Andressa da Silveira

Associação entre realização de pré-natal e morbidade neonatal

Objetivou-se caracterizar a morbimortalidade de recem-nascidos internados na unidade de terapia intensiva neonatal de um hospital de ensino do sul do Brasil e verificar a associacao das variaveis: realizacao do pre-natal, intercorrencias ao nascimento e tempo de permanencia do recem-nascido na unidade. Pesquisa quantitativa retrospectiva, com coleta de dados em prontuarios de criancas internadas em uma unidade de terapia intensiva neonatal, no ano de 2006. Os dados foram submetidos a analise estatistica. O indice de mortalidade da populacao estudada foi de 14,16%, apresentando como principais causas de obito a parada cardiorrespiratoria e a prematuridade, tendo como principais motivos de internacao as causas respiratorias e o baixo peso ao nascer. Conclui-se que, apesar de a maioria das maes ter realizado pre-natal, ao cruzar esta variavel com intercorrencias ao nascimento nao houve significância estatistica. Ja o tempo de internacao na unidade apresentou significância estatistica quando associado com a realizacao do pre-natal.The objective of this study was to characterize the morbi-mortality of newborns at the neonatal intensive care unit of a teaching hospital located in Southern Brazil, and verify the association between the following variables: prenatal care attendance, complications at birth, and newborns’ length of stay at the unit. This is a retrospective, quantitative study. Data collection was performed using the medical records of inpatients of a neonatal intensive care unit, in the year 2006. The data were subjected to statistical analysis. The mortality rate of the studied population was 14.16%. The main causes of death were cardiorespiratory arrest and prematurity. Hospital admissions occurred mainly because of respiratory complications and low birthweight. In conclusion, although most mothers attended prenatal care, no statistical significance was found when this variable was crossed with birth complications. Length of stay at the unit, on the other hand, showed statistical significance when associated with prenatal care attendance. DESCRIPTORS: Neonatal nursing. Neonatal mortality. Child health. Intensive care, neonatal. ASSOCIACAO ENTRE REALIZACAO DE PRE-NATAL E MORBIDADE NEONATAL RESUMO: Objetivou-se caracterizar a morbimortalidade de recem-nascidos internados na unidade de terapia intensiva neonatal de um hospital de ensino do sul do Brasil e verificar a associacao das variaveis: realizacao do pre-natal, intercorrencias ao nascimento e tempo de permanencia do recem-nascido na unidade. Pesquisa quantitativa retrospectiva, com coleta de dados em prontuarios de criancas internadas em uma unidade de terapia intensiva neonatal, no ano de 2006. Os dados foram submetidos a analise estatistica. O indice de mortalidade da populacao estudada foi de 14,16%, apresentando como principais causas de obito a parada cardiorrespiratoria e a prematuridade, tendo como principais motivos de internacao as causas respiratorias e o baixo peso ao nascer. Conclui-se que, apesar de a maioria das maes ter realizado pre-natal, ao cruzar esta variavel com intercorrencias ao nascimento nao houve significância estatistica. Ja o tempo de internacao na unidade apresentou significância estatistica quando associado com a realizacao do pre-natal. DESCRITORES: Enfermagem neonatal. Mortalidade neonatal. Saude da crianca. Terapia intensiva neonatal. ASOCIACION ENTRE LA REALIZACION DE ATENCION PRENATAL Y MORBILIDAD NEONATAL RESUMEN: Este estudio objetivo caracterizar la mortalidad de los recien nacidos hospitalizados en la unidad de cuidados intensivos neonatales de un hospital universitario en el sur de Brasil y la asociacion de variables: la terminacion de complicaciones en el parto pre-natal, y la duracion de la hospitalizacion. Investigacion cuantitativa, retrospectiva que examino las historias clinicas de los ninos ingresados en la unidad de cuidados intensivos neonatales en el 2006. Los datos fueron analizados estadisticamente. La tasa de mortalidad de la poblacion fue de 14,16%, las principales causas de muerte fueron paro cardiorrespiratorio y prematuridad. Las causas para la hospitalizacion, fueron respiratorias y bajo peso al nacer. Se concluyo que, aunque la mayoria de las madres recibieron atencion prenatal, al cruzar esta variable con un parto sin complicaciones no tiene significancia estadistica. Mientras que la duracion de la estancia en la unidad fue estadisticamente significativa cuando se asocio con la atencion prenatal. DESCRIPTORES: Enfermeria Neonatal. Mortalidad neonatal. Salud del Nino. Cuidado Intensivo Neonatal. 269

