Health and Society https://periodicojs.com.br/index.php/hs <p>The mission of the Health and Society is to become one of the main national and international means of disseminating scientific research in the area of interdisciplinary debate in health, as well as allowing free access to the academic community and society to all published research. Our target audience are researchers and society in general. Thus, we accept academic works from professors and students of the most diverse levels of training, as well as works co-authored by up to 10 (ten) people.</p> Editora Acadêmica Periodicojs en-US Health and Society 2763-5724 UTERINE FIBROIDS AND THE CORRELATION WITH BLACK WOMEN https://periodicojs.com.br/index.php/hs/article/view/1927 <p>Uterine fibroids are common benign tumors in the uterus of women of reproductive age and can cause symptoms such as heavy menstrual bleeding, pelvic pain and increased abdominal volume. Studies have shown a higher prevalence of uterine fibroids in black women compared to women of other ethnicities. Understanding the causes of this disparity is fundamental to developing more effective prevention and treatment strategies. Investigating the relationship between the incidence of uterine fibroids and black ethnicity, analyzing the genetic and social factors that may contribute to this correlation and proposing measures to reduce the incidence of uterine fibroids in black women are the aims of this study. This is a systematic literature review using an exploratory and narrative method, with qualitative and quantitative premises. The databases used were PubMed, Scielo, Scopus, Web of Science and the Virtual Health Library. The articles analyzed were selected by exclusion and inclusion criteria, which are set out here, using the health sciences descriptors “uterine fibroids”, “black women and uterine fibroids”, “genetic factors and uterine fibroids” and “environmental factors and uterine fibroids”, reaching a total of 617 articles searched and 9 used in this study. Genetic studies have suggested a genetic predisposition to the development of uterine fibroids in black women, with the identification of genetic variants associated with a higher risk. In addition, social factors such as limited access to quality healthcare, socioeconomic inequalities and exposure to psychosocial stressors may also play an important role. Lack of access to preventive healthcare and unequal access to effective treatments may contribute to a higher prevalence of uterine fibroids in black women. Measures to reduce this disparity include promoting equitable access to healthcare, reproductive health education and public policies that address the underlying causes of health inequalities. The correlation between uterine fibroids and black women highlights the need for integrated approaches that consider both genetic and social factors. Promoting equity in access to health care and implementing public policies aimed at women’s health are key to reducing the incidence of uterine fibroids and improving the quality of life of black women.</p> João Pedro do Valle Varela Shayenne Nogueira Domingues Andressa Quimquim Samuel Jacqueline Monfradini da Silva Lucas Corrêa de Melo Mariana Sasso Diniz Gustavo Lorenzutti Teixeira Elisa Spinassé Del Caro Erick Cavaglieri Trevelin Fabio Luiz Teixeira Fully Copyright (c) 2024 João Pedro do Valle Varela, Shayenne Nogueira Domingues, Andressa Quimquim Samuel, Jacqueline Monfradini da Silva, Lucas Corrêa de Melo, Mariana Sasso Diniz, Gustavo Lorenzutti Teixeira, Elisa Spinassé Del Caro, Erick Cavaglieri Trevelin, Fabio Luiz Teixeira Fully https://creativecommons.org/licenses/by/4.0 2024-03-05 2024-03-05 4 02 01 11 10.51249/hs.v4i02.1927 THE CORRELATION OF THE APOE GENE IN PATIENTS WITH PROGRESSIVE MEMORY LOSS AFTER COVID-19 CONTAMINATION https://periodicojs.com.br/index.php/hs/article/view/1928 <p>Progressive memory loss is one of the neurological sequelae reported in patients who have recovered from COVID-19. The APOE gene, which encodes apolipoprotein E, has been associated with neurodegenerative disorders and may play a role in the vulnerability of certain individuals to brain damage caused by coronavirus infection. Understanding this correlation can provide important insights for the treatment and follow-up of post-COVID-19 patients. The objectives of this study are to investigate the association between the APOE gene and progressive memory loss in post-COVID-19 patients, to assess whether the presence of certain APOE gene variants is related to a higher risk of developing progressive memory loss after infection, and to identify possible mechanisms by which the APOE gene may influence vulnerability to memory loss in patients with a history of COVID-19. The methodology in question is a bibliographic review, with a narrative and exploratory method, using the PubMed, Scopus, Web of Science and Google Scholar databases, using the health sciences descriptors “ApoE Gene and Covid-19”, “Covid-19 and Genetics”, “Covid-19 and Alzheimer’s Disease” and “Covid-19 and Memory Loss”, generating a total of 78 articles, 11 of which were selected for this study. In addition, guiding questions were outlined, as well as the use of inclusion and exclusion criteria for better performance. Studies have suggested that carriers of the APOE4 genetic variant have a