RCAAP Repository

In recent decades, healthcare professionals have been challenged by the search for evidence-based scientific knowledge, aspects related to the development of knowledge, skills and attitudes regarding the use of information technology in professional practice, which is necessary in the composition of competencies desirable. This is an integrative literature review (RIL) study, which contributes to the process of systematizing and analyzing the results of other independent studies on the topic discussed. This review aims to systematize the knowledge produced about the impact of gamification on the teaching/learning process. The use of gamification must follow proper teacher planning and must consider the profile and needs of students and suit the target audience, its objective must be clear and the technological domain and game rules must be clear and concise. The study points to the need for appropriating several possibilities for the formulation of new actions based on learning through gamification, fostering new productions.

Introduction: The synthesis ovarian’s steroids is a process thats depends on the supply of cholesterol. Objective: to evaluate the influence of dyslipidemia on the secretion ovarian’s steroids. Methodology: wild female mice were used (C57BL6) and LDL (LDLR-/-), which they were separated into 4 groups (n = 10): WTS: fed a standard diet; WTHL: fed a high-fat diet; KOS: fed a standard diet; KOHL: fed a high-fat diet. After 60 days, the estrous cycle was analyzed and after anesthetized, blood was collected for the to assess the lipid profile, glucose, plasma insulin level and HOMA index was calculated. In addition, plasma levels of C-reactive protein, estrogen and progesterone were determined. Results: The hyperlipidic diet in both the WTHL and the KOHL group generated hypercholesterolemia when compared to the WTS and KOS, respectively, with a decrease in HDLc, associated with an increase in CRP levels. Severe hypercholesterolemia in the KOHL group generated insulin resistance, marked by an increase in HOMAir. Food hypercholesterolemia in the WTHL group, food and genetics in the KOHL group, compared to their WTS and KOS controls, was definitive in reducing plasma levels of estrogen and progesterone. The genetic hypercholesterolemia associated with insulin resistance observed in the KOS and KOHL groups reduced the levels of progesterone, this reduction being more severe in the KOHL group, which had the highest HOMAir. Conclusion: dyslipidemia affected ovarian steroidogenesis in mice by means of oxidative stress, inflammation and insulin resistance and / or by decreasing HDL cholesterol levels.

This article aims to carry out a Systematic Literature Review (RSL) of theses and dissertations from the last 10 years that present as a research field the use of Digital Educational Resource (RED), as well as the teaching of concepts aimed at addition and subtraction, or that is, the additive structures. A mixed RSL of qualitative convergence was performed. The search portal for the research was the CAPES Theses and Dissertations Portal, analyzing a total of 9 researches, among the 27 found, as they fit the words used in the search. Given this analysis, it was found that there is a need for the emergence of new research that present the use of RED in teaching the additive field, in view of the need to teach concepts related to the additive field using RED can favor teaching and learning. It is expected that this research will contribute to the dissemination of new research that address the topic discussed.

To improve healthcare services with a focus on quality and safety, it is necessary that concrete, profound, practical, and relatively simple changes occur. These transformations are possible, and one of the strategies that can be used is the lean methodology. The study aimed to analyze the impact of the Lean methodology for the safety of hospitalized patients. The research is descriptive, of the integrative literature review type. The search was conducted between September and November 2019, by consulting the databases: MEDLINE/PubMed, LILACS, BDENF and IBECS. The results after analysis were grouped into two categories: 1) Use of Lean methodology to improve management processes in health services; 2) Lean methodology as a tool to improve care processes and patient safety. The studies analyzed showed that the Lean methodology impacts the quality of care, demonstrating how a lean organization can promote improvements in management, care and clinical processes, and consequently patient safety.

Purpose. To analyze and to compare the absolute and relative muscle power of the lower limbs in sedentary elderly subjects with and without heart failure. Methods. The study included 36 elderly subjects (72 ± 6.5 years, 76.8 ± 4.8 kg, 171 ± 9.4 cm) divided into two groups: sixteen patients with heart failure versus twenty patients with coronary artery disease, but without heart failure. The muscle power of the lower limbs was assessed with a half-squat exercise; three repetitions were performed with three seconds of the interval between repetitions as fast as possible in the concentric phase. For the statistical analysis, unpaired Student's t-tests were used to compare the absolute and relative muscular power between groups. Results. Subjects without heart failure had significantly greater absolute (362 ± 18.5 W vs. 438 ± 22.3 W, p = 0.015) and relative (4.6 ± 0.2 W / kg vs. 5.9 ± 0.2 W / Kg, p = 0.001) muscle power versus subjects with heart failure. Conclusion. Heart failure harms the muscular power of the lower limbs in the elderly, which may influence the prognosis and evolution of the disease and capacity functional.