Crianças com necessidades especiais de saúde: tendências das pesquisas em enfermagem

Bibliographical research developed at the Bank of Thesis of Associacao Brasileira de Enfermagem from 2001 to 2008 using the words: pediatric nursing and family. The objective was to identify and analyze nursing research about children care that involves chronic disease and/or disability at home. 311 abstracts were found and after applying the inclusion and exclusion criteria, 36 productions were selected. Data were submitted to descriptive analysis and thematic content analysis. It was found that the trend of the studies is focused on the family, on the sick child, illness and hospitalization. However, we identified gaps in relation to the preparation of these families to continue the treatment and care at home. Commitment and constant training of professionals to assist technology-dependent children and their families are recommended

Molecular and morphological analyses confirm Rhizopogon verii as a widely distributed ectomycorrhizal false truffle in Europe, and its presence in South America

The genus Rhizopogon includes species with hypogeous or subepigeus habit, forming ectomycorrhizae with naturally occurring or planted pines (Pinaceae). Species of the genus Rhizopogon can be distinguished easily from the other hypogeous basidiomycetes by their lacunose gleba without columella and their smooth elliptical spores; however, the limit between species is not always easy to establish. Rhizopogon luteolus, the type species of the genus, has been considered one of the species that are more abundant in Europe, as well as it has been cited in pine plantation of North and South America, different parts of Africa, Australia, and New Zealand. However, in this study, based on molecular analyses of the ITS nuclear ribosomal DNA (nrDNA) sequences (19 new sequences; 37 sequences from GenBank/UNITE, including those from type specimens), we prove that many GenBank sequences under R. luteolus were misidentified and correspond to Rhizopogon verii, a species described from Tunisia. Also, we confirm that basidiomes and ectomycorrhizae recently collected in Germany under Pinus sylvestris, as well as specimens from South of Brazil under Pinus taeda belong to R. verii. Thanks to the numerous ectomycorrhizal tips collected in Germany, a complete description of R. verii/P. sylvestris ectomycorrhiza is provided. Moreover, since in this paper the presence of R. verii in South America is here reported for the first time, a short description of basidiomes collected in Brazil, compared with collections located in different European herbaria, is included.

