http: //dx.doi.org/10.17058/reci.v6i2.6427 Justificativa e Objetivos: A depressão é um problema de saúde pública que atinge cerca de 154 milhões de pessoas mundialmente, tendo sua incidência crescente nos últimos anos. Frente a esta problemática destaca-se o idoso neste contexto com um percentual de 15% de prevalência para algum sintoma depressivo, o que requer uma atenção especial e ações de prevenção e cuidado para tal população. Sendo assim, objetivou-se compreender acerca de depressão na terceira idade, o perfil e o processo de prevenção e tratamento dos sinais e sintomas, na literatura nacional e internacional. Método: Trata-se de uma revisão sistemática da literatura realizada nas bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS); Medical Literature Analysis and Retrievial System Online (MEDLINE) e Scientific Electronic Library Online (SCIELO). Foram considerados os estudos do tipo artigos, dissertações e teses em português, inglês ou espanhol, entre os anos de 2010 a 2015, utilizando os descritores: depressão, idoso e geriatria. Para a coleta de dados utilizou-se o instrumento de Ursi, que inclui a avaliação do título do estudo, principais resultados e conclusões. Resultados:Após busca nas bases de dados, encontraram-se 261 estudos, sendo que após aplicação dos critérios de inclusão, selecionou-se 44, ao implementar o instrumento supracitado, finalizou-se com 17. Os resultados evidenciaram o perfil dos idosos acometidos pela depressão, formas de tratamentos, chegada ao serviço de saúde e comorbidades associadas. A pesquisa também mostrou a importância do estímulo ao autocuidado, ativação e engajamento deste público e familiares em atividades educativas, treinamento profissional de saú-de e ampliação do sistema como fatores importantes ao cuidado destes usuários. Conclusão: Os profissionais de saúde que lidam com o público idoso devem estar atentos aos sinais e sintomas da depressão, além de estarem constantemente capacitando-se para atender as demandas por meio de uma assistência eficaz e de qualidade, estimulando também métodos não farmacológicos de alívio dos sintomas, além de identificar o perfil destes idosos os quais as comorbidades associadas a depressão são mais comuns. Background and Objectives:Depression is a public health problem that affects approximately 154 million people worldwide and its incidence has increased in recent years. Regarding this problem, elderly individuals show a percentage of 15% prevalence for some depressive symptoms, which requires special attention and prevention and care actions for this population. Thus, this study aimed to understand about depression in the elderly, the profile and the process of prevention and treatment of signs and symptoms in national and international literature. Method: This is a systematic review of the literature carried out in the following databases:Latin American and Caribbean Health Sciences (LILACS); Medical Literature Analysis and Retrieval System Onli- RESUMO ABSTRACTRecebido em:

BackgroundConsidering the inequalities and the areas of low socioeconomic status in Brazil, access to health services is a challenge and the delay between diagnosis and treatment represents an important factor of worse prognosis in patients with breast cancer. Herein, we describe the clinical and epidemiological profiles of women with breast cancer and evaluate their access to health services, as well as treatment delays, at a reference centre of the Cariri region, Ceará, Brazil.MethodsThis is a retrospective study that included 473 women treated with breast cancer between 2009 and 2011 at the Oncology Centre of the Cariri.ResultsThe majority of these patients were aged between 40 and 69 years old (65.7%), without a completed high school degree (89.2%). They were married (62.9%) and were already diagnosed but had not yet been subjected to any previous treatment (77.8%). It was observed that 91.8% were referred from the public health service, and treatment was paid for by the public health service in 92.9% of the cases. The patients whose source of referral was the public system waited longer between diagnosis and the treatment initiation (p = 0.031; Mann–Whitney’s test), with a median waiting time of 71.5 days versus 39 days for those receiving referrals from private services. In addition, those with public referrals prior to diagnosis also experienced a longer waiting time between the first medical visit and treatment initiation (77 days vs. 37 days; p = 0.036; Mann–Whitney’s test), with the waiting time for the biopsy being an important factor in this delay.ConclusionsLate diagnosis was often the result of inefficiency of the prevention policies coupled with difficulty accessing the public health network. It was commonly observed that, even after diagnosis, the patients needed to wait too long before entering the Oncology Service because of long waiting queues in the public health system.

