Kévia Katiúcia Santos Bezerra

Red Propolis Antifungal Action on Species of Candida of the Oral Cavity

Introduction: propolis is a substance that has aroused the interest of many researchers because of its numerous therapeutic properties, antibacterial and antifungal.

Action of Propolis on Microorganisms of the Oral Cavity: an Integrative Review

Introduction : In the mouth there are several microorganisms, including bacteria and fungi, which, under favorable conditions, can cause oral health problems. In combating these diseases there are several antibiotics and antifungals, synthetic drugs and also natural. Objective: identifying the action of propolis on microorganisms in the oral cavity. Method: we opted for the integrative literature review, using the descriptors: oral cavity, propolis, anti-inflammatory activity, antimicrobial activity, endodontics, antimicrobial, propolis, saliva, metabolism, microbiology, antimicrobial activity and mouth; the consulted databases were PubMed, LILACS and SciELO, published between 1999 and 2014. The results were obtained through the selection of 09 articles, through close reading, critical and reflective texts, and then the organization of summary frames of data. Results: evidence was gathered and synthesized, pointing to the antibacterial action ( Gram-positive and Gram-negative ) and antifungal ( C. albicans and C. tropicallis ) of propolis. The methodological designs of the studies analyzed were in majority, of weak evidence, for evidence-based practice. Therefore, the findings may be questioned. Conclusion: it needs that are carried out research studies in a systematic review and randomized clinical studies with humans, because they are considered major force evidence and are defined therapeutic parameters and minimum chemical composition, the different types of propolis, so having the appropriate/desired therapeutic properties.

Cardiopulmonary Re-Immonation (CPR): How Long Should A Person Insist On Performing The Maneuvers?

Objetive: The study had the aim to describe the exact moment of interrupting CPR maneuvers in patients in CRP situations. Method: This is an exploratory and descriptive research, with quantitative character and approach. It was performed with 67 (seventy-seven) nurses from a Regional Hospital, who were informed about the objectives of the same. There were included those who act in direct patient care; of effective position and contracted in the service; And with more than one (1) year of training. The instrument used for data collection was a questionnaire, previously elaborated, containing objective, subjective and non-inductive questions, which allowed the informant to answer the data pertinent to the study. It was found that the majority of the interviewees were women, aged between 31 and 35 years, specialists, with more than 4 years of training and 3 years of service, medical / surgical clinic attendees, and without reports of training. Results: They demonstrated they know the exact timing of CPR maneuvers but reported that they would not apply CPR in situations in which the patient had cadaveric stiffness, decomposition, crushing of the skull and thorax, or a CPA report of more than 20 minutes. Faced with conditions in which the team could decide not to perform CPR, they reported not applying CPR in the vegetative state, in terminal or chronic patients. Conclusion: Therefore, they conclude that the said moment of interrupting the protocol is determined in a personal and ethical way, that is, by the individuality of each situation. Keywords: Nurses. Cardiovascular Stop. Cardiopulmonary resuscitation.

Diabetes Mellitus in Climacteric: Prevalence and Sociodemographic Characteristics

Introduction: the changes caused by menopause and the duration of this period in womens lives are of great scientific relevance, and achieving a better understanding of diseases such as diabetes prevalent in the climacteric and the risk factors associated with metabolic and cardiovascular diseases is essential. Objective: To determine the prevalence of Diabetes Mellitus (DM) in climacteric women, correlating socioeconomic and demographic variables. Method: This is a cross-sectional study with a quantitative approach, performed in 14 Family Health Units (USF) in the urban area of the municipality of Cajazeiras/Paraiba, Brazil, with 396 women. Data were collected in interviews using a structured questionnaire, and the variables were analyzed using the Statistical Package for Social Sciences (SPSS). Results: There was prevalence of DM in 11.6% (n = 396) of the climacteric women, who had DM as a single disease or associated with other diseases. Regarding the sociodemographic profiles and lifestyles of the diabetic women, it became evident that the 46 participants were on average 52.1 years old; had 5.2 years of formal education and per capita income of 0.7 minimum wage; 43.5% were in paid employment; 65.2% had a fixed partner; 23.9% reported being smokers; 15.2% reported use of alcohol; 73.9% said they were sedentary and 76.1% were overweight/obese. Conclusion: The relationship between the presence of risk factors, especially those associated with physical inactivity and overweight, and the prevalence of diabetes and other diseases in the climacteric was strengthened.

