O existir da enfermagem cuidando na terminalidade da vida: um estudo fenomenológico

By taking care of cancer patients in their process of end of life, nursing experience situations of suffering before the anguish of others. This study aimed to understand the meaning and significance attributed by the nurses from the palliative care cancer hospital. This is a phenomenological research, grounded in Heidegger’s thinking, performed with 13 nurses, who work at Oncology hospitalward, through semi-structured interviews, which were analyzed according to the steps recommended by Josgrilberg. From understanding the statementsof the subjects, two ontological themesemerged: Feeling satisfaction and love in the care offered and Feeling anger and inabilitytowards terminally ill patients.We inferred that working in Oncology Ward is something rewarding for these professionals, but it entails physical and mental suffering, from feeling helpless before the death-dying process. Thus, we showedthat nursing professionals need to be recognized as human beings and as such, also deserving of care.Ao cuidar do paciente oncológico em seu processo de terminalidade de vida, a enfermagem experiencia as situações de sofrimento ante a angústia do outro. Este estudo teve como objetivo compreender o sentido e o significado atribuídos, pelos profissionais de enfermagem, ao cuidado paliativo oncológico hospitalar. Trata-se de uma pesquisa fenomenológica, embasada no pensar heideggeriano, realizada com 13 profissionais de enfermagem, atuantes em Ala Oncológica hospitalar, por meio de entrevistas semiestruturadas, que foram analisadas, segundo os passos preconizados por Josgrilberg. Da compreensão da linguagem dos sujeitos, emergiram duas temáticas ontológicas: Sentindo satisfação e amor no cuidado ofertado e Sentindo revolta e impotência frente à terminalidade. Depreendemos que trabalhar em Ala Oncológica é algo gratificante para esses profissionais, mas acarreta sofrimento físico e mental, proveniente de sentir-se impotente ante ao processo morte-morrer. Assim, evidenciamos que os profissionais da enfermagem necessitam ser reconhecidos como seres humanos e, como tais, também merecedores de cuidados.Durante el transcurso del cuidado de un paciente oncológico en el proceso de término de su vida, el profesional de enfermería experimenta situaciones de sufrimiento ante la angustia del otro. Este estudio buscó comprender el sentido y el significado atribuido, por los profesionales de enfermería, al cuidado paliativo oncológico hospitalario. Se trata de una investigación fenomenológica basada en el pensar heideggeriano, realizada con 13 profesionales de enfermería de un servicio hospitalario oncológico por medio de entrevistas semi-estructuradas, posteriormente analizadas según los pasos preconizados por Josgrilberg. De la comprensión del lenguaje de los participantes, surgieron dos temáticas ontológicas: Sintiendo satisfacción y amor en el cuidado ofrecido y Sintiendo indignación e impotencia frente al término de la vida. Se infiere que trabajar en un servicio oncológico es gratificante para estos profesionales, pero trae sufrimiento físico y mental por sentirse impotente ante el proceso muerte-morir. Así, se demuestra que los profesionales de enfermería deben ser reconocidos como seres humanos y como tales, también merecedores de cuidado

Qualidade de vida sob a ótica de pessoas em tratamento antineoplásico: uma análise fenomenológica

A proposta deste estudo foi desvelar a concepção de qualidade de vida, de portadores de neoplasia maligna que vivenciam tratamento antineoplásico em casa de apoio. Utilizou-se abordagem qualitativa estruturada na fenomenologia existencial, pois esta coloca o Ser numa dimensão ontológica. Entrevistaram-se 11 usuários de uma instituição filantrópica de Maringá-PR, durante os meses de junho e julho de 2010, os quais externaram suas concepções por meio da seguinte questão norteadora: Como anda sua vida neste momento? Durante a trajetória em busca do fenômeno, emergiram três temáticas ontológicas: existindo-no-mundo com as mudanças em seu corpo; existindo-no-mundo ausente de seus entes queridos; existindo-no-mundo preocupado com seu porvir. Por este estudo, apreendemos que os doentes estudados têm sua qualidade de vida afetada não só por estar afastados dos seus entes queridos e encontrarem-se em tratamento neoplásico, mas por uma série de circunstancias que a vida lhes impõe ao estarem acometidos pelo câncer

The existence of nursing in caring for terminally ills’life: a phenomenological study

By taking care of cancer patients in their process of end of life, nursing experience situations of suffering before the anguish of others. This study aimed to understand the meaning and significance attributed by the nurses from the palliative care cancer hospital. This is a phenomenological research, grounded in Heidegger’s thinking, performed with 13 nurses, who work at Oncology hospitalward, through semi-structured interviews, which were analyzed according to the steps recommended by Josgrilberg. From understanding the statementsof the subjects, two ontological themesemerged: Feeling satisfaction and love in the care offered and Feeling anger and inabilitytowards terminally ill patients.We inferred that working in Oncology Ward is something rewarding for these professionals, but it entails physical and mental suffering, from feeling helpless before the death-dying process. Thus, we showedthat nursing professionals need to be recognized as human beings and as such, also deserving of care

