RESUMO
Objetivo: Identificar os sentimentos atribuídos quanto à convivência com o idoso com Doença de Parkinson à luz dos cuidadores familiares. Métodos: Trata-se de um estudo qualitativo, do tipo descritivo-exploratório e transversal. Os participantes do estudo foram os cuidadores familiares que conviviam com o idoso portador da Doença de Parkinson. A amostra foi constituída por 20 cuidadores familiares. Para a coleta de dados utilizou-se os seguintes instrumentos: questionário referente ao perfil pessoal e familiar dos participantes e roteiro de entrevista semiestruturado, a estratégia metodológica para análise das entrevistas foi o Discurso do Sujeito Coletivo (DSC). Resultados: Emergiram as seguintes categorias: "dificuldade pela evolução da doença", "convivo de forma tranquila", "compromisso diário", "sentimento de impotência". Conclusão: É de extrema necessidade cuidar do cuidador e intensificar esforços para amparar estas famílias na sua integralidade, no propósito de eliminar as vulnerabilidades que esses cuidadores são expostos e que implicam diretamente na sua qualidade de vida.
Purpose: To identify the feelings attributed to living with elderly people with Parkinson's disease in the light of family caregivers. Methods: This is a qualitative, descriptive-exploratory and cross-sectional study. The study participants were family caregivers who lived with older adults carrier with Parkinson's disease. The sample consisted of 20 family caregivers. For data collection, the following instruments were used: questionnaire regarding the personal and family profile of the participants and a semi-structured interview script, the methodological strategy for the analysis of the interviews was the Discourse of the Collective Subject (DSC). Results: The following categories emerged: "difficulties by evolution of illness", "live together with ease", "daily commitment", and "feeling of impotence". Conclusion: It is of extreme necessity to care for the caregiver and to intensify efforts in order to support these families in their integrality, in the purpose of eliminating the vulnerabilities that these caregivers are exposed and that imply directly in their quality of life.
Assuntos
Humanos , Masculino , Feminino , Doença de Parkinson , Idoso Fragilizado , Cuidadores/psicologia , Relações Familiares , Estudos TransversaisRESUMO
The objective of this study was to research the existence of sexism against women among primary healthcare (PHC) workers and to identify associated factors. This was a cross-sectional study in which 163 PHC professionals of both sexes participated, all of whom were aged over 18 and had completed their primary or secondary education. The Gender Stereotyping and Ambivalent Sexism Inventory questionnaires were used. The average scores were more than 50% of the maximum score: Gender Stereotyping - 53.8%, hostile sexism - 58.2%, benevolent sexism - 64.1%. The average scores stratified by sociodemographic variables were higher. Significant differences in the hostile sexism score were found for sex (men scored higher than women), religion (higher scores for evangelical Christians) and among those who drank alcohol. For benevolent sexism, differences were found for schooling (greater scores for those who had only completed their primary education), religion (higher scores for evangelical Christians and Catholics) and area of work (greater for those working in general services). The stratification of the Gender Stereotyping scores did not point to significant differences. Sexist prejudice was found to exist for hostile sexism, benevolent sexism and gender stereotyping. This finding could have a negative influence on the service-user relationship, leading to greater inequities in health as a result of gender inequality.
O objetivo deste trabalho foi pesquisar a existência de preconceitos contra a mulher entre trabalhadores da Atenção Primária em Saúde e identificar fatores associados. Estudo transversal que teve a participação de 163 profissionais de APS. Foram utilizados os questionários Estereótipos de Gênero (EG) e o Inventário do Sexismo Ambivalente. Pesquisou-se indivíduos dos dois sexos, com mais de 18 anos e escolaridade básica ou média. Os escores médios tinham valores acima de 50,0% do valor máximo: EG 53,8%, Sexismo Hostil 58,2%; Sexismo Benévolo 64,1%. As médias estratificadas por variáveis sociodemográficas eram elevadas. Foram encontradas diferenças significantes por sexo (masculino maior que feminino), religiões (maior nos evangélicos) e nos que usavam bebidas alcoólicas, no Sexismo Hostil. No Sexismo Benévolo houve diferenças por escolaridade (maior no nível básico), religião (maior nos evangélicos e católicos) e atividade exercida (maior em serviços gerais). Estratificando EG não se encontrou diferenças significantes. Preconceitos sexistas hostis, benevolentes e estereótipos de gênero foram detectados. Esse achado pode influir negativamente na relação serviço-usuárias agravando as iniquidades em saúde geradas pelas desigualdades entre gêneros.