Morbid Conditions and Lifestyle of Climacteric Women

Introduction: Women experience aging in a peculiar way, as the climacteric is inherent in this phase of the female life cycle. This is a period characterised by functional, morphological and hormonal changes that affect the quality of life of women, as well as causing changes in the occurrence/prevalence of chronic diseases. Objectives: To identify the most prevalent diseases in perimenopausal women in the city of Cajazeiras-Paraiba, Brazil, and the interference of lifestyle in the occurrence and progression of diseases such as systemic arterial hypertension (SAH) and diabetes in women investigated. Method: This is a cross-sectional survey, in which data collection was carried out in an interview guided by structured script. The data collected were used in SPSS to statistically correlate the presence of at least one disease, systemic arterial hypertension (SAH) and diabetes versus meals/day, BMI, physical inactivity, smoking and alcohol consumption. Results: The results showed statistical dependence between overweight/obesity with at least one disease (p <0.001), SH (p <0.001) and diabetes (p = 0.016), in addition to alcohol abuse with at least one disease (p = 0.004) and hypertension (p = 0.005). Conclusion: The occurrence and progression of chronic diseases may be influenced by unhealthy lifestyle habits adopted by women. Thus, policies designed to promote the adoption of better living habits such as regular physical exercise and the abandonment of the use of harmful substances to the body, can interfere positively in the prevention/progression of the most prevalent chronic disease in climacteric.

Sleep Disorders in Climacteric Women of the Northeastern City of Brazil

Introduction: One of the stages of womens lives is the climacteric, a period often accompanied by emotional and physical signs and emotional, which may negatively influence the quality of life. Among the typical climacteric symptoms are sleep disorders, often overlooked by professionals who assist the woman. Objective: Identifying factors related to sleep disorders in cliamcteric women, in the city of Cajazeiras, Paraiba, Brazil. Method: A cross-sectional survey conducted in the city of Cajazeiras, with 411 women 40-60 years old, belonging to the Family Health Units in the urban area, included in the sample after reading and signing the Informed Consent. Data were collected through interviews with structured questionnaire and analyzed using the Statistical Package for the Social Sciences (SPSS). The exposure variables were: meals/day, sedentary lifestyle, smoking, alcohol consumption, overweight/obesity, hypertension and diabetes, which were dichotomized to enable the calculation of the odds ratio ( OR ) with CI 95% and p < 0.05. The research project was approved by the Research Ethics Committee of the State University of Paraiba, Protocol 0462.0.133.000-11. Results: The average age of the study population was 49.73 (± 5.799). The average number of years studied was 7.72 (± 4.76). Regarding per capita income, the average was 0739 (± 0.811). The sleep complaints prevailed in 65.5% (n = 269). By the findings, it was realized that the variables associated with sleep disorders were: alcoholism [ p = 0.014; OR : 1845 (CI 1085-3139)]; presence of illnesses [ p = 0.004; OR : 1796 (CI 1185-2725)] and hypertension [p = 0.005; OR : 1827 (CI 1164-2868). Conclusion: The high prevalence of sleep disorders, the unfavorable socio-demographic conditions and morbid factors found confirm the strong impact of menopause on womens lives. We realize the need to investigate other risk factors for sleep disorders, associated with socio-demographic data and intrinsic factors, regarding climacteric.

Vaginal Yeasts and the Antifungal Action of Red Propolis Extract

Introduction: Vulvovaginitis is an inflammatory process that affects the vulva, vagina and cervix, most of the times of infectious cause. Vulvovaginal candidiasis is the second most frequent cause in Brazil, in Europe ranks first. Candida spp can be found in the vagina up to 20% of asymptomatic women. Objective: Understanding the occurrence of vaginal yeasts and evaluating the antifungal action of a red propolis extract. Method: This is a clinical study in vitro with vaginal secretion samples collected from 197 patients treated at the Health Center Frei Damiao in Patos-PB, Brazil. The species were identified using a chromogenic medium CHROMagar Candida ®. At the end, the antifungal activity of the red propolis extract in four different concentrations was observed: 25%, 50%, 75% and 100%, by test disc Agar diffusion. The study was approved by the Research Ethics Committee of the Federal University of Campina Grande, CAAE 35203614.8.0000.5575. Results: Of the samples analyzed other species identified by the medium used were the most prevalent corresponding to 59.8%, followed by C. albicans , with 21.7%. The antifungal activity was observed in 81.25% of the tested samples. According to the average and standard deviation of the inhibition zone of the four concentrations, the one that presented the smallest variation was the concentration at 50%, followed by concentration to 75%. Conclusions: The results of this research showed that there was antifungal action of red propolis extract, since occurred inhibition in 81.25% of the analyzed samples. However did not show clearance regarding this action, since positivity tendency was not growing by increasing or decreasing the concentration of propolis extract.

