Pesquisa | SciELO

RESUMO Este estudo teve como objetivo avaliar a prevalência de ansiedade e depressão entre trabalhadores de Unidades de Terapia Intensiva (UTI) que prestam atendimento a pacientes suspeitos ou confirmados para covid-19 em um hospital de referência em Pernambuco, Brasil. Foi realizado um estudo descritivo, quantitativo, de corte transversal com 140 trabalhadores da UTI de um hospital universitário na cidade de Recife, incluindo médicos, enfermeiros e técnicos de enfermagem. Os trabalhadores responderam a um questionário sociodemográfico e ocupacional, ao General Anxiety Disorder-7 (GAD-7) e ao Patient Health Questionnaire-9 (PHQ-9). A prevalência de ansiedade foi de 38,6%, sendo maior entre os técnicos de enfermagem (42,2%). A prevalência de depressão foi de 41,4%, mostrando-se maior entre médicos (46,4%). Trabalhadores jovens ou aqueles que não possuíam momentos de lazer apresentaram uma taxa maior de ansiedade e depressão. Também foi encontrada associação entre trabalhar nos dois turnos (diurno e noturno) e a presença de sintomas depressivos. Conclui-se que os profissionais de saúde da UTI estão em sofrimento, que pode ter se agravado devido à intensificação do trabalho causada pela pandemia, e que políticas de prevenção e cuidado à saúde mental se fazem necessárias nesse contexto.

https://doi.org/10.1590/2358-289820241418850p

Ansiedade e depressão em trabalhadores de saúde de UTI Covid-19 em um hospital de referência Covid19 Covid 19 Covid-1 Covid1 1 Covid-
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Ishigami, Bruno

; Gurgel, Aline do Monte

; Barros, Jennifer Maiara da Silva

; Medeiros, Kátia Rejane de

; Gurgel, Idê Gomes Dantas

; Souza, Wayner Vieira de

Saúde em Debate

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Jun 2024, Volume 48 Nº 141 elocation e8850

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

ABSTRACT This study aimed to assess the prevalence of anxiety and depression among Intensive Care Unit (ICU) workers providing care to suspected or confirmed COVID-19 patients in a referral hospital in Pernambuco, Brazil. A descriptive, quantitative, cross-sectional study was conducted with 140 ICU workers from the Oswaldo Cruz University Hospital, including physicians, nurses, and nursing technicians. The workers completed a sociodemographic and occupational questionnaire, the General Anxiety Disorder-7 (GAD-7), and the Patient Health Questionnaire-9 (PHQ-9). The prevalence of anxiety was 38.6%, with a higher rate among nursing technicians (42.2%). The prevalence of depression was 41.4%, with a higher rate among physicians (46.4%). Younger workers or those who lacked leisure time had a higher rate of anxiety and depression. An association was also found between working both day and night shifts and the presence of depressive symptoms. It is concluded that ICU healthcare professionals are experiencing distress due to intensified work caused by the pandemic, highlighting the importance of mental health prevention and care policies. (ICU COVID19 COVID 19 COVID-1 Pernambuco Brazil descriptive quantitative crosssectional cross sectional 14 Hospital nurses questionnaire Disorder7 Disorder 7 Disorder- GAD7, GAD7 GAD , (GAD-7) Questionnaire9 Questionnaire 9 Questionnaire- PHQ9. PHQ9 PHQ . (PHQ-9) 386 38 6 38.6% 42.2%. 422 42.2% 42 2 (42.2%) 414 41 4 41.4% 46.4%. 464 46.4% 46 (46.4%) symptoms pandemic policies COVID1 1 COVID- (GAD-7 (PHQ-9 3 38.6 42.2 (42.2% 41.4 46.4 (46.4% (GAD- (PHQ- 38. 42. (42.2 41. 46. (46.4 (GAD (PHQ (42. (46. (42 (46 (4 (

https://doi.org/10.1590/2358-289820241418850p

Characterization of the patterns of care, access, and direct cost of systemic lupus erythematosus in Brazil: findings from the Macunaíma study care access Brazil
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de Abreu, Mirhelen Mendes

; Monticielo, Odirlei Andre

; Fernandes, Vander

; Rodrigues, Dalianna Luise Andrade Souto

; da Silva, Cristhiane Almeida Leite

; Maiorano, Alexandre Cristovão

; Beserra, Fernando dos Santos

; Lamarão, Flavia Rachel Moreira

; de Veras, Bruna Medeiros Gonçalves

; David, Nathalie

; Araújo, Magda

; Alves, Marcelly Cristinny Ribeiro

; Stocco, Matheus Amaral

; Lima, Fernando Mello

; Borret, Emilly

; Gasparin, Andrese Aline

; Chapacais, Gustavo Flores

; Bulbol, Guilherme Andrade

; Lima, Diogo da Silva

; da Silva, Natália Jardim Martins

; Freitas, Marta Maria Costa

; Bica, Blanca Elena Rios Gomes

; de Lima, Domingos Sávio Nunes

; Medeiros, Marta Maria das Chagas

Advances in Rheumatology

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2024, Volume 64 elocation 30

