Introduction of the method of intravaginal culture (IVC), through the device INVOCell routine laboratory RHA in Brazil.

INTRODUCTION: The conventional in vitro fertilization and the intracytoplasmic sperm microinjection are currently the established techniques for the treatment of infertility. In the last decade, however, the process of in vitro fertilization has suffered several changes in ovulation induction and oocyte retrieval (Ranoux 1990, ; ).The INVO procedure has been used to treat patients with different causes of infertility in many countries. This is a procedure which was developed over 20 years ago and is simpler and less costly to the infertility treatment when compared to conventional techniques. Interesting finding of this intravaginal culture technique are the physiological benefits and the reduction of the number of handling steps, reducing the risk of contamination. OBJECTIVE: This study aimed to evaluate the possibility of including the method INVO through the use of the deviceINVOCell™ in routine laboratory treatments of couple infertility. That, in turn, tends to provide the simplification of laboratory work and thereby reduce the costs of infertility treatment. MATERIAL AND METHODS: 40 women were included in this study, who were treated at the Service of Human Reproduction School Hospital Álvaro Alvim, in the period from August 2011 to January 2012. On all of them it was used the protocol of modified mild ovarian stimulation. The number of pre-embryos transferred into the uterine cavity followed the CFM Resolution nº. 1.957/10. RESULTS AND CONCLUSION: There was no significant difference in the results presented by the device INVOCell™. Therefore showing that it can be included in routine laboratory assisted human reproduction.

Association between socioeconomic factors and origin of hospital referrals among patients with oral cancer.

BACKGROUND: The Brazilian Unified Health System (SUS) is responsible for offering free assistance to more than 100 million Brazilians, including treatment of oral cancer lesions. Considering that the Brazilian public system aids the most vulnerable population, this study analyzed whether the origin of hospital referrals of patients with oral cancer is associated with socioeconomic factors. MATERIAL AND METHODS: A cross-sectional study was carried out from cancer hospital records of the National Cancer Institute (RHC-INCA), considering the primary locations (C00 to C06) diagnosed between 2016 and 2019. Data on gender, skin color (white and non-white), education (no schooling, incomplete or complete elementary education; high school; incomplete and complete higher education) and origin of referral (SUS and non-SUS) were analyzed by multiple logistic regression (p<0.05). RESULTS: Higher referral rates by the SUS were observed in 2017 (OR=1.27; 95% CI=1.098-1.480) and 2018 (OR=1.28; 95% CI=1.101-1.490); no differences were found between the years 2016 and 2019. Regarding gender, men were 40% more likely to have the SUS as the source of referral (OR=1.40; 95% CI=1.233-1.600). Non-white individuals were 34% more likely to have the SUS as the source of the referral (OR=1.34; 95% CI=1.190-1.512). Illiterate individuals or individuals who only attended elementary school were 6.38 times more likely to be referred by the SUS than individuals with higher education (OR=6.38; 95% CI=5.228-7.796). CONCLUSIONS: It is concluded that the origin of hospital referrals via SUS of patients with oral cancer is associated with socioeconomic factors.

Trend of hospitalized cases of oral cancer in Brazil and its relationship with oral health coverage in public health system between 2009 and 2017.

BACKGROUND: This study aimed to analyze the trend in the number of hospitalized cases of oral cancer in Brazil, according to the coverage of oral health services in public health system, and also investigate the influence of healthcare and clinical characteristics on the severity of oral cancer cases. MATERIAL AND METHODS: This retrospective study considered the period between 2009 and 2017. Data from the Hospital Registry of Cancer from the National Cancer Institute were used, considering the primary locations C00 to C06. Detailed information including sex, age, alcohol and tobacco use, year of first consultation, and the clinical stage of the cases were also collected. The frequency of hospitalized cases was correlated with the coverage of Primary Care Oral Health Teams (ESB) and the number of Dental Specialty Centers (CEO). It was also estimated the chance of advanced oral cancer cases, according to healthcare and clinical characteristics. Data were analyzed using Tweedie's multiple regression and multiple binary logistic regression (α<0.05). RESULTS: There was an increasing trend in the number of hospitalized cases of oral cancer in Brazil between 2009 and 2017 (B=0.043, p<0.001, PR=1.044). The increase in ESB coverage was associated with small increase in the number of hospitalized cases of oral cancer (B=0.001, p=0.003, PR=1.001). The increase in the number of CEO was associated with decrease in the number of hospitalized cases of oral cancer (B=-0.085, p<0.001, PR =0.918). The increase of ESB (OR=0.998) and CEO (OR=0.974) contributed for reducing the number of stage IV cases, whilst the history of alcohol and tobacco use (OR=1.574) was associated with an increase in the number of stage IV cases. CONCLUSIONS: Although an increasing trend was detected, the expansion of the public health system reduced the number of hospitalized cases and the frequency of advanced oral cancer cases in Brazil.

Is Dexamethasone superior to Ketorolac in reducing pain, swelling and trismus following mandibular third molar removal? A split mouth triple-blind randomized clinical trial.