Tuberculosis control: managers' work in question

Introduction: Tuberculosis is a re-emerging disease in developed countries, and keeps high prevalence in developing nations. Currently still remains as a public health problem unsolved and a challenge to be faced.Objective: Evaluating the difficulties and ease in compliance with Supervised Treatment for Tuberculosis from the perspective of managers who act in the control of tuberculosis in priority cities in Paraiba by the National Program for Tuberculosis Control.Method: An evaluative study of qualitative approach, whose sample was composed of six managers. Data were collected through interviews with semi-structured instrument; and processed by the analysis technique of speech of Bardin.Results: Management, lack of working condition, the disengagement of patients to adhere to supervised treatment and the resistance of professionals to put into practice the supervised treatment have been the main difficulties encountered.Conclusion: Being the most significant difficulties than the ease, tuberculosis control actions are limited and do not produce satisfactory results. There was perceived need to strengthen management and involvement of the subjects to fight the disease.

Profile of Oral Health and susceptibility to Oral Candidiasis in Patients of Primary Health Care

Introduction: The yeasts of the genus Candida are fungi that can cause an infection called oral candidiasis, when there are conditions that favor their proliferation, as the example of immunosuppression and the bad habits of oral hygiene. Objective : Profile oral health of patients seen in the Dental Office of the Family Health Strategy in Sao Bentinho–PB; and its relation with the susceptibility for oral candidiasis. Method: The study is exploratory, descriptive, quantitative type, held from May to July 2014, with 152 patients of both genders, dental service users for monitoring/dental treatment. The data were collected in an interview guided by structured script. For treatment of the data SPSS was used, in order to provide the descriptive and analytical statistics; with the application of the X 2 test there were correlated variables: age, gender, schooling and oral hygiene habits. Results: Statistical dependence has been identified between the age and educational level ( p = 0.003), age and gender ( p = 0.002), age and brushing/day ( p = 0.035) and education and brushing/day ( p = 0.001); the average age of the participants was 30.29 (± 13.83), the majority were female (77.6%), in oral hygiene conditions evaluated on regular and disabled (86.8%); 82.2% presented caries; most (77.6%) had no use of mouthwash; 4.6% presented signs of oral candidiasis. Conclusion: The sample investigated was exposed to several predisposing factors to Candida infections and, therefore, needs to be intensified the educational actions and oral health promotion aimed at this target population.

Profile and Susceptibility to Vaginal Yeast of Women Met on a Gynecology Outpatient Clinic

Introduction: The species of the genus Candida are part of the microbiota of mucosal surfaces of the gastrointestinal tract and genital, healthy. In favorable conditions can proliferate and unleash infectious processes, such as vulvovaginal candidiasis (VVC), and even oropharyngeal and systemic infections. Objective: Tracing the profile of women met on a gynecology outpatient clinic of a city of the remote hinterland of Paraiba and identifying the presence of possible risk factors for vaginal candidiasis. Method: The study is of exploratory, descriptive, quantitative type, conducted at the Health Center Frei Damiao, Patos-PB, having as data source a structured guide to characterizing the socioeconomic profile and possible risk factors for candidiasis in patients symptomatic and asymptomatic. A speculating gynecological examination was conducted to collect vaginal secretion, and subsequently, verify the presence of Candida by culture in Sabouraud Agar. In the data process was used the Statistical Package for the Social Sciences-SPSS, in order to provide the descriptive statistics and analytical, applying the Chi-square test (X 2 ) and the Fisher Exact Test. The research was approved by the Research Ethics Committee of the Federal University of Campina Grande, CAAE 35203614.8.0000.5575. Results: The average age of the women interviewed was of 38 (± 14.045). The results showed statistical dependence between age and schooling ( p < 0.001), age and the number of pregnancies ( p < 0.001), the number of births ( p < 0.001) and sexual activity ( p = 0.001); regarding the history of candidiasis 47.4% of women reported episode last year; the presence of Candida sp was verified in 46.2% of participants; regarding the risk factors there was statistical dependence ( p = 0.029) in relation to the previous use of antibiotic, characteristic of the menstrual cycle ( p = 0.002) and the presence of stress ( p = 0.003); the latter, in relation to the negative culture. Conclusion: By the fact that this infection is considered a public health problem, it becomes relevant that working professionals in this area stay updated regarding the pathogenesis of CVV, for the appropriate handling of this infection.