The daily life of relatives of patients admitted in icu: a study with social representations

Identifying which social representations of family members of patients admitted to the Intensive Care Unit (ICU) about the ICU and the hospitalization process and analyzing the implications of these for their everyday life. Method: this was a qualitative study based on the Theory of Social Representations. Results: the Statements of the relatives were synthesized in four themes: the perception of family members with respect to ICU; the family of the suffering of daily life; the "technological shock"; Religiosity: Hope of Salvation. Conclusion: through all the above was possible to observe the importance of looking for ways to understand and respond more humanized and warmly family lying in a hospital setting

Acceptability Of An Alimentary Supplement Of Whey-protein Concentrate And Tgf- β In Patients With Crohn's Disease.

The objective of this study was to evaluate the acceptability of an alimentary supplement of bovine whey-protein concentrate (WPC) and TGF- β , unavailable commercially, by patients with Crohn's disease (CD) and determine the chemical composition, solubility, and total amino acids content. The supplement was diluted in water, and an acceptance test was done to evaluate the aroma, flavour, and viscosity of the product using facial hedonic scale (nine-point scale), applied on 54 CD patients. The supplement composition indicated 73.3% protein, 10.5% fat, 2.2% ash, 6.3% water, and 7.7% carbohydrate. The supplement is presented as a good protein source and high content of essential amino acids. The average acceptance for all the attributes was between 5.0 and 6.0, and the flavour was mainly associated with soybean/grain, sour milk, and sweet/vanilla flavour. The results indicated that the supplement provided important nutritional properties for CD patients; however, for a large number of individuals to be encouraged to perform supplementation, it is essential to improve the sensory quality of the product. In order to do so, additional research is necessary to prevent the formation of volatiles which cause off-flavours or to mask undesirable aromas/flavours found in it.201394786

Nível de atividade física e desempenho no teste ergométrico em pacientes com doença renal crônica em tratamento conservador: estudo transversal

Introdução: a doença renal crônica (DRC), associada ao sedentarismo, predispõe à mortalidade cardiovascular. Objetivo: avaliar o nível de atividade física e desempenho no teste ergométrico (TE) em adultos com DRC em tratamento conservador. Método: estudo transversal, com 14 participantes, avaliados conforme nível de atividade física (Questionário Internacional de Atividade Física) e desempenho no TE. Resultados: 78,6% dos participantes foram ativos, no TE, 64,3% superaram os valores previstos do equivalente metabólico (MET) e 85,7% obtiveram comportamento fisiológico normal da frequência cardíaca frente ao esforço. A classe funcional I da New York Heart Association predominou e 21,4% apresentaram aptidão física fraca e regular conforme a American Heart Association. Conclusão: a maioria dos participantes apresentaram bom nível de atividade física e bom desempenho no teste de esforço, no entanto uma pequena parcela apresentou fraco desempenho funcional e sedentarismo ainda nesses estágios da DRC. Testes de esforço máximo e/ou submáximo poderiam ser realizados nesses estágios como forma de rastrear o comprometimento da função cardiovascular, a qual constitui a principal causa de morte nessa população

Fragilidade, funcionalidade e qualidade de vida de pacientes em hemodiálise: estudo transversal

Introdução: Alterações fisiológicas da doença renal nos adultos em hemodiálise parecem acelerar o envelhecimento e favorecer a fragilidade. Objetivo: Verificar frequência de fragilidade e repercussões clínicas, funcionais e na qualidade de vida de adultos em hemodiálise. Método: Estudo transversal com 17 participantes, agrupados em frágil/não frágil (Escala de Fragilidade de Edmonton). Avaliadas: funcionalidade (Medida de Independência Funcional), força de preensão palmar (dinamometria), velocidade da marcha (teste de velocidade de marcha de 4,6 metros) e qualidade de vida (KDQOL). Resultados: Cerca de 50% caracterizou-se como frágil. Preservada a independência funcional entre os grupos, entretanto a força de preensão palmar mostrou-se reduzida pelos critérios do fenótipo de fragilidade. O grupo frágil obteve menores escores em alguns domínios do KDQOL. Conclusão: A fragilidade pareceu frequente nessa população, embora a funcionalidade e velocidade da marcha apresentaram-se preservadas. Foi verificado redução da força de preensão palmar e menores pontuações na qualidade de vida no grupo frágil

