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International Archives of Medicine
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Concepts, theoretical models and nursing theories: integrative review

Objective: To know the tendencies of the publications about nursing theories, theoretical models and related concepts in a scientific journal of nursing.

Methods: An integrative review was performed on the website of the journal Acta Paulista de Enfermagem, via SCIELO, from 2005 to 2014. The sample included 21 studies that addressed the application, analysis, construction, validation or reflection on concepts, theoretical models and nursing theories.

Results: Of the publications, 42.8% came from the Northeast region and 76.2% contemplated the qualitative approach. The studies worked with theories (76.2%), with analysis, construction and validation of theoretical models (14.3%), and concept elaboration (9.5%). 2005 and 2011 represented the years with the largest publications, however a decrease has occurred in the last three years.

Conclusion: The trends highlighted the importance of the development and application of the theoretical and philosophical bases of nursing, since it is necessary to strengthen the link between theoretical and practical research.


Keywords: Nursing; Nursing research; Practical nursing; Nursing theory; Philosophy in nursing.

from International Archives of Medicine

How to face the association between tobacco and psychosis?

Evidences suggest an association between tobacco and psychosis. However, the reasons why people with psychosis have a higher tendency to smoke than the general population are not yet clear. Recently, Gurillo et al. reported that daily use of tobacco is associated with an increased risk of psychotic disorder and an earlier age of onset of psychotic illness. His study also calculated a significant mean difference in age at onset, expressed in years, and estimated the prevalence of smoking in people with their first episode of psychosis. According to this and other findings, it could be said that the causes of the smoking-schizophrenia association are complex and cannot be explained solely as a result of some aspect of schizophrenia. Thus, new studies in this area are needed, as well as strategies that look for the monitoring of smoking effects in order to reduce it among individuals with schizophrenia.

Key-words: Tobacco, Psychosis, Illness.

from International Archives of Medicine

Breast Cancer as a late complication of treatment for lymphoma in children and adolescents

The treatment for pediatric patients affected by Hodgkin’s lymphoma, including chemotherapy and radiotherapy, has offered a high survival rate, but may be responsible for the appearing of breast cancer in later form in these same people. The 20-year survival rate can reach 90% of patients suffering from Hodgkin’s disease, but they may suffer sequelae, among which malignant secondary neoplasms, including breast cancer. Most studies show that the malignancy of breast tissue is the main secondary sequel to radiotherapeutics’ treatment for patients with Hodgkin’s lymphoma in childhood.


Keywords: Breast Cancer; Hodgkin’s Lymphoma; Radiotherapy.

from International Archives of Medicine

Nursing care for children with gastrostomy: integrative review

Objective: To analyze national and international scientific production on nursing care for children with gastrostomy.

Method: Integrative review conducted in the databases Latin American and Caribbean Health Sciences (LILACS), Scientific Electronic Library Online (SCIELO),Medical Literature Analysis and Retrieval System Online (MEDLINE) and Cumulative Index to Nursing and Allied Health Literature (CINAHL) without temporal delimitation of publications. The following Health Sciences Descriptors (DeCS) and Medical Subject Headings (MeSH) were used: gastrostomia/gastrostomy/cuidado da criança/children care/enfermagem/nursing. Twenty references were found in LILACS, four in SciELO, 116 in MEDLINE and 167 in CINAHL. The studies found in the LILACS and SciELO did not meet the inclusion criteria. Three articles were selected from MEDLINE and 02 from CINAHL; thus, 05 articles composed the sample of the study.

Results: We observed that gastrostomy brought about satisfaction to caregivers despite post-surgery complications. Improvements brought about by the use of the device and reduction of complications related to feeding difficulties, weight gain, decreased vomiting, abdominal distention and fatigue of the patient throughout the day were mentioned. It was also noted that caregivers in the studies felt fear and insecurity at decision-making on the insertion of gastrostomy, showing that the information for the care of these patients was a common concern among them.

Conclusion: The study allows us to conclude that the care provided by nurses to children with gastrostomy and family contributes to increase knowledge, thus facilitating decision-making during the management of the device. The use of educational technologies are to be highlighted as a strategy for promoting care during hospitalization and preparing parents to take care of the gastrostomy after hospital discharge.


from International Archives of Medicine

Nursing In Front Of Technology As A Care Fundament On UTI Obstetric/Neonatal


It is an article about the historical evolution of nursing, emphasizing conceptual and reflexive aspects about the impact of technology on the care process in Obstetrical/Neonatal ICU. Although the technology has contributed to the survival pregnant / premature infants extremes and very low weight in recent years, reveals at times a mechanical and impersonal service, a counterpoint to ethical and human issues. A critical-reflexive discussion is proposed under the use of technology in obstetric and neonatal intensive care, highlighting their implications and adaptations to maternal and child needs. It was concluded that what determines whether a technology is good or bad, if it dehumanises, depersonalises or objectifies care is the way in which it is used, making it necessary to improve and update health professionals. In this reflexive exercise, new ways of caring will be rethought, using art, sensitivity and creativity in the appropriation and humanization of technologies.


Descriptors: Nursing Informatics. Information Technology. Nursing Care. Maternal Health. Intensive Care Units, Neonatal.

from International Archives of Medicine

The Family Health Support Core (NASF) And Health Practices: Are There Many Challenges To Be Overcome?

Objective: Describe and characterize NASF health practices.

