Objetivo: descrever as implicações da COVID-19 no sistema cardiovascular: prognósticos e intercorrências. Método: trata-se de uma revisão integrativa da literatura, realizada nas bases de dados, Science Direct, National Library of Medicine National Institutes of Health dos EUA (PUBMED), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Cochrane Collaboration e Medical Literature Analysis and Retrieval System Online (MEDLINE) com os descritores, Cardiovascular System; Cardiovascular Diseases; Coronary Disease, e a palavra-chave Covid-19. Incluíram-se estudos originais, relatos de casos, revisões sistemáticas na série temporal 2019-2020. Resultados: a busca resultou em 13 artigos, todos na língua inglesa, emergindo os pontos-chave: potencialização das complicações cardiovasculares pela infecção por COVID-19; aumento da mortalidade de origens cardiovasculares influenciadas pela infecção por COVID-19. Conclusão: o envolvimento do sistema cardiovascular no COVID-19 pode determinar a gravidade da doença, potencializado na presença de fatores de riscos cardiovasculares, repercutindo em complicações que necessitam de tratamento intensivo e morte. De maneira geral, todos os pacientes com COVID-19 são passíveis de ter comprometimento cardiológico, fato que pode depender de antecedentes mórbidos pessoais, resposta inflamatória e liberadores bioquímicos.

Heart Failure is characterized by a complex clinical syndrome in which the myocardium has an inability to adequately pump blood to meet tissue metabolic needs, or can do so only at high filling pressures. Thus, the aim of this study is to describe the Nursing Diagnostics in patients with Cardiac Failure described in the scientific literature. It is a descriptive, exploratory study, with a qualitative approach, in the modality Integrative Literature Review. In Latin American and Caribbean Literature in Health Sciences and PubMed databases, including original articles, case studies and systematic review, in Portuguese, English and Spanish, published from 2014. Tabulation was used for data collection and analysis. Seven articles were searched and the following nursing diagnoses were highlighted: Harmful Comfort; Acute Pain; Disposition to Improve Comfort; Decreased Cardiac Output; Excessive Liquid Volume; Ineffective Respiratory Pattern; Intolerance to Activity; Fatigue; Anxiety; Sexual Dysfunction; Disabled Knowledge; Ineffective Cardiopulmonary Tissue Perfusion. It was concluded that heart failure is a complex pathology and that the use of the systematization of nursing care only enhances the quality of service and benefits the patient, because from the nursing diagnostcs it is possible to prescribe evidence-based interventions.

RESUMOObjetivo: realizar uma ação educativa sobre o aleitamento materno, para gestantes na sala de espera das consultas de pré-natal, em uma unidade municipal de saúde. Método: trata-se de um estudo descritivo, tipo relato de experiência. Refere-se a um jogo de perguntas aplicado a 15 gestantes, depois, ocorreu a discussão dos temas abordados. Resultados: percebeu-se que as gestantes ainda acreditam em muitos mitos que podem aumentar as chances de desmame precoce, baixo peso e adoecimento da criança, porém, estão cada vez mais informadas sobre a importância da amamentação, mas ainda precisam de orientações e atenção nesse momento da vida delas, pois ainda existem alguns mitos que prevalecem, podendo dificultar a adesão à amamentação exclusiva. Conclusão: tornam-se as ações em saúde relevantes, pois estimulam a troca de saberes entre profissionais e usuários e colaboram positivamente na promoção do aleitamento materno e no empoderamento dessas mulheres para a execução dessa prática. Desperta-se, nos acadêmicos, além disso, por meio de ações educativas em saúde, o lado educador inerente ao profissional enfermeiro. Descritores:  Aleitamento materno; Saúde da criança; Promoção da saúde; Cuidado pré-natal; Atenção primária à saúde; Cuidado da criança.ABSTRACT Objective: to carry out an educational action on breastfeeding for pregnant women in the waiting room for prenatal consultations in a municipal health unit. Method: it is a descriptive study, type of experience report. Refers to a game of questions applied to 15 pregnant women, after which the discussion of the topics discussed took place. Results: pregnant women still believe in many myths that may increase their chances of early weaning, low weight and illness, but they are increasingly informed about the importance of breastfeeding, but they still need guidance and attention. of their lives, as there are still some myths that prevail, which may make adherence to exclusive breastfeeding difficult. Conclusion: relevant health actions become important, since they stimulate the exchange of knowledge between professionals and users and collaborate positively in the promotion of breastfeeding and in the empowerment of these women to carry out this practice. In the academics, moreover, the educational side inherent to the nurse professional is awakened through educational actions in health. Descriptors: Breastfeeding; Child health; Health promotion; Prenatal care; Primary health care; Child Care.  RESUMEN Objetivo: realizar una acción educativa sobre lactancia materna, para gestantes en la sala de espera de consultas prenatales, en una unidad municipal de salud. Método: se trata de un estudio descriptivo, tipo relato de experiencia. Se refiere a un juego de preguntas aplicado a 15 gestantes, enseguida, ocurrió una discusión de os temas abordados. Resultados: se percibió que las gestantes todavía creen en muchos mitos que pueden aumentar las chances de destete precoz, bajo peso y enfermedad del niño, sin embargo, están cada vez más informadas sobre la importancia del amamantamiento, pero todavía necesitan de orientaciones y atención en este momento de sus vidas, pues aún existen algunos mitos que prevalecen, pudiendo dificultar la adhesión al amamantamiento exclusivo.  Concusión: se convierten las acciones en salud relevantes, pues estimulan el cambio de saberes entre profesionales y usuarios y colaboran positivamente en la promoción de la lactancia materna y en el empoderamiento de esas mujeres para la ejecución de esta práctica. Se despierta, en los académicos, además de eso, por medio de acciones educativas en salud, el lado educador inherente al profesional enfermero. Descritores: Lactancia Materna; Salud del Niño; Promoción de la Salud; Atención Prenatal; Atención Primaria de Salud; Cuidado del Niño.

