Objetivo: Discutir sobre os fatores intervenientes na autonomia dos adolescentes diabéticos tipo 1 e a repercussão desses na qualidade de vida. Métodos: Trata-se de uma Revisão Integrativa de Literatura na qual utilizou-se as bases de dados SciELO e BVS. Os descritores escolhidos foram “diabetes mellitus”, “quality of life” e “adolescents”, sendo pesquisados com o uso dos operadores booleanos “AND” e “OR”. Assim, 23 artigos entre 2010 a 2020 foram escolhidos para análise. Resultados: O adolescente diabético, além de passar pelas alterações psicossociais comuns da fase, deve se adaptar à doença e desenvolver autonomia pelo próprio controle metabólico, o que pode ser um desafio. Imaturidade, medo da dor, baixo poder aquisitivo e superproteção dos pais podem afetar a qualidade de vida e a continuidade do tratamento, aumentando o risco de hospitalizações e complicações graves ou irreversíveis. Considerações finais: O manejo desse grupo de pacientes deve ser feito de forma especial, sendo importante a participação ativa do profissional de saúde, pois o processo do autocuidado deve ser planejado individualmente de modo a contornar os fatores intervenientes na adesão ao tratamento.

Dyspepsia is defined by any disorder of digestion in the gastrointestinal tract or gastric sensitivity, and is divided into two groups: secondary dyspepsia, which are specific lesions such as peptic ulcer, esophagitis, gastric cancer, and cholelithiasis that result from different diseases, and functional dyspepsia. For the diagnosis of functional dyspepsia, the Rome IV criteria should be adopted. For the diagnosis of functional dyspepsia, the patient must have one or more of the following symptoms: a nagging sensation of postprandial fullness, early satiety, epigastric burning, and no evidence of structural disease that would explain the symptoms. There are signs and symptoms that the physician must be alert to in order to investigate more serious diseases that require earlier therapeutic measures, such as neoplasms. These signs are characterized as "alarm signals" and among them are, for example: unintentional weight loss, dysphagia, odynophagia, persistent vomiting, hematemesis, family history of cancer of the gastrointestinal tract. The use of upper endoscopy is one of the most common methods for investigating dyspepsia, but it should not be requested for all patients indiscriminately. Given this, the objective of this research was to identify the alarm signs and analyze the main criteria used for the request of upper gastrointestinal endoscopy in dyspeptic patients in order to reduce the impacts before the investigation and clinical management performed. For this, a systematic review of the literature was performed from a search in the Scielo database, using the descriptors "upper digestive endoscopy" and "dyspepsia", finding a total of 15 studies published in the period 2010 to 2020 and after reading the title and abstract, 14 articles were selected for presenting greater relevance and affinity with the subject under study. The inclusion criteria used were productions in the public domain that dealt with the proposed theme, works written in several languages and productions available in full, thus excluding the Edimundo Da Silva Quadros Junior et al.

Trauma is a public health problem, with a high morbidity and mortality profile that generates high costs for health systems all over the world. Several factors can trigger the different types of trauma, which may require specific treatments, often even surgical procedures, and may also cause incapacity for work. In light of this, this research was intended to evaluate the epidemiological profile of patients with traumas in different regions of the world. To this end, a systematic literature review was performed by searching the Scielo database, using the descriptors “trauma” and “epidemiology”, finding a total of 270 articles. Subsequently, filters were applied, which allowed 92 scientific articles to be obtained. The titles and abstracts of these articles were analyzed; and, from that, 15 articles were selected, which were read in full and then discussed. The literature analysis allowed us to characterize the epidemiological profile of traumas in Brazil and in other countries around the world, detecting that most trauma affects men at a young age, which can affect the labor system; that the low level of education can influence the trauma profile; and that factors such as car and motorcycle accidents, falls and physical aggressions are the main etiological factors of cranioencephalic, maxillofacial, thoracic, upper limbs and lower limbs traumas, among others. Thus, there is a need to formulate better preventive measures and pre- and in-hospital treatments, aiming at reducing the impact on trauma morbidity and mortality.