Efeito da simulação realística combinada à teoria na autoconfiança e satisfação de profissionais de enfermagem

Objetivo: Comparar o efeito do emprego da estratégia de simulação combinada à teoria com a simulação, per se, no ganho de autoconfiança em profissionais de enfermagem durante o manejo do paciente em parada cardiopulmonar. Método: Estudo quase experimental com pré e pós-testes, abordagem quantitativa. A amostra foi de conveniência e composta de 53 profissionais de enfermagem, divididos em grupo controle e experimental. A estratégia de simulação combinada à teoria foi a intervenção. Utilizou-se questionário estruturado e escala de satisfação e autoconfiança na aprendizagem para a coleta de dados. Resultados com p≤0,05 foram considerados significativos. Resultados: Os profissionais eram predominantemente jovens (33,2 ± 6,5 anos). No grupo experimental apesar da percepção relacionada a satisfação ter se mostrado superior, não houve diferença significativa (p=0,1 vs p=0,4). Mas a autoconfiança aumentou significativamente entre os profissionais do grupo experimental em relação ao controle (p=0,007 vs p=0,06). Conclusão e implicações para a prática: O nível de autoconfiança dos profissionais de enfermagem para atendimento ao paciente em parada cardiopulmonar melhorou significativamente após emprego da simulação combinada a teoria.Objective: To compare the effect of the use of the simulation strategy combined to theory with the simulation, per se, on the gain of self-confidence in nursing professionals during the management of the patient in cardiopulmonary arrest. Method: Quasi-experimental study with pre and post-tests, quantitative approach. Convenience sample composed of 53 professionals, divided into a control and experimental groups. The strategy was the intervention. A structured questionnaire and the satisfaction and self-confidence scale were used for data collection. Results with p≤0.05 were considered significant. Results: Professionals were predominantly young (33.2 ± 6.5 years) and females (84.9%). In the experimental group there was no significant difference (p=0.1 vs p=0.4), but self-confidence increased significantly among the professionals in the experimental group in relation to the control (p=0.007 vs p=0.06). Conclusion: The level of self-confidence of the nursing professionals for patient care in cardiopulmonary arrest improved significantly after using the combined simulation theory.Objetivo: Comparar el efecto del empleo de la estrategia de simulación combinada a la teoría con simulación, per se, en la obtención de autoconfianza en profesionales de enfermería durante el manejo del paciente en parada cardiopulmonar. Método: Estudio casi-experimental con pre/post-tests, abordaje cuantitativo. Muestra de conveniencia compuesta de 53 profesionales de enfermería, divididos en grupo control y experimental. La estrategia fue la intervención. Recolección de datos a través de cuestionario estructurado y escala de satisfacción y autoconfianza en aprendizaje. Considerados significativos resultados con p≤0,05. Resultados: Profesionales predominantemente jóvenes (33,2 ± 6,5 años). En el grupo experimental no hubo diferencia significativa (p=0,1 vs p=0,4), pero la autoconfianza aumentó significativamente entre profesionales del grupo experimental comparado al control (p=0,007 vs p=0,06). Conclusión e implicaciones para la práctica: El nivel de autoconfianza de los profesionales de enfermería para atención al paciente en paro cardiopulmonar mejoró después de la simulación combinada a la teoría

The sustainability in fashion: a systematic literature review on slow fashion

A reflexive movement around the universe of fashion shows alternatives to combat unrestrained consumption. The weakening of textile resources found in nature, and the devaluation of local production, seeking significantly, attributes that are applicable amid problematization caused since obtaining products. fashion items until their disposal. The slow fashion movement appears as a counterpoint to the fast-fashion model, seeking to add value in a rational way to clothing items in the globalized market, inserting sustainability as the main propagator of this dynamic that grows in a dizzying way over time. Thus, the objective of this research is to identify how slow fashion has been discussed in academic research. For this, a systematic literature search was carried from its first publication, in 2008, until the year 2019. The research is classified as descriptive with a qualitative-quantitative approach. As a result, 105 papers were obtained, ranging from articles in journals and congresses to master\u27s thesis and doctoral dissertations. It is a review of literature on how this topic is being disseminated amid the informational flow of fashion and its easy democratic access and debate, as well as the systematization of data that prove its existence and its interfaces that are relevant in business competitive level. About the results, we identified mostly qualitative research, focusing on the conceptual development of the area until at least mid-2017, with a change to practice during the year 2019, with exponential growth in recent years, especially in countries like Brazil and United States. It was also possible to define the term movement to characterize slow fashion, as well as to determine a holistic concept that better defines the vision of researchers in the area, with special focus on the works of Kate Fletcher. With this review, the necessary knowledge is exposed to deal with the subject in question and expand this theme in other areas that are appropriate to it

