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INTRODUCTION: Interpersonal violence is a phenomenon that can occur with different people and conditions. However, people with intellectual disabilities have increased vulnerability to this problem, with potential risks to their health and well-being. The aim of this study was to identify the sociodemographic characteristics of people with disabilities who have been victims of interpersonal violence, the profile of the perpetrators and the measures taken after the victims have been cared for. METHODS: This is an exploratory, descriptive, cross-sectional study using the Interpersonal Violence Notification Forms entered into the Brazilian Ministry of Health's Notifiable Diseases Information System. The city of São Paulo was chosen as the setting because it is the largest city in Latin America and has a faster data processing system than other cities. The period covered notifications made between 2016 and 2022. The information was collected between October and November 2023 and a univariate statistical analysis was carried out. Fisher's exact test was used, with a significance level of 5% (α = 0.05). RESULTS: There were 4,603 notifications against people with intellectual disabilities in the period. The forms of physical violence, neglect/abandonment and psychological/moral violence were more frequent in the 15-19 age group, while sexual violence was more frequent in the 10-14 age group (p < 0.001). The sex most often attacked was female in all the forms investigated (p < 0.001) and the skin colors of the most victimized people were black and/or brown, except in cases of neglect/abandonment (p = 0.058). Most of the victims had little schooling (p = 0.012). The aggressions were committed by one person (p < 0.001), known or related to the victim, such as mother or father, except in cases of sexual violence, where strangers were the main perpetrators (p < 0.001). The sex of the perpetrator was male, except in cases of neglect and/or abandonment (p < 0.001), and the age was between 25 and 29 (p = 0.004). In cases of sexual violence, rape was the most frequent and the procedures carried out were blood collection followed by prophylaxis for Sexually Transmitted Infections (STIs) were the main procedures carried out by health professionals (p = 0.004). The majority of referrals made after receiving care were to the health and social assistance network, with few referrals to bodies such as the human rights reference center, guardianship council and police stations (p < 0.001). CONCLUSION: People with intellectual disabilities are highly vulnerable to the forms of violence studied, especially children and adolescents, black or brown, with low levels of education. The perpetrators are usually close people, male and older than the victims. The referrals made by health professionals did not prioritize the victim's safety and the guarantee of human rights. Lines of care for the health of victims of violence should be implemented, taking into account special aspects, such as people with intellectual disabilities, whose search for help can be difficult.

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BACKGROUND: Low back pain (LBP) has a high economic burden and is strongly related to the degenerative process of the spine, especially in the intervertebral disc and of the facet joints. Numerous treatment modalities have been proposed for the management of LBP, and the use of platelet-rich plasma (PRP) has emerged as an innovative therapeutic option for degenerative disease of the spine. The present study aims to evaluate the efficacy of PRP injections in managing low back pain. METHODS: We conducted a systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations, a registered at PROSPERO Systematic Reviews Platform, under number CRD42021268491. The PubMed, Web of Science, and Scopus databases were searched to identify relevant articles, along with hand searching to identify gray literature articles, with no language restrictions. Randomized clinical trials (RCTs), nonrandomized trials (NRTs), and case series (CSs) with more than 10 patients were considered eligible. The quality assessment and the risk of bias of the randomized clinical trials were evaluated using the RoB II tool. An evaluation of the description of the preparation methods was performed using an adapted version of the MIBO checklist. RESULTS: An electronic database search resulted in 2324 articles, and after the exclusion of noneligible articles, 13 RCTs and 27 NRTs or CSs were analyzed. Of the 13 RCTs, 11 found favorable results in comparison to the control group in pain and disability, one showed no superiority to the control group, and one was discontinued because of the lack of therapeutic effect at eight-week evaluation. Description of the PRP preparation techniques were found in almost all papers. The overall risk of bias was considered high in 2 papers and low in 11. An adapted MIBO checklist showed a 72.7% compliance rate in the selected areas. CONCLUSIONS: In this systematic review, we analyzed articles from English, Spanish and Russian language, from large databases and grey literature. PRP was in general an effective and safe treatment for degenerative LPB. Positive results were found in almost studies, a small number of adverse events were related, the risk of bias of the RCTs was low. Based on the evaluation of the included studies, we graded as level II the quality of the evidence supporting the use of PRP in LBP. Large-scale, multicenter RCTs are still needed to confirm these findings.

