14 research outputs found

    Subjective Wellbeing Assessment in People with Chronic Kidney Disease Undergoing Hemodialysis

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    The aim of this study was to analyze the relationship between satisfaction with life in general and the sociodemographic and emotional factors and components of quality of life in people with chronic kidney disease undergoing hemodialysis. A cross-sectional and correlational study was performed on a sample of 171 people with chronic kidney disease in two hemodialysis units at a Clinic in Lisbon between May and June 2015. Subjective wellbeing (personal wellbeing index) is positively related with subjective happiness, positive affect, and quality of life and is negatively associated with negative affect. Subjective happiness, negative affect, and the physical component of quality of life influence subjective wellbeing. These conclusions can assist us in understanding that people with chronic kidney disease (CKD) encounter greater feelings of wellbeing, mainly related to pleasant affect (subjective happiness and positive affect)

    Gravidez na adolescência no Nordeste brasileiro / Adolescent pregnancy in the Brazilian Northeast region

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    Objetivo: descrever o perfil epidemiol√≥gico da gravidez na adolesc√™ncia no Nordeste brasileiro entre os anos de 2008 e 2017. M√©todo: estudo observacional, descritivo, com abordagem quantitativa, realizado com os 1.835.195 registros de nascidos vivos de mulheres adolescentes residentes nos Estados do Nordeste brasileiro, no per√≠odo entre os anos de 2008 e 2017. Resultados: verificou-se redu√ß√£o de 20,8% de nascidos vivos entre m√£es adolescentes. 57,3% fizeram menos que sete ou nenhuma consulta de pr√©-natal. Quanto aos rec√©m-nascidos, houve predom√≠nio do sexo masculino, cor parda, com Apgar no 1¬ļ e 5¬ļ minutos de vida entre 8 e 10, normopesos e sem anomalia cong√™nita. Conclus√Ķes: observou-se redu√ß√£o de nascimentos entre m√£es adolescentes, mas ressalta-se o refor√ßo de a√ß√Ķes para adolescentes na aten√ß√£o b√°sica, a fim de reduzir esses casos. Descritores: Gravidez na adolesc√™ncia; Nascido vivo; Perfil de sa√ļd

    Hospitalizations and deaths by Diabetes Mellitus / Interna√ß√Ķes e √≥bitos por Diabetes Mellitus

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    Objetivo: analisar o perfil das interna√ß√Ķes e da mortalidade por Diabetes Mellitus no Piau√≠ entre os anos de 2015 e 2019. M√©todo: estudo transversal, descritivo e quantitativo, realizado atrav√©s de dados secund√°rios referentes aos anos de 2015 a 2019, extra√≠dos do site do Departamento de Inform√°tica do Sistema √önico de Sa√ļde. A popula√ß√£o do estudo foi composta por todas as hospitaliza√ß√Ķes e √≥bitos por Diabetes Mellitus de pessoas residentes no Estado do Piau√≠. Resultados: Foram registradas 18.361 hospitaliza√ß√Ķes por Diabetes Mellitus, das quais 527 evolu√≠ram a √≥bito, com taxa de mortalidade de 2,87 por 100 interna√ß√Ķes. As hospitaliza√ß√Ķes predominaram em mulheres, pardas e com idade entre 60 e 69 anos. Nos √≥bitos houve predom√≠nio entre as mulheres, pardas e idosas. Conclus√£o: para reduzir a morbimortalidade por Diabetes Mellitus √© preciso fortalecer a Aten√ß√£o Prim√°ria √† Sa√ļde a fim de melhorar a assist√™ncia e, assim, o rastreamento e tratamento.

    KNOWLEDGE OF NURSING STUDENTS ABOUT INTESTINAL ELIMINATION STOMAS

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    Objective: To investigate the knowledge of nursing students about intestinal elimination stomas. Method: Descriptive, exploratory, analytical study, with a quantitative approach, carried out in a public higher education institution in Piau√≠, Brazil, with 115 nursing students between the eighth and the tenth period of the course. The data collection was carried out through an online questionnaire composed of two instruments, one about the sociodemographic and school profile of the students, and the other about knowledge on intestinal ostomies or elimination. Data analysis was carried out through descriptive analysis (absolute and relative frequencies, means and standard deviation) and inferential analysis, in order to verify association between variables, with Ōá2 and Fisher‚Äôs exact tests. Results: Most nursing students have a deficit regarding aspects related to preoperative and immediate and mediate postoperative care. There was a statistically significant difference in the academic performance index variable, and it was observed that students with academic performance greater than 9 obtained a higher number of correct answers compared to the others. Conclusion: There are knowledge gapsamong nursing students, especially in nursing care in preoperative care, and in the immediate and mediate postoperative period, which in turn can compromise the quality of care provided