The Psychiatric Reform was a historical process whose main objective was to ensure the humanization of care for people who experience psychological distress. This article searches the national literature, reflecting on the vicissitudes of the relational dimension of care, the constitution of RAPS as an instrument for promoting humanization in health, social inclusion and breaking all the stigma surrounding mental health. This study aims to reflect on the mental health care provided by the Psychosocial Health Care Network (RAPS). This is a theoretical essay that discusses mental health care from the perspective of the Psychiatric Reform, having as theoretical reference the ontological care, seen under the phenomenology according to Heidegger. The discussion about the theme occurs in two moments, reflecting on the role of care and the Psychiatric Reform in the articulation of mental health services. So, care involves a series of theoretical and practical principles that are necessary to offer a more humane assistance to health. Even in the face of setbacks and weaknesses faced by Brazilian Mental Health, professionals need to reflect and reframe the humanization of care in the context of mental health. Mental health professionals should always strive for assistance that is more based on valuing the individual, taking into account the user's social, economic and cultural context.

The third-largest country in the production of fresh fruit in the world, Brazil stands out for having an ample capacity of adaptation of exotic fruit trees, due to its edaphoclimatic conditions, which added to already established cultural practices, allows the achievement of high yields. In addition, the country has one of the largest agrobiodiversities in the world, having native fruit species with high potential for consumption exploitation, however, many times these fruits do not receive any value and are neglected by popular ignorance, presenting low participation in the fruit market. Therefore, the present study aimed to identify the pattern of fruit consumption, analyze popular knowledge about exotic and native fruit trees and verify the potential for insertion of native species from Brazil in the fruit market. It was observed that the consumption of fruit is lower than that recommended by the World Health Organization (WHO), is composed mostly of exotic fruit acquired in supermarkets. Despite the lack of understanding of the terms of fruit classification based on the center of origin, the research participants, consisted mostly of people with higher education, understand which species belong to the Brazilian flora and which ones have been introduced in the national territory, and demonstrate awareness of the importance of native species and the barriers that prevent insertion in the market in larger quantities and affirm that they would like to consume more native fruits, which demonstrates the potential of Brazilian fruits.

Currently, pharmaceutical offices play a relevant role in serving the population and, in view of this, clinical consultations have been gaining space as one of the most accessible means of health care, thus avoiding the overload in hospitals, contributing to the prevention of diseases and the rational use of medicines, in view of this reality, pharmacists are fundamental in patient care in providing care and pharmaceutical assistance. This study aims to analyze the impact of pharmaceutical interventions in offices and their opinion during the consultation, highlighting the effects on patients’ health in relation to the study and monitoring of pharmacotherapy. This is an integrative literature review where Google Academic databases and Virtual Health Library were consulted using the descriptors: Pharmaceutical office; Clinical consultation; As a clinical pharmacist, these analyzes were carried out in the period from 2016 to 2021, consulting dissertations, theses and course completion papers. Most articles were published in 2018. The profile of clinical consultations has advanced and will continue to rise more ans more due to the successful reach of patient to the office where the pharmacist finds ways to optimize the patient’s quality of life in relation to analysis and monitoring of prescribed pharmacotherapy, in pharmaceutical care in relation to MIP’s (Exempt from Prescription Drugs) which are most often used indiscriminately, leading the patient to generate PRM’s (Problems Related to Drugs) as well as in non-pharmacological therapies.

