Cadernos ESP
type: channel
description: The journal Cadernos ESP was created in 2005 by the Ceará School of Public Health Paulo Marcelo Martins Rodrigues (ESP/CE), with open and free access for the submission and publication of articles, with a consolidated reference in the field of Public/Collective Health with an interface between Education, Technologies and Innovation. It aims to make public the results of research and experiences arising from the management, teaching and services of health. It publishes original articles, integrative reviews, systematic reviews, meta-analyses, brief communications, experience reports, among other sections.
publisher: Ceará's Public Health School Paulo Marcelo Martins Rodrigues
language: en
publication name: Cadernos ESP
issn: 1808-7329
items: IMMUNIZATION OF YOUNG ATHLETES
items: MOTHERHOOD, CARE, AND ONCOLOGY
items: WOMEN AND ORAL CONTRACEPTIVES
items: EPIDEMIOLOGY OF TUBERCULOSIS CASES FROM 2013 TO 2023 IN THE STATE OF CEARÁ
items: ORAL HEALTH LITERACY AND PERIODONTAL DISEASE IN PREGNANT WOMEN
items: SOCIAL SERVICE CONTRIBUTIONS IN HEALTH EDUCATION ACTIONS
items: FOOD AND NUTRITION SURVEILLANCE SYSTEM
items: CLINICAL PROFILE OF PATIENTS UNDERGOING SURGERY FOR ENDOMETRIOSIS
items: RECONNECT
items: PERCEPTION OF DOCTORS AND NURSES REGARDING TUBERCULOSIS-RELATED FACTORS
items: HEPATITIS C CARE PATHWAY IN CEARÁ
items: GREEN MUNICIPALITY SEAL PROGRAM
items: WORKERS HEALTH IN A DECENTRALIZED HEALTH AREA OF CEARA
items: EVALUATION OF THE FLU SYNDROME SENTINEL SYSTEM IN FORTALEZA – CE
items: ANALYSIS OF CONGENITAL SYPHILIS CASES IN CRATEÚS FROM 2014 TO 2023
items: CONTRIBUTIONS OF TUTORING TO THE TRAINING OF NURSING UNDERGRADUATES
items: HOSPITAL MICROBIOLOGICAL PROFILE BEFORE AND DURING COVID-19
items: BEYOND THE WALLS
items: REPERCUSSIONS OF SCREEN USE ON MENTAL HEALTH IN EARLY CHILDHOOD
items: EVALUATION OF THE ASSOCIATION OF COAGULANTS POLYALUMINUM CHLORIDE (PAC) AND MORINGA IN WATER TREATMENT
items: ANALYSIS OF THE THERAPEUTIC FLOW OF PREGNANT WOMEN IN HIGH-RISK PRENATAL CARE
items: HEALTH CARE FOR THE LGBTQIAPN+ POPULATION IN PHC
items: FLOW OF DRUG ALLERGIES IN PEDIATRICS
items: EDITORIAL
items: EXPERIENCE IN THE HEALTH ACADEMY PROGRAM FOR OLDER ADULTS
items: TRAINING SESSIONS ON CHILDHOOD
items: CHILDREN'S THERAPEUTIC GROUP AND MEDIATION OF EMOTIONS IN CHILDHOOD
items: EPIDEMIOLOGICAL PROFILE OF A CAPS:
items: CARE STRATEGIES FOR RESISTANT ARTERIAL HYPERTENSION
items: INDICATORS OF THE UAPI PROGRAM TO STRENGTHEN CHILDCARE
items: EPIDEMIOLOGY OF HIV/AIDS CASES IN CEARÁ IN THE LAST 10 YEARS
items: HOSPITALIZATIONS FOR DIABETIC FOOT COMPLICATIONS IN CEARÁ
items: TECHNOLOGY THAT KEEPS UP
items: MEANINGS OF LIFE AND DEATH AMONG CARDIAC PATIENTS AND THEIR CAREGIVERS
items: TRAINING OF PREGNANT WOMEN WITH DIABETES MELLITUS USING A LOW-COST SIMULATOR
items: INTERPROFESSIONAL ACTION OF DENTISTRY IN CHILDCARE
items: SOCIAL REINTEGRATION AND MISSIONARY WORK: A PSYCHOLOGICAL PERSPECTIVE
items: THE SOCIODEMOGRAPHIC PROFILE OF BEDRIDDEN PATIENTS IN MADALENA-CE
items: NOTIFICATIONS OF EXOGENOUS INTOXICATION IN CRATEÚS, CEARÁ
items: KNOWLEDGE AND SELF-CARE AMONG DIABETICS IN PRIMARY HEALTH CARE
items: THERAPEUTIC GROUP WITH FAMILY MEMBERS
items: AURICULOTHERAPY
items: UNDERSTANDING THE BOND BETWEEN NURSING PROFESSIONALS AND PATIENTS
items: EDUCATION FOR DEATH IN SCHOOLS
items: EDUCATORS SUFFERINGS
items: HIV/HBV COINFECTION
items: EPIDEMIOLOGICAL PROFILE OF INFANT MORTALITY IN THE STATE OF CEARÁ, BRAZIL, FROM 2013 TO 2023
items: IMPACT OF PRIMARY CARE ACTIONS ON SELF-CARE OF HYPERTENSIVE PATIENTS
items: PHARMACEUTICAL CARE FOR INSULIN-DEPENDENT PATIENTS: AN EXPERIENCE REPORT
items: PERFORMANCE OF THE MULTIDISCIPLINARY TEAM REGARDING THE APPROACH TO PALLIATIVE CARE IN NEUROLOGICAL PATIENTS
items: PERCEPTIONS OF THE PHARMACIST'S ROLE IN PRIMARY HEALTH CARE

IMMUNIZATION OF YOUNG ATHLETES
type: item
description: Objective: Report the experience from the Extension Laboratory III discipline of the Nursing course at the Centro Universitário do Vale do Jaguaribe, which checked the vaccination cards of athletes from the “Mv Vôlei” project, guiding them on the importance of vaccination. Methods: The study was conducted involving 21 female volleyball athletes aged between 8 and 18 years. The vaccination cards were reviewed, nursing consultations were conducted – including anamnesis, physical examination – and an informative folder on the vaccination was distributed. In addition, welcoming and educational dynamics were used. Results: It was observed that 47.5% of the athletes were up to date with their vaccinations, while the others had significant gaps in immunization, particularly against influenza, diphtheria and tetanus, and yellow fever. Although vaccination is essential for preventing diseases and outbreaks, many adolescents demonstrated resistance or a lack of knowledge regarding the importance of vaccines. Final considerations: The initiative highlighted the need for public policies that promote vaccination campaigns and strategies aimed at reaching specific groups.
subject: Experience Report, Update And/Or Technological Innovation
  topic: section
subject: Public Health / Colective
  topic: category
subject: Immunization
  topic: keywords
subject: Youth
  topic: keywords
subject: Athletes
  topic: keywords
subject: Awareness
  topic: keywords
creator: Yasmin Ferreira Costa Lima
creator: Raimunda Raiane Lima Lopes
creator: Leyla Renata de Sousa Viana
creator: João Victor de Amorim Batista
creator: Rebecca Palhano Almeida Mateus
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-10-09
publication date: 2025-10-09
starting page: e2112
ending page: e2112
doi: 10.54620/cadesp.v19i1.2112

MOTHERHOOD, CARE, AND ONCOLOGY
type: item
description: The diagnosis of childhood cancer imposes significant disruptions on family life, with mothers frequently assuming an intense and often invisible caregiving burden. This experience report aims to describe and analyze this maternal experience, seeking to broaden the discussion on gender, work, and mental health within this context. The qualitative methodology employed participant observation and focus groups with mothers at a philanthropic support home. The results highlighted exclusive dedication, strong identification with the caregiver role, and the invisible labor dimension. The discussion delves into gender asymmetry in care, the internalization of the "maternal instinct," financial dependence, and the suffering from unrecognized symbolic grief. Furthermore, a scarcity of self-care practices was observed. It is concluded that this form of motherhood is a solitary and exhaustive function, demanding renunciations and calling for social recognition and supportive public policies.
subject: Experience Report, Update And/Or Technological Innovation
  topic: section
subject: Education
  topic: category
subject: Psychology
  topic: keywords
subject: Motherhood
  topic: keywords
subject: Focus Group
  topic: keywords
creator: Gabriela dos Santos Nobre
creator: Evelly Maria Santos Barbosa
creator: Fernanda Gomes Lopes
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-11-17
publication date: 2025-11-17
starting page: e2442
ending page: e2442
doi: 10.54620/cadesp.v19i1.2442

WOMEN AND ORAL CONTRACEPTIVES
type: item
description: Objective: To identify the main risk factors for the use of hormonal contraceptives; To understand the main side effects of oral contraceptives; and To describe the repercussions on the lives of women using them. Methods: Research with 19 women who use hormonal oral contraceptives through individual interviews. Data were interpreted using Bardin Content Analysis. Results: Most of them were advised by a gynecologist regarding the use of contraceptives. Headache and edema were the most reported symptoms. All of them are aware of the benefits and harms of using contraceptives, but there was a lack of guidance regarding the risks of using them. Conclusion: A thorough consultation is essential, with the exercise of reproductive planning and guidance on the use, effects and risks of contraceptives, actions that can and should be performed by a nurse trained in care, communication and education in women's health.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Women
  topic: keywords
subject: Hormonal Contraception
  topic: keywords
subject: Nursing
  topic: keywords
creator: Elayne Arantes Elias
creator: Gabriela Machado Guimarães
creator: Gerusa Ventura Ferreira
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-07-03
publication date: 2025-07-03
starting page: e2288
ending page: e2288
doi: 10.54620/cadesp.v19i1.2288