higher risk of developing neurodegenerative diseases, such as Alzheimer’s disease. This variant may also be associated with an increased risk of brain damage in COVID-19 patients. The presence of the APOE4 gene may influence the inflammatory response and neuronal regeneration after infection, contributing to progressive memory loss. In addition, the severity of the COVID-19 infection and the presence of neurological complications during the disease may affect the risk of developing progressive memory loss in post-COVID-19 patients. Factors such as age, comorbidities and immune response may also play a role in this correlation. The correlation between the APOE gene and progressive memory loss in post-COVID-19 patients highlights the importance of genetic and clinical studies to identify individuals at greater risk of developing neurological sequelae after infection. Understanding the mechanisms underlying this correlation could lead to the development of more effective prevention and treatment strategies for these patients.</p> João Pedro do Valle Varela Andrezza Ferraço Perim Bruno de Figueiredo Moutinho Giselle Chebabe de Azevedo Jacquelline Machado Pinto Nader Beatriz Merçon Leal Reis Eduarda Ferro Firme Pina Elisa Spinassé Del Caro Breno Abreu Almeida Fabio Luiz Teixeira Fully Copyright (c) 2024 João Pedro do Valle Varela, Andrezza Ferraço Perim, Bruno de Figueiredo Moutinho, Giselle Chebabe de Azevedo, Jacquelline Machado Pinto Nader, Beatriz Merçon Leal Reis, Eduarda Ferro Firme Pina, Elisa Spinassé Del Caro, Breno Abreu Almeida, Fabio Luiz Teixeira Fully https://creativecommons.org/licenses/by/4.0 2024-03-05 2024-03-05 4 02 12 22 10.51249/hs.v4i02.1928 THE INCREASE IN THE NUMBER OF DENGUE CASES IN BRAZIL AND THE CORRELATION WITH DEFORESTATION AND GLOBALIZATION https://periodicojs.com.br/index.php/hs/article/view/1929 <p>Brazil has faced a significant increase in the number of dengue cases in recent decades, which represents a challenge for public health authorities. Several factors may contribute to this increase, including deforestation and globalization, which have a direct impact on the proliferation of the Aedes aegypti mosquito, the dengue vector. The aims of this study are to investigate the relationship between increased deforestation and globalization and the increase in dengue cases in Brazil and to analyse the mechanisms by which deforestation and globalization can influence the spread of dengue. The methodology in question is a systematic review, using the narrative method, using quantitative and qualitative factors to reach the expected result. The DataSus/Tabnet, Terrabrasilis, PubMed, Scopus, Web of Science and Virtual Health Library databases were also used, using the health sciences descriptors “Dengue hospitalizations”, “Deforestation and Arboviruses”, “Deforestation and Dengue” and “Globalization and Dengue”, totalling 84 works and 8 works of literature were used in the formulation of this review and 2 references were formulated through the quantitative databases. Deforestation can increase the incidence of dengue, as it creates favorable environments for the reproduction of the transmitting mosquito, such as the accumulation of water in tires, cans and abandoned containers. In addition, deforestation can lead to the migration of populations from rural to urban areas, increasing exposure to endemic areas of the disease. Globalization can also contribute to the increase in dengue cases by facilitating the transport of infected people and the mosquito vector between different regions. Increased international trade and tourism can expand the spread of the dengue virus to new areas. The increase in the number of dengue cases in Brazil is related to deforestation and globalization, which create favourable conditions for the propagation of the mosquito vector and the spread of the dengue virus between different regions. Disease control measures must take these factors into account and include actions to monitor deforestation, vector control and public health education in order to reduce the incidence of dengue in the country.</p> João Pedro do Valle Varela Dryelli Ronchetti Silva Cremonini Victor Edas Corteletti Pereira Lopes Lucas Corrêa de Melo Gabriel Correa Paes Maria Estela da Costa Azevedo Matheus Santa Clara Prado Ana Carolina Nascimento Bertollo Maria Eduarda Lima Silva de Almeida Fabio Luiz Teixeira Fully Copyright (c) 2024 João Pedro do Valle Varela, Dryelli Ronchetti Silva Cremonini, Victor Edas Corteletti Pereira Lopes, Lucas Corrêa de Melo, Gabriel Correa Paes, Maria Estela da Costa Azevedo, Matheus Santa Clara Prado, Ana Carolina Nascimento Bertollo, Maria Eduarda Lima Silva de Almeida, Fabio Luiz Teixeira Fully https://creativecommons.org/licenses/by/4.0 2024-03-05 2024-03-05 4 02 23 34 10.51249/hs.v4i02.1929 EPIDEMIOLOGY AND HEALTH IN TRANSIT https://periodicojs.com.br/index.php/hs/article/view/1930 <p>Traffic is a social phenomenon in which it portrays the structural disposition and positioning of man - machine, in reciprocal interaction and movement with the influences of the social environment, when the dimension of subjectivity breaks with the dichotomies ensnared in modern thought, such as; individual/society, intellectual/emotional, internal/external through a theoretical model on the human psyche from its generative character within