Health and Society

A REFLECTION ON PUBLIC POLICIES IN COMBATING TUBERCULOSIS. A WORLDWIDE PANORAMA

Abraão Gomes Abreu — 2024-09-11

A reflection on public policies to combat Tuberculosis. A global panorama Tuberculosis is an infectious bacterial disease caused by Mycobacterium tuberculosis, mainly affecting the lungs and transmitted from person to person through respiratory droplets. Although the infection does not always cause symptoms in healthy people, when active, it can cause coughing, chest pain, weakness, weight loss and fever. Tuberculosis is currently a global health concern, with millions of deaths and new infections each year, due to factors such as drug resistance, HIV, international travel and homelessness. With a third of the world’s population infected, it is essential that healthcare professionals understand the disease and its diagnostic procedures. New research should focus on the social factors that determine TB. In this way, it is believed, Brazil will once again be able to celebrate reaching the WHO targets for the elimination of TB by 2035.

EVALUATION OF SANITARY HYGIENIC CONDITIONS OF REFRIGERATORS IN THE MUNICIPALITY OF PARAIPABA-CE

Alexandra do Nascimento Souza — 2024-09-11

The consumer increasingly associates quality food with safe food. Consequently, major brands publicize their products by emphasizing quality, always associating them with strict control of the production system. The objective of the present work was to evaluate the hygienic-sanitary conditions of refrigerators located in the municipality of Paraipaba (CE). This was a descriptive case study with quantitative approach conducted in three refrigerators in which it was coded as F 01, F 02 and F 03. To obtain the data, a Chec Klist list was used as resolution no. 216 of 2004, to evaluate the buildings, facilities, equipment, furniture and utensils and their hygiene, manipulators, raw materials and packaging, food preparation, storage and exposure to the consumption of prepared food. The results of fridge 01 showed a total percentage of 67.56% of conformities and 32.44% of nonconformities, refrigerator 02 presented 67.56% of conformities and 32.44% of nonconformities, refrigerator 03 presented 70.27% of conformities and 29.73% of nonconformities. In this way, the awareness and training of manipulators with guidance on basic health and hygiene and good practices in food manipulation is necessary.

EXPERIENCES IN THE AMAZON

Lays Costa Silva — 2024-09-25

The text explores the formation of family and community doctors with a specific focus on acting in rural areas and the health of the indigenous population, a frequently neglected aspect in residency programs in large urban centers. The narrative details an internship at the Macapá Indigenous Health Support House (Casai) and at the base hub of the Manga village, located in Oiapoque, Amapá. During this internship, the resident doctor of the municipality of Rio de Janeiro-RJ had the opportunity to provide medical attention directly to indigenous communities of the villages of Amapá and northern Pará. A central aspect of the text is the importance of exchange between scientific knowledge and traditional indigenous practices. The respect demonstrated by the indigenous population and the credibility attributed to their beliefs were essential to the effectiveness of the care performed. This experience offered the resident significant learning about person -centered medicine, allowing enriching contact with different cultures and traditions. These cultures have unique visions and understandings about the process of getting sick and healing, which contributed to a broader and more integrated understanding of health care. The internship stressed the importance of recognizing and respecting cultural practices in medical practice.

PRACTICE OF MECHAOTHERAPEUTIC EXERCISES STIMULATES BRAIN NEUROPLASTICITY IN A POST-ACCIDENT PATIENT BRAIN VASCULAR

Luciana Marques Barros — 2024-09-29

Cerebrovascular accident (CVA) is a disease that affects motor functionality and quality of life in patients. This article explores the efficacy and safety of physical therapy approaches through the practice of resistance exercises with mechanotherapeutic equipment in post-stroke rehabilitation, analyzing the current literature to provide a comprehensive and grounded view on the subject.

