Juiz De Fora Research Articles

For a Legal Protection of Places of Hurtful Memory of the Military Dictatorship in Juiz de Fora, Brazil (1964-1985)

Objective: The indication of the places of memory of the military dictatorship in Brazil is still incipient in this country. Thus, this work intends to indicate such places in Juiz de Fora, Minas Gerais, protagonist of the 1964 coup to democracy, not only because General Mourão Filho’s troops were stationed there a materialization of what was already planned in the barracks; but because it was the headquarters of the Military Region, where its audit collected hearings from witnesses and organized trials, and civilian and military facilities were used as spaces for torture and serving sentences. Methodology: Through concepts such as “dark heritage” and “places of sensitive memory”, we will try to demonstrate how silencing is preponderant in local public policies, whether in the non-identification of these places, or in the listing processes that privilege aesthetic and stylistic aspects to the detriment of memories of the dictatorship. Originality: Since the places discussed in this article are not object of public policies in favour of collective memory, this work will indicate buildings that were places of State violence and generally go unnoticed in the city’s landscape. Conclusions: The erasure of the dictatorial past in Juiz de Fora, and in Brazil in general, is a strategy of covering up responsibilities.

PROTOCOLS FOR MENTAL HEALTH CARE IN PRIMARY-LEVEL SERVICES: SUBSIDIES FOR TRANSFORMING THE ASSISTANCE PROVIDED

Objective: to analyze the repercussions on mental health care due to the implementation of Care Conduct Protocols in a Basic Health Unit from Juiz de Fora (Minas Gerais – Brazil). Method: a historical-social study carried out in 2018, having as direct sources written documents and oral testimonies analyzed according to the assumptions of the Psychiatric Reform. Results: the following categories are presented: a) Reorganization of mental health care through the implementation of Conduct Protocols; b) Referral and counter-referral process between Basic Health Units and specialized mental health care services; and c) Transformation of mental health care. Conclusion: the protocols organized the mental health care network, supporting multiprofessional training, introducing Primary Health Care as a gateway to welcoming, treatment and monitoring in territorial mental health.

The connection with nature in Brazilian urban parks and its contribution to the wellness of the population and to child development

In the global environmental crisis, the importance of natural environments for society has been increasingly studied and incorporated into urban, environmental, leisure, and health public policies. The growing urbanization of the world population highlights the role played by green areas in the protection of diverse ecosystem services. Mostly, with emphasis on the benefits to health and well-being, both for the adult population and for children and adolescents. In thissense, this work aims to investigate the motivations and benefits perceived by visitors of urban parks in Brazil, related to ten dimensions of well-being, and child development. From a survey carried out with 816 visitors of parks located in the cities ofBrasília, Rio de Janeiro, and Juiz de Fora, a similar sociodemographic profile was identified. The motivations to visit and the perceived benefits of visiting urban parks were high for all dimensions of well-being, with emphasis on the emotional dimension, followed by physical, environmental, spiritual, and social well-being. Significant differences were identified between cities. Three out of four visitors agree or strongly agree that urban parks bring benefits to children's development, mainly physical, respiratory, social, cognitive development, and anxiety reduction. The results, therefore, highlight the importance of urban parks in Brazil, promoting the well-being of society and benefits to child development. This reinforces the need for investment in public policies aiming at the creation and implementation of accessible and suitable green areas to allow everyday enjoyment to all citizens, particularly in the urban context.

Práticas Gerenciais em Operações e Cadeia de Suprimentos Turísticos Durante a Crise Pandêmica no Brasil:

This article aimed to analyses the management practices adopted by managers in operations and supply chain of business related to tourism in Juiz de Fora (Minas Gerais, Brazil), in the period between March 2020 and August 2021. The research focused on the structural components – hosting, food, travel agencies, cultural equipment and transportation – of the tourism supply chain, its main connections, the internal management process and possible inter-organizational relationships. Methodologically, a mixed [qualitative-quantitative] research was carried out. The information collected was analyzed through descriptive statistics and content analysis. As results and conclusion, it was observed that the companies that remain in operation are mainly those with more than ten years in the mercado, have a strong link with the local market and within its value chain. These companies reported having better monitoring of their operational activities and reducing failures in their services.