Historicamente e ainda nos tempos atuais, os tijolos são fáceis de serem fabricados devido aos vastos recursos geológicos, são versáteis como material de construção, suportam bem cargas e apresentam boa estética, no entanto, eles geram problemas ambientais devido ao descarte de resíduos sólidos, alto consumo de energia na construção com alta produção de CO2 e consumo de água na construção na fabricação de argamassas. Hipoteticamente, devido à produção artesanal e à mão de obra pouco qualificada no Brasil para a construção civil, principalmente a alvenaria, espera-se encontrar destinação inadequada de resíduos sólidos na construção civil. Portanto, o gerenciamento da destinação de resíduos sólidos da construção civil merece atenção especial e deve ser fiscalizado. Este trabalho mostrou que o descarte de resíduos sólidos em construção em pequenos centros urbanos do Sul de Minas Gerais ocorre de forma irregular em aproximadamente 89% dos casos, gerando problemas de obliteração de calçadas e redução de área de estacionamento com possível movimentação desses resíduos em vias públicas. Em linhas gerais, o armazenamento e a destinação inadequada de resíduos representam um problema e até mesmo um retrocesso nas ações de sustentabilidade na construção civil que não reflete o apelo da sociedade atual que busca melhorias para melhores condições de vida para o planeta. Devido ao pequeno quantitativo de amostragem e ao tipo (pequenos centros urbanos), mais estudos precisam ser realizados para verificar se o alto percentual de destinação de resíduos sólidos na construção civil ocorre desta forma também em outras regiões, e estudos em grandes centros urbanos. centros poderiam ser feitos para comparação de dados.

The objective of this article is to explain the articulations that involved Roberto Mange and the creation and functioning of the Railway Center for Professional Education and Selection (CFESP), created in 1934, to train and select railway workers. The research is part of the field of the History of Professional Education and is justified by the importance of CFESP for the qualification and rationality of the training of railway workers, in addition to having originated other Railway Education and Professional Selection Centers in Brazil. The methodology used was documentary and bibliographic research through authors such as Zanetti (2001), Fonseca (1961); Cunha (2000), Pedrosa (2014), Ciavatta (2009), dissertations and theses. Roberto Mange's professional trajectory is related to the creation, in 1923, of the Practical Mechanics course at the School of Arts and Crafts of São Paulo; with the creation of the Escola Profissional Mecânica, in 1924; with the creation of the Sorocabana Teaching Service and Professional Selection Railway Course and the creation of the Rational Work Organization Institute (IDORT), both in 1931; and finally, the creation of the CFESP aimed at training railway workers in São Paulo and other Brazilian states. We conclude that the analysis presented elements that corroborate the argumentation about the role of engineer Mange in actions related to the rationalization of work and application of scientific management methods, favoring cooperation between the railways and public authorities.

Objective: To present the indices of vitamin D alterations in patients in the city of Goiânia, Goiás. Methodology: In order to carry out this work, a data survey was carried out from patients at the Hospital do Policial Militar do Estado de Goiás, in Goiânia-Go. Data analysis was performed using Microsoft Excel O. Data were then analyzed using GraphPadPrism software. After the results were tabulated and the analyzes carried out, tables with vitamin D values in the analyzed population were constructed. Analyzes were filtered from the initial sample of 523 patients, divided by gender, age and vitamin D levels. Results: There was a greater number of patients with high doses of vitamin D, when compared to the number of patients with doses normal or below the reference value. Conclusion: It was concluded that people are increasingly distant from sources of vitamin D, and with this, the health of the population is being harmed, especially women.

The objective of this study was to analyze the knowledge, prevalence and impact of Primary Hyperhidrosis on the quality of life of primary school teachers in private schools in the municipality of Aracaju/SE. Descriptive, exploratory research with a quantitative approach. Data collection started with the application of a questionnaire of prior knowledge about Primary Hyperhidrosis and then a lecture on the disease was held. After explaining the topic, the teachers answered three other questionnaires, which were: Diagnostic Criteria; Hyperhidrosis Disease Severity Scale; and Quality of Life - Hyperhidrosis. Research approved by the Research Ethics Committee of Universidade Tiradentes (3.266.630). The prevalence of PH was 8.2% in the study, where 78.3% were female, 49.2% in the age group 31 to 40 years old and 61.2% brown. The onset of the disease occurred between 15 and 20 years in 27.3%. 82.8% of teachers were unaware of HP. Grade 02 predominated in 36.4%. As for the anatomical site, 45.5% described the palmar and 45.5% the plantar as the main affected. The diagnosis of PH by a health professional was reported by 13.6% of teachers. Regarding quality of life, it was found that the total score of the domains ranged from 20 (excellent) to 75 (poor), with an average of 46.7 points, where 3 (13.6%) were classified as poor. Thus, acting in the dissemination of information about HP is essential to increase knowledge about this disease among professionals, students, parents and guardians.