EPIDEMIOLOGY OF TUBERCULOSIS CASES FROM 2013 TO 2023 IN THE STATE OF CEARÁ
type: item
description: Objective: To analyze the epidemiology of tuberculosis in Ceará between 2013 and 2023. Methods: This descriptive epidemiological study used secondary data from the Department of Informatics of the Unified Health System (DATASUS), collected in September 2024. All reported cases were included, segmented by region, race/color, incidence rate, and confirmed cases, excluding duplicates or incomplete records. Results: Ceará reported an annual average of 3,406 new cases of tuberculosis, with 70% concentrated in Fortaleza and an average of 50.75% of the state's incidence. The majority (76.8%) of cases occurred in mixed-race individuals and, between 2013 and 2023, deaths increased from 221 to 240. Final considerations: The number of new cases of tuberculosis remained above average in the period analyzed, evidencing challenges in control, with underreporting and treatment abandonment. Thus, epidemiological studies such as this one can help in decision-making for disease prevention and control.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Tuberculosis
  topic: keywords
subject: Epidemiology
  topic: keywords
subject: Public Health
  topic: keywords
creator: Francisco Vinicius dos Santos Souza
creator: Brenda Karen Oliveira Carvalho
creator: Jamylle Ibiapina Souza
creator: Mateus Holanda de Melo
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-06-26
publication date: 2025-06-26
starting page: e2069
ending page: e2069
doi: 10.54620/cadesp.v19i1.2069

ORAL HEALTH LITERACY AND PERIODONTAL DISEASE IN PREGNANT WOMEN
type: item
description: Objective: To evaluate how Oral Health Literacy is related to periodontal diseases in pregnant women. Methods: This is a descriptive, cross-sectional, quantitative study conducted with pregnant and non-pregnant women from two Basic Health Units in the municipality of Serra Talhada (Pernambuco) which assessed oral health literacy levels, using the “Health Literacy in Dentistry Scale” (HeLD-14) instrument, and evaluated participants' periodontal conditions through intraoral physical examinations, using the rates of the Community Periodontal Index (CPI) and the periodontal attachment loss (CAL). Data tabulated in SPSS 20.0 software were analyzed using Pearson’s chi-square and Kruskal-Wallis tests at a p = 0.05 level. The study was approved by the Research Ethics Committee of the FIS University Center (Opinion No. 7.020.621). Results: Among a sample of 42 participants, a significant association between dental pain and periodontal disease was found. However, no statistically significant relationship was observed between oral health literacy levels and the occurrence of periodontal disease. Conclusion: The findings suggest no association between oral health literacy and periodontal disease. Additionally, pregnancy status did not influence oral health literacy levels in the studied population.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Health literacy
  topic: keywords
subject: Periodontal diseases
  topic: keywords
subject: Pregnant women
  topic: keywords
subject: Epidemiology
  topic: keywords
subject: Primary health care
  topic: keywords
creator: Vanessa Sobreira da Silva
creator: Érika Suely de Sousa Ferraz
creator: Cinthia Natali Pontes dos Santos
creator: Jackeline Mayara Inácio Magalhães
creator: Adriano Referino da Silva Sobrinho
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-09-08
publication date: 2025-09-08
starting page: e2404
ending page: e2404
doi: 10.54620/cadesp.v19i1.2404

SOCIAL SERVICE CONTRIBUTIONS IN HEALTH EDUCATION ACTIONS
type: item
description: Objective: To analyze the contributions of Social Services to health education actions, highlighting the relevance of these activities in Primary Health Care (PHC). Methods: This qualitative and descriptive experience report was based on interventions in the waiting rooms of the Catarina Evangelista de Sousa UAPS in Icapuí, Ceará, Brazil. Data were collected through field diaries, documenting reports, experiences and perceptions of users and professionals. Results: Four waiting rooms were created with themes aligned with the calendar of public campaigns. The activities promoted reflection on social rights and health prevention, generating a stronger bond between users and professionals. Final considerations: The experience highlighted the relevance of Social Services in health education, promoting user autonomy and contributing to constructing a more equitable and humanized SUS.
subject: Experience Report, Update And/Or Technological Innovation
  topic: section
subject: Public Health / Colective
  topic: category
subject: Health Education
  topic: keywords
subject: Social Work
  topic: keywords
subject: Primary Health Care
  topic: keywords
creator: Maria Andreia Lima Silva
creator: Roberta Duarte Maia Barakat
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-07-03
publication date: 2025-07-03
starting page: e2227
ending page: e2227
doi: 10.54620/cadesp.v19i1.2227

FOOD AND NUTRITION SURVEILLANCE SYSTEM
type: item
description: The aim of this study was to describe the consumption of ultra-processed foods in children aged 2 to 4 between 2018 and 2022. This is an observational, descriptive study using secondary data from SISVAN. The collection took place from February to March 2023. The study population consisted of 1,067,357 children in Brazil/Northeast/Ceará and São Gonçalo do Amarante. The consumption of ultra-processed foods among children in Brazil in 2021 was 88% and 86% in the Northeast, while it was 83% in Ceará and 81% and 92% and 90% in São Gonçalo do Amarante. Given the huge range of ultra-processed foods that are made available to children in this stage of life, it is important to carry out research, discussions and reflections on Food and Nutrition Surveillance in pre-school, with the aim of implementing public policies or reinforcing those that already exist.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: School Feeding
  topic: keywords
subject: ; Food Insecurity
  topic: keywords
subject: Food and Nutrition Surveillance
  topic: keywords
subject: Industrialized Foods.
  topic: keywords
creator: Francylene Barbosa Cavalcante
creator: Armênia Uchoa de Mesquita
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-06-30
publication date: 2025-06-30
starting page: e2054
ending page: e2054
doi: 10.54620/cadesp.v19i1.2054

CLINICAL PROFILE OF PATIENTS UNDERGOING SURGERY FOR ENDOMETRIOSIS
type: item
description: Objective: To delimit the clinical and epidemiological aspects of patients with endometriosis in a hospital in Ceará. Methods: Descriptive, retrospective, and cross-sectional study, analyzing data from 108 patients treated surgically. Results: The mean age was 37 years, and 68% of patients had children. Dienogest was the most commonly used medication for clinical treatment. Chronic pelvic pain was the main symptom (77%). In imaging exams, the most affected sites were the uterosacral ligaments, the retrocervical region, and the rectum. Hysterectomies were performed in 62% of cases, and intestinal surgeries in 64% of cases. The mean overall length of hospital stay was 4.2 days, with 10% of minor postoperative complications. Conclusion: The study highlights the complexity of endometriosis cases and the importance of early diagnosis and individualized treatment to improve care and the quality of life for patients.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Endometriosis
  topic: keywords
subject: Epidemiology
  topic: keywords
subject: Pelvic pain
  topic: keywords
subject: Surgery
  topic: keywords
creator: Eliayta Cassia Dos Santos Cruz
creator: Francisco Nogueira Chaves
creator: Lucas Ribeiro Nogueira
creator: Mirella Fernandes de Sousa
creator: Luma Sales de Rosa
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-08-11
publication date: 2025-08-11
doi: 10.54620/cadesp.v19i1.2371

RECONNECT
type: item
description: Objective: To promote self-care and mental health among healthcare professionals by providing moments of reflection, relaxation, and knowledge exchange to reduce stress and enhance well-being in the workplace. Methods: Conducted between August 2023 and January 2024 in healthcare units in Caucaia, Brazil, the project included discussion groups on self-care and workers' health, as well as integrative practices. Activities, lasting an average of 30 to 40 minutes, were held in groups or individual sessions and adjusted to the units' routines. Results: Participants reported emotional relief, reduced stress, and increased awareness of the importance of self-care. These low-cost and short-duration practices had a positive impact on professionals' well-being and productivity. Conclusions: The project highlighted the value of self-care in the workplace, delivering immediate results but emphasizing the need for ongoing and structural actions to foster sustainable mental health.
subject: Experience Report, Update And/Or Technological Innovation
  topic: section
subject: Public Health / Colective
  topic: category
subject: Mental health
  topic: keywords
subject: Self-care
  topic: keywords
subject: Occupational Health
  topic: keywords
creator: Larissa Ingrid Pinheiro Alves
creator: Kisia Dolores Almeida Pinheiro
creator: Karen Lopes Felipe
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-09-26
publication date: 2025-09-26
starting page: e2114
ending page: e2114
doi: 10.54620/cadesp.v19i1.2114

PERCEPTION OF DOCTORS AND NURSES REGARDING TUBERCULOSIS-RELATED FACTORS
type: item
description: Objective: to identify, based on the perceptions of doctors and nurses working in the Family Health Strategy, the factors that influence the dynamics of tuberculosis in Quiterianópolis, Ceará, Brazil. Methodology: This qualitative, descriptive and exploratory study was conducted in May 2025 and employed the focus group technique with doctors and nurses from the municipality’s Family Health Strategy. The data were submitted to Bardin’s analysis. Results: The results were presented in two thematic categories, namely: Sociodemographic factors and patient environments and Clinical and behavioral factors of patients. Final considerations: The study showed that social, environmental, and behavioral factors are relevant for adherence to tuberculosis treatment in Quiterianópolis, Ceará, Brazil.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Tuberculosis
  topic: keywords
subject: Perception
  topic: keywords
subject: Primary Health Care
  topic: keywords
creator: Maria Cleudenir Costa Bento
creator: Patricia Amanda Pereira Vieira
creator: Flaviana Maciel Coelho
creator: Ana Lúcia Gomes Maia
creator: Oriana Márcia Tabosa Araújo
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-12-08
publication date: 2025-12-08
starting page: e2462
ending page: e2462
doi: 10.54620/cadesp.v19i1.2462

