Complementary and Integrative Health Practices in a Brazilian Freestanding Birth Center: A Cross-Sectional Study.

The study aimed to analyze the use of complementary and integrative health practices (CIHPs) during labor and birth in a freestanding birth center. A total of 28 different CIHPs were applied with or used by laboring women. The most adopted CIHPs were mind-body practices (99.9%) and natural products (35.5%), mostly used by primiparous women (P <.05). Adopting CIHPs can increase care quality, increase positive experiences during childbirth, and promote evidence-based choices.

A novel insecticide, isocycloseram, shows promise as an alternative to chlorpyrifos against a direct pest of peanut, Diabrotica undecimpunctata howardi (Coleoptera: Chrysomelidae).

Larvae of the southern corn rootworm (SCR) Diabrotica undecimpunctata howardi Barber (Coleoptera: Chrysomelidae) are primary pests of peanut in the Virginia-Carolina region of the United States, and are relatively sporadic pests in southern states such as Georgia, Alabama, and Florida. Peanuts have strict quality standards which, when they are not met, can diminish crop value by more than 65%. Management of direct pests like SCR is therefore crucial to maintaining the economic viability of the crop. The soil-dwelling nature of SCR larvae complicates management due to difficulties associated with monitoring and predicting infestations. Nonchemical management options are limited in this system; preventative insecticide applications are the most reliable management strategy for at-risk fields. Chlorpyrifos was the standard product for larval SCR management in peanut until its registration was revoked in 2022, leaving no effective chemical management option for larvae. We tested a novel insecticide, isocycloseram, for its ability to reduce pod scarring, pod penetration, and non-SCR pod damage in field studies conducted in Suffolk, Virginia in 2020-2022. Overall injury was low in 2020 and 2022, and in 2022 there was not a significant effect of treatment. In 2021, 2 simulated chemigation applications of isocycloseram in July significantly reduced pod scarring and overall pod injury relative to chlorpyrifos and the untreated control. Our results suggest that isocycloseram may become an effective option for managing SCR in peanut, although more work is needed to understand the mechanisms by which it is effective as a soil-applied insecticide.

Wound-healing properties of Stryphnodendron adstringens (barbatimão) in skin and mucosa injuries: a scoping review protocol.

OBJECTIVE: This review will map the literature on the types of research and methods used to investigate the wound-healing properties of Stryphnodendron adstringens ( barbatimão ) in skin and mucosa injuries. INTRODUCTION: Barbatimão is a Brazilian native plant and its wound-healing properties have been described in literature since the colonial period. It is one of the 71 plants included in the Brazilian health system's national list of medicinal plants of interest. However, existing literature reviews on the subject are limited, not comprehensive, lack a search strategy, and lack peer review. INCLUSION CRITERIA: This scoping review will include all types of published and unpublished sources that investigate the wound-healing properties of barbatimão to treat any type of skin or mucosa injury in humans, animals, or in vitro, in any context. METHODS: A scoping review will be conducted following JBI methodology. The main databases to be searched will include Embase (EBSCOhost), CINAHL (EBSCOhost), Scopus, PubMed (EBSCOhost), ScienceDirect, Lilacs, SciELO, CUIDEN, MOSAICO, Web of Science, Epistemonikos, and Google Scholar. Unpublished studies will also be considered. Two independent reviewers will examine titles and abstracts and select and read full-text sources for possible inclusion. Subsequently, the reviewers will extract and synthesize the data, which will be presented as a map, diagram, or table, according to the review objectives. REVIEW REGISTRATION: Open Science Framework osf.io/w57m4.

Extracorporeal shock-wave therapy for the treatment of non-calcific rotator cuff tendinopathy: A systematic review and meta-analysis.

OBJECTIVE: To systematically review the short, intermediate, and long-term effects of extracorporeal shockwave therapy (ESWT) on pain intensity and shoulder function in individuals with non-calcific rotator cuff tendinopathy. DESIGN: The MEDLINE, CINAHL, SPORTDiscus, and EMBASE were searched from inception up to June 2023. We included randomized controlled trials that investigated the effects of ESWT on pain intensity and shoulder function. RESULTS: Nine studies were included with a total sample of 543 individuals. ESWT was superior to sham ESWT in improving pain intensity at short-term follow-up (SMD = -0.29, 95% CI -0.57 to -0.01). ESWT was not superior to sham ESWT in improving pain intensity at intermediate-term and long-term follow-ups (p > 0.05). ESWT was not superior to other treatments in improving pain intensity at short-term and intermediate-term follow-ups (p > 0.05). ESWT was not superior to sham ESWT and other treatments in improving shoulder function at short-term, intermediate-term, and long-term follow-ups (p > 0.05). CONCLUSION: Moderate-certainty evidence indicated that ESWT showed small improvement in shoulder pain over sham ESWT at short-term follow-up. In addition, ESWT was not superior to sham ESWT in improving function and it was not superior to other treatments in improving shoulder pain and function.