Historically, attendance is a very characteristic factor of engineering courses, but recently due to the adversities of the Covid-19 pandemic, it was necessary to implement emergency remote teaching systems to qualify professional engineers, in order not to lose the quality of teaching and supplying the need for professionals demanded by the new industry 4.0 revolution, disruptive and innovative actions were worked to overcome this moment. In this sense, this paper aims to understand how students' academic performance was during the period of emergency remote teaching in the discipline of Process Control and Instrumentation, in addition to discussing nuances of the methodology incorporated for the subject in question in this teaching model. The case study was done with the discipline of Process Control and Instrumentation, from the 7th period of Chemical Engineering at UTFPR, campus of Ponta Grossa.

Among the main hemoparasitosis that affect dogs in Brazil and in the world are Babesiosis and Ehrlichiosis, with the Polymerase Chain Reaction (PCR) being the most sensitive and specific test for molecular detection of the respective agents. This work aimed to detect DNA from Ehrlichia spp. and Babesia spp. in samples of Rhipicephalus sanguineus ticks and in the blood of dogs kept in confinement in the Zoonoses Control Center (CCZ) kennel in Belém, Pará State. The collections were carried out from April to June 2019. The evaluated samples were tested for the detection of DNA from Anaplasmataceae and Babesia spp. through Polymerase Chain Reaction (PCR) and Ehrlichia spp. through Semi-Nested PCR. Samples were obtained from 81 dogs from the CCZ, of which 74.1% (60/81) were found to be infested with ticks. Among the blood samples analyzed by PCR, 2.5% (2/81) were positive for Babesia spp., with no detection of the agent in tick samples. On the other hand, 13.6% (11/81) of dogs and 0.96% (1/104) of ticks were positive for Ehrlichia spp. It is concluded that the investigated animals presented a high rate of infestation by Rhipicephalus sanguineus, also observing the occurrence of Babesia spp. and Ehrlichia spp. in dogs from the Zoonoses Control Center in Belém, Pará state.

This study has a qualitative approach and an explanatory-bibliographic character. It is based on Bonfim (2012), Nunes and Silva (2001), Valle and Mattos (2010), Benetti (1990), Costa e Silva (2019) Ministry of Health (2021) and among other authors who address the topic. The main objective sought to define the main causes and treatments of STIs in Brazil. It seeks to elucidate the following question: How can nursing contribute significantly to raising awareness of infections caused by STIs in adolescence? Initially, the concepts of AIDS in Brazil, STDs for STIs and Sexuality are presented. It is necessary to create the experience of an ethical, qualitative sexuality based on affective and bodily responsibility, especially in adolescence. Therefore, the specific objectives that enabled the results and understanding of this theme are: To carry out a brief history about the roots of adolescence and the beginning of AIDS in Brazil. Describe which are the most contagious frequent transmissible STIs for teenagers. Check how the health professional is essential for there to be adequate awareness among young people about their sexuality. Consider the possible forms of treatments for STIs and their application in today's daily life. Consider the role of the family in the search for the sexual understanding of young people. The research process, as well as the data collected, configure this scientific article based on a bibliographic survey, which provides information that aims to answer the general questioning of the study.

Starch is a substance considered biodegradable and widely used in the food industry as it is low cost and abundant in nature. Properties such as gelatinization, retrogradation, swelling power, solubility and water holding capacity can interfere with food preparation. Thus, the present work aimed to extract cornstarch (Zea Mays L.) creole popcorn by wet grinding as well as to determine its proximal composition, in addition to evaluating its rheological behavior and thermal properties under different processing conditions. The extraction yield of starch from colored popcorn (Zea Mays L.) corn was 6.3%. Its characteristics are common to many starches, but also different, such as the low acidity that favors its use to increase viscosity in other industrialized products. The sizes and shapes of the granules verified by SEM (Scanning Electron Microscopy) justify their viscoelastic behavior and rheological characteristics. Likewise, they may have contributed to their loss of mass along with their protein and lipid levels. The lipid concentration was also decisive in the gelatinization of the starch in the present study. Infrared spectroscopy confirmed that colored popcorn starch (Zea Mays L.) typically behaved like other starches, as well as its crystallinity. Thus, the Creole corn for the extraction of this starch is of a Creole species and potentially cultivable by family farming and in an agroecological system, incorporating sustainable characteristics.