HEPATITIS C CARE PATHWAY IN CEARÁ
type: item
description: Objective: To evaluate the hepatitis C care cascade in Ceará by diagnosing the current stage of the state regarding the World Health Organization's elimination targets. Methods: Retrospective, ecological, analytical study assessing hepatitis C in Ceará from 2000 to 2024 regarding case notifications, treatments, liver transplants, and deaths. Local, state, and national databases were used. Results: It is estimated that 44,837 individuals have been infected with hepatitis C in Ceará. Only 2,893 cases were reported from 2000 to 2023. Of these, 1,734 (61.8%) patients were treated with direct-acting antiviral drugs. There were 560 liver transplants and 560 deaths reported due to hepatitis C. Conclusions: Ceará reported a small fraction of the estimated hepatitis C cases and treated most of them. The low number of deaths and notifications suggests the need to expand testing and surveillance for this disease in Ceará, aiming for elimination by 2030.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Hepatitis C
  topic: keywords
subject: Mortality
  topic: keywords
subject: Epidemiologic surveillance
  topic: keywords
subject: Adherence to treatment
  topic: keywords
subject: Liver transplantation
  topic: keywords
creator: Luiz Alberto de Freitas Júnior
creator: Larissa Peixoto Teixeira
creator: Danilo Dias Avancini Viana
creator: Francisco Sérgio Rangel de Paula Pessoa
creator: Ítalo José Mesquita Cavalcante
creator: José Milton de Castro Lima
creator: Elodie Bomfim Hyppolito
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-07-04
publication date: 2025-07-04
starting page: e2290
ending page: e2290
doi: 10.54620/cadesp.v19i1.2290

GREEN MUNICIPALITY SEAL PROGRAM
type: item
description: Objective: to analyze the strategies developed by the Municipal Environmental Agency of Sobral/CE together with the Working Group in relation to environmental health actions for certification of the Green Municipality Seal Program – PSMV. Methods: a case study was conducted in the municipality of Sobral, Ceará, more specifically the participation of the municipality in the last certification of the Green Municipality Seal, carried out by the Secretariat of the Environment of the State of Ceará. The choice of Sobral is justified because this municipality has participated in the Green Municipality Seal Program (PSMV) since its first edition in 2004. A documentary research with a qualitative approach was conducted to understand the local reality. Results: It was possible to observe that the themes of the implemented projects focused on environmental health stood out. It is worth noting that the projects are developed by the environmental area in partnership with the health department. Final considerations: Thus, the program is an environmental management tool that seeks to educate the population about sustainability and environmental health, since it is focused on citizenship education. And its indicators encourage managers, through their initiatives, to promote improvements in environmental quality in various educational health care scenarios.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Environmental Health
  topic: keywords
subject: Environmental Policy
  topic: keywords
subject: Environment and Public Health
  topic: keywords
creator: Leidy Dayane Paiva de Abreu
creator: Nájila Rejanne Alencar Julião Cabral
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-07-08
publication date: 2025-07-08
starting page: e2071
ending page: e2071
doi: 10.54620/cadesp.v19i1.2071

WORKERS HEALTH IN A DECENTRALIZED HEALTH AREA OF CEARA
type: item
description: Objective: to report the experience of a Worker’s Health project carried out with the staff of the Decentralized Health Area (ADS) of Crateús, Ceará, Brazil. Methods: experience report of a Worker’s Health project implemented by professionals from a multidisciplinary residency program. Weekly meetings were held in the institution’s auditorium, including physical exercises and health education, lasting 15 to 20 minutes. Results: the 24 meetings revealed the need for attention to workers' mental, physical, and social health. The project strengthened the public health perspective of collective health residents toward local Public Policies for Workers’ Health. Conclusion: continuity of the project by future residency cohorts is essential to sustain this space for health promotion and professional learning.
subject: Experience Report, Update And/Or Technological Innovation
  topic: section
subject: Public Health / Colective
  topic: category
subject: Occupational Health
  topic: keywords
subject: Physical Exercises
  topic: keywords
subject: Health Education
  topic: keywords
creator: Karolina Rodrigues Araújo
creator: Patrícia Moreira Costa Collares
creator: José Edmilson Silva Gomes
creator: Cidianna Emanuelly Melo do Nascimento
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-11-17
publication date: 2025-11-17
starting page: e2410
ending page: e2410
doi: 10.54620/cadesp.v19i1.2410

EVALUATION OF THE FLU SYNDROME SENTINEL SYSTEM IN FORTALEZA – CE
type: item
description: Objective: Evaluating the Influenza Syndrome Surveillance System in the Fortaleza city – Ceará state, from 2021 to 2023. Method: Epidemiological study on the Influenza Syndrome Sentinel Surveillance System based on a descriptive study with a retrospective approach considering the CDC guidelines for assessing data quality and representativeness. Results: Data analysis showed variations in sample collection in sentinel units, with unsatisfactory performance and a drop in targets from 2022 onwards. Data quality and consistency were classified ‘Excellent’. Fortaleza obtained a satisfactory classification in terms of the proportion of sentinel units. Teams must be continuously trained to ensure quality in respiratory virus surveillance. Conclusion: Sentinel surveillance is essential for monitoring respiratory diseases and identifying circulating viruses, and its success depends on improving data quality and the representativeness of sentinel units.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Sentinel surveillance
  topic: keywords
subject: Respiratory tract disease
  topic: keywords
subject: CDC
  topic: keywords
creator: Poliana Hil´ario Magalhães
creator: Ludmila Silva da Cunha
creator: Isaac Neto Goes da Silva
creator: Cassio Marinho Campelo
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-09-25
publication date: 2025-09-25
starting page: e2252
ending page: e2252
doi: 10.54620/cadesp.v19i1.2252

ANALYSIS OF CONGENITAL SYPHILIS CASES IN CRATEÚS FROM 2014 TO 2023
type: item
description: Objective: To analyze the epidemiological profile of CS cases in the municipality of Crateús (CE) between 2014 and 2023, highlighting important scenarios and variables regarding the topic addressed and defining forms of prevention based on health care programs. Methods: Cross-sectional epidemiological research carried out in September 2024, using data from SINAN/DATASUS. Eight health and sociodemographic variables were analyzed, including number of new cases, prenatal care, age group, and maternal education, with support from sources such as PubMed, SciElo, and Google Scholar. Results: It was found that the year with the highest rate of confirmed cases was 2022. In addition, the brown race was the most prevalent among cases. Final considerations: The pattern of confirmed cases suggests that recent interventions, potentially driven by public health policies and awareness campaigns, may be beginning to have an effect.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Syphilis, Congenital
  topic: keywords
subject: Prenatal Diagnosis
  topic: keywords
subject: Racial Groups
  topic: keywords
creator: Tales Castro Feitosa Carvalho
creator: Sávio Leonardo Araújo de Oliveira Filho
creator: Emanuel Mário Linhares de Andrade
creator: Matheus Jucá Soares
creator: Leidy Dayane Paiva de Abreu
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-06-26
publication date: 2025-06-26
starting page: e2062
ending page: e2062
doi: 10.54620/cadesp.v19i1.2062

CONTRIBUTIONS OF TUTORING TO THE TRAINING OF NURSING UNDERGRADUATES
type: item
description: Objective: To identify, in the literature, the contributions of academic tutoring to the academic and professional training of nursing undergraduates in Brazil. Methods: Integrative literature review, with searches conducted in the Virtual Health Library (VHL) using the descriptors “monitoring,” “nursing,” and “teaching,” combined with the Boolean operator AND. A total of 21 articles were selected after applying inclusion and exclusion criteria. Results: The findings showed that tutoring promotes the development of competencies such as communication, leadership, critical thinking, empathy, and autonomy, in addition to supporting teaching initiation and theoretical deepening. Difficulties were also identified, including schedule incompatibility, activity overload, insecurity, and low student participation. Conclusion: Tutoring represents an important formative activity, especially for integrating teaching, research, and community outreach. It should be understood as a shared responsibility among students, faculty, and educational institutions. When well-structured, it strengthens the comprehensive training of nurses and contributes to a critical and transformative professional practice.
subject: Review
  topic: section
subject: Education
  topic: category
subject: Mentoring
  topic: keywords
subject: Nursing
  topic: keywords
subject: Teaching
  topic: keywords
creator: Franc Mary Fernandes Gomes
creator: Juliana de Pontes Nobre
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-11-12
publication date: 2025-11-12
starting page: e2379
ending page: e2379
doi: 10.54620/cadesp.v19i1.2379

