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Caregiver’s perception about learning for home care 照顾者对家庭照护学习的认知
Pub Date : 2017-08-22 DOI: 10.4025/ACTASCIHEALTHSCI.V39I2.33565
S. F. Paula, Maria Helena Gehlen, Jeferson Ventura, Cláudia Zamberlan, Rosiane Filipin Rangel, Hedi Crecencia Heckler de Siqueira
The objective was to know the perception of the caregiver about the learning needs of care to be performed at home. This is an exploratory descriptive research, with a qualitative approach. Data collection occurred through a semi-structured interview, from August to October 2014, with six caregivers of patients hospitalized in a medium-sized hospital in the municipality of Santa Maria, Rio Grande do Sul State. The data were analyzed by the content analysis method, identifying two categories: The caregiver's perception about the learning needs; The attendance of the caregiver's learning needs. The study showed that the learning based on empirical, instinctive and observational methodologies, without the participation of the nurse in the process. There is need to improve this learning. The participation of the nurse as an educator in the planning, organization and development of the educational action stands out, since he/she is part of the care; however, the caregivers did not visualize this professional.
目的是了解照顾者对在家中进行护理的学习需求的看法。这是一项探索性描述性研究,采用定性方法。2014年8月至10月,通过半结构化访谈收集了数据,访谈对象是南里奥格兰德州圣玛丽亚市一家中型医院住院患者的6名护理人员。采用内容分析法对数据进行分析,将数据分为两类:照顾者对学习需求的感知;照料者学习需求的满足。研究表明,学习基于经验,本能和观察的方法,没有护士参与的过程。有必要改进这种学习。护士作为教育者参与教育行动的计划、组织和发展,因为他/她是护理的一部分;然而,护理人员并不认为这是专业的。
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引用次数: 0
Drug use and risk factors among school adolescents 在校青少年的药物使用和危险因素
Pub Date : 2017-08-22 DOI: 10.4025/ACTASCIHEALTHSCI.V39I2.32450
Bárbara de Oliveira Prado Sousa, A. C. Stelko-Pereira, E. Chaves, Denis da Silva Moreira, M. A. Santos, S. Pillon
This study evaluated the association between risk factors and severity of problems related to drug use in secondary school adolescents. This study had the participation of 1192 students from 6th to 9th year of a city in the South of Minas Gerais, Brazil. Data collection occurred through a questionnaire containing: socio-demographic data and the Drug Use Screening Inventory. Drug use was prevalent in adolescents aged 14 and 15 years, atheist, with good family relationships, living with friends/institutions, attended parties once a month, one or two times a week and three and four times a week. There was main damage in the areas of psychiatric disorders, family system and social competence among those who made use of drugs (except alcohol and tobacco). The results point to the need for implementation of preventive strategies of drug use and health promotion in the school context, whereas consumption was associated with significant damage.
本研究评估中学青少年吸毒相关问题的危险因素与严重程度之间的关系。这项研究有1192名来自巴西米纳斯吉拉斯州南部一个城市的六年级到九年级的学生参与。通过包含社会人口统计数据和药物使用筛选清单的问卷收集数据。吸毒在14岁和15岁的青少年中普遍存在,他们是无神论者,家庭关系良好,与朋友/机构住在一起,每月参加一次聚会,每周一次或两次,每周三次和四次。在使用毒品(酒精和烟草除外)的人中,主要损害是精神失常、家庭制度和社会能力。研究结果表明,有必要在学校范围内实施预防吸毒和促进健康战略,而吸毒与重大损害有关。
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引用次数: 2
Risk assessment of ulcer development by pressure in elderly institutionalized in Brazil 压力对巴西老年人机构溃疡发展的风险评估
Pub Date : 2017-05-31 DOI: 10.4025/ACTASCIHEALTHSCI.V39I1.28275
kamari Ana Reffatti, Tatiane Baratieri, Maicon Henrique Lentsck, C. Sangaleti
This study aimed to evaluate the risk of developing pressure ulcers (PU) and related factors in elderly residents in LTI of a medium-sized municipality in southern Brazil. The method applied was a cross-sectional study with elderly residents in a long-term institution (LTI) in Brazil, using sociodemographic questionnaire, health conditions questionnaire and Braden Scale. The data was analyzed using descriptive and inferential statistics. The results showed that most seniors had some degree of risk (57.2%) to develop PU, but no elderly presented the condition. Among the elderly at risk for PU, 54.5% of them rate their health as good, 46.7% participate in activities and 52.6% are satisfied with the institution. Conclusions: The absence of PU and positive evaluations of the elderly may be a result of the care offered by the LTI. The Braden Scale is an instrument that enables the planning and implementation of actions to improve the health of institutionalized elderly.
