Relationship between stress and self-esteem of pregnant women during prenatal care

Objetivo: analisar os componentes do perfil psicossocial de gestantes durante o pré-natal. Métodos: estudo quantitativo, analítico, realizado com 160 gestantes, entre 14 e 47 anos de idade, atendidas num Hospital de referência do Maranhão, em 2017. Resultados: a maioria das gestantes tinha entre 19 a 35 anos de idade (48,75%); realizaram de 0 a 5 consultas de pré-natal (40,65%) e eram nulíparas (43,13%). A análise de regressão linear evidenciou a influência do estresse devido a problemas financeiros e relacionados à família, os itens que mais explicaram o constructo autoestima foram sentir que não é um fracasso e sentir-se satisfeita consigo mesma; A correlação de Pearson do estresse e autoestima foi negativa e com influência significativamente forte. Conclusão: o estresse dentre os fatores psicossociais é o que mais influencia para alterações no pré-natal provavelmente na autoestima, pois quando relacionado com estresse evidenciou relação negativa.Objective: Analyzing the components of the psychosocial profile of pregnant women during prenatal care. Methods: a quantitative and analytical study performed with 160 pregnant women between the ages of 14 and 47 assisted at a reference hospital in Maranhão, in 2017. Results: the majority of pregnant women were between 19 and 35 years of age (48.75%); attended to 0-5 prenatal appointments (40.65%), and were nulliparous (43.13%). The linear regression analysis evidenced the influence of stress due to financial and family-related problems; the items that most explained the construct of self-esteem were feeling that they are not a failure and feeling satisfied with themselves; Pearson's correlation of stress and self-esteem was negative and had a significantly strong influence. Conclusion: the stress among the psychosocial factors is the one that most influences prenatal changes probably in self-esteem because when related to stress it showed a negative relation

Assistência de Enfermagem em Crianças com Leishmaniose Visceral: Revisão Integrativa.

Visceral Leishmaniasis is characterized as a disease of serious public health problem in Brazil and worldwide, popularly known as calazar, identified by long-lasting fever, asthenia, anemia, weight loss, among other clinical manifestations. When not properly treated, the individual dies. Therefore, the objective of this study is to describe the nursing attributions in the cases of children affected by visceral leishmaniasis. The integrative literature review was developed through articles found in the following databases: Lilacs; Scielo, PubMed; BVS-BIREME, and BDENF, considering the time frame of the last 10 years. After applying the eligibility criteria, ten studies were found for analysis. As a result, it was observed that the nursing process is characterized by the interrelationship and dynamism of each step. The implementation of this assistance is an indispensable procedure both for early detection of children with visceral leishmaniasis and for rehabilitation. Thus, patient care involves dialogue, humanized care, multidisciplinary service provision, focusing not only on curative assistance, but also to develop educational actions.A Leishmaniose Visceral caracteriza-se por ser uma doença de grave problema para saúde pública no Brasil e no mundo, popularmente conhecida como calazar, identificada por febre de longa duração, astenia, anemia, perda de peso, dentre outras manifestações clínicas. Quando não tratada adequadamente leva o indivíduo ao óbito. Para tanto, o objetivo deste trabalho, consiste em descrever as atribuições da enfermagem frente aos casos de crianças acometidas por leishmaniose visceral. A revisão integrativa da literatura foi desenvolvida através de artigos alcançados nas bases de dados: Lilacs; Scielo, PubMed; BVS-BIREME, e BDENF, considerando o recorte temporal dos últimos 10 anos. Diante da aplicação dos critérios de elegibilidades, encontraram-se dez estudos para análise. Como resultado, observou-se que o processo de enfermagem é caracterizado pelo inter-relacionamento e dinamismo de cada etapa. A implementação dessa assistência faz-se um procedimento imprescindível tanto para detecção precoce de crianças com leishmaniose visceral quanto para a reabilitação. Assim, o cuidado com o paciente envolve diálogo, atendimento humanizado, prestação de serviço multidisciplinar, com foco não apenas na assistência curativa, mas também, o desenvolvimento de ações educativas

A violência sexual contra crianças e adolescentes: atuação do enfermeiro em sua prática profissional.

