Experiences and resultant care gaps among women with HIV in Canada: concept mapping the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS) findings.

OBJECTIVES: The community-based, longitudinal, Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS) explored the experiences of women with HIV in Canada over the past decade. CHIWOS' high-impact publications document significant gaps in the provision of healthcare to women with HIV. We used concept mapping to analyse and present a summary of CHIWOS findings on women's experiences navigating these gaps. DESIGN: Concept mapping procedures were performed in two steps between June 2019 and March 2021. First, two reviewers (AY and PM) independently reviewed CHIWOS manuscripts and conference abstracts written before 1 August 2019 to identify main themes and generate individual concept maps. Next, the preliminary results were presented to national experts, including women with HIV, to consolidate findings into visuals summarising the experiences and care gaps of women with HIV in CHIWOS. SETTING: British Columbia, Ontario and Quebec, Canada. PARTICIPANTS: A total of 18 individual CHIWOS team members participated in this study including six lead investigators of CHIWOS and 12 community researchers. RESULTS: Overall, a total of 60 peer-reviewed manuscripts and conference abstracts met the inclusion criteria. Using concept mapping, themes were generated and structured through online meetings. In total, six composite concept maps were co-developed: quality of life, HIV care, psychosocial and mental health, sexual health, reproductive health, and trans women's health. Two summary diagrams were created encompassing the concept map themes, one for all women and one specific to trans women with HIV. Through our analysis, resilience, social support, positive healthy actions and women-centred HIV care were highlighted as strengths leading to well-being for women with HIV. CONCLUSIONS: Concept mapping resulted in a composite summary of 60 peer-reviewed CHIWOS publications. This activity allows for priority setting to optimise care and well-being for women with HIV.

Dissemination of the Women-Centred HIV Care Model: A Multimodal Process and Evaluation.

BACKGROUND: Using data from a national cohort study and focus groups, the Women-Centred HIV Care (WCHC) Model was developed to inform care delivery for women living with HIV. METHODS: Through an evidence-based, integrated knowledge translation approach, we developed 2 toolkits based on the WCHC Model for service providers and women living with HIV in English and French (Canada's national languages). To disseminate, we distributed printed advertising materials, hosted 3 national webinars and conducted 2 virtual capacity-building training series. RESULTS: A total of 315 individuals attended the webinars, and the average WCHC knowledge increased by 29% (SD 4.3%). In total, 131 service providers engaged in 22 virtual capacity-building training sessions with 21 clinical cases discussed. Learners self-reported increased confidence in 15/15 abilities, including the ability to provide WCHC. As of December 2023, the toolkits were downloaded 7766 times. CONCLUSIONS: We successfully developed WCHC toolkits and shared them with diverse clinical and community audiences through various dissemination methods.

A study on creating and sharing a toolkit for healthcare providers and women living with HIVWhy was the study done?:The research team created the Women-Centred HIV Care (WCHC) model to help healthcare providers deliver personalised and thorough care to women living with HIV in Canada. This study aimed to develop a practical toolkit based on the model. The goal was to share this toolkit with women and their providers in various ways to get feedback on its usefulness and to understand the best methods for sharing tools in the future.What did the researchers do?:Through an in-depth, collaborative process, English and French WCHC toolkits were developed by a large and diverse team of women and providers. Various methods including printed materials, national webinars and virtual trainings were used to share the toolkits across Canada. The team assessed the toolkit's reception by using surveys, focus groups and tracking toolkit downloads and webpage views.What did the researchers find?:The study found positive results, including a 29% increase in WCHC knowledge for 315 webinar participants and enhanced confidence in 15 abilities for 131 service providers during virtual training. The toolkits were downloaded 7766 times, indicating broad interest. Usability testing showed that the toolkits were easy to use and helpful. Attendees of the webinars and virtual trainings indicated they were likely to use the toolkit and recommend it to others.What do the findings mean?:Overall, the WCHC toolkits offer valuable guidance to women living with HIV and their providers. The study improved providers' knowledge and confidence in delivering WCHC, especially during the virtual training sessions that focused on applying this knowledge to real clinical cases. During months when the toolkit was shared through printed materials, webinars and virtual training, more people visited the toolkit webpage. The study highlighted the importance of involving those who will use healthcare tools from the beginning and using many ways to share these tools to reach more people.

HIV care cascade for women living with HIV in the Greater Toronto Area versus the rest of Ontario and Canada.

