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Objetivo: Caracterizar a oferta da disciplina de Urgência e Emergência nas matrizes curriculares dos cursos superiores de Enfermagem no Brasil. Métodos: Trata-se de estudo descritivo, documental, realizado no website do Ministério da Educação e em 691 matrizes curriculares de cursos de bacharelado em Enfermagem no Brasil. Resultados: Das matrizes curriculares, 97,2% pertenciam a cursos de ensino presencial; 83,6%, de instituições privadas, majoritariamente localizada na região sudeste (36,8%). Com relação à disciplina de Urgência e Emergência, esta apareceu em 97,2% das instituições como componente curricular obrigatório, em sua maioria, ofertada no sétimo período (31,2%) do curso, com carga horária média de 103,3 horas. Conclusão: As disciplinas de Urgência e Emergência nos cursos de graduação em Enfermagem foram, predominantemente, oriundas de instituições privadas, de componente obrigatório, ofertadas no sétimo semestre do curso. Descritores: Urgência. Emergência. Educação em Enfermagem. Bacharelado em Enfermagem. Medicina de Emergência.
Objective: To characterize the offer of the Urgency and Emergency discipline in the curricular matrices of Brazilian Nursing undergraduate courses. Methods: This is a descriptive, documentary study carried out on the Ministry of Education's website and in 691 curriculum matrices of bachelor's degree courses in Nursing in Brazil. Results: Of the curriculum matrices, 97.2% belonged to in-person teaching courses; 83.6% from private institutions, mostly located in the Southeast region (36.8%). Regarding the Urgency and Emergency discipline, it appeared in 97.2% ofthe institutions as a mandatory curricular component, mostly offered in the seventh period (31.2%) of the course, with an average workload of 103.3 hours. Conclusion: Urgency and Emergency disciplines in undergraduate Nursing courses were predominantly from private institutions, with a mandatory component, offered in the seventh semester of the course. Descriptors:Urgency. Emergency. Education in Nursing. Bachelor of Nursing. Emergency Medicine.
Asunto(s)
Educación en Enfermería , Bachillerato en Enfermería , Urgencias Médicas , Medicina de EmergenciaRESUMEN
OBJECTIVE: to characterize the Brazilian Sign Language teaching in undergraduate nursing courses. METHOD: a cross-sectional study, carried out on the curriculum matrices of 553 higher education nursing courses. Data collection took place through access to the websites of the Ministry of Education and educational institutions. RESULTS: the nursing courses that offered Libras were located predominantly in the Southeast (36%), coming from private institutions (87.2%). Most Libras courses (82%) were offered on a mandatory basis in the second half of the course (46.7%). The semester in which the offer was most frequent was the eighth (15.9%). There was an association (p <0.001) between the offer of course and the variable "public or private category". CONCLUSIONS: there was a predominance of Libras course in private institutions, in the Southeast region, with a 40-hour workload, offered in the second half of the course.
Asunto(s)
Bachillerato en Enfermería , Estudiantes de Enfermería , Estudios Transversales , Curriculum , Humanos , Lengua de Signos , EnseñanzaRESUMEN
Background: Neosporosis is a cosmopolitan disease known as the main infectious cause of abortion in cattle, reported in several states in Brazil. The transplacental transmission in cattle is responsible for perpetuating the disease in the herd. In the state of Santa Catarina, previous studies on this protozoan in cattle are mostly serological surveys. To increase information about this reproductive disorder, this work describes the diagnosis of abortions due to Neospora caninum in dairy cattle from state of Santa Catarina and the follow-up for 4 years in a farm affected by neosporosis. Cases: From 2015 to 2019, necropsy was performed on 10 aborted bovine fetuses, between fifth and eighth month of pregnancy, with 1 fetus aborted in 2015, 3 in 2016, 2 in 2017 and, 4 in 2019, all originating from the same dairy property in the southern region of state of Santa Catarina. No macroscopic lesions were found. Histopathology revealed mild to moderate multifocal mononuclear necrotizing encephalitis in 5 fetuses, and multifocal mild mononuclear myositis and myocarditis in 4 and 3 fetuses, respectively. Polymerase Chain Reaction (PCR) using primers based on the Nc-5 gene was positive for N. caninum in five fetuses. Three visits were performed in the farm for epidemiological evaluation and blood samples collection for IgG antibodies anti-N. caninum (IFAT). The total herd was 170 Jersey, Holstein and crossbred cattle, raised in a semi-confined system with mechanical milking system. Since 2014, there has been a significant increase in abortions cases, approximately 20 cows had abortions; in the year 2015, approximately 10; in 2016, less than 5; in 2017, 4 cows aborted; in 2018, 11 abortions and, in 2019, there were 4 abortions. An increase in the rate of return to estrus was also reported, and both primiparous and multiparous