    CONHECIMENTO DE ESTUDANTES DE ENFERMAGEM SOBRE ESTOMIAS INTESTINAIS DE ELIMINAÇÃO

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    Objetivo:Investigar o conhecimento de estudantes de Enfermagem sobre estomias intestinais de elimina√ß√£o. M√©todo: Estudo descritivo, explorat√≥rio, anal√≠tico, com abordagem quantitativa, realizado em institui√ß√£o de ensino superior p√ļblica do Piau√≠, com 115 estudantes de Enfermagem entre o oitavo e o 10¬ļ per√≠odo do curso. A coleta foi realizada por meio de question√°rio online composto de dois instrumentos, um sobre o perfil sociodemogr√°fico e escolar dos estudantes, e o outro, acerca do conhecimento sobre estomias intestinais de elimina√ß√£o. A an√°lise dos dados deu-se por meio de an√°lises descritivas (frequ√™ncias absolutas e relativas, m√©dias e desvio padr√£o) e inferenciais, a fim de verificar associa√ß√£o entre as vari√°veis, com os testes Ōá2 e exato de Fisher. Resultados: A maioria dos estudantes de Enfermagem possui d√©ficit quanto aos aspectos relacionados √†s assist√™ncias pr√©-operat√≥ria e p√≥s-operat√≥ria imediata e mediata. Observou-se diferen√ßa significativamente estat√≠stica na vari√°vel √≠ndice de rendimento acad√™mico, e viu-se que os estudantes com rendimento acad√™mico superior a 9 obtiveram maior n√ļmero de acertos em compara√ß√£o aos demais. Conclus√£o: Existem lacunas de conhecimento entre os estudantes de Enfermagem, sobretudo na assist√™ncia de enfermagem nos cuidados pr√©-operat√≥rio e no p√≥s-operat√≥rio imediato e mediato, o que por sua vez pode comprometer a qualidade da assist√™ncia prestada

    PRODU√á√ÉO DE RECURSOS DID√ĀTICOS NA EXTENS√ÉO: PROPOSTAS DE ENSINO DE CI√äNCIAS USANDO INSTRUMENTOS DID√ĀTICOS

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    A obra Produ√ß√£o de Recursos Did√°ticos na Extens√£o: Propostas de Ensino de Ci√™ncias Usando Instrumentos Did√°ticos √© produto de pesquisas e trabalhos desenvolvidos no curso de Licenciatura em Biologia da Universidade Federal de Tocantins (UFT), C√Ęmpus de Aragua√≠na, atrav√©s dos projetos de extens√£o Futuros Cientistas ‚Äď V√™m para a Biologia (Coordenadora Lidianne Salvatierra) e Feira de Ci√™ncias do Estado do Tocantins (Coordenador Gecilane Ferreira) que possuem como objetivos centrais e confluentes a aproxima√ß√£o de alunos e professores da Educa√ß√£o B√°sica com a comunidade acad√™mica, o fomento do senso de investiga√ß√£o cient√≠fica de alunos do Ensino Fundamental e Ensino M√©dio, e apresenta√ß√£o e capta√ß√£o de futuros acad√™micos para o curso de Biologia.Ambos os projetos de extens√£o s√£o desenvolvidos no √Ęmbito do curso de Biologia com a participa√ß√£o de escolas p√ļblicas de Aragua√≠na e demais munic√≠pios pr√≥ximos, e consiste no desenvolvimento de din√Ęmicas de simula√ß√£o de pesquisa, onde estudantes da rede b√°sica aprendem mais sobre o curso de Biologia e s√£o convidados a participarem ativamente dos eventos da universidade ainda durante a Educa√ß√£o B√°sica. Os projetos s√£o de car√°ter intermitente a fim de contribuir para a diminui√ß√£o da dist√Ęncia entre a comunidade externa e interna.A presente obra foi pensada em duas partes com objetivos distintos, por√©m interligados. Uma parte (Parte I) foca nesta obra como um produto acad√™mico a partir de projetos de extens√£o na forma de um material de apoio aos professores de Ci√™ncias e Biologia que necessitam criar seus pr√≥prios recursos did√°ticos, e √© composta por uma colet√Ęnea de comunica√ß√Ķes curtas de planejamentos de modelos did√°ticos de baixo custo. E a segunda parte (Parte II) apresenta artigos completos que abordam a utiliza√ß√£o de maquetes did√°ticas no ensino a partir de diferentes pontos de vistas e outros relatos de experi√™ncias provenientes das a√ß√Ķes dos projetos de extens√£o. A seguir cada parte √© detalhada, comentada e contextualizada:A Parte I ‚Äď Colet√Ęnea de Comunica√ß√Ķes Curtas sobre Modelos Did√°ticos de Invertebrados apresenta uma s√©rie de comunica√ß√Ķes curtas sobre o processo de planejamento e confec√ß√£o de maquetes did√°ticas de baixo custo com foco no ensino de Zoologia dentro das habilidades EM13CNT202 da Base Nacional Comum Curricular. Todas as comunica√ß√Ķes foram elaboradas a fim de que professores e alunos possam utilizar as ideias apresentadas aqui e replic√°-las em suas institui√ß√Ķes de ensino. Os extensionistas e demais alunos do curso foram incentivados a utilizarem materiaisrecicl√°veis ou com o menor custo poss√≠vel sempre pensando na realidade socioecon√īmica da maioria dos estudantes da rede p√ļblica brasileira.A Parte II ‚Äď Colet√Ęnea de Artigos sobre o Uso de Modelos Did√°ticos reuni seis artigos completos que foram produzidos a partir das experi√™ncias promovidas com o desenvolvimento dos projetos de extens√£o no √Ęmbito da Universidade Federal do Tocantins em colabora√ß√£o com a comunidade externa. Os artigos possuem car√°ter de investiga√ß√£o cient√≠fica sobre o uso de modelos did√°ticos e tamb√©m de relato de experi√™ncia