BACKGROUND: The Greater Toronto Area (GTA) is home to 39% of Canada's population living with HIV. To identify gaps in access and engagement in care and treatment, we assessed the care cascade of women living with HIV (WLWH) in the GTA versus the rest of Ontario and Canada (in this case: Quebec and British Columbia). METHODS: We analyzed 2013-2015 self-reported baseline data from the Canadian HIV Women's Sexual and Reproductive Health Cohort Study for six care cascade stages: linked to care, retained in care, initiated antiretroviral therapy (ART), currently on ART, ART adherence (≥90%), and undetectable (<50 copies/mL). Multivariable logistic regression was used to reveal associations with being undetectable. RESULTS: Comparing the GTA to the rest of Ontario and Canada, respectively: 96%, 98%, 100% were linked to care; 92%, 94%, 98% retained in care; 72%, 89%, 96% initiated ART; 67%, 81%, 90% were currently using ART; 53%, 66%, 77% were adherent; 59%, 69%, 81% were undetectable. Factors associated with viral suppression in the multivariable model included: living outside of the GTA (Ontario: aOR = 1.72, 95% CI: 1.09-2.72; Canada: aOR = 2.42, 95% CI: 1.62-3.62), non-Canadian citizenship (landed immigrant/permanent resident: aOR = 3.23, 95% CI: 1.66-6.26; refugee/protected person/other status: aOR = 4.77, 95% CI: 1.96-11.64), completed high school (aOR = 1.77, 95% CI: 1.15-2.73), stable housing (aOR = 2.13, 95% CI: 1.33-3.39), income of ≥$20,000 (aOR = 1.52, 95% CI: 1.00-2.31), HIV diagnosis <6 years (6-14 years: aOR = 1.75, 95% CI: 1.16-2.63; >14 years: aOR = 1.87, 95% CI: 1.19-2.96), and higher resilience (aOR = 1.02, 95% CI: 1.00-1.04). CONCLUSION: WLWH living in the GTA had lower rates of viral suppression compared to the rest of Ontario and Canada even after adjustment of age, ethnicity, and HIV diagnosis duration. High-impact programming for WLWH in the GTA to improve HIV outcomes are greatly needed.

Building capacity for integrated knowledge translation: a description of what we can learn from trainees' experiences during the COVID-19 pandemic.

The use of collaborative health research approaches, such as integrated knowledge translation (IKT), was challenged during the COVID-19 pandemic due to physical distancing measures and transition to virtual platforms. As IKT trainees (i.e. graduate students, postdoctoral scholars) within the Integrated Knowledge Translation Research Network (IKTRN), we experienced several changes and adaptations to our daily routine, work and research environments due to the rapid transition to virtual platforms. While there was an increased capacity to communicate at local, national and international levels, gaps in equitable access to training and partnership opportunities at universities and organizations have emerged. This essay explores the experiences and reflections of 16 IKTRN trainees during the first 2 years of the COVID-19 pandemic at the micro (individual), meso (organizational) and macro (system) levels. The micro level, or individual experiences, focuses on topics of self-care (taking care of oneself for physical and mental well-being), maintaining research activities and productivity, and leisure (social engagement and taking time for oneself), while conducting IKT research during the pandemic. At the meso level, the role of programmes and organizations explores whether and how institutions were able to adapt and continue research and/or partnerships during the pandemic. At the macro level, we discuss implications for policies to support IKT trainees and research, during and beyond emergency situations. Themes were identified that intersected across all levels, which included (i) equitable access to training and partnerships; (ii) capacity for reflexivity; (iii) embracing changing opportunities; and (iv) strengthening collaborative relationships. These intersecting themes represent ways of encouraging sustainable and equitable improvements towards establishing and maintaining collaborative health research approaches. This essay is a summary of our collective experiences and aims to provide suggestions on how organizations and universities can support future trainees conducting collaborative research. Thus, we hope to inform more equitable and sustainable collaborative health research approaches and training in the post-pandemic era.

Mapping HIV-related services for women in Eastern Canada: A qualitative study.

BACKGROUND: Geographic health disparities have been well described in parts of Canada; however, little is known about the experiences of women living with HIV in the Maritime Provinces. This article focuses on the complex health system women living with HIV navigate geographically to access care in New Brunswick and Nova Scotia, Canada. METHOD: This study includes interviews with 10 women living with HIV and 39 community-based workers whose organizations provide services to this group of women in New Brunswick and Nova Scotia. Purposive sampling was used to recruit both women living with HIV and community workers. Interviews were recorded and transcribed into a Microsoft word document. Transcripts were imported into NVivo 11 for thematic analyses and used to map the services women with HIV were accessing in their communities in ArcGIS 10.2 for Windows. RESULTS: The study found that there are a number of barriers women with HIV face in the Maritime Provinces, including the low number of specialist physicians, long travel distances to major urban centers for care, and the loss of HIV-specific supports and resources. In response to these difficulties, community-based organizations are leading efforts in their communities to increase outreach programs and the number of available peer workers to improve the health outcomes of women living with HIV. Furthermore, it showed that women living with HIV and community workers were interested in creating a women-centered HIV care system in the Maritime Provinces, but were uncertain how to move forward with this initiative. CONCLUSION: There is a need for women-centered HIV services. This study proposes streamlining the healthcare pathway and decreasing obstacles to increase women's access to care in the Maritime Provinces.

Women-centred HIV care: a scoping review to understand the current state of service delivery for women living with HIV globally.

