The article evaluates the satisfaction of the elderly about the quality of the Brazilian Public Health Service, based on an integrative literature review study, which gathers information published between 2011 and 2018, about this group the perception of related to the service provided by the health care network. This consists of five stages: guiding question elaboration, literature search, critical data analysis, data integration and presentation of results. It was consulted SciElo, LILACS and Capes Periodicals databases, with the following descriptors: "elderly", "user satisfaction", "health service evaluation" and "primary health care". After selecting the studies, 14 articles were used to structure this integrative review. It is noticed that a good part of the elderly population feels satisfied with the service that is offered by most institutions in the public health network. However, controversies are observed in studies, since some presented a positive evaluation in several aspects cited by the elderly, such as, the care and guidance provided by professionals, while others, exhibit these same indicators considered serious weaknesses, such as ease of access to these services. Therefore, the satisfaction of the elderly with the public health service was noted, among which the assistance and guidance of the different professionals were the best evaluated indicators by the respondents.

OBJECTIVE: This study aims to investigate the association between the immunohistochemical expression of matrix metalloproteinase-2 and matrix metalloproteinase-9 and plasma zinc in women with fibroadenoma. METHODS:This cross-sectional study included 37 premenopausal women with fibroadenoma. Waist circumference and body mass index of the participants were measured. Plasma zinc concentrations were determined using atomic flame absorption spectrophotometry. Fragments of breast tissue were fixed and incubated with primary mouse monoclonal antibodies (monoclonal antibodies matrix metalloproteinase -2 -507 and monoclonal antibodies matrix metalloproteinase -9-439). Semi-quantitative analysis of matrix metalloproteinase-2 and matrix metalloproteinase-9 immunoreactivity was performed. Spearman's test and Friedman's test were used for statistical analyses. The p<0.05 were considered statistically significant. RESULTS:The average age of the participants was 32.81±9.51 years. The body mass index and waist circumference values were within the normal range. The mean plasma zinc concentration was 42.73±13.84 μg/dL, with 94.6% inadequacy. A statistically significant difference was found between the positive expression of matrix metalloproteinase-2 and matrix metalloproteinase-9 (p=0.0184). There was no significant correlation between the matrix metalloproteinase expression and the plasma zinc levels.CONCLUSIONS: Women with fibroadenoma had hypozincemia and positive expression of metalloproteinases.

The article aims to analyze risk factors that increase weaknesses in residents of Long-Term Care Institutions for the Elderly. The study is characterized as an integrative literature review that consisted of six stages: definition of the theme and formulation of the guiding question; establishment of inclusion and exclusion criteria; definition of descriptors; pre-selection of articles; evaluation of selected studies; and presentation of the review. Sixteen studies were reviewed, between the years 2016 to 2019, based on the search in the Scientific Electronic Library Online (Scielo), LILACS and Pubmed databases using as descriptors Elderly, Long Term Care Institution for the Elderly, frailty, malnutrition, depression, accidents due to falls. According to evidence from these studies, depression stands out among the risk factors that increase weaknesses in institutionalized elderly people, which may be associated with the institutionalization time, self-perceived health and quality of sleep. There was also a prevalence of malnutrition in this group of elderly people, as well as an increased risk of falls, which may be related to the individual's psychological health and impaired nutritional status. Such factors considerably affect the health condition and quality of life of this population. It appears that knowledge about the main risk factors that increase weaknesses in institutionalized elderly people is of paramount importance for the application of preventive actions, aiming to preserve their health.

Direitos para esta edição cedidos à Atena Editora pelos autores. Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição-Não-Comercial-NãoDerivativos 4.0 Internacional (CC BY-NC-ND 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais. A Atena Editora não se responsabiliza por eventuais mudanças ocorridas nos endereços convencionais ou eletrônicos citados nesta obra. Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação.

Introdução: A hipertensão arterial sistêmica (HAS) tornou-se uma das mais preocupantes doenças crônicas não transmissíveis, consistindo num dos principais fatores associados ao desenvolvimento de doenças cardiovasculares e tem sido comum em adolescentes. Assim, sua detecção precoce pode evitar complicações futuras. Dados do Estudo de Riscos Cardiovasculares em Adolescentes (ERICA) indicaram que 24% dos adolescentes brasileiros tinham pressão arterial (PA) elevada. A elevação de PA em crianças e adolescentes possui várias condições predisponentes (ambientais, socioeconômicas, sazonais e geográficas), sendo a obesidade uma das principais. Objetivo: Verificar a associação entre estado nutricional e presença de HAS em adolescentes das cidades de Teresina e Picos (Piauí, Brasil). Materiais e Métodos: Estudo transversal de base populacional com 353 adolescentes entre 10 a 19 anos. Consideraram-se dados demográficos, socioeconômicos, de etilismo, hábito de fumar, atividade física, pressóricos e antropométricos. Utilizaram-se os testes de Mann-Whitney e Qui-Quadrado para comparação de variáveis contínuas e categóricas, respectivamente. Empregou-se regressão de Poisson bruta e ajustada para verificar a associação entre estado nutricional e HAS. Resultados: Observou-se proporção de adolescentes com sobrepeso e obesidade de 17,9% e 10,0%, respectivamente, e prevalência de HAS de 7,9%, sem diferenças entre os sexos. Constatou-se associação significativa, após ajustes, entre HAS com obesidade na amostra total e entre os sexos. Conclusão: Foi significativa a associação entre HAS e obesidade, demonstrando a importância da manutenção do estado nutricional adequado na adolescência.