Daiani Modernel Xavier

Use of Global Risk Score for Cardiovascular Evaluation of Rural Workers in Southern Brazil

The objectives of the present study were to classify the cardiovascular evaluation of rural workers through the Global Risk Score and analyze the intensity of the relationship between the classification and the variables of the score. A descriptive study was developed with 38 rural workers from the extreme southern Brazil. Data collection was performed through an interview and verification of anthropometric measurements and arterial blood pressure. Data were analyzed descriptively and inferentially using the Spearman correlation test. The overall 10-year cardiovascular risk classification using the Framingham global score showed a predominance of low risk (n = 22; 57.9%); however, 11 rural workers (28.9%) had a high cardiovascular risk. Spearmans correlation analysis showed significance between the Global Risk Score and gender (rho = 0.623, p ≤ 0.001), age (rho = 0.783, p ≤ 0.001), systolic blood pressure (rho = 0.545, p ≤ 0.001), and smoking (rho = 0.483, p = 0.002). These results show that rural workers need attention with regard to components that may put them at risk for cardiovascular disease. This study may help in the early diagnosis and more effective actions on the risk factors for cardiovascular disease.

Use of crack in pregnancy: repercussions for the newborn

OBJECTIVESnTo know the effects for the newborn of the use of crack in pregnancy.nnnMETHODSnThis is a qualitative study conducted in a university hospital in southern Brazil, in the first half of 2014. Fifteen mothers crack users and five grandparents participated. The data were produced through semi-structured interviews and later submitted to content analysis.nnnRESULTSnIt was found that the use of crack in pregnancy leads to repercussions related to the health of the newborn and repercussions related to family restructuring. In relation to the newborn, prematurity, congenital malformation, hospitalization in an intensive care unit, use of care and feeding technologies through artificial milk formulas were mentioned. In the family context, it was evidenced the occurrence of abandonment of the child by the mother, causing the adoption of the newborn by relatives of the family nucleus or their institutionalization due to lack of family structure.nnnCONCLUSIONSnIt was found that the use of crack in pregnancy leads to repercussions related to the health of the newborn and repercussions related to family restructuring. In this sense, the recruitment of pregnant users of crack by health/nursing professionals and referral for high-risk prenatal care, as well as early identification of the peculiarities of the newborns of these women, and the development of actions that minimize the repercussions of crack are imperative.