Crescimento e desenvolvimento infantil em crianças hospitalizadas: atuação do enfermeiro / Child growth and development in hospitalized children: nurse's performance

Objetivo: descrever a experiência sobre a atuação da enfermagem frente aos marcos de desenvolvimento infantil e a orientação aos familiares para o conhecimento e acompanhamento eficaz do desenvolvimento. Metodologia: estudo descritivo de abordagem qualitativa, do tipo relato de experiência, realizado em um Hospital de Referência de uma capital do Nordeste no período de Abril de 2018 durante a disciplina de Saúde da Criança e do Adolescente. Resultados: É essencial a elaboração de ações para o conhecimento e acompanhamento dos pais e cuidadores ao desenvolvimento das crianças para a promoção de um ambiente seguro e suscetível ao estímulo do potencial de cada criança. Conclusão: O enfermeiro é responsável por realizar e orientar os pais e cuidadores a importância do acompanhamento e desenvolvimento infantil. O acompanhamento é primordial para a detecção precoce de atrasos motores, cognitivos ou psicossociais, sendo possível perceber sinais e sintomas com a correta orientação, através do cartão de vacina no qual a criança recebe após o nascimento, e quando bem orientados os pais evitam atrasos ou um diagnostico tardio.

Objective: to describe the experience about nursing performance in relation to child developmental milestones and guidance to family members for knowledge and effective monitoring of development. Methodology: this is a descriptive study of a qualitative approach, type of experience report, carried out in a Reference Hospital of a capital of the Northeast in the period of April 2018 during the discipline of Child and Adolescent Health. Results: it is essential to develop actions for the knowledge and monitoring of parents and caregivers to the development of children to promote a safe environment and susceptible to stimulate the potential of each child. Conclusion: nurses are responsible for conducting and guiding parents and caregivers on the importance of child follow - up and development. Follow-up is essential for the early detection of motor, cognitive or psychosocial delays, and it is possible to perceive signs and symptoms with the correct orientation through the vaccine card that the child receives after birth, and when well-oriented parents avoid delays or a late diagnosis.

Quality parameters and thermogravimetric and oxidative profile of Muruci oil ( Byrsonima crassifolia L.) obtained by supercritical CO2

Abstract These researches aimed determine the quality parameters, the nutritional profile, and the thermogravimetric and oxidative behavior of Muruci (Byrsonima crassifolia L .) oil obtained by supercritical CO2 extraction. The results showed an average oil yield of 5.50%. The acidity and peroxide values show good quality and conservation standards, according to the Brazilian legislation. The fatty acid profile indicates a predominance of unsaturated fatty acids with levels above 60%, highlighting the presence of fatty acids omega-6 and omega-9. The thermogravimetric curves showed oil stability at temperatures around 200 °C and exothermic peaks characteristic of mass loss close to 250 °C. The data of oxidative induction time determined by the Rancimat method showed thermal oxidative stability of 20.85 h for the oil obtained. The Fourier transform infrared (FTIR) spectroscopic profile evidenced chemical compounds with predominantly unsaturated structures, confirming its fatty acid profile. Based on the results of the oil analysis, it is possible to recognize the potential of this species in terms of nutritional, functional, and thermo-oxidative stability aspects.

Psicoterapia de casal: ambiguidade na demanda de tratamento e manejo clínico / Couple's psychotherapy: ambiguity in treatment and clinical management / Psicoterapia de pareja: ambigüedad en la demanda del tratamento y manejo clínico

O presente trabalho tem como objetivo investigar a demanda de tratamento em psicoterapia de casal, buscando compreender as repercussões das contradições entre a queixa inicial e as questões latentes na condução do encaminhamento, bem como o manejo clínico necessário diante da ambiguidade do pedido de ajuda. Desenvolvemos uma investigação clínico-qualitativa, a partir de um estudo de caso. O atendimento ocorreu em uma clínica-escola de uma universidade privada da cidade do Rio de Janeiro. A psicoterapia de casal transcorreu em coterapia, durante três meses, com frequência de uma vez por semana, estando em supervisão semanalmente. Verificamos que, muitas vezes, a demanda do casal por tratamento é fortemente ambígua, podendo desencadear impasses para o psicoterapeuta, como intensas inquietações na condução das intervenções terapêuticas e dúvidas na indicação adequada de tratamento.

This study aims to investigate the demand for treatment in couples psychotherapy. It seeks to understand the repercussions of contradicting initial complaints and latent issues in the conduct requiring referral, as well as the necessary clinical management due to the ambiguity in the request for help. We developed a clinical-qualitative investigation, based on a case study. The treatment took place at a private university school-clinic in the city of Rio de Janeiro. The couples psychotherapy occurred in co-therapy, once a week for three months with weekly supervisions. We verified that the couples' demand for treatment is often very ambiguous, which can lead to deadlocks for the psychotherapist, such as intense concerns about the conduct of therapeutic interventions and doubts regarding the recommendations for the adequate treatment.

El presente trabajo tiene como objetivo investigar la demanda de tratamiento en psicoterapia de parejas. Busca comprender las repercusiones de las contradicciones entre la queja inicial y las cuestiones latentes en la orientación del tratamiento, como el manejo clínico necesario ante la ambigüedad de la solicitud de ayuda. Desarrollamos una investigación clínico-cualitativa, basada en un estudio de caso. El caso tuvo lugar en una clínica-escuela de una universidad privada en la ciudad de Rio de Janeiro. La psicoterapia de pareja transcurrió en coterapia, una vez por semana durante tres meses con supervisión semanal. Verificamos que, a menudo, la demanda de la pareja por el tratamiento es fuertemente ambigua, pudiendo desencadenar dificultad al psicoterapeuta, como las preocupaciones intensas sobre la realización de intervenciones terapéuticas y las dudas con respecto a las recomendaciones de tratamiento adecuadas.

Description of the complexity of prescribed medication regimens in primary health care of Ribeirão Preto - SP

Introduction: Pharmacotherapy is the main therapeutic resource for the management of diseases. However, the number of drugs prescribed, dose frequency, and mode of administration can make the treatment more complex and influence treatment outcomes. The aim of this study was to measure the complexity of prescribed medication regimens in primary health care (PHC) services in Ribeirão Preto, Brazil. Methods: This cross-sectional study included 1,009 participants: 889 from primary health units and 120 from family health units in Ribeirão Preto, Brazil. Treatment complexity was assessed using the Medication Regimen Complexity Index (MRCI). Results: MRCI mean scores were 12.5 points (SD = 9.3) and dose frequency was the major contributor to increase the score. The complexity of pharmacotherapy showed a significant correlation with the number of prescribed medications (r = 0.93, p < 0.01), but not with patients' age (r = 0.28, p < 0.01). There is also no difference in complexity between the sexes (p = 0.83) and the types of primary health care service (p = 0.31). An analysis of variance revealed that patients with lower levels of education receive more complex prescriptions (p < 0.01). Conclusions: The pharmacotherapy prescribed in PHC services from Ribeirão Preto, Brazil is complex, and there is a need to concentrate efforts and adopt strategies to simplify drug prescription without compromising patient's clinical status.