Renata da Silva Schulz

VISCOSUPPLEMENTATION IN ANKLE OSTEOARTHRITIS: A SYSTEMATIC REVIEW

ABSTRACT To evaluate the efficacy of viscosupplementation in patients with osteoarthritis of the ankle. A systematic review to evaluate the evidence in the literature on the use of viscosupplementation for osteoarthritis of the ankle. For this review, we considered blind randomized prospective studies involving the use of viscosupplementation for osteoarthritis of the ankle. A total of 1,961 articles were identified in various databases. After examining each of the articles, five articles were included in this review. Treatment with intraarticular hyaluronic acid is a safe treatment modality that significantly improves functional scores of patients, with no evidence of superiority in relation to other conservative treatments. Further clinical trials with larger numbers of patients are needed so that we can recommend its use and address unanswered questions. Systematic Review of Randomized Clinical Trials.

REDUÇÃO DA MORTALIDADE MATERNA E ATUAÇÃO DO ENFERMEIRO

Introduction : According to the Sistema de Informacao sobre Mortalidade (SIM), in Brazil between 2004-2014 there were 18.364 maternal deaths. Thus, the Ministry of Health (MS) has adopted, over the years, policies aimed at improving women health. Objective: To evaluate the maternal mortality rates in Salvador and Bahia and describe how the nurse can act in the reduction of these indices. Methodology: This is an ecological, descriptive, quantitative approach, with information collected on maternal mortality in Salvador and Bahia in the last ten years, through DATASUS. Results: In Bahia, according to reported cases of maternal mortality, 1,764 maternal deaths were registered in 2004 to 2014. In Salvador, 2004 had the lowest maternal mortality rate with 17 deaths, may be associated with the expansion of PSF, the nurse’s main means of acting to reduce mortality through prenatal program care. In 2008, there were 36 reported deaths, which may be related to the low population coverage of the program and structural and operational problems of the service in recent years. Conclusion : The rate of maternal deaths is still high in Bahia and Salvador. However, it was verified the importance of the nurses role in reducing these rates, since prevention occurs in primary care, an environment where nurses have autonomy regulated by law to provide qualified prenatal care.

Ações educativas como estratégias de redução para pé diabético

Objective : To characterize the educational actions used in clinical practice for patients with diabetic foot based on scientific productions. Method : An integrative review was carried out in July 2015 in the electronic databases Medline, PubMed, Cumed, and SciELO using the association of descriptors: diabetes mellitus, diabetic neuropathies, health care, foot ulcer, primary prevention. Studies published between 2010 and 2015 were included, while the criteria for exclusion was based on articles concerning the care of ulcers that were already established, articles whose methodology was related to editorials about the issue, and repeated articles. Results : A total of 88 scientific papers were found. After selection, eight studies were included. All of them showed health education and patient adherence to interventions proposed as the key points to be worked in ambulatory practice. Conclusion : The specialized treatment to prevent complications in the lower limbs of patients as well as encouraging self-care/self-control are essential for the strategies involved. The patient should be encouraged to actively participate in treatment, being guided for awareness about the disease as well as for the promotion, prevention and recovery of health.