HOSPITAL MICROBIOLOGICAL PROFILE BEFORE AND DURING COVID-19
type: item
description: Objective: To compare the microbiological profile of cultures from patients hospitalized in a private hospital in Fortaleza, CE, before (2018/19) and during the COVID-19 pandemic (2020/21). Methods: Descriptive and analytical cross-sectional study using secondary data from an antimicrobial stewardship program. Patients aged over 18 years with cultures collected during the study period were included, excluding one case with incomplete data. Data were tabulated in Excel and analyzed using StataSE. Results: There was a predominance of male patients aged 19 to 59 years. The microbiological profile showed a reduction in the number of positive cultures, an increase in the number of isolated fungal and an increase antimicrobial resistance during the pandemic. Carbapenem-resistant Acinetobacter baumannii isolates increased from 50.88% to 79.83%, and Klebsiella pneumoniae from 29.09% to 54.64%. Conclusion: The COVID-19 pandemic contributed to an increase in antimicrobial resistance, highlighting the need to intensify microbiological surveillance.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: COVID-19
  topic: keywords
subject: Antimicrobial Stewardship
  topic: keywords
subject: Drug Resistance, Microbial
  topic: keywords
creator: Jessica Ferreira Romero
creator: Mônica Cardoso Façanha
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-08-07
publication date: 2025-08-07
starting page: e2115
ending page: e2115
doi: 10.54620/cadesp.v19i1.2115

BEYOND THE WALLS
type: item
description: Objective: This study aimed to describe the strengthening of the deinstitutionalization of collective mental health care through Physical Education interventions at the Psychosocial Care Centers in Uruguaiana (southern Brazil). Methods: Throughout public spaces (e.g., squares and parks), body practices were employed as therapeutic strategies from March 2022 to February 2023, within the context of the Integrated Residency Program in Collective Mental Health at the Federal University of Pampa. These actions were intended to promote users’ social inclusion and disrupt the institutionalized logic of care. Results: The interventions created new meanings for care in freedom, consistent with the principles of the Psychosocial Care Network and the anti-asylum model, thereby contributing to the strengthening of social bonds, community belonging, and the confrontation of social stigma. Conclusions: This experience underscores the role of Physical Education in promoting collective mental health and expanding community-based care strategies beyond institutional confines.
subject: Experience Report, Update And/Or Technological Innovation
  topic: section
subject: Public Health / Colective
  topic: category
subject: Mental Health Services
  topic: keywords
subject: Body Practices
  topic: keywords
subject: Mental Health
  topic: keywords
creator: José Antônio Silva Ferreira Júnior
creator: Mauren Assis Souza
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-11-17
publication date: 2025-11-17
starting page: e2464
ending page: e2464
doi: 10.54620/cadesp.v19i1.2464

REPERCUSSIONS OF SCREEN USE ON MENTAL HEALTH IN EARLY CHILDHOOD
type: item
description: This study aimed to identify the repercussions of excessive screen time on the mental health of children in early childhood. This is an integrative review that selected articles from the Medline, Lilacs, BDENF and SciELO databases. The terms “child”, “screen time” and “mental health” were used as descriptors registered in the Health Sciences Descriptors (DeCS) database, and were associated by the Boolean operator AND. After applying the eligibility criteria for the study, a sample of 12 original articles was obtained, which focused mainly on the study of the complications of excessive screen time on neurodevelopmental delay, worsening of pre-existing disorders or the emergence of symptoms of mental distress in children. This demonstrated the existence of close relationships between excessive screen time and mental health problems in the first years of life.
subject: Review
  topic: section
subject: Public Health / Colective
  topic: category
subject: child
  topic: keywords
subject: screen time
  topic: keywords
subject: mental health
  topic: keywords
creator: Núbia Maria de Sousa
creator: Manoel José Clementino Silva Neto
creator: Uandala Calisto Dantas
creator: Mônica de Oliveira Belém
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-09-03
publication date: 2025-09-03
starting page: e2313
ending page: e2313
doi: 10.54620/cadesp.v19i1.2313

EVALUATION OF THE ASSOCIATION OF COAGULANTS POLYALUMINUM CHLORIDE (PAC) AND MORINGA IN WATER TREATMENT
type: item
description: Objective: This study aims to evaluate the efficiency of the combination of PAC and Moringa Oleifera Lam coagulants in removing apparent color and turbidity from water, in order to obtain ideal operating conditions for the coagulation/flocculation and sedimentation process. Method: Two stages were performed, each stage having five tests, with analysis of the pH, turbidity, color and alkalinity parameters, performed in the Jar Test. The time and gradient of rapid mixing were, respectively, 60 seconds with a speed of 299 rpm. Slow mixing was divided into two 10-minute periods, with a decreasing gradient of 60 and 50 rpm. After the coagulation and flocculation process, the samples were left to rest for 2 hours so that the particles could sediment. During sedimentation, samples were collected from each jar, with a volume of 20 ml, at the following time intervals: 0, 10, 20, 30, 45, 60, 90 and 120 min. In the analysis of the color and turbidity parameters, there were also two stages. In the first stage, the coagulant aid, Moringa Oleifera Lam, at concentrations of 200, 250, 300, 350 and 400 mg.L-1, was associated with 15 mg.L-1 of fixed PAC. Results: The analyses showed that the concentration of 400 mg.L-1 presented the best efficiency, with values ​​of 69% for color and 92% for turbidity. In the second stage, the test ranges of 15, 30, 45 and 60 mg.L-1 were used for PAC, and a fixed concentration of Moringa Oleifera Lam of 400 mg.L-1. The tests demonstrated the greatest efficiency in the second stage, with the increase in the PAC dosage. Conclusion: Therefore, the tests carried out in Jar Test can be considered of great value, since they will guide the procedures applicable on a real scale.
subject: Original Article
  topic: section
subject: Technologies and Innovation
  topic: category
subject: Public Health / Colective
  topic: category
subject: Public Health
  topic: keywords
subject: Basic Sanitation
  topic: keywords
subject: Drinking Water
  topic: keywords
creator: Leidy Dayane Paiva de Abreu
creator: Brenda de Assis Fereira
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-09-24
publication date: 2025-09-24
starting page: e2074
ending page: e2074
doi: 10.54620/cadesp.v19i1.2074

ANALYSIS OF THE THERAPEUTIC FLOW OF PREGNANT WOMEN IN HIGH-RISK PRENATAL CARE
type: item
description: Objective: To investigate the challenges and potential of the therapeutic itinerary for pregnant women in high-risk prenatal care. Method: An integrative literature review was conducted between March and April 2025, including studies in Portuguese, English, and Spanish published between 2020 and 2025 in the SciELO, SCOPUS, and PubMed databases. Results and discussion: 728 articles were identified; after selection criteria, 13 comprised the final sample. The analysis revealed potential and challenges in the care of high-risk pregnant women, highlighting the fragmentation of the Health Care Network (HCN), the lack of integration between care levels, and the impacts of social inequalities, conditioning and determining factors in health on maternal and child care. Final considerations: The need for restructuring the therapeutic itinerary of the mother-child dyad is evident, with the strengthening of the HCN to ensure comprehensive, equitable, and humanized care.
subject: Review
  topic: section
subject: Public Health / Colective
  topic: category
subject: Pregnancy
  topic: keywords
subject: High-Risk
  topic: keywords
subject: Therapeutic Itinerary
  topic: keywords
subject: Health Systems
  topic: keywords
creator: Jessivânia Rodrigues Silva
creator: Joice Fabricio de Souza
creator: Fabianne Ferreira Costa Rosáseo
creator: Marconi Pereira Brandão
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-12-09
publication date: 2025-12-09
starting page: e2414
ending page: e2414
doi: 10.54620/cadesp.v19i1.2414

HEALTH CARE FOR THE LGBTQIAPN+ POPULATION IN PHC
type: item
description: The objective is to map scientific evidence presenting recommendations for comprehensive care of the LGBTQIAPN+ population in Atenção Primária à Saúde (Primary Health Care - APS), based on a scoping review developed according to the Joanna Briggs Institute guidelines and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) protocol, registered in the Open Science Framework. The search was conducted across five databases, yielding 543 results, of which 529 were screened. In the end, 19 publications were included in the review. The findings revealed weaknesses in the care provided to sexual and gender minorities, highlighting the harmful impact of stigma within health services. Respect for chosen names, gender-affirmative actions, attention to the specific needs of each group, and multidisciplinary support were among the necessary changes identified by the studies. The results demonstrated that effective transformations in health practices can enable comprehensive care for this population.
subject: Review
  topic: section
subject: Public Health / Colective
  topic: category
subject: Primary Health Care
  topic: keywords
subject: Sexual and Gender Minorities
  topic: keywords
subject: Health Promotion
  topic: keywords
creator: Yago Façanha de Sousa Mota
creator: Antonio Rubens Alves da Silva
creator: Rita de Cássia Rebouças Rodrigues
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-10-30
publication date: 2025-10-30
starting page: e2253
ending page: e2253
doi: 10.54620/cadesp.v19i1.2253

FLOW OF DRUG ALLERGIES IN PEDIATRICS
type: item
description: Introduction: The flow of care within drug allergies has been an enlightening process when the intention is to promote better quality in the diagnosis of pediatric patients. The Center for the Study of Medication and Food Allergy (CEAMA) has been in partnership for some time now with its theoretical expertise in information on the area of pharmacodermias and their insertion into practice, in collaboration with the Albert Sabin Children's Hospital (HIAS) and the Immunoallergology Outpatient Clinic becomes essential in the daily lives of professionals who work in this environment. Objectives: describe a flowchart of care for suspected pharmacodermias in inpatients and outpatients at the HIAS. Methods: The observational study had three phases from April to December 2023: 1) Meeting to prepare the questionnaire. 2) Distribution of the questionnaire via email to physicians after ethical approval. 3) Preparation of the service flow to optimize the service. Results: 144 emails were sent, with 38 responses received. With the data collected, a flowchart for implementation was created. Conclusion: The creation of the service flow can benefit patients and serve as a reference for other institutions, improving the quality of medical care.
subject: Experience Report, Update And/Or Technological Innovation
  topic: section
subject: Public Health / Colective
  topic: category
subject: Flowchart
  topic: keywords
subject: Drug Allergy
  topic: keywords
subject: Pediatric Hospital
  topic: keywords
creator: Vanda Frota Coelho
creator: Diogo Thomas Ferreira de Lima
creator: Tiago da Silva Nogueira
creator: Maria de Fátima Menezes Azevedo
creator: Luciana Macatrão Nogueira Nunes
creator: Eudiana Vale Francelino
creator: Karla Deisy Morais Borges
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-08-04
publication date: 2025-08-04
starting page: e2063
ending page: e2063
doi: 10.54620/cadesp.v19i1.2063