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OBJETIVO: explorar sistematicamente a literatura quanto aos cuidados de enfermagem prestados aos idosos internados com delirium, em unidades de terapia intensiva, sejam eles para prevenção, sejam eles para manejo do delirium. MÉTODO: protocolo de revisão de escopo, estruturado pelas recomendações do Manual do Instituto Joanna Briggs, utilizando as seguintes bases de dados: PubMed via MEDLINE, Scopus, Embase, Web of Science e Google Scholar. A bibliografia encontrada será organizada através do gerenciador EndNote. Após a exclusão dos estudos duplicados, as citações serão transferidas para o software Rayyan. Em seguida, será iniciada a triagem das referências por dois pesquisadores independentes. O processo da seleção de estudos será exibido no fluxograma adaptado do Checklist PRISMA-ScR. Os dados serão extraídos dos estudos através de uma planilha desenvolvida no programa Microsoft Excel pelos próprios autores, avaliando e interpretando as informações de acordo com o objetivo proposto. Os dados serão organizados em tabelas, quadros e fluxogramas, com discussão narrativa.

OBJECTIVE: to systematically explore the literature regarding the nursing care provided to the older adult hospitalized with delirium in intensive care units for the prevention or management of delirium. METHOD: scoping review protocol, structured by the recommendations of the Joanna Briggs Institute manual, utilizing the following database: MEDLINE via PubMed, Scopus, Embase, Web of Science, and Google Scholar. We will organize the citations found through the EndNote manager. After the exclusion of duplicated studies, we will transfer the citations to the Rayyan software. Afterward, two independent researchers will begin the screening of titles / abstracts. We will present the selection process of studies in the Checklist PRISMA-ScR adopted flowchart. The authors will extract the data of the studies through a spreadsheet developed in the Microsoft Excel, evaluating and interpreting the information according to the objective of the study. We will organize the data in charts, tables, and flowcharts with a narrative discussion.

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O objetivo do presente estudo é salientar através de uma revisão de literatura os possíveis cuidados que o cirurgião dentista precisa ter frente aos principais agravos bucais decorrentes do tratamento oncológico. Os trabalhos foram obtidos através dos sistemas de dados PUBMED, MEDLINE, BBO, SCIELO, LILACS, SCIENCE DIRECT, COCHRANE E BBO. A principal estratégia para o combate de tais neoplasias é na forma de prevenção, ainda que o câncer tenha como um dos fatores etiológicos a hereditariedade, a exposição a determinados agentes (fumo, álcool, HPV, etc.) podendo aumentar as chances de sua ocorrência. Os métodos tradicionais de tratamento oncológico são a cirurgia, a radioterapia e a quimioterapia. O tratamento a ser instituído estará na dependência da localização, do grau de malignidade e da condição de saúde do indivíduo. O cuidado dentário antes do tratamento oncológico visa a redução do risco e a gravidade das complicações orais, prevenir, eliminar ou reduzir a dor de origem bucal, preservar ou melhorar a saúde bucal, contribuindo para a melhoria da qualidade de vida. Conclui-se que diante dos efeitos colaterais importantes aos tecidos bucais, é de suma necessidade o conhecimento por parte do cirurgião dentista, para que possa atuar na prevenção e redução de tais danos(AU)

The aim of the present study is to highlight a literature review on the possible treatments that the dental surgeon needs to face the main oral health problems caused by cancer treatment. The work was carried out through the data systems PUBMED, MEDLINE, BBO, SCIELO, LILACS, CIÊNCIA DIRETA, COCHRANE AND BBO. The main strategy to combat these neoplasms is the form of prevention, but cancer has inherited etiological factors, exposure to dangerous agents (smoking, alcohol, HPV, etc.) that can increase the chances of its occurrence. Traditional methods of cancer treatment are surgery, radiation and chemotherapy. Treatment is instituted depending on the individual's location, degree of malignancy and health condition. Dental care before cancer treatment reduces the risk and severity of oral complications, prevents, eliminates or reduces pain of oral origin, preserves or improves oral health, contributes to improving quality of life. It is concluded that in view of the important effects on oral tissues, knowledge or knowledge on the part of the dental surgeon is necessary, so that it can perform the prevention and reduction of such damages(AU)