本研究旨在评估巴西南部一个中等城市LTI老年居民发生压疮(PU)的风险及其相关因素。采用社会人口学问卷、健康状况问卷和Braden量表对巴西某长期收容机构(LTI)的老年居民进行横断面研究。使用描述性和推断性统计对数据进行分析。结果显示,大多数老年人(57.2%)存在一定程度的PU发病风险,但没有老年人出现PU发病。在面临PU风险的老年人中,54.5%的人认为自己的健康状况良好,46.7%的人参加活动,52.6%的人对机构感到满意。结论:PU缺失和老年人的积极评价可能是LTI提供护理的结果。布雷登分级表是一项工具,能够规划和执行各项行动,以改善机构老年人的健康状况。
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引用次数: 1
Analysis of indicators of osteogenesis, cytotoxicity and genotoxicity of an experimental β-TCP compared to other bone substitutes 实验β-TCP与其他骨替代物的成骨指标、细胞毒性和遗传毒性分析
Pub Date : 2017-05-31 DOI: 10.4025/ACTASCIHEALTHSCI.V39I1.29788
N. V. Milhan, I. C. S. Carvalho, R. F. Prado, E. Trichês, C. Camargo, S. Camargo
The aim of this study was to evaluate the indicators of osteogenesis, cytotoxicity and genotoxicity of an experimental beta tri-calcium phosphate (experimental β-TCP) compared with two other bone substitutes: bovine hydroxyapatite (HA) (Bio-Oss ® - Geistlich) and beta tri-calcium phosphate (β-TCP - Bionnovation). The cell viability and genotoxicity were measured by MTT and MNT assay, respectively. The indicators of osteogenesis were analyzed by alkaline phosphatase activity, total protein content, and calcium deposition. The MTT and MNT assay showed that none of the tested materials was cytotoxic nor genotoxic. Concerning the indicators of osteogenesis, it was observed that cells in contact with all the materials were able to induce the osteogenesis and this process was influenced by the period of the cell culture in contact with bone substitutes. Based on the results of this study, it was concluded that this experimental β-TCP appears to be a promising material as a bone substitute.
本研究的目的是评价实验β-三磷酸钙(实验β-TCP)与另外两种骨替代品:牛羟基磷灰石(HA) (Bio-Oss®- Geistlich)和β-三磷酸钙(β-TCP - Bionnovation)的成骨指标、细胞毒性和遗传毒性。分别用MTT法和MNT法测定细胞活力和遗传毒性。以碱性磷酸酶活性、总蛋白含量、钙沉积等指标分析成骨指标。MTT和MNT试验表明,所有被测材料均无细胞毒性和基因毒性。在成骨指标方面,观察到与所有材料接触的细胞均能诱导成骨,且这一过程受与骨代用品接触的细胞培养时间的影响。基于本研究的结果,我们得出结论,这种实验性β-TCP似乎是一种很有前途的骨替代品材料。
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引用次数: 3
Knowledge of pediatricians and the importance of interdisciplinarity in attention to oral health in early childhood 儿科医生的知识和跨学科对儿童早期口腔健康的重要性
Pub Date : 2017-05-31 DOI: 10.4025/ACTASCIHEALTHSCI.V39I1.32251
Danielle Tupinambá Emmi, A. F. Lima, Ana Júlia Vieira de Lemos, C. D. M. P. Silva
The objective of this study was to evaluate the knowledge of pediatricians on the integrality of attention to oral health in early childhood. A cross-sectional study was conducted with a sample consisting of 70 doctors, working in public and private services, in the city of Belem, state of Para, Brazil. Data were collected using a questionnaire with approaches on: the professional profile; the knowledge of oral health of children; the use of fluoride; and self-perception on knowledge of oral health. A descriptive analysis of the data was performed, and the association between variables was verified with the Chi-square test, with p = 0.05. The average age of respondents was 41 years. Most professionals were females (88.57%) and featured more than 20 years of professional experience (38.57%). In general, most pediatricians answered satisfactorily the questions related to knowledge of children's oral health. However, when questioned about the knowledge of the use of fluoride, most professionals (92.86%) presented outdated knowledge that could result in inappropriate conduct. It was concluded that most pediatricians have knowledge of oral health promotion, although some concepts and conducts should be updated, especially the importance of fluorides in the control of tooth decay.