Resumo: En | Texto: En | PDF: En

Abstract Background A cost of illness (COI) study aims to evaluate the socioeconomic burden that an illness imposes on society as a whole. This study aimed to describe the resources used, patterns of care, direct cost, and loss of productivity due to systemic lupus erythematosus (SLE) in Brazil. Methods This 12-month, cross-sectional, COI study of patients with SLE (ACR 1997 Classification Criteria) collected data using patient interviews (questionnaires) and medical records, covering: SLE profile, resources used, morbidities, quality of life (12-Item Short Form Survey, SF-12), and loss of productivity. Patients were excluded if they were retired or on sick leave for another illness. Direct resources included health-related (consultations, tests, medications, hospitalization) or non-health-related (transportation, home adaptation, expenditure on caregivers) hospital resources. Costs were calculated using the unit value of each resource and the quantity consumed. A gamma regression model explored cost predictors for patients with SLE. Results Overall, 300 patients with SLE were included (92.3% female, mean [standard deviation (SD)] disease duration 11.8 [7.9] years), of which 100 patients (33.3%) were on SLE-related sick leave and 46 patients (15.3%) had stopped schooling. Mean (SD) travel time from home to a care facility was 4.4 (12.6) hours. Antimalarials were the most commonly used drugs (222 [74.0%]). A negative correlation was observed between SF-12 physical component and SLE Disease Activity Index (- 0.117, p = 0.042), Systemic Lupus International CollaboratingClinics/AmericanCollegeofRheumatology Damage Index (- 0.115, p = 0.046), medications/day for multiple co-morbidities (- 0.272, p < 0.001), SLE-specific drugs/day (- 0.113, p = 0.051), and lost productivity (- 0.570, p < 0.001). For the mental component, a negative correlation was observed with medications/day for multiple co-morbidities (- 0.272, p < 0.001), SLE-specific medications/day (- 0.113, p = 0.051), and missed appointments (- 0.232, p < 0.001). Mean total SLE cost was US$3,123.53/patient/year (median [interquartile range (IQR)] US$1,618.51 [$678.66, $4,601.29]). Main expenditure was medication, with a median (IQR) cost of US$910.62 ($460, $4,033.51). Mycophenolate increased costs by 3.664 times (p < 0.001), and inflammatory monitoring (erythrocyte sedimentation rate or C-reactive protein) reduced expenditure by 0.381 times (p < 0.001). Conclusion These results allowed access to care patterns, the median cost for patients with SLE in Brazil, and the differences across regions driven by biological, social, and behavioral factors. The cost of SLE provides an updated setting to support the decision-making process across the country. (COI whole (SLE Brazil 12month, 12month month 12 month, 12-month crosssectional, crosssectional cross sectional, sectional cross-sectional ACR 199 Criteria questionnaires (questionnaires records covering profile morbidities 12Item Item Survey SF12, SF12 SF , SF-12) healthrelated health related consultations, consultations (consultations tests medications hospitalization nonhealthrelated non transportation, transportation (transportation adaptation caregivers consumed Overall 30 92.3% 923 92 3 (92.3 female standard SD 118 11 8 11. 7.9 79 7 9 [7.9 years, years years) 10 33.3% 333 33 (33.3% SLErelated 4 15.3% 153 15 (15.3% schooling (SD 44 4. 12.6 126 6 (12.6 hours 222 (22 74.0%. 740 74.0% . 74 0 [74.0%]) SF-1 ( 0117 117 0.117 0.042, 0042 0.042 042 0.042) CollaboratingClinicsAmericanCollegeofRheumatology CollaboratingClinics AmericanCollegeofRheumatology 0115 115 0.115 0.046, 0046 0.046 046 0.046) medicationsday day comorbidities co 0272 272 0.272 0.001, 0001 0.001 001 0.001) SLEspecific specific drugsday 0113 113 0.113 0.051, 0051 0.051 051 0.051) 0570 570 0.570 0.001. 0232 232 0.232 US312353patientyear USpatientyear US 123 53 year interquartile IQR US161851 1 618 51 US$1,618.5 $678.66, 67866 678 66 [$678.66 $4,601.29. 460129 $4,601.29 601 29 $4,601.29]) medication (IQR US91062 910 62 US$910.6 $460, 460 ($460 $4,033.51. 403351 $4,033.51 033 $4,033.51) 3664 664 3.66 erythrocyte Creactive C reactive protein 0381 381 0.38 biological social factors decisionmaking decision making country 19 SF1 92.3 (92. 7. [7. 33.3 (33.3 15.3 (15.3 12. (12. 22 (2 74.0 [74.0%] SF- 011 0.11 004 0.04 04 027 27 0.27 000 0.00 00 005 0.05 05 057 57 0.57 023 23 0.23 patientyear 5 US16185 61 US$1,618. $678.66 6786 67 [$678.6 46012 $4,601.2 60 2 $4,601.29] US9106 91 US$910. $460 ($46 40335 $4,033.5 03 366 3.6 038 38 0.3 92. (92 [7 33. (33. 15. (15. (12 74. [74.0% 01 0.1 0.0 02 0.2 0.5 US1618 US$1,618 $678.6 [$678. 4601 $4,601. US910 US$910 $46 ($4 4033 $4,033. 36 3. 0. (9 [ (33 (15 (1 [74.0 US161 US$1,61 $678. [$678 $4,601 US91 US$91 $4 ($ 403 $4,033 (3 [74. US16 US$1,6 $678 [$67 $4,60 US9 US$9 $ 40 $4,03 [74 US1 US$1, $67 [$6 $4,6 US$ $4,0 US$1 $6 [$ $4,

https://doi.org/10.1186/s42358-024-00369-9

II Brazilian Society of Rheumatology consensus for lupus nephritis diagnosis and treatment
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Reis-Neto, Edgard Torres dos

; Seguro, Luciana Parente Costa

; Sato, Emília Inoue

; Borba, Eduardo Ferreira

; Klumb, Evandro Mendes

; Costallat, Lilian Tereza Lavras

; Medeiros, Marta Maria das Chagas

; Bonfá, Eloisa

; Araújo, Nafice Costa

; Appenzeller, Simone

; Montandon, Ana Carolina de Oliveira e Silva

; Yuki, Emily Figueiredo Neves

; Teixeira, Roberto Cordeiro de Andrade

; Telles, Rosa Weiss

; Egypto, Danielle Christinne Soares do

; Ribeiro, Francinne Machado

; Gasparin, Andrese Aline

; Araujo Junior, Antonio Silaide de

; Neiva, Cláudia Lopes Santoro

; Calderaro, Debora Cerqueira

; Monticielo, Odirlei Andre

Advances in Rheumatology

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2024, Volume 64 elocation 48

Resumo: En | Texto: En | PDF: En

Abstract Objective To develop the second evidence-based Brazilian Society of Rheumatology consensus for diagnosis and treatment of lupus nephritis (LN). Methods Two methodologists and 20 rheumatologists from Lupus Comittee of Brazilian Society of Rheumatology participate in the development of this guideline. Fourteen PICO questions were defined and a systematic review was performed. Eligible randomized controlled trials were analyzed regarding complete renal remission, partial renal remission, serum creatinine, proteinuria, serum creatinine doubling, progression to end-stage renal disease, renal relapse, and severe adverse events (infections and mortality). The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to develop these recommendations. Recommendations required ≥82% of agreement among the voting members and were classified as strongly in favor, weakly in favor, conditional, weakly against or strongly against a particular intervention. Other aspects of LN management (diagnosis, general principles of treatment, treatment of comorbidities and refractory cases) were evaluated through literature review and expert opinion. Results All SLE patients should undergo creatinine and urinalysis tests to assess renal involvement. Kidney biopsy is considered the gold standard for diagnosing LN but, if it is not available or there is a contraindication to the procedure, therapeutic decisions should be based on clinical and laboratory parameters. Fourteen recommendations were developed. Target Renal response (TRR) was defined as improvement or maintenance of renal function (±10% at baseline of treatment) combined with a decrease in 24-h proteinuria or 24-h UPCR of 25% at 3 months, a decrease of 50% at 6 months, and proteinuria < 0.8 g/24 h at 12 months. Hydroxychloroquine should be prescribed to all SLE patients, except in cases of contraindication. Glucocorticoids should be used at the lowest dose and for the minimal necessary period. In class III or IV (±V), mycophenolate (MMF), cyclophosphamide, MMF plus tacrolimus (TAC), MMF plus belimumab or TAC can be used as induction therapy. For maintenance therapy, MMF or azathioprine (AZA) are the first choice and TAC or cyclosporin or leflunomide can be used in patients who cannot use MMF or AZA. Rituximab can be prescribed in cases of refractory disease. In cases of failure in achieving TRR, it is important to assess adherence, immunosuppressant dosage, adjuvant therapy, comorbidities, and consider biopsy/rebiopsy. Conclusion This consensus provides evidence-based data to guide LN diagnosis and treatment, supporting the development of public and supplementary health policies in Brazil. evidencebased evidence LN. . (LN) 2 guideline performed remission doubling endstage end stage disease relapse infections mortality. mortality mortality) Assessment GRADE (GRADE 82 ≥82 favor conditional intervention diagnosis, (diagnosis opinion involvement but procedure parameters developed TRR (TRR ±10% 10 (±10 24h 24 25 months 50 08 0 8 0. g24 g g/2 1 period ±V, V ±V , (±V) MMF, (MMF) cyclophosphamide TAC, (TAC) therapy AZA (AZA adherence dosage biopsyrebiopsy rebiopsy biopsy/rebiopsy Brazil (LN ≥8 ±10 (±1 5 g2 g/ (±V (MMF (TAC ≥ ±1 (± ± (