Women living with HIV (WLWH) face unique barriers and require specialized, integrated care that focuses on women's specific needs. We conducted a scoping review to examine factors important for a women-centred HIV care (WCHC) approach. We included published peer-reviewed articles which featured WCHC services as their central focus; included study populations of girls and WLWH aged 14 years of age or older; and contributed to the understanding of WCHC for WLWH. Seven databases were reviewed and yielded 15,332 references, of which 21 fit our inclusion criteria for the scoping review. Research findings were categorized into characteristics of the study, recommendations, and target audiences. Findings revealed WCHC as care which includes the involvement of WLWH in decisions; person-centred integrated care; integrated services including mental health; sexual and reproductive health services; trauma-informed and safe space practices; healthcare provider training; and women's care self-management. In general, current systems of care do not meet the unique needs of WLWH.

A utilização de fitoterápicos no tratamento da obesidade / Phytoterapic medicines for obesity treatment

A obesidade é considerada um dos maiores problemas de saúde pública no mundo. É um fator que predispõe outras enfermidades e está relacionada ao aumento da taxa de morbidade e mortalidade. Para o tratamento da obesidade são empregados vários métodos, dentre eles o uso da fitoterapia. O presente estudo teve como objetivo avaliar as evidências científicas sobre a utilização do Phaseolus vulgaris, Cynara scolymus e Camelia sinensis no tratamento da obesidade. Trata-se de uma revisão narrativa da literatura, desenvolvida por meio de levantamento bibliográfico de artigos científicos que relacionavam os fitoterápicos com a obesidade, e publicados nos últimos 10 anos. Foi possível observar que estes fitoterápicos podem ser alternativas para tratamento da obesidade. O Phaseolus vulgaris parece proporcionar importante redução de peso devido à redução da absorção dos carboidratos. A Cynara scolymus possui frutooligossacarideos e a inulina, que alteram o trânsito intestinal e ocasionam uma rápida eliminação do bolo fecal, e, consequentemente, reduz a absorção dos lipídeos que, em excesso, contribuem para a obesidade. A Camelia sinensis aumenta a termogênese e a oxidação lipídica, o que promove gasto energético e o emagrecimento. O tratamento da obesidade pode abranger diferentes alternativas terapêuticas, ressaltando sempre a importância da utilização de fitoterápicos indicados apenas por profissionais habilitados, a fim de se alcançar resultados desejáveis e evitar efeitos adversos

Obesity is considered one of the biggest public health problems in the world. It is a factor that predisposes other diseases and it is related to the increase of the rate of morbidity and mortality. Several methods are employed to treat obesity, among them the use of herbal medicine. The present study aimed to evaluate the scientific evidence on the use of Phaseolus vulgaris, Cynara scolymus and Camelia sinensis in the treatment of obesity. This is a narrative review of the literature, developed through a bibliographical survey of scientific articles that related phytotherapeutics to obesity, and published in the last 10 years. It was possible to observe that these phytotherapics may be alternatives for the treatment of obesity. Phaseolus vulgaris appears to provide significant weight reduction due to reduced absorption of carbohydrates. Cynara scolymus has fructooligosaccharides and inulin, which alter intestinal transit and cause a rapid elimination of faecal cake, and consequently reduces the absorption of lipids that in excess contribute to obesity. Camelia sinensis increases thermogenesis and lipid oxidation, which promotes energy expenditure and weight loss. The treatment of obesity can cover different therapeutic alternatives, always emphasizing the importance of the use of phytotherapics indicated only by qualified professionals, in order to achieve desirable results and avoid adverse effects

Óbitos fetais nos municípios da Região Sudoeste II ­ Goiás, no período de 2010 a 2015 / Fetal deaths in southwest region of Goias: 2010-2015

O óbito fetal é um importante indicador da qualidade do serviço de Atenção Primária à Saúde, mas historicamente foi negligenciado pelas políticas de saúde. Assim, o objetivo deste estudo foi descrever as características epidemiológicas dos óbitos fetais, nos municípios da região sudoeste II-Goiás. Trata-se de uma pesquisa epidemiológica descritiva retrospectiva com análise dos dados de estatísticas vitais, disponíveis no Datasus, referentes a óbitos fetais nos municípios da região sudoeste II ­ Goiás no período de 2010 a 2015. Identificou-se 139 óbitos fetais registrados, destacando os municípios de Perolândia, Portelândia, Santa Rita do Araguaia e Serranópolis com as taxas de mortalidade fetal mais elevadas da região no período. Jataí e Mineiros apresentaram maiores frequências de óbitos fetais em números absolutos. Ressalta-se maior ocorrência de óbito fetal em mulheres com idade entre 20 e 29 anos, com 8 a 11 anos de estudos, por partos via vaginal, de gestações únicas, fetos com peso ao nascer maior que 1500g e com morte anteparto. Os munícipios com menor população determinam uma maior elevação da taxa de mortalidade fetal da região sudoeste II, reforçando a necessidade de conquistar maior visibilidade aos óbitos fetais para subsidiar a qualidade da assistência em Atenção Primária à Saúde

