OBJECTIVE: Hypertension (AH) is a risk factor for cardiovascular diseases and health education associated with educational technology can be used to improve adherence behavior. To evaluate the influence of educational strategy in an individual guidance program associating educational technology in the virtual learning environment (VLE) in the Distance Learning (DL) modality for hypertensive patients to be promoted by nurses and to verify the effect of the white coat and the quality of life in patients at a state in São Paulo. METHODS: Randomized clinical study with AVA Group (study group, 10 patients) and Control Group (16 patients). Both groups participated in six consultations with the nurse during 120 days with intervals of 20 days. At the beginning of the study (randomization) and at the end, the following instruments were applied: Morisky test and WHOQOL and Ambulatory Blood Pressure Monitoring (ABPM) was performed. Only the study group had remote access to the VLE, ??consisting of six specific educational modules, with release at each meeting. RESULTS: There was no statistical significance between the two groups regarding sociodemographic and hemodynamic variables. There was statistical significance at the end of the study between the groups in the Morisky Test (p = 0.001) and in the WHOQOL Social Domain 3 (p = 0.001) favorable to the AVA Group. As for the effect of the white coat, there was no reduction in the phenomenon at the end of the study. CONCLUSION: The strategy promoted an improvement in adherence behavior in the AVA Group.

OBJECTIVE: Understand the role of the professional psychologist who works in public health facilities in the face of the health crisis triggered by the pandemic, their (im) possibilities for action and their understanding of health crisis situations. METHODS: Qualitative research developed through semi-structured interviews with psychologists working in public health facilities. The collected data were analyzed through thematic content analysis. RESULTS: The notion of health crisis is based on the consequences and affects that occurred in the social structure. Of the impossibilities of acting, the interruption of group activities stands out, bringing to professionals the challenge of finding and adopting another conduct to develop the bond with patients. CONCLUSION: Psychology has been gaining ground in this context due to the psychosocial impacts caused on the subjects due to the reorganization required by the moment.

OBJECTIVE: Evaluate how the COVID-19 pandemic affected the opinion of the population about vaccines and if there was a decrease in the vaccine coverage during the pandemic. METHODS: A self-applied questionnaire was used with the internet with questions about de impact of the pandemic about the perception and adhesion of the population to the vaccine campaigns and about the probability to vaccinate to COVID-19 once there is an approved and available vaccine and de majority believe the vaccines should be mandatory. RESULTS: We reached 475 answers to the questionnaire that showed an increase of the importance that the population gives to vaccines in general after the pandemic, a decrease of the vaccine coverage during the pandemic and high probability that the population get vaccinated against COVID-19 once there is an available vaccine and most of the population consider that the vaccine should be mandatory, however a decreased vaccination coverage was detected during the pandemic. CONCLUSION: The results show a tendency of appreciation of the vaccines and a tendency of the population to get vaccinated as soon as there is an approved one, especially those that had or are having an education in the healthcare area, showing how the education in health contribute to the adhesion of the population to the vaccines, however the decrease in vaccine coverage is worrying. Also, it is possible to conclude that the population intend to vaccinate against COVID-19 as soon there is an approved vaccine in the country.

OBJECTIVE: Human Papillomavirus (HPV) is directly related to carcinoma of the cervix, oropharynx, anus, and penis. HPV infection can be prevented by vaccination and since 2017. Both boys and girls have free access to the vaccine by Public Health System. The present study aimed to carry out an epidemiological survey on HPV vaccination in boys, between 2017 and 2018 at the Dr. Afrânio de Mello Franco municipal elementary school. METHODS: A transversal, descriptive and analytical study was carried out. The data were collected through the application of a questionnaire to those responsible for the children. RESULTS: It was observed that the vast majority of those responsible for the boys were women (90.48%). In general, 36.84% did not adhere to the HPV vaccination campaign, although 97.37% of them considered vaccination important, regardless whether they adhered or not to the vaccination campaign. Among the main reasons for the non-adherence was the lack of knowledge that boys can get the vaccine (42.86%), the age that they could receive the vaccine (21.43%), and the lack of time (21.43%). CONCLUSION: Our results suggest that non-adherence to vaccination in boys is mainly due to the lack of information on the vaccine, the HPV infection, correlation of the infection with cancer of the penis and cervix. Dissemination of that knowledge, mainly by television might improve adherence to the HPV vaccination.

