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RESUMO Objetivo: mapear na literatura as orientações de enfermagem para pessoas com estomias intestinais na atenção primária à saúde e centros de referência. Método: scoping review desenvolvida em abril e maio de 2022, em bases nacionais e internacionais e fontes de literatura cinzenta. Utilizou-se os descritores: Ostomia; Colostomia; Ileostomia; Educação em Saúde; Atenção Primária; Serviços de Saúde e suas traduções no inglês. Seguiu-se as etapas recomendadas pelo Joana Briggs Institute e registrou-se na plataforma Open Science Framework. Resultados: foram identificados 2242 estudos, sendo 17 selecionados para composição amostral. As orientações versaram predominantemente sobre autocuidado com estomia e pele periestomal, escolha de equipamentos coletores e adjuvantes e aspectos sobre aceitação e adaptação. Conclusão: Identificou-se na literatura as principais orientações de enfermagem dirigidas às pessoas com estomia. O estudo contribui para prática em Enfermagem diante do raciocínio das necessidades e dos cuidados qualificados a serem dispensados à pessoa com estomia na integralidade da atenção.
ABSTRACT Objective: to map in the literature the nursing guidelines for people with intestinal ostomies in primary health care and referral centers. Method: scoping review developed in April and May 2022, in national and international bases and gray literature sources. The descriptors were used: Ostomy; Colostomy; Ileostomy; Health Education; Primary Attention; Health Services and their English translations. Followed the steps recommended by the Joana Briggs Institute and registered on the Open Science Framework platform. Results: were identified 2242 studies, 17 of which were selected for sample composition. The guidelines focused predominantly on self-care with ostomy and peristomal skin, choice of collector and adjuvant equipment, and aspects of acceptance and adaptation. Conclusion: the main nursing guidelines for people with ostomy were identified in the literature. The study contributes to nursing practice in view of the reasoning of the needs and qualified care to be provided to the person with an ostomy in the integrality of care.
RESUMEN Objetivo: mapear en la literatura las directrices de enfermería para personas con ostomías intestinales en la atención primaria de salud y centros de referencia. Método: Scoping Review desarrollado en abril y mayo de 2022, en bases nacionales e internacionales y fuentes de literatura gris. Se utilizaron los descriptores: ostomía; colostomía; ileostomía; Educación en salud; atención primaria; servicios de salud y sus traducciones al inglés. Se siguieron las etapas recomendadas por el Instituto Joana Briggs y se hizo el registro en la plataforma Open Science Framework. Resultados: se identificaron 2242 estudios, de los cuales 17 fueron seleccionados para composición de la muestra. Las orientaciones se centraron predominantemente en el autocuidado con ostomía y piel periestomal, elección de equipos colectores y adyuvantes, y aspectos de aceptación y adaptación. Conclusión: Se identificaron en la literatura las principales orientaciones de enfermería para personas con ostomía. El estudio contribuye a la práctica de enfermería en vista del razonamiento de las necesidades y cuidados calificados a ser prestados a la persona con ostomía en la integralidad del cuidado.
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OBJECTIVE: The aim of this study was to analyze the effectiveness of the distance education course in family health in the knowledge of physicians from the Mais Médicos program. METHOD: This is a quantitative, quasi-experimental study, without a pretest and posttest control group, carried out from August 2019 to September 2021. In all modules, physicians responded to a pretest and posttest to verify their knowledge of the subject. RESULTS: There was a statistically significant difference in all modules with higher average scores in the posttests; the modules with the greatest emphasis are child health care: growth and development; approach to cancer in primary health care; and family health strategy and territorialization. CONCLUSION: The effectiveness of the distance education course was verified, as evidenced by the significant improvement of knowledge in all the modules studied.
