RESUMO
Introduction. Congenital heart diseases (CHD) affect approximately 1% of live births and is an important cause of neonatal morbidity and mortality. Despite that, there is a shortage of paediatric cardiologists in Brazil, mainly in the northern and northeastern regions. In this context, the implementation of virtual outpatient clinics with the aid of different telemedicine resources may help in the care of children with heart defects. Methods. Patients under 18 years of age treated in virtual outpatient clinics between January 2013 and May 2014 were selected. They were divided into 2 groups: those who had and those who had not undergone a screening process for CHD in the neonatal period. Clinical and demographic characteristics were collected for further statistical analysis. Results. A total of 653 children and teenagers were treated in the virtual outpatient clinics. From these, 229 had undergone a neonatal screening process. Fewer abnormalities were observed on the physical examination of the screened patients. Conclusion. The implementation of pediatric cardiology virtual outpatient clinics can have a positive impact in the care provided to people in areas with lack of skilled professionals.
RESUMO
Objetivou-se avaliar os conhecimentos, atitudes e práticas de agricultores quanto a prevenção do câncer de pele. Para tanto, foi realizada pesquisa descritiva, com abordagem quantitativa, e realizada com agricultores do município de Caicó - RN. A amostra do tipo não probabilística por conveniência, foi determinada mediante critérios de inclusão e exclusão, assim, participaram do estudo 34 agricultores (77%), respondendo a um questionário, cujos dados foram analisados mediante estatística descritiva. Os resultados evidenciaram que 68% (n=23) dos agricultores eram do sexo masculino, 41% (n=14) na faixa etária superior a 60 anos e 68% (n=23) afirmaram ter ensino fundamental incompleto, 76% (n=26) com renda média de um a três salários. Considerando os conhecimentos sobre o câncer de pele, 70% (n=24) afirmaram conhecer sobre a neoplasia, 56% (n=19) desconhecem os sinais e sintomas e 68% (n=23) disseram possuir entendimento sobre as medidas preventivas, mas 59% (n=20) afirmam fazer uso incompleto ou não utilizar nenhuma proteção contra exposição solar. Ainda, dos entrevistados, 65% (n=22) passam mais de seis horas expostos a radiação solar. Em relação aos casos de câncer na família, 59% (n=20) apontaram ter casos de neoplasia entre membros da família. Concluiu-se que os agricultores tinham conhecimentos sobre o câncer de pele e adotavam medidas preventivas, embora existam fatores de risco como a hereditariedade e a cor da pele, mais susceptível a doença.
The objective was to assess knowledge, attitudes and practices of farmers on prevention of skin cancer. For this purpose, descriptive survey was conducted with a quantitative approach, and carried out with farmers in the city of Caico - RN. The non-probabilistic sample of convenience determined by the inclusion and exclusion criteria, thus 34 farmers participated in the study (77%), answering a questionnaire and data were analyzed using descriptive statistics. Aspects related to research involving human subjects followed. As for the results, it was revealed that the 68% (n = 23) of the farmers are men, 41% (n = 14) in the upper age group 60 years and 68% (n = 23) reported having Incomplete elementary school, 76% (n = 26) with average income of one to three salaries. Regarding ethnicity, 62% (n = 21) said they were white. Considering the knowledge about skin cancer, 70% (n = 24) they said they knew about the cancer, 56% (n = 19) are unaware of its signs and symptoms and 68% (n = 23) said that they had understanding of preventive measures, but 59% (n = 20) claim to make incomplete use or not use any protection against sun exposure. Yet, of those polled 65% (n = 22) passes over six hours exposed to solar radiation. In the cases of cancer in the family, 59% (n = 20) have pointed out cases of cancer among family members. It concluded that the farmers had knowledge about skin cancer and adopted preventive measures, although there are uncontrollable risk factors such as heredity and white skin, more susceptible to disease.