No abstract

-Background -Crohn's disease and ulcerative colitis are the two major forms of inflammatory bowel disease. The incidence and prevalence of both conditions have increased and are progressively increasing. These diseases are frequently recurrent and clinically highly severe. In Brazil, the lack of epidemiological data related to such diseases has left these patients in a vulnerable state and contributed to increased morbidity. Objective -To describe the profiles of patients with inflammatory bowel disease treated in an outpatient service in Brazil. Methods -This descriptive, exploratory, and retrospective documentary study with a quantitative approach was performed in an outpatient treatment service for inflammatory bowel disease, at a university polyclinic located in Rio de Janeiro, Brazil, from May to July 2016. The study included 556 patients and was approved by the research ethics committee of the institution (CAAE no. 55179316.6.0000.5259/2016). Results -The data showed a high prevalence of inflammatory bowel disease in white female patients. Crohn's disease was diagnosed in more patients than was ulcerative colitis; the ileocolon was the most commonly affected location in patients with Crohn's disease. The stenotic phenotype was prevalent in patients with Crohn's disease. Conclusion -The prevalence of the stenotic phenotype in Crohn's disease in relation to others demonstrates the need for further investigations in this field of study in Brazil. In conclusion, the data showed that the epidemiologic profile of the study population is similar to that published in the national and international literature. HEADINGS -Inflammatory bowel diseases. Crohn disease. Ulcerative colitis. Epidemiology.

Mucosal healing (MH) has become a major target in the management of ulcerative colitis (UC). Because repeat endoscopy is expensive and invasive, we aimed to evaluate fecal calprotectin (FC) as an alternative marker to predict MH in UC. Eighty patients with UC in clinical remission were consecutively included in a prospective observational study. FC was measured using a quantitative enzyme-linked immunosorbent assay. The colonic mucosa was assessed for endoscopic and histological measures of inflammatory status. Endoscopic and histological remission were defined according to the Mayo endoscopic subscore (MES) and Geboes score (GS), respectively. Deep remission was defined as a combination of the MES and GS. FC performance and cutoff values for identifying MH and deep remission were determined using contingency tables and receiver operator characteristic (ROC) and area under the curve (AUC) analysis. The median FC concentration in patients who met the criteria for deep remission (MES ≤1 and GS < 3.1) was 65.5 μg/g, while that in patients with disease activity was 389.6 μg/g (P = .025). A FC cutoff value of 100 μg/g, determined by the ROC analysis, resulted in sensitivity and specificity of 91.7% and 57.1%, respectively, for histological remission, and 82.4% and 60.9%, respectively, for deep mucosal remission. Positive correlations were detected between FC concentrations with the histologic (CC: 0.435; P < .001) and the combined endoscopic and histologic (CC: 0.413; P < .001) scores. FC can be used confidently as a noninvasive biomarker to predict deep remission in patients with UC in clinical remission when concentrations are below 100 μg/g.