the cultural fabric in which people and groups participate. The subject of this study is justified by the fact that, in this social context in which human subjectivities - truck drivers and their risky behaviour - converge, traffic is characterized as an environmental and interdisciplinary phenomenon. To this end, bibliographic sources were searched on various interfaces related to the man-machine dyad, using data sources such as Google Scholar, the Virtual Health Library (VHL), scientific articles and statistical data source platforms. The results related to risk behaviors encompassed the human fact as one of the most impactful (adding other adversities such as fear of dismissal, symptoms of stress, anxiety, competitiveness, homesickness, burnout, psychological and psychiatric illness, victims of violence and traffic accidents, substance abuse); the use of the driver-machine relationship «the house is your truck» and the influences on the issue of driver and passenger vulnerability is a factor that causes numerous accidents. Therefore, in the face of contemporary demands involving pressure and a race against time, a high level of responsibility related to loads and transportation, stressful situations and a lack of healthier psycho-emotional resources is a watershed, determining the life or death of many individuals moving between their worlds. Further research correlating the dimension of human subjectivity is therefore fruitfully suggested, with a view to aligning the profession of truck drivers with safer traffic, promoting the reframing of this phenomenon and safer traffic and preservation of life.</p> Gema Galgani da Fonseca Jéssika Tatiane Pimenta Nilson Antônio da Silva Copyright (c) 2024 Gema Galgani da Fonseca, Jéssika Tatiane Pimenta, Nilson Antônio da Silva https://creativecommons.org/licenses/by/4.0 2024-03-08 2024-03-08 4 02 35 55 10.51249/hs.v4i02.1930 PSYCHOGERONTOLOGICAL SUPPORT FOR DEMENTIATED ELDERLY PEOPLE https://periodicojs.com.br/index.php/hs/article/view/1964 <p>Psychopegerontological work has as its main objective the search for autonomy and independence for the elderly, helping to understand and accept the emotions and thoughts generated by the difficulties existing in the problems encountered at this stage of life. Understanding the concept of old age, aging, the brain aging process, and its pathologies are the key pieces for beginning good prevention and intervention work with the elderly. Stimulating their cognitive abilities in a preventive and interventional way is the focus of this study and the way in which psychopedagogy adds and contributes to multidisciplinary work and well-being based on autonomy and independence of the elderly and their families.</p> Patrícia Leuck Copyright (c) 2024 Patrícia Leuck https://creativecommons.org/licenses/by/4.0 2024-03-21 2024-03-21 4 02 56 65 10.51249/hs.v4i02.1964 FEMALE RIGHTS DURING LABOR AND THE PUERPERIUM https://periodicojs.com.br/index.php/hs/article/view/1965 <p>Professional assistance provided to women during childbirth and the postpartum period has undergone changes over the years, with the aim of guaranteeing the rights of these women. Therefore, the general objective of this study is to analyze women’s rights during labor and the postpartum period. To this end, a narrative review was carried out, using articles from the VHL, PubMed and SciELO databases, which were published between 2014 and 2024. Three categories were developed to compose this study, namely: Health education as a way of guaranteeing rights, the importance of humanized birth as a pregnant woman’s right and women’s option for cesarean sections. It is noted that guaranteeing women’s rights is fundamental at the time of childbirth and the postpartum period, but the humanization and guarantee of these rights is still considered a challenge for their insertion.</p> Karoline Petricio Martins Enzo Martins de Marco Santos Letícia de Matos Sales Elizeu Machado Cícera Andressa Lopes e Vasconcelos Rosenilda da Rocha Nascimento Pereira Dalva Aparecida de Souza Cardoso Elizilda de Jesus Machado Mariot Regiane Aparecida de Franca dos Santos Viviane Maria Príncipe Crucinsky Copyright (c) 2024 Karoline Petricio Martins, Enzo Martins de Marco Santos, Letícia de Matos Sales, Elizeu Machado, Cícera Andressa Lopes e Vasconcelos, Rosenilda da Rocha Nascimento Pereira, Dalva Aparecida de Souza Cardoso, Elizilda de Jesus Machado Mariot, Regiane Aparecida de Franca dos Santos, Viviane Maria Príncipe Crucinsky https://creativecommons.org/licenses/by/4.0 2024-03-21 2024-03-21 4 02 66 75 10.51249/hs.v4i02.1965 METABOLIC SYNDROME RELATIONSHIP AND RISK FACTORS ASSOCIATED WITH IMMEDIATE LIFE PATH ENVIRONMENTS https://periodicojs.com.br/index.php/hs/article/view/1966 <p>This review describes how risk factors and adversities predispose to metabolic syndrome and chronic diseases, acting through harmful habits, nutritional changes, toxins, pollutants, inflammations, pathogens and chronic stress. Such conditions are correlated to fast environment driven by life history strategies as responses to the tensions and impacts witnessed, maintaining a close link between risks and metabolic syndromes throughout life and even between generations.