Introduction: Serious cardiac diseases interfere considerably in patients’ quality of life. In these cases, heart transplantation has been increasingly indicated as a treatment. It is a process marked by intense experiences for the patient and his relatives, often emerging ambivalent feelings, as they deal with issues of finitude and of life restarting simultaneously. In view of this situation, the importance of the presence of the psychologist in the heart transplant team is evident. Objective: To report the performance of a psychologist in the cardiac transplantation process in a General Hospital. Methodology: Experience report. Results and discussion: Given the complexity and diversity of demands, the practice of the psychologist in the Cardiac Transplantation Sector in General Hospital can happen throughout the different phases of the treatment, from the identification of the need for surgery, with psychological evaluation, preparation and support to patients and relatives, to follow-up after hospital discharge, with psychotherapeutic follow-up, when necessary. Conclusion: Psychological repercussions on the patient and his relatives in heart transplantation are evident, which reinforces the need for the psychologist to work on different fronts, aiming at better psychological conditions to confront the stages of that process, which favors adherence to the treatment.
Introduction: Healthy Eating has been one of the guidelines of the Ministry of Health since 2014. Important indicators of the risks for chronic-degenerative diseases are Body Mass Index (BMI) and Abdominal Waist (CA) measurement. Objectives: To calculate the BMI and measure the AC of a population of a university campus. Methodology: Quantitative and descriptive research. Sample of convenience of 34 individuals in the campus of the Catholic University of Pernambuco in the activities of the Module Teaching, Service and Community II. Results and Discussion: 1st Social function and BMI: Students (Normal: 57%). Teacher (Normal: 50% and Overweight: 50%). Employees (Normal: 43% and Obesity: 43%). 2nd Social function and CA: Professor (Risk: 50%) Employees (Risk: 70%). Age and BMI: 31 to 40 years (Normal: 50% and Overweight: 50%). 41 to 50 years old (Overweight: 50%). 51 to 60 years old (Obesity: 52%) 4th Age and CA: 31 to 40 years old (Risk: 50%). 41 to 50 years (Risk: 75% and No Risk: 25%). 51 to 60 years (Risk: 60%). > 60 years (Risk: 67%). Increased risk between older ages and roles of teachers and staff. Conclusion: There is a need for Health Education orienting subjects in terms of changes in lifestyle habits.
Nursing assistance to the patient in the perioperatory period of general surgery: an integrating review
In the perioperative period the role of the nurse is to guide the patient and prepare him for the procedure, raise problems and needs, provide information. Objective: To verify in the literature the performance of nursing in a surgical center during the perioperative period of general surgery. Method: This is an integrative review, referring to the scientific production in the area of nursing in a surgical center (CC), in order to summarize the studies already published in national journals in the years 2011 to 2016, indexed in databases: (LILACS), Medical Literature Analysis and Retrieval System Online (MEDLINE) and Scientific Electronic Library Online (SCIELO), the articles included were in Portuguese (Brazil) and with full texts, available for access on -line. Results: Of the 161 articles found, 139 were excluded, respecting the exclusion criteria mentioned above. Of these 22 articles found in the indexed, only 9 articles met the inclusion criteria. The articles dealt with the experience of nurses and their staff in providing the best quality care possible. This study addresses the quantitative of articles researched concerning the role of the nurse before, during and after general surgery procedure, ie, showing the nursing performance. Conclusion: Nursing performance in the preparation of the patient in the perioperative of general surgery is fundamental for a quality assistance.
Introduction: Plants have several mechanisms of defense against phytopathogens, being one of them formation of defense proteins, such as protease inhibitors. Objectives: The objective of this work was to detect and partially purify trypsin inhibitor from Aesculus hippocastanum (Indian chestnut) seeds. Methodology: The A. hippocastanum seed powder was submitted to saline extraction in 0.15 M NaCl (10% w/v). The extract was evaluated for trypsin inhibitor activity and protein concentration and to chromatography on DEAE-Sephadex column equilibrated with 0.1 M Tris-HCl pH 8.0 and eluted with the same buffer containing 1.0 M NaCl. The obtained peaks were dialyzed and evaluated for trypsin inhibitory activity. Results and Discussion: Saline extract (4 mg/mL of protein) showed a specific trypsin inhibitory activity (STIA) of 149.57 U/mg. The pool of proteins adsorbed on DEAE-Sephadex matrix showed high STIA (1280.31 U/mg), corresponding to a purification factor of 8.5. Conclusion: Seeds of A. hippocastanum possess a trypsin inhibitor that was partially purified by ion exchange chromatography.