本研究的目的是评估儿科医生对儿童早期口腔健康关注的完整性的了解。在巴西帕拉州贝伦市,对70名在公共和私人服务机构工作的医生进行了一项横断面研究。数据收集采用问卷调查的方法:专业简介;儿童口腔健康知识;氟化物的使用;对口腔健康知识的自我认知。对资料进行描述性分析,用卡方检验验证变量间的相关性,p = 0.05。受访者的平均年龄为41岁。大多数专业人员为女性(88.57%),专业经验超过20年(38.57%)。总的来说,大多数儿科医生对儿童口腔健康知识的回答令人满意。然而,当被问及氟的使用知识时,大多数专业人员(92.86%)提供的知识过时,可能导致不当行为。结论是,大多数儿科医生都有促进口腔健康的知识,尽管一些概念和行为需要更新,特别是氟化物在控制蛀牙中的重要性。
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引用次数: 2
Sensibility and resistance profiles to antibiotics of pathogens isolated in a hospital unit of food and nutrition 某医院食品与营养科分离病原菌对抗生素的敏感性和耐药性
Pub Date : 2017-05-31 DOI: 10.4025/ACTASCIHEALTHSCI.V39I1.28290
E. D. Primio, B. Schumacher, Edcarlos Maurino Preuss, Dulcinea Blum Menezes, E. A. Gandra, E. Helbig
The objective of this study was to evaluate the sensibility and resistance profiles to antibiotics of pathogens isolated in a hospital unit of food and nutrition. It was evaluated as sample spots, with repetitions, environmental samples, utensils, equipment, manipulators’ hands and usually diet that would be served to the hospitalized patients. In the evaluated samples, coagulase positive Staphylococcus (CPS) and Gram negative bacillus were enumerated, and also, it was possible to isolate Klebsiella spp and Escherichia coli . The antimicrobial of less efficiency for CPS was oxacillin and penicillin-G, and for Klebsiella spp ampicillin e cephalothin. It should be emphasized that it was found strains multiresistants of CPS, Klebsiella spp and E. coli . The hospital unit of food and nutrition was evaluated as microbiological inadequate in several points, and it was verified resistance profiles to antibiotics of pathogens isolated in this unit.