EDITORIAL
type: item
subject: Editorial
  topic: section
subject: Education
  topic: category
creator: Anamaria Cavalcante e Silva
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-09-26
publication date: 2025-09-26
starting page: e2385
ending page: e2385
doi: 10.54620/cadesp.v19i1.2385

EXPERIENCE IN THE HEALTH ACADEMY PROGRAM FOR OLDER ADULTS
type: item
description: Objective: To describe, by means of an experience report, the benefits of physical activity observed among participants of health promotion, prevention, and maintenance groups. Methods: Experience report study based on participant observation in two phases: (1) observation and intervention with the group and (2) correlation with bibliographic references on the topic. The group comprised approximately 12 individuals. Results: Identified difficulties included competitive behavior among some younger, more active participants and an inadequate supply of materials for activities. However, benefits were also observed, including improvements in gait, balance, flexibility, and mental health. Final Considerations: The Health Academy Program contributes to the well-being of the local population by providing a space for social integration and offering activities that help prevent and control chronic diseases.
subject: Experience Report, Update And/Or Technological Innovation
  topic: section
subject: Public Health / Colective
  topic: category
subject: Physical Activity
  topic: keywords
subject: Health Promotion
  topic: keywords
subject: Elderly People
  topic: keywords
creator: Erilene Araujo Oliveira
creator: Jayme Felix Xavier Junior
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-10-08
publication date: 2025-10-08
starting page: e2130
ending page: e2130
doi: 10.54620/cadesp.v19i1.2130

TRAINING SESSIONS ON CHILDHOOD
type: item
description: Objective: To understand the perceptions of community health workers regarding training in early childhood development. Methodology: This is a qualitative study conducted in four Primary Health Care Units in Fortaleza, Ceará. Nineteen community health workers (CHWs) participated through non-directive interviews, and the qualitative data were processed using the Hermeneutic Circle approach. Results: The CHWs emphasized the importance of re-signifying theory through practice and noted that the training was highly exhausting due to the large number of activities required within a short timeframe. Personal changes were reported, particularly in how CHWs began to adopt a broader perspective on caring for their own children and other children within their family and work environments. Conclusion: The findings highlight the need for public policies focused on early childhood development training for Primary Health Care professionals, aiming to consolidate new knowledge and practices in child health care.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Child development
  topic: keywords
subject: Primary health care
  topic: keywords
subject: Training of human resources in health
  topic: keywords
creator: Carlos Andre Moura Arruda
creator: Márcia Maria Tavares Machado
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-10-21
publication date: 2025-10-21
doi: 10.54620/cadesp.v19i1.2467

CHILDREN'S THERAPEUTIC GROUP AND MEDIATION OF EMOTIONS IN CHILDHOOD
type: item
description: Childhood, as a phase of emotional development, finds in the therapeutic group an essential tool for strengthening social relationships and learning through play. This study aimed to present the experience of observing the work of psychology in a children's therapeutic group, through an experience report. The results addressed the interactions between the children, highlighting the importance of the group in forming bonds and emotional strengthening. In the discussion, aligned with development theories, issues related to childhood, emotions, violence and experiences lived in a group were articulated. The article highlighted the role of play and the role of psychology in mediating the dynamics, presenting the group as a powerful strategy of expression. The relevance of the text lies in the discussions about the need for therapeutic groups in childhood, considering them spaces for expression and subversion of culturally violent patterns.
subject: Experience Report, Update And/Or Technological Innovation
  topic: section
subject: Public Health / Colective
  topic: category
subject: Group therapy
  topic: keywords
subject: Childhood
  topic: keywords
subject: Psychology
  topic: keywords
creator: Maria Gabriela Soares Lopes
creator: Fernanda Lopes
creator: Letícia Leite Bessa
creator: Natália Caitano Crispim
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-07-14
publication date: 2025-07-14
starting page: e2320
ending page: e2320
doi: 10.54620/cadesp.v19i1.2320

EPIDEMIOLOGICAL PROFILE OF A CAPS:
type: item
description: Objective: This study aimed to evaluate the profile of users admitted to the CAPS I of Horizonte-CE during the COVID-19 pandemic, in 2020 and 2021. Methods: A quantitative, documentary, and cross-sectional descriptive study was conducted with a sample of 759 medical records, considering biosociodemographic and clinical aspects. Results: Most users were unemployed women aged between 30 and 59 years, with incomplete primary education, and primarily referred by local UBS. Clinically, most users did not have a defined diagnosis or identified psychiatric comorbidities, took antidepressants, and attended more medical consultations than with other professionals. Additionally, high treatment dropout rates and lack of participation in group activities were also observed. Conclusions: The findings suggest differences compared to the literature and underscore the need for greater investment in mental health services and more comprehensive studies in the municipality.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Mental Health
  topic: keywords
subject: Community Mental Health Centers
  topic: keywords
subject: COVID-19
  topic: keywords
subject: Clinical Epidemiology
  topic: keywords
creator: Kévia Maria Rodrigues de Sousa
creator: Bruno Nogueira Garcia
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-08-06
publication date: 2025-08-06
starting page: e2080
ending page: e2080
doi: 10.54620/cadesp.v19i1.2080

CARE STRATEGIES FOR RESISTANT ARTERIAL HYPERTENSION
type: item
description: Objective: To analyze expanded strategies for promoting cardiovascular health and their impact on the quality of life of adults with resistant hypertension. Methodology: This integrative literature review was conducted from January to March 2025, covering studies in Portuguese, English, and Spanish published between 2020 and 2025 in the SciELO, SCOPUS, and PubMed databases. Results and discussion: Fourteen studies were included in the final sample, highlighting the importance of comprehensive approaches, such as health literacy, motivational interviewing, integrative practices, and community actions. Thus, the analyzed interventions highlighted the importance of these tools for therapeutic adherence and promoting the quality of life of patients with resistant hypertension. Final considerations: Educational, integrative, and community strategies were identified as essential in the management of resistant hypertension, given their potential to address the complexities associated with this condition.
subject: Review
  topic: section
subject: Public Health / Colective
  topic: category
subject: Hypertension
  topic: keywords
subject: Health Promotion
  topic: keywords
subject: Patient Care Team
  topic: keywords
subject: Primary Health Care
  topic: keywords
creator: Maria Jaquiele Furtado Gabriel
creator: Joice Fabricio de Souza
creator: Fabianne Ferreira Costa Rosáseo
creator: Ticiane Santana Gomes Santiago
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-12-12
publication date: 2025-12-12
starting page: e2146
ending page: e2146
doi: 10.54620/cadesp.v19i1.2416

INDICATORS OF THE UAPI PROGRAM TO STRENGTHEN CHILDCARE
type: item
description: Objective: To analyze the indicators of the UAPI Program at a Basic Health Unit in the municipality of Aracati, Ceará. Methods: This descriptive, exploratory, and documentary study was conducted at a Basic Health Unit in a rural area of the municipality of Aracati, Ceará, with parents or guardians of children aged six months to under one year old undergoing childcare follow-up. Results: Twenty-nine parents or guardians of children participated in the study and were assessed on eight UAPI Program indicators. The study highlighted the need for a close and continuous focus on child health. Final considerations: The UAPI Program presents a positive strategy for evaluating units, developing strategic health planning, and promoting better monitoring of children in primary care.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Child Care
  topic: keywords
subject: Primary Health Care
  topic: keywords
subject: Community Health Status
  topic: keywords
creator: Ana Carolina Paixão Batista
creator: Breno da Silva Albano
creator: Isabela Gonçalves Costa
creator: Francisco Diones Araújo Rodrigues
creator: Eryjosy Marculino Guerreiro Barbosa
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-09-05
publication date: 2025-09-05
starting page: e2254
ending page: e2254
doi: 10.54620/cadesp.v19i1.2254

EPIDEMIOLOGY OF HIV/AIDS CASES IN CEARÁ IN THE LAST 10 YEARS
type: item
description: Objetivo: Identificar o perfil epidemiológico dos casos de HIV/AIDS no estado do Ceará nos últimos 10 anos, utilizando o sistema de informações de saúde Departamento de Informática do Sistema Único de Saúde (DATASUS). Métodos: Estudo documental, com abordagem quantitativa. Os dados foram coletados eletronicamente, por meio do DATASUS, durante o mês de agosto de 2024, incluindo SINAN e SIH/SUS, analisando variáveis como sexo, cor/raça e faixa etária, além de cálculos de incidência de 2014 a 2023 com dados do IBGE. Resultados: Foram registrados 12.231 casos de HIV/AIDS, com predominância masculina e maior incidência na faixa etária de 40-49 anos. A cor/raça parda teve a maior porcentagem de casos, com 18.356 internações e 1.899 óbitos. Considerações finais: A epidemia de HIV/AIDS é uma preocupação de saúde pública no Ceará, evidenciando disparidades entre grupos sociais, sendo fundamental desenvolver políticas de acesso à saúde.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Epidemiology
  topic: keywords
subject: HIV/AIDS
  topic: keywords
subject: Incidence
  topic: keywords
creator: João Victor Rêgo dos Santos
creator: Wendell Reis Costa De Araújo Filho
creator: Ana Letícia dos Santos Morais
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-06-26
publication date: 2025-06-26
starting page: e2064
ending page: e2064
doi: 10.54620/cadesp.v19i1.2064