The aim of this paper is to detect evidence of cartel in the application of volatility models in price data of gas dealers in the municipalities of Belém/PA and Santarém/PA. Cartels are coordinated actions between firms in which there are tacit or explicit agreements aimed at price coordination, quantities offered and/or market slices, to maximize profit jointly. For the detection of cartels, arch, GARCH, EGARCH and TGARCH volatility models will be applied. The data used are the average weekly gasoline prices extracted from the official portal of the National Agency for Petroleum, Natural Gas and Biofuels (ANP), in the period from 2004 to 2020. The results of the equation for mean showed no indications of cartel, while the ARCH model for variance detected only in Belém. There were no indications of the presence of asymmetric shocks in the Belém series, with only the occurrence in Santarém. It is concluded that the methodology is useful for the detection of cartels of gasoline dealers.

The Caatinga is the main vegetation formation in northeastern Brazil, occupying most of its area and being of total importance to the region, it has many endemic species, but a small percentage of its extension is protected by environmental laws. It is in it that the Chapada do Araripe is inserted, present in the states of Piauí, Pernambuco and Ceará, which has an enormous plant diversity, has several phytophysiognomies such as: Cerrado, Cerradão, Carrasco, Humid Forest and Caatinga. The objective of this work was to describe the flora of two areas of Caatinga in Chapada do Araripe. Plant collections were carried out between September 2015 and May 2017. The material was pressed in the field, dehydrated and herborized. It was later sent to the Herbarium Caririense Dárdano de Andrade-Lima (HCDAL), of the Regional University of Cariri – URCA, for deposit and identification. 126 species belonging to 78 genera and 35 families were recorded. The most representative families in number of species were: Fabaceae (23 spp.); Malvaceae (15 spp.) and Euphorbiaceae (10 spp.) and the most representative genera were: Sida (10 spp.); Croton (9 spp.); Solanum (5 spp.) and Mimosa (4 spp.). The results obtained reveal a great diversity for the Chapada do Araripe, compared to other studies for the area. It can also be seen that Fabaceae and Euphorbiaceae are always in a prominent position in floristic studies for the Caatinga. The present study can significantly contribute to future conservation projects, providing data on the municipality's plant diversity.

The study aims to investigate the therapeutic itinerary in Primary Health Care in the modality of the Family Health Strategy. This is a descriptive study, of qualitative approach, constituting a field research conducted in the municipality of Santarém - PA. Participated in the research, users and professionals who work in two Family Health Strategies (FHS), one located in the urban area and the other in the rural area. For data collection, we used a questionnaire that took into account the participants' sociodemographic characteristics. The data were grouped according to Bardin's categorical content analysis. The research complied with resolution 466/2012 of the National Health Council and was submitted to the Ethics Committee on Human Research of the Universidade do Estado do Pará (UEPA) under CAAE: 20314619.7.0000.5174 and approval opinion number 3.619.147. The results of the interviews were organized according to the perceptions of health professionals and users in relation to the thematic axes studied: 1: itinerary in health promotion and in the search for treatment of diseases; 2: potentialities and weaknesses found in access to the service. It was found that the UBS is the first place that users seek when they are sick. Regarding thematic axis 2, the scheduling of appointments is seen as one of the potentialities of the FHS; however, the reduced number of professionals was characterized as one of the weaknesses in assistance.  Thus, through this research it was realized that the therapeutic itineraries are characteristic of each individual, based on their experiences and beliefs.

The educational environment changes behavior, affective-emotional profile and influences student learning. However, the impact of this environment on health students is not known, in the context of affirmative actions and socioeconomic, demographic, cultural and quality of life variables, among themselves. Aim: to characterize the profile, compare and evaluate the perception of the educational environment by nutrition students enrolled or not by affirmative actions of a Brazilian public university. Methodology: This is a cross-sectional analytical study carried out with 141 students of the Supervised Internship in Clinical Nutrition, with 111 non-enrolled (NAA) and 30 enrolled for Affirmative Actions (AA). The students answered two questionnaires, one to characterize the socioeconomic, demographic, cultural and quality of life profile, and the other to assess the educational environment (DREEM). Results: Most participants were female, with an average age of 23 years, whites, with low per capita income and reported having stressors and emotional difficulties that interfere in the academic context. The overall DREEM score indicates a “more positive than negative” environment. Regarding the dimensions of perception of learning and social relationships, there were significant differences between AA and NAA students, in the statements “Teaching is concerned with developing my competence”; “I rarely feel alone” and “I live in a comfortable place”. Conclusion: The profile of AA students, as well as their perception of the educational environment reveal that constant interventions are necessary to bring improvements in the teaching-learning process in higher education.