2,084 research outputs found
Challenges for the heart failure care: exploratory research with nurses in Ontario
Objectives: to observe the implementation of Canadian protocols for patients with heart failure, and identify with nurses, health education aspects. Method: exploratory research in the period from August to December 2013, where the data collection was carried out by observation during the Shadow Experience and interview of Canadian nurses. For data analysis, we used descriptive statistics. Results: 28 patients were observed in the Shadow Experience strategy at different levels of care, and 13 nurses interviewed. In health education, interpersonal contact was the most used strategy (69,23%), treatment was the priority share (76,92%), followed by prevention (30,77%). There are challenges with respect to harmful lifestyle habits, and self-care considered ineffective (38,46%). Conclusion: interpersonal interaction, which involved professionals and Canadian individuals at different levels of care, helped to identify in their implementation, basic actions and challenges for heart failure
Application of Merleau-Pontyan perspective on the physical and psychological implications of venous ulcers
Objective: to verify the application of the Merleau-Pontyan perspective on the physical and psychological implications of chronic
venous ulcers in the existence of people who experience the disease. Method: a qualitative study, of the descriptive phenomenological
type, developed with 36 patients. The fi eld of investigation was the Outpatient Clinic of Wound Repair of the Hospital Universitário
Antônio Pedro. The collection occurred from June to December 2016, through a phenomenological interview. Results: the experiences
inherent in people who have venous ulcers pass through the world and “return” to the body itself, refl ecting on the biopsychosocial
aspects and the sensitivity left on the being. Conclusion: the biological characteristics of the subject affected by the venous ulcer have
repercussions on their physical aspect, promoting infl uences along with the emotional and social changes originating from the clinical
picture on the social aspects and consequently reverberating on the quality of life of this individual
Impacto de las úlceras venosas en la calidad de vida de los pacientes: revisión integrativa
Objective: To analyze knowledge gathered about the impact of venous ulcers on patients’ quality of life. Method: Systematic
bibliographic review study with an integrative approach. Databases of MEDLINE, LILACS, IBECS, CINAHL Complete, Web of
Science, Scopus, and CUIDEN Plus were used for selection with the PICOT guiding criteria, through the DeCS and MeSH:
adult, aged, varicose ulcer, and quality of life, in Portuguese, Spanish, and English. The inclusion criteria were: full original
articles available in the databases selected with adherence to the theme in Portuguese, Spanish, and English, published from
2007 to 2016. Results: The sample included 14 national and international articles with different methodological approaches
and investigative contexts, published from 2012 to 2016. Conclusion: Chronic venous ulcers act on patients’ bio-psycho-socialspiritual
and socioeconomic spheres, having a negative impact on their quality of life.Objetivo: Analizar las producciones de conocimiento sobre el impacto de las úlceras venosas en la calidad de vida de los pacientes.
Método: Estudio de revisión bibliográfi ca sistemática, tipo integrativa. Para la selección, se utilizaron las bases de datos MEDLINE;
LILACS; IBECS; CINAHL Complete; Web of Science; Scopus y CUIDEN Plus, con criterios orientadores PICOT; mediante DECs y MeSH:
adulto, anciano, úlcera varicosa y calidad de vida, en portugués, español e inglés. Fueron criterios de inclusión: artículos originales
integralmente disponibles en las citadas bases, referentes a la temática, en idiomas Portugués, Español e Inglés, publicados entre los
años 2007 y 2016. Resultados: La muestra incluyó 14 artículos nacionales e internacionales con diversos abordajes metodológicos
y contextos de investigación, en publicaciones realizadas desde 2012 hasta 2016. Conclusión: Las úlceras venosas crónicas actúan
sobre las esferas biopsicoespiritual y socioeconómica de los pacientes, con repercusiones negativas en la calidad de vida
Desafios para o cuidado da insuficiência cardíaca: pesquisa exploratória com enfermeiras em Ontario Challenges for the heart failure care: exploratory research with nurses in Ontario
