Health Sciences Literature Research Articles

LA IMPORTANCIA DE LOS MACROHONGOS PARA EL MEDIO AMBIENTE

Ethnomicology was defined as the branch of Ethnobotany that is dedicated to the study of the role of mushrooms. In view of the above and the fragmented knowledge about fungi in the Amazon region, this work aims to analyze the scientific knowledge produced on the importance of macrofungi to the environment, using consultation in electronic platforms. Thus, the bibliographic survey to obtain scientific articles and review was carried out in the electronic platforms Google academic, Scientific Electronic Library Online (SCIELO), PubMed, Latin American and Caribbean Literature in Health Sciences (LILACS) and MEDLINE (International Literature in Health Sciences). To do so, using a descriptive and exploratory approach, including the inclusion period 2012-2018. The is from macrofungoes play an important role in ecological balance, as decomposers of organic matter, besides being useful for nature, is also used by man for the use of drugs, medicinal, food and industrial.

Combination of diuretics for acute heart failure: a protocol for a systematic review of randomised clinical trials with network meta-analysis and trial sequential analysis

IntroductionAcute heart failure (AHF) is a critical, costly condition with high mortality rates, affecting millions annually. Despite advances in cardiovascular care, AHF treatment lacks robust evidence. AHF commonly manifests with...

Assessment of head trauma in children: Current guidelines and challenges

The objective of this research is to analyze and synthesize current guidelines for the assessment of head trauma in children, identifying challenges faced in implementing these guidelines in clinical practice. To search for eligible responses, a systematic literature review was carried out, the aim of which was to gather, analyze and synthesize all available evidence on the research topic. Searches in scientific literature were carried out in the following databases: Latin American and Caribbean Literature in Health Sciences - LILACS and National Library of Medicine - PUBMED. Analysis and synthesis of current guidelines for the evaluation of head trauma in children reveal a series of fundamental recommendations to ensure an effective and safe approach to the management of these complex cases. However, its implementation in clinical practice faces significant challenges that can impact the quality of care offered to children suffering from head trauma. One of the main challenges is the variability in interpretation and application of guidelines by healthcare professionals, due to the complexity and multifaceted nature of pediatric head trauma. Additionally, a lack of adequate resources, such as neuroimaging equipment and trained personnel, may limit the ability of healthcare facilities to follow all guideline recommendations.

Gender-affirming surgical procedures and their psychosocial impacts: an integrative review

Objective: Identify the main gender affirmation surgery techniques related to the construction of a neovagina and a neopenis and the consequent impact of these procedures on the mental issues of transgender people. Methods: This is an integrative literature review with an electronic survey of articles selected between August and September 2023, using MEDLINE (International Literature in Health Sciences) and LILACS (Latin American and Caribbean Literature in Health Sciences) via the Virtual Health Library (VHL) portal and PubMed (U.S. National Library of Medicine), portraying the main surgical procedures for gender reassignment and their psychosocial impacts on the transsexual community. Results: 21 articles were obtained that made up the final sample of the present study. Final considerations: Studies point to the satisfaction of transgender individuals after gender affirmation surgeries and consequent improvement in the mental health of this community despite the lack of standardization in measurement methods related to quality of life aspects, which impacts and limits the comparison between Works.

Digital resources in the monitoring of patients with cleft lip and palate: protocol for a scoping review

IntroductionCleft lip and/or palate (CL+/-P) is a congenital malformation affecting the lip and palate, requiring long-term treatment due to potential associated complications. For this reason, it is important for the...

Side effects of COVID-19 vaccines in paediatric patients: a review systematic and meta-analysis protocol

IntroductionThe paediatric population represents a quarter of the world’s population, and like adult patients, they have also suffered immeasurably from the SARS-CoV-2 pandemic. Immunisation is an effective strategy for reducing...

The functional viability in the use of herbal medicine as an alternative to the pharmacological treatment of dyslipidemia: Asystematic review

Background: Dyslipidemia is caused by an increase in plasma lipoprotein levels and predisposes to the risk of thrombotic events, which highlights the need for early treatment. Traditional therapies have limitations due to the lack of adequate responses and abandonment of treatment due to its adverse effects. Aim: This study sought to identify alternative treatments for dyslipidemia using herbal medicines, which could help traditional methods or replace them. Methods: A systematic review was carried out by searching the Latin American and Caribbean Literature in Health Sciences (Lilacs), PubMed and ScienceDirect databases using the descriptors "phytotherapy" OR "phytotherapeutic drugs" AND "dyslipidemias" OR "cholesterol" OR "atherosclerosis". Results: The databases returned 80 articles, 9 were excluded for being duplicates and after applying the exclusion and inclusion criteria resulted in a sample of 13 articles. Studies with herbal medicines such as Red Grape Seed Extract (RGSE), Sacha Inchi Oil, Green Tea, Eggplant Juice, Agrimonia eupatoria, Artichoke and Garlic, which showed different effects on lipid profiles, were evaluated. Conclusion: The use of herbal medicines in the treatment of dyslipidemia may be a viable alternative, but further studies are needed on this subject.