cows had reproductive disorders. Abortions were recorded throughout the year and occurred predominantly between the fourth and sixth month of pregnancy. In 2016, an Indirect Immunofluorescence Reaction (IFAT) was performed on sera from 26 cows (13 with a history of reproductive disorders and another 13 without disorders). Of these, 50.0% (13/26) were seropositive, with titers ranging from 100 to 1600 (cutoff ≥100). The Enzyme Immunoassay (ELISA) of the entire herd was carried out in 2017, with 26.54% (43/162) of seropositivity, 8.02% (13/162) suspect, and 30.4% (17/56) had reproductive disorders. It was observed that only animals born on the property were used for replacement, there was less possibility of direct contact between dogs on the property with milking facilities, placental and fetal remains, properly disposing of these, incinerating or burying. Thirty animals were discarded from the property, 25 of which had reproductive disorders. All young female daughters of seropositive cows remained on the property for replacement. During the evaluation period, all dogs were eliminated. Discussion: In this study, the diagnosis of neosporosis was made through epidemiology, histopathological lesions characterized by mononuclear encephalitis, myocarditis and myositis, and detection of the agent by PCR, associated with serological techniques. The lesions observed are indicative of N. caninum infection and are compatible with lesions observed in other studies. Serological screening is important to complement the diagnosis of abortion by N. caninum and to help control the agent in herds. From this report it is concluded that N. caninum is an important agent of reproductive disorders in cattle in the southern region of Santa Catarina, the different serological analyzes showed a good screening index for the inclusion of control strategies. In addition, the monitoring of reproductive rates of affected properties becomes necessary over the years, allowing better observation of control strategies.
Asunto(s)
Animales , Bovinos , Coccidiosis/complicaciones , Coccidiosis/veterinaria , Neospora/aislamiento & purificación , Aborto Veterinario/etiología , Muerte Fetal/etiología , Brasil , Ensayo de Inmunoadsorción Enzimática/veterinariaRESUMEN
ABSTRACT Objective: to characterize the Brazilian Sign Language teaching in undergraduate nursing courses. Method: a cross-sectional study, carried out on the curriculum matrices of 553 higher education nursing courses. Data collection took place through access to the websites of the Ministry of Education and educational institutions. Results: the nursing courses that offered Libras were located predominantly in the Southeast (36%), coming from private institutions (87.2%). Most Libras courses (82%) were offered on a mandatory basis in the second half of the course (46.7%). The semester in which the offer was most frequent was the eighth (15.9%). There was an association (p <0.001) between the offer of course and the variable "public or private category". Conclusions: there was a predominance of Libras course in private institutions, in the Southeast region, with a 40-hour workload, offered in the second half of the course.
RESUMEN Objetivo: caracterizar la enseñanza de la Lengua de Signos Brasileña en cursos de pregrado en enfermería. Método: estudio transversal, realizado en las matrices curriculares de 553 cursos de enfermería de educación superior. La recopilación de datos se realizó mediante el acceso a los sitios web del Ministerio de Educación y las instituciones educativas. Resultados: los cursos de enfermería que ofrecieron la disciplina Libra se ubicaron predominantemente en el Sureste (36%), provenientes de instituciones privadas (87,2%). La mayoría de las asignaturas Libras (82%) se ofertaron, de forma obligatoria, en la segunda mitad del curso (46,7%) y el semestre en el que más se presentó la oferta fue el octavo (15,9%). Hubo asociación (p <0,001) entre la oferta de disciplina y la variable "categoría pública o privada". Conclusiones: predominó la oferta de la disciplina Libra en instituciones privadas de Sureste, con una carga de trabajo de 40 horas, ofrecida en la segunda mitad del curso.
RESUMO Objetivo: caracterizar o ensino da Língua Brasileira de Sinais nos cursos de graduação em enfermagem. Método: estudo transversal, realizado nas matrizes curriculares de 553 cursos superiores de enfermagem. A coleta dos dados ocorreu por meio do acesso aos websites do Ministério da Educação e das instituições de ensino. Resultados: os cursos de enfermagem que ofereciam disciplina de Libras se localizavam, predominantemente, no Sudeste (36%), oriundos de instituições privadas (87,2%). A maioria das disciplinas de Libras (82%) foi ofertada, de forma obrigatória, na segunda metade do curso (46,7%) e o semestre no qual mais ocorreu a oferta foi o oitavo (15,9%). Houve associação (p<0,001) entre a oferta de disciplina e a variável "categoria pública ou privada". Conclusões: houve predomínio de oferta de disciplina de Libras em instituições privadas na Região Sudeste, com carga horária de 40 horas, ofertada na segunda metade do curso.