Effectiveness of aromatherapy versus standard care on physiological and psychological symptoms in pregnant women: a systematic review protocol.

OBJECTIVE: This review aims to evaluate the effectiveness of aromatherapy versus standard care on common physiological and psychological symptoms in low-risk pregnant women. INTRODUCTION: Women report common symptoms that result from anatomical and physiological changes significant for fetal development and maternal-fetal protection during pregnancy. Aromatherapy is an integrative and complementary practice of ancient origin that works through the administration of essential oils. The practice is used to promote physical and psychological well-being. INCLUSION CRITERIA: This systematic review will include studies on healthy pregnant women before labor who received aromatherapy as antenatal care for common physiological and psychological symptoms. Randomized clinical trials, quasi-experimental studies, cohort, and case-control studies will be included. This review will exclude studies that focus on women in labor unless data relating to pregnant women can be separated. METHODS: The searches will be carried out on the following databases: MEDLINE, Scopus, CINAHL, Web of Science, CENTRAL, PsycINFO, LILACS, BDENF, CUIDEN, and MOSAICO in Portuguese, English, and Spanish, with no date limit. The searches for unpublished studies will be carried out on the following repositories: ProQuest Dissertations and Theses, Brazilian Digital Library of Theses and Dissertations, British Library EThOS, and the Canadian Theses and Dissertation Portal. The JBI approach will be used for study selection, critical evaluation, data extraction, and synthesis. SYSTEMATIC REVIEW REGISTRATION NUMBER: PROSPERO CRD42020218730.

Care recommendations for parturient and postpartum women and newborns during the COVID-19 pandemic: a scoping review.

Objective to map the current knowledge on recommendations for labor, childbirth, and newborn (NB) care in the context of the novel coronavirus. Method scoping review of papers identified in databases, repositories, and reference lists of papers included in the study. Two researchers independently read the papers' full texts, extracted and analyzed data, and synthesized content. Results 19 papers were included, the content of which was synthesized and organized into two conceptual categories: 1) Recommendations concerning childbirth with three subcategories - Indications to anticipate delivery, Route of delivery, and Preparation of the staff and birth room, and 2) Recommendations concerning postpartum care with four categories - Breastfeeding, NB care, Hospital discharge, and Care provided to NB at home. Conclusion prevent the transmission of the virus in the pregnancy-postpartum cycle, assess whether there is a need to interrupt pregnancies, decrease the circulation of people, avoid skin-to-skin contact and water births, prefer epidural over general anesthesia, keep mothers who tested positive or are symptomatic isolated from NB, and encourage breastfeeding. Future studies are needed to address directed pushing, instrumental delivery, delayed umbilical cord clamping, and bathing NB immediately after birth.

COVID-19 and the production of knowledge regarding recommendations during pregnancy: a scoping review.

OBJECTIVE: to map the production of knowledge regarding recommendations for providing care to pregnant women dealing with the novel coronavirus. METHOD: scoping review, using a broadened strategy to search databases and repositories, as well as the reference lists in the sources used. Data were collected and analyzed by two independent reviewers. Data were analyzed and synthesized in the form of a narrative. RESULTS: the final sample was composed of 24 records, the content of which was synthesized in these conceptual categories: clinical manifestations, diagnosis, treatment, working pregnant women, vaccine development, complications, prenatal care, vertical transmission, and placental transmissibility. It is recommended to confirm pregnancy and disease early on, to use technological resources for screening and providing guidance and support to pregnant women. CONCLUSION: recommendations emphasize isolation, proper rest, sleep, nutrition, hydration, medications, and in the more severe cases, oxygen support, monitoring of vital signs, emotional support, and multiprofessional and individualized care. Medications should be used with caution due to a lack of evidence. Future research is needed to analyze the impact of the infection at the beginning of pregnancy and the psychological aspects of pregnant women infected with the virus.