The association between attending prenatal care and neonatal morbidity

Objetivou-se caracterizar a morbimortalidade de recem-nascidos internados na unidade de terapia intensiva neonatal de um hospital de ensino do sul do Brasil e verificar a associacao das variaveis: realizacao do pre-natal, intercorrencias ao nascimento e tempo de permanencia do recem-nascido na unidade. Pesquisa quantitativa retrospectiva, com coleta de dados em prontuarios de criancas internadas em uma unidade de terapia intensiva neonatal, no ano de 2006. Os dados foram submetidos a analise estatistica. O indice de mortalidade da populacao estudada foi de 14,16%, apresentando como principais causas de obito a parada cardiorrespiratoria e a prematuridade, tendo como principais motivos de internacao as causas respiratorias e o baixo peso ao nascer. Conclui-se que, apesar de a maioria das maes ter realizado pre-natal, ao cruzar esta variavel com intercorrencias ao nascimento nao houve significância estatistica. Ja o tempo de internacao na unidade apresentou significância estatistica quando associado com a realizacao do pre-natal.The objective of this study was to characterize the morbi-mortality of newborns at the neonatal intensive care unit of a teaching hospital located in Southern Brazil, and verify the association between the following variables: prenatal care attendance, complications at birth, and newborns’ length of stay at the unit. This is a retrospective, quantitative study. Data collection was performed using the medical records of inpatients of a neonatal intensive care unit, in the year 2006. The data were subjected to statistical analysis. The mortality rate of the studied population was 14.16%. The main causes of death were cardiorespiratory arrest and prematurity. Hospital admissions occurred mainly because of respiratory complications and low birthweight. In conclusion, although most mothers attended prenatal care, no statistical significance was found when this variable was crossed with birth complications. Length of stay at the unit, on the other hand, showed statistical significance when associated with prenatal care attendance. DESCRIPTORS: Neonatal nursing. Neonatal mortality. Child health. Intensive care, neonatal. ASSOCIACAO ENTRE REALIZACAO DE PRE-NATAL E MORBIDADE NEONATAL RESUMO: Objetivou-se caracterizar a morbimortalidade de recem-nascidos internados na unidade de terapia intensiva neonatal de um hospital de ensino do sul do Brasil e verificar a associacao das variaveis: realizacao do pre-natal, intercorrencias ao nascimento e tempo de permanencia do recem-nascido na unidade. Pesquisa quantitativa retrospectiva, com coleta de dados em prontuarios de criancas internadas em uma unidade de terapia intensiva neonatal, no ano de 2006. Os dados foram submetidos a analise estatistica. O indice de mortalidade da populacao estudada foi de 14,16%, apresentando como principais causas de obito a parada cardiorrespiratoria e a prematuridade, tendo como principais motivos de internacao as causas respiratorias e o baixo peso ao nascer. Conclui-se que, apesar de a maioria das maes ter realizado pre-natal, ao cruzar esta variavel com intercorrencias ao nascimento nao houve significância estatistica. Ja o tempo de internacao na unidade apresentou significância estatistica quando associado com a realizacao do pre-natal. DESCRITORES: Enfermagem neonatal. Mortalidade neonatal. Saude da crianca. Terapia intensiva neonatal. ASOCIACION ENTRE LA REALIZACION DE ATENCION PRENATAL Y MORBILIDAD NEONATAL RESUMEN: Este estudio objetivo caracterizar la mortalidad de los recien nacidos hospitalizados en la unidad de cuidados intensivos neonatales de un hospital universitario en el sur de Brasil y la asociacion de variables: la terminacion de complicaciones en el parto pre-natal, y la duracion de la hospitalizacion. Investigacion cuantitativa, retrospectiva que examino las historias clinicas de los ninos ingresados en la unidad de cuidados intensivos neonatales en el 2006. Los datos fueron analizados estadisticamente. La tasa de mortalidad de la poblacion fue de 14,16%, las principales causas de muerte fueron paro cardiorrespiratorio y prematuridad. Las causas para la hospitalizacion, fueron respiratorias y bajo peso al nacer. Se concluyo que, aunque la mayoria de las madres recibieron atencion prenatal, al cruzar esta variable con un parto sin complicaciones no tiene significancia estadistica. Mientras que la duracion de la estancia en la unidad fue estadisticamente significativa cuando se asocio con la atencion prenatal. DESCRIPTORES: Enfermeria Neonatal. Mortalidad neonatal. Salud del Nino. Cuidado Intensivo Neonatal. 269

Caracterização de crianças em tratamento cirúrgico em um hospital escola no sul do Brasil

This is a quantitative, descriptive and retrospective study that aimed to characterize children undergoing surgery in a teaching hospital in southernBrazil. Using the documentary analysis the medical records of children who were hospitalized at University Hospital of Santa Maria (HUSM) in the period January to December 2006 were analyzed, totaling 107 charts. Data were submitted to simple statistical analysis. It was found that the majority of children hospitalized in the period was male, in school age and from the central region ofRio Grandedo Sul. The most common diagnosis was acute appendicitis. The average hospital stay was about five days. 88% of children had their mother as primary caregiver. Finally, it is recommended to the attention of the nursing staff in relation to quantity and quality of records in order

Caracterização da morbimortalidade de recém nascidos internados em unidade de terapia intensiva neonatal