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Background: Immunocastration is a less invasive and painless procedure compared to surgical castration, which causesgreater stress to animals, especially when performed improperly. Immunocastration stimulates the production of antibodiesagainst Gonadotropin-Releasing Hormone (GnRH), temporarily blocking the hormone production by the male gonads.Anatomopathological evaluation of animals submitted to immunocastration with the establishment of different degrees oftesticular degeneration helps to evaluate the efficacy of the different dose ranges used for this procedure. Because of thescarcity of information about this procedure in young bulls, the study aimed to compare the immunocastrated and noncastrated animals.Materials, Methods & Results: Eighteen Angus-Limousin bulls were used from weaning (7±1 months) to slaughtering(15±1 months) with the establishment of two groups composed of nine non-castrated (NC) and nine immunocastrated (IC)animals. In the IC group, three doses of GnRH synthesis inhibitor vaccine (Bopriva®) were applied on days 0 (weaning),87 and 223. At slaughter, scrotal circumference, weight (kg), width (cm), length (cm) and total size (width x length) of thetesticles were obtained, then were routinely processed for histopathological analysis. Four degrees of testicular degeneration was established: grade 0 (no changes), grade 1 (mild), grade 2 (moderate) and grade 3 (severe). Statistical analysiswas performed using Students t-test to compare the means of macroscopic variables. The scrotal circumference startedto decrease in the IC animals on day 132, with a certain growth from day 194. There was a significant difference betweenthe two groups for width (P = 0.001), length (P = 0.004), total size (P = 0.003) and scrotal circumference (P = 0.04).Testicles of the IC group tended to be lighter (P = 0.06)...(AU)
Asunto(s)
Animales , Masculino , Bovinos , Testículo/anatomía & histología , Testículo/efectos de los fármacos , Hormona Liberadora de Gonadotropina/antagonistas & inhibidoresRESUMEN
Background: Immunocastration is a less invasive and painless procedure compared to surgical castration, which causesgreater stress to animals, especially when performed improperly. Immunocastration stimulates the production of antibodiesagainst Gonadotropin-Releasing Hormone (GnRH), temporarily blocking the hormone production by the male gonads.Anatomopathological evaluation of animals submitted to immunocastration with the establishment of different degrees oftesticular degeneration helps to evaluate the efficacy of the different dose ranges used for this procedure. Because of thescarcity of information about this procedure in young bulls, the study aimed to compare the immunocastrated and noncastrated animals.Materials, Methods & Results: Eighteen Angus-Limousin bulls were used from weaning (7±1 months) to slaughtering(15±1 months) with the establishment of two groups composed of nine non-castrated (NC) and nine immunocastrated (IC)animals. In the IC group, three doses of GnRH synthesis inhibitor vaccine (Bopriva®) were applied on days 0 (weaning),87 and 223. At slaughter, scrotal circumference, weight (kg), width (cm), length (cm) and total size (width x length) of thetesticles were obtained, then were routinely processed for histopathological analysis. Four degrees of testicular degeneration was established: grade 0 (no changes), grade 1 (mild), grade 2 (moderate) and grade 3 (severe). Statistical analysiswas performed using Students t-test to compare the means of macroscopic variables. The scrotal circumference startedto decrease in the IC animals on day 132, with a certain growth from day 194. There was a significant difference betweenthe two groups for width (P = 0.001), length (P = 0.004), total size (P = 0.003) and scrotal circumference (P = 0.04).Testicles of the IC group tended to be lighter (P = 0.06)...