https://doi.org/10.1186/s42358-024-00386-8

Safety of CoronaVac and ChAdOx1 vaccines against SARS-CoV-2 in patients with rheumatoid arthritis: data from the Brazilian multicentric study safer ChAdOx SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- arthritis SARS-CoV
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Cruz, Vitor Alves

; Guimarães, Camila

; Rêgo, Jozelia

; Machado, Ketty Lysie Libardi Lira

; Miyamoto, Samira Tatiyama

; Burian, Ana Paula Neves

; Dias, Laiza Hombre

; Pretti, Flavia Zon

; Batista, Danielle Cristina Filgueira Alves

; Mill, José Geraldo

; Oliveira, Yasmin Gurtler Pinheiro de

; Gadelha, Carolina Strauss Estevez

; Gouveia, Maria da Penha Gomes

; Moulin, Anna Carolina Simões

; Souza, Bárbara Oliveira

; Aguiar, Laura Gonçalves Rodrigues

; Vieira, Gabriel Smith Sobral

; Grillo, Luiza Lorenzoni

; Lima, Marina Deorce de

; Pasti, Laís Pizzol

; Surlo, Heitor Filipe

; Faé, Filipe

; Moulaz, Isac Ribeiro

; Macabú, Mariana de Oliveira

; Ribeiro, Priscila Dias Cardoso

; Magalhães, Vanessa de Oliveira

; Aguiar, Mariana Freitas de

; Biegelmeyer, Erika

; Peixoto;, Flávia Maria Matos Melo Campos

; Kayser, Cristiane

; Souza, Alexandre Wagner Silva de

; Castro, Charlles Heldan de Moura

; Ribeiro, Sandra Lúcia Euzébio

; Telles, Camila Maria Paiva França

; Bühring, Juliana

; Lima, Raquel Lima de

; Santos, Sérgio Henrique Oliveira Dos

; Dias, Samuel Elias Basualto

; Melo, Natália Seixas de

; Sanches, Rosely Holanda da Silva

; Boechat, Antonio Luiz

; Sartori, Natália Sarzi

; Hax, Vanessa

; Dória, Lucas Denardi

; Rezende, Rodrigo Poubel Vieira de

; Baptista, Katia Lino

; Fortes, Natália Rodrigues Querido

; Melo, Ana Karla Guedes de

; Melo, Tâmara Santos

; Vieira, Rejane Maria Rodrigues de Abreu

; Vieira, Adah Sophia Rodrigues

; Kakehasi, Adriana Maria

; Tavares, Anna Carolina Faria Moreira Gomes

; Landa, Aline Teixeira de

; Costa, Pollyana Vitoria Thomaz da

; Azevedo, Valderilio Feijó

; Martins-Filho, Olindo Assis

; Peruhype-Magalhães, Vanessa

; Pinheiro, Marcelo de Medeiros

; Monticielo, Odirlei André

; Reis-neto, Edgard Torres Dos

; Ferreira, Gilda Aparecida

; Souza, Viviane Angelina de

; Teixeira-Carvalho, Andréa

; Xavier, Ricardo Machado

; Sato, Emilia Inoue

; Valim, Valeria

; Pileggi, Gecilmara Salviato

; Silva, Nilzio Antonio da

Advances in Rheumatology

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2024, Volume 64 elocation 58

Resumo: En | Texto: En | PDF: En

Abstract Background Patients with immune-mediated rheumatic diseases (IMRDs) have been prioritized for COVID-19 vaccination to mitigate the infection severity risks. Patients with rheumatoid arthritis (RA) are at a high risk of severe COVID-19 outcomes, especially those under immunosuppression or with associated comorbidities. However, few studies have assessed the safety of the COVID-19 vaccine in patients with RA. Objective To evaluate the safety of vaccines against SARS-CoV-2 in patients with RA. Methods This data are from the study “Safety and Efficacy on COVID-19 Vaccine in Rheumatic Diseases,” a Brazilian multicentric prospective phase IV study to evaluate COVID-19 vaccine in IMRDs in Brazil. Adverse events (AEs) in patients with RA of all centers were assessed after two doses of ChAdOx1 (Oxford/AstraZeneca) or CoronaVac (Sinovac/Butantan). Stratification of postvaccination AEs was performed using a diary, filled out daily and returned at the end of 28 days for each dose. Results A total of 188 patients with RA were include, 90% female. CoronaVac was used in 109 patients and ChAdOx1 in 79. Only mild AEs were observed, mainly after the first dose. The most common AEs after the first dose were pain at the injection (46,7%), headache (39,4%), arthralgia (39,4%), myalgia (30,5%) and fatigue (26,6%), and ChAdOx1 had a higher frequency of pain at the injection (66% vs 32 %, p < 0.001) arthralgia (62% vs 22%, p < 0.001) and myalgia (45% vs 20%, p < 0.001) compared to CoronaVac. The more common AEs after the second dose were pain at the injection (37%), arthralgia (31%), myalgia (23%), headache (21%) and fatigue (18%). Arthralgia (41,4% vs 25%, p = 0.02) and pain at injection (51,4% vs 27%, p = 0.001) were more common with ChAdOx1. No serious AEs were related. With Regard to RA activity level, no significant difference was observed between the three time periods for both COVID-19 vaccines. Conclusion In the comparison between the two immunizers in patients with RA, local reactions and musculoskeletal symptoms were more frequent with ChAdOx1 than with CoronaVac, especially after the first dose. In summary, the AE occurred mainly after the first dose, and were mild, like previous data from others immunizing agents in patients with rheumatoid arthritis. Vaccination did not worsen the degree of disease activity. immunemediated immune mediated (IMRDs COVID19 COVID 19 COVID-1 risks (RA outcomes comorbidities However SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- Safety Diseases, Diseases Brazil (AEs ChAdOx Oxford/AstraZeneca OxfordAstraZeneca Oxford AstraZeneca (Oxford/AstraZeneca Sinovac/Butantan. SinovacButantan Sinovac/Butantan . Sinovac Butantan (Sinovac/Butantan) diary 18 include 90 female 10 79 46,7%, 467 46,7% , 46 7 (46,7%) 39,4%, 394 39,4% 39 4 (39,4%) 30,5% 305 30 5 (30,5% 26,6%, 266 26,6% 26 6 (26,6%) 66% 66 (66 3 % 0.001 0001 0 001 62% 62 (62 22 22% 45% 45 (45 20 20% 37%, 37 37% (37%) 31%, 31 31% (31%) 23%, 23 23% (23%) 21% 21 (21% 18%. 18% (18%) 41,4% 414 41 (41,4 25 25% 0.02 002 02 51,4% 514 51 (51,4 27 27% related level summary COVID1 1 COVID- SARS-CoV (Sinovac/Butantan 9 46,7 (46,7% 39,4 (39,4% 30,5 (30,5 26,6 (26,6% (6 0.00 000 00 (4 (37% (31% (23% (21 (18% 41,4 (41, 0.0 51,4 (51, 46, (46,7 39, (39,4 30, (30, 26, (26,6 ( (37 (31 (23 (2 (18 41, (41 0. 51, (51 (46, (39, (30 (26, (3 (1 (5 (46 (39 (26