</p> Jadir Jefferson Copyright (c) 2024 Jadir Jefferson https://creativecommons.org/licenses/by/4.0 2024-03-21 2024-03-21 4 02 76 97 10.51249/hs.v4i02.1966 WITHDRAWAL SYNDROME IN THE NEONATAL CONTEXT https://periodicojs.com.br/index.php/hs/article/view/1972 <p>The use, throughout the gestational period, of legal and illicit drugs, such as alcohol, tobacco and other substances, exposes babies to neurosubstances, which can cause risks to the mother and the fetus. The relevance of improving knowledge, on the part of health professionals, about SAN is therefore observed, enabling its early and correct identification and appropriate treatment. Therefore, the objective of this study is to analyze the withdrawal syndrome in the neonatal context. To this end, a narrative review study was carried out using articles available in the Lilacs and MedLine, Scielo and PUBMed databases, using original and free online scientific articles, in Portuguese, English and Spanish. Therefore, in the end, 17 articles were included in the present review. It is noted that SAN is a relevant disease for newborns, as it can lead to significant repercussions on the individual’s development and cause lifelong consequences, causing microcephaly, seizures, respiratory problems and the like. Because of this, health professionals must have technical-scientific knowledge to quickly identify the signs and symptoms presented by the newborn, implementing strategies and appropriate care to minimize injuries and reverse possible symptoms.</p> Karoline Petricio Martins Rosenilda da Rocha Nascimento Pereira Letícia de Matos Sales Jucelene Gonçalves dos Santos Elizeu Machado Viviane Maria Principe Crucinsky Georgia Mayara Leandro Alves Ivana Pereira da Silva Maria José dos Santos Cardoso Cilmara Milack Copyright (c) 2024 Karoline Petricio Martins, Rosenilda da Rocha Nascimento Pereira, Letícia de Matos Sales, Jucelene Gonçalves dos Santos, Elizeu Machado, Viviane Maria Principe Crucinsky, Georgia Mayara Leandro Alves, Ivana Pereira da Silva, Maria José dos Santos Cardoso, Cilmara Milack https://creativecommons.org/licenses/by/4.0 2024-04-02 2024-04-02 4 02 98 105 10.51249/hs.v4i02.1972 APLICATION OF MEDICINAL BIOMAGNETISM IN THE TREATMENT OF OBESITY AND WEIGHT LOSS https://periodicojs.com.br/index.php/hs/article/view/2004 <p>Obesity is now considered a public health problem. It is treated as a chronic disease where the accumulation of body fat occurs due to several factors, such as complex morphological changes resulting from the interaction of lifestyle, genetic and emotional factors. Therefore, the need for therapies that help to improve the quality of life of people with this disease becomes quite viable. This study was carried out with the objective of describing the Medicinal Biomagnetism (MB) therapy helping obese individuals to lose weight. There are numerous scientific research aimed at studying the causes of the development of obesity. There is a variety of “recipes”, medicines, therapies, formulas, proteins, diets, etc., in order to treat obesity. These techniques are usually offered at a high cost, and are almost always not performed correctly, so they do not have the desired effects. In this research, we present a possibility of low- cost, non-invasive therapy, called Medicinal Biomagnetism that uses medium intensity magnets with the objective of providing not only quality of life, but also assisting in weight loss. In this research, the 3D movement protocol 1, 3D movement protocol 2 and specific special pairs were used. The result achieved so far gives us hope that it is possible to lose weight without the use of any medication and with a low investment cost, considering the health gain obtained by the patient.</p> Cristina Oliveira dos Santos Nelci Terezinha Idalêncio Detroz Angela Mara Rambo Martini Bruna Cecchele Lima Vanzella Adriane Viapiana Bossa Caroline Cabral de Azevedo Copyright (c) 2024 Cristina Oliveira dos Santos, Nelci Terezinha Idalêncio Detroz, Angela Mara Rambo Martini, Bruna Cecchele Lima Vanzella, Adriane Viapiana Bossa, Caroline Cabral de Azevedo https://creativecommons.org/licenses/by/4.0 2024-04-19 2024-04-19 4 02 116 139 10.51249/hs.v4i02.2004 NURSING IN WOMEN’S HEALTH https://periodicojs.com.br/index.php/hs/article/view/2003 <p>INTRODUCTION: Nursing plays a key role in the care of pregnant women with gestational diabetes, this involves monitoring blood glucose levels closely, providing guidance on diet and exercise, medication if necessary and educating the pregnant woman on managing the condition . Additionally, nurses can also help in preventing complications for the mother and baby by providing support and closely monitoring progress during pregnancy. The exact cause of gestational diabetes is not clear, but there are some hypotheses. Placental hormones help develop and maintain the baby, but they also block the normal action of insulin in the mother’s body during pregnancy. The nurse discovers gestational diabetes during prenatal care, he works with educational measures and support groups, advises the pregnant woman to attend for glycemic control and takes her to a medical consultation and with a nutritionist to avoid problems during pregnancy. OBJECTIVE: Identify the main importance in caring for women with gestational diabetes. METHODOLOGY: This is an integrative review of the literature, data collection was carried out between August and April 2023 and 2024. The descriptors used for the search were: Nursing, Diabetes, Gestational Diabetes, Nursing Care with GDM . FINAL CONSIDERATIONS: To ensure that pregnant women with diabetes receive adequate treatment, keep the disease under control and enjoy a good quality of life, nurses have the important role of creating strategies that motivate them to follow the treatment, make changes in their lifestyle necessary lifestyle, educate them about the condition and promote self-care.