Fetal death is an important indicator of the quality of the primary health care service, but has historically been neglected by health policies. Thus, the objective of this study was to describe the epidemiological characteristics of fetal deaths, in the municipalities of southwest region II-Goiás. This study is a retrospective descriptive epidemiological study with data analysis of vital statistics, available on the Datasus, referring to fetal deaths in the municipalities of the Southwest region II - Goiás in the period from 2010 to 2015. We identified 139 recorded fetal deaths, highlighting the municipalities of Perolândia, Portelândia, Santa Rita do Araguaia and Serranópolis with the highest fetal mortality rates in the region in the period. Jataí and Mineiros presented higher frequencies of fetal deaths in absolute numbers. There is a higher incidence of fetal death in women aged between 20 and 29 years, with 8 to 11 years of schooling, vaginal deliveries, single pregnancies, fetuses with birth weight greater than 1500 g and with antepartum death. The municipalities with the lowest population determine the imoshigher fetal mortality rate of the Southwest region II, reinforcing the need to gain greater visibility to fetal deaths to subsidize the quality of care in Primary Health Care

Relato de experiência: apoio matricial à Estratégia Saúde da Família para conscientização do uso de psicofármacos / Experience report: matricial support to the family health strategy for consciousness of psychospheric use

Os psicofármacos estão entre as classes de medicamentos mais prescritas atualmente. Muitos profissionais realizam a prescrição destes medicamentos de forma indiscriminada, o que é um desafio para a Estratégia de Saúde da Família no seu cotidiano, pois estes devem ser utilizados de forma racional e segura, tendo em vista que podem causar dependência e diversos problemas à saúde. Este trabalho teve por objetivo realizar um relato de experiência sobre o apoio matricial do Núcleo de Apoio à Saúde da Família às Unidades Básicas de Saúde de Inhumas/GO, para a conscientização do uso indiscriminado de psicofármacos. Foi proposto um plano de ação para ser realizado conjuntamente pelo Núcleo de Apoio à Saúde da Família e profissionais das equipes da Estratégia de Saúde da Família. Realizaram-se ações educativas em 6 unidades básicas de saúde, durante o período de abril a outubro de 2017. No total participaram 125 pessoas, onde 18 estiveram em todos os encontros, prevalecendo mulheres, idosas, que relataram usar psicotrópicos há mais de 10 anos, por motivos de insônia, problemas familiares e controle de ansiedade. Os participantes relataram ao fim do grupo uma conscientização sobre o uso racional destes medicamentos. Cabe aos profissionais, melhorar o acesso à informação da comunidade em geral, sobre os psicofármacos, a fim de reduzir o uso indiscriminado

Psychotropic drugs are among the most commonly prescribed drug classes today. Many professionals prescribe these medications in an indiscriminate way, which is a challenge for the Family Health Strategy in their daily life, since these should be used in a rational and safe way, since they can cause dependence and various health problems. The objective of this study was to present an experience report on the matrix support of the Family Health Support Unit to the Basic Health Units of Inhumas/GO to raise the awareness of the indiscriminate use of psychoactive drugs. An action plan was proposed to be carried out jointly by the Family Health Support Center and professionals of the Family Health Strategy teams. Educational activities were carried out in 6 basic health units during the period from April to October 2017. A total of 125 people participated in this study, 18 of whom attended all the meetings, women and elderly women who reported using psychotropic drugs for more than 10 years, due to insomnia, family problems and anxiety control. Participants reported at the end of the group an awareness of the rational use of these drugs. It is incumbent upon practitioners to improve access to community information in general on psychoactive drugs in order to reduce indiscriminate use

Grau de dependência dos pacientes de um hospital pediátrico em relação à assistência de enfermagem / Degree of dependency of patients in a pediatric hospital in relation to care of nursing

OBJETIVO: classificar o grau de dependência de pacientes em relação ao cuidado de enfermagem, segundo o Instrumento deClassificação de Pacientes Pediátricos. MÉTODOS: Estudo descritivo, exploratório, com abordagem quantitativa, desenvolvido em um hospitalpediátrico de ensino na cidade de Natal-RN. A população foi composta por crianças que estiveram internadas na enfermaria no período de29 de abril a 29 de julho, a amostra se deu por conveniência, constituída por 139 crianças, foi aplicado o Instrumento de Classificação dePacientes Pediátricos e um formulário específico. Os dados foram tabulados no programa de computador Microsoft Excel. RESULTADOS: amaioria das crianças era do sexo feminino (54,68%); escolares (35,97%) cujas principais causas de internação foram: afecções respiratórias,geniturinárias e gastrointestinais (16,3% cada), a maior parte foi classificada como cuidados mínimos (62,58%), com quantitativo de pessoalda enfermagem insuficiente para assisti-los. CONCLUSÃO: acredita-se que com a finalização do estudo é revelada a possibilidade de aplicaçãodos sistemas de classificação como uma ferramenta importante para a prática do enfermeiro no tocante ao reconhecimento do perfil dascrianças e sua dependência da equipe de enfermagem, favorecendo uma segurança no planejamento de suas ações.