Prevenção da obesidade infantil: uma abordagem com gestantes e suas famílias

Trata-se de um relato de experiência de uma intervenção, que objetivou promover praticas saudáveis de alimentação na primeira infância. Foi realizada no ambulatório de uma maternidade em Santa Catarina. A intervenção foi realizada com 60 famílias, enquanto os mesmos aguardavam as consultas agendadas. Esta atividade demonstrou o desconhecimento das famílias a respeito do real valor nutricional dos alimentos, refletindo a falta de políticas promotoras da saúde.DOI: http://dx.doi.org/10.35700/ca.2020.ano7n12.p85-89.2688

Perception of the level of physical activity of university professors during the isolation of COVID-19 / Percepção do nível de atividade física dos professores universitários durante o isolamento da COVID-19

COVID-19 is characterized by a severe acute respiratory syndrome (SARS), caused by the SARS-CoV-2 coronavirus, which started in China, in Wuhan, spreading throughout the world in an advanced way and has become a global health emergency, affecting 216 countries. The most recent number of confirmed cases of COVID- 19 is> 23.3 million worldwide, including> 806.4 confirmed deaths, as well as having forced> 4 billion people to be confined to their homes. In Brazil, more than 3.5 million people have been infected, with a total of more than 114,250 confirmed deaths today. On January 30, 2020, WHO notified COVID-19 as the sixth international public health emergency. The uncertainty of not knowing when the pandemic will end can affect people's physical health and can lead to other associated symptoms. The objective of the study was to investigate the consequences that social isolation can cause in aspects of physical activity in teachers of all undergraduate courses at the Centro Universitário Escritor Osman da Costa Lins - UNIFACOL, in Vitória de Santo Antão-PE. A cross-sectional study was carried out. Data collection took place through online questionnaires containing sociodemographic information and levels of physical activity. There were 115 participants, of which 57.4% were male and 42.6% female. Regarding the level of physical activity, there was a statistically significant difference between the sexes in moderate-intensity and walking. And during the pandemic, there were more active women and more sedentary men

Skin color and severe maternal outcomes: evidence from the brazilian network for surveillance of severe maternal morbidity

Taking into account the probable role that race/skin color may have for determining outcomes in maternal health, the objective of this study was to assess whether maternal race/skin color is a predictor of severe maternal morbidity. This is a secondary analysis of the Brazilian Network for Surveillance of Severe Maternal Morbidity, a national multicenter cross-sectional study of 27 Brazilian referral maternity hospitals. A prospective surveillance was performed to identify cases of maternal death (MD), maternal near miss (MNM) events, and potentially life-threatening conditions (PLTC), according to standard WHO definition and criteria. Among 9,555 women with severe maternal morbidity, data on race/skin color was available for 7,139 women, who were further divided into two groups: 4,108 nonwhite women (2,253 black and 1,855 from other races/skin color) and 3,031 white women. Indicators of severe maternal morbidity according to WHO definition are shown by skin color group. Adjusted Prevalence Ratios (PRadj - 95%CI) for Severe Maternal Outcome (SMO=MNM+MD) were estimated according to sociodemographic/obstetric characteristics, pregnancy outcomes, and perinatal results considering race. Results. Among 7,139 women with severe maternal morbidity evaluated, 90.5% were classified as PLTC, 8.5% as MNM, and 1.6% as MD. There was a significantly higher prevalence of MNM and MD among white women. MNMR (maternal near miss ratio) was 9.37 per thousand live births (LB). SMOR (severe maternal outcome ratio) was 11.08 per 1000 LB, and MMR (maternal mortality ratio) was 170.4 per 100,000 LB. Maternal mortality to maternal near miss ratio was 1 to 5.2, irrespective of maternal skin color. Hypertension, the main cause of maternal complications, affected mostly nonwhite women. Hemorrhage, the second more common cause of maternal complication, predominated among white women. Nonwhite skin color was associated with a reduced risk of SMO in multivariate analysis. Nonwhite skin color was associated with a lower risk for severe maternal outcomes. This result could be due to confounding factors linked to a high rate of Brazilian miscegenation.2019CNPQ - Conselho Nacional de Desenvolvimento Científico e Tecnológico402702/2008-

Multidifferential study of identified charged hadron distributions in ZZ-tagged jets in proton-proton collisions at s=\sqrt{s}=13 TeV

