ObjectiveTo investigate the application of artificial airway care under the Failure Mode and Effect Analysis (FMEA) mode in postoperative weaning patients with intracerebral hemorrhage (ICH).MethodsA total of 137 patients who met the inclusion and exclusion criteria were selected from an affiliated hospital of Chongqing Medical University. Using a random number table, 67 patients and 70 patients were randomly assigned to the control group and the experimental group, respectively. The control group received conventional care, while the experimental group received artificial airway care based on the FMEA mode for postoperative weaning patients with cerebral hemorrhage. Data was analyzed using SPSS 27.0 to compare the incidence of pulmonary infection, re-intubation, aspiration, sputum viscosity, and tracheal tube duration between the two groups.ResultsThe incidence of pulmonary infection, re-intubation, and aspiration in the experimental group was significantly lower than that of the control group (p < 0.05). After intervention, the state of sputum viscosity in the experimental group was significantly improved compared to the control group (p < 0.05). The PaO2 level in the arterial blood gas analysis was significantly higher in the experimental group after intervention (p < 0.05). Additionally, the tracheal extubation time in the experimental group was significantly shorter than that of the control group (p < 0.05).ConclusionArtificial airway care under the FMEA mode can effectively reduce the complications in postoperative weaning patients with cerebral hemorrhage, such as pulmonary infections, re-intubation, and aspiration. It can improve PaO2 levels and sputum viscosity in arterial blood gas analysis while reduce the tracheal tube duration, and ultimately promote patient recovery.
Endocrine disruptors (EDs) are compounds that affect the endocrine system by interfering with hormone synthesis and action, altering organ development, reproductive and metabolic processes. Bisphenols and perfluoroalkyl compounds are key EDs studied, used in industrial processes to produce everyday products, i.e. plastics for food packaging. This creates a direct pathway for human exposure, with potential risks for pregnant women and their offspring, about which little is known. This study examined how maternal exposure to bisphenol A (BPA), bisphenol S (BPS), and perfluorooctanesulfonic acid (PFOS) affects mothers’ spontaneous behavior and anxiety levels. CD1 mouse mothers were orally treated during pregnancy and lactation and divided into four groups: 1) control, 2) BPA (0.2 ng/kg), 3) BPS (0.2 ng/kg), and 4) PFOS (0.7 ng/kg). The mothers were subsequently tested for maternal and anxiety-related behaviors. Feeding behavior indicated an increase in food intake among PFOS-treated mothers, while their body weight remained unchanged. The pups from these mothers were significantly heavier than the controls, whereas the pups exposed to BPA were smaller. These characteristics persisted throughout development. Behavioral tests (elevated plus maze and open field) revealed increased anxiety in PFOS mothers, while BPA mothers showed hyperactivity. Maternal care analysis from PND2 to PND8 revealed that PFOS mothers exhibited fewer maternal behaviors, spending less time nursing and more time outside the nest. Additionally, immunohistochemical analysis of vasopressin immunoreactivity revealed altered vasopressin content in the paraventricular nucleus of PFOS-treated mothers, suggesting a neuroendocrine basis for behavioral changes. In conclusion, BPA, BPS, and PFOS exposure during pregnancy and lactation resulted in diverse behavioral and metabolic effects. Future analyses will focus on the sexual and anxiety behavior of adult puppies and neural markers linked to these topics.
Abstract Aim This study was conducted to evaluate the relationship between nurses’ conscientious intelligence, their empathy levels and perception of spirituality and spiritual care. The study also aimed to determine whether empathy mediates the relationship between conscientious intelligence and perceptions of spirituality and spiritual care. Materials and methods This is a descriptive study with correlational design. This study was conducted with 315 nurses working in a training and research hospital in the east of Turkey. ‘Conscientious Intelligence Scale (CIS)’, ‘Empathy Quotient Scale (EQS)’ and ‘Spirituality and Spiritual Care Rating Scale (SSCRS)’ are data collection tools. Data analysis was performed using SPSS version 25 and AMOS version 26 software. Results It was determined that there was a weak positive significant relationship between nurses’ conscientious intelligence (CIS) levels and empathy levels (EQS) (r:0.219, p < 0.001), a moderate positive significant relationship between conscientious intelligence (CIS) and perceptions of spirituality and spiritual care (SSCRS) (r:0.373, p < 0.001), and a moderate positive significant relationship between empathy level (EQS) and perceptions of spirituality and spiritual care (SSCRS) (r:0.351, p < 0.001). In addition, empathy mediates the relationship between conscientious intelligence and perception of spirituality and spiritual care (Two Tailed Significance value is 0.02 and below 95% confidence interval). Conclusion As a result, a significant relationship was found between nurses’ levels of conscientious intelligence and their perceptions of empathy and perceptions of spirituality and spiritual care. Additionally, empathy was found to mediate the relationship between conscientious intelligence and perceptions of spirituality and spiritual care. In this context, it is recommended that training programmes be organised to improve nurses’ conscientious intelligence and spiritual care perceptions, and that various strategies such as reflective thinking and case-based training be applied to improve empathy skills. Furthermore, spiritual care, conscientious values, and communication skills should be incorporated more into nursing education curricula. Clinical trial number Not applicable.