EPIDEMIOLOGICAL AND CLINICAL PROFILE OF HOSPITALIZATIONS IN THE MEDICAL CLINIC WARD OF THE CEILÂNDIA REGIONAL HOSPITAL

Allan Oliveira Macedo — 2024-10-01

The objective of this work is to describe the quantitative and descriptive form of the profile of patients who were admitted to the Internal Medicine Infirmary unit of the Regional Hospital of Ceilândia in the Federal District between 01/07/2021 e 31/12/2021. The retrospective study will be carried out from the analysis of records. For a statistical analysis, the Excel® 2019 program will be used. Patients will export epidemiological data on sex, age, marital status, hometown, city of domicile, previous chronic illness, cause, and duration of immediate outcomes. It should be noted that the financial information acquired in the study can contribute to assistance and permanent education in the planning of the service.

PREVENTION OF TEACHERS’ EMOTIONAL EXHAUSTION

Narmin Mir Jalalli — 2024-10-04

The article explores the issue of professional exhaustion among educators. It discusses changes in perceptions of professional exhaustion over time and identifies primary theoretical approaches to understanding the concept and its psychological and physiological aspects. The article also categorizes the factors contributing to educators’ professional exhaustion and classifies stressors of a professional nature. It establishes the phases of professional exhaustion experienced by educators and outlines its primary symptoms. Additionally, it assesses the impact of psycho-physiological exhaustion on the effectiveness of pedagogical activities and the education system. The article analyzes the relevance of applying prevention measures for professional exhaustion and outlines individual and group-based prevention techniques. It recommends developing and cultivating individual characteristics to decrease the likelihood of professional exhaustion. It details methods for acquiring stress management skills, including regulating personal, social, and physical well-being, modifying thought processes, and logical thinking. Lastly, the article presents universal approaches to combating professional stress factors.

EPIDEMIOLOGY OF AMERICAN TEGUMENTENT LEISHMANIASIS IN THE FEDERAL DISTRICT AND THE IMPORTANCE OF THE MULTIDISCIPLINARY APPROACH

Edis Rodrigues Junior — 2024-10-04

Introduction: American Tegumentary Leishmaniasis is an infectious, non-contagious disease, with compulsory notification and severe evolution, caused by protozoa of the genus Leishmania. The medications used for treatment are multidisciplinary approach strategies. Objective: To survey the epidemiological profile of a decade, 2009 to 2019, specifically in the Federal District, with the participation of a multidisciplinary approach in treatment. Methods: The procedures involved stages of preparing maps and graphs using the Power Bi program, to identify numbers of confirmed cases, with data by administrative regions of the Federal District, with treatment analysis. The epidemiological survey was carried out using data from SINAN and the Epidemiological Information on Leishmaniasis of the Federal District. Results: It was evident that the treatment is carried out at the reference center, Hospital Universitário de Brasília. Epidemiological information by Health Superintendencies, with constant case records, however in 2019 there was a significant decrease. Conclusion: It is pointed out that confirmed cases during the decade fluctuated and were recurrent. Participation in treatment, within the scope of the multidisciplinary approach, is necessary and requires, in addition to dispensing, monitoring the use of the medication by the patient, it is important to guarantee safety and effectiveness, guaranteeing health quality, avoiding errors related to medication.

NURSING PERFORMANCE IN PATIENTS WITH CHRONIC RENAL FAILURE AND DIABETES MELLITUS

Jocinete F. Nascimento — 2024-10-09

The goal was to identify the importance of nursing care to the patient with renal impairment and diabetes mellitus. As for the methodology, we opted for a bibliographic review by searching in Latin American and Caribbean Health Sciences (Lilacs), Scientific Eletronic Library Online (Scielo) and Nursing Database (BDEF). and Discussion: It was observed that diabetes is a chronic disease that is characterized by changes in glucose metabolism, whether by poor insulin production-type 1, or by resistance to its action, as it has happened in type 2. That the performance of nursing in the care of patients with diabetes mellitus and chronic renal failure is critical, where the professional employs a systematization of nursing care ensuring the patient a whole and individualized care. It is concluded that the nursing team should act in the promotion of health and/or prevention of diseases such as diabetes and their comorbidities. Also, it was observed in this review that the actions of permanent education and orientation of patients for self-care should be intensely promoted by nurses, among this population who, because they have diabetes mellitus, are pre-discredted the risk factors for development of chronic renal failure.