A gravidez e o parto são eventos fisiológicos na vida das mulheres. No entanto, trazem repercussões físicas e emocionais, que requerem cuidados a mulher e sua família por parte dos profissionais de saúde responsáveis pela assistência pré-natal. Diante desse contexto esse estudo tem como objetivos: realizar um levantamento bibliográfico sobre humanização da atenção ao pré-natal e puerpério na rede de atenção primária; Identificar as tecnologias do cuidado voltadas à humanização da atenção ao pré-natal e puerpério utilizadas pelos profissionais da atenção básica; e Verificar a presença de citações da recente Rede Cegonha nos estudos levantados. Realizou-se uma revisão de literatura, contudo 12 fizeram parte da amostra. Concluiu-se que embora existam estudos que abordem a humanização, são necessários mais estudos que explorem as práticas efetivas realizadas no pré-natal na atenção básica, ou seja, as tecnologias, utilizadas para humanizar a assistência.Descritores: Humanização, Tecnologias, Pré-natal. Care Technologies and Humanization of prenatal care in primary carePregnancy and childbirth are physiological events in women's lives. However, bring physical and emotional repercussions that require care to women and their families by the health professionals responsible for prenatal care. In this context this study aims to: Conduct a bibliographic review on humanization of pre-natal and postpartum in primary care services; Identify technologies of care aimed at the humanization of pre-natal and postpartum used by primary care professionals, and verify the presence of citations from the recent “Rede Cegonha” on raised studies. We conducted a literature review, however 12 were part of the sample. It was concluded that although there are studies that address the humanization, more studies are needed to explore the actual practices undertaken during prenatal primary care, ie the technologies used to humanize care.Descriptors: Humanization, Technologies, Prenatal. Tecnologías para el cuidado y la humanización de la atención prenatal en la atención primariaResumen: El embarazo y el parto son acontecimientos fisiológicos en la vida de las mujeres. Sin embargo, traen repercusiones físicas y emocionales que requieren atención a las mujeres y sus familias, y de los profesionales de la salud encargados de la atención prenatal. En este contexto, este estudio tiene como objetivo: llevar a cabo una investigación bibliográfica acerca de la humanización del prenatal y posparto en la red de atención primaria; identificación de las tecnologías del cuidado con enfoque en la atención al prenatal y puerperio utilizados por los profesionales de atención primaria; y además comprobar la citación de la reciente Red Cigüeña en los estudios planteados. Se realizó una revisión de la literatura, sin embargo, 12 formaban parte de la muestra. Se concluyó que, aunque hay estudios que abordan la humanización, se necesitan más estudios para explorar las prácticas reales llevadas a cabo en la atención prenatal en la atención primaria, es decir, las tecnologías utilizadas para humanizar la asistencia.Descriptores: Humanización, Tecnología, Prenatal.

A gravidez e o parto são eventos fisiológicos na vida das mulheres. No entanto, trazem repercussões físicas e emocionais, que requerem cuidados a mulher e sua família por parte dos profissionais de saúde responsáveis pela assistência pré-natal. Diante desse contexto esse estudo tem como objetivos: realizar um levantamento bibliográfico sobre humanização da atenção ao pré-natal e puerpério na rede de atenção primária; Identificar as tecnologias do cuidado voltadas à humanização da atenção ao pré-natal e puerpério utilizadas pelos profissionais da atenção básica; e Verificar a presença de citações da recente Rede Cegonha nos estudos levantados. Realizou-se uma revisão de literatura, contudo 12 fizeram parte da amostra. Concluiu-se que embora existam estudos que abordem a humanização, são necessários mais estudos que explorem as práticas efetivas realizadas no pré-natal na atenção básica, ou seja, as tecnologias, utilizadas para humanizar a assistência.Descritores: Humanização, Tecnologias, Pré-natal. Care Technologies and Humanization of prenatal care in primary carePregnancy and childbirth are physiological events in women's lives. However, bring physical and emotional repercussions that require care to women and their families by the health professionals responsible for prenatal care. In this context this study aims to: Conduct a bibliographic review on humanization of pre-natal and postpartum in primary care services; Identify technologies of care aimed at the humanization of pre-natal and postpartum used by primary care professionals, and verify the presence of citations from the recent “Rede Cegonha” on raised studies. We conducted a literature review, however 12 were part of the sample. It was concluded that although there are studies that address the humanization, more studies are needed to explore the actual practices undertaken during prenatal primary care, ie the technologies used to humanize care.Descriptors: Humanization, Technologies, Prenatal. Tecnologías para el cuidado y la humanización de la atención prenatal en la atención primariaResumen: El embarazo y el parto son acontecimientos fisiológicos en la vida de las mujeres. Sin embargo, traen repercusiones físicas y emocionales que requieren atención a las mujeres y sus familias, y de los profesionales de la salud encargados de la atención prenatal. En este contexto, este estudio tiene como objetivo: llevar a cabo una investigación bibliográfica acerca de la humanización del prenatal y posparto en la red de atención primaria; identificación de las tecnologías del cuidado con enfoque en la atención al prenatal y puerperio utilizados por los profesionales de atención primaria; y además comprobar la citación de la reciente Red Cigüeña en los estudios planteados. Se realizó una revisión de la literatura, sin embargo, 12 formaban parte de la muestra. Se concluyó que, aunque hay estudios que abordan la humanización, se necesitan más estudios para explorar las prácticas reales llevadas a cabo en la atención prenatal en la atención primaria, es decir, las tecnologías utilizadas para humanizar la asistencia.Descriptores: Humanización, Tecnología, Prenatal.