Acute renal failure (ARF) represents 17% of the complications of cardiac catheterization (CC), with a high death rate and longer hospitalization time. The objective of this review is to describe the most cited risk factors for acute kidney failure in the literature. It is a descriptive and exploratory Integrative Literature Review (ILR) with a qualitative approach, using articles published in the Latin American and Caribbean Health Sciences Literature (LILACS) and PubMed databases between the years of 2009 and 2019 in English, Portuguese, and Spanish, including original articles, reviews, and case studies. The search was made using the following descriptors: cardiac catheterism, kidney diseases, risk factors, coronary catheterization, acute kidney injury, acute renal failure, and nephropathies. The organization and analysis of the data was through the application of a questionnaire that was structured by the authors, and the results are presented in a table. For the final sample, 10 articles were sought. The highlighted factors were being elderly, hypertensive, and diabetic; having previous kidney disease, hypotension, heart failure, higher contrast volumes, and types; the use of non-steroidal anti-inflammatory drugs associated to other risk factors; and atrial fibrillation. Atrial fibrillation was the main finding, which has recently been documented. The identification of risk factors provides health professionals with information to plan measures to prevent ARF, minimizing complications, length of stay, and mortality.

Malaria is an acute febrile infectious disease that represents an important public health problem in the Brazilian amazon region. The present study described the socio-epidemiological and spatial characteristics of malaria in a population from the Tapajós mining areas, Pará, Brazilian Amazon. A cross-sectional study, including individuals from Itaituba city, an area under mining activity influence, was conducted. The geographic coordinates were obtained in the field using the Global Positioning System (GPS) Garmin 78csx; for spatial analysis, we used the Kernel Density Estimator with the application of scanning statistics with the SaTScan software. Of the 908 individuals, 311 were positive for malaria. Most of the malaria cases were associated with male individuals, gold miners and with a monthly income of 4-6 salaries. Binary logistic regression analysis demonstrated that gold miners were nearly five times more likely to acquire malaria. In addition, a context of risk for sexually transmitted infections, substance abuse and poor support conditions was observed, worsening the healthcare scenario in this endemic area for malaria. The spatial distribution of malaria cases is irregular in the municipality with hotspot areas located in the Amana Flona that coincide with areas of illegal mining and high human mobility. Finally, the presented socio-epidemiological and spatial distribution data may aid in the development of more effective control measures for malaria in the area.

Background: Cardiovascular diseases are the main cause of death in Brazil and worldwide, being influenced by the presence of risk factors. In the current life context, these factors are increasingly present in individuals, also related to occupation, which require extensive workload, performance, reasoning, goal plan and maximum dedication from the individual, as is the case of undergraduate teachers in Brazil. Objective: To identify cardiovascular risk factors in teaching nurses of a private higher education institution (HEI) in Belém, PA, Brazil. Study Design: A cross-sectional, descriptive survey study with a quantitative approach. At a private HEI in Belém-PA, in March and April 2019. Sardinha et al.; CA, 9(1): 9-17, 2020; Article no.CA.53609 10 Methodology: Performed with 11 teachers nurses that the HEI had. A form was used on the teacher's profile and risk factors. Data were analyzed by simple descriptive statistics through the Bioestat 5.0 program. Results: They are young adults, married, with an extensive workload; 45.45% of them have already had alterations in the HDL and LDL levels, with a family history of Systemic Arterial Hypertension 72.73% and Diabetes Mellitus 81.82%. 45.45% use oral contraceptives. They have a low-fiber diet, rich in lipids and sodium, and practice physical activity. 72.73% consume alcoholic beverages, and none are smokers. Conclusion: The teaching profession, due to extensive workload and stressful activities, offers a risk for inadequate nutrition, sedentary lifestyle, and lack of time for leisure. These factors are associated with other existing factors, which may increase the chances of cardiovascular diseases in these professionals. Original Research Article

A síndrome de burnout em profissionais docentes: uma revisão integrativa da literatura Burnout syndrome in teaching professionals: an integrative review of the literature

The indigenous people of Brazil present several cases and deaths, affecting 158 peoples, with high vulnerability and limited access to health services. The objective is to investigate the clinical characteristics of severe acute respiratory syndrome by COVID-19 in indigenous peoples of Brazil. The epidemiological study, descriptive, from the data of the platform opendataSUS referring to the SIVEP-GRIPE in the period 01/01/2020 until 31/08/2020. Profile variables, signs and symptoms, and risk/comorbidities factors. The data were analyzed by Bioestat 5.3. 1,207 cases and 470 deaths. Profile: male gender (59.48%) mean age 53. Signs and symptoms: fever (74.23%), cough (77.71%), sore throat (35.62%), dyspnea (69.34%), respiratory discomfort (62.80%), O2 saturation <95% (56.42%); and associated with mortality: dyspnea (80.0%) and O2 saturation <95% (69.36%). Risk factors and comorbidities (45.89%) were associated with deaths (54.04%). Comorbidities: Chronic Cardiovascular Disease (18.97%) and Diabetes Mellitus (18.97%), and associated with deaths: Chronic Cardiovascular Disease (24.46%). There was significance in the survivors vaccinated for influenza (26.18%). The public and health policies of Brazil should be directed to control the dissemination of COVID-19 in this population, that COVID-19 evolves in the same intensity, however, the indigenous have vulnerabilities that can enhance the impact of the pandemic in this population.