RESUMEN

PURPOSE: The purpose of this study was to describe the experiences of older adult Haitian immigrants in managing type 2 diabetes mellitus (T2DM). METHODS: A descriptive qualitative approach using semistructured interviews was conducted with 20 older adult Haitian immigrants with T2DM. Interviews were transcribed verbatim and categorized using NVivo. An iterative descriptive data analysis method was used to examine the data, compare codes, challenge interpretations, and develop themes inductively. RESULTS: Older adult Haitian immigrants reported that T2DM affected every aspect of their lives. Financial hardship and social isolation were described as the major barriers to T2DM management, which forced them to choose between basic needs and health care, and at times, they had to forgo medications or avoid seeking medical care. They recognized that creating and maintaining good community support was the key to self-management of T2DM. CONCLUSIONS: Financial hardship and social isolation have a tremendous impact on the ability of older Haitian immigrants to manage T2DM effectively. It is challenging to modify these barriers through individual efforts, and clinical, research, and public efforts may be necessary to address these concerns.

Asunto(s)

Diabetes Mellitus Tipo 2 , Emigrantes e Inmigrantes , Automanejo , Anciano , Diabetes Mellitus Tipo 2/terapia , Haití , Humanos , Investigación Cualitativa

RESUMEN

Objetivo: estimar a prevalência e identificar possíveis fatores associados à ocorrência do linfedema em mulheres submetidas a tratamento para câncer de mama. Métodos: estudo de prevalência, com 125 mulheres. Foi realizada entrevista e consulta ao prontuário utilizando-se de questionário. Realizou-se análise univariada e multivariada por meio da regressão logística. Resultados: encontrou-se uma taxa de prevalência de 34,4%. A obesidade, a biópsia de linfonodo sentinela, a radioterapia e a presença de alguma complicação do tratamento mostraram-se estatisticamente significativos para a ocorrência do linfedema. Conclusão: a prevalência de linfedema neste estudo foi alta. As variáveis positivamente relacionadas ao linfedema, consideradas como fatores associados, foram: obesidade, biópsia de linfonodo sentinela, radioterapia e ter alguma complicação relacionada ao tratamento (aderência, retração, parestesia, seroma, fibrose, infecção e deiscência). Descritores: Neoplasias da Mama; Mastectomia; Linfedema; Excisão de Linfonodo; Enfermagem.(AU)

Asunto(s)

Humanos , Femenino , Neoplasias de la Mama , Escisión del Ganglio Linfático , Linfedema , Mastectomía , Enfermería

RESUMEN

This descriptive, cross-sectional, correlational study with a convenience sample of 96 women treated for breast cancer at an outpatient service in Brazil was designed to investigate post-lymphadenectomy complications after axillary lymph node dissection (ALND) and sentinel lymph node biopsy and explore the associative relationships between the complications and quality of life. Clinical evaluations using perimetry, goniometry, and muscle strength test were used to evaluate the complications. Pain and quality of life were assessed by the Short-Form McGill Pain Questionnaire and the Functional Assessment of Cancer Therapy-Breast. All participants had at least one complication. Incidence was higher for pain (57%), impaired shoulder strength (57%), and fibrosis (54%), followed by impaired shoulder range of motion (46%) and lymphedema (17%). The incidence of impaired shoulder flexion (P = .01) and lymphedema (P = .002) was higher in ALND group. Winged scapula (8.4%) only occurred in the ALND group. Quality of life was significantly correlated with pain (r = -0.53, P = .000) and impaired shoulder strength in flexion (r = 0.4; P = .000) and abduction (r = -0.5, P = .000). Future studies are needed to prospectively investigate the onset of the complications and identify appropriate interventions to promote quality of life in women treated for breast cancer.

Asunto(s)

Axila , Neoplasias de la Mama/cirugía , Escisión del Ganglio Linfático/efectos adversos , Dolor/etiología , Calidad de Vida , Rango del Movimiento Articular , Articulación del Hombro/fisiopatología , Adulto , Anciano , Anciano de 80 o más Años , Atención Ambulatoria , Artrometría Articular , Brasil , Neoplasias de la Mama/complicaciones , Neoplasias de la Mama/patología , Neoplasias de la Mama/terapia , Estudios Transversales , Femenino , Humanos , Linfedema/etiología , Persona de Mediana Edad , Estadificación de Neoplasias , Dimensión del Dolor , Biopsia del Ganglio Linfático Centinela/efectos adversos

RESUMEN

The ribosomal DNA (45S rDNA) behaviors during the cell cycle were analyzed on interphase nuclei, prophases, metaphases, pachytene chromosomes and extended DNA fibers in rice (Oryza,sativa ssp.indica cv.Guangluai No.4) by using high-resolution fluorescent in situ hybridization (FISH). The results show that 45S rDNA is located at the ends of short arms of chromosomes 9 and 10. But the signals are much more intense on chromosome 9 than on chromosome 10 in metaphase. Pachytene chromosome has rDNA signal arrays on chromosome 9. Different phases are described and discussed. These results indicate that the activity of rDNA at individual loci may also vary through the cell cycle in rice. on extended DNA fibers, 45S rDNA signals appear as strings of numerous red spots, but some signals are missed in some regions, probably result from weak signals or intergenic spacers(AU)

Asunto(s)

Ciclo Celular/genética , Cromosomas de las Plantas/genética , ADN de Plantas/genética , ADN Ribosómico/genética , Hibridación Fluorescente in Situ , Oryza/citología , Oryza/genética , China

RESUMEN

The ribosomal DNA (45S rDNA) behaviors during the cell cycle were analyzed on interphase nuclei, prophases, metaphases, pachytene chromosomes and extended DNA fibers in rice (Oryza,sativa ssp.indica cv.Guangluai No.4) by using high-resolution fluorescent in situ hybridization (FISH). The results show that 45S rDNA is located at the ends of short arms of chromosomes 9 and 10. But the signals are much more intense on chromosome 9 than on chromosome 10 in metaphase. Pachytene chromosome has rDNA signal arrays on chromosome 9. Different phases are described and discussed. These results indicate that the activity of rDNA at individual loci may also vary through the cell cycle in rice. on extended DNA fibers, 45S rDNA signals appear as strings of numerous red spots, but some signals are missed in some regions, probably result from weak signals or intergenic spacers(AU)

Asunto(s)

Ciclo Celular/genética , Cromosomas de las Plantas/genética , ADN de Plantas/genética , ADN Ribosómico/genética , Hibridación Fluorescente in Situ , Oryza/citología , Oryza/genética , China

RESUMEN

The ribosomal DNA (45S rDNA) behaviors during the cell cycle were analyzed on interphase nuclei, prophases, metaphases, pachytene chromosomes and extended DNA fibers in rice (Oryza,sativa ssp.indica cv.Guangluai No.4) by using high-resolution fluorescent in situ hybridization (FISH). The results show that 45S rDNA is located at the ends of short arms of chromosomes 9 and 10. But the signals are much more intense on chromosome 9 than on chromosome 10 in metaphase. Pachytene chromosome has rDNA signal arrays on chromosome 9. Different phases are described and discussed. These results indicate that the activity of rDNA at individual loci may also vary through the cell cycle in rice. on extended DNA fibers, 45S rDNA signals appear as strings of numerous red spots, but some signals are missed in some regions, probably result from weak signals or intergenic spacers

Asunto(s)

ADN Ribosómico/genética , Ciclo Celular/genética , Cromosomas de las Plantas/genética , ADN de Plantas , Hibridación Fluorescente in Situ , Oryza/citología , Oryza/genética , China