Objective: To characterize the mortality of newborns (NB) in a Neonatal Intensive Care Unit in southern Brazil, in 2004. Method: documentary, descriptive, retrospective study. The population consisted of 302 neonates. Data collection was performed directly in the medical records, using a form own, including variables related to were conducting pre-natal care, reason for hospitalization, morbidity y causes of death. Quantitative data were descriptive statistically analyzed. Results: have to prematurity as the main reason for hospitalization and cause of death. Regarding morbidity highlights the respiratory distress syndrome of the newborn, hematological disorders and neonatal infection. Conclusions: the listed conditions during pregnancy and Enfermeira. Mestre em Enfermagem pelo Programa de Pós-Graduação em Enfermagem (PPGEnf) da Universidade Federal de Santa Maria (UFSM/RS). Membro do Grupo de Pesquisa Cuidado às Pessoas, Famílias e Sociedade -PEFAS. E-mail: andrea.mor@hotmail.com Enfermeira. Doutora em Enfermagem. Professora Adjunta do Departamento de Enfermagem e do Programa de Pós-Graduação em Enfermagem de Santa Maria (UFSM/RS). Membro do Grupo de Pesquisa Cuidado às Pessoas, Famílias e Sociedade – PEFAS. E-mail: elianeves03@gmail.com Enfermeira. Mestre em Enfermagem. Professora Assistente do Departamento de Enfermagem da Universidade Federal do Pampa (UNIPAMPA). Membro do Grupo de Pesquisa Cuidado às Pessoas, Famílias e Sociedade – PEFAS. Vice-líder do Grupo de Pesquisa GEPEnf – FORS. Coordenadora do PROEXT/MEC Práticas Integradas em Saúde Coletiva (PISC). Tutora do PET Redes na área de Atenção Básica. E-mail: andressadasilveira@gmail.com Enfermeira. Mestre em Enfermagem pelo Programa de Pós-Graduação em Enfermagem (PPGEnf) da Universidade Federal de Santa Maria (UFSM/RS). Membro do Grupo de Pesquisa Cuidado às Pessoas, Famílias e Sociedade -PEFAS. E-mail: greicepieszak@gmail.com

Effect of Paecilomyces lilacinus, Trichoderma harzianum and Trichoderma virens fungal extracts on the hatchability of Ancylostoma eggs.

BACKGROUND Ancylostoma species have demanded attention due to their zoonotic potential. The use of anthelmintics is the usual method to prevent environmental contamination by Ancylostoma eggs and larvae. Nematophagous fungi have been widely used in their biological control due to the fungus ability to capture and digest free nematode forms. AIMS The aim of this study was to evaluate the effect of four different fungal extracts of Paecilomyces lilacinus (n=2), Trichoderma harzianum (n=1) and Trichoderma virens (n=1) isolates on the hatchability of Ancylostoma eggs. METHODS Fungal extracts consisted of fungal broth culture supernatant without filtration (crude extract) and filtered broth (filtered extract), macerated mycelium (crude macerate), and macerated mycelium submitted to filtration (filtered macerate). The Ancylostoma eggs were obtained from the feces of naturally infected dogs. In vitro assays were performed in five replicates and consisted of four treatments and one control group. RESULTS The activity of the fungal extracts of each evaluated fungus differed (p<0.05) from those of the control group, showing significant ovicidal activity. The hatching of the eggs suffered reduction percentages of 68.43% and 47.05% with P. lilacinus, and 56.43% with T. harzianum, when crude macerate extract was used. The reduction with the macerate extract of T. virens was slightly lower (52.25%) than that for the filtered macerate (53.64%). CONCLUSIONS The results showed that all extracts were effective in reducing the hatchability of Ancylostoma eggs. The ovicidal effect observed is likely to have been caused by the action of hydrolytic enzymes secreted by the fungi.

Rede de cuidados de crianças com necessidades especiais de saúde

This is a qualitative study that aimed to describe the care network of children with special health care needs in different levels of the health care system, during the follow-up after discharge. The data were produced through the development of the dynamics of creativity and sensitivity, the speaking map and the creative and sensitive method, involving five children’s families between 2009 and 2011. The caregivers’ discourse pointed out that these children’s care network comprises the institutional and familial dimensions. The first showed to be broad and diverse but scattered, comprising various health and education professionals. The second consists of members of the close female relatives, such as mothers and grandmothers, showing an exclusively familial care. The expansion and consolidation of multiprofessional care networks is recommended to facilitate the access to health care and quality of life for these children and their family caregivers. DESCRIPTORS: Child health. Pediatric nursing. Family. Caregivers. RED DE CUIDADOS DE LOS NIÑOS CON NECESIDADES ESPECIALES EN SALUD RESUMEN: Estudio cualitativo que objetivó describir la red de cuidados de niños con necesidades especiales en salud en los diferentes niveles de atención después del alta hospitalaria. Los datos fueron producidos con la aplicación de la dinámica de creatividad y sensibilidad, el mapa hablante y del método creativo sensible, con cinco familias de estos niños entre 2009 y 2011. Los discursos de la familia señalaron que la red de cuidados se compone de las dimensiones institucional y familiar. La primera se mostró amplia y diversa, aunque dispersa, compuesto por profesionales de salud y educación. Y en la segunda, la asistencia es exclusivamente familiar, con miembros, todas mujeres, como madres y abuelas. Se recomienda la ampliación y consolidación de la red de cuidado con abordaje multidisciplinar, facilitando el acceso a la atención de salud y la calidad de vida estos niños y sus familiares cuidadores. DESCRIPTORES: Salud del niño. Enfermería pediátrica. Família. Cuidadores. 399 http://dx.doi.org/10.1590/0104-07072015003010013