    Characterisation of microbial attack on archaeological bone

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    As part of an EU funded project to investigate the factors influencing bone preservation in the archaeological record, more than 250 bones from 41 archaeological sites in five countries spanning four climatic regions were studied for diagenetic alteration. Sites were selected to cover a range of environmental conditions and archaeological contexts. Microscopic and physical (mercury intrusion porosimetry) analyses of these bones revealed that the majority (68%) had suffered microbial attack. Furthermore, significant differences were found between animal and human bone in both the state of preservation and the type of microbial attack present. These differences in preservation might result from differences in early taphonomy of the bones. © 2003 Elsevier Science Ltd. All rights reserved

    Management of coronary disease in patients with advanced kidney disease

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    BACKGROUND Clinical trials that have assessed the effect of revascularization in patients with stable coronary disease have routinely excluded those with advanced chronic kidney disease. METHODS We randomly assigned 777 patients with advanced kidney disease and moderate or severe ischemia on stress testing to be treated with an initial invasive strategy consisting of coronary angiography and revascularization (if appropriate) added to medical therapy or an initial conservative strategy consisting of medical therapy alone and angiography reserved for those in whom medical therapy had failed. The primary outcome was a composite of death or nonfatal myocardial infarction. A key secondary outcome was a composite of death, nonfatal myocardial infarction, or hospitalization for unstable angina, heart failure, or resuscitated cardiac arrest. RESULTS At a median follow-up of 2.2 years, a primary outcome event had occurred in 123 patients in the invasive-strategy group and in 129 patients in the conservative-strategy group (estimated 3-year event rate, 36.4% vs. 36.7%; adjusted hazard ratio, 1.01; 95% confidence interval [CI], 0.79 to 1.29; P=0.95). Results for the key secondary outcome were similar (38.5% vs. 39.7%; hazard ratio, 1.01; 95% CI, 0.79 to 1.29). The invasive strategy was associated with a higher incidence of stroke than the conservative strategy (hazard ratio, 3.76; 95% CI, 1.52 to 9.32; P=0.004) and with a higher incidence of death or initiation of dialysis (hazard ratio, 1.48; 95% CI, 1.04 to 2.11; P=0.03). CONCLUSIONS Among patients with stable coronary disease, advanced chronic kidney disease, and moderate or severe ischemia, we did not find evidence that an initial invasive strategy, as compared with an initial conservative strategy, reduced the risk of death or nonfatal myocardial infarction

    Health status after invasive or conservative care in coronary and advanced kidney disease

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    BACKGROUND In the ISCHEMIA-CKD trial, the primary analysis showed no significant difference in the risk of death or myocardial infarction with initial angiography and revascularization plus guideline-based medical therapy (invasive strategy) as compared with guideline-based medical therapy alone (conservative strategy) in participants with stable ischemic heart disease, moderate or severe ischemia, and advanced chronic kidney disease (an estimated glomerular filtration rate of <30 ml per minute per 1.73 m2 or receipt of dialysis). A secondary objective of the trial was to assess angina-related health status. METHODS We assessed health status with the Seattle Angina Questionnaire (SAQ) before randomization and at 1.5, 3, and 6 months and every 6 months thereafter. The primary outcome of this analysis was the SAQ Summary score (ranging from 0 to 100, with higher scores indicating less frequent angina and better function and quality of life). Mixed-effects cumulative probability models within a Bayesian framework were used to estimate the treatment effect with the invasive strategy. RESULTS Health status was assessed in 705 of 777 participants. Nearly half the participants (49%) had had no angina during the month before randomization. At 3 months, the estimated mean difference between the invasive-strategy group and the conservative-strategy group in the SAQ Summary score was 2.1 points (95% credible interval, 120.4 to 4.6), a result that favored the invasive strategy. The mean difference in score at 3 months was largest among participants with daily or weekly angina at baseline (10.1 points; 95% credible interval, 0.0 to 19.9), smaller among those with monthly angina at baseline (2.2 points; 95% credible interval, 122.0 to 6.2), and nearly absent among those without angina at baseline (0.6 points; 95% credible interval, 121.9 to 3.3). By 6 months, the between-group difference in the overall trial population was attenuated (0.5 points; 95% credible interval, 122.2 to 3.4). CONCLUSIONS Participants with stable ischemic heart disease, moderate or severe ischemia, and advanced chronic kidney disease did not have substantial or sustained benefits with regard to angina-related health status with an initially invasive strategy as compared with a conservative strategy
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