The sexual barbarity faced in childhood is identified as an obstacle in public health and a factor that causes numerous complications in the personal, family and social life of the victim; covering psychological, legal, social aspects causing traumas for the entire experience. Nursing is of utmost importance in preventive and educational actions, as well as in the suspicion of what has happened. Therefore, the article aims to identify sexual violence against children and adolescents, recognizing the role of nurses in their professional practice. This is an integrative bibliographic analysis with a qualitative approach, through bibliographic searches in the bases of BVS-BIREME, LILACS, SciELO and BDENF, and analysis of studies published in full, from 2017 to 2022, free in Portuguese, English and Spanish, which have in their title the health descriptors related to the theme. The research used for the preparation of this article demonstrate the assistance and care of nurses aimed at victims, describing their attributions and interventions in professional practice as well as possible complications and related diagnoses. It is concluded that nursing has an incisive role in the detection of such occurrences. However, to implement an effective performance and offer an adequate and efficient service, nurses must be trained for this purpose.A barbaridade sexual enfrentada na infância é identificada como um obstáculo na saúde pública e um fator que ocasiona inúmeras complicações na vida pessoal, familiar e social da vítima; abrangendo aspectos psicológicos legais, sociais ocasionando traumas para toda vivência. A enfermagem é de suma importância nas ações preventivas, educativas e da suspeita do ocorrido. Portanto, o artigo objetiva identificar a violência sexual contra crianças e adolescentes, reconhecendo a atuação do enfermeiro na sua prática profissional. Discorre de uma análise bibliográfica integrativa com abordagem qualitativa, por intermédio de buscas bibliográficas referentes nas bases da BVS-BIREME, LILACS, SciELO e BDENF, e análise dos estudos publicados na íntegra, de 2017 a 2022, gratuitos na língua portuguesa, inglesa e espanhola, que tem em seu título os descritores em saúde relacionados à temática. As pesquisas utilizadas para a elaboração deste artigo demonstram a assistência e os cuidados do enfermeiro voltado às vítimas, descrevendo as suas atribuições e intervenções no exercício profissional bem como possíveis complicações e diagnósticos relacionados. Conclui-se que a enfermagem tem um papel incisivo na detecção de tais ocorrências. Contudo, para implementação de uma atuação eficaz e ofertar um serviço adequado e eficiente, o enfermeiro deve capacitar-se para essa finalidade

O papel do enfermeiro no tratamento dos transtornos alimentares: Revisão integrativa.

Eating disorders are worrying pathologies that are related to eating behavior and the main eating disorders are: anorexia and bulimia. The treatment of these eating disorders contains a great challenge for nurses, because it is important that they have knowledge and dedication to treatments, where the prognosis is given due to an early diagnosis. The study proposed to develop a review about eating disorders, emphasizing the role of nursing. Having as objective the importance of nursing in the treatment of patients with eating disorders. This is a study carried out through a bibliographical survey, with the purpose of performing an integrative review in the following databases: LILACS, BVS-BIREME, MEDLINE and BDENF. In this context, the present study found that it is fundamental that nurses first need to recognize the severity of the problem before establishing strategies so that those affected by eating disorders do not need to resort to hospital services when the condition is already critical and that nurses are able to guide and conduct high quality and efficient clinical follow-up to patients and their families, focusing on establishing bonds of trust, emotional support and guidance on the pathology and its physical consequences.Os transtornos alimentares são patologias preocupantes, que estão relacionados ao comportamento alimentar e os principais transtornos alimentares são: anorexia e a bulimia. O tratamento desses transtornos alimentares contém um grande desafio para o enfermeiro, pois é importante que o mesmo possua conhecimentos e se dedique diante dos tratamentos, onde o prognóstico se dá em razão um diagnóstico precoce. O estudo se propôs a desenvolver uma revisão sobre transtornos alimentares, dando ênfase ao papel da enfermagem. Tendo como objetivo a importância da enfermagem frente ao tratamento de pacientes com transtornos alimentares. Tratando de um estudo realizado por meio de levantamento bibliográfico, com o propósito de realizar uma revisão integrativa nas bases de dados: LILACS, BVS-BIREME, MEDLINE E BDENF como critérios de inclusão foram utilizados artigos disponíveis na íntegra, em idioma português, inglês e espanhol e como critérios de exclusão artigos que não abordaram a temática estudada. Neste contexto o presente estudo constatou que é fundamental que os enfermeiros precisaram em primeiro lugar reconhecer a gravidade do problema antes de estabelecer estratégias para que aqueles acometidos pelos transtornos alimentares não precisassem recorrer aos serviços hospitalares quando o quadro já se encontra crítico e que o enfermeiro esteja apto para orientar e conduzir o acompanhamento clínico de alta qualidade e eficiência ao paciente e seus familiares, com foco no estabelecimento de vínculos de confiança, suporte emocional e orientação sobre patologia e suas consequências físicas

Práticas artísticas no ensino básico e secundário

A mediação entre os conteúdos culturais e a Educação Artística formal tem emergido como uma distinta área de inovação e de intervenção, como o mostram os 18 artigos selecionados nesta nona edição da revista Matéria-Prima.Entre a identidade, fundada nos focos de conhecimento local, e uma inserção integrada nos problemas e conteúdos globais joga-se a problematização da Educação Artística. As propostas articulam quer discursos curatoriais (museu, bienal, exposição), como ações de mediação visando uma expansão das atividades, a que se juntam as reflexões sobre a realidade da formação de professores, nas suas diversas modalidades, em diversas realidades sociais.Propiciam-se oportunidades de ações de intervenção, concertadas ou não, entre os agentes artísticos e os educadores. O resultado pode ser potenciado se se conseguir uma perspetiva informada e integrada das realidades artísticas: pede-se a todos os intervenientes mais integração e disponibilidade para um conhecimento mútuo consequente.info:eu-repo/semantics/publishedVersio

The complete genome sequence of Chromobacterium violaceum reveals remarkable and exploitable bacterial adaptability