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OBJECTIVE: To describe and analyze a new protocol for the extraction of platelet-rich plasma (PRP) for use in clinical practice and compare this technique with methods that have been previously described in the medical literature. METHODS: We extracted PRP from 20 volunteers using four different protocols (single spin at 1600 ×g, single spin at 600 ×g, double spin at 300 and 700 ×g, and double spin at 600 and 900 ×g). In another group of 12 individuals, we extracted PRP with our new technique (named 'turn down-turn up') consisting of a double spin (200 ×g and 1600 ×g) closed system using standard laboratory equipment (including an ordinary benchtop centrifuge), where the blood remained in the same tube during all processes, reducing the risk of contamination. Platelet counts adjusted to baseline values were compared using analysis of covariance (ANCOVA). RESULTS: Using the four previously described protocols (mentioned above), we obtained concentrations of platelets that were 1.15-, 2.07-, 2.18-, and 3.19-fold greater than the baseline concentration, respectively. With the turn down-turn up technique, we obtained a platelet count that was 4.17-fold (95% confidence interval (CI): 3.09 to 5.25) greater than the baseline platelet count (p=0.063 compared with the double spin at 600 and 900 ×g method). The total cost of the disposable materials used in the extraction process was less than US$10.00 per individual. CONCLUSION: In the present study, we described a simple and safe method for obtaining PRP using low-cost devices.

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OBJECTIVE: To describe and analyze a new protocol for the extraction of platelet-rich plasma (PRP) for use in clinical practice and compare this technique with methods that have been previously described in the medical literature. METHODS: We extracted PRP from 20 volunteers using four different protocols (single spin at 1600 ×g, single spin at 600 ×g, double spin at 300 and 700 ×g, and double spin at 600 and 900 ×g). In another group of 12 individuals, we extracted PRP with our new technique (named 'turn down-turn up') consisting of a double spin (200 ×g and 1600 ×g) closed system using standard laboratory equipment (including an ordinary benchtop centrifuge), where the blood remained in the same tube during all processes, reducing the risk of contamination. Platelet counts adjusted to baseline values were compared using analysis of covariance (ANCOVA). RESULTS: Using the four previously described protocols (mentioned above), we obtained concentrations of platelets that were 1.15-, 2.07-, 2.18-, and 3.19-fold greater than the baseline concentration, respectively. With the turn down-turn up technique, we obtained a platelet count that was 4.17-fold (95% confidence interval (CI): 3.09 to 5.25) greater than the baseline platelet count (p=0.063 compared with the double spin at 600 and 900 ×g method). The total cost of the disposable materials used in the extraction process was less than US$10.00 per individual. CONCLUSION: In the present study, we described a simple and safe method for obtaining PRP using low-cost devices.

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[RESUMO]. Objetivo. Compreender como as experiências de participação ativa do homem no pré-natal e no parto influenciam a ressignificação das identidades masculinas. Métodos. Estudo de abordagem qualitativa, com análise antropológica interpretativa e suporte etnográfico para descrição densa. Foram incluídos no estudo nove homens que estiveram em um hospital de referência em parto humanizado e participaram do parto de seus filhos no período de abril de 2015 a novembro de 2016. Os dados foram coletados por meio de entrevistas semiestruturadas, de cunho etnográfico, com roteiro flexível elaborado de acordo com as seguintes temáticas: participação ativa no processo do parto, sensações de acompanhar a mãe da criança desde a gestação e significado de ser pai após participar do parto. Os participantes discorreram sobre os tópicos de forma espontânea. As narrativas foram transcritas e analisadas na forma de categorias e interpretação semântica contextualizada. Resultados. Foram realizados, em média, oito encontros com cada participante. A análise das entrevistas revelou duas categorias temáticas: ressignificação das masculinidades e promoção do autocuidado. As falas caracterizaram o impacto da compreensão de que a masculinidade não se perde se houver uma participação do homem no parto e cuidado dos filhos. Além disso, mostraram que a experiência de participar do parto abriu uma possibilidade de aproximação do homem aos sistemas de saúde para a manutenção do bem-estar, ao invés de necessariamente para o tratamento da doença. Conclusão. Os homens revelaram que podem ser conscientes do autocuidado e empoderados na condução de sua família, garantindo a construção de uma nova identidade masculina na sociedade contemporânea.