BACKGROUND: The preemptive use of anti-inflammatory drugs, such as corticosteroids and NSAIDs, has the potential to reduce pain, swelling and trismus following oral surgery. The aim of this study was to compare the efficacy of dexamethasone and ketorolac tromethamine in reducing pain, swelling and trismus after mandibular third molar removal. MATERIAL AND METHODS: The researches implemented a triple-blind, randomized clinical trial. The study was conducted with ASA I individuals aging between 18 and 35 years, which were randomized and submitted to two interventions, one with 8mg dexamethasone and the other with 20mg ketorolac tromethamine given 1h before the procedure. The primary predictor variable was the use of dexamethasone or ketorolac. The primary outcome variable was the postoperative pain level, measured with a Visual Analogue Scale. The secondary outcome variables were the amount of rescue analgesic consumed, swelling and trismus. Repeated-measures ANOVA and t-test for paired samples were used to compare the means. Significance was set at p < 0.05. RESULTS: Fifty individuals were randomized and allocated to intervention, and the sample was composed of 40 subjects who completed the study (27 female and 13 male). Dexamethasone, when compared to ketorolac tromethamine, showed a significantly higher reduction in pain level at 8h, 16h, 24h, 32h, 40h and 72h, in swelling and trismus at 24h, 48h, 72h and 7 days and in total number of rescue analgesics taken up to 72h postoperative (p < 0.05). CONCLUSIONS: The clinical performance of dexamethasone in controlling pain, swelling and trismus after mandibular third molar removal was superior to ketorolac tromethamine's.

Prevalence of ulcerative stomatitis in arbovirus infections in a Brazilian Northeast population.

BACKGROUND: Although there are no population-based studies that support an association, there are reports in the literature of mucocutaneous, vesiculobullous and ulcerated lesions in the oral mucosa in cases of arbovirus infection. The aim of this study is to analyze the prevalence of ulcerative stomatitis in individuals affected by arboviruses in a population of the municipality of Arcoverde, Pernambuco, Brazil. MATERIAL AND METHODS: 1,003 people living in an area assigned to a Primary Health Care Unit were interviewed. A structured questionnaire was used for data collection, with questions about sociodemographic variables, residence conditions, general health information, as well as information about the general signs and symptoms of arboviruses and specifically about oral lesions. RESULTS: Of the 1,003 individuals interviewed, 815 (81.25%) were infected by one or more arboviruses. Of these, 147 (18%) reported ulcerated oral lesions during arbovirus infections. The association between arbovirus infections and the presence of ulcerated oral lesions was statistically significant (p = 0.000). CONCLUSIONS: In these cases, the ulcerated lesions on the oral mucosa appear to be associated with arbovirus infection, especially Chikungunya, although the pathophysiological mechanisms are not defined, and the studies are not sufficient to confirm this association.

Survival and predictors of deaths of patients hospitalised due to COVID-19 from a retrospective and multicentre cohort study in Brazil.

This study aimed to analyse the survival of patients admitted to Brazilian hospitals due to the COVID-19 and estimate prognostic factors. This is a retrospective, multicentre cohort study, based on data from 46 285 hospitalisations for COVID-19 in Brazil. Survival functions were calculated using the Kaplan-Meier's method. The log-rank test compared the survival functions for each variable and from that, hazard ratios (HRs) were calculated, and the proportional hazard model was used in Cox multiple regression. The smallest survival curves were the ones for patients at the age of 68 years or more, black/mixed race, illiterate, living in the countryside, dyspnoea, respiratory distress, influenza-like outbreak, O2 saturation <95%, X-ray change, length of stay in the intensive care unit (ICU), invasive ventilatory support, previous heart disease, pneumopathy, diabetes, Down's syndrome, neurological disease and kidney disease. Better survival was observed in the influenza-like outbreak and in an asthmatic patient. The multiple model for increased risk of death when they were admitted to the ICU HR 1.28, diabetes HR 1.17, neurological disease HR 1.34, kidney disease HR 1.11, heart disease HR 1.14, black or mixed race of HR 1.50, asthma HR 0.71 and pneumopathy HR 1.12. This reinforces the importance of socio-demographic and clinical factors as a prognosis for death.

La psicología militar en la prevención de salud mental durante la pandemia por SARS-Cov-2 / Military psychology in mental health prevention in Spain during the SARS-Cov-2 Pandemic

