Relaciones entre calidad y atención de enfermería: revisión integrada de la literatura

Este artigo objetiva destacar as estratégias que podem ser utilizadas pelo enfermeiro para a realização de ações comprometidas com a promoção da qualidade da assistência de enfermagem, através de uma revisão integrativa da literatura. As conclusões de estudos anteriormente conduzidos são sumarizadas a fim de que se formulem inferências sobre um tópico específico. A pesquisa foi realizada nas bases LILACS e BDENF, utilizando artigos indexados até 2006. A mostra foi composta por quatro estudos. Foi utilizado instrumento de coleta de dados confeccionado pela pesquisadora. Somente um estudo apontou estratégias com potencial para promover a assistência de enfermagem. Tais estratégias requerem ação e empenho por parte do enfermeiro para que este potencial seja ativado e, assim, as mudanças necessárias à promoção da assistência.This article aims at presenting the strategies that can be used by the nurse to accomplish compromised actions for the promotion of the nursing assistance with quality through an integrative literature review. The conclusions of previous studies are summarized in order to formulate inferences about a specific topic. The research was proceeded using the LILACS and BEDENF databases, using indexed articles published up to 2006. Four studies composed the sample. It was used an instrument of data collection made by the researcher. Only one study pointed strategies with potential to promote the nursing assistance. Such strategies require action and persistence from the Nursing professionals to activate this potential, thus, provoking the necessary changes to the promotion of the assistance.Este artículo objetiva destacar las estrategias que pueden ser utilizados por el enfermero, visando la realización de acciones comprometidas con la asistencia de enfermería com calidad. En la revisión integrativa de la literatura del plomo de los estudios se resumen previamente para formular inferencias en un asunto específico. La investigación fue realizada en las basis de datos LILACS y BDENF, con los artículos indexados hasta el 2006. Cuatro estudios compusieron la muestra. El instrumento de la colección de datos fue desarrollado por el investigador. Solamente un estudio señaló estrategias con potencial de promover la ayuda del enfermera. Estrategias requieren la acción y la persistencia de los profesionales del oficio de enfermera activar este potencial, así, provocando los cambios necesarios a la promoción de la ayuda

Current knowledge and future prospects of lima bean (Phaseolus lunatus)-rhizobia symbiosis

Lima bean (Phaseolus lunatus) is an important species of the genus Phaseolus for human consumption in tropical regions. The seeds are important source of protein for people from South America, Africa and Mexico. In addition, as a legume plant, lima bean presents the ability to perform the biological nitrogen fixation (BNF) through the symbiosis with nitrogen-fixing bacteria. The studies about diversity and efficiency of lima bean-rhizobia symbiosis have increased worldwide, mainly in Latin America. These studies have shown Bradyrhizobium and Rhizobium as the main symbionts, although Sinorhizobium, Mesorhizobium and Allorhizobium have been found associated with lima bean. Also, there is a large variation in the efficiency of N fixation by the current isolates of rhizobia and some rhizobia have presented high capability for fixing N. This review aims to explore the studies about diversity and efficiency of rhizobia in symbiosis with lima bean.Lima bean (Phaseolus lunatus) is an important species of the genus Phaseolus for human consumption in tropical regions. The seeds are important source of protein for people from South America, Africa and Mexico. In addition, as a legume plant, lima bean presents the ability to perform the biological nitrogen fixation (BNF) through the symbiosis with nitrogen-fixing bacteria. The studies about diversity and efficiency of lima bean-rhizobia symbiosis have increased worldwide, mainly in Latin America. These studies have shown Bradyrhizobium and Rhizobium as the main symbionts, although Sinorhizobium, Mesorhizobium and Allorhizobium have been found associated with lima bean. Also, there is a large variation in the efficiency of N fixation by the current isolates of rhizobia and some rhizobia have presented high capability for fixing N. This review aims to explore the studies about diversity and efficiency of rhizobia in symbiosis with lima bean