THE POSSIBILITY OF DONATION OF ORGANS AND TISSUES

Jocinete F. Nascimento — 2024-10-09

Organ and tissue donation is a very important subject in our society in general. I intend to discuss what organ donation is. The importance of organ and tissue donation. About the importance of awareness. Organ or tissue donation is an act by which the living individual decides to help in the treatment of other people. Donation may be from organs (kidney, liver, heart, pancreas and lung) or tissue (cornea, skin, bones, heart valves, cartilage, bone marrow and umbilical cord blood). The donation of organs such as the kidney, part of the liver and bone marrow can be done in life. For the donation of organs of deceased persons, only after the confirmation of the diagnosis of brain death can the procedure be performed. The most common is that it happens to people who suffer some kind of accident that causes head trauma, or who are victims of a stroke (stroke) and evolved to brain death. To understand the transplantation of the organs it is necessary to emphasize that the right to separate parts of the living or dead body integrate the personality, according to the understanding of Maria Helena Diniz (2006, p.249). Most of the time, organ transplantation may be the only life expectancy or the opportunity for a fresh start to about 40,000 patients waiting in the queue for Brazil. The gesture of family members who lose a loved one and decide to donate is an act of life, altruism and generosity, as a single donor can benefit at least ten people and make the difference between life and death. Brazil has the largest public transplant system in the world, responsible for financing about 95% of transplants. It is the second country in absolute number of transplants, behind only the United States.

VACCINATION HESITATION FROM THE BIOETHICAL PERSPECTIVE

Elizabeth Alt Parente — 2024-10-13

Introduction: Vaccine hesitation represents a significant challenge to public health, with serious consequences, such as the resurgence of eradicated diseases, the return of measles and pertussis in Brazil, as well as other immunoprevenable diseases, due to the fall in vaccination coverage. There is a bioethical conflict between the autonomy of parents who choose not to vaccinate their children and the lack of responsibility, as citizens, to protect public health. In addition, the responsibility of health professionals to work in accordance with the principles of beneficence and non-maleficence, so that they always indicate and encourage vaccines duly endorsed by science. Respect for autonomy should be balanced with the collective good, where vaccination hesitation contributes to the resurgence of preventable diseases and generates negative impacts on public health. Objective: Discuss vaccine hesitation from the perspective of bioethics from a real case report, addressing the repercussions of doctors’ instructions to their patients. Additionally, the legal aspects related to the obligation of vaccination in Brazil are discussed, with emphasis on collective protection and ethical duty to promote public health. METHOD: This is a descriptive and qualitative study based on a real case report of meningoencephalitis resulting from chickenpox, whose searches were performed in the Scielo, PubMed and Lilacs databases. Discussion: Varicella is a disease caused by the varicella-zoster virus, whose transmission occurs through respiratory aerosols or contact with the contents of skin lesions. Its main complications are meningoencephalitis, pneumonia, skin and ear infections. Meningoencephalitis is a rare interlocutory appeal that consists of acute central nervous system inflammation and can be fatal. Vaccination against chickenpox prevents injuries resulting from this infection. According to the legislation in force in the country, the obligation to immunize through a vaccine that, registered with a health surveillance body, is part of the National Immunization Program or its obligatory application determined by law is constitutional. Addressing the precepts of principalist bioethics, the present study relates them to the reported case, aiming to broadly discuss vaccine hesitation from medical advice. CONCLUSION: The case report highlights the importance of vaccination against the varicella zoster virus in preventing serious complications and the bioethical dilemma between parents’ autonomy and the responsibility of protecting the health of children and the community. Non -immunization, as in the case of the varicella, highlights the need to prioritize the principles of beneficence and non -maleficence. Although autonomy is essential, it should be balanced with the individual and collective good, especially in vaccination, where protection depends on adherence to immunization policies. Vaccine hesitation is a growing public health problem, requiring health professionals to be well formed to combat misinformation and promote evidence -based practices.

