Resumo Objetivo Avaliar os aplicativos móveis disponíveis sobre pré-eclâmpsia (PE) nos principais sistemas operacionais para a promoção da saúde de gestantes. Métodos Estudo avaliativo dos aplicativos móveis disponíveis nas plataformas (iOS e Android). Foi realizada uma busca sistemática nas lojas virtuais dos principais sistemas operacionais: Play Store (Android, Google ) e App Store (iOS, Apple ) de abril a junho de 2018, delimitando-se as seguintes etapas: estabelecimento dos objetivos da avaliação e dos critérios de inclusão e exclusão de aplicativos (seleção da amostra), definição das informações a serem extraídas, análise dos resultados, discussão e apresentação da avaliação. Para tanto, foram utilizados dois dispositivos: um Samsung Galaxy S8, compatível com Android e um Iphone 8, compatível com iOS versão 10.2.1. Três buscas foram realizadas em cada loja virtual, utilizando-se individualmente cada uma das seguintes palavras-chaves: Pré-eclâmpsia; eclâmpsia e promoção da saúde de gestantes com pré-eclâmpsia. Resultados 11 aplicativos foram elegíveis para o estudo. Todos estavam presentes no sistema operacional Android e apenas um estava disponível nos dois sistemas operacionais, Android e iOS. Dos 11, seis aplicativos abordavam características da pré-eclâmpsia; apenas um abordava o manejo clínico da PE. A avaliação do aplicativo variou de 14 a 29 pontos em um escore que varia de 6 a 30 pontos. Apenas dois aplicativos possuíam versões em português. Conclusão Foi possível verificar que os aplicativos possuem informações importantes que podem esclarecer eventuais dúvidas que as gestantes possam ter.
Objective To identify the most effective procedures recommended for the prevention of preeclampsia. Data Sources A systematic review was performed in the following databases: Pubmed/MEDLINE, CINAHL, Web of Science, Cochrane and LILACS via the Virtual Health Library (VHL). A manual search was also performed to find additional references. The risk of bias, the quality of the evidence, and the classification of the strength of the recommendations were evaluated using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach. Selection of Studies In the initial search in the databases, the total number of articles retrieved was 351, and 2 were retrieved through the manual search; after duplicate articles were removed, 333 citations remained. After a thorough review of the titles and abstracts, 315 references were excluded. Accordingly, 18 articles were maintained for selection of the complete text (phase 2). This process led to the exclusion of 6 studies. In total, 12 articles were selected for data extraction and qualitative synthesis. Data Collection The articles selected for the study were analyzed, and we inserted the synthesis of the evidence in the online software GRADEpro Guideline Development Tool (GDT) (McMaster University and Evidence Prime Inc. All right reserved. McMaster University, Hamilton, Ontário, Canada); thus, it was possible to develop a table of evidence, with the quality of the evidence and the classification of the strength of the recommendations. Data Synthesis In total, seven studies recommended the individual use of aspirin, or aspirin combined with calcium, heparin or dipyridamole. The use of calcium alone or in combination with phytonutrients was also highlighted. All of the studies were with women at a high risk of developing preeclampsia. Conclusion According to the studies evaluated, the administration of aspirin is still the best procedure to be used in the clinical practice to prevent preeclampsia.
Objective: to investigate the constituent elements of the nursing consultation in the prenatal care, in the view of the pregnant women. Methods: a qualitative study, undertaken based on semistructured interviews with 95 pregnant women. The samples were chosen by intentional criteria, until theoretical data saturation took place at 25 interviews, which were processed using the ALCESTE software. The participants undertook intercalated prenatal consultations between the nurse and physician. Results: the conduct undertaken in the first prenatal consultation related to arranging tests and the prescription of folic acid and ferrous sulfate, evidencing the importance of attending the consultations. Furthermore, the discourses are based on advice for general care and the filling out of the 'pregnant woman's card' 2. Conclusion: based on the view of the pregnant women who participated, it was possible to identify that the nursing consultation in the prenatal period was based in technical procedures. Emphasis was placed on the providing of information, but it was not possible to identify feedback on this. Descriptors: Pregnant Women; Prenatal care; Nursing. Objetivo: compreender os elementos constituintes da consulta de enfermagem no pré-natal na ótica de gestantes. Métodos: estudo qualitativo, desenvolvido a partir de entrevistas semiestruturadas com 95 gestantes. Amostra escolhida por critério intencional, até ocorrência da saturação teórica dos dados, o que ocorreu com 25 entrevistas, processadas no software ALCESTE. As participantes realizavam atendimentos prénatal intercalados entre enfermeiro e médico. Resultados: a conduta realizada na primeira consulta pré-natal remete-se à solicitação de exames e prescrição das medicações ácido fólico e sulfato ferroso, evidenciando-se importância do comparecimento nas consultas. Além disso, os discursos estão baseados em orientações para cuidados gerais e acerca do preenchimento do cartão da gestante. Conclusão: a partir da ótica das gestantes participantes foi possível identificar que a consulta de enfermagem no pré-natal baseou-se em procedimentos técnicos. Houve ênfase no fornecimento de informações, porém não foi possível identificar feedback acerca destas. Descritores: Gestantes; Cuidado Pré-Natal; Enfermagem.