OBJECTIVE: To classify the degree of dependency of patients in relation to nursing care, according to the Classification InstrumentPediatric Patients. METHODS: A descriptive, exploratory study with a quantitative approach, developed in a pediatric teaching hospital in NatalRN.The population was composed of children who were admitted to the ward in the period from April 29 to July 29, the sample was madefor convenience; the sample was made for convenience, consisting of 139 children, we applied Classification Instrument Pediatric Patients anda specific form. Data were tabulated in Microsoft Excel computer program. RESULTS: Most of the children were female (54.68%), students(35,97%) whose main causes of admission included respiratory, genitourinary and gastrointestinal disorders (16.3% each), most were classifiedas minimal care (62.58%), with the insufficient number of staff to assist them nursing. CONCLUSION: It is hoped to stimulate reflection aboutthe relevance and reliability of classification systems and the need for their employability in nursing practice, especially in pediatrics.

OBJETIVO: describir el grado de dependencia de los pacientes en relación con la asistencia, según la clasificación de pacientespediátricos. MÉTODOS: estudio descriptivo, exploratorio, con un enfoque cuantitativo, desarrollado en un hospital de la ciudad de Natal-RN.La población estuvo conformada por niños que han sido institucionalizados en la enfermería durante el período del 29 de abril al 29 de julio,la muestra dio por conveniencia, que consta de 139 niños, se aplicó a la clasificación de pacientes pediátricos y de forma específica. Los datosse tabularon en el programa informático Microsoft Excel. RESULTADOS: la mayoría de niños era mujer (54.68%); la escuela (35.97%) cuyasprincipales causas de hospitalización fueron: trastornos respiratorios, genitourinarios y gastrointestinales (16,3%), la mayoría fueron clasificadacomo atención mínima (62.58%), con número de personal de enfermería para ayudarles. CONCLUSIÓN: se cree que con la realización delestudio se reveló la posibilidad de aplicación de sistemas de clasificación como una herramienta importante en la práctica de enfermeríaen relación con el reconocimiento del perfil de los niños y su dependencia en el equipo de enfermería, favoreciendo una seguridad en laplanificación de sus acciones.

Accidents caused by Phoneutria nigriventer: diagnosis and nursing interventions / Acidentes causados por Phoneutria nigriventer: diagnósticos e intervenções de enfermagem / Accidentes causados por Phoneutria nigriventer: diagnósticos e intervenciones de enfermería

Objetivo: Identificar os principais rótulos diagnósticos de enfermagem e suas respectivas intervenções de enfermagem, através das principais manifestações clínicas apresentadas pelos indivíduos intoxicados pelo veneno da aranha Phoneutria ningriventer encontradas na literatura. Método: Revisão integrativa da literatura consultada nas bases de dados PubMed e BVS, publicações impressas e sites oficiais relacionados à temática. Os rótulos diagnósticos de enfermagem foram elaborados com base na taxonomia II da North American Nursing Diagnosis Association International e o planejamento das intervenções de enfermagem de acordo com a Classificação das Intervenções de Enfermagem. Resultados: A partir dos achados, foi possível identificar oito rótulos diagnósticos e suas respectivas intervenções de enfermagem. Conclusão: Foram encontrados poucos estudos na literatura abordando as manifestações clínicas apresentadas pelos indivíduos intoxicados pelo veneno da aranha Phoneutria nigriventer e da atuação da enfermagem frente a esses casos.

Objective: To identify the main nursing diagnostic labels and the respective interventions through the main clinical manifestations presented by individuals poisoned by the venom of the spider Phoneutria nigriventer found in the literature. Method: Integrative review of literature consulted in PubMed and BVS databases, printed publications and official websites related to the theme. The nursing diagnostic labels were developed based on taxonomy II from the American Nursing Diagnosis Association International and the planning of nursing interventions in accordance with the Nursing Interventions Classification. Results: From the findings, it was possible to identify eight diagnostic labels and the respective nursing interventions. Conclusion: We found few studies addressing the clinical manifestations presented by individuals poisoned by the venom of the spider Phoneutria nigriventer and nursing performance in these cases.

Objetivo: Identificar las principales etiquetas diagnósticas de enfermería y sus respectivas intervenciones a través de las principales manifestaciones clínicas que presentan las personas intoxicadas por el veneno de la araña Phoneutria nigriventer encontradas en la literatura. Método: Revisión Integral de la literatura consultada en los bancos de datos PubMEed y BVS, publicaciones impresas y sitios web oficiales sobre el tema. Las etiquetas diagnósticas de enfermería fueron elaboradas con base en la taxonomía II de la North American Nursing Diagnosis Association International y planeamiento de las intervenciones de enfermería de acuerdo con la Clasificación de Intervenciones de Enfermería. Resultados: A través de los resultados fue posible identificar ocho etiquetas de diagnóstico y las respectivas intervenciones de enfermería. Conclusión: Se encontraron pocos los estudios de las manifestaciones clínicas que presentan las personas envenenadas por el veneno de la araña Phoneutria nigriventer y la actuación de enfermería en estos casos.