Objetivos: observar a implementação de protocolos canadenses aos pacientes com insuficiência cardíaca, assim como identificar junto às enfermeiras, aspectos de educação em saúde. Método: pesquisa exploratória no período de agosto a dezembro de 2013, onde a coleta de dados deu-se por observação durante a Shadow Experience, e por entrevista de enfermeiras canadenses. Para análise dos dados, utilizou-se a estatística descritiva. Resultados: 28 pacientes foram observados na estratégia Shadow Experience em diferentes níveis de atendimento, e 13 enfermeiras entrevistadas. Em Educação em Saúde, o contato interpessoal foi a estratégia mais utilizada (69,23%), o tratamento foi a ação prioritária (76,92%), seguida da prevenção (30,77%). Há desafios com relação aos hábitos de vida prejudiciais, e para o autocuidado considerado pouco eficaz(38,46%). Conclusão: A interação interpessoal, a qual envolveu profissionais e indivíduos canadenses em diferentes níveis de atendimento, contribuiu para identificar em sua implementação, ações básicas e desafios para insuficiência cardíaca.Descritores: enfermagem; insuficiência cardíaca; atenção primária; intercâmbio educacional internacional
Desafios para o cuidado da insuficiência cardíaca: pesquisa exploratória com enfermeiras em Ontario Challenges for the heart failure care: exploratory research with nurses in Ontario
Objetivos: observar a implementação de protocolos canadenses aos pacientes com insuficiência cardíaca, assim como identificar junto às enfermeiras, aspectos de educação em saúde. Método: pesquisa exploratória no período de agosto a dezembro de 2013, onde a coleta de dados deu-se por observação durante a Shadow Experience, e por entrevista de enfermeiras canadenses. Para análise dos dados, utilizou-se a estatística descritiva. Resultados: 28 pacientes foram observados na estratégia Shadow Experience em diferentes níveis de atendimento, e 13 enfermeiras entrevistadas. Em Educação em Saúde, o contato interpessoal foi a estratégia mais utilizada (69,23%), o tratamento foi a ação prioritária (76,92%), seguida da prevenção (30,77%). Há desafios com relação aos hábitos de vida prejudiciais, e para o autocuidado considerado pouco eficaz(38,46%). Conclusão: A interação interpessoal, a qual envolveu profissionais e indivíduos canadenses em diferentes níveis de atendimento, contribuiu para identificar em sua implementação, ações básicas e desafios para insuficiência cardíaca.
Descritores: enfermagem; insuficiência cardíaca; atenção primária; intercâmbio educacional internacional
The Homeostasis of Iron, Copper, and Zinc in Paracoccidioides Brasiliensis, Cryptococcus Neoformans Var. Grubii, and Cryptococcus Gattii: A Comparative Analysis
Iron, copper, and zinc are essential for all living organisms. Moreover, the homeostasis of these metals is vital to microorganisms during pathogenic interactions with a host. Most pathogens have developed specific mechanisms for the uptake of micronutrients from their hosts in order to counteract the low availability of essential ions in infected tissues. We report here an analysis of genes potentially involved in iron, copper, and zinc uptake and homeostasis in the fungal pathogens Paracoccidioides brasiliensis, Cryptococcus neoformans var. grubii, and Cryptococcus gattii. Although prior studies have identified certain aspects of metal regulation in Cryptococcus species, little is known regarding the regulation of these elements in P. brasiliensis. We also present amino acid sequences analyses of deduced proteins in order to examine possible conserved domains. The genomic data reveals, for the first time, genes associated to iron, copper, and zinc assimilation and homeostasis in P. brasiliensis. Furthermore, analyses of the three fungal species identified homologs to genes associated with high-affinity uptake systems, vacuolar and mitochondrial iron storage, copper uptake and reduction, and zinc assimilation. However, homologs to genes involved in siderophore production were only found in P. brasiliensis. Interestingly, in silico analysis of the genomes of P. brasiliensis Pb01, Pb03, and Pb18 revealed significant differences in the presence and/or number of genes involved in metal homeostasis, such as in genes related to iron reduction and oxidation. The broad analyses of the genomes of P. brasiliensis, C. neoformans var. grubii, and C. gattii for genes involved in metal homeostasis provide important groundwork for numerous interesting future areas of investigation that are required in order to validate and explore the function of the identified genes and gene pathways
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