RECURRENT RESUSCITATION PROCEDURES IN PEDIATRIC PATIENTS

Akemi Svaiter Tominaga — 2024-10-13

The present study refers to a real case report, in which a bioethical analysis is developed, from the perspective of principlism, in the environment of a pediatric intensive care unit, with the objective of discussing the dysthanasia practiced in the medical setting and the decision-making of those involved in this case. A search was performed in the Scientific Electronic Library Online (SciELO) and PubMed databases for literature review. Dysthanasia consists of a treatment that only prolongs the pain, making any investment in healing an aggression against the dignity of the human person. When the patient is a child close to death, the difficulty for professionals becomes even greater. Therefore, it is necessary to pay greater attention to the curriculum, raising discussions and reflections on the subject, in order to train professionals to deal with finitude and play their role of offering support and comfort, as well as helping families to identify what quality of life means to them and how it is possible to achieve it.

ELEVATED TROPONIN OF NON-CORONARY ETIOLOGY A REVIEW

Marcelo Flavio Gomes Jardim Filho — 2024-10-22

Elevated troponin levels are traditionally associated with acute myocardial infarction (AMI) and are widely used as a specific marker for the diagnosis of ischemic myocardial injury. However, recent studies have shown that elevated troponin levels can occur in several non-coronary conditions, requiring a more careful diagnostic approach to avoid misinterpretations and inadequate management. This study aimed to perform a systematic review of the literature on the non-coronary causes of elevated troponin levels, seeking to identify the main associated clinical conditions and discuss their prognostic value in different contexts. To this end, a systematic review of articles published between 2014 and 2024 was conducted using the PubMed, Scopus and Web of Science databases. The results revealed that conditions such as sepsis, pulmonary embolism (PE), chronic renal failure (CRF), chronic obstructive pulmonary disease (COPD) and tachyarrhythmias are the main non-coronary causes of elevated troponin levels. It is concluded that elevated troponin levels of non-coronary etiology are an important marker of severity and poor prognosis in several systemic conditions. Troponin levels should be interpreted carefully, taking into account the clinical context and underlying conditions of each patient.