Intoxicação por organofosforados: diagnósticos e intervenções de enfermagem / Intoxicación por organofosforados: diagnósticos e intervenciónes de enfermería / Organophosphate poisoning: nursing diagnoses and interventions

Objetivo: Identificar os principais rótulos diagnósticos de enfermagem e suas respectivas intervenções de enfermagem para o individuo vítima da intoxicação por organofosforados. Método: Trata-se de revisão integrativa, utilizando para tal as bases LILACS/PubMed e publicações impressas relacionadas à temática. Resultados: O levantamento dos sinais/sintomas deste tipo de acidente possibilitou o julgamento clínico e elaboração dos 10 principais rótulos diagnósticos de enfermagem com base na North American Nursing Diagnosis Association-International, determinando o planejamento das intervenções de enfermagem de acordo com a Nursing Interventions Classification. Conclusão: a identificação dos diagnósticos e intervenções de enfermagem permite perceber o paciente como um todo, levando em consideração as diversas complicações biológicas, psicológicas e sociais que podem surgir

Objetive: To identify the major nursing diagnostic labels and their respective nursing interventions for the individual victim of organophosphate poisoning. Method: This is an integrative review, using LILACS/PubMed databases and printed publications related to the theme. Results: The compilation of the signs and symptoms of this type of accident enabled the clinical assessment and the elaboration of the main 10 nursing diagnostic labels based on the North American Nursing Diagnosis Association-International, determining the planning of nursing interventions according to the Nursing Interventions Classification. Conclusion: The identification of nursing diagnoses and interventions allows understanding patients as a whole, taking into account the various biological, psychological and social complications that may arise

Objetivo: Identificar las principales etiquetas diagnósticas de enfermería y sus respectivas intervenciones de enfermería para la víctima de intoxicación por organofosforados. Método: Se trata de una revisión integradora, utilizando las bases de datos LILACS/PubMed y publicaciones impresas relacionadas con el tema. Resultados: la compilación de los signos y síntomas de este tipo de accidente ha permitido la evaluación clínica y la elaboración de las 10 etiquetas diagnósticas principales de enfermería basadas en la North American Nursing Diagnosis AssociationInternational, determinando la planificación de la intervención de enfermería de acuerdo con la Nursing Interventions Classification. Conclusión: La identificación de los diagnósticos e intervenciones de enfermería permite comprender al paciente como un todo, teniendo en cuenta las diversas complicaciones biológicas, psicológicas y sociales que puedan surgir

Caracterização do fruto de Morinda citrifolia L. (noni) / Characterization of Morinda citrifolia L. (noni) fruit

Introdução: a Morinda citrifolia L. (noni) é uma fruta que foi recentemente introduzida no Brasil, como uma matéria-prima com forte apelo comercial devido a todas as características benéficas a ele atribuídas e os benefícios relacionados ao seu consumo. Objetivo: o presente trabalho teve como objetivo caracterizar frutos de noni em três estádios de maturação. Métodos: os frutos foram colhidos em pomares domésticos no município de Mossoró-RN, em três estádios de maturação, conforme a cor: verde (casca verde), de vez (verde esbranquiçado) e maduro (amarelo esbranquiçado). Para a caracterização do fruto, realizaram-se as seguintes análises: massa fresca, comprimentos longitudinal e transversal, DL/DT, firmeza e rendimento de polpa, vitamina C, sólidos solúveis (SS), acidez titulável (AT), pH e relação SS/AT. Adotou-se o delineamento inteiramente casualizado, com três tratamentos e doze repetições de um 1 fruto para cada parcela. Resultados: o fruto do noni é de formato ovóide, suculento e apresenta várias sementes triangulares de coloração vermelha. Considerando a polpa, ocorre mudança de coloração, passando da cor verde para a amarela esbranquiçada, à medida que o fruto amadurece. De acordo com os resultados obtidos, os estádios apresentam variabilidade para quase todos os caracteres físicos e físico-químicos. Conclusões: os frutos que apresentaram as melhores características físicas de massa e firmeza da polpa, tanto para consumo in natura, como para processamento agroindustrial são os de vez e verdes, com valores de 56,33 g e 128,41 N, respectivamente. Este fruto é considerado rica fonte de vitamina C, apresenta elevados teores de sólidos solúveis quando maduro (10,33 °Brix) e alta relação sólidos solúveis/acidez titulável em todos os estádios avaliados.

