Journal Health and Technology - JHT

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EISSN : 2764-7625
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Geraldo Medeiros Junior
Journal Health and Technology - JHT, Volume 1; https://doi.org/10.47820/jht.v1i3.18

Abstract:
Extracellular vesicles (EVs) are particles ranging from 30 to 5000 nm, considered mediators of intercellular communication and biomarkers of distinct types of diseases. EVs are released by most cells, including tumor cells. Therefore, research to better understand its role in the development and progression of neoplasms has been increasing every year. For such, these studies require high-tech equipment, available in highly complex research laboratories. This project sought to standardize dark-field microscopy (DFM) as a simple, effective, low-cost method to assist in research with EVs. Three samples were acquired, each one containing extracellular vesicles properly classified by size (400, 100, and 50 nm). Each one of them was analyzed by using the DFM to determine resolution capability and maximum magnification.
Fabiano de Abreu Agrela Rodrigues, Roselene Do Espírito Santo Wagner
Journal Health and Technology - JHT, Volume 1; https://doi.org/10.47820/jht.v1i3.17

Abstract:
Mental disorder is a dysfunction of brain activity that can affect an individual's mood, behavior, reasoning, learning, and communication. It is a silent disease that can be present at any stage of life. Its reflexes occur at the psychological level and may have physical symptoms, depending on the stage of the illness. Commonly associated with suffering are anxiety disorders, depression, panic syndrome, chemical dependency, bipolar disorder, and others. Each individual manifests his or her pathology in a unique way, and the management must also be personalized. The disorder has multiple causes, such as genetic inheritance, environment, culture, emotional impacts, traumas, phases of the life cycle, among other aspects. Therefore, its treatment requires a multidisciplinary team, with professionals such as psychologists, psychiatrists, speech therapists, and, in the school environment, when it comes to learning, a psychopedagogue, an extremely important professional for the student and his family. When the manifestation of the disorder happens in the school phase, teachers are key, since school is a very familiar environment and functions as the second home and family representation. Teachers have the possibility to observe and identify the student's problem; they spend many hours with the student daily, transfer knowledge, and identify the student's emotional state, attention focus maintenance, memory, engagement, motivation, mood and behavior changes. They are the first to notice learning difficulties or inability presented by some individuals when facing new situations, triggered by several factors
Geraldo Medeiros Junior
Journal Health and Technology - JHT, Volume 1; https://doi.org/10.47820/jht.v1i2.14

Abstract:
This study is to experimentally investigate the behavior of quadratic waves in biological structures. Transcutaneous frequency stimulation was regulated so that the system provided high frequency and low electrical voltage to observe possible changes in deeper layers of the anatomical structure analyzed. Electrodes were positioned from the dermis and probing electrodes were positioned at the subdermal, intradermal, skeletal muscle, periosteum, endosteum, and medulla levels. A function generator connected to a digital oscilloscope produced a square wave of 33 kHz at 10µs pulse speed and voltage of 16 volts DC. A voltage decay was observed as the signal reached deeper layers of different tissues. However, the frequency of 33 kHz remained uniform even at the bone marrow level. This observation opens the way for the application of the square electronic frequency as a stimulus for drug activation.
Alberto De Andrade Reis Mota, Gyzelle Pereira Vilhena Do Nascimento, Gabriel Martins Pereira
Journal Health and Technology - JHT, Volume 1; https://doi.org/10.47820/jht.v1i2.16

Abstract:
The present work consists of the study of Traditional Chinese Medicine (TCM), with the objective of reporting the use of acupuncture as an alternative in the treatment of anxiety contextualizing it with public health, through a literature review in which articles from the last ten years were selected in reliable websites. Acupuncture and proved effective in all selected articles, avoiding the prolonged use of medications that may cause dependence, this practice allows the pharmaceutical professional to apply his area of activity to the patient so that they can use such therapy in their treatment.
Thais Da Silva Nunes, Felipe Cipriano de Oliveira, Milene Francfort Magalhães Miranda,
Journal Health and Technology - JHT, Volume 1; https://doi.org/10.47820/jht.v1i2.15