Asunto(s)
Masculino , Animales , Bovinos , Hormona Liberadora de Gonadotropina/antagonistas & inhibidores , Testículo/anatomía & histología , Testículo/efectos de los fármacosRESUMEN
Objetivo: Compreender o processo de construção da autonomia do enfermeiro como profissional liberal. Método: Estudo qualitativo realizado com quatro enfermeiros empreendedores, à luz dos conceitos de "estabelecidos", outsiders, "alteridade" e "estigmatização", dos teóricos Norbert Elias, Anthony Giddens e Goffman. Foi utilizada a análise de conteúdo de Bardin. Resultados: Foram identificados enfermeiros autônomos que, de forma sistêmica, encontram-se como outsiders e que sofrem estigmas pelos profissionais, comunidade e pelos próprios outsiders. Conclusão: A autonomia, em enfermagem, alcançada pelos profissionais liberais está, em alguns aspectos, restrita por leis e resoluções que regem a sua atuação. Os profissionais em enfermagem ainda dependem, de uma forma realista, de uma maior organização da categoria e de incentivos na fase acadêmica por meio de disciplinas de empreendedorismo para, assim, buscarem a efetivação de políticas públicas que desburocratizem o exercício liberal da profissão
Objective: The study's purpose has been to further understand the process of building the nursing autonomy as a liberal professional. Methods: It is a descriptive-exploratory study with a qualitative approach, which was carried out with four entrepreneur nurses. The study was performed in the light of the concepts of "established", outsiders, "appreciation" and "stigmatization", by the following theorists: Norbert Elias, Anthony Giddens and Goffman. The Bardin's thematic content analysis was used. Results: The findings revealed, in a systemic way, that autonomous nurses are outsiders and are also stigmatized by other professionals, the community and other outsiders as well. Conclusion: With regards to the nursing profession, the autonomy achieved by liberal professionals is, in some aspects, limited by laws and resolutions that rule their performance. Furthermore, the nursing professionals are still an unorganized category, which needs incentives during the academic life such as entrepreneurship disciplines. Through this approach, new public policies may come up aiming to decrease the bureaucracy towards the liberal exercise of the profession
Objetivo: Comprender el proceso de construcción de la autonomía del enfermero como profesional liberal. Método: Estudio cualitativo realizado con cuatro enfermeros emprendedores, a la luz de los conceptos de "establecidos", outsiders, "alteridad" y "estigmatización", de los teóricos Norbert Elias, Anthony Giddens y Goffman. Se utilizó el análisis de contenido de Bardin. Resultados: Se identificaron enfermeros autónomos que, de forma sistémica, se encuentran como outsiders y que sufren estigmas por los profesionales, comunidad y por los propios outsiders. Conclusión: La autonomía, en enfermería, alcanzada por los profesionales liberales está, en algunos aspectos, restringida por leyes y resoluciones que rigen su actuación. Los profesionales en enfermería todavía dependen, de una forma realista, de una mayor organización de la categoría y de incentivos en la fase académica por medio de disciplinas de emprendimiento para, así, buscar la efectivación de políticas públicas que desburocratizen el ejercicio liberal de la profesión
Asunto(s)
Humanos , Masculino , Femenino , Práctica Profesional , Enfermería de Consulta , Rol de la Enfermera , Atención de EnfermeríaRESUMEN
Objective: it intends to explore the social representations (SR) of patients with head and neck cancer before the alteration of their body image. Given that it is a stigmatizing disease, cancer brings another problem when localized in the head and neck area. Methodology: It is a descriptive study, with a qualitative approach, that employs the SR theory in 23 patients, all of which were diagnosed with cancer and with alteration of the body image. Result: Five units emerged from the content analysis: Mirror, Mirror on the Wall: Reflection of a reality; Mirror, Mirror on the Wall: Day-to-day changes; Mirror, Mirror on the Wall: Shame of the current image; Strength of Faith; and Reinforcing care of the self after body alteration. Conclusion: It shows the importance of the nursing professionals in being aware of the SR of these patients in order to, from this new knowledge, in practicing care, exercise a holistic and humanized service as possible.
Objetivo: pretendeu-se explorar as representações sociais (RS) de pacientes com câncer de cabeça e pescoço frente à alteração da imagem corporal. O câncer por ser uma doença estigmatizante, traz consigo outra problemática quando localizado na região da cabeça e pescoço. Metodologia: Trata-se de um estudo descritivo, com abordagem qualitativa, empregando-se a teoria das RS em 23 pacientes, todos diagnosticados com câncer e com alteração da imagem corporal. Resultado: Na análise de conteúdo emergiram cinco unidades: Espelho, Espelho Meu: Reflexo de uma realidade; Espelho, Espelho Meu: Um cotidiano de mudanças; Espelho, Espelho Meu: Vergonha da imagem atual; A força que vem da fé; e Reforçando o cuidado de si após alterações corporais. Conclusão: mostra-se a importância do profissional de enfermagem em conhecer as RS desses pacientes para que a partir desse novo conhecimento possa, na prática do cuidado, exercer um atendimento mais holístico e humanizado possível.