ARTERIAL HYPERTENSION AMONG PATIENTS WITH SICKLE CELL DISEASE: ASPECTS OF A COHORT IN JUIZ DE FORA, BRAZIL

Identify the frequency of hypertension in a cohort of patients with SCD, correlating socio-epidemiological and nosological data. A longitudinal study carried out from March 2013 to November 2017. A total of 483 patients with SCD and active registration at FundaçãoHemominas Juiz de Fora (JFO) were included. The diagnosis was confirmed by DNA analysis. A total of 208 patients were excluded for loss of follow up or refusal of the informed consent, resulting in 275 patients analyzed in this cohort. This research was approved by Ethics Committee (n° 419.415). The grant support was given by FundaçãoHemominas and National Institutes of Health HHSN2682011000071. The patients in this study were evaluated for socioeconomic data and SCD complications. The majority of patients were children (54.9%), female (54.2%), and genotype HbSS or HbSβ0 (68.4%). The majority of children (59.6%) had social benefits, while only 31.5% of adults had these benefits. Smoking was more present within men (35.4%) than in women (26.3%). 59.2% of women had already been pregnant. The mean value for SO2 in children was 93.8% and, in adults, 92.8%. High rates of ACS were obtained, occurring in 64.2% of children and 58.9% of adults. Both Hypertrophic cardiomyopathy and dilated cardiomyopathy were more common in adults. Finally, hypertension was diagnosed in 35 patients, in a prevalence of 12.7%, in this amount, 3 patients were children. According toWorld Health Organization (WHO) cardiovascular diseases are the main causes of death in the world. Hypertension is one of the main risk factors for a patient to develop a heart problem, especially when associated with other factors such as Sickle Cell Disease (SCD). It is possible to assume that the chances of hypertension are higher in adults patients and in those who have SCD. Furthermore, social benefits could be a protective factor. Hypertension was associated with the presence of severe SCD genotypes, pregnancy and smoking. Two of these factors are not supposed to occur in children, what may justify the lower prevalence of hypertension in this group.

Parasitas gastrintestinais em galinhas de raças ornamentais de um criatório particular na cidade Juiz de Fora, Brasil

To evaluate the occurrence of gastrointestinal parasites in chickens of ornamental breeds from a private farm located in Juiz de Fora, Minas Gerais. Fecal samples were collected from the animals individually, collecting the feces right after defecation. The collections were carried out in September 2018. The samples were packed in sterile plastic containers, identified and sent to the Laboratory of Parasitology and Parasitic Diseases of the Centro Universitário de Valença (UNIFAA), for analysis by the simple centrifuge-float technique. Two genera of helminths, Capillaria spp. and Ascaridia spp., and the protozoan Eimeria spp. It can be concluded that the gastrointestinal parasites found in the ornamental chickens studied did not differ from the endoparasites found in conventional free-range chickens. Coproparasitological exams are an excellent, fast and cheap way to verify/identify parasitic forms, which, once diagnosed, must be fought so that they do not compromise the health of the animals, especially in cases of ornamental birds that, because they are less rustic, may be more sensitive to parasites.

Sounds in the urban square: qualitative influences on users' lives

Noise pollution is a worldwide public health problem that directly influences the population's quality of life. The study of the soundscape in public spaces seeks to identify the perceptions of users and how it influences the experience in a given place. Thus, the aim of this study is to characterize the soundscape of Parque Halfeld square in Juiz de Fora, indicating how visitors assess the acoustic quality of this space. From on-site sound pressure levels measurements in the square and application of a questionnaire about the sound perception based on the Swedish SSQP (Swedish Soundscape-Quality Protocol), the results address the noise levels and the relationships between the users’ characteristics and the types of sounds perceived, as well as the related feelings. This study indicates that age, reason, and frequency of visits are some of the factors that most influence the perception of the soundscape and central areas of the square, a region with lower levels of sound pressure, are more pleasant in acoustic aspects. The questionnaire applied is also a contribution of this study to future research in the country. Given the pandemic scenario and the greater use of open spaces, this study can contribute to the planning of squares based on people's perception of the soundscape.