Background: Anxiety in the last trimester of pregnancy will be different from anxiety in the previous trimester. Stress during pregnancy will affect the growth and development of the fetus. Anxiety is three times more likely to increase fear of childbirth and 1.7 times more likely to require a cesarean section. Stress during pregnancy can be reduced by exercising. One of the recommended sports is prenatal yoga. Practicing prenatal yoga during pregnancy is more effective in reducing stress and depression. Because in yoga, in addition to practicing, pregnant women also receive positive affirmations so that they can respond to physical changes during pregnancy and childbirth. to determine the effect of pregnancy yoga on the anxiety of pregnant women before birth. Method: A study uses a quasi-experimental design to examine the impact and effectiveness of treatment. The design of this study uses groups of subjects. Observations will be made before and after treatment. The sample for this study was pregnant women between 14 and 40 weeks of gestation. The instrument used to measure anxiety levels is the standard Hamilton Anxiety Rating Scale questionnaire (HARS). This research was carried out in the working area of "‹Puskesmas Ngletih, Kediri Regency. The study population included all pregnant women who attended a yoga class for pregnant women at Puskesmas Ngletih Workspace, Kediri Regency, for a total of 12 people. Result: The results of a study conducted at Ngletih Community Health Center, Kediri Town, in 2023. Result : Practicing gentle yoga before giving birth has an effect on pregnant women's anxiety about labor, with a p value of <0.001 (p <0.05).Conclusion : It is hoped that all pregnant women with a gestational age of 14–40 weeks can do prenatal yoga.
Eka Oktavianto, I Made Moh. Yanuar Saifudin, Gani Apriningtyas Budiyati
As a group, health workers are at risk of experiencing stress and mental health problems at work, which may negatively affect their resilience. This study assessed the effectiveness of mental health support strategies for health workers during the COVID-19 pandemic. This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines in searching through three journal databases, such as: EBSCO, Scopus, and PubMed. The quality of the studies was assessed with the Crowe Critical Appraisal Tool, and the results of the review emerged from a process of synthesis that identified common themes. The search yielded five main articles. The results of the synthesis process inspired several recommended strategies to support the resilience and mental health of health workers during a pandemic, including personal management, psychoeducational, and counselling approaches. It is important to work in partnership with stakeholders and across sectors to derive the maximum benefit from these interventions.
Abstrak
Strategi untuk Mendukung Resiliensi dan Kesehatan Mental Tenaga Kesehatan saat Pandemi: Scoping Review. Tenaga kesehatan adalah kelompok dengan risiko mengalami masalah kesehatan mental, seperti stress, di tempat kerja yang dapat berdampak negatif pada ketahanan/resiliensi. Tinjauan literatur ini bertujuan untuk menilai efektifitas strategi pendukung kesehatan mental tenaga kesehatan selama pandemi COVID-19. Scoping review dilakukan dengan menggunakan PRISMA guidelines dalam melakukan pencarian pada tiga database jurnal, yaitu EBSCO, Scopus dan PubMed. Kualitas studi dinilai dengan Crowe Critical Appraisal Tool. Hasil ulasan diformulasikan melalui proses narasi berulang dari hasil sintesis untuk mengidentifikasi tema umum. Pencarian pada tiga database menghasilkan lima artikel utama. Melalui proses sintesis, didapatkan beberapa strategi yang diketahui efektif dalam meningkatkan kesehatan mental tenaga kesehatan. Strategi yang dimaksud dapat berupa manajemen pribadi, kegiatan konseling bersama ahli, dan pelatihan/pendidikan terkait manajemen stres. dukungan stakeholder dan lintas sektor menjadi hal yang penting untuk memaksimalkan manfaat intervensi.