Assuntos
Médicos , Atenção Primária à Saúde , Criança , Humanos , Atenção à Saúde , Saúde da Família , Recursos Humanos , Programas Governamentais , BrasilRESUMO
SUMMARY OBJECTIVE: The aim of this study was to analyze the effectiveness of the distance education course in family health in the knowledge of physicians from the Mais Médicos program. METHOD: This is a quantitative, quasi-experimental study, without a pretest and posttest control group, carried out from August 2019 to September 2021. In all modules, physicians responded to a pretest and posttest to verify their knowledge of the subject. RESULTS: There was a statistically significant difference in all modules with higher average scores in the posttests; the modules with the greatest emphasis are child health care: growth and development; approach to cancer in primary health care; and family health strategy and territorialization. CONCLUSION: The effectiveness of the distance education course was verified, as evidenced by the significant improvement of knowledge in all the modules studied.
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Resumo Objetivo Construir e validar conteúdo e aparência do protótipo do Serious game "AleitaGame" sobre amamentação e lesões mamilo-areolares. Métodos Trata-se de um estudo realizado em três etapas, sendo elas: seleção do conteúdo através de uma Scoping Review, desenvolvimento de software educativo embasado no método de Benitti, Seara e Schlindwen, e um estudo metodológico para a validação de conteúdo, aspectos técnicos e pedagógicos, realizada com seis juízes especialistas na temática. A análise descritiva foi utilizada nesse estudo, bem como o Índice de Validade de Conteúdo para o instrumento de avaliação do conteúdo. Resultados O conteúdo dos casos clínicos e dos cenários simulados foi construído a partir de 115 estudos e foi validado por seis juízes em relação ao conteúdo e os aspectos técnico-pedagógicos, sendo esses os únicos que apresentaram sugestões no design e feedback do game. A versão final do serious game contém diferentes recursos de mídia e gamificação para uma interação com o tema que trata da técnica de amamentação como causa de lesão mamilo-areolar em lactantes. Conclusão O protótipo do "AleitaGame" foi validado por juízes especialistas e está adequado para a etapa final de desenvolvimento do software educativo.
Resumen Objetivo Elaborar y validar el contenido y la apariencia del prototipo del serious game "AleitaGame" sobre lactancia y lesiones en el pezón y areola. Métodos Se trata de un estudio realizado en tres etapas, a saber: selección de contenido a través de una Scoping Review, desarrollo del software educativo basado en el método de Benitti, Seara y Schlindwen, y un estudio metodológico para la validación del contenido, aspectos técnicos y pedagógicos, realizada con seis jueces especialistas en el tema. En este estudio se utilizó el análisis descriptivo, así como también el Índice de Validez de Contenido para el instrumento de evaluación de contenido. Resultados El contenido de los casos clínicos y de los escenarios simulados fue elaborado a partir de 115 estudios y validado por seis jueces con relación al contenido y a los aspectos técnico-pedagógicos, que fueron los únicos que presentaron sugerencias sobre el diseño y feedback del juego. La versión final del serious game contiene diferentes recursos multimedia y de gamificación para interactuar con el tema que trata sobre la técnica de lactancia como causa de lesiones en el pezón y areola en lactantes. Conclusión El prototipo de "AleitaGame" fue validado por jueces especialistas y está preparado para la etapa final de desarrollo del software educativo.
Abstract Objective To develop and validate the content and appearance of the prototype of the Serious game "AleitaGame" on breastfeeding and nipple-areolar lesions. Methods This is a study carried out in three stages, namely: content selection through a Scoping Review, development of educational software based on the Benitti, Seara and Schlindwen approach, and a methodological study for content validation, technical and pedagogical aspects, carried out with six expert judges on the subject. Descriptive analysis was used in this study, as well as the Content Validity Index for the content assessment instrument. Results The content of the clinical cases and the simulated scenarios was built from a total of 115 studies and was validated by six judges in relation to the content and the technical-pedagogical aspects, the only ones who presented suggestions in the design and feedback of the game. The final version of the serious game contains different media and gamification resources for an interaction with the theme that deals with the breastfeeding technique as a cause of nipple-areolar lesion in lactating women. Conclusion The "AleitaGame" prototype was validated by expert judges and is suitable for the final stage of educational software development.