https://doi.org/10.1186/s42358-024-00397-5

[SciELO Preprints] - Methodological aspects and results of the baseline health monitoring of adults and elderly people infected with covid-19 (Sulcovid-19)
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Saes, Mirelle de Oliveira Rocha, Juliana Quadros Santos Rutz, Aline Augusta Medeiros Silva, Carine Nascimento da Camilo, Lara dos Santos Oliveira, Brena Costa de Ritta, Mauren de Castro Nunes, Lorrany da Silva Gonçalves, Cristiane de Souza Pereira Vieira, Yohana Neves, Rosália Garcia Duro, Suele Manjourany Silva

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Data de publicação: 2023-01-09

Resumo: En Pt

AIM: to describe the methodology used in the study, the sample and the prevalence of symptoms in the acute phase of the infection according to socioeconomic variables. METHODS: cross-sectional study carried out in Rio Grande with individuals infected with covid-19 from December 2020 to March 2021. Nineteen symptoms present during the acute phase of the infection were investigated and analyzed, separately and in categories of “0-4”, “5-9” and “10 or more”, according to gender, age and economic class. RESULTS: 2,919 people were part of the sample. The most prevalent symptoms were fatigue (73.7%), headache (67.2%), loss of taste (65.9%), loss of smell (63.9%) and muscle pain (62.3% ). Regarding the occurrence of symptoms stratified by gender, all symptoms, except productive cough, were statistically higher in females. Regarding age, it was found that headache, pain/discomfort to breathe, loss of taste, loss of smell, fatigue, sore throat, nasal congestion, diarrhea, joint pain and muscle pain were statistically higher among adults (18 -59 years). As for economic class, the prevalence of symptoms of shortness of breath, pain/discomfort in breathing, alteration in sensitivity and joint pain showed a linear increase with the reduction in economic class. CONCLUSION: the results of this study made it possible to identify the most frequent symptoms in the acute phase of covid-19 and their distribution in groups, providing data for the implementation of public policies by managers and support for health professionals in assisting this population.

OBJETIVO: descrever a metodologia utilizada no estudo, a amostra e a prevalência dos sintomas da fase aguda da infecção de acordo com variáveis socioeconômicas. MÉTODOS: estudo transversal realizado em Rio Grande com indivíduos infectados pela covid-19 no período de dezembro de 2020 a março de 2021. Foram investigados 19 sintomas presentes durante a fase aguda da infecção e analisados, em separado e em categorias de “0-4”, “5-9” e “10 ou mais”, de acordo com sexo, idade e classe econômica. RESULTADOS: 2.919 pessoas fizeram parte da amostra. Os sintomas mais prevalentes foram fadiga (73,7%), dor de cabeça (67,2%), perda de paladar (65,9%), perda de olfato (63,9%) e dores musculares (62,3%). Com relação a ocorrência de sintomas estratificado por sexo, todos os sintomas, exceto tosse produtiva, foram estatisticamente maiores no sexo feminino. Referente à idade, verificou-se que dor de cabeça, dor/desconforto para respirar, perda de paladar, perda de olfato, fadiga, dor de garganta, congestão nasal, diarreia, dores articulares e dores musculares foram estatisticamente maiores entre os adultos (18-59 anos). Quanto a classe econômica, a prevalência dos sintomas falta de ar, dor/desconforto para respirar, alteração de sensibilidade e dores articulares apresentaram aumento linear conforme a redução da classe econômica. CONCLUSÃO: os resultados deste estudo permitiram identificar os sintomas mais frequentes na fase aguda da covid-19 e sua distribuição nos grupos, fornecendo dados para implementação de políticas públicas pelos gestores e respaldo para os profissionais de saúde na assistência a essa população.

https://doi.org/10.1590/SciELOPreprints.5334

Determination of cyanide in whole seeds and brans of linseed (Linum usitatissimum Linn) by molecular spectrophotometry Linum Linn
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Pereira, Marcelle Leandro da Silva

; Souza, Rita de Cássia Paulino de

; Medeiros, Juliana Vilar Furtado de

; Brito, George Queiroz de

; Schwarz, Aline

Brazilian Journal of Pharmaceutical Sciences

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2023, Volume 59 elocation e23059