CHILDREN WITH DOWN SYNDROME AND EQUINEASSISTED THERAPY: A SYSTEMATIC REVIEW

Equine Assisted Therapy (EAT) is a therapeutic and educational method that uses the horse within an interdisciplinary approach. The objective of this study was to analyze the publications on Equine Assisted Therapy (EAT) as a tool in the global development of children with Down Syndrome (DS). Methods: The criteria were: randomized clinical trials; population diagnosed with DS and age ≥13 years old; published from 2015 to 2021; indexed by Qualis between A1 and B3, in the following electronic databases: National Library of Medicine (PUBMED), Scientific Electronic Library Online (SciElO) and Latin American and Caribbean Literature in Health Sciences (LILACS).Results: 18 articles were found, of which 8 met the objective and criteria proposed in the study. Conclusion: It can be seen that EAT proves tobe an effective and important tool; therefore, it contributes to the progress in the global development and improvement of the motor functions of children with DS.

The Use of Rhinomanometry in Mouth Breathing: A Systematic Review of the Literature.

Introduction Mouth breathing generates imbalances in the musculature, in craniofacial morphofunctionality, and in the stomatognathic system. Therefore, it is essential to make a diagnosis of mouth breathing through the quantitative assessment of nasal permeability, which can be performed through rhinomanometry. Objective To investigate the effectiveness of rhinomanometry in the diagnosis of mouth breathing in pediatric patients through a systematic review of the literature. Data synthesis The guiding question was: "Is the use of rhinomanometry as an assessment tool effective in the diagnosis of mouth breathing in pediatric patients?". We conducted a search on the following databases: Latin American and Caribbean Center on Health Sciences Information (BIREME), Latin American and Caribbean Health Sciences Literature (LILACS), PubMed/Medical Literature Analysis and Retrieval System Online (MEDLINE), Scientific Electronic Library Online (SciELO), Web of Science, and Science Direct. The Health Sciences Descriptors (Descritores em Ciências da Saúde, DECS, in Portuguese) and Medical Subjects Headings (MESH) were combined with the Boolean operator AND in the search strategy: rhinomanometry AND mouth breathing AND diagnosis AND nasal pressure AND nasal airflow AND nasal resistance . Observational cohort and cross-sectional studies that addressed the effectiveness of rhinomanometry in the diagnosis of mouth breathing were included. The reviewers independently extracted the information and scored the review quality based on the Physiotherapy Evidence Database (PEDro) scale and the grading of evidence levels according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. Of the 1,536 articles identified, only 3 were selected for the present review after the application of the eligibility criteria. Conclusion There is great concern regarding the assessment of nasal function. There was a lack of standardization of rhinomanometry to test the effectiveness of nasal resistance as an aid in the diagnosis of breathing mode.

Digital tools for preventing care-related infections in intensive care units: Integrative review

The study aimed to map digital tools with collective interventions and potential guidelines and limitations in preventing infections related to care in intensive care units. This is an integrative review of the literature, to survey the articles in the literature, a search was carried out in the following databases: Latin American and Caribbean Literature in Health Sciences and Medical Literature Analysis and Retrieval System Online, National Library of Medicine and National Institutes of Health and Nursing Database in the period from April to May 2022. Inclusion criteria: articles published in Portuguese and English, in the years 2011 to 2021, available free of charge and in full. Articles that did not have a well-defined research design were excluded. 1,666 articles were found, after defining the inclusion and exclusion criteria, 305 articles remained, of which ten articles were included in the search. The use of applications is very common among health services and helps organize data, enabling access to information in real time and/or remotely. It is worth mentioning that the development methods of these technologies are complex, involving a mix of instructional, systematized, contextualized and user-centered design. The present study, given the literature found and the evidence presented, shows the importance of technologies in the critical environment in terms of preventing infections, as well as the relevance of constantly updating and building technologies that promote the prevention and optimization of diseases in the process of work.