Capsule wardrobe based on the slow fashion principles: a way to increase sustainability in fashion

O slow fashion busca desacelerar a produção industrial em massa de produtos de moda ao sobrepor a valorização da qualidade, bem como das pessoas que trabalham em toda a cadeia produtiva, em detrimento à quantidade e à exploração dos recursos. O armário-cápsula é uma metodologia utilizada em forma de desafio para propor que as pessoas usem por um determinado período de tempo um modelo quantitativo e pré-delimitado de roupas, combinando-as, sem consumir novos produtos. Assim, objetivo desse trabalho é propor um novo método de armário-cápsula que traga as informações do slow fashion aliada aos princípios utilizados pelos consultores de imagem na construção de armários-cápsula. Foi executada uma pesquisa bibliográfica e documental, exploratória e qualitativa. Como resultado, foi possível obter um produto gráfico em forma de mapa mental que possibilita propiciar aos consumidores de moda a construção guiada de um armário-cápsula, interligando seu usuário a uma moda consciente e sustentável.Slow fashion seeks to decelerate the mass industrial production of fashion products by overriding the valorization of quality, as well as the people who work throughout the production chain, to the detriment of the quantity and exploitation of resources. The capsule wardrobe is a methodology used in the form of a challenge to propose that people use for a certain period of time a quantitative and pre-defined model of clothes, combining them, without consuming new products. Thus, the objective of this work is to propose a new method of capsule wardrobe that brings the information of slow fashion combined with the principles used by image consultants in the construction of capsule cabinets. A bibliographical and documentary, exploratory and qualitative research was carried out. As a result, it was possible to obtain a graphic product in the form of a mind map that makes it possible to provide fashion consumers with the guided construction of a capsule cabinet, connecting its user to conscious and sustainable fashion

Corneal Stromal Abscess in a Dog

ABSTRACTBackground: The eye is an important sense organ responsible for sight. The cornea is the outermost of many eye layers, being predisposed to several lesions, some of them being frequent in small animal clinics meanwhile others are unusual and seldom reported in specialized literature. The stroma abscess is a common condition in horses, but atypical in dogs, it's a condition in which a microperforation in the corneal epithelium allows microorganisms or a foreign body to penetrate the corneal stroma, and those become inside the cornea after a re-epithelialization, producing an intense inflammatory response. Therefore, this case reports a case of deep stromal abscess in a Shih Tzu dog.Case: A 4-year-old female Shih Tzu, weighing 4.6 kg, was submitted to ophthalmic examination in which the left eye presented an opaque yellowish-white protruding structure located on the right side, in the center of the cornea (3 o´clock position), bulbar and palpebral conjunctival hyperemia and congestion, chemosis, blepharospasm, and a moderate amount of mucous discharge. The clinical diagnosis was stromal abscess with reflex uveitis. A differential diagnosis should include conditions affecting the anterior part of the cornea, such as an epithelial inclusion cyst and a corneal ulcer. The inclusion cyst, contrarily to the corneal abscess, doesn't cause pain, meanwhile, the corneal ulcer was ruled out by the Fluorescein Staining Test. The recommended treatment was surgical, through lamellar keratectomy, followed by overlapping pedicled conjunctival graft and third eyelid flap. In association with the surgical treatment, oral antibiotics, anti-inflammatory, and opioids, plus topical antibiotics and autologous serum eye drop. Seventy days post-surgery, the previously observed inflammatory signs were no longer present. In the conjunctival graft insertion site perpetuated a scar leucoma with few blood vessels. The therapy was proven effective in solving the stromal abscess and in visual maintenance. Despite the located opacity due to leucoma, it barely causes any impairment, once its lateral position won't impact the central vision, which is more important to predator species than the peripheral vision.Discussion: Stromal abscess is a pathological condition in which an initial perforating corneal injury leads to a rupture of the epithelial barrier, allowing the access of bacterial, fungus, or foreign bodies of organic nature. The morbidity is more frequent in horses, but this report shows that although uncommon, stromal abscesses can occur in dogs. The diagnosis was achieved by an analysis of the clinical history and findings. Conditions that affect the anterior cornea must be among differential diagnoses. Treatment aims for the removal of infectious material with debridement and curetting of the stroma, by performing the lamellar keratoplasty technique, which produces a corneal wound. The implementation of a pedicled conjunctival graft allows, the influx of growth factors, active replication of stromal collagen by fibroblasts, and direct arrival of antibiotics through the blood supply to the exposed portion of the cornea.  The third eyelid flap is questioned by some authors, once it complicates the post-op follow up, and hinder the topical therapy from directly reaching the eye surface. Autologous serum: A blood-derived product often used to control corneal melting. The Federal Medicine Board determined that autologous serum eyedrops therapy has been scientifically proven effective, being used worldwide in the treatment of severe eye surface conditions. In Veterinary, studies also demonstrated that autologous serum can improve improve the corneal re-epithelialization in dogs.   Keywords: autologous serum, keratectomy, ophthalmology, veterinary.Título: Abscesso estromal em córnea de cãoDescritores: soro autólogo, ceratectomia, oftalmologia, veterinária