HOSPITALIZATIONS FOR DIABETIC FOOT COMPLICATIONS IN CEARÁ
type: item
description: To analyze hospitalizations and costs due to diabetic foot complications in the state of Ceará between 2020 and 2024. Ecological, quantitative study, with secondary data extracted from hospital information system. Hospitalizations, length of stay, mortality, and costs were analyzed, according to health regions. During the analyzed period, 7,764 hospitalizations were recorded, an increase of 44%. The Fortaleza region concentrated the highest number (3,886). The average length of stay was higher in this region (10 days). The highest mortality rate occurred in the Cariri region (3.27). Total costs increased by 71%, reaching R$ 1,066,662.84 in 2024. Hospitalizations due to diabetic foot complications in Ceará have been increasing, generating a high clinical and economic impact. Primary Health Care must strengthen preventive actions and early care, contributing to the reduction of complications, hospitalizations and costs in the Single health system.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Diabetes Mellitus
  topic: keywords
subject: Diabetic Foot
  topic: keywords
subject: Primary Health Care
  topic: keywords
subject: Hospitalization
  topic: keywords
subject: Hospital Costs
  topic: keywords
creator: Carlos Vinicius Moreira Lima
creator: Joice Fabricio de Souza
creator: Mirna Neyara Alexandre de Sá Barreto Marinho
creator: Sarah Ellen da Paz Fabricio
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-11-17
publication date: 2025-11-17
starting page: e2387
ending page: e2387
doi: 10.54620/cadesp.v19i1.2387

TECHNOLOGY THAT KEEPS UP
type: item
description: To describe the process of implementing telemonitoring as a tool to qualify home visits in a Primary Health Care Unit in Fortaleza, Ceará. A survey of clinical and epidemiological data was carried out on patients monitored during home visits, with subsequent analysis of the data discussed by the team, defining patients eligible for telemonitoring. A profile was identified in which the majority of patients are female and 74.5% of the total are over 70 years old. In addition, the majority only have limited mobility, do not use disposable diapers and do not require monitoring by specialized teams. After the survey, it was possible to apply a risk and vulnerability scale and implement telemonitoring, resulting in insulin dose adjustment, identification of respiratory symptoms and improvement in schedule management. It was possible to raise important questions and report the simple and quick use of telemedicine in favor of quality and planning of home care.
subject: Experience Report, Update And/Or Technological Innovation
  topic: section
subject: Public Health / Colective
  topic: category
subject: Public Healthy
  topic: keywords
subject: Home Care
  topic: keywords
subject: Telemonitoring
  topic: keywords
creator: Silvana Machado
creator: Kilma Wanderley Lopes Gomes
creator: Beatriz Hyppolito da Justa
creator: Lais Araujo Perazo Nunes de Carvalho
creator: Lise Anne Guimaraes Moreira
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-07-21
publication date: 2025-07-21
starting page: e2138
ending page: e2138
doi: 10.54620/cadesp.v19i1.2138

MEANINGS OF LIFE AND DEATH AMONG CARDIAC PATIENTS AND THEIR CAREGIVERS
type: item
description: This article is part of a master's research developed in the Graduate Program in Psychology at a federal public university located in the interior of the state of Mato Grosso do Sul, with the aim of understanding the meanings of life and death among both individuals affected by heart diseases and their caregivers. As a preliminary investigation procedure, an integrative review was conducted to understand the state of the art on the topic using the databases Virtual Health Library, Google Scholar, CAPES Journal Portal, and PubMed, focusing on Portuguese-language and open access works. Out of a total of 4,178 publications found, 23 articles were selected after reading the titles and abstracts. From these, a final sample of 18 manuscripts was obtained. The research findings highlighted the fundamental role of emotions in coronary disease. In conclusion, the importance of the integrative review is emphasized both for understanding Brazilian academic production on chronic diseases and as an important tool for detecting possible gaps to be addressed in future research. It is believed that such reflections can contribute not only to the field of health psychology but also to the field of studies and research on chronicity and care practices.
subject: Review
  topic: section
subject: Public Health / Colective
  topic: category
subject: Psychology
  topic: keywords
subject: Heart disease
  topic: keywords
subject: Meanings
  topic: keywords
subject: Life
  topic: keywords
subject: Death
  topic: keywords
creator: Solange Camilo dos Santos
creator: Esmael Alves de Oliveira
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-06-26
publication date: 2025-06-26
starting page: e2016
ending page: e2016
doi: 10.54620/cadesp.v19i1.2016

TRAINING OF PREGNANT WOMEN WITH DIABETES MELLITUS USING A LOW-COST SIMULATOR
type: item
description: Objective: This study assessed the use of a low-cost simulator to train pregnant women with diabetes mellitus in insulin administration, evaluating its effectiveness in improving knowledge and autonomy. Methods: A mixed-method experimental study was conducted with 50 pregnant women hospitalized for glycemic control. Questionnaires were applied before and after the training, alongside an informational leaflet. Results: After training, 98% of participants identified insulin types and appropriate actions during hypoglycemia. Average correct answers increased from 54% to 82%. Fear was significantly reduced, with 94% reporting they had overcome their fears, and 100% felt capable of self-administering insulin. Conclusion: The low-cost simulator proved to be an effective and accessible tool for educating diabetic pregnant women, enhancing their confidence, knowledge, and self-care skills. This strategy contributed to better glycemic control and potentially improved maternal-fetal outcomes, supporting the systematic implementation of similar educational interventions in obstetric care settings.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Diabetes mellitus
  topic: keywords
subject: Pregnant women
  topic: keywords
subject: Simulator
  topic: keywords
subject: Training
  topic: keywords
creator: Hyana Mara Gomes Ferreira Alves
creator: Eveline Valeriano Moura Linhares
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-09-04
publication date: 2025-09-04
starting page: e2337
ending page: e2337
doi: 10.54620/cadesp.v19i1.2337

INTERPROFESSIONAL ACTION OF DENTISTRY IN CHILDCARE
type: item
description: Objective: The objective of this study was to report practices of dental consultations integrated with interprofessional childcare. Methods: The practice setting was a basic unit in the municipality of Paracuru-Ceará. Weekly consultations were held between August and September 2024, with 15 children aged 0 to 2 years being attended. Of these, three were selected for reflective analysis. Based on the systematization of experiences, the practice was correlated with scientific evidence collected. Results: Poorly founded beliefs among caregivers were found, leading to poor oral health habits. A greater collaborative dynamic was observed with the nurse, compared to the medical professional. Final considerations: It was concluded that the dentist's role is essential in childcare, based on sharing of knowledge with the multidisciplinary team, a view to promoting health.
subject: Experience Report, Update And/Or Technological Innovation
  topic: section
subject: Public Health / Colective
  topic: category
subject: Interprofessional Relations
  topic: keywords
subject: Child Care
  topic: keywords
subject: Dentistry
  topic: keywords
subject: Child Health
  topic: keywords
creator: Geórgia Moura de Souza Martins
creator: Maria Luíza Rocha Barreto de Carvalho
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-06-26
publication date: 2025-06-26
starting page: e2081
ending page: e2081
doi: 10.54620/cadesp.v19i1.2081

SOCIAL REINTEGRATION AND MISSIONARY WORK: A PSYCHOLOGICAL PERSPECTIVE
type: item
description: This experience report, conducted by psychology students in Fortaleza, investigated the impact of religiosity on identity construction and coping with adversity among men in missionary training. Originating from homelessness and with a history of psychoactive substance use, the participants were engaged in a Catholic social reintegration program. Using participant observation and focus groups with the "Wheel of Life" tool, the qualitative research revealed significant improvement in fulfillment, happiness, purpose, and social life following religious engagement. The Christian organization served as a catalyst for transformation, offering support and meaning-making to the assisted individuals. It is concluded that religiosity emerges as an essential resource for alleviating suffering and re-signifying life, grounded in respect and non-stigmatization of vulnerable individuals. The field experience was fundamental for the theoretical and human development of the psychology students.
subject: Experience Report, Update And/Or Technological Innovation
  topic: section
subject: Education
  topic: category
subject: Psychology
  topic: keywords
subject: Religion
  topic: keywords
subject: Focus Groups
  topic: keywords
creator: João Guilherme Jatay Mota Garros
creator: Letícia Xavier Portela
creator: Fernanda Gomes Lopes
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-11-14
publication date: 2025-11-14
starting page: e2436
ending page: e2436
doi: 10.54620/cadesp.v19i1.2436

