Ambulatório de seguimento a pacientes oncológicos pós tratamento: sistematização e implantação da consulta de enfermagem ambulatorial

Trabalho apresentado no 31º SEURS - Seminário de Extensão Universitária da Região Sul, realizado em Florianópolis, SC, no período de 04 a 07 de agosto de 2013 - Universidade Federal de Santa Catarina.Trata-se de um projeto de extensão que busca sistematizar e implantar a consulta de enfermagem a pacientes pós-tratamento para câncer de mama, cólon e próstata atendidos no Ambulatório SUS do Hospital Santa Rita da Santa Casa de Misericórdia de Porto Alegre. As consultas de enfermagem iniciaram no dia 07 de junho de 2013, uma vez por semana, das 08:00 as 12:00 horas. A carga-horária prevista para o projeto é de 192 horas. Foram realizadas, até o momento, 7 consultas a pacientes com câncer de mama. A consulta compreende o histórico de enfermagem, identificação dos diagnósticos, as intervenções e os resultados esperados de acordo com a taxonomia NANDA I, Nursing Interventions Classification (NIC) e Nursing Outcomes Classification (NOC). Os registros são realizados em instrumentos desenvolvidos para este fim. Até o momento foram identificados 8 diagnósticos: Constipação (2); Eliminação intestinal prejudicada (1), Disfunção sexual (1), Risco de baixa autoestima(1), Risco de glicemia instável(1), Ansiedade(1), Dor crônica (2), Incontinência Urinária de Esforço (1), Nutrição desequilibrada: maior do que as necessidades corporais (1), Medo (1), Incontinência urinária de esforço (1), Risco de queda (1), Risco de trauma (1), Conhecimento deficiente (1), Risco para infecção (2). Dentre eles a constipação, dor crônica e risco de infecção foram mais evidenciadas. As intervenções de enfermagem foram realizadas no momento da consulta por meio de educação para a saúde, assim como o planejamento dos resultados que serão avaliados nas reconsultas. A ação busca contribuir para a promoção da saúde, a prevenção da doença, a manutenção da qualidade de vida, bem como no enfrentamento da situação de sobrevida e no preparo do paciente para o retorno de cuidado a saúde na atenção primária. No contexto do ensino, envolve a inserção do acadêmico de enfermagem no processo de trabalho para que possa desenvolver conhecimentos, habilidades e atitudes necessárias em sua formação profissional alinhada as necessidades de saúde desta população tanto no seguimento quanto na atenção primária

Erratum to "Double-blind Randomized Trial of tDCS Versus Sham in Parkinson Patients With Mild Cognitive Impairment Receiving Cognitive Training" Brain Stimulation 8 (2015) 1223-1225.

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Fruit wastes as a valuable source of value-added compounds: a collaborative perspective

The by-products/wastes from agro-food and in particular the fruit industry represents from one side an issue since they cannot be disposed as such for their impact on the environment but they need to be treated as a waste. However, on the other side, they are a source of bioactive healthy useful compounds which can be recovered and be the starting material for other products in the view of sustainability and a circular economy addressing the global goal of zero waste in the environment. An updated view of the state of art of the research on fruit wastes is here given under this perspective. The topic is defined as follows: (i) literature quantitative analysis of fruit waste/by-products, with particular regards to linkage with health; (ii) an updated view of conventional and innovative extraction procedures; (iii) high-value added compounds obtained from fruit waste and associated biological properties; (iv) fruit wastes presence and relevance in updated databases. Nowadays, the investigation of the main components and related bioactivities of fruit wastes is being continuously explored throughout integrated and multidisciplinary approaches towards the exploitation of emerging fields of application which may allow to create economic, environmental, and social value in the design of an eco-friendly approach of the fruit wastes.info:eu-repo/semantics/publishedVersio

Screening for Alpha 1 antitrypsin deficiency in Tunisian subjects with obstructive lung disease: a feasibility report