Abstract:
Introduction: Crossfit is a modality of physical strength and metabolic conditioning. It is known that diet and nutritional supplementation can interfere in the physical performance of practitioners. Objective: To quantify the use of nutritional supplements (protein, carbohydrate and micronutrients), as well as to evaluate the adequacy of the moment of consumption of the most cited supplement (pre, during or after training). Materials and Methods: 60 crossfit practitioners from three gyms located in the city of São Paulo were invited to participate. The research instrument was a questionnaire prepared by the researchers. Data were analyzed with descriptive statistics. Results: Among the participants (48% men and 52% women), 70% used supplements. The most consumed were protein supplements, mainly whey protein. Only 4.8% were on carbohydrate supplements and 3.2% on micronutrients. Most whey protein consumers reported using 1 (37.1%) or 2 (34.3%) scoops a day. One third (34.3%) of users reported consuming this supplement before training, followed by 25.7% who consumed it before and after training, and 14.3% who used it only after training. Discussion: Anaerobic muscle power activities involve higher protein turnover, which may explain the preference for protein supplements. Conclusion: Most of the research participants used nutritional supplements, and whey protein was the most cited. The doses stipulated on the product label were respected by most respondents, however, the timing of use and the type of supplement chosen in many cases were not suitable.
Rodrigo Corvino Rodrigues, Flaviane Rodrigues Franco, Priscila de Andrede Carbonezi, Verônica Batista Azambuja, Vivian Marchetti, Márcio Magera Conceição
Journal Health and Technology - JHT, Volume 1; https://doi.org/10.47820/jht.v1i1.5

Abstract:
Introduction: Hospital accreditation aims to promote patient care and assistance and quality in the institution's sectors, aiming at process safety, integrated management and continuous improvement. Objective: to identify in Brazil in 2021 the types of establishments certified in the country, as well as their respective states, type of management and certification seals in force in the national territory. Method: Descriptive and retrospective study with a quantitative approach. The search was carried out on the website of the National Accreditation Organization in October 2021. Variables of interest were considered: types of accredited health establishments, types of certifications in force in the national territory, type of management of the accredited establishment, state and city of establishments. Results: The analyzes identified that in the month of October 2021 there are 906 certifications in the Brazilian territory. Of these, 760 (84%) of the accreditations in the national territory are private institutions and 337 (37.2%) are hospital institutions. As for the certification seal, 201 (22.1%) of the institutions are accredited (level I) and 341 (37.6%) are located in the state of São Paulo. Conclusions: It was possible to obtain a view of the accreditation certifications in force in Brazil through their characterization, in order to visualize which types of seals, establishments and states are covered with health establishments committed to quality and excellence in care.
Fabiano de Abreu Agrela Rodrigues
Journal Health and Technology - JHT, Volume 1; https://doi.org/10.47820/jht.v1i1.8

Abstract:
A neuropatologia é o ramo da neurologia que estuda doenças do sistema nervoso e suas ligações com toda a fisiologia do organismo, incluindo doenças do sistema nervoso e seus reflexos. Patologias neurológicas têm altos custos econômicos e sociais. A demência é uma síndrome que progride com declínio progressivo e global da memória associado a um déficit de funções com uma intensidade que traz importantes limitações no desempenho social ou ocupacional diário do indivíduo. O número de novos casos anuais de demência torna essa síndrome mais cara do que o câncer e doenças cardíacas combinados. A prevalência de demência está aumentando a uma taxa alarmante à medida que a população mundial em geral está envelhecendo, e até 2050 estima-se que 131 milhões de pessoas terão demência. Tendo em vista a importância de estudar patologias neurológicas, especialmente demências, o presente estudo realizou uma revisão biblio literatura sobre as principais demências, trazendo dados relacionados à sua patogênese, ocorrência e caracterização molecular.
Alyne De Souza Dias, Leiliane Naves Dias Alves, André Santos Freitas, Jacson Santos dos Reis, Ewerton Naves Dias
Journal Health and Technology - JHT, Volume 1; https://doi.org/10.47820/jht.v1i1.7

Abstract:
INTRODUCTION: Currently, there is a great growth of the elderly population at the global level, this process is accompanied by a series of changes in the lives of the elderly, which deserve to highlight the occurrence of falls, a factor that can interfere in the quality of life of the elderly. OBJECTIVE: The study aimed to describe through a literature review on accidents due to fall in the old. METHODS: this is an integrative review of the literature. To this end, a search was conducted in the Virtual Health Library (VHL) with the following expression: "Accidents by Falls and Elderly". RESULTS: In summary, the studies addressed the following themes: Prevalence and factors associated with the fall of the elderly, Impact of falls on the quality of life of the elderly, Feelings of the elderly after fall, Prevention of falls in the elderly. CONCLUSION: The occurrence of falls in the elderly is related to several factors and is considered a serious public health problem that affects the quality of life and physical and psychological health of these people. It is therefore up to health professionals to implement actions that favor the management and prevention of falls.
Meline Rossetto Kron-Rodrigues, Hítalo Cavalcanti Vasconcelos, Noélle De Oliveira Freitas, Alfredo Almeida Pina-Oliveira
Journal Health and Technology - JHT, Volume 1; https://doi.org/10.47820/jht.v1i1.2