Resumo: En | Texto: En | PDF: En

Abstract The addition of linseed (Linum usitatissimum Linn) in the diet, as a functional food, has increased over the years. However, it possesses cyanogenic glycosides. This study aimed to quantify and compare cyanide concentration in whole seed and bran of brown and golden types to establish a safe limit of intake. Three commercial labels, from brown and golden whole seed types (Ab, Ag, Bb, Bg, Cb and Cg), and six commercial labels of brown and golden bran (1b, 2g, 3g, 4b, 5g, and 6b), were selected, totalizing twelve samples. Total cyanide concentration was quantified by a colorimetric method employing alkaline picrate, after acid hydrolysis. The whole seed cyanide values were between 348.4 and 473.20 µg/g and the bran cyanide values were between 459.53 and 639.35 μg/g. The analyzed bran presented increased cyanide concentrations than the whole seeds with no differences between brown and golden types. Food able to produce cyanide less than 90 µg/kg body weight, daily, is considered secure for consumption. Considering this limit and analyzed samples, it is safe to eat approximately two tablespoons of seeds or one tablespoon of bran. These results point out the importance of cyanide amount daily intake information to be in linseed packaging, to ensure secure consumption. Linum Linn diet food years However glycosides Ab, Ab (Ab Ag Bb Bg Cg, Cg , Cg) 1b, 1b b (1b 2g g 3g 4b 5g 6b, 6b 6b) selected samples picrate hydrolysis 3484 348 4 348. 47320 473 20 473.2 µgg µg 45953 459 53 459.5 63935 639 35 639.3 μgg μg μg/g 9 µgkg kg weight consumption packaging 34 4732 47 2 473. 4595 45 5 459. 6393 63 3 639. 6

https://doi.org/10.1590/s2175-97902023e23059

Nutritional profile of indigenous children under five years of age in the Upper Solimões River, Amazonas, Brazil (2013) River Amazonas 2013 (2013 201 (201 20 (20 2 (2 (
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Medeiros, Francinara Guimarães

; Mainbourg, Evelyne Marie Therese

; Ferreira, Aline Alves

; Balieiro, Antônio Alcirley da Silva

; Welch, James R.

; Coimbra Jr., Carlos E. A.

Revista Brasileira de Saúde Materno Infantil

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2023, Volume 23 elocation e20220401

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo Objetivos: caracterizar o estado nutricional de crianças indígenas menores de cinco anos, de comunidades rurais na região do Alto Solimões, habitada por sete etnias, com base em dados de dezembro de 2013. Métodos: foram extraídos dos formulários do SISVAN Indígena dados de peso e estatura, coletados em 2013, de 7.520 crianças (86,0% das crianças estimadas nesta faixa etária). Foram calculados os índices estatura-para-idade (E/I), peso-para-idade (P/I), peso-para-estatura (P/E) e índice de massa corporal para idade (IMC/I). Curvas de referência para crescimento propostas pela Organização Mundial da Saúde foram utilizadas para calcular escores z. Resultados: o índice estatura-para-idade (E/I) apresentou os menores valores médios de escore z, chegando a -1,95 nas crianças entre 36 e 60 meses. Os valores médios do escore z do índice peso-para-idade (P/I) também permaneceram abaixo de zero. Os valores médios do escore z para os índices P/E e índice de massa corporal para idade (IMC/I) mantiveram-se ligeiramente acima de zero, atingindo valor máximo de 0,5. Do total de crianças, 45,7% apresentaram baixa E/I, 9,6%, baixo P/I, 4,5% baixo P/E e 10,7% de excesso de peso de acordo com o IMC/I. Conclusão: em 2013 a desnutrição persistia como um importante agravo à saúde nessas crianças. Objetivos anos Solimões etnias Métodos estatura 7520 7 520 7.52 86,0% 860 86 0 (86,0 etária. etária . etária) estaturaparaidade EI E/I , E I pesoparaidade PI P/I P pesoparaestatura PE (P/E IMCI IMC/I IMC Resultados (E/I 1,95 195 1 95 -1,9 3 6 meses (P/I zero (IMC/I mantiveramse mantiveram se 05 5 0,5 457 45 45,7 96 9 9,6% 4 4,5 107 10 10,7 Conclusão 201 752 52 7.5 86,0 8 (86, 1,9 19 -1, 0, 45, 9,6 4, 10, 20 75 7. 86, (86 1, -1 9, 2 (8 - (

Abstract Objectives: to characterize the nutritional status of indigenous children underfive years of age living in rural communities in the Upper Solimões River region, inhabited by seven ethnic groups, based on data of december 2013. Methods: weight and height data extracted from SISVAN-I (Indigenous Food and Nutritional Surveillance System) forms filled in 2013 for 7,520 children (86.0% of the estimated children in this age group). The indices height-for-age (H/A), weight-for-age (W/A), weight-for-height(W/H), and body mass index-for-age (BMI/A) were calculated. Growth reference curves proposed by the World Health Organization were used to calculate z-scores. Results: the height-for-age (H/A) index presented the lowest mean z-score values, reaching -1.95 among children between 36 and 60 months. Mean z-score values for the weight-for-age (W/A) index also remained below zero. Mean z-score values for the indices weight-for-height (W/H) and body mass index-for-age (BMI/A) remained slightly above zero, reaching a maximum value of 0.5. Of all children, 45.7% presented low H/A, 9.6% presented low W/A, 4.5% presented low W/H, and 10.7% presented overweight based on BMI/A. Conclusion: our analysis show that in 2013 poor nutritional status persisted as an important health issue among these rural indigenous children. Objectives region groups Methods SISVANI SISVAN I Indigenous System 201 7520 7 520 7,52 86.0% 860 86 0 (86.0 group. group . group) heightforage HA H/A , H A weightforage WA W/A W weightforheightW/H, weightforheightWH W/H weight-for-height(W/H) indexforage BMI/A BMIA BMI (BMI/A calculated zscores. zscores z scores. scores z-scores Results (H/A zscore score 1.95 195 1 95 -1.9 3 6 months (W/A zero weightforheight WH (W/H 05 5 0.5 457 45 45.7 96 9 9.6 4 4.5 107 10 10.7 Conclusion 20 752 52 7,5 86.0 8 (86. weightforheightW weightforheightW/H weight-for-height(W/H 1.9 19 -1. 0. 45. 9. 4. 10. 2 75 7, 86. (86 1. -1 (8 - (

https://doi.org/10.1590/1806-9304202300000401-en

CARTOGRAFIA DOS SERVIÇOS DE ACOLHIMENTO AO ACADÊMICO EM SOFRIMENTO PSÍQUICO NAS UNIVERSIDADES PÚBLICAS BRASILEIRAS
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Medeiros, Lisandra Rodrigues de

; Rodrigues, Kevin Christian do Carmo

; Queiroz, Aline Macêdo de

; Florencio, Raíssa Millena Silva

; Silva, Andrey Ferreira da

; Borges, Alvaro Macedo

Cogitare Enfermagem

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2022, Volume 27 elocation e75756

Resumo: Pt En Es | Texto: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivo: mapear os serviços de acolhimento em saúde mental ofertados aos acadêmicos pelas universidades públicas brasileiras. Método: pesquisa documental apresentada como cartografia das universidades públicas presenciais brasileiras. Os dados foram coletados de agosto a outubro de 2019 no site do Ministério da Educação, segundo as variáveis: informações sobre o serviço de acolhimento, modalidade de acesso, atividades ofertadas, distribuição geográfica das universidades que ofertam o serviço no Brasil. Resultados: das 107 universidades, 73 referem ter um serviço de acolhimento em saúde mental, e destas, 43 informam a modalidade de acesso, sendo a maioria o agendamento, e os tipos de atividades desenvolvidas, com respeito ao Plantão Psicológico. Considerações Finais: com o aumento de sofrimento psíquico entre acadêmicos, é missão da academia dialogar e acolher essa demanda. O estudo contribui alertando para a necessidade da expansão desses serviços.