La literatura científica señala que las situaciones de emergencias y desastres tienen un impacto más elevado para la salud mental que para la salud física. No había razones para pensar que la pandemia por COVID-19 y la situación de estado de alarma fueran a impactar menos que epidemias anteriores. Por ello, la psicología militar debía aportar algunas de sus capacidades para reducir el impacto de la emergencia en la salud mental de una parte de la población. MÉTODO: Se realizaron búsquedas bibliográficas en PubMed, PsycINFO y EBSCOhost de cara a analizar el impacto de la pandemia por COVID-19 en la salud mental. Además, se describen algunas de las diferentes actuaciones que ha llevado a cabo la psicología militar en todo el territorio nacional, durante la mencionada crisis sanitaria. RESULTADOS: Se observa un impacto psicológico negativo del COVID-19 en países como China, Argelia, Irán, India, Italia, España, Reino Unido o Alemania. La psicología militar realizó al menos 15000 actuaciones, aunque no todas se concretaron en intervenciones psicológicas y solo unas 8000 se pudieron contabilizar formalmente. El 40% de las personas atendidas recibieron al menos una intervención psicológica (13% en formato individual y 27% en sesión grupal para intervinientes). De las actuaciones individuales contabilizadas, aproximadamente el 18% derivó en intervención psicológica. En las intervenciones individuales se observaron síntomas de salud mental negativos, así como patrones de resiliencia para gestionar el estrés. Las actuaciones se llevaron a cabo con: Trabajadores y usuarios de residencias de mayores y centros de personas vulnerables; hospitalizados y familiares de hospitalizados y fallecidos por COVID-19; militares intervinientes en la emergencia; familiares de militares; trabajadores civiles del Ministerio de Defensa; militares en situación de retiro; y viudas de militares. CONCLUSIONES: Según la literatura científica, la emergencia sanitaria ha tenido un impacto negativo en la salud mental. Sin embargo, pese a los síntomas negativos, los individuos también demuestran patrones de resiliencia bien establecidos

Scientific community indicates that emergency and disaster situations have a higher impact on mental health than on physical health. There was no reason to believe that outbreak COVID-19 and state of alarm were going to impact less than previous epidemics. For this reason, military psychology needed to contribute with some of its capabilities to reduce the impact of the emergency on the mental health of part of the population. METHOD: Bibliographic searches in PubMed, PsycINFO and EBSCOhost were performed for analyze the impact of the COVID-19 pandemic on mental health. In addition, some of the actions that military psychology has carried out throughout the Nation are described. RESULTS: A negative psychological impact of COVID-19 was observed in countries such as China, Algeria, Iran, India, Italy, Spain, United Kingdom or Germany. Military psychology carried out at least 15,000 actions, although not all of them resulted in psychological interventions and about half of them were formally accounted. Approximately 40% of the people received at least one psychological intervention (13% in individual format and 27% in group session for participants). Of the individual actions recorded, about 18% needed psychological first aid. Negative symptoms but also positive resilience patterns were observed in people. Actions were done in different contexts: Workers and users of nursing homes and centers for vulnerable people; hospitalized and hospitalized's relatives and deceased by COVID-19; military personnel as first workers; military relatives; civil workers from the Ministry of Defense; retired military personnel; and military widows. CONCLUSIONS: According to the scientific literature, this outbreak has had a negative impact on mental health. However, despite negative symptoms, people also presented resilience patterns

Socio-demographic characteristics are related to the advanced clinical stage of oral cancer.

BACKGROUND: Social determinants may be associated with the onset and progression of the clinical stage of oral cancer. AIM: To evaluate the impact of socio-demographic characteristics on the prevalence of advanced clinical stage of oral cancer. MATERIAL AND METHODS: Information about 51,116 cases of oral cancer, from all Brazilian states, between 2000 and 2012, was obtained from the Cancer Registry Information System. The clinical stage of oral cancer (dependent variable) was classified as initial (stages I and II) or advanced (stages III and IV). The relationship between the clinical stage of oral cancer and the following independent variables was analyzed: sex, age, schooling, marital status, family history of cancer, and origin of referral. Analyses on frequency distribution and multivariate binary logistic regression model were performed (α<0.05). RESULTS: Compared to individuals with no schooling, those who attended elementary to high school (OR=2.461) and college education (OR = 3.050) had a higher prevalence of advanced cases of oral cancer. Individuals without a partner (OR = 14,209) demonstrated a higher prevalence compared to married individuals. Subjects aged 20-44 years (OR = 4.081) and 45-64 years (OR = 14.875) had a higher prevalence compared to those aged 15-19 years. The variables gender, family history of cancer and origin of referral integrated the binary model of logistic regression, but did not present statistical significance. CONCLUSIONS: Socioeconomic factors may be related to the advanced clinical stage of oral cancer.

Effects of co-administered dexamethasone and nimesulide on pain, swelling, and trismus following third molar surgery: a randomized, triple-blind, controlled clinical trial.

This study aimed to determine the effect of the co-administration of dexamethasone 8mg and nimesulide 100mg given 1h before mandibular third molar surgery. A prospective, randomized, triple-blind, split-mouth clinical trial was developed at the study institution in Pernambuco, Brazil. A pilot study was first performed (95% confidence interval, 80% test power, and 5% error), and a sample of 40 patients aged between 18 and 40 years was selected. The patients were randomized and divided into two groups: dexamethasone+placebo and dexamethasone+nimesulide. The following parameters were evaluated: pain (visual analogue scale), total number of rescue analgesics taken, time taken to first rescue analgesic consumption, oedema, trismus, and patient satisfaction. The paired t-test and the Wilcoxon test were used to compare means. Statistically significant differences were found between the groups in pain values at 2, 4, and 12h postoperative, and in the total number of rescue analgesics and time taken to first rescue analgesic ingestion (P<0.05), with results in favour of dexamethasone+nimesulide administration. Oedema and trismus were similar in the two treatment groups and decreased over time postoperatively. The co-administration of dexamethasone and nimesulide reduces pain intensity and the need for rescue medication after third molar surgery.