LATE ONSET PSYCHOSIS IN THE ELDERLY

Henrique Djosci Coêlho de Sá — 2024-10-22

Late-onset psychosis in the elderly is a condition characterized by the onset of psychotic symptoms, such as hallucinations and delusions, after the age of 60. Although psychosis at younger ages is often associated with primary psychiatric disorders such as schizophrenia, diagnosis in the elderly is more complex, as it involves the need to differentiate between various conditions that can affect the brain and behavior, such as dementias, neurological disorders and factors related to brain aging. The impact of brain aging, such as diminished cognitive abilities and changes in brain structure, also plays an important role in the development and course of psychosis in this age group. The aim of this work is to analyze the differential diagnosis of late onset psychosis in the elderly, exploring the conditions that can mimic psychotic symptoms and the impact of brain aging on this process. It also aims to assess the implications of this diagnosis for clinical management and patients’ quality of life. This study uses a systematic review to investigate late onset psychosis in the elderly, its relationship with neurodegenerative diseases, differential diagnoses with dementias and therapeutic approaches, both pharmacological and non-pharmacological. The search was carried out in databases such as SciELO, PubMed, LILACS and Journal of Neurosciences, and included analysis of critical reviews, empirical studies and clinical guidelines. Additional data was obtained from population studies and clinical analyses involving geriatric patients with psychosis. The differential diagnosis of late onset psychosis is challenging, as it involves distinguishing between primary and secondary psychiatric causes. Neurodegenerative disorders, such as Alzheimer’s disease and dementia with Lewy bodies, are often associated with psychotic symptoms in the elderly. Likewise, disorders such as major depression with psychotic features and delirium can present with similar symptoms, and a detailed clinical assessment is essential. The exclusion of underlying medical factors, such as infections, metabolic disorders and adverse effects of medication, is crucial to ensure an accurate diagnosis. Brain aging, in turn, plays a key role in the vulnerability of the elderly to psychosis. With age, structural and functional changes occur in the brain, such as cortical atrophy, reduced neuronal density and alterations in dopaminergic pathways, which can predispose to the emergence of psychotic symptoms. These changes make the brain more susceptible to stress factors, inflammation and sensory deficits, which can precipitate psychotic episodes. Thus, the treatment of late onset psychosis involves a careful approach, given the sensitivity of the elderly to antipsychotics and the increased risk of side effects. The choice of treatment must balance efficacy in controlling symptoms with minimizing risks, and the use of low doses and constant monitoring are recommended to avoid complications. It is therefore concluded that late onset psychosis in the elderly presents significant diagnostic challenges, requiring a multifactorial approach that takes into account brain aging and the various medical conditions that can mimic or contribute to psychotic symptoms. Differential diagnosis is essential to ensure appropriate treatment, which, when properly targeted, can substantially improve patients’ quality of life. The impact of brain ageing on vulnerability to psychosis highlights the need for detailed clinical assessment and individualized therapeutic strategies for this population group.

COMMUNITY INTERVENTIONS TO REDUCE MATERNAL MORTALITY IN LOW-RESOURCE AREAS

Henrique Djosci Coêlho de Sá — 2024-10-22

Maternal mortality, defined as the death of women during pregnancy, childbirth or in the postpartum period, continues to be a serious public health problem, especially in low-resource areas. Factors such as limited access to quality healthcare, lack of infrastructure, shortage of qualified professionals and socio-economic inequalities contribute to high mortality rates. In many of these regions, community interventions have been key to reducing maternal mortality by providing direct assistance to pregnant women, promoting health care education and strengthening the link between communities and medical services. This study seeks to analyze community interventions implemented in low-resource areas to reduce maternal mortality, evaluating their strategies, challenges and the results obtained in improving maternal survival rates. This study is a systematic review that investigates the effectiveness of maternal health interventions in low- and middle-income countries, focusing on skilled birth attendant programs, community transport, and technological innovations. The analyses were carried out in databases such as PubMed, BMC Pregnancy and Childbirth and African Journal of Reproductive Health, using data from articles published between 2015 and 2021. Community interventions to reduce maternal mortality range from health education programs, training traditional birth attendants and strengthening maternal and child support networks. One of the main approaches involves training community health agents, who work directly in communities, providing basic prenatal care, referral to medical services in cases of risk and promoting knowledge about signs of pregnancy complications. These actions are especially important in remote areas, where access to health facilities is limited. Another key aspect of these interventions is the promotion of safe practices during childbirth and the strengthening of emergency transport systems, ensuring that pregnant women at risk can be transferred to health centers equipped to deal with complications. The introduction of simple technologies, such as clean delivery kits and essential medicines, has shown promising results in reducing infections and hemorrhages, which are primary causes of maternal mortality. Awareness campaigns also play a crucial role, educating the population about the importance of prenatal care, proper nutrition and birth assistance in controlled environments. These initiatives aim not only to improve knowledge about maternal health, but also to combat cultural and social barriers that can prevent pregnant women from seeking medical care in a timely manner. It is concluded that community interventions have proven to be an effective approach to reducing maternal mortality in low-resource areas. Training health workers, implementing safe delivery practices and raising awareness about antenatal care are strategies that have contributed significantly to improving maternal health outcomes. However, for these interventions to be sustainable and scaled up, continued public policy support, adequate funding and the integration of these actions with formal health systems are essential.

