Moral harassment: a study with nurses of the family health strategy

Objective: Investigating the occurrence of the practice of moral harassment in the workplace of nurses of the Family Health Strategy; ascertaining who are the harassers; identifying the characteristics of aggressors; verifying the consequences of the moral harassment practice for the health of the professional. Method: this is an exploratory research, with quantitative approach, developed at Family Health Units, of the city of João Pessoa, with 30 nurses, with the application of a questionnaire. The data were analyzed by frequency and percentage. Results: from the 30 nurses of the research, ten (33,3%) suffered moral harassment, and in 46,1% of the cases, the aggressors were supporters. Regarding health problems as a consequence of the harassment, stands out the stress (92,3%). Conclusion: The study evidenced that a significantly number of nurses were victims of moral harassment in their workplaces, in a repetitive and systematically way, which causes health problems for the worker

Reconditioning in synchronous operation with one parallel induction generator

The purpose of this paper is to compare mathematical modeling and practical bench in order to validate the electrical interactions between an induction generator and a synchronous generator. Two generators was connected to a common bus in steady state, subject to non-linear load. The results comparing modeling and bench tests show that the induction generator besides the active power increasing, has a better way for harmonic currents flowing in common bus. It was concluded that the induction generator repowering and attenuates current harmonic components present at the connection point, improving the network voltage profile

Moral harassment: a study with nurses of the family health strategy

Objetivos: Investigar a ocorrência da prática do assédio moral no  ambiente de trabalho de enfermeiros da Estratégia Saúde da Família; averiguar quem são os assediadores; identificar as características dos agressores; verificar as consequências da prática do assédio moral para a saúde do profissional. Métodos: Trata-se de uma pesquisa exploratória, com abordagem quantitativa, desenvolvida em Unidades de Saúde da Família, do município de João Pessoa, com 30 enfermeiros, com a aplicação de um questionário. Os dados foram analisados por meio de frequência e percentual. Resultados: Dos trinta enfermeiros da pesquisa, dez (33,3%) sofreram assédio moral, e em 46,1% dos casos, os agressores eram apoiadores. No que tange a problemas de saúde em consequência do assédio, destaca-se o estresse (92,3%). Conclusões: O estudo evidenciou que um número significativo de enfermeiros foram vítimas de assédio moral em seu ambiente de trabalho, de forma repetitiva e sistemática, o que acarreta problemas de saúde para o trabalhador.

Emprego do compósito látex, poliamida e polilisina a 0,1% na correção cirúrgica de hérnias umbilicais recidivantes em bovinos leiteiros

Implantes biológicos e sintéticos têm sido comumente utilizados em cirurgia experimental com resultados promissores. Esse trabalho tem por objetivo avaliar a viabilidade do compósito de látex, poliamida e polilisina a 0,1% como implante nas hernioplastias umbilicais recidivantes. Utilizou-se 12 bovinos, mestiços e machos (idade 8–10m). As hernioplastias foram efetuadas com a justaposição do compósito sob o anel herniário. Efetuou-se avaliações clínicas diárias, por meio de escores, como segue: processo inflamatório (0-3), deiscência da ferida cirúrgica (0-2), além de abscessos, fistulações e recidiva (0-1, cada). Realizou-se avaliação macroscópica do sítio de implantação e colheita de material para histopatologia em dois animais aos 15 dias, dois aos 30 dias e dois aos 45 dias após o implante. Aos 10 dias de pós-operatório, observou-se processo inflamatório de escore 1 nos doze animais. Constatou-se após a biópsia, processo inflamatório de escore 3 nos seis animais e deiscência da ferida cirúrgica com escore 1 em quatro bovinos e escore 2 em dois animais. Verificou-se intensa associação entre o tecido conjuntivo neoformado e o tecido muscular, promovendo estabilidade e reparação cicatricial. No 15º dia observou-se fibroblastos associados à neovascularização e infiltrado de macrófagos, linfócitos e plasmócitos. Afastando-se da área de implante, havia predominância de colágeno. No 30º dia, notou-se feixes conjuntivos, discreta neovascularização e infiltrado de macrófagos. No 40º dia notaram-se características microscópicas semelhantes às observadas aos 30 dias. Conclui-se que o compósito de látex, poliamida e polilisina a 0,1% é eficaz nas hernioplastias umbilicais em bovinos

Low-Level Laser Therapy Reduces Lung Inflammation in an Experimental Model of Chronic Obstructive Pulmonary Disease Involving P2X7 Receptor