Kata Kunci: tenaga kesehatan, kesehatan mental, pandemi, resiliensi
Alberto Modenese, Stefania Paduano, Rossana Bellucci
et al.
The titer of the anti-SARS-CoV-2 antibodies produced after vaccination shows a relevant decay over time, as demonstrated in several studies. However, less is known on the possible factors affecting the entity of this decay. The aim of this study is to analyze a group of individual factors which are possibly associated with anti-SARS-CoV-2 antibody titer decay six months after the second vaccine dose. We report here the results of a follow-up serological analysis and a questionnaire-based evaluation of a sample of workers from an Italian nursing home, vaccinated with two doses of BNT162b2 vaccine in early 2021. The baseline data were collected one month after the vaccine, while in the present analysis we report the data collected six months later. Our data show a relevant decay of the neutralizing antibody titer, even if for all the workers a largely positive response was detected. Moreover, our results demonstrate a possible association between younger age and the absence of previous COVID-19 infection, and a higher decay rate of the anti-SARS-CoV-2 antibodies titer.
Neutropenia congenita grave (SCN) is a rare disease with a genetically and clinically heterogeneous nature, usually diagnosed in childhood, with an elevated risk of infections such as otitis, skin infections, pneumonia, deep abscesses, and septicemia. Patients with SCN also have an increased risk of leukemia, and mutations in the ELANE and the HAX1 genes have been observed in those patients.
This study was conducted to genetically screen six Iranian families with SCN who have at least one affected person. In the first step, all exons and intron boundaries of ELANE and HAX1 genes were sequenced in probands. Cases with no pathogenic mutations were tested through whole-exome sequencing (WES).
Analysis showed five different variants in ELANE (c.377 C>T), HAX1 (c.130_131 insA), HYOU1 (c.69 G>C and c.2744 G>A) and SHOC2 (c.4 A>G) genes in four families. We found that two out of six families had mutations in ELANE and HAX1 genes. Moreover, we found two novel mutations at the HYOU1 gene that had not previously been reported, as well as a pathogenic mutation at SHOC2 with multiple phenotypes, that will contribute to determining the genetic basis for SCN.
Our study revealed that WES could help diagnose SCN, improve the classification of neutropenia, and rule out other immunodeficiencies such as autoimmune neutropenia, primary immunodeficiency diseases, and inherited bone marrow failure syndromes.
Erika Yurley Duran-Niño, María Stella Campos de Aldana, Ligia Betty Arboleda de Pérez
ABSTRACT OBJECTIVE Carry out a narrative review of scientific literature on nursing professionals training in primary health care (PHC), which allows us to know the challenges facing the renewal of this strategy. METHODS Review of the literature found, selection of 55 articles from various scientific sources in the last 10 years in electronic databases (MEDLINE, IME, LILACS, Centro Cochrane Iberoamericano, Embase, CUIDEN, CINAHL, BDIE). The selected articles were submitted to an interpretation, synthesis, and critical analysis process for the purpose of selection. RESULTS Higher education institutions in Colombia have been working on training of undergraduate students responding to the axes established in the strengthening of human resources in health. This training is used for the application of the integral health care model, focusing on the strengthening of work profiles and the acquisition of competencies that can generate significant contributions to the reality and needs of the individual, family, community, as well as to the different cultures and ethnic groups with humanization, under the general social security health system. An analysis of renewed and comprehensive PHC approaches has been carried out in different countries involving transformations in education with training by competencies, interprofessional work, teamwork, strengthening communication with the community, and health team. CONCLUSIONS Based on the narrative review, this research highlights the importance of developing studies on interventions carried out by students with acquired competencies in their training process and management to improve health conditions of the community.