The physiological basis of neurofunctional reorganization in stimulating the nervous system is justified and ratified by the concepts of neuroplasticity and therefore, its use in neonatology is well indicated. Objective: Describe how Neurofunctional reorganization throughPadovan method can contribute to restore neurologic function of newborns and can avoid the need for gastrostomy and shortening hospital stay.Method: Descriptive and retrospective study performed in a hospital at Ceará´s inland, Brazil, through analysis of medical records. 92 patients from the neonatal ICU who suffered perinatal asphyxia and evolved with neurological disorders were evaluated. Patients received Neurofunctional Reorganization therapy, which is the performance of physical and oral exercises that complement each other in order to recover lost functions and also prepare the body to acquire functions and capabilities which it has potential for.Results: Eighty-two patients completed the therapy and showed positive results (89.1%). The main expected outcome was the recovery of suction and this was achieved in between 8 and 150 days. 48 cases showed an improvement between 8 and 30 days of treatment (56%). Conclusions:The Neurofunctional reorganization proposed by Padovan is effective in the recovery of neurological function of newborns, especially the suction, shortening the hospital stay and avoiding gastrostomy.

Introduction. Inguinal hernia is a common disorder with an estimated prevalence of 1.2% of the entire population and it is 12 times more common in males. Objective. To describe a case of appendix with signs of inflammation in the hernia sac, condition that is rare and difficult to diagnose, and to perform literature review, describing the most relevant aspects and the main controversies. Method. Report of a case and search in PubMed on June 1, 2015, using the terms “Appendix” [MeSH term] AND “hernia, inguinal” [MeSH term]. Results. The search resulted in 38 articles in total, and after deleting the articles that were not part of the inclusion criteria, there were 26 case reports remaining. Discussion. The search resulted in a total of 38 articles and after deleting the articles that were not part of the inclusion criteria, there were 26 case reports remaining. Conclusion. Amyand's hernia is a rare and difficult to diagnose condition, being commonly found occasionally in surgical procedures. It should be remembered in the presence of cases of incarcerated hernia, due to its possible complications if not diagnosed.

Os momento pós-operatório é tão relevante quanto o ato operatório em si, demandando manejo das dores advindas dessa atividade. Estudos têm demonstrado   que a analgesia no pós-operatório, em muitos casos, era realizada de forma inadequada. Este estudo objetiva analisar a o uso da cetamina na analgesia preemptiva como forma de alívio da dor no pós-operatório imediato, em estudos experimentais através de uma revisão na literatura. Os resultados dos estudos experimentais e clínicos aqui apresentados, apontaram que a S(+) cetamina é mais potente do que sua forma racêmica, indicando a superioridade daquela para fins de bloquear a sensibilização central, bem como que o uso da cetamina em pequenas doses na analgesia preemptiva, consiste no método mais eficaz no controle da dor do período pós-operatório. No entanto, ainda é muito restrito os artigos disponíveis sobre a temática, para fins de confirmar-se ou não, a efetividade dessa droga na analgesia preemptiva.