Personalidad ante el trauma en el siglo XXI: Fragilidad y antifragilidad ante el trauma / Personality to the trauma in the XXI century: fragility and unfragility

El trauma psicológico es un tema de máxima actualidad, tanto por la cantidad de literatura científica desarrollada en los últimos años como por los cambios producidos en su diagnóstico fruto de la investigación, produciéndose un gran debate al respecto desde la aparición del último manual de diagnóstico de los trastornos mentales de la Asociación Americana de Psiquiatría (APA). En este artículo se trata de dar una visión de conjunto y actual sobre el trauma y el estrés postraumático. Qué diferencias existen en las personas que las hacen a unas más frágiles y vulnerables ante los traumas, mientras que otras son más resistentes o antifrágiles. Factores como la herencia, la personalidad, o los trastornos previos de tipo mental, van a marcar estas diferencias. No se trata de la situación traumática, sino de cómo la vive cada persona, lo que marcará la diferencia en fragilidad. Todas las personas alguna vez en su vida se ven expuestas a situaciones traumáticas. Algunas por su trabajo tienen que afrontar de forma continua a estas situaciones, provocando, en ocasiones, lo que se denomina un estrés traumático secundario, que afecta a la persona y a la organización, mermando la operatividad, y asociado a determinados factores. Unos de tipo personal (Neuroticismo, extraversión, humor, empatía, etc.) y otros de la propia organización (Orgullo, liderazgo, equipo, estrés de rol, etc.). Es importante conocer estas fragilidades para realizar un tratamiento preventivo en la población afectada por una catástrofe, y en los profesionales en particular para poder identificar el perfil más adecuado para determinados puestos. (Militares, policías, bomberos, médicos…)

Psychological trauma is a subject of high scientific present, the amount of scientific literature developed in recent years by changes in diagnosis result of research. There is much debate about since the advent of the latest diagnostic manual of mental disorders of the American Psychiatric Association (APA). This article is to give an overview and current information about the trauma. What differences exist in the people who make a more fragile and vulnerable to traumas, while others are more resistant or antifrágiles. Heredity, personality or mental disorders previous type, will mark these differences. This is not the traumatic situation, but how each person lives, what will make the difference in fragility. Everyone once in your life are exposed to traumatic situations. Some of their work are exposed continuously to these situations, sometimes causing what is called a secondary traumatic stress, which affects the individual and the organization undermining the operation of the same, and associated with certain causes, a type staff (neuroticism, extraversion, humor, empathy) and others of the organization (Pride, leadership, team, role stress etc.). It is important to know these frailties for preventive treatment in people affected by a disaster, and professionals in particular in order to identify the most appropriate profile for a profession (military, police, firefighters, doctors ...)

Resilience in caregivers of persons with Alzheimer's disease: a human condition to overcome caregiver vulnerability / A Resiliência em cuidadores de pessoas com doença de Alzheimer: uma condição humana para superar a vulnerabilidade do cuidador / La resiliencia en cuidadores de personas con enfermedad de Alzheimer: una condición humana para superar la vulnerabilidad del cuidador

In general, the experience of providing assistance to and dealing with the complications experienced by a person with Alzheimer's disease puts caregivers in a situation of high risk, vulnerability, and stress, causing serious physical and emotional problems. However, some caregivers adopt a resilient mindset, which helps them to experience and express positive feelings as well as lower their burden in relation to the care. This positive experience occurs because caregivers perceive the process of caring as less adverse. They face the situation of care with a more positive mindset and are able to resist and maintain adaptive functioning. The objective of the present narrative literature review was to emphasize the need to develop intervention programs for caregivers based on salutogenic models of resilience, resistance, and personal growth to promote positive individual, family, and community resources.

Em geral, a experiência de proporcionar assistência e lidar com as complicações da pessoa com doença de Alzheimer coloca os cuidadores em uma situação de alto risco, vulnerabilidade e estresse, causando sérios problemas físicos e emocionais. Entretanto, existem cuidadores com uma mentalidade resiliente que os leva a experimentar e expressar sentimentos positivos e uma menor sobrecarga associada ao cuidado. Esta experiência positiva acontece porque percebem o processo de cuidar como menos prejudicial. Enfrentam a situação de cuidado com uma atitude mais positiva e são capazes de resistir e manter um funcionamento adaptativo. O objetivo desta revisão narrativa da literatura foi indicar a necessidade de se desenvolver programas de intervenção para o cuidador, com base em modelos salutogênicos, de resiliência, resistência e crescimento pessoal, para promover os recursos positivos da pessoa, da família e da comunidade.