OBJECTIVE: The purpose of this study was to assess, late, the functionality of patients undergoing surgery to repair the rotator cuff. METHODS: Cross-sectional observational study performed at the UNISA Orthopedics and Rheumatology clinic, approved by the ethics committee followed by CAAE 07824918.0.0000.0081. The sample consisted of individuals who underwent rotator cuff repair for at least two years and who have already undergone postoperative rehabilitation. For the evaluation, a specific self-report questionnaire was applied to assess rotator cuff dysfunctions, the WORC, and the FIT-HaNSA test, a functional test that consists of performing 3 tasks that require the elevation of the upper limb. RESULTS: A convenience sample of 9 individuals participated in this study, of both genders (5 men and 4 women) with a mean age of 54.1 years (± 3.4 years). The results in all the tasks of the FIT-HaNSA test, showed a greater functional deficit in the operated limb compared to the contralateral limb. In the WORC questionnaire, the sample subjects showed better scores as the post-surgical time increased. CONCLUSION: Although sample participants demonstrate better results in WORC over time, in the functionality test it was observed that patients undergoing rotator cuff repair have a long-term deficit in functionality, even after undergoing rehabilitation.

OBJECTIVE: Evaluate the respiratory distress of patients diagnosed with Acute Viral Bronchiolitis (AVB), using the Respiratory Discomfort Scale (Wood-Downes) - Ferrés and correlate the score of the Wood-Downes-Ferrés respiratory scale at the time of orotracheal intubation. METHODS: This is an observational study with design and quantitative character. The assessment of respiratory distress was performed before the time of tracheal intubation using the Wood-Downes scale according to the modification made by Ferrés. The assessment was carried out through the sum of the items: assessment of wheezing, circulation, respiratory rate (RF), heart rate (HR), ventilation and cyanosis, already containing classification and final severity scores. RESULTS: 15 patients were included in the study. Of the patients included, 60% of the sample is female, with a mean age of 4.86 months. RSV etiology was observed in 40% of patients. Four patients included in the study were transferred to another service, due to the lack of pediatric intensive care at the Hospital Geral do Grajau, and it was not possible to collect data on their clinical evolution. CONCLUSION: It is concluded that through the scale of respiratory distress (Wood-Downes) – Ferrés, it was possible to analyze the severity of acute respiratory failure in the patients analyzed in this study. It is necessary that a thorough assessment be made by all members of the multiprofessional team so that appropriate conduct is directed.

OBJECTIVE: Evaluate the respiratory distress of patients diagnosed with Acute Viral Bronchiolitis (AVB), using the Respiratory Discomfort Scale (Wood-Downes) - Ferrés and correlate the score of the Wood-Downes-Ferrés respiratory scale at the time of orotracheal intubation. METHODS: This is an observational study with design and quantitative character. The assessment of respiratory distress was performed before the time of tracheal intubation using the Wood-Downes scale according to the modification made by Ferrés. The assessment was carried out through the sum of the items: assessment of wheezing, circulation, respiratory rate (RF), heart rate (HR), ventilation and cyanosis, already containing classification and final severity scores. RESULTS: 15 patients were included in the study. Of the patients included, 60% of the sample is female, with a mean age of 4.86 months. RSV etiology was observed in 40% of patients. Four patients included in the study were transferred to another service, due to the lack of pediatric intensive care at the Hospital Geral do Grajau, and it was not possible to collect data on their clinical evolution. CONCLUSION: It is concluded that through the scale of respiratory distress (Wood-Downes) – Ferrés, it was possible to analyze the severity of acute respiratory failure in the patients analyzed in this study. It is necessary that a thorough assessment be made by all members of the multiprofessional team so that appropriate conduct is directed.

ABSTRACT OBJECTIVE: To verify the anthropometric, professional, pain and physical activity characteristics of university professors working in undergraduate and graduate courses: a pilot study. METHODS: Twenty teachers from a Higher Education Institution were evaluated, which were divided into two groups: group of undergraduate teachers (GPG, n = 10); group of postgraduate teachers (GPPG, n = 10). The assessment process was divided into: step 1, anthropometric and professional characterization; step 2, assessment of pain / discomfort using the Nordic questionnaire and step 3, assessment of the physical activity level, using the questionnaire: International Physical Activity Questionnaire-IPAC. RESULTS: The GPPG showed 90% for females, 70% of whom were married with overweight BMI. Teaching time was 10 years. The practice of physical activity was 30 to 60 minutes. Hypercholesterolemia was found in 90% of cases. Discomfort remained at 90% in the lower back. The IPAC was 20% sedentary. In GPG, on the other hand, 80% can be observed for females, 70% single with 90% overweight. The teaching time was 10 years. Physical activity was 10 to 15 minutes. The prevalent disease was hypercholesterolemia. Discomfort was 90% in the lumbar region and 80% in the neck and shoulder. The IPAC was 60% sedentary. CONCLUSION: It can be concluded that undergraduate teachers have more neck and shoulder pain, are overweight with a higher level of physical inactivity while graduate teachers have more lumbar pain with ideal weight and greater practice of physical activity.