Mobile technologies in the Nursing area.

OBJECTIVE: To identify in the literature studies on mobile technologies in Nursing. METHOD: Integrative literature review in which was used the Population, Interest and Context (PICo) strategy, the tool of the National Library of Medicine for formulation of the research question, and search without a determined period of time in the following bibliographic databases: Medical Literature and Retrieval System onLine/PubMed®), Cumulative Index to Nursing & Allied Health Literature (CINAHL), SCOPUS (Elsevier), Latin American and Caribbean Literature in Health Sciences (LILACS) and Nursing Database (BDENF). Data collection period was from January to March 2017. RESULTS: Fifteen articles were selected, in which were addressed mobile technologies in Nursing for nurses, undergraduate students and patients. CONCLUSION: Mobile technologies in Nursing are a recent theme and enable care data sharing, experience acquisition by undergraduate students and patient empowerment.

Morte materna em decorrência da COVID-19: revisão de escopo / Maternal death due to COVID-19: a scoping review / Muerte materna por COVID-19: revisión de alcance

OBJETIVO: mapear o cenário da morte materna em decorrência da infecção pelo vírus SARS-CoV-2 em gestantes e puérperas. MÉTODO: revisão de escopo conforme o Instituto Joanna Briggs realizada por meio de uma estratégia de pesquisa na literatura disponível nos bancos de dados SciELO, LILACS, PubMed, CINAHL, Web of Science e PUBCOVID19. A análise do material identificado deu-se por dois revisores independentes. Os dados foram extraídos por meio de um instrumento construído pelos autores, analisados, sumarizados e classificados como categorias conceituais. RESULTADOS: dos 231 estudos encontrados, 66 foram elegíveis e tiveram os resultados sumarizados em quatro categorias conceituais: Desfecho morte materna em decorrência da COVID-19; Desfecho morte materna nas pandemias por Coronavírus; Morte materna por grupo obstétrico; Infecção por SARS-CoV-2, morte materna, recursos de saúde e determinantes sociais. CONCLUSÃO: a atenção vigilante, o diagnóstico precoce e o acesso em tempo oportuno foram eventos necessários para evitar a morte materna em 2020.

OBJECTIVE: to map the scenario of maternal death due to infection by the SARS-CoV-2 virus in pregnant and puerperal women. METHOD: A scoping review according to the Joanna Briggs Institute and conducted by means of a research strategy in the literature available in the SciELO, LILACS, PubMed, CINAHL, Web of Science and PUBCOVID19 databases. The analysis of the material identified was carried out by two independent reviewers. The data were extracted using an instrument prepared by the authors, analyzed, summarized and classified as conceptual categories. RESULTS: of the 231 studies found, 66 were eligible and had their results summarized in four conceptual categories: Outcome of maternal death due to COVID-19; Outcome of maternal death in the coronavirus pandemics; Maternal death by obstetric group; SARS-CoV-2 infection, maternal death, health resources and social determinants. CONCLUSION: vigilant care, early diagnosis and timely access were necessary events to prevent maternal death in 2020.

OBJETIVO: mapear las muertes maternas por infección por el virus SARS-CoV-2 en gestantes y puérperas. MÉTODO: revisión de alcance según el Instituto Joanna Briggs realizada mediante una búsqueda en la literatura disponible en las bases de datos SciELO, LILACS, PubMed, CINAHL, Web of Science y PUBCOVID19. El análisis del material identificado fue realizado por dos revisores independientes. Los datos fueron extraídos utilizando un instrumento elaborado por los autores, analizados, resumidos y clasificados en categorías conceptuales. RESULTADOS: de los 231 estudios encontrados, 66 fueron elegibles y los resultados se resumieron en cuatro categorías conceptuales: Desenlace muerte materna por COVID-19; Desenlace muerte materna en pandemias de coronavirus; Muerte materna por grupo obstétrico; Infección por SARS-CoV-2, muerte materna, recursos sanitarios y determinantes sociales. CONCLUSIÓN: la atención de calidad, el diagnóstico precoz y el acceso oportuno fueron eventos necesarios para prevenir la muerte materna en 2020.