En general, la experiencia de proporcionar asistencia y lidiar con las complicaciones del enfermo de Alzheimer sitúa a los cuidadores en una situación de alto riesgo, vulnerabilidad y estrés, ocasionando importantes problemas físicos y emocionales en muchos familiares. En cambio, existen cuidadores que disponen de una mentalidad resiliente que les protege y lleva a experimentar sentimientos positivos y experimentar menor sobrecarga. Esta experiencia positiva sucede porque interpretan el proceso de cuidado como menos negativo, afrontan la situación con una actitud positiva y son capaces de resistir y mantener un funcionamiento adaptativo. El objetivo de esta revisión narrativa da literatura fue señalar la necesidad de desarrollar programas de intervenciones centradas en el cuidador que promuevan los modelos salutogénicos, de resistencia, resistencia y crecimiento personal, para potenciar los recursos positivos del cuidador, de la familia y de la comunidad.

Resilience in caregivers of persons with Alzheimer's disease: A human condition to overcome caregiver vulnerability / A Resiliência em cuidadores de pessoas com doença de Alzheimer: Uma condição humana para superar a vulnerabilidade do cuidador / La resiliencia en cuidadores de personas con enfermedad de Alzheimer: Una condición humana para superar la vulnerabilidad del cuidador

Abstract In general, the experience of providing assistance to and dealing with the complications experienced by a person with Alzheimer's disease puts caregivers in a situation of high risk, vulnerability, and stress, causing serious physical and emotional problems. However, some caregivers adopt a resilient mindset, which helps them to experience and express positive feelings as well as lower their burden in relation to the care. This positive experience occurs because caregivers perceive the process of caring as less adverse. They face the situation of care with a more positive mindset and are able to resist and maintain adaptive functioning. The objective of the present narrative literature review was to emphasize the need to develop intervention programs for caregivers based on salutogenic models of resilience, resistance, and personal growth to promote positive individual, family, and community resources.

Resumo Em geral, a experiência de proporcionar assistência e lidar com as complicações da pessoa com doença de Alzheimer coloca os cuidadores em uma situação de alto risco, vulnerabilidade e estresse, causando sérios problemas físicos e emocionais. Entretanto, existem cuidadores com uma mentalidade resiliente que os leva a experimentar e expressar sentimentos positivos e uma menor sobrecarga associada ao cuidado. Esta experiência positiva acontece porque percebem o processo de cuidar como menos prejudicial. Enfrentam a situação de cuidado com uma atitude mais positiva e são capazes de resistir e manter um funcionamento adaptativo. O objetivo desta revisão narrativa da literatura foi indicar a necessidade de se desenvolver programas de intervenção para o cuidador, com base em modelos salutogênicos, de resiliência, resistência e crescimento pessoal, para promover os recursos positivos da pessoa, da família e da comunidade.

Resumen En general, la experiencia de proporcionar asistencia y lidiar con las complicaciones del enfermo de Alzheimer sitúa a los cuidadores en una situación de alto riesgo, vulnerabilidad y estrés, ocasionando importantes problemas físicos y emocionales en muchos familiares. En cambio, existen cuidadores que disponen de una mentalidad resiliente que les protege y lleva a experimentar sentimientos positivos y experimentar menor sobrecarga. Esta experiencia positiva sucede porque interpretan el proceso de cuidado como menos negativo, afrontan la situación con una actitud positiva y son capaces de resistir y mantener un funcionamiento adaptativo. El objetivo de esta revisión narrativa da literatura fue señalar la necesidad de desarrollar programas de intervenciones centradas en el cuidador que promuevan los modelos salutogénicos, de resistencia, resistencia y crecimiento personal, para potenciar los recursos positivos del cuidador, de la familia y de la comunidad.

Determination of uncertainties associated to the in vivo measurement of iodine-131 in the thyroid.

Intakes of radionuclides can be estimated through in vivo measurements, and the uncertainties associated to the measured activities should be clearly stated in monitoring program reports. This study aims to evaluate the uncertainties of in vivo monitoring of iodine 131 in the thyroid. The reference values for high-energy photons are based on the IDEAS Guide. Measurements were performed at the In Vivo Monitoring Laboratory of the Institute of Radiation Protection and Dosimetry (IRD) and at the Internal Dosimetry Laboratory of the Regional Center of Nuclear Sciences (CRCN-NE). In both institutions, the experiment was performed using a NaI(Tl) 3''3″ scintillation detector and a neck-thyroid phantom. Scattering factors were calculated and compared in different counting geometries. The results show that the technique produces reproducibility equivalent to the values suggested in the IDEAS Guide and measurement uncertainties is comparable to international quality standards for this type of in vivo monitoring.

Prevalence and factors associated with oral potentially malignant disorders in Brazil's rural workers.

OBJECTIVES: To determine the prevalence of oral potentially malignant disorders (OPMDs) in a population of rural workers in the northeast of Brazil and to investigate the association with sociodemographic, occupational, and health factors. METHODS: A total of 1385 workers answered a validated questionnaire and were examined by calibrated dentists. A descriptive analysis, chi-square homogeneity test, and binary logistic regression were performed. RESULTS: The prevalence of OPMDs was 29.6%. Actinic cheilitis was the most predominant (28.4%), followed by leukoplakia (2.3%) and erythroplakia (0.3%). Gender, type of skin, and time exposed to the sun explained the presence of OPMD (P < 0.0001). The study found increased prevalence, especially for males over the age of 60 years and being exposed to the sun for more than 45 years. CONCLUSION: Rural workers showed high vulnerability to the presence of OPMDs, as estimated prevalence exhibited was high.