Objetivo: el objetivo fue explorar las representaciones sociales (RS) de los pacientes con cáncer de cabeza frontal y el cuello del cambio en la imagen corporal. El cáncer a una enfermedad estigmatizante trae consigo otro problema cuando en la cabeza y el cuello. Metodología: Se trata de un estudio descriptivo con un enfoque cualitativo, utilizando la teoría de la RS en 23 pacientes, todos con diagnóstico de cáncer y el cambio en la imagen corporal. Resultados: En el análisis de contenido emergieron cinco unidades: Mirror, Mirror: Como reflejo de una realidad; Espejo, espejo: Un cambio diario; Espejo, espejo en la pared: La vergüenza de la imagen actual; La fuerza que viene de la fe; y el fortalecimiento de cuidar de sí mismos después de los cambios corporales. Conclusión: muestra la importancia de los profesionales de enfermería para satisfacer las RS estos pacientes por lo que a partir de este nuevo conocimiento puede, en las prácticas de atención, tomar una atención más integral y humana posible.
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Masculino , Femenino , Humanos , Adulto Joven , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Imagen Corporal/psicología , Neoplasias de Cabeza y Cuello/psicología , Humanización de la Atención , Autoimagen , BrasilRESUMEN
Proventricular dilatation disease (PDD) is a lethal and important disease of captive psittacine birds, and affects a wide range of species, including endangered ones, and lacks an effective treatment. This report describes PDD in three blue-and-gold macaws (Ara ararauna) in southern Brazil. All three macaws originated from the same aviary and presented similar clinical signs including anorexia, apathy, emaciation and prostration. At necropsy, one of the macaws presented an enlarged proventriculus. Histologically, lymphoplasmacytic infiltrates was observed in the ganglia and nerves of the esophagus, crop, proventriculus, ventriculus, heart, adrenal glands, and adrenal medulla of all three cases. Two macaws had meningoencephalomyelitis and one had myocarditis. Immunohistochemistry identified PaBV antigen in the brain, proventricular, ventricular ganglia, and epicardial ganglia, and cardiomyocytes of all three macaws.(AU)
A doença da dilatação proventricular (PDD) e uma importante e fatal doença de psitacídeos de cativeiro, que afeta uma grande variedade de espécies e não tem um tratamento efetivo até o momento. Este relato descreve PDD em três araras canindé (Ara ararauna) no sul do Brasil. Todas as três araras eram provenientes do mesmo criatório e apresentaram sinais clínicos semelhantes incluindo anorexia, apatia, emaciação e prostração. Na necropsia, uma das araras apresentou proventrículo dilatado. No exame histopatológico, infiltrados linfoplasmacitários foram observados em gânglios e nervos do esôfago, inglúvio, proventrículo, moela, coração, glândulas adrenais e rins de todos os casos. Adicionalmente, meningoencefalomielite foi observada em duas araras e miocardite em uma. A imuno-histoquímica identificou antígenos de PaBV no encéfalo, coração, proventrículo e moela de todos os casos.(AU)
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Animales , Proventrículo/patología , Gastropatías/veterinaria , Enfermedades de las Aves/patología , Infecciones por Mononegavirales/veterinaria , Bornaviridae , Psittaciformes/anatomía & histologíaRESUMEN
Proventricular dilatation disease (PDD) is a lethal and important disease of captive psittacine birds, and affects a wide range of species, including endangered ones, and lacks an effective treatment. This report describes PDD in three blue-and-gold macaws (Ara ararauna) in southern Brazil. All three macaws originated from the same aviary and presented similar clinical signs including anorexia, apathy, emaciation and prostration. At necropsy, one of the macaws presented an enlarged proventriculus. Histologically, lymphoplasmacytic infiltrates was observed in the ganglia and nerves of the esophagus, crop, proventriculus, ventriculus, heart, adrenal glands, and adrenal medulla of all three cases. Two macaws had meningoencephalomyelitis and one had myocarditis. Immunohistochemistry identified PaBV antigen in the brain, proventricular, ventricular ganglia, and epicardial ganglia, and cardiomyocytes of all three macaws.(AU)
A doença da dilatação proventricular (PDD) e uma importante e fatal doença de psitacídeos de cativeiro, que afeta uma grande variedade de espécies e não tem um tratamento efetivo até o momento. Este relato descreve PDD em três araras canindé (Ara ararauna) no sul do Brasil. Todas as três araras eram provenientes do mesmo criatório e apresentaram sinais clínicos semelhantes incluindo anorexia, apatia, emaciação e prostração. Na necropsia, uma das araras apresentou proventrículo dilatado. No exame histopatológico, infiltrados linfoplasmacitários foram observados em gânglios e nervos do esôfago, inglúvio, proventrículo, moela, coração, glândulas adrenais e rins de todos os casos. Adicionalmente, meningoencefalomielite foi observada em duas araras e miocardite em uma. A imuno-histoquímica identificou antígenos de PaBV no encéfalo, coração, proventrículo e moela de todos os casos.(AU)