Assuntos
Pessoal de Saúde/psicologia , Preconceito/estatística & dados numéricos , Atenção Primária à Saúde , Sexismo/estatística & dados numéricos , Adolescente , Adulto , Atitude do Pessoal de Saúde , Estudos Transversais , Feminino , Pessoal de Saúde/estatística & dados numéricos , Hostilidade , Humanos , Masculino , Estereotipagem , Inquéritos e Questionários , Adulto JovemRESUMO
Resumo O objetivo deste trabalho foi pesquisar a existência de preconceitos contra a mulher entre trabalhadores da Atenção Primária em Saúde e identificar fatores associados. Estudo transversal que teve a participação de 163 profissionais de APS. Foram utilizados os questionários Estereótipos de Gênero (EG) e o Inventário do Sexismo Ambivalente. Pesquisou-se indivíduos dos dois sexos, com mais de 18 anos e escolaridade básica ou média. Os escores médios tinham valores acima de 50,0% do valor máximo: EG - 53,8%, Sexismo Hostil - 58,2%; Sexismo Benévolo - 64,1%. As médias estratificadas por variáveis sociodemográficas eram elevadas. Foram encontradas diferenças significantes por sexo (masculino maior que feminino), religiões (maior nos evangélicos) e nos que usavam bebidas alcoólicas, no Sexismo Hostil. No Sexismo Benévolo houve diferenças por escolaridade (maior no nível básico), religião (maior nos evangélicos e católicos) e atividade exercida (maior em serviços gerais). Estratificando EG não se encontrou diferenças significantes. Preconceitos sexistas hostis, benevolentes e estereótipos de gênero foram detectados. Esse achado pode influir negativamente na relação serviço-usuárias agravando as iniquidades em saúde geradas pelas desigualdades entre gêneros.
Abstract The objective of this study was to research the existence of sexism against women among primary healthcare (PHC) workers and to identify associated factors. This was a cross-sectional study in which 163 PHC professionals of both sexes participated, all of whom were aged over 18 and had completed their primary or secondary education. The Gender Stereotyping and Ambivalent Sexism Inventory questionnaires were used. The average scores were more than 50% of the maximum score: Gender Stereotyping - 53.8%, hostile sexism - 58.2%, benevolent sexism - 64.1%. The average scores stratified by sociodemographic variables were higher. Significant differences in the hostile sexism score were found for sex (men scored higher than women), religion (higher scores for evangelical Christians) and among those who drank alcohol. For benevolent sexism, differences were found for schooling (greater scores for those who had only completed their primary education), religion (higher scores for evangelical Christians and Catholics) and area of work (greater for those working in general services). The stratification of the Gender Stereotyping scores did not point to significant differences. Sexist prejudice was found to exist for hostile sexism, benevolent sexism and gender stereotyping. This finding could have a negative influence on the service-user relationship, leading to greater inequities in health as a result of gender inequality.
Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Adulto Jovem , Preconceito/estatística & dados numéricos , Atenção Primária à Saúde , Pessoal de Saúde/psicologia , Sexismo/estatística & dados numéricos , Estereotipagem , Atitude do Pessoal de Saúde , Estudos Transversais , Inquéritos e Questionários , Pessoal de Saúde/estatística & dados numéricos , HostilidadeRESUMO
Purpose: To compare the fixation of the central venous catheter (CVC) using two suture techniques. Methods: A clinical, analytical, interventional, longitudinal, prospective, controlled, single-blind and randomized study in adult, intensive care unit (ICU) patients. After admission and indication of CVC use, the patients were allocated to the Wing group (n = 35, catheter fixation with clamping wings and retainers) or Shoelace group (n = 35, catheter fixation using shoelace cross-tied sutures around the device). Displacement, kinking, fixation failure, hyperemia at the insertion site, purulent secretion, loss of the device, psychomotor agitation, mental confusion, and bacterial growth at the insertion site were evaluated. Results: Compared with the Wing group, the Shoelace group had a lower occurrence of catheter displacement (n=0 versus n =4; p = 0.04), kinking (n=0 versus n=8; p=0.001), and fixation failure (n=2 versus n=8; p=0.018). No significant difference was found in bacterial growth (n=20 versus n=14; p=0.267) between groups. Conclusion: The Shoelace fixation technique presented fewer adverse events than the Wing fixation technique.(AU)
Assuntos
Animais , Cateteres Venosos Centrais , Cateteres Venosos Centrais/veterinária , MicrobiotaRESUMO
Abstract Purpose: To compare the fixation of the central venous catheter (CVC) using two suture techniques. Methods: A clinical, analytical, interventional, longitudinal, prospective, controlled, single-blind and randomized study in adult, intensive care unit (ICU) patients. After admission and indication of CVC use, the patients were allocated to the Wing group (n = 35, catheter fixation with clamping wings and retainers) or Shoelace group (n = 35, catheter fixation using shoelace cross-tied sutures around the device). Displacement, kinking, fixation failure, hyperemia at the insertion site, purulent secretion, loss of the device, psychomotor agitation, mental confusion, and bacterial growth at the insertion site were evaluated. Results: Compared with the Wing group, the Shoelace group had a lower occurrence of catheter displacement (n=0 versus n =4; p = 0.04), kinking (n=0 versus n=8; p=0.001), and fixation failure (n=2 versus n=8; p=0.018). No significant difference was found in bacterial growth (n=20 versus n=14; p=0.267) between groups. Conclusion: The Shoelace fixation technique presented fewer adverse events than the Wing fixation technique.
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Suturas , Cateterismo Venoso Central/métodos , Técnicas de Sutura/instrumentação , Cateteres Venosos Centrais , Suturas/microbiologia , Índice de Gravidade de Doença , Cateterismo Venoso Central/efeitos adversos , Cateterismo Venoso Central/instrumentação , Método Simples-Cego , Estudos Prospectivos , Reprodutibilidade dos Testes , Fatores de Risco , Técnicas de Sutura/efeitos adversos , Distribuição por Sexo , Estatísticas não Paramétricas , Unidades de Terapia IntensivaRESUMO
Abstract Introduction: Motor vehicles have transformed human life in radical and contradictory ways. At the same time that cars have brought comfort and ease to human life, they are also a main cause of trauma, pain, disability, and death worldwide. Objective: To investigate the quality of life and self-esteem of traffic accident victims undergoing physical rehabilitation. Methods: This was a controlled, cross-sectional study that compared quality of life and self-esteem among traffic accident victims in physical therapy with other accident victims, physical therapy patients for other causes, and the general population. Results: The self-esteem of individuals undergoing physical therapy due to traffic accidents was lower compared to victims of other accidents and those in physical therapy for other reasons (p < 0.05). Regarding quality of life, the study group sample obtained the following mean scores: physical domain 48.1; psychological 52.8; social 68.1; environmental 54.1. These scores were lower than those of traffic accident victims who did not undergo physical therapy and of the general population in all domains (p < 0.05), but higher than that of individuals undergoing physical therapy for other causes, except in the psychological domain. Conclusion: Self-esteem and quality of life were low in traffic accident victims undergoing physical therapy. Physical therapy professionals can play an important role in improving these conditions provided they assume a humanized posture, practicing patient-centered rather than disease-centered health actions.