</p> Amanda Kamilly Rocha Dantas Copyright (c) 2024 Amanda Kamilly Rocha Dantas https://creativecommons.org/licenses/by/4.0 2024-04-19 2024-04-19 4 02 162 172 10.51249/hs.v4i02.2003 ALBUMINURIA IS ASSOCIATED WITH LESS EFFORT TOLERANCE IN HYPERTENSION AND DIABETES https://periodicojs.com.br/index.php/hs/article/view/1971 <p>Introduction: The presence of albuminuria is an adverse marker of renal dysfunction progression. Hypertension and diabetes mellitus predispose to albuminuria. However, not all hypertensive and diabetic patients have albuminuria, so it is relevant to identify risk factors associated to this abnormality. The acute effect of intense physical activity may lead to transient albuminuria. On the other hand, physical inactivity is associated with risk factors for albuminuria Objective: To analyze the association between activity levels or physical performance and albuminuria in hypertensive and/or diabetic patients treated at basic health services. Methodology: A prospective cross-sectional study with hypertensives and/or diabetics subjects. The patients were evaluated in regard of albuminuria, clinical, laboratory and physical test performance variables. Results: There was no association between the degree of albuminuria and demographic, anthropometric, laboratory variables, functional capacity and level of physical activity. The degree of albuminuria was associated with systolic blood pressure, as well as the perception of effort, obtained by Borg Scale during the test in univariate analysis (odds ratio 4.11 with 95% confidence interval from 1.18 to 14.37, p = 0.027) and adjusted for systolic blood pressure and diabetes (odds ratio 3.02 with 95% confidence interval from 1.35 to 6.75; p = 0.007). Conclusion: there was association between albuminuria and perceived effort, as well with systolic blood pressure. There was not with association physical performance or level of activity. Further studies are needed to elucidate the association of albuminuria with Borg Scale.</p> Juliana Maria Rodrigues Daniel Tani Roberto Neres Meira Marcia de Fatima Meira Silméia Garcia Zanati Bazan Roberto Jorge da Silva Franco Pasqual Barretti Luis Cuadrado Martin Copyright (c) 2024 Juliana Maria Rodrigues Daniel, Tani Roberto Neres Meira, Marcia de Fatima Meira, Silméia Garcia Zanati Bazan, Roberto Jorge da Silva Franco, Pasqual Barretti, Luis Cuadrado Martin https://creativecommons.org/licenses/by/4.0 2024-04-03 2024-04-03 4 02 106 115 10.51249/hs.v4i02.1971 NURSING CARE FOR PATIENTS UNDERGOING HEART SURGERY https://periodicojs.com.br/index.php/hs/article/view/2006 <p>INTRODUCTION: Nursing care for patients undergoing heart surgery is extremely important, as it is possible to avoid risks, as well as the manifestation of various complications. With regard to cardiac surgeries, surgical interventions have the possibility of reducing mortality and thus improving the quality of life of patients, as it favors the development and improvement of assistance itself. OBJECTIVE: To identify nursing care for patients undergoing cardiac surgery in the literature. METHODOLOGY: this study is an integrative review of the literature, based on the following guiding question: what is the nursing care provided to patients undergoing cardiac surgery? Data collection took place between the months of January and February 2024 through the databases Scientific Electronic Library Online (SCIELO), Latin American and Caribbean Literature in Health Sciences (LILACS), Nursing Databases (BDENF), making use of the descriptors in health sciences (DeCS): nursing, cardiac surgery and patient. For the inclusion criteria, the following were adopted: articles published between the years 2019 and 2023, articles available in Portuguese for free, which addressed the topic and which were available in full, duplicate articles were excluded, that is, those present in more of a database, incomplete articles, and those that deviated from the study proposal. RESULTS AND DISCUSSIONS: It is worth noting that the postoperative period of cardiac surgeries, a period during which the patient recovers from post-anesthetic and post-surgical stress, is marked by the destabilization of the patient’s clinical condition, and is therefore , full of specificities, and critical care. Therefore, the postoperative period of cardiac surgery requires continued attention, resoluteness, and highly complex care from the nursing team. Therefore, it is possible to minimize various complications, such as changes in blood pressure levels, as well as compensation of organic systems. CONCLUSION: It is concluded, therefore, that the assistance of the nursing team to patients undergoing cardiac surgery is essential, as it makes it possible to carry out a continuous investigation, as well as to determine human responses, as well as to elaborate possible nursing diagnoses.