Introduction: a Morinda citrifolia L. (noni) is a fruit that was recently introduced in Brazil, as a raw material with fort I appeal advertising due to all the beneficial characteristics attributed to it and the related benefits of its consumption. Objectives: the objective of the present paper was to characterize noni fruits in three stages of maturation. Methods: the fruits had been harvested in domestic orchards in the city of Mossoró-RN, in three stages of maturation, according to the color: green (green rind), breaker stage (yellowish green) and mature (yellowish white). For the characterization of the fruit, the following analyses were performed: fresh matter, longitudinal and transversal length, DL/DT, firmness and income of pulp, acid ascorbic, soluble solids (SS), titratable acidity (AT), pH and SS/AT ratio. The experimental design was in randomized blocks, with three treatments and twelve repetitions of one (1) fruit for each parcel. Results: the noni fruit has ovoid format, is succulent and presents several triangular red seeds. Considering the pulp, coloration change occurs, going from green to yellowish white color according to the ripeness of fruits. Regarding the obtained results, the stages present variability for almost all the physical and physical chemical characters. Conclusions: the fruits that presented the best physical characteristics of mass and firmness of pulp, both for natural consumption and for agro-industrial processing are breaker stages and green fruits, with values of 56.33 g and 128.41 N, respectively. Noni is considered a rich source of vitamin C, presents high value of soluble solid when mature (10.33 Brix) and high soluble solids/titratable acidity ratio in all of the evaluated stages.

A importância da relação enfermeiro-paciente no período pré-operatório / The importance of nurse-patient connection in the period before an operation / La importancia de la relación enfermero-paciente en el periodo preoperatorio

Objetivo: esclarecer e refletir, com base na literatura, a importância da relação do enfermeiro com o paciente no período pré-operatório e os aspectos emocionais envolvidos. Método: trata-se de uma revisão integrativa cujo levantamento bibliográfico se deu através de buscas de produções indexadas no banco de dados da Biblioteca Virtual em Saúde nas bases eletrônicas LILACS e MEDLINE, utilizando os descritores: relações enfermeiro-paciente, assistência ao paciente, comunicação e enfermagem perioperatória. Restringiu-se às publicações de 1991 a 2011, cujo conteúdo estivesse disponível gratuitamente na internet. Resultados: o procedimento cirúrgico pode ser considerado uma espécie de transição na vida do paciente, gerando instabilidades e produzindo efeitos negativos, deixando profundas alterações. Os profissionais de enfermagem desempenham um papel importante na fase pré operatória na transmissão de confiança e segurança ao paciente, diminuindo sua ansiedade e angústia, através do relacionamento estabelecido entre ambos. Desse modo, deve-se ressaltar que o cuidado do enfermeiro inclui principalmente o atendimento às necessidades individuais de cada pessoa, caminho que leva à compreensão do cuidar e que contempla a relação enfermeiro-paciente. Conclusão: a ameaça à integridade física no pré-operatório ocasiona no paciente uma desestruturação no nível de seus comportamentos e hábitos de vida. Neste sentido, a visita pré-operatória se torna de fundamental importância para o preparo do paciente, contribuindo para torná-lo menos temeroso.(AU)

Objective: to use the literature as a base in order to clarify and reflect upon the importance of the nurse's connection with the patient in the period before the operation, and contemplate the emotional aspects which are involved in this period. Method: an integrated review of the literature whose bibliographic investigation was done by index searches in the data bank of the Virtual Health Library (BVS-BIRME) within the LILACS and MEDLINE electronic bases, using the following as descriptors: nurse-patient descriptors, patient assistance, communication and perioperatory nursing. The search was restricted to publications between 1991 and 2011, whose content was freely available on the internet. Results: surgical procedure can be considered as a type of transition in the life of the patient, generating instability and producing negative effects with deep alterations. Nursing professionals develop an important role in the pre -operation phase through their transmission of trust and safety to the patient, diminishing anxiety and anguish by means of the relationship established between them. Thus one must stress that patient care includes mainly attending the individual necessities of each person, the path which leads to the comprehension of caring and which contemplates the nurse - patient relationship. Conclusion: the threat to physical integrity in the pre-operatory stage causes a rupture in the behavior and habits of the patient. In this sense, the pre-operatory visit becomes fundamentally important to prepare the patient, contributing to the reduction of fear.(AU)

Objetivo: aclarar y reflexionar, con fundamento en la literatura, la importancia de la relación del enfermero con el paciente en el periodo preoperatorio y los aspectos emocionales implicados en este periodo. Método: se trata de una revisión integradora cuyo acopio bibliográfico se dio a través de búsquedas de producciones indexadas en el banco de datos de la Biblioteca Virtual en Salud en las bases electrónicas LILACS y MEDLINE, empleando los descriptores: relaciones enfermero-paciente, asistencia al paciente, comunicación y enfermería perioperatoria. Se restringió a las publicaciones de 1991 a 2011, cuyo contenido estuviera disponible gratuitamente en internet. Resultados: el procedimiento quirúrgico puede considerarse una especie de transición en la vida del paciente, generando inestabilidades y produciendo efectos negativos, provocando profundas alteraciones. Los profesionales de enfermería desempeñan un papel importante en la fase preoperatoria en la transmisión de confianza y seguridad al paciente, reduciendo su ansiedad y angustia, a través de la relación establecida entre ambos. De este modo, se debe destacar que el cuidado del enfermero incluye principalmente la atención a las necesidades individuales de cada persona, camino que lleva a la comprensión de lo que es cuidar y que contempla la relación enfermero-paciente. Conclusión: la amenaza a la integridad física en el preoperatorio ocasiona en el paciente una desestructuración a nivel de sus comportamientos y hábitos de vida. En este sentido, la visita preoperatoria se vuelve de fundamental importancia para la preparación del paciente, haciendo que se vuelva menos temeroso. (AU)