Profile of pharmaceutical interventions of a pharmacotherapeutic follow-up model for diabetic patients in a community pharmacy

The insertion of Pharmaceutical Care in Primary Health Care (PHC) improves patients’ clinical outcomes and quality of life. Pharmacotherapeutic follow-up can contribute to the management of chronic diseases such as diabetes, promoting better glycemic control and adherence to therapy. This study aimed to assess the Drug-therapy Problems (DTPs) and Pharmacist Interventions (PIs) on the pharmacotherapeutic management in patients with type 2 diabetes mellitus (T2DM) in a community pharmacy. A quantitative, retrospective, and cross-sectional study was conducted in a Pharmaceutical Care Program within the PHC in Juiz de Fora (Minas Gerais, Brazil). Inclusion criteria were patients with T2DM above 18, who attended at least three pharmaceutical consultations between July 2016 and October 2018 and presented two or more glycated hemoglobin tests. The study group (n = 17) was largely composed of women (65%), elderly (76%), sedentary (72%), and obese people (52%). The resolution was achieved in 79% of the DTPs identified (n = 115). Most of DTPs were related to administration and adherence to pharmacotherapy (46%). 60% of the 437 PIs involved the provision of information and counseling. In other words, accessible interventions lead to high resolvability. Therefore, clinical actuation of pharmacists could improve the prognosis in diabetes treatment.

Physicians' quality of life, illness and presenteeism: a cross-sectional epidemiological study.

The World Health Organization defines quality of life as " an individuals' perception of their position in life, in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards, and concerns." physicians, when dealing with illness and exposing themselves to the risks of their profession, must act without compromising their own health status in view of the function performed. To evaluate and correlate physicians' quality of life, professional illness, and presenteeism. This is an epidemiological, cross-sectional, descriptive study with an exploratory quantitative approach. Overall, 309 physicians working in Juiz de Fora, state of Minas Gerais, Brazil were interviewed and answered a questionnaire with sociodemographic and health information and the World Health Organization Quality of Life instrument-Abbreviated version (WHOQOL-BREF). Of physicians in the sample, 57.6% fell ill during their professional activities, 35% took sickness absence, and 82.8% practiced presenteeism. The most prevalent diseases were those involving the respiratory system (29.5%), infectious or parasitic diseases (14.38%), and those involving the circulatory system (9.59%). WHOQOL-BREF scores were boas, and were influenced by sociodemographic characteristics such as sex, age, and time of professional experience. Male sex, professional experience greater than 10 years, and age above 39 years were associated with beter quality of life. Previous illness and presenteeism were negative factors. The participating physicians had a good quality of life in all domains. Sex, age, and time of professional experience were relevant factors. The highest score was observed in the physical health domain, followed by psychological domain, social relationships, and environment, in a descending order.

PUNÇÃO VENOSA PERIFÉRICA E CONTRASTE NOS EXAMES RADIOLÓGICOS: REPRESENTAÇÕES SOCIAIS ANCORADAS NOS ESTRESSORES DE NEUMAN

ABSTRACT Objective: to discuss the social representations about peripheral venipuncture and the use of contrast media of people submitted to radiological examinations, referring to stressor concept. Method: this is qualitative research, outlined in the procedural approach of the Social Representation Theory, carried out with 57 users undergoing computed tomography and magnetic resonance imaging at a university hospital in Juiz de Fora, Minas Gerais, Brazil. In-depth individual interviews triggered by guiding questions were conducted in January 2019. The contents of the interviews were fully transcribed and content analysis was carried out in three stages (pre-analysis, material exploration and treatment/interpretation of results). We established thematic analysis based on the dimensions and representational origins, which made it possible to discuss the findings anchored in the concepts of stressors, allowing the identification of three categories based on intrapersonal, interpersonal and transpersonal stressors. Results: puncture and examination were represented by individual, group, professional and therapeutic environment experiences, classified into the following categories: itinerary and conceptions on puncture and contrasted examinations based on intrapersonal stressors; shared relationships on puncture and examination, based on interpersonal stressors; and experiences in the therapeutic environment of a diagnostic imaging service, based on transpersonal stressors. Conclusion: the social representations were signified by examination, results and impacts on life, portraying stressors based on images/feelings of doubt and positive behaviors rationally justified, which explain human responses to reified content, enabling the restructuring of health care and nursing.