Experiências das mulheres quanto às suas trajetórias até o diagnóstico de endometriose / Experiencias de mujeres en cuanto a sus trayectorias hasta el diagnóstico de endometriosis / Experiences of women regarding their pathways to the diagnosis of endometriosis

Resumo Objetivo descrever as experiências das mulheres sobre as suas trajetórias desde o início dos sintomas até o diagnóstico da endometriose. Método pesquisa descritiva, qualitativa, realizada com dez mulheres com diagnóstico de endometriose no município do Rio de Janeiro (RJ), Brasil. Coletaram-se entrevistas semiestruturadas áudio gravadas e posteriormente submetidas à Análise de Conteúdo por meio do software Atlas.ti 8. Resultados sem o diagnóstico de endometriose, as mulheres vivenciam sintomas fortes desde a menarca. Essa situação repercute negativamente em diferentes esferas da vida, inclusive pela desvalorização de suas queixas em seus círculos de convivência. Assim, entende-se a importância da rede de apoio perante essa situação. Diante desse contexto, as mulheres peregrinam por diversos profissionais até o diagnóstico definitivo. Considerações finais e implicações para a prática as trajetórias dessas mulheres são marcadas pela desvalorização de suas queixas por profissionais de saúde e pessoas próximas, pela naturalização da dor feminina e pela dificuldade em estabelecer um diagnóstico diferencial. No entanto, a capacidade individual de reconhecer a presença de uma patologia, o conhecimento sobre a endometriose e a experiência do profissional facilitaram o diagnóstico. No contexto da assistência de enfermagem, entender essa trajetória pode promover a escuta ativa, melhor valorização das queixas, avaliação clínica e o encaminhamento para o diagnóstico precoce.

Resumen Objetivo describir las vivencias de las mujeres en sus trayectorias desde el inicio de los síntomas hasta el diagnóstico de endometriosis. Método investigación descriptiva cualitativa realizada con diez mujeres diagnosticadas con endometriosis en la ciudad de Río de Janeiro (RJ), Brasil. Se recogieron entrevistas semiestructuradas grabadas en audio y posteriormente se sometieron a Análisis de Contenido utilizando el software Atlas.ti 8. Resultados sin el diagnóstico de endometriosis, las mujeres experimentan síntomas fuertes desde la menarquia. Esta situación tiene un impacto negativo en diferentes ámbitos de la vida, incluso por la devaluación de sus quejas en sus círculos de convivencia. Así, se comprende la importancia de la red de apoyo en esta situación. Ante este contexto, las mujeres deambulan por diferentes profesionales hasta el diagnóstico definitivo. Consideraciones finales e implicaciones para la práctica las trayectorias de estas mujeres están marcadas por la devaluación de sus quejas por parte de los profesionales de la salud y personas cercanas, por la naturalización del dolor femenino y por la dificultad para establecer un diagnóstico diferencial. Sin embargo, la capacidad del individuo para reconocer la presencia de una patología, el conocimiento sobre la endometriosis y la experiencia del profesional facilitaron el diagnóstico. En el contexto del cuidado de enfermería, comprender esta trayectoria puede promover la escucha activa, mejor valoración de las quejas, evaluación clínica y la derivación para diagnóstico precoz.

Abstract Objectives to describe the experiences of women on their trajectories from the beginning of symptoms to the diagnosis of endometriosis. Method descriptive, qualitative research, conducted with ten women diagnosed with endometriosis in the city of Rio de Janeiro (RJ), Brazil. Audio recorded semi-structured interviews were collected and later submitted to Content Analysis using Atlas.ti 8 software. Results without the diagnosis of endometriosis, women experience strong symptoms from the menarche. This situation has a negative impact on different spheres of life, including the devaluation of their complaints in their circles of coexistence. Thus, the importance of the support network in this situation is understood. Faced with this context, women wander through various professionals until the definitive diagnosis. Final considerations and implications for practice the trajectories of these women are marked by the devaluation of their complaints by health professionals and people close to them, by the naturalization of female pain and by the difficulty in establishing a differential diagnosis. However, the individual's ability to recognize the presence of a pathology, the knowledge about endometriosis and the professional's experience facilitated the diagnosis. In the context of nursing care, understanding this trajectory can promote active listening, better appreciation of complaints, clinical assessment and referral to early diagnosis.