BackgroundMaternal mortality is a global public health problem. Statistics show that in 2013, 289,000 women died from complications during pregnancy, childbirth or the postpartum period worldwide. Between 2010 and 2015, there were 10,075 maternal deaths in Brazil, 3,522of which occurred in the Northeast region. The aim of this study was to investigate the actions taken by primary health care (PHC) professionals to reduce maternal mortality.MethodThis was a cross-sectional, descriptive field study with a qualitative approach. The sample comprised 81 graduate-level professionals working in PHC in the state of Ceará, Brazil. Data were collected from January to March 2016 using structured interviews, which were digitally audio recorded and transcribed. The results were organized using collective subject discourse and analyzed according with the relevant literature.ResultsThe PHC professionals took both individual and joint measures to reduce maternal mortality. These activities included home visits, health education, active searches, prenatal care consultations, referrals to specialized care and outreach. The challenges that must be overcome to prevent maternal mortality include poor care and ineffective public policies that are associated with a lack of managerial support.ConclusionInteraction among professionals in the health care network is critical to the development of cross-sectoral projects that improve the quality of women’s health care. Prenatal care is a key factor in reducing maternal death and enables the identification and classification of the risks to which pregnant women may be exposed and the implementation of early actions that can ensure a safe and uncomplicated delivery. However, all of these actions require effective public policies and managerial support.

O trabalho pode gerar sofrimento ao trabalhador dependendo da forma que é vivido, manifestando-se na forma de estresse, caracterizado pela readaptação do organismo a um agente que está causando algum desequilíbrio. Este estudo teve como objetivo principal investigar os fatores associados ao estresse laboral em profissionais que trabalham em ambiente de Unidade de Terapia Intensiva. Para tanto, foi realizado um estudo observacional, no qual médicos, fisioterapeutas e equipes de enfermagem de 02 (dois) hospitais da cidade de Barbalha, Ceará, responderam aos questionários sociodemográfico MTEG (modelo teórico para explicar o estresse em gerentes) e O Inventário de Sintomas de Stress para adultos de Lipp (ISSL). Participaram da pesquisa 55 profissionais, sendo os dados coletados em dois momentos: No primeiro os questionários foram entregues dentro de um envelope e no segundo os termos foram preenchidos junto ao aplicador, de maneira a evitar maiores constrangimentos. Ao final do trabalho pôde-se concluir que a maior prevalência de sintomas de estresse se deu nos profissionais da classe dos fisioterapeutas, do sexo feminino, com idade menor do que 38 anos e com menos de 4 anos de profissão. Os dados também revelam que, dos 55 indivíduos pesquisados, 16 (29%) apresentaram critérios positivos para estresse laboral, sendo 1 (2%)na fase 1 ou de alerta ou alarme, 13 (24%) na fase 2 ou luta ou resistência e 2 (3%) na fase 3 ou exaustão ou esgotamento. Quanto aos sintomas de estresse manifestados destacaram-se:Tensão muscular (81%) – nas últimas 24 horas, problema com a memória, esquecimento (81%) e sensação de desgaste físico constante(81%) – no último mês, cansaço excessivo (75%) e angústia ou ansiedade diária (69%) – nos últimos 3 meses.Propõe-se uma reflexão sobre possíveis medidas a serem adotadas no sentido de melhorar as condições de trabalho e sugerimos a realização de estudos mais elaborados sobre as repercussões do estresse com ênfase no profissional de Unidade de Terapia Intensiva.

Introduction: Overweight and obesity in childhood and adolescence are important public health problems. In this context, the school has been identified as a favorable environment for carrying out health education programs. The Health at School Program and its important performance stand out. Thus, considering these discussions, they ask: How are the actions developed by the Health at School Program, focused on nutrition, being implemented? Objective: Analyze the teenager monitoring in the School Health Program (PSE in Brazil) opposite actions to the nutritional aspects of adolescents. Methods: This is a descriptive, qualitative study in Juazeiro municipality North-Ce, with the subject 18 nurses of the Family Health Strategy (FHS) inserted in the PES that municipality. Results: Nurses have limited assistance in the face of food practices, which implies in its operations; report having difficulty performing their actions outside the conventional health units and focus on strategies for a food menu. Conclusion: The monitoring of adolescents in the School Health Program ahead nutritional value is still limited to preventive practices involving specific actions, limited to a Sfood education focused on the health problem and not the needs of adolescents.