in southern Mato Grosso. Data were collected during the development of the convergence group, and the statements were recorded and transcribed in full and subsequently analyzed following the precepts of Minayo's thematic analysis. Results: The data that emerged from the interviews were translated into three cores of meaning: “Establishing the points”, “From theory to practice” and “The change in reality”, following the methodological proposal of Charles Maguerez. Conclusion: It was found that there are limits in nurses' understanding of their practices in the unit. However, the chosen educational strategy provided these professionals with the possibility of new actions in the work context.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1317
      Issue No: Vol. 45 (2020)
       
  • Lifestyle, morbidity and multimorbity in adult Quilombolas

    • Authors: Ingred Laíla da Silva Almeida, Saul Ricardo dos Santos, Bruno Morbeck de Queiroz, Ricardo Fraklin de Freitas Mussi
      Pages: 1325 - 1325
      Abstract: Introduction: The negative lifestyle has been associated with adverse health conditions, predisposing to the increase of morbidity and mortality in various populations. Objective: To evaluate the association of lifestyle with morbidities and multimorbidity in adult quilombolas, residents of slave descendant communities (quilombos). Methods: Cross-sectional study with a representative sample of adult living in quilombos located in a geographical region of Bahia State, in Brazil. Data were obtained by applying a standardized form for sociodemographic characteristics and morbidities. Lifestyle was evaluated using the questionnaire Perfil de Estilo de Vida Individual (PEVI), encompassing the domains: nutrition, physical activity, preventive behavior, social relationships and stress control. Poisson regression was used to estimate prevalence ratios, with statistical significance for p<0.05. Results: Negative PEVI score were identified in 18.5% of the quilombolas. High blood pressure, central obesity and multimorbity affected 53.5%, 56.2% and 50.2% of the population, respectively. Men had more positive PEVI score, however the nutrition domain was more negative. Physical activity and stress control domains from women were more negative. Central obesity was associated to the domain of physical activity. Dyslipidemias and multimorbidity were associated with the domain of preventive behavior. Conclusion: About one fifth of the quilombolas presented negative PEVI and high prevalence of morbidity and multimorbidity. The different associations between PEVI and its domains (physical activity, preventive behavior and stress control) reveal that the adoption of positive health habits infers in the presence of morbidities.
      PubDate: 2020-10-22
      DOI: 10.7322/abcshs.45.2020.1325
      Issue No: Vol. 45 (2020)
       
 
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