Erros de medicação: a enfermagem atuando para segurança do paciente: [revisão] / Medication errors: nursing working for patient safety: [review]

Identificar na literatura os tipos e fatores de risco na ocorrência do erro de medicamentos e propor medidas que minimizem e/ou previnam a ocorrência. Revisão de literatura realizada na LILACS/MEDLINE, selecionando artigos adequados ao tema, disponível, gratuito e período de publicação (2000-2010). Existem diversos erros de medicação, como: via, paciente, dose, horário, omissão; os quais são causados por fatores individuais e do sistema. Diante dos diversos erros de medicação devem ser implementadas estratégias que conduzam a segurança do paciente.

A enfermagem, a família e a relação estabelecida nos cuidados à criança hospitalizada / Nursing, the family and the relationship established when caring for the hospitalized child / Enfermería, familia y su relación establecida en los cuidados al niño hospitalizado

Objetivos: apreender a relação existente entre a equipe de enfermagem e a família desta criança e conhecer a contribuição desta família como acompanhante no processo de hospitalização. Método: revisão de literatura realizada na base de dados da Biblioteca Virtual em Saúde e em periódicos por meio dos descritores indexados, admitindo como critério de seleção: publicações na forma de artigos na íntegra adequadas ao tema proposto, estar disponível, online,gratuito e ter livre acesso, como também, período de publicação (2000-2011). Resultados: com os resultados da pesquisa, pode-se inferir que relação entre a equipe de enfermagem e a família pode ser considerada como terapêutica,promovendo uma relação de confiança para a qualidade da assistência prestada à criança hospitalizada. Conclusão: pode se compreender que o ato de cuidar ultrapassa a criança hospitalizada, envolvendo também a família que ao acompanhar o infante acaba por compartilhar o processo de cuidado.(AU)

Objectives: to capture the existing relationship between the nursing team and the child's family; and to learn about the family's contribution as companion in the hospitalization process. Method: literature review done through the data base of the Virtual Health Library and in journals by means of indexed descriptors, having as criteria for selection: publications in the form of articles in their complete form and which are adequate for the discussion of the proposed theme, being freely available online without any costs and having been published between 2000 and 2011. Results: with the results of the study one can conclude that the relationship between the nursing team and the family is tangibly therapeutic, promoting a relationship of trust which is better for the quality of assistance offered to the hospitalized child. Conclusion: what has been understood is that the act of caring lies somewhat beyond the hospitalized child, involving a family who accompanies the child and ends up sharing the process of caring.(AU)

Objetivos: aprehender la relación existente entre el equipo de enfermería y la familia de este niño y conocer la contribución de esta familia como acompañante en el proceso de hospitalización. Método: revisión de la literatura realizada en la base de datos de la Biblioteca Virtual en Salud y en periódicos por medio de los descriptores indexados, admitiendo como criterio de selección: publicaciones en forma de artículos en la íntegra adecuadas al tema propuesto, estar disponible, on-line, gratuito y de libre acceso, así como también, periodo de publicación (2000-2011). Resultados: con los resultados de la pesquisa, se puede inferir que la relación entre el equipo de enfermería y la familia puede considerarse como terapéutica, fomentando una relación de confianza para la calidad de la asistencia provista al niño hospitalizado. Conclusión: se puede comprender que el acto de cuidar va más allá del niño hospitalizado, implicando también a la familia que al acompañar al niño acaba por compartir el proceso de cuidado.(AU)

[Evaluation of defining characteristics of the nutritional nursing diagnosis in children enrolled in a nursery]. / Evaluación de las características definitorias de los diagnósticos de enfermería nutricionales en niños matriculados en una guardería.

OBJECTIVE: To determine the occurrence of the defining characteristics (DC) of nutritional nursing diagnoses (NND), verifying the association between the DC and the variables: gender, age, weight and height. METHOD: A descriptive study was conducted on 69 children aged between 1 and 4 years old, enrolled in a public nursery. The evaluation tool consisted of a check-list that included DC of NND and the signs and symptoms associated with malnutrition and obesity identified in the literature. RESULTS: The study sample consisted of 57.9% females, with a mean age of 2.72 years (±0.765). The DC of "Readiness for enhanced nutrition" diagnosis was most frequently observed. A statistically significant association was seen between "follows an appropriate standard for intake" and female gender (P=0.022). Highest age mean was identified in children with clinical indicators p3