Assistência ao recém-nascido na sala de parto durante a pandemia de COVID-19 / Atención al recién nacido en la sala de parto durante la pandemia de COVID-19 / Assistance for newborns in the delivery room during the COVID-19 pandemic

Resumo Objetivo: Mapear as principais recomendações na assistência ao recém-nascido conforme o quadro clínico materno na sala de parto, tendo em vista o contexto da pandemia de COVID-19. Métodos: Revisão de escopo baseada no método JBI. Foi utilizada a questão norteadora: "Quais as principais recomendações para a assistência ao recém-nascido na sala de parto durante a atual pandemia do coronavírus?". A seleção dos estudos foi realizada em bases de dados nacionais, internacionais e listas de referências. Dois revisores independentes realizaram a leitura dos textos completos, extração e análise dos dados, e sintetização do conteúdo. Resultados: Foram incluídos 9 estudos que tiveram os dados sintetizados em um mapa de recomendações para assistência ao recém-nascido baseado no quadro materno para o novo coronavírus na sala de parto de acordo com os eixos de atenção: amamentação, contato pele a pele, clampeamento do cordão umbilical e assistência respiratória. Conclusão: Na assistência ao recém-nascido na sala de parto deve-se adotar precauções para reduzir o risco de transmissão do vírus, realizar o contato pele a pele após a adoção de medidas de higiene, manter e estimular a amamentação exclusiva mediante cuidados de higiene da parturiente e realizar assistência respiratória em sala de pressão negativa por profissionais paramentados.

Resumen Objetivo: Mapear las principales recomendaciones para la atención al recién nacido según el cuadro clínico materno en la sala de parto, considerando el contexto de la pandemia de COVID-19. Métodos: Revisión de alcance basada en el método JBI. Se utilizó la pregunta orientadora: "¿Cuáles son las principales recomendaciones para la atención al recién nacido en la sala de parto durante la pandemia de coronavirus?". La selección de los estudios fue realizada en bases de datos nacionales e internacionales y en listas de referencias. Dos revisores independientes realizaron a lectura de los textos completos, la extracción y el análisis de los datos y la síntesis del contenido. Resultados: Se incluyeron nueve estudios, cuyos datos fueron sintetizados en un mapa de recomendaciones para la atención al recién nacido según el cuadro materno del nuevo coronavirus en la sala de parto, de acuerdo con los ejes de atención: lactancia, contacto piel con piel, pinzamiento del cordón umbilical y asistencia respiratoria. Conclusión: En la atención al recién nacido en la sala de parto deben adoptarse precauciones para reducir el riesgo de transmisión del virus, realizar el contacto piel con piel luego de la adopción de medidas de higiene, mantener y estimular la lactancia exclusiva mediante cuidados de higiene de la parturienta y realizar asistencia respiratoria en sala de presión negativa por profesionales con traje de protección.

Abstract Objective: To map the main recommendations for newborn care according to the maternal clinical picture in the delivery room, considering the COVID-19 pandemic context. Methods: This is a scoping review based on the JBI method. The guiding question was: What are the main recommendations for assistance to newborns in the delivery room during the current coronavirus pandemic? Study selection was carried out in national and international databases and reference lists. Two independent reviewers read full texts, extracted and analyzed their data, and synthesized the content. Results: We included 9 studies that had their data synthesized in a map of recommendations for assistance to newborns, based on the maternal condition for the new coronavirus in the delivery room according to the axes of attention breastfeeding, skin-to-skin contact, umbilical cord clamping, and respiratory assistance. Conclusion: For newborn care in the delivery room, precautions should be taken to reduce the risk of virus transmission, make skin-to-skin contact after the adoption of hygiene measures, maintain and encourage exclusive breastfeeding through hygienic care of parturient women and perform respiratory assistance in a negative pressure room by trained professionals.

Care recommendations for parturient and postpartum women and newborns during the COVID-19 pandemic: a scoping review / Recomendaciones asistenciales a la mujer en el parto y postparto y al recién nacido durante la pandemia de COVID-19: revisión sistemática exploratoria / Recomendações assistenciais à parturiente, puérpera e recém-nascido durante a pandemia de COVID-19: revisão de escopo

Objective to map the current knowledge on recommendations for labor, childbirth, and newborn (NB) care in the context of the novel coronavirus. Method scoping review of papers identified in databases, repositories, and reference lists of papers included in the study. Two researchers independently read the papers' full texts, extracted and analyzed data, and synthesized content. Results 19 papers were included, the content of which was synthesized and organized into two conceptual categories: 1) Recommendations concerning childbirth with three subcategories - Indications to anticipate delivery, Route of delivery, and Preparation of the staff and birth room, and 2) Recommendations concerning postpartum care with four categories - Breastfeeding, NB care, Hospital discharge, and Care provided to NB at home. Conclusion prevent the transmission of the virus in the pregnancy-postpartum cycle, assess whether there is a need to interrupt pregnancies, decrease the circulation of people, avoid skin-to-skin contact and water births, prefer epidural over general anesthesia, keep mothers who tested positive or are symptomatic isolated from NB, and encourage breastfeeding. Future studies are needed to address directed pushing, instrumental delivery, delayed umbilical cord clamping, and bathing NB immediately after birth.