</p> Mônica Leal Nascimento Geane Silva Oliveira Gyanna Sybelly Silva Matos Macerlane de Lira Silva Copyright (c) 2024 Mônica Leal Nascimento, Geane Silva Oliveira, Gyanna Sybelly Silva Matos, Macerlane de Lira Silva https://creativecommons.org/licenses/by/4.0 2024-04-24 2024-04-24 4 02 173 186 10.51249/hs.v4i02.2006 VISUAL BIOFEEDBACK IN PHYSIOTHERAPY https://periodicojs.com.br/index.php/hs/article/view/2007 <p>The Biofeedback is a cognitive treatment which the patient learns and learns to selectively change the neurologic processes with the help of a external monitor. The vision is one of the biofeedback features that helps the patient to get feedback on his performance thus enabling the improvement and voluntarily control. For this to happen there are resources from the most affordable to the highest technology that allows this treatment in conjunction with therapy physical offering to the patient an immediate awareness of his locomotor apparatus, where it is processed in the brain, turning as perception of their body in the space. In 13 articles addressing studied from visual biofeedback with mirror, virtual games, urodynamic and balance platform in patients with neurological injuries and even in healthy subjects, showed satisfactory results well when combined with conventional. This demonstrates that the visual biofeedback is an important resource to be used as a therapeutic tool in physical therapy</p> Ana Claudia França Dias Batista Gilson Soares Carlos Eduardo Cesar Vieira Danilo Armbrust Danilo Sérgio Vinhoti Copyright (c) 2024 Ana Claudia França Dias Batista, Gilson Soares, Carlos Eduardo Cesar Vieira, Danilo Armbrust, Danilo Sérgio Vinhoti https://creativecommons.org/licenses/by/4.0 2024-04-24 2024-04-24 4 02 188 232 10.51249/hs.v4i02.2007 THE IMPORTANCE OF RECONSTRUCTIVE PLASTIC SURGERY IN POST-TRAUMATIC SITUATIONS https://periodicojs.com.br/index.php/hs/article/view/2022 <p>Restorative plastic surgery plays a crucial role in restoring form and function to areas of the body affected by trauma. The main aim of this specialty is to improve patients’ quality of life and self-esteem, providing satisfactory aesthetic and functional results. This paper aims to explore and highlight the importance of reconstructive plastic surgery in post-traumatic situations, emphasizing its benefits for patients’ physical and psychological recovery. This is a bibliographic review, using qualitative premises, with the PubMed, Scopus, Web of Science and Scielo databases. To better refine the research, the health descriptors “trauma”, “reconstructive surgery” and “reconstructive plastic surgery after trauma” were used. Restorative plastic surgery is essential for reconstructing areas of the body affected by trauma, such as burns, traumatic wounds, car accidents and firearm injuries. As well as restoring function and aesthetics, these procedures can also improve patients’ quality of life and self-image. Common procedures include soft tissue reconstruction, skin grafts, flaps and reconstructive microsurgery. These techniques allow complex anatomical structures such as bones, muscles, nerves and blood vessels to be restored, re-establishing the functionality and natural appearance of the affected region. As a result, in addition to the physical benefits, reconstructive plastic surgery can also have a significant impact on patients’ mental health. Improved physical appearance can increase self-esteem and confidence, helping with social reintegration and a return to daily activities. It can therefore be concluded that reconstructive plastic surgery plays a vital role in the recovery of patients after trauma, providing not only physical restoration, but also improved quality of life and psychological well-being. It is essential that patients have access to these procedures and that health professionals are aware of their importance in post-traumatic rehabilitation.</p> João Pedro do Valle Varela Ian Silva Paes Nathália Machado Kallas Arantes João Vitor Amorim Barbosa Jennifer Giselle Batt Genese Fairana Godeline Essali Gabriel Vettorazzi Zambom Juliana Lobato Ferreira Shayanne Nogueira Domingues Fabio Luiz Teixeira Fully Copyright (c) 2024 João Pedro do Valle Varela, Ian Silva Paes, Nathália Machado Kallas Arantes, João Vitor Amorim Barbosa, Jennifer Giselle Batt, Genese Fairana Godeline Essali, Gabriel Vettorazzi Zambom, Juliana Lobato Ferreira, Shayanne Nogueira Domingues, Fabio Luiz Teixeira Fully https://creativecommons.org/licenses/by/4.0 2024-04-26 2024-04-26 4 02 232 242 10.51249/hs.v4i02.2022 CLINICAL AND SURGICAL APPROACH TO EPILEPSY REFRACTORY https://periodicojs.com.br/index.php/hs/article/view/2023 <p>Refractory epilepsy is characterized by the persistence of epileptic seizures even after adequate use of at least two antiepileptic drugs. This condition represents a significant challenge in the treatment of epilepsy, requiring a more assertive clinical and, in some cases, surgical approach. This study aims to review and explore the clinical and surgical approach to refractory epilepsy, highlighting the available treatment options, indications, benefits and challenges faced by patients and health professionals. This is a bibliographic review, using qualitative premises, with the PubMed, Scopus, Web of Science and Scielo databases. To better refine the research, the health descriptors “epilepsy”, “surgical treatment”, “neurostimulation” and “refractory epilepsy” were used. The clinical approach to refractory epilepsy involves careful assessment of the patient, including a detailed clinical history, complete physical examination and complementary tests such as electroencephalogram (EEG), magnetic resonance imaging (MRI) and computed tomography (CT) of the brain. The aim is to identify the origin of the epileptic seizures and determine the best therapeutic strategy. Clinical treatment usually involves optimizing drug therapy, with adjustments to the doses of existing drugs or the introduction of new drugs. However, in many cases, the response to drug treatment is unsatisfactory, leading to consideration of surgical options. Surgery for refractory epilepsy can include removing the brain tissue responsible for epileptic seizures (temporal lobectomy, focal resection, etc.), deep brain stimulation or other less invasive techniques. These procedures aim to reduce the frequency and severity of epileptic seizures, improving the patient’s quality of life. The approach to refractory epilepsy requires a multidisciplinary and individualized assessment, taking into account the clinical characteristics and specific needs of each patient. Although clinical treatment is the first line of approach, surgery can be a viable option for those who do not respond adequately to antiepileptic drugs. It is essential that patients with refractory epilepsy are referred to specialized centers for a complete and appropriate evaluation of their case.</p> João Pedro do Valle Varela Leonardo Nasser Pauferro Nicolly Silva Santa Clara João Vitor Amorim Barbosa Lucas Castello Agrizzi Jennifer Giselle Batt José Silva de Carvalho Juliana Lobato Ferreira Genese Fairana Godeline Essali Fabio Luiz Teixeira Fully Copyright (c) 2024 João Pedro do Valle Varela, Leonardo Basser Pauferro, Nicolly Silva Santa Clara, João Vitor Amorim Barbosa, Lucas Castello Agrizzi, Jennifer Giselle Batt, José Silva de Carvalho, Juliana Lobato Ferreira, Genese Fairana Godeline Essali, Fabio Luiz Teixeira Fully https://creativecommons.org/licenses/by/4.0 2024-04-26 2024-04-26 4 02 243 252 10.51249/hs.v4i02.2023 THE IMPACT OF BURNOUT SYNDROME IN MEDICINE https://periodicojs.com.br/index.php/hs/article/view/2024 <p>Burnout syndrome is an increasingly prevalent mental health problem in medicine, characterized by physical, emotional and mental exhaustion caused by excessive and stressful work. This study aims to review the impact of burnout syndrome in medicine, highlighting its causes, symptoms and consequences for the health of professionals. This study aims to analyze the impact of burnout syndrome on the mental health of medical professionals, identifying its main causes, symptoms and consequences. In addition, it seeks to present strategies for preventing and managing this syndrome, with a view to promoting the health and well-being of doctors, highlighting the importance of the mental health of health professionals and discussing measures to promote a healthier and more balanced working environment. This is a bibliographical review, using qualitative premises, with the PubMed, Scopus, Web of Science and Scielo databases. To better refine the research, the health descriptors “Burnout Syndrome”, “Health Professionals”, “Occupational Stress” and “Mental Health” were used. Burnout syndrome in medicine can be triggered by various factors, including excessive workload, lack of emotional support, pressure for results and long working hours. Symptoms include emotional exhaustion, depersonalization and decreased professional fulfillment. The impact of burnout syndrome in medicine is significant, affecting not only the mental health of professionals, but also the quality of care provided to patients. Doctors with burnout are more likely to make medical mistakes, suffer from physical and mental health problems and have lower job satisfaction. Therefore, in order to prevent and manage burnout syndrome, it is important for medical professionals to adopt self-care strategies, such as practicing regular physical activity, setting healthy work limits and seeking emotional support when necessary. In addition, health institutions should promote an organizational culture that values the well-being of professionals and offers adequate support to prevent and treat burnout syndrome. It can therefore be concluded that burnout syndrome is a serious problem in medicine, with significant impacts on the health and well-being of professionals. It is essential that doctors are aware of the signs of this syndrome and adopt measures to prevent and manage its effects. In addition, healthcare institutions should implement policies and practices that promote a healthy and supportive work environment for their professionals.