INOCULAÇÃO DE Gluconacetobacter diazotrophicus E SEU EFEITO NO DESENVOLVIMENTO DE PLANTAS DE ARROZ VERMELHO

O arroz (Oryza sativa L.) é um dos cereais mais produzidos e consumidos, caracterizando-se como sendo o principal alimento para mais da metade da população mundial, destacando principalmente nos países em desenvolvimento, tais como o Brasil, desempenhando papel estratégico em níveis econômicos e sociais. Nesse contexto, objetivou-se com o trabalho analisar o efeito no desenvolvimento de plantas de arroz vermelho inoculadas com Gluconacetobacter diazotrophicus em ambiente protegido. O Experimento foi realizado no Viveiro Florestal da UEPB e no Laboratório de Ecofisiologia de plantas cultivadas, localizados no Campus I, em Campina Grande – PB, no período compreendido entre 2013 e 2014, com o cultivo de arroz vermelho com sementes inoculadas e não inoculadas com G. diazotrophicus, constando de duas condições de inoculação: I1= sementes não inoculadas e I2= sementes inoculadas com a bactéria, dois genótipos (G1= 405 Embrapa Meio Norte e G2 = MNACH0501) tratadas com e sem estresse hídrico e utilizando o delineamento inteiramente casualizado, com 8 tratamentos e 4 repetições e a parcela foi constituída de um lisímetro, semeado-se 40 sementes por lisímetro. As variáveis de crescimento avaliadas foram: o número de folhas totais por touceira (NFTT); número de panículas por touceira (NPT); altura da maior bainha (AB); altura da maior folha (AMF); massa seca das folhas (MSF); massa seca dos colmos (MSC); massa seca das panículas (MSP), em arroz vermelho, sob duas condições de inoculação e sob quatro manejos hídricos. Conclui-se que a inoculação da bactéria G. diazotrophicus PAL5 resultou em maior produção de massa seca, assim como o tamanho das plantas de arroz vermelho; G. diazotrophicus PAL5 em condições controladas apresentou potencial de uso como biofertilizante para experimentação e seleção a campo

WHF Recommendations for the Use of Echocardiography in Chagas Disease

Chagas disease (ChD) represents a significant health burden in endemic regions of Latin America and is increasingly being recognized as a global health issue. The cardiac involvement in ChD, known as Chagas cardiomyopathy (ChCM), is the most severe manifestation and a leading cause of heart failure and mortality in affected individuals. Echocardiography, a non-invasive imaging modality, plays a crucial role in the diagnosis, monitoring, and risk stratification of ChCM. This consensus recommendation aims to provide guidance on the appropriate use of echocardiography in ChD. An international panel of experts, including cardiologists, infectious disease specialists, and echocardiography specialists, convened to review the available evidence and provide practical recommendations based on their collective expertise. The consensus addresses key aspects related to echocardiography in ChD, including its role in the initial evaluation, serial monitoring, and risk assessment of patients. It emphasizes the importance of standardized echocardiographic protocols, including the assessment of left ventricular function, chamber dimensions, wall motion abnormalities, valvular involvement, and the presence of ventricular aneurysm. Additionally, the consensus discusses the utility of advanced echocardiographic techniques, such as strain imaging and 3D echocardiography, in assessing myocardial mechanics and ventricular remodeling

Incidence and risk factors for Preeclampsia in a cohort of healthy nulliparous pregnant women: a nested case-control study