Face-down positioning or posturing after pars plana vitrectomy for macula-involving rhegmatogenous retinal detachments.

Face-down positioning or posturing after pars plana vitrectomy for macula-involving rhegmatogenous retinal detachments.

Non-violent communication as a technology in interpersonal relationships in health work: a scoping review

BackgroundWorking in healthcare environments is highly stressful for most professionals and can trigger problems in interpersonal relationships that can result in horizontal violence. In order to prevent violence and improve the working environment, some strategies can be implemented to provide well-being for all those involved, whether directly or indirectly in health care, such as non-violent communication. The aim of this study was to map and synthesize the available scientific evidence on the use of Nonviolent Communication as a technology for a culture of peace in interpersonal relationships in healthcare.MethodsThis is a scoping review carried out in the National Library of Medicine (PubMed), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, Excerpa Medica DataBASE (Embase), PsycINFO - APA/ PsycNET (American Psychological Association) and Latin American and Caribbean Health Sciences Literature (LILACS) databases between March and August 2023. The eligibility criteria used were studies that addressed the topic of NVC in the area of health, published in Portuguese, Spanish or English, with no time restrictions.Results53 studies were found in the databases. Two additional studies were extracted from of primary research. In the first exclusion phase, 16 texts were removed due to being duplicated. 39 articles were potentially relevant, and full-texts were reviewed for eligibility along with the inclusion and exclusion criteria Thus, seven studies were included in this review, published in English (five) and Portuguese (two), two of which were carried out in Brazil, one in the United States of America, one in South Korea, one in France, one in Canada and one in Thailand. In terms of the type of study/publication, two studies were reflections, one was a review, one was a mixed study, one was an experience report and two were experimental. The studies were predominantly of high and moderate methodological quality (85.7%). The total number of participants in the studies was 185. The studies showed that NVC is a technology that has made it possible to improve interpersonal relationships between health professionals. Training programs or educational intervention projects on the subject are useful for familiarizing professionals with the subject and demonstrating situations in which the technique can be included.ConclusionThe global scientific literature indicates that Nonviolent Communication is a significant resource for improving interpersonal relationships in healthcare work. This approach can be adopted as a strategy by managers and decision-makers, both to resolve conflicts and to prevent aggressive situations between health professionals, especially when it comes to moral or psychological aspects.

A INFLUÊNCIA DO AMBIENTE FAMILIAR NA MANIFESTAÇÃO DO TRANSTORNO DE PERSONALIDADE NARCISISTA

The manifestation of Narcissistic Personality Disorder (NPD) is often influenced by various factors, with the family environment being an important component. Family dynamics play a crucial role in the development of this disorder, impacting the formation of the individual's self-image and patterns of interpersonal relationships. In this context, understanding the influence of the family environment on the expression of NPD is fundamental to effectively address this complex psychological condition. Objectives: To investigate and understand the specific influence of the family environment on the manifestation of narcissistic personality disorder, exploring interaction patterns, parental styles, and family dynamics that may contribute to the development of this disorder. Methodology: Articles found were read, and inclusion and exclusion criteria were applied. Within the inclusion criteria, original articles addressing the investigated topic and allowing full access to the study's content were considered, published between 2016 and 2023, in Portuguese and English. The research was conducted through online access to the databases of the National Library of Medicine (PubMed MEDLINE), Scientific Electronic Library Online (SCIELO), Latin American and Caribbean Health Sciences Literature (LILACS) in February 2024. Results and Discussions: The complexity of treating narcissistic personality disorder (NPD) is highlighted. Psychopharmacological treatments have shown limited efficacy, being more useful in comorbidities with other conditions. Several psychotherapeutic approaches were explored, with Dialectical Behavioral Therapy and Schema-Focused Therapy standing out, as well as psychoanalytic approaches such as Transfer-Centered Psychotherapy and Mentalization-Based Therapy. However, regardless of the approach, narcissistic patients are challenging to treat due to difficulty in accepting the diagnosis and lack of empathy. Motivation for change often arises from external crises, making therapeutic commitment fragile. Therapists' countertransference is also a challenge, with difficult-to-manage negative feelings that, when understood, can provide valuable information about the patient's internal world. In summary, the results highlight the need for therapeutic strategies adapted to the complexity of NPD, considering the specific characteristics of narcissistic patients and the inherent challenges in the therapeutic process. Conclusion: In conclusion, addressing Narcissistic Personality Disorder (NPD) demands a deep understanding of therapeutic nuances. The results underscore the complexity in the effectiveness of psychopharmacological treatments and the importance of specific psychotherapeutic approaches. Difficulty in accepting the diagnosis, lack of empathy, and challenges in countertransference emphasize the need for adapted therapeutic strategies. Amidst these challenges, the pursuit of realistic treatment goals and the creation of therapeutic contracts are crucial. These findings underline the importance of continuing research and refining therapeutic approaches to effectively manage NPD.