本研究的目的是评估医院食品和营养部门分离的病原体对抗生素的敏感性和耐药性。它被评估为样本点,有重复,环境样本,器具,设备,操作工的手和通常的饮食,将被提供给住院病人。鉴定样品中检出凝固酶阳性葡萄球菌(CPS)和革兰氏阴性杆菌,并检出克雷伯氏菌和大肠杆菌。对CPS效率较低的抗菌药物是奥西林和青霉素- g,对克雷伯氏菌的抗菌药物是氨苄西林和头孢菌素。需要强调的是,发现了具有CPS、克雷伯氏菌和大肠杆菌多重耐药的菌株。医院食品和营养单元在几个方面被评价为微生物不足,并验证了该单元分离的病原体对抗生素的耐药性。
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引用次数: 0
Electromyographic evaluation of the lower limbs of patients with Down syndrome in hippotherapy 海马疗法对唐氏综合征患者下肢肌电图的评价
Pub Date : 2017-05-31 DOI: 10.4025/ACTASCIHEALTHSCI.V39I1.28868
M. F. Ribeiro, Ana Paula Espindula, A. A. Ferreira, L. A. P. S. Souza, V. Teixeira
Hippotherapy is a therapeutic method that uses the horse’s movement to achieve functional results in practitioners with Down syndrome (DS), who present motor and neurophysiological changes that affect the musculoskeletal system. Evaluating the motor behavior related to the control and the improvement of muscle activation in practitioners with Down syndrome subjected to hippotherapy. 10 practitioners were divided into two groups: Down Group (DG) – practitioners with DS, and Healthy Group (HG) – practitioners with no physical impairment. The muscles gluteus medius, tensor fasciae latae, rectus femoris, vastus medialis, vastus lateralis, biceps femoris, tibialis anterior and gastrocnemius were evaluated by electromyography using gross RMS values, which correspond to muscle activation; the evaluations were performed on the 1 st and 10 th hippotherapy sessions (frequency: once a week), and after 2 months interval without treatment, they were performed on the 1 st and 10 th hippotherapy sessions (frequency: twice a week). It was noted that activation of the studied muscles increased with the passing of sessions, regardless the weekly frequency of attendance; however, the period without treatment resulted in reduction of this effect. Practitioners with DS presented satisfactory changes in muscle activation pattern, in learning and in motor behavior during hippotherapy sessions.
海马疗法是一种治疗方法,利用马的运动来达到唐氏综合症(DS)患者的功能效果,这些患者表现出影响肌肉骨骼系统的运动和神经生理变化。评估与控制和改善肌肉激活相关的运动行为在唐氏综合症从业者接受海马疗法。10名医生被分为两组:唐氏综合症组(DG)和健康组(HG) -没有身体缺陷的医生。臀中肌、阔筋膜张肌、股直肌、股内侧肌、股外侧肌、股二头肌、胫前肌和腓肠肌的肌电描记与肌肉激活相对应的粗均方根值;在第1、10次海马疗法(频率:每周1次)进行评估,间隔2个月后,在第1、10次海马疗法(频率:每周2次)进行评估。值得注意的是,无论每周参加的频率如何,随着课程的进行,所研究的肌肉的激活程度都会增加;然而,未经治疗的时间导致这种效果降低。在海马疗法期间,退行性椎体滑移患者在肌肉激活模式、学习和运动行为方面表现出令人满意的变化。
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引用次数: 7
Meanings attributed by family members to the act of caring for elderly people with stroke sequels 家庭成员认为照顾中风后遗症老人的行为的意义
Pub Date : 2017-05-31 DOI: 10.4025/ACTASCIHEALTHSCI.V39I1.31885
R. Reis, E. Pereira, José Vitor da Silva
The objective of this study was to identify meanings that family members attribute to the act of caring for elderly individuals with stroke sequels. The participants were family members that were taking care of a senior with stroke sequels, both male and female. The sample was composed of 15 family members. The instruments used for data collection were: a questionnaire referring to the participants’ personal and family profile, in addition to a semi-structured interview script. For extraction of main ideas, Bardin’s content analysis was used. The categories that emerged from the ‘Meaning of caring’ theme were: ‘A lot of love and support’, ‘Hard because of the person’s dependence’, ‘Caring is not hard’, ‘Responsibility’ and ‘Role change’. The conclusion is that caring for an elderly person with stroke sequels involves a variety of aspects and situations.