Objetivo mapear la producción de conocimientos sobre las recomendaciones para la atención a la mujer en el parto y postparto y al recién nacido (RN) ante la pandemia del nuevo coronavirus. Método revisión sistemática exploratoria con selección de artículos en bases de datos, repositorios y listas de referencia de los estudios. Dos revisores independientes llevaron a cabo la lectura de los textos completos, la extracción de los datos, el análisis del material y la síntesis del contenido. Resultados se incluyeron 19 artículos, que tuvieron el contenido resumido y presentado en dos categorías conceptuales: 1) Recomendaciones sobre la atención al parto, con tres subcategorías - Indicaciones para la anticipación del parto; Vía de nacimiento y Preparación del equipo y del medio ambiente para el nacimiento, y 2) Recomendaciones sobre la atención puerperal, con cuatro subcategorías - Lactancia materna; Cuidados con el RN; Alta hospitalaria y Cuidados domiciliarios con RN. Conclusión en el ciclo gravídico-puerperal, se debe evitar la transmisión del virus, evaluar la necesidad de interrumpir la gestación, reducir la circulación de personas, evitar el contacto piel con piel y el parto en el agua, preferir la anestesia peridural a la anestesia general, mantener a la mujer aislada del RN y estimular la lactancia. Se necesitan estudios futuros sobre pujo dirigido, parto instrumental, pinzamiento tardío del cordón umbilical y baño inmediato del RN.

Objetivo mapear a produção de conhecimento sobre as recomendações para assistência ao parto, puerpério e cuidados com o recém-nascido em face da pandemia do novo coronavírus. Método revisão de escopo com seleção dos artigos em bancos de dados, repositórios e em listas de referências dos estudos. Dois revisores independentes realizaram leitura dos textos completos, extração dos dados, análise do material e sintetização do conteúdo. Resultados foram incluídos 19 artigos, que tiveram os conteúdos sintetizados e apresentados em duas categorias conceituais: 1) recomendações sobre a assistência ao parto, com três subcategorias - indicações para antecipação do parto; via de nascimento e preparação da equipe e do ambiente para o nascimento; 2) recomendações sobre a assistência puerperal, com quatro subcategorias - aleitamento materno; cuidados com o recém-nascido; alta hospitalar e cuidados domiciliares com recém-nascido. Conclusão no ciclo gravídico-puerperal deve-se prevenir a transmissão do vírus, avaliar a necessidade da interrupção da gestação, reduzir a circulação de pessoas, evitar o contato pele a pele e o parto na água, preferir a anestesia peridural à anestesia geral, manter a mulher isolada do recém-nascido e estimular a amamentação. Estudos futuros sobre puxo dirigido, parto instrumental, clampeamento tardio do cordão umbilical e banho imediato do recém-nascido são necessários.

COVID-19 and the production of knowledge regarding recommendations during pregnancy: a scoping review / COVID-19 e a produção de conhecimento sobre as recomendações na gravidez: revisão de escopo / COVID-19 y la producción de conocimiento sobre las recomendaciones en el embarazo: revisión del alcance

Objective to map the production of knowledge regarding recommendations for providing care to pregnant women dealing with the novel coronavirus. Method scoping review, using a broadened strategy to search databases and repositories, as well as the reference lists in the sources used. Data were collected and analyzed by two independent reviewers. Data were analyzed and synthesized in the form of a narrative. Results the final sample was composed of 24 records, the content of which was synthesized in these conceptual categories: clinical manifestations, diagnosis, treatment, working pregnant women, vaccine development, complications, prenatal care, vertical transmission, and placental transmissibility. It is recommended to confirm pregnancy and disease early on, to use technological resources for screening and providing guidance and support to pregnant women. Conclusion recommendations emphasize isolation, proper rest, sleep, nutrition, hydration, medications, and in the more severe cases, oxygen support, monitoring of vital signs, emotional support, and multiprofessional and individualized care. Medications should be used with caution due to a lack of evidence. Future research is needed to analyze the impact of the infection at the beginning of pregnancy and the psychological aspects of pregnant women infected with the virus.