Nursing strategies in antimicrobial stewardship in the hospital environment: a qualitative systematic review

BackgroundAntimicrobial resistance has become one of the world’s most important public health problems. Accordingly, nursing strategies to manage antimicrobials in hospital environments are fundamental to promoting patient health. The aim of this study was to summarise the best evidence available on nursing strategies for the safe management of antimicrobials in hospital environments.MethodsThis qualitative systematic review used meta-aggregation in accordance with the recommendations of the Joanna Briggs Institute. The protocol was registered in the data base of the Prospective Register of Systematic Reviews under No. CRD42021224804. The literature search was conducted, in April and May 2021, in the following data bases and journal repositories: Latin American and Caribbean Health Sciences Literature (LILACS) via the Virtual Health Library (VHL), Medical Literature Analysis and Retrieval System on-line (Medline) via PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scientific Electronic Library Online (SciELO) and Excerpta Medica Database (EMBASE). The findings of each study were summarized and the results were meta-aggregated in JBI SUMARI software.ResultsThe search resulted in a total of 447 studies and, after selection, the review included 26 studies, in which 42 nursing strategies were identified. The strategies were first categorised as care- or stewardship-related and then into the subcategories: Screening, Administration, Monitoring and Discharge, Nursing Team, Multi-professional Teams, Patients and Institutional Leadership. The 42 strategies were meta-aggregated and represented in flow diagrams. The best evidence was synthesized related to nursing strategies in the safe management of antimicrobials in the hospital environment.ConclusionsNurses play an indispensable function in antimicrobial stewardship in the hospital environment, because they work directly at the core of safe patient care. Significant contributions by nursing towards reducing antimicrobial resistance were found in care-related practice, education activities, research and policy.

Strategies of Hearing Preservation With Military Personnel: A Scoping Review.

The purpose of this study was to map the strategies used in hearing health education with military personnel during the Hearing Preservation Program (HPP). This study is a scoping review, with electronic searches conducted in online databases and gray literature: Latin American and Caribbean Literature in Health Sciences, PubMed/Medline, Scopus, Web of Science, ASHAWire, Google Scholar, and ProQuest Dissertation & Theses. Only studies describing, analyzing, or evaluating the application of the HPP to active duty or training military personnel were included. A total of 3,478 references were retrieved, and 12 studies met the inclusion criteria. The strategies were classified into five categories: focus group aimed at exploring knowledge and perceptions regarding hearing health (five studies), training on the proper fitting of hearing protection devices (four studies), the utilization of audiovisual materials (seven studies), questionnaires administrated before and after educational intervention (five studies), and feedback survey concerning the implemented hearing health education (three studies). There are five strategies that aimed at assessing knowledge and attitudes, improving hearing health education, facilitating information access, and evaluating the applied actions. https://doi.org/10.23641/asha.25219589.

Communication within families of individuals with disabilities: a comprehensive literature review

Family communication is a construct that has been extensively explored in the literature from a systemic perspective. This Integrative Review aims to characterize and identify the instruments used in the context of communication within families of individuals with disabilities. The research was conducted by searching the following databases: CAPES Journal Portal, Medline/Pubmed, Virtual Health Library, Scielo-Scientific Electronic Library Online, Latin American and Caribbean Literature in Health Sciences, Educational Research Information Center, and the American Psychological Association. The search process and refinements led to the construction of a database comprising 20 studies. The analysis revealed that 60% (n=12) of the studies were published from 2016 to 2018. In 85% (n=17) of the studies, the participants were caregivers of individuals with disabilities. 30% (n=6) of the research was conducted in North America, and 90% (n=18) of the studies were quantitative. The most commonly used instruments included the Family Adaptability and Cohesion Evolution Scale; Family Assessment Device Agreement scale about cohesion, communication and Family relationships and the Family Problem Solving Communication.