Introduction: Chikungunya fever is a disease caused by the chikungunya virus (CHIKV) and is transmitted by arthropod bites, mainly by the species Aedes aegypti and Aedes albopictus. It became an epidemic in 2005, reaching, afterwards, America, including Brazil, with intense consequences for its population. Its spectrum of manifestation includes three phases: acute, subacute and chronic, in addition to some reports of atypical cases. Little is known about its pathophysiology, fact that turns it into an area of extreme research. Objectives: Carry out a literature review about the main treatment options for patients with chronic Chikungunya fever symptoms. Methodology: A literature review was carried out covering articles from the last 10 years (2007 to 2017), selected through a search in the PUBMED database, using the descriptor “Febre Chinkungunya”. Results and Conclusion: Regarding the treatment, it was seen that there is still no specific drug, despite the studies, using purely symptomatic drugs, with increasing doses based on the clinical phase presented.
Introduction: Data from the World Health Organization indicate that about 830,000 children die each year from external causes (violence and accidents). In Brazil, in 2012, there were 3,142 deaths of children aged 0-9 years due to external causes, which is considered a serious national public health problem. Objectives: To analyze the literature on the prevalence rates by type of accidents in children aged 5 to 10 years. Methodology: The research was carried out at the LILACS, Periodicals CAPES, PubMed and MEDLINE databases. The following terms were considered descriptors: “Prevalence”, “Accidents”, “Violence” and “Child.” Articles were published between September 1997 and 2017. Results: Of the 386 articles found, only six were included in the review. The prevalence rates were higher in accidents due to falls (54.2 to 22.7%), lower in cases of transport / transit accidents (51.9 to 14.2%) and extremely low in cases of burns (5.2% 1.5%) Conclusion: The literature on children’s accidents is still incipient due to the complexity and wideness of the phenomenon, as well as the need for further investigations on preventive strategies aimed at reducing the morbidity and mortality of children that result from these events.
To identify a prevalence of suicide attempt and treatment, clinical, sociodemographic and epidemiological profile of adolescents
Introduction: It is estimated that for each suicide, there are 10 to 20 attempts that often leave a high sequelae rate in the health and physical incapacity of the individuals who cannot achieve it. Currently, there is a greater concern regarding some age groups, such as adolescence, the risk classification in about one third of the countries. Objectives: To identify a prevalence of suicide attempt and treatment, clinical, sociodemographic and epidemiological profile of adolescents involved in this picture. Methodology: A cross-sectional, descriptive and retrospective study about suicide attempt in adolescents from the metropolitan region of Recife and attended at an outpatient clinic specialized in Hebiatrics in the city of Recife, Pernambuco, between May 2016 and August 2017. Results and Discussion: 8% of the patients attempted suicide, these being more females. As motivation were reported: depression, bullying/stress, dissatisfaction with the body and parents’ anger were reported. The majority reported religious practice and was embedded in youth groups. Conclusion: Despite the restricted sampling, a prevalence of attempted suicide among adolescents was published in other countries. A family situation is still worrying if there are internal disorders. The insertion of the young person into daily activities is essential for the reduction of suicide attempts.
Introduction: In spite of prevention efforts, the suicide act still presents as unexpected, usually associated with several risk factors, and very common in young populations. Objectives: To analyze the association of psychosocial factors with suicidal behavior in adolescents. Methodology: This is a cross-sectional study developed between April and June 2017 with 84 students from the metropolitan area of Recife in Pernambuco. Adolescents aged 15 to 19 years were included. For data collection, three validated instruments were used. The project was approved by the Research Ethics Committee under protocol # 548,848. Data were analyzed by descriptive and inferential statistics. Results: The presence of suicidal ideas predominated in female (73%), ranging from 12 to 15 years (53.65). Cases of suicide attempt and presence of ideation were identified in 26.1%. There was a significant association between the psychosocial aspects studied and suicidal ideation, with emphasis on economic class (p = 0.017) and symptoms of common mental disorders (p = 0.001). Conclusion: The results of the study still reveal the fragility of this age group for the occurrence of events related to suicide ideals and point to the need for planning preventive actions in this segment.
Introduction: The cases that involve this pathology promote discussions about diagnosis and treatment, generating numerous ways to treat this pathology. Objectives: To describe the treatment and rehabilitation of patients with temporomandibular joint ankylosis. Methodology: The information contained in this article results from the combination of research on patients and treatments involving TMJ ankylosis as well as its applications. Results: It was verified that there is no common therapeutic procedure for all patients, so there are several forms of treatment. Conclusion: It is necessary to have a multi professional team that is directed and committed in the diagnosis and treatment of the patient, as well as a line of research that facilitates the diagnosis.
To evaluate the diameter of the placental blood vessels and its relation with the blood supply of the full term newborn
Introduction: The placenta is a poorly studied human organ and one of the most important for the health of the woman and her fetus. The study of the placental phenotype opens the way to the identification of the cause of fetal death, being the progress of pregnancy dependent on the establishment and maintenance of an efficient uteroplacental vascular system. Objectives: To evaluate the diameter of the placental blood vessels and its relation with the blood supply of the full term newborn. Methodology: A total of 111 full-term placenta were analyzed from fragments collected in Recife-PE maternity hospitals. Statistical analysis was performed by SPSS software (version 8.0). Results: There was a significant difference (p