Resumo Introdução: Os veículos a motor transformaram a vida humana de maneira radical e contraditória. Ao mesmo tempo que trouxeram conforto e facilidades, se tornaram um dos principais causadores de trauma, dor, incapacidades e mortes em escala mundial. Objetivo: Investigar a qualidade de vida e autoestima em acidentados de trânsito submetidos à reabilitação física. Métodos: Estudo transversal, controlado. Comparou-se a qualidade de vida e a autoestima de vítimas de acidentes de trânsito submetidos a reabilitação fisioterápica com outros acidentados, pacientes de fisioterapia por outras causas e população geral. Resultados: Foi significantemente mais baixa a autoestima entre os que faziam fisioterapia devido a acidentes de trânsito do que entre os outros acidentados e os que estavam em reabilitação por outros motivos (p < 0,05). A qualidade de vida do grupo de estudo obteve os seguintes escores médios: Domínio Físico 48,1; Psicológico 52,8; Social 68,1; Ambiental 54,1. Estes escores foram inferiores aos dos grupos de acidentados de trânsito que não fizeram fisioterapia e aos da população geral em todos os domínios (p < 0,05) e superior aos dos submetidos à fisioterapia por outros motivos, exceto no domínio psicológico. Conclusão: A autoestima e a qualidade de vida nos acidentados de trânsito submetidos à fisioterapia foram baixas. O profissional de fisioterapia pode ter importante papel na melhora destas condições na medida em que assuma uma postura humanizada, praticando ações de saúde voltadas ao paciente e não à doença.
RESUMO
PURPOSE:To evaluate the clinical applicability of Pozzolana Biologic Silva cement (PBS(r)) in endodontic surgery.METHODS:Persistent apical periodontitis was diagnosed in 30 teeth of 12 patients by cone-beam computed tomography (CT). All patients had 2 or 4 affected teeth and underwent endodontic surgery with root-end filling. Patients with 2 affected teeth had one tooth (control) treated with mineral trioxide aggregate (MTA-Angelus(r)) as a root-end filling material, and the other tooth treated with PBS (experiment). When the patient had four affected teeth, two of them were treated with MTA and two with PBS. Six months after surgery, all patients were assessed by CT scan. Between-group comparisons of measurements were performed using the Wilcoxon test.RESULTS:Periradicular tissue regeneration was observed in all cases. Significant within-group differences in long axes of the lesion were found in the bucco-palatal direction (PBS group, p=0.0012; MTA group, p=0.024) and coronal-apical direction (PBS group, p=0.0007; MTA group, p=0.0015) between pre- and postoperative measurements.CONCLUSIONS:Pozzolana Biologic Silva cement can be used in the treatment of persistent periradicular lesions. The clinical use of PBS as a root-end filling material may be an alternative to MTA. PBS has additives, which provide enhanced strength.(AU)
RESUMO
ABSTRACT PURPOSE: To evaluate the clinical applicability of Pozzolana Biologic Silva cement (PBS(r)) in endodontic surgery. METHODS: Persistent apical periodontitis was diagnosed in 30 teeth of 12 patients by cone-beam computed tomography (CT). All patients had 2 or 4 affected teeth and underwent endodontic surgery with root-end filling. Patients with 2 affected teeth had one tooth (control) treated with mineral trioxide aggregate (MTA-Angelus(r)) as a root-end filling material, and the other tooth treated with PBS (experiment). When the patient had four affected teeth, two of them were treated with MTA and two with PBS. Six months after surgery, all patients were assessed by CT scan. Between-group comparisons of measurements were performed using the Wilcoxon test. RESULTS: Periradicular tissue regeneration was observed in all cases. Significant within-group differences in long axes of the lesion were found in the bucco-palatal direction (PBS group, p=0.0012; MTA group, p=0.024) and coronal-apical direction (PBS group, p=0.0007; MTA group, p=0.0015) between pre- and postoperative measurements. CONCLUSIONS: Pozzolana Biologic Silva cement can be used in the treatment of persistent periradicular lesions. The clinical use of PBS as a root-end filling material may be an alternative to MTA. PBS has additives, which provide enhanced strength.