ABSTRACT Objective: to map the welcoming services in Mental Health offered to students by Brazilian public universities. Method: a documentary research study presented as a cartography of the Brazilian public universities that offer in-person courses. The data were collected from August to October 2019 on the Ministry of Education website, according to the following variables: information about the welcoming service, access modality, activities offered; and geographic distribution of the universities offering the service in Brazil. Results: of the 107 universities, 73 report having a welcoming service in Mental Health and, of these, 43 indicate the access modality, mostly through appointment scheduling, and the types of activities developed with respect to Psychological Emergency Care. Final Considerations: with the increase in psychological distress among students, it is the university’s duty to be an interlocutor and welcome this demand. The study contributes by warning about the need to expand these services.

RESUMEN Objetivo: mapear los servicios de recepción en Salud Mental que ofrecen las universidades públicas de Brasil a sus estudiantes. Método: investigación documental presentada en la forma de una cartografía de las universidades públicas con carreras presenciales de Brasil. Los datos se recolectaron entre agosto y octubre de 2019 en el sitio web del Ministerio de Educación, de acuerdo con las siguientes variables: información sobre el servicio de recepción, modalidad de acceso, actividades ofrecidas y distribución geográfica de las universidades que ofrecen el servicio en Brasil. Resultados: de las 107 universidades, 73 informan tener un servicio de recepción en salud mental y, de estas, 43 indican la modalidad de acceso, la mayoría por medio de cita previa, y los tipos de actividades que se desarrollan, con respecto a la Psicología de emergencia. Consideraciones Finales: dado el incremento en los índices de padecimiento psicológico entre los estudiantes, la misión de las universidades es ser interlocutores y receptores de dicha demanda. El aporte del estudio es advertir acerca de la necesidad de expandir estos servicios.

https://doi.org/10.5380/ce.v27i0.75756

10.

Effect of Electrodeposition Time on Absorptance, Roughness and Thermal Stability of Black Chromium Absorbing Surfaces
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Medeiros, João Victor Furtado Frazão de

; Oliveira, Aline da Silva

; Galvão, Gabriela Oliveira

; Medeiros, Ithyara Dheylle Machado de

; Gomes, Kelly Cristiane

Materials Research

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2022, Volume 25 elocation e20210484

Resumo: En | Texto: En | PDF: En

Abstract Solar thermal energy is one of the ways of using solar radiation that can be applied to meet the energy needs for heating. To achieve efficient photothermal conversion, selective surfaces are applied to solar collectors to absorb more radiation and minimize heat loss. The present work produced absorber surfaces from black chromium electrodeposition on stainless steel substrate, the main parameter evaluated was the deposition time and its effect on optical and morphological properties. In this sense, the techniques of characterization UV-Vis-NIR Spectroscopy, Infrared Spectroscopy, X-Ray Diffraction, Optical Profilometry and Thermogravimetric analysis were used. It was observed a great influence of the electrodeposition time in the absorptance of the films, where films with deposition times of 2 to 10 minutes obtained absorptances greater than 92%. The metallic Cr phase was identified in the films, and it is estimated that chromium oxides may have been formed in the amorphous form. With increasing time, the roughness oscillated due to the constant nucleation of chromium throughout the process. Furthermore, a 5% mass loss indicates good thermal stability of the film up to 400 °C.

https://doi.org/10.1590/1980-5373-mr-2021-0484

11.

Differences in children and adolescents with SARS-CoV-2 infection: a cohort study in a Brazilian tertiary referral hospital
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Marques, Heloisa Helena de Sousa

; Pereira, Maria Fernanda Badue

; Santos, Angélica Carreira dos

; Fink, Thais Toledo

; Paula, Camila Sanson Yoshino de

; Litvinov, Nadia

; Schvartsman, Claudio

; Delgado, Artur Figueiredo

; Gibelli, Maria Augusta Bento Cicaroni

; Carvalho, Werther Brunow de

; Odone Filho, Vicente

; Tannuri, Uenis

; Carneiro-Sampaio, Magda

; Grisi, Sandra

; Duarte, Alberto José da Silva

; Antonangelo, Leila

; Francisco, Rossana Pucineli Vieira

; Okay, Thelma Suely

; Batisttella, Linamara Rizzo

; Carvalho, Carlos Roberto Ribeiro de

; Brentani, Alexandra Valéria Maria

; Silva, Clovis Artur

; Eisencraft, Adriana Pasmanik

; Rossi Junior, Alfio

; Fante, Alice Lima

; Cora, Aline Pivetta

; Reis, Amelia Gorete A. de Costa

; Ferrer, Ana Paula Scoleze

; Andrade, Anarella Penha Meirelles de

; Watanabe, Andreia

; Gonçalves, Angelina Maria Freire

; Waetge, Aurora Rosaria Pagliara

; Silva, Camila Altenfelder

; Ceneviva, Carina

; Lazari, Carolina dos Santos

; Abellan, Deipara Monteiro

; Santos, Emilly Henrique dos

; Sabino, Ester Cerdeira

; Bianchini, Fabíola Roberta Marim

; Alcantara, Flávio Ferraz de Paes

; Ramos, Gabriel Frizzo

; Leal, Gabriela Nunes

; Rodriguez, Isadora Souza

; Pinho, João Renato Rebello

; Carneiro, Jorge David Avaizoglou

; Paz, Jose Albino

; Ferreira, Juliana Carvalho

; Ferranti, Juliana Ferreira

; Ferreira, Juliana de Oliveira Achili

; Framil, Juliana Valéria de Souza

; Silva, Katia Regina da

; Kanunfre, Kelly Aparecida

; Bastos, Karina Lucio de Medeiros

; Galleti, Karine Vusberg

; Cristofani, Lilian Maria

; Suzuki, Lisa

; Campos, Lucia Maria Arruda

; Perondi, Maria Beatriz de Moliterno

; Diniz, Maria de Fatima Rodrigues

; Fonseca, Maria Fernanda Mota

; Cordon, Mariana Nutti de Almeida

; Pissolato, Mariana

; Peres, Marina Silva

; Garanito, Marlene Pereira

; Imamura, Marta

; Dorna, Mayra de Barros

; Luglio, Michele

; Rocha, Mussya Cisotto

; Aikawa, Nadia Emi

; Degaspare, Natalia Viu

; Sakita, Neusa Keico

; Udsen, Nicole Lee

; Scudeller, Paula Gobi

; Gaiolla, Paula Vieira de Vincenzi

; Severini, Rafael da Silva Giannasi

; Rodrigues, Regina Maria

; Toma, Ricardo Katsuya

; Paula, Ricardo Iunis Citrangulo de

; Palmeira, Patricia

; Forsait, Silvana

; Farhat, Sylvia Costa Lima

; Sakano, Tânia Miyuki Shimoda

; Koch, Vera Hermina Kalika

; Cobello Junior, Vilson

Clinics

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2021, Volume 76 elocation e3488