THE SOCIODEMOGRAPHIC PROFILE OF BEDRIDDEN PATIENTS IN MADALENA-CE
type: item
description: Objective: To outline the sociodemographic profile of bedridden patients receiving home physiotherapy care at a health unit in the municipality of Madalena-CE. Methods: A descriptive, cross-sectional, and quantitative study conducted at the Specialized Health Care Center (CAES), based on the analysis of 22 patient records attended by the public home physiotherapy service between August and October 2024. Results: The analyzed population presented low education levels and reduced family income. Most patients lived in their own homes, with a predominance of individuals who had incomplete primary education or no formal schooling. A significant dependence on family members was observed, along with a balanced gender distribution. Conclusion: The data reveal a socially vulnerable profile among bedridden patients, highlighting the importance of home physiotherapy as a fundamental strategy for promoting health and maintaining quality of life, especially in contexts of socioeconomic inequality.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Home Health Care
  topic: keywords
subject: Physical Therapy
  topic: keywords
subject: Bedridden Patients
  topic: keywords
subject: Public Health
  topic: keywords
creator: Jheferson Miranda do Nascimento
creator: Mariza Maria Barbosa Carvalho
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-07-23
publication date: 2025-07-23
starting page: e2256
ending page: e2256
doi: 10.54620/cadesp.v19i1.2256

NOTIFICATIONS OF EXOGENOUS INTOXICATION IN CRATEÚS, CEARÁ
type: item
description: Objective: The objective was to describe epidemiological data on exogenous intoxication, reported by the municipality of Crateús, Ceará, Brazil, from 2014 to 2023. Methods: This is a cross-sectional and descriptive epidemiological study, conducted in September 2024, based on notifications of exogenous intoxications reported in Crateús. Data collection was carried out through Tabnet from the Department of Informatics of the Unified Health System (DATASUS). Results: A total of 600 cases of exogenous intoxication were reported by the municipality of Crateús, with a predominance of females (70%) and mixed race/skin color individuals (67.3%). Medications were the main toxic agent (71.3%), and suicide attempts were the main circumstance (71.8%). The incidence of cases peaked in 2022, with 125.6 cases per 100,000 inhabitants. Final considerations: DATASUS data are essential for situational diagnosis and the creation of public health measures, promoting well-being and guiding decision-making by managers.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Epidemiology
  topic: keywords
subject: Public health
  topic: keywords
subject: Primary Prevention
  topic: keywords
creator: Maria Letícia Oliveira Mourão
creator: Thuyane Flor da Costa
creator: Monica Cristina Pádua Lima
creator: Brenda Karen Oliveira Carvalho Oliveira Carvalho
creator: Leidy Dayane Paiva de Abreu
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-06-26
publication date: 2025-06-26
starting page: e2066
ending page: e2066
doi: 10.54620/cadesp.v19i1.2066

KNOWLEDGE AND SELF-CARE AMONG DIABETICS IN PRIMARY HEALTH CARE
type: item
description: Objective: To understand the knowledge and self-care practices of people with type 2 diabetes mellitus attending Primary Health Care. Methods: A qualitative, exploratory, and descriptive study conducted using the focus group technique. Data collection occurred in April 2025, and the analysis was based on the Discourse of the Collective Subject (DCS), differentiating collec-tive discourse from individual statements. The study was approved by the Research Ethics Committee (Opinion No. 7,440,662). Results: Ten patients participated, with a mean age of 60.6 ± 13.85 years, the majority female, with diabetes for at least six months. Participants re-ported dietary changes and medication adherence but faced financial difficulties, low education levels, and lack of motivation for physical activity. Educational groups were highlighted as an important support for self-care. Conclusions: Strengthening educational actions and overcom-ing structural barriers are essential strategies to promote self-care and effective management of type 2 diabetes.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Type 2 Diabetes Mellitus
  topic: keywords
subject: Self-Care
  topic: keywords
subject: Primary Health Care
  topic: keywords
creator: Fabianne Ferreira Costa Roseo
creator: Larisse Póvoa da Cruz Macêdo
creator: Joice Fabrício de Souza Fabrício de Souza
creator: Geórgia de Mendonça Nunes Leonardo
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-12-01
publication date: 2025-12-01
starting page: e2392
ending page: e2392
doi: 10.54620/cadesp.v19i1.2392

THERAPEUTIC GROUP WITH FAMILY MEMBERS
type: item
description: Objective: To report the practice of a therapeutic group in a Psychosocial Care Center (CAPS Geral), with family members/caregivers of patients suffering from mental disorders. Methods: This is a descriptive study, in the form of an experience report, developed by a resident nurse, conducted in the municipality of Camocim–CE, between August 2023 and March 2024. Through the analysis of the content of the field diary of the Laços Group, it was possible to assess the main themes that emerged from the group. Results: After analyzing the material recorded in the field diary, the most prevalent topics during the group meetings were identified, namely: overload; crises; communication difficulties; fragility in support networks; and the importance of psychosocial support for family members/caregivers. Conclusion: The study highlights the importance and impact of therapeutic groups in assisting families, aiming to encourage actions directed at caregivers.
subject: Experience Report, Update And/Or Technological Innovation
  topic: section
subject: Public Health / Colective
  topic: category
subject: Family Caregiver
  topic: keywords
subject: Mental Health Services
  topic: keywords
subject: Community Psychiatry
  topic: keywords
creator: Ana Kelle Borges de Ávila
creator: Aleide Barbosa Viana
creator: Geórgia Vieira de Sousa
creator: Othelino Pedro da Silva
creator: Maria Helena Lima Da Silva
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-07-11
publication date: 2025-07-11
doi: 10.54620/cadesp.v19i1.2202

AURICULOTHERAPY
type: item
description: Objective: To understand the impacts of using auriculotherapy in mental health care. Methods: An integrative review was carried out in the LILACS, Medline/Pubmed and SciELO databases, with the descriptors “Auriculotherapy”, “Complementary Therapies” and “Mental Health”, from December 2023 to February 2024. Results: Among the 302 articles found in the databases, eight articles met the search criteria and were included in the review. The positive impact of auriculotherapy on reducing symptoms of anxiety, stress, and hyperactivity was evidenced, as well as improving mood and reducing the number of cigarettes consumed. Final Considerations: This study allowed us to visualize the positive impacts of auriculotherapy on mental disorders, encouraging its use in this setting to complement the treatment of patients. However, we emphasize the need for more studies in the area, especially longitudinal ones, in order to overcome the methodological barriers to generalizing the results.
subject: Review
  topic: section
subject: Public Health / Colective
  topic: category
subject: Auriculotherapy
  topic: keywords
subject: Complementary Therapies
  topic: keywords
subject: Mental Health
  topic: keywords
creator: Rener da Silva Pereira
creator: Hyanara Sâmea de Sousa Freire
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-06-26
publication date: 2025-06-26
starting page: e2043
ending page: e2043
doi: 10.54620/cadesp.v19i1.2043

UNDERSTANDING THE BOND BETWEEN NURSING PROFESSIONALS AND PATIENTS
type: item
description: Objective: To investigate the factors that strengthen attachment between nursing professionals and patients in Primary Health Care. Methodology: Descriptive and qualitative research conducted among eight nursing professionals from Arneiroz, in the state of Ceará. Data were collected through semi-structured interviews and analyzed using the technique of content analysis from Minayo. Results: The results reveled that staff turnover, work overload, and Community Health Agents’ undervalue obstruct the strengthening of bonds, while qualified listening, empathy, and continuity of healthcare stand out as facilitators. Final Considerations: We conclude that a humanized patient welcoming is essential for the Family Health Strategy consolidation, although the findings can also support the improvement of Primary Health Care in different contexts across the country.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Welcoming
  topic: keywords
subject: Continuity of Patient Care
  topic: keywords
subject: Nursing
  topic: keywords
creator: Fabianne Ferreira Costa Roseo
creator: Rosa Ferreira Neta
creator: Amália Gonçalves Arruda
creator: Joice Fabrício de Souza
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-11-26
publication date: 2025-11-26
doi: 10.54620/cadesp.v19i1.2345

EDUCATION FOR DEATH IN SCHOOLS
type: item
description: Schools, as a fundamental space for comprehensive education and strengthening social ties, face significant challenges in addressing death. Death is inseparable from human development and manifests itself from childhood onwards and accompanies the entire life cycle. This theoretical essay aims to discuss the importance of education about death in the school environment. The methodology used was a theoretical essay, which enabled the construction of a critical analysis based on an argumentative and reflective exposition. It was noted that there is a shortage of scientific production on this topic. We conclude that, although children and adolescents have the capacity to deal with the topic, the school environment remains unprepared to promote open discussions about death. By recognizing and embracing its role as a space for comprehensive education, schools can become agents of transformation, preparing young people not only for life, but also for the acceptance of finitude as an inherent part of the human condition.
subject: Reflection
  topic: section
subject: Education
  topic: category
subject: Death
  topic: keywords
subject: Education
  topic: keywords
subject: Childhood
  topic: keywords
creator: Amanda Selhorst da Silva
creator: Fernanda Gomes Lopes
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-07-22
publication date: 2025-07-22
starting page: E2088
ending page: E2088
doi: 10.54620/cadesp.v19i1.2088