OBJECTIVE: To compare the measurements of neck circumference, waist circumference, and body mass index (BMI) between obese and eutrophic children. METHODS: Cross-sectional research, using primary and case control data, with a comparative approach of anthropometric variables, carried out with 218 students, 119 girls and 99 boys, from a municipal elementary school in São Paulo. Data collected were sex, age, body weight, height, neck circumference (NC), and waist circumference (WC). The BMI was calculated and classified using the BMI growth curve, according to age, in percentiles. For data analysis, non-parametric tests were applied. RESULTS: According to the BMI, 36.2% of the children were overweight when the agreement test was performed between all physical circumference measurements. However, there was a weaker agreement between BMI and NC and between BMI and WC measures. The correlation between the measures was greater between BMI and WC (62%), compared to between BMI and WC and between NC and WC. CONCLUSION: The use of the NC measure, as an additional measure for anthropometric assessment in pediatric patients, is suggested, due to its practicality and as a complement for screening and monitoring childhood obesity.

OBJECTIVE: The aim of this study was to assess the level of satisfaction of the family members attended in a nursery unit of a hospital in São Paulo, SP, Brazil. METHODS: A questionnaire structured on liker scale (QSEnf 10) was applied to check the levels of familiar satisfaction during hospitalization. RESULTS: Most of the volunteers indicated that are satisfied with the services provided for each specialty, ranging from 81.5 to 100%. The average satisfaction score of 33 for the nursing team, 36.9 for doctors, 19.5 for physiotherapists, 19.0 for psychologists and 18.3 for nutritionists. On the other hand, a few were unsatisfied with the services provided in some specialties. CONCLUSIONS: Among the main factors associated with the dissatisfaction of family members is related to the lack of information or inaccurate information and the delay in responding to special requests.

OBJECTIVE: To date, level of Post-Traumatic Stress Disorder (PTSD) symptoms experienced from university students during the peak of Covid-19 in Italy is until under investigated. Therefore, this study aims to describe PTDS related to the Covid-19 outbreak among Italian university students. METHODS: A multicentre cross-sectional study was conducted, involving convenience and consecutive sampling of Italians University students. A self-reported web questionnaire on the on-line platform Qualtrics®, was used to data collect, in March and April 2020. RESULTS: Overall, 720 Italian University students participated to this study. The sample are major male (80.7%) with an average mean of 23.52 years. The results of data analysis highlighted the important level of PTSD experienced from Italian University students during the Covid-19 outbreak, especially by female students that presented higher levels of PTSD. Additionally, no differences were found between students in healthcare field and not in healthcare field. CONCLUSION: The results showed, for the first time, the level of PTSD experienced by Italian Universities students, triggered by the psychological consequences of the health emergency Covid-19. This situation requires public health interventions aimed at preventing the early development of such mental disorders, which negatively affect the growth of future generations.

OBJECTIVE: To elucidate the effect of oral L-glutamine (Gln) supplementation, associated or not with the regular practice of combined-exercise training (CET), on glycemic and lipid profile and systemic inflammatory status in elderly subjects. METHODS: 84 elderly subjects, non-practitioners (NP, n=31) and practitioners of CET (n=53), were supplemented with Gln [0.3g/kg of weight plus 10g of maltodextrin, groups: NP-Gln (n=14), and CET-Gln (n=26)], or placebo [10g of maltodextrin, groups: NP-PL (n=17), and CET-PL (n=27)]. Anthropometric and physical data were assessed. Blood sampling was collected pre and post-30 days of supplementation. RESULTS: NP subgroups showed higher BMI and serum IL-6 levels than CET subgroups before and post-supplementation. Higher serum levels of IL-10 with lower IL-6 and IL-6/IL-10 ratio were observed post-supplementation in the CET-Gln subgroup than pre-supplementation. When the volunteers were separated according to their BMI, higher IL-6 levels were found in all obese (OB) subgroups than in the adequate weight (AW) subgroups before supplementation. This difference was not maintained between OB CET-Gln and AW CET-Gln subgroups post-supplementation. Higher levels of IL-10 with lower IL-6 and IL-6/IL-10 ratio were found in the OB CET-Gln subgroup post-supplementation than pre-supplementation. No differences were found in the glycemic and lipid profile. CONCLUSION: Oral Gln supplementation when associated with the regular practice of CET can modulate the systemic inflammatory status, especially in obese elderly subjects.