IMPACT OF ADVANCED HEMODYNAMIC MONITORING ON MYOCARDIAL REVASCULARIZATION SURGERY IN HIGH-RISK PATIENTS

Henrique Djosci Coêlho de Sá — 2024-10-22

Coronary artery bypass grafting is a critical procedure for patients with advanced coronary disease, especially those classified as high risk due to comorbidities such as heart failure, hypertension and diabetes. Advanced hemodynamic monitoring has proved essential in this context, allowing continuous and accurate surveillance of cardiac and vascular parameters, which can reduce intra- and post-operative complications. This abstract aims to assess the impact of advanced hemodynamic monitoring during coronary artery bypass graft surgery in high-risk patients. The aim is to explore the advantages of this type of monitoring, the technologies used and the benefits in terms of clinical outcomes and reduction of complications. This is a literature review with a qualitative approach, carried out in the PubMed, SciELO, LILACS, BVS and Google Scholar databases. In order to optimize the search, descriptors such as Hemodynamic Monitoring, Cardiac Surgery, High Risk Patients and Fluid Management were used. For time delimitation, the research considered publications between the years 2019 and 2022, a period that reflects the latest advances in hemodynamic monitoring technologies in high-risk cardiac surgeries. Advanced hemodynamic monitoring includes the use of devices such as the pulmonary artery catheter and non-invasive bioimpedance systems, which provide real-time data on cardiac output, blood pressure, oxygen saturation and systemic vascular resistance. In high-risk patients, these devices allow for precise adjustments in the administration of fluids and vasoactive drugs, promoting better hemodynamic stability. Studies indicate that this approach reduces the incidence of serious complications, such as cardiogenic shock and arrhythmias, optimizing post-operative recovery. Therefore, advanced hemodynamic monitoring is a crucial tool in CABG surgeries, especially for high-risk patients. Its implementation improves intraoperative management, reducing the risk of complications and promoting better clinical outcomes. Therefore, its use should be considered an integral part of strategies for complex cardiac surgeries.

EFFECTS AND APPLICATIONS OF CRYOEXPOSURE ASSOCIATED WITH HIGH INTENSITY ELECTROMAGNETIC FIELD IN HEALTH AND AESTHETICS

Carlos Ruiz-Silva — 2024-10-22

Obesity has emerged as a global epidemic and represents a major risk factor for numerous chronic diseases, such as type 2 diabetes, cardiovascular disease, and cancer. Although adopting a healthy diet and regular exercise remain the cornerstones of weight management, recent research has revealed that cold exposure and associated muscle contractions can substantially contribute to weight loss. This article presents a comprehensive review of the physiological mechanisms that link cold exposure to weight loss, with a particular focus on the induction of browning and irisin production through pulsed electromagnetic field (PEMF) muscle stimulation technology, which uses alternating magnetic fields based on the law of electromagnetic induction to stimulate supramaximal muscle contractions with high magnetic flux density. The growing concern and interest in physical fitness, not only from an athletic but also aesthetic point of view, has driven the search for new methods and technologies that can aid in gaining muscle mass and tone. Recent studies have reported that 81% of respondents expressed dissatisfaction with their body image, even though 56% had a normal body mass index. Pulsed electromagnetic field (PEMF) muscle stimulation technology employs alternating magnetic fields based on the law of electromagnetic induction to induce supramaximal muscle contractions. PEMF generates impulses independent of brain function and at a frequency that does not allow muscle relaxation, thus characterizing tetanic contractions. Electrical currents and electromagnetism have long been used in physical therapy and rehabilitation, primarily for muscle strengthening. However, PEMF technology has emerged as a more effective and less invasive alternative for the patient, primarily intended for toning and strengthening muscle groups. In this study, we performed a comprehensive review of all available scientific articles indexed in PubMed and Web of Science over the past 20 years on this technology and its effects on skeletal muscle. We discuss the scientific evidence available from clinical studies and analyze the effects and possible mechanisms of action on muscle contraction.