Resumo: En | Texto: En | PDF: En

OBJECTIVES: To compare demographic/clinical/laboratory/treatments and outcomes among children and adolescents with laboratory-confirmed coronavirus disease 2019 (COVID-19). METHODS: This was a cross-sectional study that included patients diagnosed with pediatric COVID-19 (aged <18 years) between April 11, 2020 and April 22, 2021. During this period, 102/5,951 (1.7%) of all admissions occurred in neonates, children, and adolescents. Furthermore, 3,962 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection samples were processed in patients aged <18 years, and laboratory-confirmed COVID-19 occurred in 155 (4%) inpatients and outpatients. Six/155 pediatric patients were excluded from the study. Therefore, the final group included 149 children and adolescents (n=97 inpatients and 52 outpatients) with positive SARS-CoV-2 results. RESULTS: The frequencies of sore throat, anosmia, dysgeusia, headache, myalgia, nausea, lymphopenia, pre-existing chronic conditions, immunosuppressive conditions, and autoimmune diseases were significantly reduced in children and adolescents (p<0.05). Likewise, the frequencies of enoxaparin use (p=0.037), current immunosuppressant use (p=0.008), vasoactive agents (p=0.045), arterial hypotension (p<0.001), and shock (p=0.024) were significantly lower in children than in adolescents. Logistic regression analysis showed that adolescents with laboratory-confirmed COVID-19 had increased odds ratios (ORs) for sore throat (OR 13.054; 95% confidence interval [CI] 2.750-61.977; p=0.001), nausea (OR 8.875; 95% CI 1.660-47.446; p=0.011), and lymphopenia (OR 3.575; 95% CI 1.355-9.430; p=0.010), but also had less hospitalizations (OR 0.355; 95% CI 0.138-0.916; p=0.032). The additional logistic regression analysis on patients with preexisting chronic conditions (n=108) showed that death as an outcome was significantly associated with pediatric severe acute respiratory syndrome (SARS) (OR 22.300; 95% CI 2.341-212.421; p=0.007) and multisystem inflammatory syndrome in children (MIS-C) (OR 11.261; 95% CI 1.189-106. 581; p=0.035). CONCLUSIONS: Half of the laboratory-confirmed COVID-19 cases occurred in adolescents. Individuals belonging to this age group had an acute systemic involvement of SARS-CoV-2 infection. Pediatric SARS and MIS-C were the most important factors associated with the mortality rate in pediatric chronic conditions with COVID-19.

https://doi.org/10.6061/clinics/2021/e3488

12.

Estratégias governamentais para a garantia do direito humano à alimentação adequada e saudável no enfrentamento à pandemia de Covid-19 no Brasil
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Gurgel, Aline do Monte

; Santos, Carla Caroline Silva dos

; Alves, Kelly Poliany de Souza

; Araujo, Juciany Medeiros de

; Leal, Vanessa Sá

Ciência & Saúde Coletiva

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Dez 2020, Volume 25 Nº 12 Páginas 4945 - 4956

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo A pandemia de Covid-19 revelou a existência de ameaça concreta e imediata à segurança alimentar e nutricional (SAN), em especial de grupos vulnerabilizados. O estudo buscou identificar as estratégias governamentais implementadas no Brasil para prover o Direito Humano à Alimentação Adequada e Saudável em contextos de elevada vulnerabilidade social frente à Covid-19. Foi realizado um estudo transversal, com análise de documentos oficiais publicados entre 20 de março e 30 de julho de 2020 pela União, Distrito Federal, estados e capitais brasileiras, com foco em medidas que assegurem disponibilidade e acesso físico ou financeiro a alimentos. As estratégias implementadas envolvem fundamentalmente distribuição de alimentos e garantia de renda mínima. Foram instituídas: Renda Básica Emergencial (União); Programa de Aquisição de Alimentos (PAA) e auxílio financeiro emergencial (estados); programas de doação emergencial de alimentos (estados e municípios). Medidas existentes foram adaptadas frente à pandemia, como o Programa Nacional de Alimentação Escolar (PNAE), o Programa de Aquisição de Alimentos (PAA) nacional, a distribuição de alimentos e de cestas básicas. Embora importantes, essas estratégias têm alcance limitado e são insuficientes para assegurar a SAN.

Abstract The Covid-19 pandemic revealed a concrete and immediate threat to food and nutrition security (FNS), especially for vulnerable groups. This study aimed to identify government strategies implemented in Brazil to provide the Human Right to Adequate and Healthy Food in high social vulnerability contexts during the Covid-19 pandemic. A cross-sectional study was carried out, with analysis of official documents published between March 20 and July 30, 2020, by the Federal Government, Federal District, Brazilian states, and capitals, focusing on measures to ensure availability and physical or financial access to food. Strategies implemented mainly involve food distribution and minimum income assurance. The following were implemented: Basic Emergency Income (Federal Government); Food Acquisition Program (PAA), and emergency financial aid (states); emergency food donation programs (states and municipalities). Existing measures were adapted to the pandemic, such as the National School Food Program (PNAE), the National Food Acquisition Program (PAA), and the distribution of food and staple food baskets. While essential, these strategies have limited scope and are insufficient to ensure FNS.

https://doi.org/10.1590/1413-812320202512.33912020 5637 downloads

13.

Estratégias governamentais para a garantia do direito humano à alimentação adequada e saudável no enfrentamento à pandemia de Covid-19 no Brasil
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Gurgel, Aline do Monte

; Santos, Carla Caroline Silva dos

; Alves, Kelly Poliany de Souza

; Araujo, Juciany Medeiros de

; Leal, Vanessa Sá

Ciência & Saúde Coletiva

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Dez 2020, Volume 25 Nº 12 Páginas 4945 - 4956

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-812320202512.33912020

14.