Chronic obstructive pulmonary disease (COPD) is a progressive disease characterized by irreversible airflow limitation, airway inflammation and remodeling, and enlargement of alveolar spaces. COPD is in the top five leading causes of deaths worldwide and presents a high economic cost. However, there are some preventive measures to lower the risk of developing COPD. Low-level laser therapy (LLLT) is a new effective therapy, with very low cost and no side effects. So, our objective was to investigate if LLLT reduces pulmonary alterations in an experimental model of COPD. C57BL/6 mice were submitted to cigarette smoke for 75 days (2x/day). After 60 days to smoke exposure, the treated group was submitted to LLLT (diode laser, 660 nm, 30 mW, and 3 J/cm(2)) for 15 days and euthanized for morphologic and functional analysis of the lungs. Our results showed that LLLT significantly reduced the number of inflammatory cells and the proinflammatory cytokine secretion such as IL-1 beta, IL-6, and TNF-alpha in bronchoalveolar lavage fluid (BALF). We also observed that LLLT decreased collagen deposition as well as the expression of purinergic P2X7 receptor. On the other hand, LLLT increased the IL-10 release. Thus, LLLT can be pointed as a promising therapeutic approach for lung inflammatory diseases as COPD.Sao Paulo Research Foundation (FAPESP) [2012/16498-5, 2012/15165-2]FAPESP [2015/23152-6, 2014/14604-8, 2015/13486-4]Univ Nove Julho UNINOVE, Post Grad Program Biophoton Appl Hlth Sci, Sao Paulo, SP, BrazilBrazilian Inst Teaching & Res Pulm & Exercise Imm, Sao Jose Dos Campos, SP, BrazilUniv Nove Julho UNINOVE, Masters Degree & PhD Program Rehabil Sci, Expt Cardioresp Physiol Lab, Sao Paulo, SP, BrazilUniv Calif San Diego UCSD Hlth Sci, Div Trauma Surg Crit Care Burns & Acute Care Surg, Dept Surg, San Diego, CA USAFed Univ Sao Paulo UNIFESP, Inst Sci & Technol, Sao Jose Dos Campos, SP, BrazilUniv Brasil, Postgrad Program Bioengn, Sao Paulo, SP, BrazilFed Univ Sao Paulo UNIFESP, Postgrad Program Sci Human Movement & Rehabil, Santos, SP, BrazilFed Univ Sao Paulo UNIFESP, Inst Sci & Technol, Sao Jose Dos Campos, SP, BrazilFed Univ Sao Paulo UNIFESP, Postgrad Program Sci Human Movement & Rehabil, Santos, SP, BrazilFAPESP [2012/16498-5, 2012/15165-2]FAPESP [2015/23152-6, 2014/14604-8, 2015/13486-4]Web of Scienc

Pododermatite séptica em bovinos: evolução clínica da fase inicial

This study aimed to describe the clinical signs of the initial phase of septic pododermatitis in thirty female girolando bovines under the same handling care from different farms in State of Goiás. Following the diagnosis, they were submitted to daily clinical examination of the hoofs during fifteen days. It was considered as the end of the initial phase the presence of fistula in interdigital space or when the observation time over. It was observed the farm's soil type and the period of the year (if rainy and dryness). During the disease evolution, edema and pain increased in progressive order until skin disruption and fistula formation. In 73,33%, the illness envolved the hind limbs. In 50,00% it was observed moderate edema and 26,67% intense edema in both limbs. Fistula occurred in 83,33% ill animals until sixth day, in 10% between seventh and eleventh days and in 6,67% of the cases it was't observed. Fistulation areas were middle point of interdigital space in 63,33%; dorsal region of interdigital space in 16,67% and in coronary corium of the abaxial region of the hoof in 10,00% and in palmar/plantar region between coronary cushion in 3,33% of cases. The septic pododermatitis showed the same clinical signs in farms considered in this study and in different periods of the year, differing in time and fistula site. The average time from diagnosis and fistulation was five days. The more commom site was the middle point of the interdigital space.Esse estudo objetivou caracterizar clinicamente a fase inicial da pododermatite séptica em bovinos. Foram utilizadas 30 fêmeas bovinas, Girolando, de propriedades rurais do Estado de Goiás, submetidas às mesmas condições de manejo. Após o diagnóstico, foram submetidas a exame clínico específico dos dígitos, diariamente, por um período de quinze dias. Considerou-se o término da fase inicial a presença de fístula no espaço interdigital ou quando se completava o período de observação. Foram identificados o tipo de solo e o período do ano (chuvoso e seco). Durante a evolução da doença, o edema e a sensibilidade intensificaram de forma progressiva. Em 73,33% dos casos, a enfermidade ocorreu no membro pélvico. Em 50,00% observou-se edema moderado e 26,67%, edema acentuado, considerando ambos os membros. A fistulação ocorreu em 83,33% animais doentes até o sexto dia, em 10% entre o sétimo e o décimo primeiro dia e em 6,67% não ocorreu. As áreas de fistulação ocorreram no ponto médio do espaço interdigital em 63,33%; na região dorsal do espaço interdigital em 16,67% e no cório-coronário da região abaxial do estojo córneo em 10,00% e na porção palmar/plantar entre os talões em 3,33% dos casos. A pododermatite séptica apresentou os mesmos sinais clínicos nas propriedades avaliadas e nos diferentes períodos do ano, variando apenas o tempo e o local de fistulação. O tempo médio transcorrido entre o diagnóstico e o a fistulação foi de cinco dias, sendo que o local de maior ocorrência foi o ponto médio do espaço interdigital

New human case reports of cutaneous leishmaniasis by Leishmania (Viannia) naiffi in the Amazon region, Brazil

ABSTRACT Few cases of human cutaneous leishmaniasis (CL) caused by Leishmania naiffi were described in the medical literature. The aim of this study was to report and analyze new cases of L. naiffi in the period between the years 1992 to 2011. The strains were characterized by isoenzyme analysis. All patients assisted had small lesions; ranging from 1.0x1.0 mm and 13.5x11.5 mm. The lesions observed were widely distributed: 55.5% on the lower limb, 5.5% in the abdominal area, 16.6% on upper limb and 22.2% in upper limb and back. Seventy-two percent of patients had ulcerated lesions. Clinical course of the disease varied from 1 to 10 months. According to gender, most infected individuals were men (83.3%). The patients came from Amazonas (10), Par

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030