Evidências científicas sobre métodos não farmacológicos para alívio a dor do parto / Evidencias científicas sobre métodos no farmacológicos para aliviar el dolor de parto / Scientific evidence on non-pharmacological methods for relief of labor pain

Resumo Objetivo Identificar na literatura nacional e internacional, estudos sobre a eficácia de métodos não farmacológicos na redução da dor do parto. Métodos Revisão integrativa realizada nas bases de dados MEDLINE/PUBMED, SCOPUS, CINAHL, LILACS e BDENF, com recorte temporal entre os anos de 2013 a 2018, em português, inglês e espanhol. Utilizado a metodologia PICo para construir a pergunta de pesquisa e selecionar descritores controlados e não controlados, que foram combinados com os operadores booleanos "AND", "OR" e "NOT". Resultados Foram selecionados 19 artigos. Dentre os métodos não farmacológicos encontrados, destacam-se: a acupuntura e suas principais variações (acupressão e auriculoterapia) (29,17%), hidroterapia (25%), exercícios perineais com a bola suíça (16,67%), terapias térmicas (8,33%) e os demais métodos (20,83%). Conclusão A acupuntura e a acupressão agem tanto sobre aspectos fisiológicos da dor como sobre sua subjetividade. O banho quente de aspersão, a musicoterapia, a aromaterapia e as técnicas de respiração promovem o relaxamento e a diminuição dos níveis de ansiedade. As terapias térmicas contribuem para a analgesia local de regiões afetadas pela dor. Os exercícios na bola suíça são importantes para reduzir a dor e adotar a posição vertical, importante na progressão do trabalho de parto.

Resumen Objetivo Identificar en la literatura nacional e internacional estudios sobre la eficacia de métodos no farmacológicos para reducir el dolor de parto. Métodos Revisión integradora realizada en las bases de datos MEDLINE/PUBMED, SCOPUS, CINAHL, LILACS y BDENF, con un recorte temporal entre los años 2013 y 2018, en portugués, inglés y español. Se utilizó la metodología PICO para elaborar la pregunta de investigación y seleccionar descriptores controlados y no controlados, que fueron combinados con los operadores booleanos "AND", "OR" y "NOT". Resultado Se seleccionaron 19 artículos. Entre los métodos no farmacológicos encontrados, se destacan: la acupuntura y sus principales variantes (acupresión y auriculoterapia) (29,17%), hidroterapia (25%), ejercicios perineales con pelota suiza (16,67%), terapias térmicas (8,33%) y demás métodos (20,83%). Conclusión La acupuntura y la acupresión actúan tanto sobre aspectos fisiológicos del dolor, como sobre su subjetividad. La ducha caliente, la musicoterapia, la aromaterapia y las técnicas de respiración promueven la relajación y la reducción de los niveles de ansiedad. Las terapias térmicas contribuyen como analgésico local en regiones afectadas por el dolor. Los ejercicios con pelota suiza son importantes para reducir el dolor y adoptar la posición vertical, importante en la progresión del trabajo de parto.

Abstract Objective To identify studies on the efficacy of non-pharmacological methods in reducing labor pain in the national and international literature. Methods Integrative review in the MEDLINE/PUBMED, SCOPUS, CINAHL, LILACS, and BDENF databases, limiting to studies published between 2013 and 2018, in Portuguese, English, and Spanish. The PICo methodology was used to build the research question and select the controlled and uncontrolled descriptors, which were combined with the "AND", "OR," and "NOT" Boolean operators. Results A total of 19 articles were selected. The non-pharmacological methods found were: acupuncture and its core variations (acupressure and auriculotherapy) (29.17%), hydrotherapy (25%), perineal exercises with the Swiss ball (16.67%), thermal therapies (8.33%), and other methods (20.83%). Conclusion Acupuncture and acupressure worked on both physiological aspects of pain and the subjective nature of pain. The warm bath, music therapy, aromatherapy, and breathing techniques promoted relaxation and decreased the levels of anxiety. Thermal therapies contributed to local analgesia in regions affected by pain. Exercises with the Swiss ball were important for pain relief, and the vertical position was important for labor.