Chromobacterium violaceum is one of millions of species of free-living microorganisms that populate the soil and water in the extant areas of tropical biodiversity around the world. Its complete genome sequence reveals (i) extensive alternative pathways for energy generation, (ii) ≈500 ORFs for transport-related proteins, (iii) complex and extensive systems for stress adaptation and motility, and (iv) wide-spread utilization of quorum sensing for control of inducible systems, all of which underpin the versatility and adaptability of the organism. The genome also contains extensive but incomplete arrays of ORFs coding for proteins associated with mammalian pathogenicity, possibly involved in the occasional but often fatal cases of human C. violaceum infection. There is, in addition, a series of previously unknown but important enzymes and secondary metabolites including paraquat-inducible proteins, drug and heavy-metal-resistance proteins, multiple chitinases, and proteins for the detoxification of xenobiotics that may have biotechnological applications

Penilaian Kinerja Keuangan Koperasi di Kabupaten Pelalawan

This paper describe development and financial performance of cooperative in District Pelalawan among 2007 - 2008. Studies on primary and secondary cooperative in 12 sub-districts. Method in this stady use performance measuring of productivity, efficiency, growth, liquidity, and solvability of cooperative. Productivity of cooperative in Pelalawan was highly but efficiency still low. Profit and income were highly, even liquidity of cooperative very high, and solvability was good

Juxtaposing BTE and ATE – on the role of the European insurance industry in funding civil litigation

One of the ways in which legal services are financed, and indeed shaped, is through private insurance arrangement. Two contrasting types of legal expenses insurance contracts (LEI) seem to dominate in Europe: before the event (BTE) and after the event (ATE) legal expenses insurance. Notwithstanding institutional differences between different legal systems, BTE and ATE insurance arrangements may be instrumental if government policy is geared towards strengthening a market-oriented system of financing access to justice for individuals and business. At the same time, emphasizing the role of a private industry as a keeper of the gates to justice raises issues of accountability and transparency, not readily reconcilable with demands of competition. Moreover, multiple actors (clients, lawyers, courts, insurers) are involved, causing behavioural dynamics which are not easily predicted or influenced. Against this background, this paper looks into BTE and ATE arrangements by analysing the particularities of BTE and ATE arrangements currently available in some European jurisdictions and by painting a picture of their respective markets and legal contexts. This allows for some reflection on the performance of BTE and ATE providers as both financiers and keepers. Two issues emerge from the analysis that are worthy of some further reflection. Firstly, there is the problematic long-term sustainability of some ATE products. Secondly, the challenges faced by policymakers that would like to nudge consumers into voluntarily taking out BTE LEI

Search for stop and higgsino production using diphoton Higgs boson decays

Results are presented of a search for a "natural" supersymmetry scenario with gauge mediated symmetry breaking. It is assumed that only the supersymmetric partners of the top-quark (stop) and the Higgs boson (higgsino) are accessible. Events are examined in which there are two photons forming a Higgs boson candidate, and at least two b-quark jets. In 19.7 inverse femtobarns of proton-proton collision data at sqrt(s) = 8 TeV, recorded in the CMS experiment, no evidence of a signal is found and lower limits at the 95% confidence level are set, excluding the stop mass below 360 to 410 GeV, depending on the higgsino mass

Severe early onset preeclampsia: short and long term clinical, psychosocial and biochemical aspects

Preeclampsia is a pregnancy specific disorder commonly defined as de novo hypertension and proteinuria after 20 weeks gestational age. It occurs in approximately 3-5% of pregnancies and it is still a major cause of both foetal and maternal morbidity and mortality worldwide1. As extensive research has not yet elucidated the aetiology of preeclampsia, there are no rational preventive or therapeutic interventions available. The only rational treatment is delivery, which benefits the mother but is not in the interest of the foetus, if remote from term. Early onset preeclampsia (<32 weeks’ gestational age) occurs in less than 1% of pregnancies. It is, however often associated with maternal morbidity as the risk of progression to severe maternal disease is inversely related with gestational age at onset2. Resulting prematurity is therefore the main cause of neonatal mortality and morbidity in patients with severe preeclampsia3. Although the discussion is ongoing, perinatal survival is suggested to be increased in patients with preterm preeclampsia by expectant, non-interventional management. This temporising treatment option to lengthen pregnancy includes the use of antihypertensive medication to control hypertension, magnesium sulphate to prevent eclampsia and corticosteroids to enhance foetal lung maturity4. With optimal maternal haemodynamic status and reassuring foetal condition this results on average in an extension of 2 weeks. Prolongation of these pregnancies is a great challenge for clinicians to balance between potential maternal risks on one the eve hand and possible foetal benefits on the other. Clinical controversies regarding prolongation of preterm preeclamptic pregnancies still exist – also taking into account that preeclampsia is the leading cause of maternal mortality in the Netherlands5 - a debate which is even more pronounced in very preterm pregnancies with questionable foetal viability6-9. Do maternal risks of prolongation of these very early pregnancies outweigh the chances of neonatal survival? Counselling of women with very early onset preeclampsia not only comprises of knowledge of the outcome of those particular pregnancies, but also knowledge of outcomes of future pregnancies of these women is of major clinical importance. This thesis opens with a review of the literature on identifiable risk factors of preeclampsia