EDUCATORS SUFFERINGS
type: item
description: The educational context can generate considerable pressure and overload, resulting in psychological distress for educators, manifested by professional exhaustion and demotivation. Therefore, this article aims to share a psychological listening experience carried out with education professionals, seeking to understand their experiences and emotional and institutional demands. This is a qualitative study, configured as an experience report, in which psychological listening was conducted with five educators working in early childhood education. The results showed the devaluation of the educators' work, the overload with demands that extrapolate their pedagogical functions, and the silencing of their anxieties. Despite contextual limitations, the listening demonstrated to be a powerful space for welcoming and reflection. It is concluded that qualified psychological listening is a fundamental tool for the emotional care of these professionals and for psychological training.
subject: Experience Report, Update And/Or Technological Innovation
  topic: section
subject: Education
  topic: category
subject: Psychology
  topic: keywords
subject: Faculty
  topic: keywords
subject: Psychological Distress
  topic: keywords
creator: Anna Gabrielle Andrade Gonçalves
creator: Paulo Yuri Pinheiro da Nóbrega
creator: Fernanda Gomes Lopes
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-11-18
publication date: 2025-11-18
starting page: e2437
ending page: e2437
doi: 10.54620/cadesp.v19i1.2437

HIV/HBV COINFECTION
type: item
description: HIV research has remained frequent since its discovery. HIV/HBV co-infection is highly significant as it impacts on the natural history of chronic HBV infection, increasing morbidity and mortality. Objective: To identify the prevalence of functional cure in patients with HIV/HBV coinfection and the possible factors associated with this cure. Method: This is a retrospective cohort study conducted between July 2023 and August 2024 in two healthcare centers in Fortaleza. Results: Of the 175 coinfected patients included in the study, only 146 had access to control HBsAg. In the comparative analysis between the two groups, factors such as the absence of positive HBeAg and lack of detection of HBV-DNA were statistically significant for HBsAg clearance. Conclusion: These results suggest that proper control of HBV, particularly in patients with negative HBeAg, is associated with a higher prevalence of functional cure.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: HIV
  topic: keywords
subject: Hepatitis B Virus
  topic: keywords
subject: Highly Active Antiretroviral Therapy
  topic: keywords
subject: Hepatitis B Surface Antigens
  topic: keywords
creator: Laila Maria Teixeira Amorim
creator: Lara Gurgel Fernandes Távora
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-07-09
publication date: 2025-07-09
starting page: e2273
ending page: e2273
doi: 10.54620/cadesp.v19i1.2273

EPIDEMIOLOGICAL PROFILE OF INFANT MORTALITY IN THE STATE OF CEARÁ, BRAZIL, FROM 2013 TO 2023
type: item
description: Objective: To analyze the epidemiological situation of maternal and infant mortality in Ceará, Brazil, from 2013 to 2023. Methods: This is a descriptive epidemiological study, carried out in September 2024 on notifications of Infant Mortality in the State of Ceará, in the period from 2013 to 2023. Data collection was carried out by the Mortality Information System (SIM) and the Live Birth Information System (Sinasc). Results: 16,686 cases were reported, with a predominance of males (54.96%), age group under 24 hours (26.67%), brown race (61.97%), mothers' education level of 8 to 11 years (40.43%), mothers' age of 20 to 24 years (21.11%), mortality rate of 13.822 in 2013 and 11.722 in 2023. Final considerations: Finally, there was a reduction in infant deaths in the State of Ceará, where in 2013, the highest infant mortality rate was recorded.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Infant mortality
  topic: keywords
subject: Maternal and child mortality
  topic: keywords
creator: Antonio Vanutti Galvão da Silva
creator: Samuel Ferreira Leite Filho
creator: Nicholas do Nascimento Leitão
creator: Leidy Dayane Paiva de Abreu
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-06-27
publication date: 2025-06-27
starting page: e2068
ending page: e2068
doi: 10.54620/cadesp.v19i1.2068

IMPACT OF PRIMARY CARE ACTIONS ON SELF-CARE OF HYPERTENSIVE PATIENTS
type: item
description: Objective: To understand how Primary Health Care actions influence self-care among patients with systemic arterial hypertension. Methods: Narrative literature review based on scientific articles, reports, and official documents published between 2016 and 2024 on hypertension management in Primary Health Care. Results: Findings highlight the importance of person-centered care, taking into account social, cultural, and family aspects. Practices such as healthy eating, physical activity, smoking cessation, and moderation in alcohol consumption are essential for self-care. Challenges include lack of symptoms, low medication adherence, and socioeconomic and psychosocial barriers. Conclusions: Effective hypertension management requires multiprofessional actions, health education, and strategies such as personalized care plans. Public policies should reinforce comprehensive care and promote self-care, aiming to reduce morbidity and mortality.
subject: Review
  topic: section
subject: Public Health / Colective
  topic: category
subject: Systemic Arterial Hypertension
  topic: keywords
subject: Self-Care
  topic: keywords
subject: Primary Health Care
  topic: keywords
subject: Health Education
  topic: keywords
creator: Fabianne Ferreira Costa Roseo
creator: Francisca Pinheiro Lourenço
creator: Joice Fabrício de Souza
creator: Geórgia de Mendonça Nunes Leonardo
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-11-13
publication date: 2025-11-13
starting page: e2401
ending page: e2401
doi: 10.54620/cadesp.v19i1.2401

PHARMACEUTICAL CARE FOR INSULIN-DEPENDENT PATIENTS: AN EXPERIENCE REPORT
type: item
description: Objective: The report aims to describe the experience of a pharmacist resident in home visits to insulin-dependent patients. Methods: This is a descriptive study with a qualitative approach, conducted between November 2024 and January 2025, with patients registered as insulin-dependent at the primary health care unit where the resident worked. The activity was carried out through follow-up to understand the users' knowledge about insulin treatment. Results: During the study, it was possible to identify the patients' level of understanding regarding the correct use of insulin, their lack of knowledge about proper medication storage, and the need for guidance on daily blood glucose monitoring. Final considerations: The study emphasizes the importance of the pharmacist in caring for diabetic patients, as this professional plays a key role in providing guidance on pharmacotherapy, thus contributing to the improvement of patients' glycemic control.
subject: Experience Report, Update And/Or Technological Innovation
  topic: section
subject: Public Health / Colective
  topic: category
subject: Pharmaceutical Services
  topic: keywords
subject: Insulin
  topic: keywords
subject: Diabetes Mellitus
  topic: keywords
creator: Marília Cláudia Freitas Martins
creator: Priscilla Karilline do Vale Bezerra
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-07-24
publication date: 2025-07-24
starting page: e2210
ending page: e2210
doi: 10.54620/cadesp.v19i1.2210

PERFORMANCE OF THE MULTIDISCIPLINARY TEAM REGARDING THE APPROACH TO PALLIATIVE CARE IN NEUROLOGICAL PATIENTS
type: item
description: Objective: describe the performance of the multidisciplinary team regarding the approach to palliative care in neurological patients. Methods: descriptive, cross-sectional and quantitative study, carried out from February to April 2024 with the multidisciplinary team of a unit at the General Hospital of Fortaleza. An electronic form was used, with sociodemographic data, six objective questions and one open question about palliative care. Results: 18 professionals participated, 83% were women, 88% were between 25 and 44 years old and 38.8% had 6 to 10 years of experience. Regarding palliative care, 88.9% stated that it promotes the quality of life of patients and families, who face life-threatening illnesses, through the prevention and relief of physical, psychosocial and spiritual suffering; 66.7% stated that they were initiated upon severe diagnosis; 94.4% agreed that it promotes the quality of life of the patient and family through the prevention and relief of suffering; 77.8% stated that care covers the patient, family and caregiver; 77.8% indicated care in hospitals, homes and outpatient clinics; 55.6% believe that invasive measures should not be carried out in patients with therapeutic limitations and in an active process of death. Relief from pain/suffering was the most cited finding in the open question. Conclusion: The team still has a limited understanding of palliative care, highlighting the need to expand knowledge on the topic, especially in relation to neurological patients. Considering that most neurological diseases have no cure and compromise quality of life, it is essential to strengthen this approach. Therefore, the study adds to the literature by expanding this understanding of the application of palliative care in this patient profile.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Multidisciplinary team
  topic: keywords
subject: Neurological disorders
  topic: keywords
subject: Palliative care
  topic: keywords
creator: Jaciane Nunes Bento Lemos
creator: Anna Paula Sousa da Silva
creator: Rubens Nunes Veras Filho
creator: Waldelia Maria Santos Monteiro
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-07-04
publication date: 2025-07-04
starting page: e2047
ending page: e2047
doi: 10.54620/cadesp.v19i1.2047

PERCEPTIONS OF THE PHARMACIST'S ROLE IN PRIMARY HEALTH CARE
type: item
description: This study aimed to analyze the discourse of health workers at the Nutrition Center in Tianguá/CE on the importance of pharmacists in the primary care team. This is a descriptive, exploratory field study with a qualitative approach, carried out at the Nutrition Center Basic Health Unit in Tianguá - CE. Data collection took place between August and September 2022. The data was analyzed using Bardin's Content Analysis. Fifteen health workers took part in the study, aged between 30 and 62, and working at the unit for between 4 and 32 years. The analysis of the discourses generated three categories discussed throughout the article. It was concluded that pharmacists are essential professionals in health care and that their work in primary care still needs to be better recognized and integrated into the multi-professional team to guarantee comprehensive care for the population.
subject: Original Article
  topic: section
subject: Public Health / Colective
  topic: category
subject: Pharmacist
  topic: keywords
subject: Health Personnel
  topic: keywords
subject: Primary Health Care
  topic: keywords
creator: Ana Isabelle de Gois Queiroz
creator: Rubén Breno Matos Carvalho
creator: Diana Rocha e Lima
rights: Copyright (c) 2025 Cadernos ESP https://creativecommons.org/licenses/by/4.0
date: 2025-09-24
publication date: 2025-09-24
starting page: e2347
ending page: e2347
doi: 10.54620/cadesp.v19i1.2347