Jet fragmentation functions are measured for the first time in proton-proton collisions for charged pions, kaons, and protons within jets recoiling against a $Z$ boson. The charged-hadron distributions are studied longitudinally and transversely to the jet direction for jets with transverse momentum 20 $< p_{\textrm{T}} < 100$ GeV and in the pseudorapidity range $2.5 < \eta < 4$. The data sample was collected with the LHCb experiment at a center-of-mass energy of 13 TeV, corresponding to an integrated luminosity of 1.64 fb$^{-1}$. Triple differential distributions as a function of the hadron longitudinal momentum fraction, hadron transverse momentum, and jet transverse momentum are also measured for the first time. This helps constrain transverse-momentum-dependent fragmentation functions. Differences in the shapes and magnitudes of the measured distributions for the different hadron species provide insights into the hadronization process for jets predominantly initiated by light quarks.Comment: All figures and tables, along with machine-readable versions and any supplementary material and additional information, are available at https://cern.ch/lhcbproject/Publications/p/LHCb-PAPER-2022-013.html (LHCb public pages

Study of the B−→Λc+Λˉc−K−B^{-} \to \Lambda_{c}^{+} \bar{\Lambda}_{c}^{-} K^{-} decay

The decay $B^{-} \to \Lambda_{c}^{+} \bar{\Lambda}_{c}^{-} K^{-}$ is studied in proton-proton collisions at a center-of-mass energy of $\sqrt{s}=13$ TeV using data corresponding to an integrated luminosity of 5 $\mathrm{fb}^{-1}$ collected by the LHCb experiment. In the $\Lambda_{c}^+ K^{-}$ system, the $\Xi_{c}(2930)^{0}$ state observed at the BaBar and Belle experiments is resolved into two narrower states, $\Xi_{c}(2923)^{0}$ and $\Xi_{c}(2939)^{0}$, whose masses and widths are measured to be $$m(\Xi_{c}(2923)^{0}) = 2924.5 \pm 0.4 \pm 1.1 \,\mathrm{MeV}, \\ m(\Xi_{c}(2939)^{0}) = 2938.5 \pm 0.9 \pm 2.3 \,\mathrm{MeV}, \\ \Gamma(\Xi_{c}(2923)^{0}) = \phantom{000}4.8 \pm 0.9 \pm 1.5 \,\mathrm{MeV},\\ \Gamma(\Xi_{c}(2939)^{0}) = \phantom{00}11.0 \pm 1.9 \pm 7.5 \,\mathrm{MeV},$$ where the first uncertainties are statistical and the second systematic. The results are consistent with a previous LHCb measurement using a prompt $\Lambda_{c}^{+} K^{-}$ sample. Evidence of a new $\Xi_{c}(2880)^{0}$ state is found with a local significance of $3.8\,\sigma$, whose mass and width are measured to be $2881.8 \pm 3.1 \pm 8.5\,\mathrm{MeV}$ and $12.4 \pm 5.3 \pm 5.8 \,\mathrm{MeV}$, respectively. In addition, evidence of a new decay mode $\Xi_{c}(2790)^{0} \to \Lambda_{c}^{+} K^{-}$ is found with a significance of $3.7\,\sigma$. The relative branching fraction of $B^{-} \to \Lambda_{c}^{+} \bar{\Lambda}_{c}^{-} K^{-}$ with respect to the $B^{-} \to D^{+} D^{-} K^{-}$ decay is measured to be $2.36 \pm 0.11 \pm 0.22 \pm 0.25$, where the first uncertainty is statistical, the second systematic and the third originates from the branching fractions of charm hadron decays.Comment: All figures and tables, along with any supplementary material and additional information, are available at https://cern.ch/lhcbproject/Publications/p/LHCb-PAPER-2022-028.html (LHCb public pages

Measurement of the ratios of branching fractions R(D∗)\mathcal{R}(D^{*}) and R(D0)\mathcal{R}(D^{0})

The ratios of branching fractions $\mathcal{R}(D^{*})\equiv\mathcal{B}(\bar{B}\to D^{*}\tau^{-}\bar{\nu}_{\tau})/\mathcal{B}(\bar{B}\to D^{*}\mu^{-}\bar{\nu}_{\mu})$ and $\mathcal{R}(D^{0})\equiv\mathcal{B}(B^{-}\to D^{0}\tau^{-}\bar{\nu}_{\tau})/\mathcal{B}(B^{-}\to D^{0}\mu^{-}\bar{\nu}_{\mu})$ are measured, assuming isospin symmetry, using a sample of proton-proton collision data corresponding to 3.0 fb${ }^{-1}$ of integrated luminosity recorded by the LHCb experiment during 2011 and 2012. The tau lepton is identified in the decay mode $\tau^{-}\to\mu^{-}\nu_{\tau}\bar{\nu}_{\mu}$. The measured values are $\mathcal{R}(D^{*})=0.281\pm0.018\pm0.024$ and $\mathcal{R}(D^{0})=0.441\pm0.060\pm0.066$, where the first uncertainty is statistical and the second is systematic. The correlation between these measurements is $\rho=-0.43$. Results are consistent with the current average of these quantities and are at a combined 1.9 standard deviations from the predictions based on lepton flavor universality in the Standard Model.Comment: All figures and tables, along with any supplementary material and additional information, are available at https://cern.ch/lhcbproject/Publications/p/LHCb-PAPER-2022-039.html (LHCb public pages