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The present study evaluated over two years the seasonal dynamics of Rhipicephalus microplus in a Cerrado biome of midwestern Brazil (Goiânia, Goiás) and correlated the current climatic conditions (environmental temperature, insolation, rainfall, relative humitidy and saturation deficit of the atmosphere) of this site with 30 years ago. In addition, the data collected in the present research were compared with climatic conditions data and R. microplus population dynamics conducted by our group in other regions (Formiga, Minas Gerais and Jaboticabal, São Paulo) within the same biome. For the parasitic phase dynamics, R. microplus females (4.5-8.0â¯mm) counts were performed on tick natural infested cows kept in Panicum maximum paddocks. To verify the larvae dynamics on pasture the flannel dragg technique on natural infested pasture was performed, and the height of the grass was measured. Five peaks of engorged R. microplus females on animals and larvae infestations on pastures were observed. Being three and two peaks during the rainy and dry season of the year, respectively. Insolation (râ¯=â¯0.8758; Pâ¯=â¯0.00009; R²â¯=â¯0.7670), rainfall (r = -0.8572; Pâ¯=â¯0.0002; R²â¯=â¯0.7348), maximum environmental temperature in summer (râ¯=â¯0.9999; Pâ¯<â¯0.0087; R²â¯=â¯0.9988) and the saturation deficit of the atmosphere in autumn (r = -0.9789; Pâ¯=â¯0.0211; R²â¯=â¯0.9582) influenced the seasonal dynamics of R. microplus larvae on pastures. While the forage height did not influence the number of larvae found on pasture (râ¯=â¯0.1545; Pâ¯=â¯0.7682; R²â¯=â¯0.0239). The comparison between the climatic data of the last 30 years with the current climatological data (2012 to 2019) in the state of Goiás, and the comparison with R. microplus population dynamics from other two locations in the same biome indicated that the increase of the environmental temperature due to the global warming possibly is a determining factor which increase the number of one or up two tick annual peaks. In addition, this climatic variable was responsible for increase the population density of ticks on pastures and animals observed in July/winter of the present study, in comparison to other regions with the same biome, as discussed in this work.
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Doenças dos Bovinos , Aquecimento Global , Rhipicephalus , Estações do Ano , Infestações por Carrapato , Animais , Brasil/epidemiologia , Bovinos , Doenças dos Bovinos/epidemiologia , Ecossistema , Feminino , Infestações por Carrapato/epidemiologia , Infestações por Carrapato/veterináriaRESUMO
The present study was carried out to evaluate and compare the acaricidal activity of different fractions of Acmella oleracea methanolic extract, containing 0.0 % (F1), 24.5 % (F2), 48.0 % (F3) and 100 % (F4) of spilanthol, on unfed larvae and engorged females from the same Rhipicephalus microplus population. To obtain these fractions, the crude extract was subjected to different extraction procedures using increasingly polarized solvents to isolate the spilanthol compound. The Larval Packet Test was used to evaluate acaricidal activity in unfed larvae at concentrations ranging from 0.2 to 25.0 mg/mL, while for engorged females, the Adult Immersion Test was performed at concentrations from 3.1 to 25.0 mg/mL. The F1 fraction showed no activity on unfed larvae, while a control percentage of 44.6 % was observed at a concentration of 25.0 mg/mL for engorged females. For unfed larvae, the F2 fraction resulted in 95.7 % mortality at a concentration of 1.6 mg/mL, with a control percentage of 92.7 % for engorged females at a concentration of 12.5 mg/mL. Fractions F3 and F4 had similar activity against unfed larvae, with mortality >84.0 % from the concentration of 0.8 mg/mL. This similarity between the fractions was also observed for engorged females from a concentration of 12.5 mg/mL, resulting a control percentage >94.0 %. These results demonstrate that the presence of spilanthol is an important factor for the acaricidal activity of A. oleracea extract. Fraction extracts with 24.5, 48 and 100 % of spilanthol have similar acaricidal activity on R. microplus.