ACUTE URTICARIA IN CHILDREN

Janilson Barros de Sá — 2024-10-31

Acute urticaria is a common condition in children, characterized by itchy skin lesions that appear suddenly. Although usually self-limiting, it can cause significant discomfort. Triggers include infections, food allergies, and drug reactions. Management mainly involves antihistamines, with corticosteroids in more severe cases. A systematic analysis of the literature is necessary to optimize the diagnosis and treatment of acute urticaria, seeking to consolidate evidence that helps health professionals in clinical practice. This research uses the systematic literature review method, with the objective of gathering and analyzing the most relevant studies on acute urticaria in children published between 2014 and 2024. Acute urticaria presents with urtices rashes, pruritic, and angioedema alone or in association with urtices. It can be triggered by infections, food allergies, or medications, but often the cause is idiopathic. Most episodes are self-limiting, with symptoms that disappear in less than 24 hours. Educating caregivers about possible triggers and monitoring allergic reactions are key to effective treatment. Acute urticaria in children is common but often underdiagnosed. Although most cases are self-limiting, identifying triggering factors is crucial to preventing recurrences. Proper management is critical for treatment. Educating caregivers about the condition and seeking medical attention in serious situations are essential to ensure the child’s well-being.

RELATIONSHIP BETWEEN MYOCARDITIS AND DENGUE

Rafael Melo Lopes — 2024-10-31

Introduction: Myocarditis, an inflammation of the heart muscle, can arise as a complication of dengue fever, a mosquito-borne disease. It is essential to adopt a multidisciplinary approach to monitor and treat cardiac complications in patients with dengue fever at an early stage. Diagnostic tests include serology, PCR, and echocardiography. From a review study on cardiac involvement in dengue, it was found that this complication is significant and demands a multidisciplinary approach . Objective: The objective of this study was to conduct a comprehensive integrative review to explore the relationship between myocarditis and dengue fever. Methodology: Articles were searched in databases such as PubMed, Google Scholar,Ministry of Health, and ScienceDirect, using search terms in both Portuguese and English. Out of 122 articles found, 74 were selected for analysis, and 13 were included in the results. Results: The studies examined the relationship between dengue fever and myocarditis, with a focus on the cardiovascular manifestations of dengue fever and the prevalence of myocarditis in infected patients. Analysis of the articles revealed a significant prevalence of myocarditis in patients with dengue, highlighting a strong association between the two conditions. Discussion: Dengue patients frequently present with cardiac issues such as myocarditis, necessitating early detection to prevent serious complications. Effective vector control is crucial to reducing the impact of dengue. These findings provide direction for future research and the development of targeted therapies. Conclusion: Early identification of cardiac complications, such as myocarditis in dengue patients, is crucial to reducing morbidity and mortality. Ongoing research into the pathophysiological mechanisms is vital for the development of specific treatments. The study concludes that myocarditis is commonly associated with dengue, requiring meticulous medical monitoring.

ADVANCES IN CARE FOR PATIENTS WITH STROKE

Beatriz Alves Torquato — 2024-10-31

Stroke is a medical emergency characterized by the sudden onset of neurological deficits, classified as either ischemic, caused by obstruction of blood flow, or hemorrhagic, due to the rupture of a cerebral vessel. It remains one of the leading causes of death and disability worldwide, with early diagnosis being crucial for improving patient outcomes. This study presents an integrative review of advancements in stroke care, emphasizing the importance of prompt treatment to reduce complications and enhance functional independence. The review analyzed 14 relevant studies from the last five years, sourced from databases like PubMed and Google Scholar. Key findings highlight the significance of rapid hospital arrival, early use of MRI to predict cognitive impairments, and clear communication regarding prognosis. The study also identified barriers in patient care flow, indicating a need for Continuing Education and improved coordination within the Emergency Care Network. Effective integration among healthcare professionals is essential to optimize care quality and rehabilitation outcomes for stroke patients.