本研究的目的是确定家庭成员对照顾中风后遗症老年人行为的意义。参与者是照顾中风后遗症老人的家庭成员,有男有女。样本由15名家庭成员组成。用于数据收集的工具是:一份涉及参与者个人和家庭概况的问卷,以及一份半结构化的访谈脚本。主要思想的提取采用了Bardin的内容分析法。从“关心的意义”主题中出现的类别是:“很多爱和支持”,“因为人的依赖很难”,“关心并不难”,“责任”和“角色转变”。结论是,照顾中风后遗症的老年人涉及各种方面和情况。
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引用次数: 0
Association between oral lichen planus and hepatitis C: retrospective study and case report 口腔扁平苔藓与丙型肝炎的关系:回顾性研究和病例报告
Pub Date : 2017-05-31 DOI: 10.4025/ACTASCIHEALTHSCI.V39I1.27018
Camila Strada da Silva, Willian Pecin Jacomacci, H. F. B. Junior, L. Iwaki, V. Veltrini, E. S. Tolentino
Oral Lichen Planus (OLP), a chronic inflammatory disease of unknown etiology, which affects the skin and/or mucosal tissues, is an autoimmune disease (pathology) of special interest to dentists due to its oral manifestations and its possible association with Hepatitis C virus (HCV). Although a possible association has been extensively discussed in the literature, the results have been controversial. So that the relationship between Oral Lichen Planus (OLP) and infection by HCV (OLP-HCV) may be investigated, current study conducted an epidemiological survey of all OLP cases diagnosed in two reference projects, with regard to diagnosis, treatment and epidemiology of oral lesions in Maringa, Parana, Brazil. In addition, the clinical case of a patient with HCV and the clinical manifestation of severe OLP will be provided. A total of 3,488 clinical records of biopsies performed between 1994 and 2014 and 85 cases of OLP were selected for the present study. The reticular type of OLP showed significant prevalence but only 2.3% of OLP cases revealed any association with HCV.
口腔扁平苔藓(OLP)是一种病因不明的慢性炎症性疾病,影响皮肤和/或粘膜组织,是一种自身免疫性疾病(病理),由于其口腔表现及其可能与丙型肝炎病毒(HCV)有关,牙医特别感兴趣。尽管文献中广泛讨论了两者之间可能存在的联系,但研究结果一直存在争议。为了探讨口腔扁平苔藓(OLP)与HCV感染的关系,本研究对巴西巴拉那州Maringa市两个参考项目中诊断的所有OLP病例进行了流行病学调查,以了解口腔病变的诊断、治疗和流行病学情况。并提供HCV患者的临床病例和重度OLP的临床表现。本研究共选取1994 - 2014年间3488例临床活检记录和85例OLP病例。网状型OLP的患病率显著,但只有2.3%的OLP病例显示与HCV有关联。
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引用次数: 3
Balance in seniors who exercise, considering different levels of fear of falling 老年人锻炼时的平衡,考虑到不同程度的跌倒恐惧
Pub Date : 2017-05-31 DOI: 10.4025/ACTASCIHEALTHSCI.V39I1.32302
E. Hauser, Lislayne Luiza da Silva, Paula Bertolini de Paiva, A. C. S. Souza, F. Cardoso, G. Mazo
The aging process brings changes to one’s body balance and may trigger a fear of falling. The aim of this study was to compare and verify correlation between different methods that assess body balance among elderly individuals who exercise, according to different levels of fear of falling. The sample was composed of 186 individuals (68.28±6.years) who exercise. Balance assessment used Timed Up and Go, Unipedal Stance, Sitting-Rising and Functional Reach tests. A question about fear of falling was applied in the form of an interview. Statistical analysis used Spearman and Kruskall Wallis correlation. In results, Timed Up and Go (7.13±1.6s), Unipedal Stance (20.52±9.9s), Sitting-Rising (12.43s±3.2s) and Functional Reach (29.51±6.5) showed significant correlation with fear of falling. Individuals less afraid of falling showed better balance performance when compared to those not afraid of falling. In conclusion, b etter balance performance can contribute to decreasing fear of falling.
衰老的过程会改变人的身体平衡,并可能引发对摔倒的恐惧。这项研究的目的是根据对摔倒的恐惧程度的不同,比较和验证评估锻炼的老年人身体平衡的不同方法之间的相关性。样本由186名运动个体(68.28±6岁)组成。平衡评估使用计时起身和走,单脚站立,坐-起和功能到达测试。一个关于害怕摔倒的问题以面试的形式出现。统计分析采用Spearman和Kruskall Wallis相关。结果:time Up and Go(7.13±1.6s)、单脚站立(20.52±9.9s)、坐起(12.43±3.2s)和功能延伸(29.51±6.5)与跌倒恐惧有显著相关。与不害怕摔倒的人相比,不害怕摔倒的人表现出更好的平衡能力。总之,更好的平衡能力有助于减少对摔倒的恐惧。
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引用次数: 0
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Acta Scientiarum. Health Science
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