O uso de plantas medicinais por moradores de Quixadá­Ceará / The use of medicinal plants to habitants from Quixada-Ceara

RESUMO O presente trabalho teve por objetivo observar o uso de plantas medicinais por moradores de Quixadá-Ceará. A amostragem adotada foi 5% da população urbana adulta na sede do município, o que resultou em 263 domicílios visitados, onde foi aplicado um questionário semi-estruturado. De acordo com os resultados ainda temos um número expressivo de pessoas que fazem uso de plantas medicinais na cidade de Quixadá-Ceará (57,41%), e que a maioria dos entrevistados (97%) considera que o uso indiscriminado de plantas medicinais não causa nenhum problema à saúde. A maioria dos entrevistados foram mulheres (63,57%) e o maior número de informações e conhecimentos sobre plantas medicinais concentrou-se na faixa de 51-60 anos (24,71%). Com relação ao nível de escolaridade, 34,22% dos entrevistados afirmou ter ensino médio completo. A família botânica mais representativa foi a Lamiaceae (21,05%) e a espécie mais citada foi a erva-cidreira. Dos entrevistados 93,37% consideraram utilizar o chá como medicamento e 6,63% alegaram fazer a utilização do mesmo como alimento. Quanto à frequência do uso de plantas medicinais de forma contínua, 27% alegaram fazer o uso diariamente.

ABSTRACT This study aimed to observe the use of medicinal plants by residents from Quixada-Ceara. The sample used was 5% of the adult urban population in the county seat, which resulted in 263 households visited, where we applied a semi-structured questionnaire. According to the results, there is still a significant number of people who uses medicinal plants in the city of Quixada-Ceara (57.41%), and the majority of participants (97%) consider that the indiscriminate employment of medicinal plants do not cause any health problem. Most respondents were female (63.57%) and the highest number of information and knowledge about medicinal plants were concentrated among 51-60 years old individuals (24.71%). In regard of the educational level, 34.22% of the participants claimed to have completed high school. The botanical family Lamiaceae was the most representative (21.05%) and the most cited specie was the lemongrass. 93.37% of the respondents pledged to use tea as medicine and 6.63% claimed to use it as food. Regarding the employment frequency of the medicinal plants, 27% claimed to take them daily.

Análisis factorial exploratorio de una prueba de personalidad en la Unidad Militar de Emergencias / Exploratory factor analysis of a personality test in emergency military unit

En el artículo se presenta un estudio factorial exploratorio de una prueba de personalidad que se utiliza en la Unidad Militar de Emergencias. Se realiza sobre una muestra de 1661 militares que trabajan en situaciones de emergencias y catástrofes. El estudio se ha realizado en cuatro fases características: El cálculo de una matriz capaz de expresar la variabilidad conjunta de todas las variables, la extracción del número óptimo de factores, la rotación de la solución para facilitar su interpretación y la estimación de las nuevas puntuaciones. Los resultados obtenidos muestran dos factores de personalidad principales, el primer factor se le ha denominado "emocional", aglutina las variables de depresión, neuroticismo y psicoticismo de la prueba, el segundo factor se le ha denominado "social" y contiene las variables de psicopatía y sociabilidad, en ambos casos los índices de varianza explicada son mejorables y el índice de falibilidad de la prueba fue muy bajo. La prueba ha mostrado validez ecológica en su utilización en la unidad, sin embargo es necesario mas estudios para conseguir evaluar los rasgos personales de forma más precisa, útil y actual, consiguiendo realizar mejores predicciones conductuales y en última instancia mejorar la operatividad de las Unidades

The article presents a study factorial exploratory of a test of personality that is in use in the Military Unit of Emergencies. It is realized on a sample of 1661 Military men. The study has been realized in four typical phases: The calculation of a counterfoil capable of expressing the joint variability of all the variables, the extraction of the ideal number of factors, the rotation of the solution to facilitate his interpretation and the estimation of the new punctuations. The obtained results show two principal factors of personality, the first factor has named him "emotionally", agglutinates the variables of depression, neuroticism and psychoticism of the test, the second factor has named him "socially" and contains the variables of psychopaty and sociableness of the test, in both cases the indexes of explained variance are improvable and the index of fallibility of the test was very low. The test has showed ecological validity in his utilization in the Unit nevertheless it is a necessary mas studies to manage to evaluate the personal features of the most precise, useful and current form, managing to realize better behavioral predictions and in last instance to improve the operability of the Units

Comparison of results of cycles treated with modified mild protocol and short protocol for ovarian stimulation.