Fatores associados ao consumo não frequente de café da manhã em adolescentes (Estudo EVA-JF)

ABSTRACT Objective To estimate the association of infrequent breakfast consumption with socioeconomic, behavioral, and individual factors in a sample of Brazilian adolescents from public schools. Methods Cross-sectional study with adolescents aged from 14 to 19 from public schools in Juiz de Fora, state of Minas Gerais. The frequency of consumption of breakfast, snacks, soft drinks, industrialized drinks, the usual food consumption, body mass index, body fat percentage, and waist circumference were evaluated. Other socioeconomic, behavioral, and individual data were obtained through questionnaires. Logistic regression analysis and hierarchical selection of variables were used to verify the associated factors. Results The sample consisted of 805 adolescents; 53.4% reported infrequent breakfast consumption. Through hierarchical logistic regression analysis, it was evidenced that the house occupancy status (OR: 0.618; 95%CI: 0.4410.865; p=0.005) was the distal factor associated with infrequent breakfast consumption; the intermediate factors were the consumption of industrialized beverages (OR: 0.658; 95%CI: 0.486-0.890; p=0.007) and percentage of energy from processed foods (OR: 0.935; 95%CI: 0.907-0.964; p<0.001); and the proximal factors were the male gender (OR: 0.696; 95%CI: 0.520-0.932; p=0.0015) and being nonwhite (OR: 1.529; 95%CI: 1.131-2.069; p=0.006). Conclusion Male adolescents who lived in owned houses, with occasional consumption of industrialized beverages and a higher percentage of energy derived from processed foods, had lower chances of infrequent breakfast consumption, while non-white adolescents had higher chances.

Consumo alimentar de adolescentes de escolas públicas segundo grau de processamento industrial dos alimentos

ABSTRACT Objective To characterize food consumption, considering the degree of industrial food processing by public schools’ adolescents. Methods Cross-sectional study involving adolescents aged 14 to 19 years, of both genders, attending public schools in Juiz de Fora, MG. Food consumption was assessed using two 24-hour dietary recalls. Foods were classified into three groups according to the degree of industrial processing: (1) unprocessed foods or minimally processed foods, culinary ingredients and preparations based on these foods; (2) processed foods; (3) ultra-processed foods. In addition, weight and height information was collected, with subsequent calculation of body mass index/age to assess the individuals’ nutritional status according to the gender. Pearson’s chi-square, Mann-Whitney and Kruskal-Wallis tests were performed, adopting a value of p<0.05. Results The sample consisted of 804 adolescents, with a predominance of females (57.5%). In the sample, 29.9% and 26.1%, of girls and boys, respectively, were overweight. There was a difference in the daily consumption of ready-made sweet-tasting foods, being higher in females (26.2%) when compared to males (18.1%), whereas the consumption of soft drinks (one to four times a week) was 47.2% and 55.6% in girls and boys, respectively (p<0.05). Higher consumption of ultra-processed foods was observed in females (p=0.02) and processed foods in males (p=0.008). Conclusion There was a high contribution of ultra-processed foods in the diet of adolescents in public schools; a high prevalence of overweight was observed in both genders.

The Position of the Municipal Public Administration in the Context of the Pandemic: An analysis from the experience of Juiz de Fora/MG

The COVID-19 pandemic demanded the adoption of swift measures by public managers to control the spread of the disease, as the virus had a high rate of transmissibility. Effective, non-pharmacological actions involving social distancing and isolation were widely applied. It was noticed that they provided opportunities for the collision between the rights to free enterprise and health, by restricting the full exercise of commercial activities. These, intrinsically, promote agglomeration of people. It is therefore necessary to assess whether the restrictive measures for the promotion of the rights to health and life were proportional to the preservation of the essential core of free enterprise. The context of the city of Juiz de Fora was chosen for analysis, between the months of February 2020 and December 2021. Data regarding the number of cases and deaths in the municipality on each day of publication of the municipal decrees that conveyed trade-restrictive measures. The research was supported by the theories of fundamental rights and legal arguments, for the rational (argumentative) and proportional investigation of the implementation of fundamental rights, in the face of conflicts in the concrete case. Still, the consequentialist theory was used to assess whether the examination of economic, social and political impacts prevailed. It started from the assumption that the rights inherent to the exercise of economic activity would prevail over the adoption of sanitary control measures. Through the empirical research methodology, combined with qualitative and inference strategies, it was found that the municipal administration of Juiz de Fora, proportionally, privileged the right to health, over free enterprise.