Objective: to analyze the impact on pregnant/parturient women's obstetric and neonatal outcomes resulting from displacement between homes and health services. Methods: an integrative review was carried out in August 2020 on the following databases: SCOPUS, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Medical Literature Analysis and Retrieval System Online/PubMed, Science Direct and Latin American and Caribbean Health Sciences Literature/Virtual Health Library, using controlled descriptors and keywords. Besides, a quantitative descriptive analysis of the main results was performed using the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software. Results: the sample resulted in 20 articles. It was evidenced that the mobility of women is hampered by distance between home and health services, precarious transport, and living in socioeconomically disadvantaged places. Conclusion: difficulty in mobility is a crucial factor that explains the adverse maternal and neonatal impact.
Background: The Irisin is a myokine associated with the improvement on insulin resistance caused by diet and increased physical energy expenditure. Recent studies have shown that patients with Type 2 Diabetes Mellitus (T2DM) have reduced levels of irisin, showing it as a potential marker for various endocrine and cardiovascular diseases. This study aimed to verify if T2DM patients never treated or without ongoing treatment have reduced levels of irisin when compared to individuals with other metabolic profiles. Methods and Findings:Systematic review of the literature, considering the primary studies published in 2012 to 2016, with the outcome Irisin levels in patients never treated or without current treatment in the ambience of Type 2 Diabetes Mellitus. The search was conducted through the electronic database Scopus (Elsevier), using the key words: "Irisin", "Human" and "Diabetes Mellitus". From the 91 studies found, 8 met the eligibility criteria. Significant differences were found on levels of irisin in patients with T2DM compared to normoglycemic individuals, obese and/or pre-diabetic. On average, there was a reduction of 15 pg/ml in plasma levels of irisin in diabetics. However, a minority of studies says that this relationship does not exist. Conclusion:Irisin reduced levels were found in patients with T2DMand is also related to lipid profile, with the risk of developing endocrine diseases, such as diabetes and obesity, and high risk for cardiovascular diseases because of its relationship with endothelial dysfunction. This Low Irisin Levels in Patients with IntroductionDiabetes mellitus is the most common chronic disease characterized by hyperglycemia resulting from defects in insulin secretion and/or activity [1].Its incidence increases gradually each year. The worldwide prevalence of diabetes among adults was 6.4%, affecting 285 million people in 2010, and is expected to increase to 7.7% (ie, 439 million adults) in 2030 [2]. Obesity, especially visceral is one of the most important factors in the development of diabetes through various mechanisms, including increased circulating free fatty acids, secretion of cytokines by white adipose tissue, which ultimately exacerbates insulin resistance, and decreased adiponectin [3], a derived from white adipose tissue cytokine that has been linked to insulin sensitizing activity and cardiovascular protective properties [4]. The brown adipose tissue acts oxidizing chemical energy to produce heat as a defense against hypothermia and obesity [5], may alter insulin sensitivity [6,7,8,9].The reduction in physical activity has also been associated with an increase in the development of chronic diseases, including type 2 diabetes mellitus (T2DM) [10]. One possible explanation for this is the secretion of myokine by the muscular system [11]. Contraction of the skeletal muscle secretes a spectrum of bioactive molecules known as 'myokine', coordinating the flow of energy needed to sustain muscle activity and stimulating the adaptive plasticity of muscle and various ...
Aim:The objective of the current study was to analyze the health outcomes of women attending with a clinical guideline to consultations for cervical cancer (CC) prevention in a primary care center. Methods: A cross-sectional design was used, and data were collected from March to July 2016 with a sample of 87 women in Fortaleza, Brazil. Results: The following correlations were found: previous history of sexually transmitted infection (p = 0.025), women who used oral contraceptives (p = 0.035), and undergo the Papanicolaou test annually; having black skin color (p = 0.031) and attending to the first gynecological consultation; being single (p = 0.031), family history of cancer (p < 0.001), and undergoing the first Papanicolaou test within the first 3 years of sexual activity; age up to 30 years and positive colposcopy (p = 0.027); and being single and positive colposcopy (p = 0.021). CC was characterized by the presence of intraepithelial lesion detected on colposcopy (gold standard). Receiver operating characteristic curves were used to evaluate the diagnostic accuracy of visual inspection with Lugol's iodine, digital cervicography, and Papanicolaou test. The area under the curve values were as follows: digital cervicography: 0.558, p = 0.509; Lugol's iodine: 0.491, p = 0.919; and Papanicolaou test: 0.697, p = 0.024. Conclusion: Colposcopy in primary care provided a faster diagnosis of pre-cancerous lesions. Understanding the health outcomes of women who underwent consultations for CC prevention, as well as the screening and diagnosis methods used, is essential to the service and national health system of the less developed countries.
Diante da pandemia por Covid-19, faz-se necessário a adoção de estratégias para acompanhamento de pacientes crônicos, objetivando diminuir a infecção desses indivíduos e a descompensação das doenças de base. Nesse sentido, foi criado um fluxo de atendimento na Unidade de Atenção Primária à Saúde – UAPS Manoel Gomes da Silva, Caucaia (Ceará), que tem possibilitado o monitoramento remoto das demandas de saúde da população adscrita e a resposta, praticamente em tempo real, das necessidades de saúde da população. Nesses cenários de crise, são essenciais adoção de práticas criativas, acessíveis e de fácil implementação para otimizar o atendimento e manter os cuidados de saúde a população com o menor risco possível para profissionais e comunidade.
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