NEUROLOGICAL RECOVERY AFTER SURGICAL TREATMENT IN PATIENTS WITH THORACOLUMBAR TRM

ABSTRACT Objective: Evaluate the neurological recovery with a follow-up of 06 (six) months in victims of thoracic and lumbar fractures who underwent spinal decompression in less than 24 hours, between 24 and 48 hours, and more than 48 hours after the trauma. Methods: Data were collected on patients seen at a large public hospital in Belo Horizonte, between 2014 and 2018, who were victims of SCI who presented with neurological deficits at initial care, and the neurological recovery presented. Results: 41 SCI patients were evaluated, whose mean age was 34 years. There was a predominance of thoracic spine fractures (65.9% of the cases) and classified as AO Spine type C (75%). Regarding the time variable, about 68% of the patients were submitted to surgical treatment more than 48 hours after the trauma. It was observed that both the patients submitted to surgical decompression within less than 24 hours, and those operated on more than 48 hours after the trauma showed a slight neurological improvement at the 6-month follow-up. However, no statistical significance was found. It is worth noting that even when analyzing the 41 patients of the study, regardless of the surgical interval, it was impossible to observe a statistically significant neurological improvement at the 6-month follow-up. Conclusion: Our study could not demonstrate significant differences between those patients who operated early in less than 24 hours and those who operated after more than 48 hours. Level of Evidence III; Comparative retrospective study

DOENÇA DO REFLUXO GASTROESOFÁGICO EM CRIANÇAS E LACTENTES: DIAGNÓSTICO, TRATAMENTO E IMPACTOS NO DESENVOLVIMENTO INFANTIL

This article reviews gastroesophageal reflux disease (GERD) in children and infants, focusing on diagnosis, treatment, and its impact on child development. GERD is a common condition, especially in infants, characterized by the reflux of gastric contents into the esophagus, which can result in significant symptoms and complications. The influence of cow's milk protein allergy and eosinophilic esophagitis on the presentation and management of GERD is discussed, emphasizing the importance of differential diagnosis. Complementary exams, such as esophageal pH monitoring and endoscopy, are essential to confirm the diagnosis and evaluate complications. The use of proton pump inhibitors (PPIs) in GERD treatment is addressed, highlighting the need for a careful assessment of their risks and benefits, especially in infants. In conclusion, the management of GERD in children and infants requires an individualized approach, considering symptoms, complementary exams, and potential complications.Este artigo revisa a doença do refluxo gastroesofágico (DRGE) em crianças e lactentes, com foco no diagnóstico, tratamento e impactos no desenvolvimento infantil. A DRGE é uma condição comum, especialmente em lactentes, caracterizada pelo refluxo do conteúdo gástrico para o esôfago, podendo resultar em sintomas significativos e complicações. A influência da alergia à proteína do leite de vaca e da esofagite eosinofílica na apresentação e manejo da DRGE é discutida, destacando a importância do diagnóstico diferencial. Exames complementares, como pHmetria esofágica e endoscopia, são essenciais para confirmar o diagnóstico e avaliar complicações. O uso de inibidores de bomba de prótons (IBPs) no tratamento da DRGE é abordado, ressaltando a necessidade de uma avaliação criteriosa de seus riscos e benefícios, especialmente em lactentes. Em conclusão, o manejo da DRGE em crianças e lactentes requer uma abordagem individualizada, considerando os sintomas, exames complementares e potenciais complicações