OBJECTIVE: To evaluate the efficacy and safety of ivermectin in the prevention and treatment of COVID-19. METHODS: This is a systematic review of randomized clinical trials. We searched the electronic databases PubMed (1966-2021), EMBASE (1974-2021) and Clinical Trials (2021) and two evidence megabusers: Turning Research Into Practice (TRIP) database (2021) and Epstemonikos (2021). There was no geographic or language restriction, using DeCS descriptors and terms (Health Sciences Descriptors). The synthesis method involved the combination of similar studies in a narrative review. RESULTS: 463 citations were identified, and 2 studies were included, following the inclusion and exclusion criteria. Both studies showed very low quality and reduced sampling. CONCLUSION: The studies completed and published to date do not support the use of ivermectin in the prevention or treatment of COVID-19. It is suggested to carry out new quality clinical trials to elucidate the issue.

OBJECTIVE: The present study aimed to carry out a systematic review in order to analyze available information of the Rhipicephalus sanguineus Complex. METHODS: A bibliographic review was carried out, through a research on public scientific articles databases, between August 2019 and January 2020. Search was filtered for scientific articles published between 2000 and 2020, in the search engines: SCIELO, PubMed and Google Scholar, following the guiding question: Rhipicephalus sanguineus complex? and using the descriptors: Rhipicephalus; Rhipicephalus sanguineus; Rhipicephalus sanguineus complex; Phylogeny Rhipicephalus; Rhipicephalus turanicus, Hemoparasitosis. RESULTS: The genus Rhipicephalus comprises a group called Rhipicephalus sanguineus complex, consisting of 17 species that are morphologically similar and that do not yet have an elucidated taxonomy determination, according to several authors, the tick species in question have their biosystematic state of difficult elucidation, as there are biological and genetic divergences. The present publication review yielded support to the hypotheses that the R. sanguineus taxon in America is, in fact, composed by two different lineages, that is nowadays attributed to the R. sanguineus species, but, as a matter of fact, the taxonomic status of R. sanguineus and R. turanicus in the Old World must be defined prior a possible new classification of the New World lineages of R. saguineus, therefore the Ripichephalus genus ticks in the Americas should all be identified as R. saguineus complex. CONCLUSION: Conclude that the R. sanguineus complex encompasses taxonomic, phylogenetic, morphological and biological differences, making its biosystematic state difficult to clarify.

OBJECTIVE: To elucidate the effect of oral L-glutamine (Gln) supplementation, associated or not with the regular practice of combined-exercise training (CET), on glycemic and lipid profile and systemic inflammatory status in elderly subjects. METHODS: 84 elderly subjects, non-practitioners (NP, n=31) and practitioners of CET (n=53), were supplemented with Gln [0.3g/kg of weight plus 10g of maltodextrin, groups: NP-Gln (n=14), and CET-Gln (n=26)], or placebo [10g of maltodextrin, groups: NP-PL (n=17), and CET-PL (n=27)]. Anthropometric and physical data were assessed. Blood sampling was collected pre and post-30 days of supplementation. RESULTS: NP subgroups showed higher BMI and serum IL-6 levels than CET subgroups before and post-supplementation. Higher serum levels of IL-10 with lower IL-6 and IL-6/IL-10 ratio were observed post-supplementation in the CET-Gln subgroup than pre-supplementation. When the volunteers were separated according to their BMI, higher IL-6 levels were found in all obese (OB) subgroups than in the adequate weight (AW) subgroups before supplementation. This difference was not maintained between OB CET-Gln and AW CET-Gln subgroups post-supplementation. Higher levels of IL-10 with lower IL-6 and IL-6/IL-10 ratio were found in the OB CET-Gln subgroup post-supplementation than pre-supplementation. No differences were found in the glycemic and lipid profile. CONCLUSION: Oral Gln supplementation when associated with the regular practice of CET can modulate the systemic inflammatory status, especially in obese elderly subjects.