Individuals who suffer a stroke may present in its chronic stage a clinical picture of musculoskeletal changes, balance deficits and hemiparesis. Hemiparesis generates disabilities in the motor and social spheres, as this muscular alteration reduces the quality of gait, mobility, and increases the risk of falls, directly impacting the social roles of these individuals. This study aimed to investigate the correlation between the risk of falls and the social participation of chronic hemiparetic patients. This is a cross-sectional survey with a convenience sample, containing 10 participants. The research demonstrated a significant correlation between the risk of falls and the Recreation and Community Life domains, with the first p=0.000 and the second p=0.015. It is concluded that chronic hemiparetic individuals are at imminent risk of falls and, as a result, their social participation is restricted, requiring greater care when accessing public, cultural, commercial and outdoor environments.

This cross-sectional study sought to assess indicators of stress, anxiety and depression in a sample of 100 participants with comorbidities who were affected by Covid-19 during the pandemic. The Sociodemographic Data Sheet and the Depression, Anxiety and Stress Scale (DASS-21) were used. The participants were aged between 19 and 80 years old, the majority being female, married and without paid work. Regarding comorbidities, arterial hypertension and advanced age stood out. Regarding the scores on the instrument, the data suggest that the participants have mild symptoms, which do not indicate the presence of the conditions investigated. It was found that women have higher levels than men, with regard to anxiety symptoms. Although the sample showed low rates of depression, anxiety and stress indicators, it is extremely necessary for the population affected by the coronavirus to carry out periodic follow-ups, aiming at health promotion.

Heart failure (HF) is an inability of the heart to surprise tissue metabolism. The Brazilian Society of Cardiology, in 2020, 100 thousand new public health diagnoses and a rate of 50 thousand citizens/year, configuring a public health problem. Therefore, compare the diligence of Angiotensin Converting Enzyme Inducers (ACEI) and Angiotensin Receptor Blockers (ARB) in HF, for results: clinical stability, hospitalizations and deaths. Searches of 1789 randomized clinical trials were carried out on the platforms: Cochrane, PubMed and LILACS, based on indexed descriptors, with the terms MESH/Decs, of which 8 were in full. Perindopril functional hospitalization (HR 0.928; P 0.033), mortality (HR 0.98; P 0.928) and class (P 0.030). Both enalapril and candesartan reduced deaths and hospitalizations. Discontinuation of ACEI/ARB increased 4-fold mortality in 180 days. Therefore, there is evidence of therapeutic equivalence among the drugs analyzed in the CI.

The objective was to analyze nurses' perceptions about the teaching of the Nursing Process and how they understand its application. Qualitative research was carried out with the application of an interview with seven nurses from a high-complexity hospital. Content analysis was performed in the thematic modality proposed by Bardin and inferences were proposed from Max Weber's theory. Three categories emerged: Teaching distant from real applicability; Bureaucratization of nurses' work as a wall for development; and Large proportion of patients in relation to nurses, making individualization difficult. There was an overloaded and busy nursing, lack of reference and theoretical support of the interviewees in relation to their academic training. It is recommended that nurses, educational institutions, and health services return to the primordial foundation of nursing care, bringing nurses and patients closer, so that nursing care is provided based on their own theoretical frameworks.

Currently, the main form of malignancy among women is breast cancer. With the advent of radiotherapy, conservative breast surgery (lumpectomy) has become a possible technique. However, radical mastectomy still maintains its indications in the face of a more advanced pathology or in patients with deleterious BRCA 1 / BRCA 2 mutations. Unfortunately, complications of the surgical wound exist. Faced with this problem, PICO ™ Softpor - Negative pressure wound therapy system, is a unique device that has been used in the negative pressure wound therapy system to improve wound healing, this includes improved perfusion, removal of excess fluid and edema leading to less tension in the surgical wound. The study aimed to report the experience of using the Wound Negative Pressure Therapy System through PICO ™ Softport in the surgical treatment of breast cancer through a case report. Patient M. R. V., female, 57 years old, G2P2A0, asymptomatic with a diagnosis of T4BN0M0 in the right breast and T1N0M0 in the left breast was submitted to bilateral modified radical mastectomy. We used bilateral dressings with the Wound Negative Pressure Therapy System in the form of PICO ™ Softport, which made it possible to reduce the incision healing complications. After surgical recovery, the patient underwent adjuvant radiotherapy, presenting himself until the moment of this stable report using anastrozole, being completely satisfied with the dermal healing result that the device provided.

This study, based on medical records analysis and literature review, addresses the condition of an acute myocardial infarction (AMI) of non-atherosclerotic etiology, resulting from coronary embolism, consequent to atrial fibrillation (AF). IAM caused by embolism has poorly established pathophysiology, control and prognosis, although the therapeutic approach corresponds to that observed in atherosclerotic AMI, in most cases. The goal of this study was to report and discuss the episode of a non-atherosclerotic AMI due to coronary embolism, in order to prevent new diagnoses from going unnoticed. In conclusion, AF was the etiological factor involved in this event and the involvement of the right coronary artery, as observed in this case, is not recurrent.

In a scenario of structural intervention situation, the On-Scene Commanders (COS) only have at their disposal the data provided by the one who gave the alert, which are insufficient to provide a secure and informed decision-making. Through a quantitative, descriptive, observational, and cross-sectional research, using a questionnaire applied to operational staff who perform the COS function, results a survey of the COS information needs. According to the results, it is concluded that the purpose of knowing the risks and outlining a more effective, faster and safer combat strategy for operational personnel involved, could be compromised by the limited information available. A proposal for a new support tool for COS function - the Initial Intervention Plan (PII) - was developed, which is a document of quick and intuitive consultation, supplying the needs of information for COS.