The ovarian stimulation has been applied in order to increase the number of oocytes to compensate for the poor results of in vitro fertilization, allowing the selection of one or more embryos to be transferred. Our aim is to compare the results obtained in IVF/ICSI cycles using the short protocol for controlled ovarian stimulation to the results from the modified mild protocol used in our department. A total of 240 cycles were conducted from January 2010 to December 2011. When comparing both protocols, it could be observed that there was a significant difference in the quantity of gonadotropins doses in the mild protocol and in the short protocol. No significant difference was observed regarding pregnancy rates per cycle, 22% and 26.2%, in short and mild protocols, respectively. The protocols of controlled ovarian stimulation are often associated with high risk of complications such as ovarian hyperstimulation syndrome, excessive emotional stress, high rates of treatment dropouts, and abdominal discomfort. With the data obtained in this study, one can conclude that there are less risks and complications for the patient when using the mild stimulation protocol. It was also observed that in this group there was a slightly higher rate.

Prevalence and factors associated to actinic cheilitis in beach workers.

OBJECTIVES: Assess the prevalence and potential factors associated to actinic cheilitis (AC) in workers exposed to the sun. MATERIALS AND METHODS: Workers assigned to urban beaches in a city in Northeastern Brazil completed a questionnaire containing personal and health data. Lips were examined to identify AC. RESULTS: A total of 362 workers, of which 15.5% exhibited AC, were examined. Among those with AC, there was a prevalence of males (86%), aged 37years or older (61.4%) and light-skinned (52.6%). They were undocumented (96.5%), exposed to the sun (84.2%), worked up to 6h daily (57.9%), five or more times per week (52.6%), and for more than 8years (54.4%). Photoprotection was used by 89.5%, including sunscreen (42.0%), lip protector (17.5%), and cap/hat (87.7%). Approximately 30% smoked and 29.8% consumed alcohol, 56.2% over two standard shots per day. Most (91.2%) ate healthy food five or more times per week. Being male, aged 37years or older, having up to 6years of schooling, being light-skinned, wearing a cap/hat, and using sunscreen were factors associated to AC. CONCLUSION: A high prevalence of actinic AC was observed. Special attention should be given to individuals chronically exposed to UV radiation, with the institution of educational, preventive, and curative measures.

Determinação de óleos essenciais de alfavaca (Ocimum gratissimum L. ), orégano (Origanum vulgare L. ) e tomilho (Thymus vulgaris L.) / Determination of essential oils of basil (Ocimum gratissimum L. ), oregano (Ocimum gratissimum L. ) and thyme (Thymus vulgaris L.)

O presente trabalho teve como objetivo a caracterização de plantas frescas e secas (comerciais) de alfavaca, orégano e tomilho, a obtenção dos óleos essenciais através do método de arraste a vapor e a quantificação dos compostos químicos por CG/EM. As plantas frescas e as secas comerciais foram submetidas às análises de umidade, extrato etéreo, proteína, fibra bruta, cinzas, extrato não nitrogenado, valor calórico, teor de óleo essencial e identificação dos compostos majoritários através da cromatografia gasosa-espectrometria de massas. Dentre a caracterização obtida os resultados na base seca mostraram-se promissores, sendo o teor de proteína e de cinzas na alfavaca seca comercial com 17,34 g 100 g-1 e 8,12 g 100 g-1, respectivamente; a fibra bruta no orégano seco comercial com 15,65 g 100 g-1; o extrato etéreo, o extrato não nitrogenado e o valor calórico no tomilho seco comercial com 9,30 g 100 g-1, 52,72 g 100 g-1 e 356,74 Kcal 100 g-1, respectivamente. Obteve-se o maior rendimento de óleo essencial na alfavaca seca comercial com 1,02%, enquanto a alfavaca fresca apresentou o menor rendimento, com apenas 0,13%. Na alfavaca fresca encontrou-se 87,38% de eugenol e 6,27% de timol, enquanto na alfavaca seca comercial observou-se redução no eugenol (71,12%) e aumento do timol (13,28%). No orégano fresco foram quantificados quatro picos o γ-terpineno (33,45%), 4-terpineol (25,59%), timol (14,21%) e carvacrol (2,30%). Já no óleo essencial de orégano seco comercial houve redução no γ-terpineno (28,73%) e aumento no 4-terpineol (27,58%), timol (19,71%) e carvacrol (3,67%). No óleo essencial do tomilho fresco foram quantificados três picos o borneol (66,66%), timol (13,41%) e linalol (3,24%). Por outro lado, no óleo essencial do tomilho seco comercial houve redução no borneol (37,90%) e aumento no timol (20,61%) e linalol (10,34%). Pode-se concluir que as folhas secas comerciais analisadas de alfavaca, orégano, e tomilho apresentam potencial para o enriquecimento dos alimentos ou para a obtenção dos óleos essenciais.