<p>Abstract</p> <p>Background</p> <p>AATD is one of the most common inherited disorders in the World. However, it is generally accepted that AATD in North African populations is not a risk factor for lung and/or liver disease, based on a number of small studies. We therefore planned a screening study for detection of AATD in patients with OLD in a cohort of patients from Kairouan in central Tunisia. Methods: One hundred twenty patients with OLD (asthma, emphysema, COPD) were enrolled in the screening programme. Laboratory diagnosis for AATD was performed according to current diagnostic standards.</p> <p>Results</p> <p>We found that 6/120 OLD patients carried an AAT deficient allele, 1 PI*MZ, 1 PI*MPlowel, 3 PI*MMmalton, 1 PI*MMwurzburg.</p> <p>Conclusion</p> <p>this pilot study demonstrated that alleles related to deficiency of AAT are not absent in the Tunisian population, and that rare AATD variants prevailed over commonest PI*Z variant. These results would support a larger scale screening for AATD in Tunisia.</p

Through the Looking Glass: Technological Characterization of Roman Glasses Mimicking Precious Stones from the Gorga Collection (Museo Nazionale Romano&mdash;Palazzo Altemps)

This paper provides a detailed technological characterization of the Roman opus sectile glasses (second century AD) coming from the renowned Gorga collection. Nine glass samples corresponding to imitations of the porfido verde antico, cipollino rosso, rosso antico, giallo antico, diaspro nero e giallo, semesanto and agate/alabaster stones were studied. The aim of this study was twofold: (i) archaeometric, i.e., to provide valuable data on the production, raw materials and techniques of these refined Roman glasses that mimic precious stones and (ii) methodological, i.e., to highlight the good performance of combining polished thin sections and local probe measurements for the study of glassy microstructures. Based on the nature of the flux used, the glasses from the samples were classified as either natron-type or mixed-type (natron/plant ash). The latter stem from remelted glasses and contain relict grains of wollastonite that were not found in the pure natron samples. Relict wollastonite crystals appear to be a proficient petrographic marker to spot recycled glasses along with the commonly used chemical fingerprints. Different production and colouring techniques were identified, even for a given type of imitated stone. Metallic Cu, Ca antimonates and Pb-Fe antimonates were the three opacifiers used for the opaque glasses. Based on the crystal morphologies, metallic Cu and Ca antimoniates were possibly synthesized in situ simultaneously with the glass, whilst the Pb-Fe antimonates were prepared ex situ. The working temperatures for these glasses were estimated within the 900&ndash;1100 &deg;C range based on the presence and known thermal stability of some identified crystal phases

Aerial base stations with opportunistic links for next generation emergency communications

Rapidly deployable and reliable mission-critical communication networks are fundamental requirements to guarantee the successful operations of public safety officers during disaster recovery and crisis management preparedness. The ABSOLUTE project focused on designing, prototyping, and demonstrating a high-capacity IP mobile data network with low latency and large coverage suitable for many forms of multimedia delivery including public safety scenarios. The ABSOLUTE project combines aerial, terrestrial, and satellites communication networks for providing a robust standalone system able to deliver resilience communication systems. This article focuses on describing the main outcomes of the ABSOLUTE project in terms of network and system architecture, regulations, and implementation of aerial base stations, portable land mobile units, satellite backhauling, S-MIM satellite messaging, and multimode user equipments

Transcriptomic profiling of calcified aortic valves in clonal hematopoiesis of indeterminate potential carriers

Clonal hematopoiesis of indeterminate potential (CHIP) is characterized by the presence of clones of mutated blood cells without overt blood diseases. In the last few years, it has emerged that CHIP is associated with atherosclerosis and coronary calcification and that it is an independent determinant of cardiovascular mortality. Recently, CHIP has been found to occur frequently in patients with calcific aortic valve disease (CAVD) and it is associated with a poor prognosis after valve replacement. We assessed the frequency of CHIP by DNA sequencing in the blood cells of 168 CAVD patients undergoing surgical aortic valve replacement or transcatheter aortic valve implantation and investigated the effect of CHIP on 12&nbsp;months survival. To investigate the pathological process of CAVD in CHIP carriers, we compared by RNA-Seq the aortic valve transcriptome of patients with or without CHIP and non-calcific controls. Transcriptomics data were validated by immunohistochemistry on formalin-embedded aortic valve samples. We confirm that CHIP is common in CAVD patients and that its presence is associated with higher mortality following valve replacement. Additionally, we show, for the first time, that CHIP is often accompanied by a broad cellular and humoral immune response in the explanted aortic valve. Our results suggest that an excessive inflammatory response in CHIP patients may be related to the onset and/or progression of CAVD and point to B cells as possible new effectors of CHIP-induced inflammation