DIAGNÓSTICO QUALI-QUANTITATIVO DA ARBORIZAÇÃO URBANA DO BAIRRO PANTANAL DO MUNICÍPIO DE MACAPÁ-AP

Este trabalho teve como objetivo realizar um inventário quali-quantitativo da arborização urbana do bairro Pantanal, Macapá, AP. Portanto, foram avaliados as condições arbóreas através dos parâmetros: porte arbóreo das espécies identificadas, disposição do fuste, presença de fios elétricos sob as árvores e calçamento adequada, por meio de índices de diversidade de Shannom e Simpsom foram avaliados a riqueza de espécies, e foi delimitada a área das copas e a cobertura arbórea por rua. Foram identificados 144 indivíduos arbóreo, sendo 17 espécies, pertencentes a 9 famílias botânicas. As espécies Mangifera indica L. e Cocos nucifera L. totalizaram 59% de indivíduos. A maioria dos indivíduos apresentam altura de até 5 m. Foi observado que 67,36 % dos indivíduos apresentaram fuste reto. Quanto que 68,06% estão com calçamento inadequado. Constatou-se que 77,78% da população vegetal encontra-se livre de fiação elétrica. O índice de Shannon (1,94) foi considerado baixo e o índice Simpson (0,79) indicou alta dominância de uma única espécie. A arborização em relação as copas foram insuficientes para proporcionar conforto térmico e sombreamento adequado. Conclui-se que arborização do bairro Pantanal encontra-se no estado juvenil, a maioria da vegetação no bairro é de espécies exóticas, a maioria das árvores não apresentam problemas fisionômicos.    Palavras-chave: levantamento florístico; condições urbanas; dominância; frequência.   Quali-quantitative diagnosis of urban arborization in the Pantanal Neighborhood of the municipality of Macapá, Amapá, Brazil   ABSTRACT: This study aimed to conduct a qualitative and quantitative inventory of urban afforestation in the Pantanal neighborhood, Macapá, AP. Therefore, the tree conditions were evaluated through the parameters: tree size of the identified species, stem arrangement, presence of electrical wires under the trees and adequate pavement, using Shannom and Simpsom diversity indexes, the species richness was evaluated, and the crown area and the tree cover per street were delimited. 144 tree species were identified, 17 species, belonging to 9 botanical families. The species Mangifera indica L. and Cocos nucifera L. totaled 59% of individuals. Most individuals are up to 5 m tall. It was observed that 67.36% of the individuals had a straight shaft. As 68.06% are with inadequate paving. It was found that 77.78% of the plant population is free of electrical wiring. The Shannon index (1.94) was considered low and the Simpson index (0.79) indicated high dominance of a single species. The afforestation in relation to the crowns was insufficient to provide thermal comfort and adequate shading. It is concluded that the afforestation of the Pantanal neighborhood is in the juvenile state, most of the vegetation in the neighborhood is of exotic species, most of the trees do not present physiognomic problems. Keywords: floristic survey; urban conditions; dominance; frequency

VARIAÇÃO GENÉTICA EM POPULAÇÕES NATURAIS DE AROEIRA EM DOIS SISTEMAS DE PLANTIO

A estimativa de parâmetros genéticos em especies nativas arbóreas é de fundamental importância para subsidiar programas de melhoramento e conservação genética. Assim, estimou-se parâmetros genéticos para os caracteres silvicultura1s altura, diâmetro à altura do peito, forma e diâmetro médio da copa em dois sistemas de plantio de aroeira: a) plantio homogêneo, envolvendo populações de Selvíria-MS e Bauru-SP, na forma de testes de progênies, instalados em dezembro de 1987, e b) plantio consorciado: aroeira (Myracrodruon urundeuva) com candiúba (Trema micrantha) constituído pelas populações de Selvíria-MS e Aramina-SP, também em forma de testes de progênies, instalados em fevereiro de 1992. Todos os testes estão localizados na FEP-FEIS/UNESP, localizada no município de Selvíria-MS. O delineamento experimental utilizado foi o de blocos casualizados. As estimativas de herdabilidade mostraram possibilidades de seleção nas populações de aroeira. Em ambos os sistemas de plantio a maior proporção da variação genética foi encontrada dentro de populações. O plantio consorciado proporcionou menores erros experimentais e urna estimativa de parâmetros genéticos mais robusta, o que recomenda o uso de um consórcio de espécies afins em testes de progênies com espécies arbóreas nativas, principalmente no que se refere à aroeira

Dysbiotic oral microbiota contributes to alveolar bone loss associated with obesity in mice

Periodontal diseases (PD) are inflammatory conditions that affect the teeth supporting tissues. Increased body fat tissues may contribute to activation of the systemic inflammatory response, leading to comorbidities. Some studies have shown that individuals with obesity present higher incidence of PD than eutrophics. Objective: To investigate the impact of obesity on periodontal tissues and oral microbiota in mice. Methodology: Two obesity mice models were performed, one using 12 weeks of the dietary protocol with a high-fat (HF) diet in C57BL/6 mice and the other using leptin receptor-deficient mice (db/db-/-), which became spontaneously obese. After euthanasia, a DNA-DNA hybridization technique was employed to evaluate the microbiota composition and topical application of chlorhexidine (CHX), an antiseptic, was used to investigate the impact of the oral microbiota on the alveolar bone regarding obesity. Results: Increased adipose tissue may induce alveolar bone loss, neutrophil recruitment, and changes in the oral biofilm, similar to that observed in an experimental model of PD. Topical application of CHX impaired bone changes. Conclusion: Obesity may induce changes in the oral microbiota and neutrophil recruitment, which are associated with alveolar bone loss