One of the radical ways to prevent and reduce mycotoxicosis on the animal body is the use of adsorbing feed additives in the diet. Inclusion of complex mineral and vegetable complex additive Nabikat at 0,20% dose and mineral - dry content of Glaukonit substance of 0.25% in enceinte and nursing sows’ full-fledged combined fodder composition showed that they increase the digestibility of crude fiber in the uterus during deep pregnancy by 4.97 and 4.07%, as well as the digestibility of crude fat by 5.24 and 1.71% and deposit nitrogen in it. They amount to 2.54 g and 1.24 g respectively. Compared to Glaukonit, Nabikat has a more positive effect on the anabolic properties of metabolic body processes. As a result, sows’ diversity in this group was 17.3% higher than in the control group, reaching 0.4% in the lazurite group. The difference in piglets’ preservation amounted to 10.9% and 2.2%, as well as in the weight of the litter when weaning. The age amounted to 26.5 and 0.9, respectively.%. Nabikat addition to sows’ diet reduced feed costs per piglet by 19.1 -30.4%, using Glaukonit - by 4.7 -5.8%.
ObjectiveTo systematically evaluate the effect of non-drug intervention on sleep quality in patients during chemotherapy.MethodsRandomized controlled trials about the effect of non-drug intervention on sleep quality in patients during chemotherapy were retrieved from the Cochrane Library，PubMed，Web of Science，Embase，China national knowledge infrastructure，Wanfang medical database，China biology medicine disc，VIP database for Chinese technical periodical.The retrieval time was from inception to January 31，2019.Literature screening and data extraction were carried out independently by two researchers.GeMET package of R 3.5.0 software，ADDIS 1.16.5 and Stata 13.0 software were used for network Meta⁃analysis.ResultsA total of 20 randomized controlled trials were included，involving 2 601 patients.Network Meta⁃analysis showed that excluding exercise therapy，the application of mindfulness therapy，relaxation training，music therapy，written expression，and cognitive behavior therapy all had statistically significant differences from routine nursing in effect on sleep quality in patients during chemotherapy（<italic>P</italic><0.05）.Ranked results of area under the visual assessment ranking probability graph showed that among the six non⁃drug intervention methods，written expression had the greatest possibility for improving sleep quality of patients during chemotherapy，followed by relaxation training，and exercise therapy had least possibility.ConclusionsCurrent evidence showed that writing expression may be the best non⁃drug intervention method to improve sleep quality in patients during chemotherapy，but its applicability should be further verified.
Negar Yazdani, Sayed Vahid Hosseini, Masood Amini
et al.
Background: Morbid obesity is rising around the world. It can cause unpleasant appearance and body image. Most of the studies have aimed to evaluate the psychopathology of overweight and obesity and paying attention to mental well-being in morbid obese individuals is rare. Therefore, this study aimed to assess the relationship between body image and psychological well-being in morbid obese patients.
Methods: This cross-sectional study, using simple random sampling method, was done on 124 morbid obese patients who referred to obesity clinic in Shiraz from 2016 to 2017. The data were collected by body image index and psychological well-being questionnaire. Results were analyzed using descriptive statistics, Pearson correlation coefficient test, ANOVA, and Regression analysis.
Results: The results showed a significant relationship between body image and psychological well-being (r=0.43) (P<0.001), and between the total score of the body image and all the subscales of psychological well-being except autonomy and purpose in life (P<0.05). There was also a significant relationship between the total score of psychological well-being and all the subscales of body image (P<0.05). However, there was no significant difference between the mean scores of the body image and those of psychological well-being in different categories of body mass index (BMI) (P>0.05).
Conclusion: Final results indicated that body image defects caused by obesity could lie in negative psychological well-being in all aspects. This study can promote health clinicians’ knowledge in supporting of mental status of obese individuals. It is suggested that preventing and supporting intervention should be performed as effective methods for encountering and coping with psychological effects of obesity.
Emilene Nóbrega Medeiros, Maria Miriam Lima da Nóbrega, Maria de Lourdes de Farias Pontes
et al.
Objetivo: identificar a partir de uma revisão sistemática da literatura os principais fatores de risco de quedas entre idosos. Método: a busca nas bases de dados foi feita por meio dos descritores queda and idoso; foram analisados 51 artigos, publicados no período de 2005 a 2010, que expressavam em seus resumos fatores de risco de quedas em idosos. Resultados: os principais fatores de risco de queda no idoso estão relacionados aos aspectos biológicos, comportamentais, ambientais e socioeconômicos. Outros fatores identificados foram a diminuição muscular, equilíbrio, depressão, obstáculos no caminho, maus tratos, ausência de corrimão, a criminalidade e a história de queda. Conclusão: buscou-se com esse estudo oferecer um norte científico, não só para o auxilio na avaliação clínica como, por sua vez, melhorar a assistência prestada àqueles sob-risco de queda nos diferentes níveis de atenção à saúde, mais impreterivelmente, tenha seu foco maior no contexto da atenção primária.