Factors Affecting the Formation of False Health Information and the Role of Social Media Literacy in Reducing Its Effects

The COVID-19 pandemic heightened concerns about health and safety, leading people to seek information to protect themselves from infection. Even before the pandemic, false health information was spreading on social media. We conducted a review of recent literature in health and social sciences and proposed a theoretical model to understand the factors influencing the spread of false health information. Our focus was on how false health information circulated before and during the pandemic, impacting people’s perceptions of believing information on social media. We identified four possible strategies to counteract the negative effects of false health information: prebunking, refuting, legislation, and media literacy. We argue that improving people’s social media literacy skills is among the most effective ways to address this issue. Our findings provide a basis for future research and the development of policies to minimize the impact of false health information on society.

RISK INDICATORS ASSOCIATED WITH THE INCIDENCE OF OBSTETRIC INJURY OF THE ANAL SPHINCTER DURING VAGINAL LABOR

Obstetrical lesions of the anal sphincter (LOEA) consists of third and fourth degree lacerations that can happen during vaginal labor. Its incidence is related to unfavorable outcomes in the health of the postpartum, such as anal incontinence, dyspareunia, sexual dysfunction, and negative repercussions on emotional and psychological health. Objective: To describe the main risk indicators associated with incidence of anal obstetric injury during vaginal labor. Methodology: This is an integrative review of the literature carried out in the indexed materials in the Medical Literature Analysis and Retrieval System Online (MEDLINE), Latin American and Caribbean Literature in Health Sciences (LILACS), Nursing Database - BDENF, Index Medicus for the Western Pacific (WPRIM) and Bibliographic Index Español en Ciencias de la Salud (IBECS), used the Health Sciences Descriptors (DeCS) in cross-over with the Boolean operator AND and OR, after the application of eligibility criteria were selected 13 studies to compose this review: are: It was evidenced that among the maternal risk indicators associated with LOEA, primiparity, episiotomy, body mass index (?), maternal age < 20 years of age, Asian ethnicity, due to shorter perineal bodies, instrumental delivery, second stage of prolonged labor and previous pregnancy cesarean section history. Fetal factors such as vaginal delivery of pelvic presentation, use of maneuvers to facilitate expulsion and macrosomy, weight > 4 kg were related to an increased risk for anal sphincter lesions. Concluding Considerations: It is observed that maternal and fetal factors are associated with a greater risk of developing anal sphincter lesions, so the identification by health professionals of the main risk indicators in a timely manner is of great importance in the prevention of greater maternal complications.

Men's health in primary care: challenges faced by nurses regarding the determinants of the health-disease process

To identify the challenges faced by nurses working in primary health care in relation to the care provided to the male population. This is an integrative literature review, with a quantitative approach, carried out using the following databases: Latin American and Caribbean Literature in Health Sciences (LILACS), Nursing Database - BDENF - and Scientific Electronic Library Online (SCIELO) and with the help of the Health Sciences descriptors (DeSC): "men's health", "primary health care" and "nursing". Fourteen studies were selected to make up the review. The challenges faced by nursing in relation to the health of the male population are mainly related to the socialization that gender involves, the deficit in the organization of services due to the feminization of systems, the incompatibility of schedules, the lack of training and qualification of health professionals who work in PHC. It was possible to identify that health services are deficient in meeting the demands presented by the male population. This study will provide a better insight into the structuring and preparation of health services to care for men of all ages.

Prevention and care strategies for people with HIV/AIDS in Primary Health Care

The present work aims to address the main prevention and care strategies for people with HIV/AIDS in Primary Health Care, through an integrative review of the literature. This is an integrative review of the literature, carried out in the Virtual Health Library (VHL). The databases selected were: Medical Literature Analysis and Retrieval System Online (MEDLINE), Latin American and Caribbean Literature in Health Sciences (LILACS), Spanish Bibliographic Index in Health Sciences (IBECS) and Nursing Database - BDENF. Using this search parameter, 937 articles were obtained and, after applying the inclusion and exclusion criteria, only 24 studies were selected to compose the final sample. The results show that prevention and care for people with HIV/AIDS are crucial aspects in the context of PHC, as its approach at this level of care seeks to promote health, prevent diseases and offer comprehensive assistance to the community, playing a role vital role in the comprehensive response to this health condition. The patient-user-centered approach, combined with education and health promotion, regular testing, encouraging the use of condoms, sexual and reproductive health care, counseling and psychological support, antiretroviral treatment, access and availability of PrEP and PeP, Combating stigma and discrimination, integrating RAS, epidemiological monitoring and training professionals is essential to guarantee prevention practices, the quality and effectiveness of the care provided.