Network of care of children with special health care needs

This is a qualitative study that aimed to describe the care network of children with special health care needs in different levels of the health care system, during the follow-up after discharge. The data were produced through the development of the dynamics of creativity and sensitivity, the speaking map and the creative and sensitive method, involving five children’s families between 2009 and 2011. The caregivers’ discourse pointed out that these children’s care network comprises the institutional and familial dimensions. The first showed to be broad and diverse but scattered, comprising various health and education professionals. The second consists of members of the close female relatives, such as mothers and grandmothers, showing an exclusively familial care. The expansion and consolidation of multiprofessional care networks is recommended to facilitate the access to health care and quality of life for these children and their family caregivers. DESCRIPTORS: Child health. Pediatric nursing. Family. Caregivers. RED DE CUIDADOS DE LOS NIÑOS CON NECESIDADES ESPECIALES EN SALUD RESUMEN: Estudio cualitativo que objetivó describir la red de cuidados de niños con necesidades especiales en salud en los diferentes niveles de atención después del alta hospitalaria. Los datos fueron producidos con la aplicación de la dinámica de creatividad y sensibilidad, el mapa hablante y del método creativo sensible, con cinco familias de estos niños entre 2009 y 2011. Los discursos de la familia señalaron que la red de cuidados se compone de las dimensiones institucional y familiar. La primera se mostró amplia y diversa, aunque dispersa, compuesto por profesionales de salud y educación. Y en la segunda, la asistencia es exclusivamente familiar, con miembros, todas mujeres, como madres y abuelas. Se recomienda la ampliación y consolidación de la red de cuidado con abordaje multidisciplinar, facilitando el acceso a la atención de salud y la calidad de vida estos niños y sus familiares cuidadores. DESCRIPTORES: Salud del niño. Enfermería pediátrica. Família. Cuidadores. 399 http://dx.doi.org/10.1590/0104-07072015003010013

Red de cuidados de los niños con necesidades especiales en salud

This is a qualitative study that aimed to describe the care network of children with special health care needs in different levels of the health care system, during the follow-up after discharge. The data were produced through the development of the dynamics of creativity and sensitivity, the speaking map and the creative and sensitive method, involving five children’s families between 2009 and 2011. The caregivers’ discourse pointed out that these children’s care network comprises the institutional and familial dimensions. The first showed to be broad and diverse but scattered, comprising various health and education professionals. The second consists of members of the close female relatives, such as mothers and grandmothers, showing an exclusively familial care. The expansion and consolidation of multiprofessional care networks is recommended to facilitate the access to health care and quality of life for these children and their family caregivers. DESCRIPTORS: Child health. Pediatric nursing. Family. Caregivers. RED DE CUIDADOS DE LOS NIÑOS CON NECESIDADES ESPECIALES EN SALUD RESUMEN: Estudio cualitativo que objetivó describir la red de cuidados de niños con necesidades especiales en salud en los diferentes niveles de atención después del alta hospitalaria. Los datos fueron producidos con la aplicación de la dinámica de creatividad y sensibilidad, el mapa hablante y del método creativo sensible, con cinco familias de estos niños entre 2009 y 2011. Los discursos de la familia señalaron que la red de cuidados se compone de las dimensiones institucional y familiar. La primera se mostró amplia y diversa, aunque dispersa, compuesto por profesionales de salud y educación. Y en la segunda, la asistencia es exclusivamente familiar, con miembros, todas mujeres, como madres y abuelas. Se recomienda la ampliación y consolidación de la red de cuidado con abordaje multidisciplinar, facilitando el acceso a la atención de salud y la calidad de vida estos niños y sus familiares cuidadores. DESCRIPTORES: Salud del niño. Enfermería pediátrica. Família. Cuidadores. 399 http://dx.doi.org/10.1590/0104-07072015003010013