La obesidad es una enfermedad multifactorial que involucra aspectos genéticos y ambientales. Objetivo: valorar la influencia del estilo de vida en el índice de masa corporal de una población de adultos. Método: este estudio descriptivo transversal se deriva del proyecto "Hábitos alimentarios y composición corporal (IMC) de adultos con sobrepeso y obesidad"; cuya fase de recolección se realizó entre enero y julio de 2009; preliminarmente se presentan resultados relativos al estilo de vida. Se aplicó una cédula de datos personales y se realizaron mediciones antropométricas. Para el análisis estadístico se utilizaron medidas de tendencia central y se construyeron modelos de regresión lineal múltiple. Resultados: las mayores proporciones tanto del grupo de hombres como del de mujeres, señalaron no fumar, ni realizar algún deporte o ejercicio. En el caso del consumo de alcohol, la mayor proporción del grupo de hombres dijo consumirlo. Los modelos de regresión mostraron que en el total del grupo, así como en el grupo de mujeres, las variables tabaco y ejercicio influyeron en el IMC de los participantes, ya que tuvieron efecto en el modelo de regresión. Dichas variables se correlacionaron significativa e inversamente con el IMC, lo que particularmente llamó la atención en el caso del tabaco. Discusión: el estudio muestra que el estilo de vida influye de manera importante en el IMC de esta población de adultos.
Bertha Cruz Enders, Maria Elida Santos de Souza, Jacinta Maria Morais Formiga
et al.
O trabalho é um análise de ensino teórico-prático da assistência de enfermagem no curso de graduação da Universidade Federal do Rio Grande do Norte objetivando identificar 1) os elementos do conceito da assistência de enfermagem do curso, 2) os métodos de ensino da assistência e 3) os padrões de avaliação utilizados. A análise foi realizada com base nas reflexões de docentes representantes das disciplinas com conteúdo teóricoprático de assistência. Identificaram-se 1) desarticulações internas quanto aos conceitos, 2) desvinculação do ensino e prática da assistência nos serviços, e 3) falta de padrões de qualidade para avaliação da assistência, problemas estes oriundos da desintegração interdisciplinar e do ensino-serviço. Propõe-se uma colaboração docente-assistencial na definição conceituai, teórica e prática da assistência de enfermagem.
Este trabalho consiste de um estudo etnográfico descritivo, com 13 pacientes acometidos pelo aneurisma cerebral e seus familiares, com o objetivo de compreender o significado da doença e do tratamento. Os dados foram coletados por entrevistas e observações durante a hospitalização e depois da alta, no ambulatório e na residência. O tema central obtido do estudo foi "Tinha que ser para mim. Deus sabe o que faz". Este tema revela uma interpretação religiosa para a doença e uma fundamentação mágica para o tratamento. Assim, o aneurisma cerebral é interpretado como uma doença material (corpo) e uma doença espiritual (alma).<br>Esta investigación consiste en un estudio etnográfico de los pacientes afectados por aneurisma cerebral y sus familiares, con el objetivo de objetivo de comprender el significado de la enfermedad y el tratamiento. Los datos fueron recolectados por entrevistas y observaciones durante la hospitalización y después del alta en la consulta externa y en la residencia. El tema central obtenido del estudio fue: "Tenia que ser para mi. Dios sabe lo que hace". Este tema manifiesta una interpretación religiosa para la enfermedad y una fundamentación mágica para el tratamiento. Así, el aneurisma cerebral es comprendido como una enfermedad material (del cuerpo) y una enfermedad espiritual (del alma).<br>This is a descriptive ethnographic study with 13 patients with cerebral aneurysm and their relatives aiming at understanding the meaning of the illness and the treatment. The data were collected by interviews and observations during the hospitalization and, after the discharge, in the outpatient clinic and at home. The central theme obtained from the study was "It had to be for me! God knows what He does". This theme reveals a religious interpretation for the illness and a magic basis for its cure.Thus, cerebral aneurysm is interpreted as a material illness (body) and a spiritual illness (soul).