</p> João Pedro do Valle Varela Nicolly Silva Santa Clara João Vitor Amorim Barbosa Jennifer Giselle Batt Genese Fairana Godeline Essali Lucas Picinini Freitas Pedro Vergílio Lugão de Azevedo Juliana Latini Azevedo Juliana Lobato Ferreira Fabio Luiz Teixeira Fully Copyright (c) 2024 João Pedro do Valle Varela, Nicolly Silva Santa Clara, João Vitor Amorim Barbosa, Jennifer Giselle Batt, Genese Fairana Godeline Essali, Lucas Picinini Freitas, Pedro Vergílio Lugão de Azevedo, Juliana Latini Azevedo, Juliana Lobato Ferreira, Fabio Luiz Teixeira Fully https://creativecommons.org/licenses/by/4.0 2024-04-26 2024-04-26 4 02 253 263 10.51249/hs.v4i02.2024 CORNEAL TRANSPLANTATION https://periodicojs.com.br/index.php/hs/article/view/2025 <p>Corneal transplantation is an ophthalmic surgery that aims to restore vision in patients with corneal diseases. Advances in transplantation techniques and in the treatment of rejection have improved the results of this procedure, making it more effective and safer. This paper seeks to analyze the latest developments in transplantation techniques and treatments for rejection in corneal transplantation, highlighting not only scientific advances, but also the emotional and social aspects involved in this procedure, providing a comprehensive overview of the latest innovations in the field of corneal transplantation, highlighting improvements in surgical techniques and post-operative treatments, which are helping to transform the lives of thousands of patients around the world. This is a bibliographical review, using qualitative premises, with the PubMed, Scopus, Web of Science and Scielo databases. The health descriptors “corneal transplantation”, “corneal graft rejection” and “penetrating keratoplasty” were used to better refine the research. Corneal transplantation is indicated for various conditions, such as keratoconus, corneal dystrophies, corneal opacities, among others. The most common transplant techniques include complete (penetrating) corneal transplantation, anterior lamellar transplantation and endothelial transplantation (DSAEK/ DMEK). In recent years, there have been significant advances in lamellar transplantation techniques, which allow specific layers of the cornea to be replaced while preserving the healthy layers. This has resulted in better success rates and faster visual recovery compared to penetrating transplantation. Treatment of corneal graft rejection includes the use of topical and systemic corticosteroids, immunosuppressants and anti-inflammatory agents. New approaches, such as biological and immunomodulatory therapies, are also being investigated to improve results in cases of refractory graft rejection. In conclusion, corneal transplantation remains an important option for restoring vision in patients with corneal diseases. Updates in transplantation techniques and advances in the treatment of rejection have improved the results of this procedure, providing patients with a better quality of life and faster and more effective visual recovery.</p> João Pedro do Valle Varela Lara Gava Shaira Salvadora Cunha Brito Renata Vieira Lobo Jardim Pimentel Danielle Vieira Praxedes Paula Borges Meirelles João Pedro Forechi Rodrigues Yasmin Oliveira Gil de Almeida Verena Cruz Orsi Fabio Luiz Teixeira Fully Copyright (c) 2024 João Pedro do Valle Varela, Lara Gava, Shaira Salvadora Cunha Brito, Renata Vieira Lobo Jardim, Danielle Vieira Praxedes, Paula Borges Meirelles, João Pedro Forechi Rodrigues, Yasmin Oliveira Gil de Almeida, Verena Cruz Orsi, Fabio Luiz Teixeira Fully https://creativecommons.org/licenses/by/4.0 2024-04-26 2024-04-26 4 02 264 274 10.51249/hs.v4i02.2025 MOHS SURGERY https://periodicojs.com.br/index.php/hs/article/view/2026 <p>Mohs surgery is a highly specialized procedure used to treat skin cancer, especially basal cell carcinoma and squamous cell carcinoma. This technique is known for its high cure rate and preservation of healthy tissue around the affected area. This study aims to review and address the most recent updates in the Mohs surgery technique, including advances in equipment and instruments, improved treatment protocols and post-surgical reconstruction techniques, while also discussing the growing importance of this procedure in contemporary dermatological practice and its positive impact on patients’ quality of life. Mohs surgery involves the surgical removal of thin layers of cancerous tissue, followed by immediate microscopic analysis of the margins of the removed tissue. This allows precise identification of the tumor margins, ensuring complete removal of the cancer while preserving as much healthy tissue as possible. Recent updates to the technique include the use of advanced imaging techniques, such as dermoscopy and confocal microscopy, to aid in the precise identification of tumor margins prior to surgery. In addition, the development of more effective surgical reconstruction methods has improved aesthetic and functional results for patients. It is therefore concluded that Mohs surgery remains an effective option for the treatment of skin cancer, offering high cure rates and preservation of healthy tissue. Updates to the technique, including improvements in diagnostic accuracy and reconstruction options, have contributed to increasingly better results for patients undergoing this procedure.</p> João Pedro do Valle Varela Lara Gava Yasmin Oliveira Gil de Almeida João Pedro Forechi Rodrigues Verena Cruz Orsi Juliana Molina Loureiro Julia Miranda Nobre Shaira Salvadora Cunha Brito Júlia Vita de Sá Fabio Luiz Teixeira Fully Copyright (c) 2024 João Pedro do Valle Varela, Lara Gava, Yasmin Oliveira Gol de Almeida, João Pedro Forechi Rodrigues, Verena Cruz Orsi, Juliana Molina Loureiro, Julia Miranda Nobre, Shaira Salvadora Cunha Brito, Júlia Vita de Sá, Fabio Luiz Teixeira Fully https://creativecommons.org/licenses/by/4.0 2024-04-26 2024-04-26 4 02 275 284 10.51249/hs.v4i02.2026