Green medicinal clay in the treatment of the unspecified lumbar pain: clinical trial
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Delfino, Mariana Terezinha

; Medeiros, Graciela Mendonça da Silva de

; Schlindwein, Aline Daiane

BrJP

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Set 2020, Volume 3 Nº 3 Páginas 213 - 216

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO JUSTIFICATIVA E OBJETIVOS: A dor lombar é uma das doenças musculoesqueléticas de alta incidência em todo o mundo. Aproximadamente em 85% dos casos ela é classificada como inespecífica, significando que não tem causa evidente. Diante disso, a geoterapia é uma técnica não invasiva que possibilita controle da dor lombar. O objetivo deste estudo foi avaliar os resultados da geoterapia no alívio da dor lombar inespecífica. MÉTODOS: Ensaio clínico, semi-experimental, do tipo antes e depois, de natureza quantitativa, que incluiu 26 participantes que receberam quatro sessões de cataplasma de argila verde na região lombar com intervalo de sete dias. A intensidade da dor antes e depois das intervenções foi avaliada pela escala analógica visual e o questionário Oswestry Disability Index. Para análise dos dados foram utilizados os testes Kolmogorov-Smirnov e t de Student, com nível de significância de 5% (p<0,05). RESULTADOS: Houve significância estatística com a geoterapia na modalidade cataplasma lombar com argila verde no alívio da dor lombar, obtendo-se p=0,0001 para a escala analógica visual. CONCLUSÃO: A geoterapia com argila verde aplicada na região lombar foi efetiva na redução da intensidade da dor lombar crônica inespecífica.

ABSTRACT BACKGROUND AND OBJECTIVES: Lower back pain is one of the musculoskeletal diseases with the highest incidence all over the world. In approximately 85% of the cases it is classified as unspecified, which means that it has no evident cause. With that in mind, geotherapy is a non-invasive technique that allows control over the lower back pain. The goal of this study was to evaluate the results of geotherapy on the relief of the unspecified lower back pain. METHODS: Semi-experimental quantitative clinical trial, comparing before and after states, including 26 participants who received four applications of green clay cataplasm on the lower back region with an interval of seven days. The pain intensities before and after the interventions were evaluated by a visual analogical scale and an Oswestry Disability Index questionnaire. For the data analysis, the Kolmogorov-Smirnov and t Student methods were used, with a significance level of 5% (p<0.05). RESULTS: There was significant statistics that showed lower back pain relief with the cataplasm mode geotherapy using green clay, reaching p = 0.0001 in the visual analog scale. CONCLUSION: The geotherapy with green clay applied on the lower back region of the body was effective on diminishing of the unspecified chronic lower back pain.

https://doi.org/10.5935/2595-0118.20200046 2195 downloads

15.

Effects of using Stiper® for cervical pain treatment in dentistry students: pilot trial
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Brum, Mara Cristina Ferreira Moreira

; Drago, Livia Crespo

; Schlindwein, Aline Daiane

; Medeiros, Graciela Mendonça da Silva de

BrJP

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Mar 2020, Volume 3 Nº 2 Páginas 136 - 141

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO JUSTIFICATIVA E OBJETIVOS: A dor na região cervical é uma das maiores causas de afastamento laboral e uma das profissões mais suscetível ao risco é a dos cirurgiões-dentistas. As dores geralmente começam durante o período de formação acadêmica e aos fatores ergonômicos e posturais associam-se também os emocionais. As pastilhas de óxido de silício Stiper® apresentam-se como terapêutica indolor, não invasiva e de rápida aplicação oferecendo estímulo prolongado. O objetivo deste estudo foi verificar os possíveis efeitos do uso do Stiper® em casos de cervicalgia inespecífica em acadêmicos em fases de práticas clínicas de um curso de Odontologia no Sul do Brasil. MÉTODOS: Ensaio clínico piloto de natureza quantitativa, do tipo antes e depois, quase experimental. A amostra foi constituída por nove acadêmicos do curso de Odontologia, os quais receberam a aplicação de Stiper® nos pontos de acupuntura Jianjing, Tianliao, Jianyu e Dazhui, durante três semanas consecutivas, com intervalo de sete dias entre as sessões. A coleta de dados foi realizada com a aplicação de questionário sociodemográfico, escala analógica visual de dor antes e depois das intervenções e preenchimento de formulário. Análise estatística pelo teste de normalidade de Shapiro Wilk e teste t de Student. RESULTADOS: A aplicação do Stiper® propiciou redução significativa (p<0,05) da dor na região cervical. CONCLUSÃO: O uso do Stiper® foi eficaz na redução da cervicalgia referida pelos acadêmicos de Odontologia.

ABSTRACT BACKGROUND AND OBJECTIVES: Pain in the cervical region is a major cause of absenteeism, and one of the professions most susceptible to this risk is dental surgeons. The pain usually begins during the period of academic training, and ergonomic and postural factors add up to the emotional ones. The Stiper® silicon oxide tablets are painless, non-invasive and quickly applied, offering prolonged stimulation. This study aimed to verify the possible effects of using Stiper® in cases of nonspecific neck pain in students in their dental clinical practices training in a Dentistry course in Southern Brazil. METHODS: A pilot clinical trial of a quantitative nature, in a before-and-after setting, almost experimental. The sample consisted of nine dentistry students to whom Stiper® was applied at the acupuncture points Jianjing, Tianliao, Jianyu, and Dazhui, for three consecutive weeks, with a 7-day interval between sessions. The data was collected through a sociodemographic questionnaire, the visual analog scale of pain, before and after the interventions, and the completion of a form. The statistical analysis used the Shapiro Wilk normality test and the Student’s t-test. RESULTS: The Stiper® application provided a significant pain reduction (p<0.05) in the cervical region. CONCLUSION: The use of Stiper® was effective in reducing the neck pain reported by dentistry students.

https://doi.org/10.5935/2595-0118.20200023 1325 downloads

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Glossário e ajuda para busca

Você pode enriquecer sua busca de uma forma muito simples. Use os índices de pesquisa combinados com os conectores (AND ou OR) e especifique cada vez mais sua busca.

Por exemplo, se você deseja buscar artigos sobre
casos de dengue no Brasil em 2015, use:
ti:dengue and publication_year:2015 and aff_country:Brasil

Veja abaixo a lista completa de índices de pesquisa que podem ser usados:

Cód. do Índice	Elemento
ti	título do artigo
au	autor
kw	palavras-chave do artigo
subject	assunto (palavras do título, resumo e palavras-chave)
ab	resumo
ta	título abreviado da revista (ex. Cad. Saúde Pública)
journal_title	título completo da revista (ex. Cadernos de Saúde Pública)
la	código do idioma da publicação (ex. pt - Português, es - Espanhol)
type	tipo do documento
pid	identificador da publicação
publication_year	ano de publicação do artigo
sponsor	financiador
aff_country	código do país de afiliação do autor
aff_institution	instituição de afiliação do autor
volume	volume do artigo
issue	número do artigo
elocation	elocation
doi	número DOI
issn	ISSN da revista
in	código da coleção SciELO (ex. scl - Brasil, col - Colômbia)
use_license	código da licença de uso do artigo

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Email: scielo@scielo.org

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