Method: It is a review of current literature carried out by consulting the database Lilacs and Virtual Library of SciELO in the period from December 2016 to January 2017.

Conclusion: It is concluded that, although the NASF is recognized as a support to the Family Health Strategy (FHS), still does not act in an articulated way, being fundamental that changes take place in the organization of the services and in the conduct of the health professionals who contemplate it.

Descriptors: Primary Health Care. Family Health; Public Health Policies. Nursing.

from International Archives of Medicine

Analysis Of Vaccination Campaign Against Hpv And The Perspective Of Vaccinated Population


 The Ministry of Health has provided for the girls population aged nine to 13 years, the quadrivalent vaccine against Human Papillomavirus as a preventive measure for cancer of the cervix, with the initial proposal to achieve 80% of this population.


 To analyze the vaccine coverage and the perspective of the target population about the vaccine against the Human Papillomavirus.


 This was a quantitative and qualitative field research in descriptive character, conducted through the Information System of the National Program for Immunization and with a sample of 86 adolescents in the city of São José do Egito/PE/BR.


 The vaccination coverage showed a reduction in sequence of the vaccination schedules of 19,53% in the first phase of the campaign and of 24.07% in the second phase. It was also noted that lack accurate information for more than 50% of respondents, 15.11% had local and / or systemic reactions and 89,53% of them expect positive results with the vaccine against the Human Papillomavirus.


The results showed a discontinuity in the prophylaxis scheme, but for the teenagers who took the vaccine there is confidence that the immunobiological has the desired effect, protecting them against viruses and future cancer of the cervix.

Keywords: Health services; Vaccine; Adolescents; Human Papillomavirus.

from International Archives of Medicine

Abusive Consumption Of Alcohol By Elderly

Objectives: To investigate the abusive consumption of alcohol in the elderly in the municipality of Santa Cruz – PB.

METHODS: This is a cross-sectional, descriptive study, with quantitative approach with a sample of 170 elderly. To perform the study, three instruments were used: the Mini Mental State Examination (MMSE), a sociodemographic questionnaire and the Michigan Alcoholism Screening Test – Geriatric Version (MAST-G). The data were analyzed in the program Statistical Package for Social Sciences (SPSS – version 21).

Results: 14.7% of the elderly were classified by the MAST-G score as elderly individuals presenting problems related to alcohol abuse, the majority of whom were male, single, with education above 05 years, who reside alone, and present some pathology and make use of medications.

Conclusion: the research points out the need for multiprofessional work in health in Primary Care, in order to develop health actions that include the prevention of alcohol consumption and minimize the deleterious effects of consumption, in order to reduce the number of undesirable events arising from the use of that substance.

Keywords: Primary health care; Alcohol; Old man.

from International Archives of Medicine

Palliative Care in Brazil: With a View to Future Needs?

Background: Chronic non-communicable diseases (CNCD) constitute a health problem of growing magnitude in Brazil, leading concerns, to the Ministry of Health (MOH), about the care of persons with chronic conditions (due to advanced diseases), multiple harms to health, convalescents and in need of long-term care, requiring continuous assistance, physical and functional rehabilitation. However, few data exist on the size of the population potentially in need of palliative care in Brazil.

Aim: this study is to estimate the size of the Brazilian population that could benefit from palliative care across 26 federated states and the Federal District.

Design: this is a cross-sectional study, using national death certificate and hospital admission data. Brazilian death registration and hospital admission data from 1st of January to 31st of December 2014 were analyzed and compared with estimation methods of Rosenwax and Murtagh.

Setting/participants: all adults (≥ 15 years old) who died in the period of 1st of January to 31st of December 2014 in Brazil.

Results: the proportion of individuals who died from diseases that indicate palliative care needs at the end of life ranged from 24.6% to 85.2%.


Keywords: palliative care; estimating population; chronic non-communicable diseases; cancer; health planning.

from International Archives of Medicine

Access Of Women In Jail To Cytological Exam: A Quantitative Analysis

Goal: to know the access of women prisoners to cytological examination.


Method: exploratory-descriptive quantitative study, carried out at the Maria Júlia Maranhão Female Rehabilitation Center, in the city of João Pessoa/PB. The study population was of all closed regimens, and the minimum sample was 168 (one hundred and sixty-eight). Data collection was formalized through approval by the Research Ethics Committee of the Faculdade de Enfermagem Nova Esperança (FACENE), CAAE: 18363713.8.0000.5179, besides the official referral of the Coordination of the Course to said prison. The present study respected the ethical aspects recommended by Resolution CNS 466/12, in art. III, of the ethical aspects, which deals with the involvement with human beings in research, as well as Resolution COFEN 311/2007, which deals with the code of ethics of nursing professionals.


Results and Discussion: data from the survey show that 33% of study participants were between the ages of 18 and 25; 58% reported being single; 48% have Incomplete Elementary Education; 39% with the profession of domestic; 48% have a family income of one minimum wage; 58% have one to two years imprisonment; 74% inflicted the drug trafficking article; 67% mentioned working in general prison services.


Conclusion: it is concluded that the participants of the research report having knowledge about the exam, but their answers do not correspond to the true meaning of the exam, showing the lack of knowledge, information, assistance and abandonment in which they live.


Descriptors: Women. Papanicolaou Test. Prisoners. Nursing.

from International Archives of Medicine