Abstract:
Objective: To analyze the knowledge and difficulties in the assistance provided by trauma emergency nurses to patients on mechanical ventilation (MV) in a tertiary hospital located in RecifePE. Method: This is a cross-sectional study with a complementary quantitative and qualitative approach that was conducted in the Trauma Emergency Unit of the Hospital da Restauração, RecifePE. Data were collected in June 2021 using a questionnaire that assessed 4 domains of mechanical ventilation knowledge, these being: initial setting of the invasive ventilator and conventional ventilatory modes, monitoring the patient on ventilatory support, nursing care in patients on invasive ventilatory support, and sedation and analgesia during mechanical ventilation. The difficulties were measured by means of open questions at the end of the questionnaire. Inclusion criteria were: being a nurse assistant in the Trauma Emergency Department. Nurses working in administrative positions, on vacation or on leave during the data collection period were excluded. The research was approved by the Research Ethics Committee through opinion #4.704.572 and all participants previously signed the Informed Consent Form (TCLE). Results: Thirty nurses were analyzed, 80% were women, 43.5% were married and 67% were between 31 and 42 years old. As for the time of training in higher education, 40% revealed having up to 10 years of graduation, without other graduation in 87% of respondents and reported not having a technical course in nursing in 83%. Nursing care to patients on invasive ventilatory support, especially with regard to handling, as well as cleaning and conservation of equipment was deficient among the interviewees. Sedation and analgesia during mechanical ventilation were deficient when the use of neuromuscular blockade for deep sedation and adequate monitoring of the level of consciousness were mentioned. Among the difficulties when assisting the patient under mechanical ventilation, one can include the correct management of the ventilator, as well as the adjustment of its parameters adequate for each patient, ventilator assembly, interpreting the parameters, as well as the existence of high demand, lack of material to maintainadequate sedation of the patient, and prevention of ventilator-related accidents. As a facility, care actions such as assisting the intubation procedure, decubitus monitoring, sedation installation, basic parameters maintenance and endotracheal suctioning were mentioned. Conclusions: The authors suggest that continued education and specific training actions should be implemented to improve the assistance of nurses who assist MV patients in emergency units.
Ana Paula De Jesus Moraes, Meline Rossetto Kron-Rodrigues, Noélle De Oliveira Freitas, Silvana Andréa Molina Lima
Journal Health and Technology - JHT, Volume 1; https://doi.org/10.47820/jht.v1i1.3

Abstract:
Objective: to identify and evaluate the effectiveness of the use of peripherally inserted central catheter (PICC) compared to the use of other intravenous catheters in newborns hospitalized in neonatal intensive care units. Method: This is a bibliographic study, a systematic review carried out according to the Cochrane methodology and regulations of the PRISMA check list. The Databases PubMed, EMBASE, Cochrane, Latin American and Caribbean Literature on Health Sciences (LILACS) were consulted until March 2021. Reviewers independently tracked eligible randomizedclinical trials (CRTs); extracted the data and assessed the risk of bias through the Cochraneapproach. Associations were reported as relative risks (RR) and their 95% confidence intervals (CI).Heterogeneity was tested with the Cochrane χ2 test, and the degree of heterogeneity quantified with statistics I2 and its 95% CI. The Review Manager (RevMan) software was used for meta-analysis (version 5.3). The quality of the evidence was generated according to the Evaluation of theClassification of Recommendations, Development and Evaluation (GRADE). Results: There was nostatistically difference for the occurrence of sepsis, mortality, catheter-related complications(infections) and catheter length of stay between groups. For the number of venopunctures required for catheter insertion, the findings indicate that for PICC there are lower numbers (RR -6.17, 95% CI:-7.75 to -4.59) and that there is low heterogeneity (I2=32%) among the studies. However, these results should be interpreted with caution, since the evaluation of the quality of the evidence was low. Conclusion: No moderate or high-quality evidence was found in ECRs that proves that there is differentiated effectiveness between PICC compared to the use of other intravenous catheters in newborns hospitalized in neonatal intensive care units, thus evidencing the need for further studiesin the area.
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