Dynamic UCLA for single tilted implant in an aesthetic region

AbstractIntroductionThe aim of this paper was to present a rehabilitation of a patient with a dynamic universal castable long abutment (UCLA) for a single tilted implant in the anterior maxillary area.Presentation of caseA 57-year-old male patient attended the dentistry college clinic complaining of a vertical fracture of a residual root of the dental element 22. The tooth extraction was indicated for the implant installation. Due to the socket buccal wall thickness, the implant was installed with an inclination to the palate. It was done in a two-stage surgical protocol, and an external hexagon implant (3.75×11.5mm) was placed. After a six-month healing period to correct the implant position, a dynamic UCLA was set in place, rectifying the implant emergence profile at 20°. The ceramic structure fitting was performed and, after the patient’s consent, the prosthesis was finalized and installed.DiscussionAfter a follow-up period of twenty months, no complications were observed.ConclusionThe installation of tilted implants with a dynamic UCLA may be a viable option, faster and less invasive than bone grafts

O cotidiano de familiares de pacientes internados na uti: um estudo com as representações sociais The daily life of relatives of patients admitted in icu: a study with social representations

Objetivo: Identificar quais as representações sociais de familiares de pacientes internados na Unidade de Terapia Intensiva (UTI) sobre a UTI e o processo de internação, assim como analisar as implicações destas para o seu cotidiano. Métodos: Trata-se de uma pesquisa qualitativa baseada na Teoria das Representações Sociais. Resultados: Os depoimentos dos familiares foram sintetizados em quatro temas: A percepção dos familiares com relação a UTI; O cotidiano de sofrimento do familiar; O “Choque Tecnológico”; Religiosidade: Esperança de Salvação. Conclusão: Através de todo o exposto foi possível observar a importância de se buscar meios de compreender e atender de forma mais humanizada e acolhedora o familiar que se encontra em âmbito hospitalar

O cotidiano de familiares de pacientes internados na uti: um estudo com as representações sociais The daily life of relatives of patients admitted in icu: a study with social representations

Objetivo: Identificar quais as representações sociais de familiares de pacientes internados na Unidade de Terapia Intensiva (UTI) sobre a UTI e o processo de internação, assim como analisar as implicações destas para o seu cotidiano. Métodos: Trata-se de uma pesquisa qualitativa baseada na Teoria das Representações Sociais. Resultados: Os depoimentos dos familiares foram sintetizados em quatro temas: A percepção dos familiares com relação a UTI; O cotidiano de sofrimento do familiar; O “Choque Tecnológico”; Religiosidade: Esperança de Salvação. Conclusão: Através de todo o exposto foi possível observar a importância de se buscar meios de compreender e atender de forma mais humanizada e acolhedora o familiar que se encontra em âmbito hospitalar

Genus Paracoccidioides: Species Recognition and Biogeographic Aspects

Background: Paracoccidioidomycosis is a systemic mycosis caused by Paracoccidioides brasiliensis (species S1, PS2, PS3), and Paracoccidioides lutzii. This work aimed to differentiate species within the genus Paracoccidioides, without applying multilocus sequencing, as well as to obtain knowledge of the possible speciation processes. Methodology/Principal Findings: Single nucleotide polymorphism analysis on GP43, ARF and PRP8 intein genes successfully distinguished isolates into four different species. Morphological evaluation indicated that elongated conidia were observed exclusively in P. lutzii isolates, while all other species (S1, PS2 and PS3) were indistinguishable. To evaluate the biogeographic events that led to the current geographic distribution of Paracoccidioides species and their sister species, Nested Clade and Likelihood Analysis of Geographic Range Evolution (LAGRANGE) analyses were applied. The radiation of Paracoccidioides started in northwest South America, around 11–32 million years ago, as calculated on the basis of ARF substitution rate, in the BEAST program. Vicariance was responsible for the divergence among S1, PS2 and P. lutzii and a recent dispersal generated the PS3 species, restricted to Colombia. Taking into account the ancestral areas revealed by the LAGRANGE analysis and the major geographic distribution of L. loboi in the Amazon basin, a region strongly affected by the Andes uplift and marine incursions in the Cenozoic era, we also speculate about the effect of these geological events on the vicariance between Paracoccidioides and L. loboi. Conclusions/Significance: The use of at least 3 SNPs, but not morphological criteria, as markers allows us to distinguish among the four cryptic species of the genus Paracoccidioides. The work also presents a biogeographic study speculating on how these species might have diverged in South America, thus contributing to elucidating evolutionary aspects of the genus Paracoccidioides

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio