Objective: analyze the prenatal nursing consultation from the perspectives of pregnant women and nurses. Method: qualitative and descriptive study, involving 20 pregnant women and four nurses, at a primary health care service located in the city of São Luís/Maranhão (Brazil). The data were collected through semistructured interviews, participant observation and a focus group and analyzed based on the premises of thematic analysis. Results: the pregnant women expressed their satisfaction with the physical examination, highlighting that the welcoming. Complaints were made on the nurses’ technical competence, specifically regarding counseling on urinary tract infection. Some facilities were highlighted after the implementation of the Estratégia Rede Cegonha, mainly in the scheduling of appointments. The following difficulties were mentioned: lack of some prescribed drugs and long terms for carrying out and receiving preventive examinations. Conclusion: the pregnant women assessed the nursing consultation as very good, but they tend to attribute the logistic difficulties at the Health Center (lack of inputs) and even the forwarding to the medical professional (prescription of drugs to obtain outside the Health Center) to the nurses. Based on the research, relevant points could be identified that can influence positive criticism against the nursing consultation, as it constitutes more than half of clinical prenatal care in Brazil and can also change the conditions sensitive to hospitalization in primary care.
Climate can modulate human health at large spatial scales, but the influence of global, regional, and local environments remains poorly understood, especially for neglected diseases, such as mycoses. In this work, we present the correlation between climatic variables and hospitalizations for mycoses in Brazilian state capitals, evaluating the period of 2008 to 2016 at different time scales. The results indicate that climate modulates the hospitalizations for mycoses differently at annual and monthly time scales, with minimum temperature as a key climatic variable during periods of high prevalence in the 10 Brazilian capitals with the highest hospitalizations for mycoses rates. The greatest number of hospitalizations coincided with La Niña events, while a reduction was observed during El Niño events, thereby demonstrating the influence of the Pacific Interdecadal Climate Oscillation on the prevalence of mycoses in Brazil. At a regional scale, the mycoses burden in Brazil appears to respond differently to local and global climatic drivers.
Soil compaction may interact with available soil water and aeration porosity, affecting root and crop growth. Most commonly, soil compaction status is assessed by penetration resistance (PR) tests. The Least Limiting Water Range (LLWR) is an indicator of soil structural quality that appraises the simultaneous effects of water availability, aeration, and PR on plant growth. High resolution PR microprofiles are commonly acquired for LLWR assessment. Multifractal analysis of these microprofiles provides a new opportunity to investigate highly localized heterogeneity at the scale of small soil cores. The objectives of this work were to characterize the scaling properties of depth‐dependent PR microprofiles using multifractal analyses and to explore the effects of soil bulk density and water potential on the degree of multifractality of these PR data series. Disturbed soil cores from a clayey Oxisol (Rhodic Hapludox) were assayed at seven different levels of bulk density (ρb) in the range of 1.00–1.60 kg dm−3 and at six different matric potentials (ψ) from −6 to −1500 kPa, yielding 42 treatments. Each treatment was replicated three times and three PR microprofiles were recorded per soil core, so that 378 PR data series were analyzed. Singularity and Rényi spectra revealed the multifractal behavior of PR microprofiles, and the multifractal approach provided considerable detailed information on their depth‐dependent structure. Rényi spectra and singularity spectra of PR microprofiles, and specially the branches accounting for the most negative statistical moments, depended on ρb and ψ. Effects of bulk density on multifractal parameters were modeled by a linear equation, while water potential effects were modeled by an exponential relationship to log (−ψ). Increasing ρb gradually reduced the degree of multifractality. Increased dryness increased the degree of multifractality, notably near the wilting point, while higher water contents near field capacity showed no significant effects on the degree of multifractality.
OBJECTIVE To evaluate the knowledge and biosafety practices adopted by professionals of the beauty segment. METHODS Descriptive study, of survey type. 238 professionals of the beauty segment were interviewed between August 2014 and 2015. The variables were expressed by means of absolute and relative frequencies, as well as average and standard deviation. RESULTS 62.6% of the interviwed professionals reported having had contact with blood from customers when they were not wearing gloves; 74.4% said they washed their hands before and after each service, and only 16.8% of the respondents reported reusing nonsterilizable materials. None of them was able to inform the correct number of sets of tools needed , and 32.8% of the respondents did not use Personal Protective Equipment during their work activities. CONCLUSIONS The most frequently reported diseases associated with the risk of infection and transmission in the work activities were viral hepatitis, HIV and fungi. Regarding the biosafety procedures adopted, autoclave is the least used method for sterilizing devices.
Resumo A Constituição Federal de 1988 ampliou as atribuições do Ministério Público e possibilitou a participação popular por meio de conselhos gestores na construção de políticas públicas e na efetivação do controle social. Realizou-se uma revisão sistemática da literatura com o intuito de conhecer o panorama nacional sobre a interação entre o Ministério Público e os Conselhos de Saúde e a importância desse relacionamento para o fortalecimento do controle social no Sistema Único de Saúde, buscando refletir criticamente sobre a atuação do Ministério Público para o bom funcionamento desses instrumentos democráticos de poder. Consultaram-se as bases: PubMed, BVS, Periódicos CAPES e BDTD. Para a composição da amostra de 17 artigos e dissertações, selecionados entre 2006 e 2015, foram associados os descritores: Ministério Público, Controle Social, Participação Popular e Conselhos de Saúde. A análise dos resultados demonstra que existe diálogo entre Ministério Público e Conselhos de Saúde, e ele traz benefícios recíprocos que são imprescindíveis para o fortalecimento e efetivação do controle social no SUS. Na área da saúde, a atuação do Ministério Público sobre a matriz resolutiva e extrajudicial estimula a participação popular e a superação das deficiências enfrentadas pelos Conselhos de Saúde.
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