Assuntos
Humanos , Adolescente , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Óxidos/uso terapêutico , Periodontite Periapical/cirurgia , Materiais Biocompatíveis/uso terapêutico , Compostos de Cálcio/uso terapêutico , Compostos de Alumínio/uso terapêutico , Cimentos Dentários/uso terapêutico , Apicectomia/métodos , Periodontite Periapical/diagnóstico por imagem , Período Pós-Operatório , Regeneração/fisiologia , Raiz Dentária/cirurgia , Raiz Dentária/diagnóstico por imagem , Estudos Prospectivos , Combinação de Medicamentos , Tomografia Computadorizada de Feixe CônicoRESUMO
PURPOSE: To investigate the efficacy of a 10% gel of unripe banana (Musa sapientum) peel in treating surgical wounds in rats. METHODS: A longitudinal, prospective, randomized triple-blind study was conducted with 60 Wistar rats (Rattus norvegicus albinus) weighing approximately 400g. The animals were randomly divided into: control group (treated with gel containing no active ingredient) and study group (treated with 10% gel of unripe banana peel). The gel was applied every three days to a 4x4-cm surgical wound created on the back of each animal (day 0) in both groups. Tissue samples were collected for histological analysis on days 14, 21 and 28. RESULTS: On day 14, more extensive vascular proliferation (p=0.023), presence of mononuclear cells (p=0.000), fibroblast proliferation (p=0.012), re-epithelialization (p=0.000), and decreased presence of polymorphonuclear cells (p=0.010) were observed in the study group than in controls. No significant between-group difference in the presence of polymorphonuclear cells was found on day 21. Fibroblast proliferation was significantly greater (p=0.006) in the study group than in the control group on day 28. CONCLUSION: The 10% gel of unripe banana peel showed anti-inflammatory activity and stimulated wound healing in rat skin when compared with a gel containing no active ingredient.
Assuntos
Musa/química , Fitoterapia/métodos , Extratos Vegetais/administração & dosagem , Cicatrização/efeitos dos fármacos , Ferimentos e Lesões/tratamento farmacológico , Animais , Anti-Inflamatórios/administração & dosagem , Proliferação de Células/efeitos dos fármacos , Relação Dose-Resposta a Droga , Fibroblastos/efeitos dos fármacos , Géis/administração & dosagem , Masculino , Estudos Prospectivos , Distribuição Aleatória , Ratos Wistar , Pele/efeitos dos fármacos , Fatores de Tempo , Resultado do TratamentoRESUMO
To investigate the efficacy of a 10% gel of unripe banana (Musa sapientum) peel in treating surgical wounds in rats. A longitudinal, prospective, randomized triple-blind study was conducted with 60 Wistar rats (Rattus norvegicus albinus) weighing approximately 400g. The animals were randomly divided into: control group (treated with gel containing no active ingredient) and study group (treated with 10% gel of unripe banana peel). The gel was applied every three days to a 4x4-cm surgical wound created on the back of each animal (day 0) in both groups. Tissue samples were collected for histological analysis on days 14, 21 and 28. On day 14, more extensive vascular proliferation (p=0.023), presence of mononuclear cells (p=0.000), fibroblast proliferation (p=0.012), re-epithelialization (p=0.000), and decreased presence of polymorphonuclear cells (p=0.010) were observed in the study group than in controls. No significant between-group difference in the presence of polymorphonuclear cells was found on day 21. Fibroblast proliferation was significantly greater (p=0.006) in the study group than in the control group on day 28. The 10% gel of unripe banana peel showed anti-inflammatory activity and stimulated wound healing in rat skin when compared with a gel containing no active ingredient.(AU)