[ABSTRACT]. Objective. To study how the male experience of playing an active role in prenatal care and childbirth influences the resignification of male identity. Method. This is a qualitative study employing interpretive anthropological analysis supported by ethnographic methods to produce a thick description. The study included nine men attending a center of excellence in humanized childbirth and who played an active role in the birth of their child in the period from April 2015 to November 2016. Data were collected through semi-structured, ethnographically-oriented interviews, with a flexible script that explored the following themes: active participation in childbirth, feelings associated with standing by the child’s mother since pregnancy, and meaning of fatherhood after participation in childbirth. The participants talked about these topics freely. The narratives were transcribed and analyzed in terms of categories and contextual semantic interpretation. Results. On average, eight meetings were held with each participant. Analysis of the interviews revealed two theme categories: resignification of masculinity and promotion of self-care. The utterances reflect the participants’ understanding that masculinity is not lost if men play an active role in childbirth and care. In addition, they reveal that the experience of participating in childbirth opened a possibility for men to approach the healthcare system to maintain health, rather than to strictly treat disease. Conclusion. The men participating in this research revealed that they can be aware of self-care and become empowered to lead their families, ensuring the construction of a new male identify in contemporary society.

[RESUMEN]. Objetivo. Estudiar cómo la experiencia masculina de desempeñar un papel activo en la atención prenatal y el parto influye en la resignificación de la identidad masculina. Métodos. Estudio cualitativo que empleó el análisis antropológico interpretativo apoyado por métodos etnográficos para producir una descripción densa. El estudio incluyó a nueve hombres que asistieron a un hospital de referencia en partos humanizados y que participaron en el nacimiento de sus hijos entre abril de 2015 y noviembre de 2016. Los datos se recopilaron a través de entrevistas semiestructuradas, orientadas etnográficamente, con un guion flexible que exploró los siguientes temas: participación activa en el parto, sentimientos asociados con el acompañamiento de la madre desde el embarazo y el significado de la paternidad después de la participación en el parto. Los participantes hablaron sobre estos temas de manera espontánea. Las narraciones fueron transcritas y analizadas en términos de categorías e interpretación semántica contextual. Resultados. En promedio, se realizaron ocho reuniones con cada participante. El análisis de las entrevistas reveló dos categorías temáticas: resignificación de la masculinidad y promoción del autocuidado. Las respuestas reflejaron la comprensión de los participantes de que la masculinidad no se pierde cuando los hombres desempeñan un papel activo en el parto y el cuidado de los hijos. Además, revelaron que la experiencia de participar en el parto abrió la posibilidad de que los hombres se acercaran al sistema de salud de manera preventiva, en lugar de acudir para el tratamiento de una enfermedad. Conclusión. Los hombres que participaron en esta investigación revelaron que pueden ser conscientes del autocuidado y resultar empoderados en la conducción de sus familias, asegurando la construcción de una nueva identidad masculina en la sociedad contemporánea.

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OBJECTIVE: To evaluate the changes in the participation of the family caregiver in the treatment of the hypertensive person with the application of the Educational Technology in Health (ETH). METHOD: Participant research carried out in a Primary Health Care Unit with 11 family caregivers (FC). The ETH was elaborated based on health education and applied in ten meetings between June and August 2016. We organized the results into categories. RESULTS: FCs experienced learning experiences through the exchange of information, socialization of experiences, and linkage establishments. The FCs were encouraged to share their doubts and experiences, so that, supported by listening to the professional, they felt welcomed and determined to fulfill their role with hypertensive relatives. Final considerations: The changes that have taken place have been highlighted in the learning of FCs and their commitment to family and self-care, as well as to the conviction that the family environment is indicated to make these changes effective.

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