This study aimed to characterize commercial fresh and dry medicinal plants (basil, oregano and thyme), to obtain essential oil by the steam distillation method and to quantify chemical compounds by means of GC/MS. The fresh and dry plants were subjected to the following analyses moisture, ether extract, protein, crude fiber, ash, non-nitrogenous extract, caloric value, essential oil content and identification of major compounds by gas chromatography-mass spectrometry. Considering the obtained characterization, the following results on dry basis proved promising: protein and ash content in commercial dry basil with 17.34 g 100 g-1 and 8.12 g 100 g-1, respectively; crude fiber in commercial dry oregano with 15.65 g 100 g-1; ether extract, non-nitrogenous extract and caloric value in commercial dry thyme with 9.30 g 100 g-1, 52.72 g 100 g-1 and 356.74 Kcal 100 g-1, respectively. The highest essential oil yield was obtained for commercial dry basil with 1.02% and the lowest yield was obtained for fresh basil with only 0.13%. Chromatography indicated 87.38% eugenol and 6.27% thymol in fresh basil. For commercial dry basil, the chromatogram showed a reduction in eugenol (71.12%) and an increase in thymol (13.28%). Four peaks were quantified for fresh oregano the γ-terpinene (33.45%), 4-terpineol (25.59%), thymol (14.21%) and carvacrol (2.30%). For the essential oil of commercial dry oregano, there was a decrease in γ-terpinene (28.73%) and an increase in 4-terpineol (27.58%), thymol (19.71%) and carvacrol (3.67%). In the chromatogram of the essential oil of fresh thyme, three peaks were quantified: borneol (66.66%), thymol (13.41%) and linalool (3.24%). On the other hand, in the chromatogram of the essential oil of commercial dry thyme, there was a decrease in borneol (37.90%) and an increase in thymol (20.61%) and linalool (10.34%). It can be concluded that commercial dry leaves of basil, oregano and thyme are feasible to enrich foods or to obtain essential oils.

Adaptación psicométrica del inventario de Texas revisado de duelo (ITRD) en población militar española joven adulta / Psychometric Adaptation of Texas Revised Inventory of Grief (TRIG) in a Spanish young adult military population

Introducción: Las pérdidas que acompañan la condición humana suponen un proceso muy difícil de incorporar en la vida, según la literatura científica uno de los acontecimientos vitales más estresantes. E n la actualidad se ha incrementado el interés por estos temas y su demanda social. E n las Fuerzas A rmadas la actuación diaria de los hombres y mujeres que la integran, especialmente durante su participación en las misiones en el exterior, es la razón de su prestigio entre nuestros conciudadanos, pero también se sufren pérdidas de personas y heridos allí donde prestan servicio, lo que afecta a compañeros, familiares y amigos. Objetivos: E n este trabajo se trata de estudiar psicométricamente el inventario de T exas revisado de duelo (ITRD) de Faschingbauer y cols., en personal militar joven adulto, revisando algunas de las variables que se han asociado en la literatura científica con el proceso psicológico estudiado. A portar información relevante de apoyo en la consulta especializada o en situaciones de emergencia o catástrofe para la ayuda a personas que han perdido a seres queridos. Metodología: S e ha confeccionado un cuestionario para recoger los datos. S e aplicó a una muestra de adultos jóvenes, miembros de las Fuerzas A rmadas E spañolas, realizando el estudio psicométrico (análisis descriptivo, baremación mediante percentiles, y estudio factorial). Discusión: Se compararon los resultados obtenidos con los de otros estudios de autores tanto de la prueba original como de la versión utilizada en otras poblaciones de diferente origen. Conclusiones: La prueba utilizada es psicométricamente adecuada en población joven adulta de forma similar a lo encontrado en otros estudios con distinta población. E xisten diferencias entre hombres y mujeres en el proceso de duelo. Que la clasificación de los baremos de la prueba se debe de adaptar a la población donde se aplica, clínica o no, diferentes grupos de edad, o diferentes orígenes culturales, ya que el proceso de duelo es distinto. E l perfil de la persona con necesidades de apoyo especializado, en este estudio, es de una mujer sin tratamientos en salud mental y que ha perdido a un ser querido por una enfermedad. S e aporta un trabajo de interés para enriquecer los instrumentos diagnósticos psicológicos, en una población específica de las Fuerzas A rmadas Españolas (AU)

Introduction: The losses that accompany the human condition are a difficult process to come to terms with, and according to scientific literature one of the most stressful life events. T oday there is an increased interest in these issues and their social demand. T he daily performance of male and female service members, especially during their participation in operations abroad, is the reason for the A rmed Forces prestige among our fellow citizens. But operations also originate casualties and this affects colleagues, families and friends. Objectives: T his paper seeks to explore psychometrically the T exas R evised I nventory of G rief (TRIG) by Faschingbauer et al., in young adult military personnel, reviewing some of the variables that have been associated in the literature with the psychological process studied. T his paper provides relevant information to support the specialist consultation or in disaster situations to help people who have lost loved ones. Methodology: We prepared a questionnaire to collect data. I t was applied to a sample of young adults, members of the S panish A rmed Forces, performing the psychometric study (descriptive analysis, scales by percentiles, and factorial study). Discussion: We compared the results with thoseof other studies by the authors of both the original test and the version used in other populations of different origin. Conclusions: T he test used is psychometrically adequate for a young adult population as it has been proven in other studies with different populations. T here are differences between men and women in the grieving process. T he classification of the scales of the test must be adapted to the population where it is applied, clinical symptoms or not, different age groups, or different cultural backgrounds, since the grieving process is different in each group. T he profile of the person in need of specialized support in this study is a woman with no mental health problems and who has lost a loved one to disease. T his paper contributes to enrich the psychological diagnostic tools in a specific S panish military population (AU)