Usuários de substâncias psicoativas: desafios à assistência de enfermagem na Estratégia Saúde da Família

ABSTRACT Objective to analyze the nursing care provided to users of psychoactive substances in the Family Health Strategy. Method a descriptive and qualitative study carried out with seven nurses from the Family Health Strategy of Juiz de Fora, Minas Gerais. Data was obtained through interviews guided by a semi-structured script and the Thematic Content Analysis was used for its treatment. Results the care provided by the interviewees is based on spontaneous demand, without active search strategies, with the valorization of practices guided by the medicalization of the person and the referral to specialized services. The inclusion of the family in the rehabilitation process, immediate care, and therapeutic listening were mentioned as strategies that can be adopted for an integral assistance. The challenges mentioned referred to the lack of training in mental health, the fragmentation of knowledge about the specialty, the absence of training, and the patient's desire to participate in the treatment. Final considerations and implications for the practice the nurses reported insufficient care to ensure comprehensive care permeated by a lack of knowledge and skills to deal with this public, which leads to referral to specialized services as the main intervention, reinforcing the need to train these professionals.

Detention Reservoir: Proposal for Flood Control in the Ipiranga Stream Basin, Juiz de Fora, MG, Brazil

In order to provide parameters for sizing a damping reservoir, which was intended to control the floods that occur in the Ipiranga Stream basin, a routine developed in Visual Basic for Applications (VBA) is used. From the identification of the most critical point of the flood, hydrological flow data are presented, estimated by dividing the basin into sub-basins, using the Rational method, resulting in a value of flow higher than the admissible one for the stream channel. The method used in dimensioning the reservoir was flood routing. After making a pre-selection of the most interesting place to position the reservoir, insertions of the situation existent were made to the VBA application, in order to generate scenarios and enable the choice of an ideal situation, in view of the presented constraints. A very acceptable and feasible result is pointed out, indicating general parameters for sizing a reservoir to control floods in the Ipiranga Stream basin.

Cirurgia paraendodôntica com retro-obturação utilizando MTA Repair HP®: análise tomográfica longitudinal prospectiva de dois casos clínicos

Aim: To evaluate, tomographically, in two clinical cases, the effect of the new MTA formulation of the Angelus, the MTA Repair HP, in the contribution to remission of periapical lesions in paraendodontic surgery, as well its physical properties and manipulation. Case report: Patient R.C.R, 57, attended at the Faculty of Dentistry of the Federal University of Juiz de Fora for evaluation of periapical lesion in the element 11. It was observed, at the clinical and radiographic exams, endodontic treatment and a circumscribed, unilocular and radiolucid area at the apex of the tooth. It was requested a CBCT exam (I-Cat®, Imaging Sciences International, Hatfield, Pennsylvania, USA), which confirmed the presence of the lesion and rupture of the buccal cortical plate. Thus, it was performed curettage, apicectomy, retropreparation and retrofilling with the described cement. It was solicited two additional CBCT exams at the period of three and five months post-operative. Patient R.J.G.M, 46, with mean complain of pain, increased intraoral volume and purulent discharged in the upper left arch. The clinical and radiographic exams revealed fistula and refractory lesion, despite the endodontic treatment of the tooth 25. A CBCT exam was done and it was observed a circumscribed hypodense area, around the apex of the 25, with rupture of the buccal cortical plate. It was suggested the same surgical treatment described in the case above. It was performed two more CBCT exam, at three and five months after the procedure. Discussion: The MTA Repair HP was developed from the necessity of a more biocompatible material with the dental structures in the retrograde filling process. This product helps in the remission of periapicals lesions and in the new formation of the periodontum components; also it has the advantages of longer setting time, not causing the darkening of the coronary portion and easier manipulation. Conclusion: Regarding the remission of the lesions, it was noticed the generation of calcified tissue across the periods of three and five months. Regarding the manipulation and application, it was not observed any improvement related to the addition of the plasticizer. However, it was noticed a shorter setting time, making it difficult to insert the material.