Mobile technologies in the Nursing area / Tecnologías móviles en el área de Enfermería / Tecnologias móveis na área de Enfermagem

ABSTRACT Objective: To identify in the literature studies on mobile technologies in Nursing. Method: Integrative literature review in which was used the Population, Interest and Context (PICo) strategy, the tool of the National Library of Medicine for formulation of the research question, and search without a determined period of time in the following bibliographic databases: Medical Literature and Retrieval System onLine/PubMed®), Cumulative Index to Nursing & Allied Health Literature (CINAHL), SCOPUS (Elsevier), Latin American and Caribbean Literature in Health Sciences (LILACS) and Nursing Database (BDENF). Data collection period was from January to March 2017. Results: Fifteen articles were selected, in which were addressed mobile technologies in Nursing for nurses, undergraduate students and patients. Conclusion: Mobile technologies in Nursing are a recent theme and enable care data sharing, experience acquisition by undergraduate students and patient empowerment.

RESUMEN Objetivo: Identificar en la literatura estudios sobre tecnologías móviles en el área de Enfermería. Método: Revisión de la literatura en que se utilizó la estrategia Población, Interés y Contexto (PICo), herramienta de la National Library of Medicine para la formulación de la cuestión de la investigación y la búsqueda sin recorte temporal en las siguientes bases de datos bibliográficos: Medical Literature and Retrieval System onLine (MEDLINE/PubMed®), Cumulative Index to Nursing & Allied Health Literature (CINAHL), SCOPUS (Elsevier), Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS) y Base de Datos en Enfermería (BDENF). El período de la recolección de datos fue de enero a marzo de 2017. Resultados: Se seleccionaron 15 artículos, que abordaron tecnologías móviles en el área de Enfermería para enfermeros, estudiantes y pacientes. Conclusión: Las tecnologías móviles en el área de Enfermería son tema reciente y posibilitan compartir datos en la asistencia, adquisición de experiencia por estudiantes y empoderamiento del paciente.

RESUMO Objetivo: Identificar na literatura estudos sobre tecnologias móveis na área de enfermagem. Método: Revisão integrativa da literatura, utilizando a estratégia População, Interesse e Contexto (PICo), ferramenta da National Library of Medicine para formulação da questão de pesquisa e busca sem recorte temporal nas bases de dados bibliográficas: Medical Literature and Retrieval System onLine (MEDLINE/PubMed®), Cumulative Index to Nursing & Allied Health Literature (CINAHL), SCOPUS (Elsevier), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Base de Dados em Enfermagem (BDENF). A coleta de dados ocorreu no período de janeiro a março de 2017. Resultados: Foram selecionados 15 artigos, que abordaram tecnologias móveis na área da enfermagem para enfermeiros, graduandos e pacientes. Conclusão: As tecnologias móveis na área da enfermagem são tema recente e possibilitam compartilhamento de dados na assistência, aquisição de experiência por graduandos e empoderamento do paciente.

Microdiscectomia lombar: acessos interlaminar e intertransverso com uso de afastador de Caspar tubular cilíndrico e dreno de Penrose como auxiliar no afastamento da musculatura ­ estudo de 502 casos / Lumbar Microdiscectomy: Interlaminar and Intertransverso Access using Tubular Retractor Caspar Cylindrical and Penrose Drain as an Aid in Muscular Retraction ­ Study of 502 Cases

Os autores fazem uma revisão da literatura abordando conhecimentos neuroanatômicos da raiz e do gânglio da raiz dorsal. Descrevem a técnica para os acessos interlaminar e intertransverso com o uso de afastador de Caspar tubular cilíndrico e dreno de Penrose como auxiliares no afastamento da musculatura. Basearam-se em 502 casos operados em 25 anos. O objetivo deste trabalho é descrever uma técnica com incisão pequena na pele, baixa agressividade para as estruturas anatômicas, sem perda funcional da musculatura paravertebral, campo cirúrgico amplo, facilidade de execução com as duas mãos, alta hospitalar precoce em torno de 24 horas e baixo custo.

The authors review the literature addressing neuro-anatomical knowledge of the root and root ganglion dorsal. Describe the technique for the interlaminar and intertransverso access using tubular retractor Caspar cylindrical Penrose drain as an aid in muscular retraction. Based-seem 502 cases operated in 25 years. The objective of this paper is to describe a technique with small skin incision, low aggressiveness anatomical structures without functional loss of paraspinal musculature, broad surgical field, easy work with both hands, high early hospital about 24 hours and low cost.