RESUMO
BACKGROUND: Maternal mortality remains high, despite all the advances and efforts that have occurred in recent years and is directly related to the quality of care provided during pregnancy, childbirth, and in the puerperium. PURPOSE: Identify the possible nursing diagnoses of mothers of newborns admitted to neonatal intensive care in the prepartum period, childbirth, and the puerperium. METHODS: Observational, cross-sectional study carried out by analyzing the medical records of mothers of newborns who required hospitalization in neonatal intensive care and determining the diagnoses through a process of diagnostic inference, based on NANDA-I Taxonomy, during the period from 2007 to 2016. FINDINGS: After reviewing the medical records of 272 mothers, a total of 3,843 observations were identified, distributed in 42 diagnoses, with Excessive fluid volume presenting the greatest predictive power over the outcome variable. The second group of more predictive variables comprised the Risk of vascular trauma, Risk of infection, Impaired parenthood, and Risk of body temperature imbalance. The third group, in turn, consisted of the following diagnoses: Insomnia, Pain during labor, Risk of impaired bonding, Acute pain, and Ineffective Breastfeeding. CONCLUSIONS: The present study enabled the identification of the most frequent NANDA-I nursing diagnoses occurring during the prepartum period, childbirth, and the immediate puerperium of mothers of newborns admitted to neonatal intensive care, as well as those of greatest importance. Based on the encountered diagnoses, it can be concluded that future studies should be carried out in order for validation. IMPLICATIONS: The knowledge of these diagnoses can contribute to the instrumentalization of nursing professionals, with consequent improvements in the nursing process and the provided assistance, aiming to assist in the reduction of maternal morbidity and mortality.
Assuntos
Mães , Diagnóstico de Enfermagem , Estudos Transversais , Feminino , Humanos , Lactente Extremamente Prematuro , Recém-Nascido , Período Pós-Parto , GravidezRESUMO
Objective: To conduct a geospatial analysis of suicide deaths among young people in the state of Paraná, southern Brazil, and evaluate their association with socioeconomic and spatial determinants. Methods: Data were obtained from the Mortality Information System and the Brazilian Institute of Geography and Statistics. Data on suicide mortality rates (SMR) were extracted for three age groups (15-19, 20-24, and 25-29 years) from two 5-year periods (1998-2002 and 2008-2012). Geospatial data were analyzed through exploratory spatial data analysis. We applied Bayesian networks algorithms to explore the network structure of the socioeconomic predictors of SMR. Results: We observed spatial dependency in SMR in both periods, revealing geospatial clusters of high SMR. Our results show that socioeconomic deprivation at the municipality level was an important determinant of suicide in the youth population in Paraná, and significantly influenced the formation of high-risk SMR clusters. Conclusion: While youth suicide is multifactorial, there are predictable geospatial and sociodemographic factors associated with high SMR among municipalities in Paraná. Suicide among youth aged 15-29 occurs in geographic clusters which are associated with socioeconomic deprivation. Rural settings with poor infrastructure and development also correlate with increased SMR clusters.
Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Adulto Jovem , Populações Vulneráveis/estatística & dados numéricos , Suicídio Consumado/estatística & dados numéricos , Fatores Socioeconômicos , Fatores de Tempo , Brasil , Fatores de Risco , Teorema de Bayes , Cidades , Distribuição por Idade , Análise Espaço-TemporalRESUMO
OBJECTIVE: To conduct a geospatial analysis of suicide deaths among young people in the state of Paraná, southern Brazil, and evaluate their association with socioeconomic and spatial determinants. METHODS: Data were obtained from the Mortality Information System and the Brazilian Institute of Geography and Statistics. Data on suicide mortality rates (SMR) were extracted for three age groups (15-19, 20-24, and 25-29 years) from two 5-year periods (1998-2002 and 2008-2012). Geospatial data were analyzed through exploratory spatial data analysis. We applied Bayesian networks algorithms to explore the network structure of the socioeconomic predictors of SMR. RESULTS: We observed spatial dependency in SMR in both periods, revealing geospatial clusters of high SMR. Our results show that socioeconomic deprivation at the municipality level was an important determinant of suicide in the youth population in Paraná, and significantly influenced the formation of high-risk SMR clusters. CONCLUSION: While youth suicide is multifactorial, there are predictable geospatial and sociodemographic factors associated with high SMR among municipalities in Paraná. Suicide among youth aged 15-29 occurs in geographic clusters which are associated with socioeconomic deprivation. Rural settings with poor infrastructure and development also correlate with increased SMR clusters.
Assuntos
Suicídio Consumado/estatística & dados numéricos , Populações Vulneráveis/estatística & dados numéricos , Adolescente , Adulto , Distribuição por Idade , Teorema de Bayes , Brasil , Cidades , Feminino , Humanos , Masculino , Fatores de Risco , Fatores Socioeconômicos , Análise Espaço-Temporal , Fatores de Tempo , Adulto JovemRESUMO
The process of adhesion of three different strains of Trichomonas vaginalis to a polystyrene substrate was analysed. The process of adhesion was dependent on the time of incubation and the pH of the phosphate-buffered solution (PBS) in which the parasites were suspended. The highest indices of adhesion were observed after an incubation time of 60 min at pH 6.6. The adhesion index increased when the parasites were incubated in the presence of culture media or when Ca++ or Mg++ was added to the PBS solution, whereas cytochalasin B, trypsin or neuraminidase reduced adhesion. Incubation of the parasites in the presence of poly-L-lysine facilitated the process of adhesion. Incubation of the parasites or polystyrene beads in the presence of poly-L-lysine led to important changes in their surface charge.
Assuntos
Neuraminidase/metabolismo , Poliestirenos/metabolismo , Trichomonas vaginalis/fisiologia , Animais , Cálcio/fisiologia , Adesão Celular , Meios de Cultura , Citoesqueleto/fisiologia , Concentração de Íons de Hidrogênio , Magnésio/fisiologia , Trichomonas vaginalis/ultraestruturaRESUMO
Urease obtained from seeds of Citrullus vulgaris fruits has been studied under three points of view: a) the effect of the urea analogs acetamide and hydroxi-urea on the enzyme kinetic b) the action of the sulfhydryl reagents and the reactivation agents on the enzyme c) the effect of X-rays and the protective action of the cysteamine. The Berthelot reaction for the determination of the liberated NH3 was used enzyme activity. Acetamide has no effect on urease kinetic. Hidroxy-urea which produces a typical green color when it is mixed with the Berthelot reagents at high concentrations, when properly diluted acts a aompetitive inhibitor of urease. Spectrophotometric experiments suggest that the studied urease decomposes hydroxi-urea with liberation of hydroxilamine. The sulphydril reagent, p-hydroxi-mercuribenzoate inhibits the enzime. Cysteine and dithiotreitol reactivate the enzyme activity in no more then 50% even when excess of the substances is used. Probably only in the first step of the urea hydrolysis, the enzyme behaves as a typical SH-enzyme. Urease is very sensitive to X-rays. Cysteamine acts as a protective agent of the enzyme. Dithiotreitol reinforces this protective action. This effect is clearly observed when the Fisbein catalytic method for urease is employed.