Eating contexts at breakfast, lunch, and dinner: Associations with ultra-processed foods consumption and overweight in Brazilian adolescents (EVA-JF Study)

This cross-sectional study estimated associations of eating contexts (including regularity of meals, places where they occur, and if they take place with attention and in company) with food consumption by degree of industrial processing and overweight indicators in a sample of Brazilian adolescents (14–19 years old) enrolled in 29 public schools in Juiz de Fora, MG (n = 805). We used an exploratory questionnaire, which was submitted to cluster analysis. Three clusters were identified: cluster 1 (n = 572), “appropriate eating contexts at breakfast, lunch, and dinner”; cluster 2 (n = 139), “inappropriate eating context at breakfast”; and cluster 3 (n = 94) “inappropriate eating context at dinner”. The evaluation of food consumption involved two 24-h dietary recalls, whose items were analyzed according to the NOVA classification system. Linear regression models were performed, using cluster 1 as reference. Clusters 2 and 3 were associated with an increase in the energy fraction from ultra-processed foods [respectively, β = 2.55% (IC 95%: 0.50; 5.05) and β = 4.18% (IC 95%: 1.21; 7.14)]; and cluster 2 was associated with a reduction in the energy fraction from unprocessed or minimally processed foods and processed culinary ingredients [β = −3.61% (IC 95%: −6.40; −0.82)]. Additionally, clusters 2 and 3 were associated with an increase of body mass index for age [respectively, β = 0.23 z-score (IC 95%: 0.01; 0.46) and β = 0.27 z-score (IC 95%: 0.02; 0.54)]; and cluster 2 was associated with an increase of body fat [β = 1.21% (IC 95%: 0.23; 2.64)]. In conclusion, inappropriate eating contexts at breakfast and dinner were associated with higher ultra-processed food intake, higher body mass index and higher body fat percentage.

Study on medication prescription in the elderly population: benzodiazepine use and potential drug interactions

Abstract Background Prescription of medications for elderly individuals is complex, potentially involving polypharmacy, drug interactions, and inappropriate medication. Notable among the medications are benzodiazepines, whose long-term use is common and growing among the elderly population. Objective This study aimed to evaluate the occurrence of potential drug interactions (PDI) in elderly community-dwelling patients who use benzodiazepines. Method Cross-sectional study, conducted via household survey, with 73 elderly persons in Juiz de Fora, MG, Brazil. The search and classification of PDIs was carried out using the Micromedex® system. Results The prevalence of benzodiazepine use in this population was 18.3% (95% CI, 15.2-21.6). The use of benzodiazepines was associated with polypharmacy (p<0.01; PR 3.03; 95% CI, 1.79-5.26). A total of 157 PDI occurrences were found in 69.9% of the elderly people assessed. Of these, 25 were related to benzodiazepines. In the elderly individuals who use benzodiazepines, polypharmacy was associated with PDI (p<0.01; PR = 16.13; 95% CI, 4.67-55.55). PDI occurrence was high in the elderly people who use benzodiazepines, including interactions of highly significant clinical value. Conclusion In general, PDI is associated with polypharmacy, which demonstrates the need to rationalize drug use in the elderly population through continuous monitoring, seeking the simplest and safest possible therapeutic regimen.

Rastreamento do câncer de colo de útero em mulheres mineiras de 2012 –2015

Objective: to analyze the results of the LSIL and HSIL screening from July 2012 to July 2015. Materials and Methods: descriptive study based on secondary data from SISCOLO.Results: In the period from June 2012 to July 2015, 2,451,607 cytopathological exams were performed in Minas Gerais, with 743,276, 2013 1,099,876 and 2014 608,455 in women aged 10 to over 64 years. Where, there is a deficit in data collection. The main cities that had the highest number of positive cases for LSIL and HSIL, we have Belo Horizonte, Juiz de Fora, Montes Claros and Uberlândia, in both injuries, Belo Horizonte has the highest number of positive cases. Conclusion: there is a common age group between 25 and 34 years old with a high involvement of LSIL and HSIL

Consumption of pork meat and derivatives by the population of Juiz de Fora, Minas Gerais, Brazil

Consumption of pork meat and derivatives by the population of Juiz de Fora, Minas Gerais, Brazil