The objective of this study is to determine the incidence, socio-demographic and clinical risk factors for preeclampsia and associated maternal and perinatal adverse outcomes. This is a nested case-control derived from the multicentre cohort study Preterm SAMBA, in five different centres in Brazil, with nulliparous healthy pregnant women. Clinical data were prospectively collected, and risk factors were assessed comparatively between PE cases and controls using risk ratio (RR) (95% CI) plus multivariate analysis. Complete data were available for 1,165 participants. The incidence of preeclampsia was 7.5%. Body mass index determined at the first medical visit and diastolic blood pressure over 75 mmHg at 20 weeks of gestation were independently associated with the occurrence of preeclampsia. Women with preeclampsia sustained a higher incidence of adverse maternal outcomes, including C-section (3.5 fold), preterm birth below 34 weeks of gestation (3.9 fold) and hospital stay longer than 5 days (5.8 fold) than controls. They also had worse perinatal outcomes, including lower birthweight (a mean 379 g lower), small for gestational age babies (RR 2.45 [1.52-3.95]), 5-minute Apgar score less than 7 (RR 2.11 [1.03-4.29]), NICU admission (RR 3.34 [1.61-6.9]) and Neonatal Near Miss (3.65 [1.78-7.49]). Weight gain rate per week, obesity and diastolic blood pressure equal to or higher than 75 mmHg at 20 weeks of gestation were shown to be associated with preeclampsia. Preeclampsia also led to a higher number of C-sections and prolonged hospital admission, in addition to worse neonatal outcomes9CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQ401636/2013-5Bill and Melinda Gates FoundationGates Foundation [OPP1107597]; CNPqNational Council for Scientific and Technological Development (CNPq) [401636/2013-5

Health-related quality of life in patients with type 1 diabetes mellitus in the different geographical regions of Brazil : data from the Brazilian Type 1 Diabetes Study Group

Background: In type 1 diabetes mellitus (T1DM) management, enhancing health-related quality of life (HRQoL) is as important as good metabolic control and prevention of secondary complications. This study aims to evaluate possible regional differences in HRQoL, demographic features and clinical characteristics of patients with T1DM in Brazil, a country of continental proportions, as well as investigate which variables could influence the HRQoL of these individuals and contribute to these regional disparities. Methods: This was a retrospective, cross-sectional, multicenter study performed by the Brazilian Type 1 Diabetes Study Group (BrazDiab1SG), by analyzing EuroQol scores from 3005 participants with T1DM, in 28 public clinics, among all geographical regions of Brazil. Data on demography, economic status, chronic complications, glycemic control and lipid profile were also collected. Results: We have found that the North-Northeast region presents a higher index in the assessment of the overall health status (EQ-VAS) compared to the Southeast (74.6 ± 30 and 70.4 ± 19, respectively; p < 0.05). In addition, North- Northeast presented a lower frequency of self-reported anxiety-depression compared to all regions of the country (North-Northeast: 1.53 ± 0.6; Southeast: 1.65 ± 0.7; South: 1.72 ± 0.7; Midwest: 1.67 ± 0.7; p < 0.05). These findings could not be entirely explained by the HbA1c levels or the other variables examined. Conclusions: Our study points to the existence of additional factors not yet evaluated that could be determinant in the HRQoL of people with T1DM and contribute to these regional disparities

Zika Brazilian Cohorts (ZBC) Consortium: Protocol for an Individual Participant Data Meta-Analysis of Congenital Zika Syndrome after Maternal Exposure during Pregnancy.

Despite great advances in our knowledge of the consequences of Zika virus to human health, many questions remain unanswered, and results are often inconsistent. The small sample size of individual studies has limited inference about the spectrum of congenital Zika manifestations and the prognosis of affected children. The Brazilian Zika Cohorts Consortium addresses these limitations by bringing together and harmonizing epidemiological data from a series of prospective cohort studies of pregnant women with rash and of children with microcephaly and/or other manifestations of congenital Zika. The objective is to estimate the absolute risk of congenital Zika manifestations and to characterize the full spectrum and natural history of the manifestations of congenital Zika in children with and without microcephaly. This protocol describes the assembly of the Consortium and protocol for the Individual Participant Data Meta-analyses (IPD Meta-analyses). The findings will address knowledge gaps and inform public policies related to Zika virus. The large harmonized dataset and joint analyses will facilitate more precise estimates of the absolute risk of congenital Zika manifestations among Zika virus-infected pregnancies and more complete descriptions of its full spectrum, including rare manifestations. It will enable sensitivity analyses using different definitions of exposure and outcomes, and the investigation of the sources of heterogeneity between studies and regions