RESUMO
Occupational health is one of the aspects significantly affected during crisis periods. It is essential to learn about the factors that improve organizational capacity in coping with such shocks. This study investigates how the working environment of a family business influences job satisfaction during crises. Conducting a survey with 516 employees at the peak of the pandemic, the research utilizes structural equation analysis, revealing that family business environments can mitigate burnout, enhance affective commitment, and consequently, boost job satisfaction. The study highlights the need to manage burnout and utilize resources, such as employee commitment, for family firms to sustain job satisfaction amidst disruptions. It deepens the comprehension of family businesses' crisis response, emphasizing the significance of human resource commitment and management. The investigation illuminates the dynamic interplay between the work environment, employee well-being, and organizational resilience, providing valuable insights for both theoretical understanding and practical application.
RESUMO
Oxytetracycline (OTC), enrofloxacin (EFX), and sulfachloropyridazine (SCP) are critically important antimicrobials (AMs) in both human and veterinary medicine, where they are widely used in farm animals. Lettuce has become a matrix of choice for studying the presence of residues of these AMs in plants, as the concentrations of residues detected in lettuce can range from ng to mg. While several analytical methodologies have been developed for the purpose of detecting AMs in lettuce, these currently do not detect both the parent compound and its active metabolites or epimers, such as in the case of ciprofloxacin (CFX) and 4-epi-oxitetracycline (4-epi-OTC), which also pose a risk to public health and the environment due to their AM activity. In light of this situation, this work proposes an analytical method that was developed specifically to allow for the detection of OTC, 4-epi-OTC, EFX, CFX, and SCP in a lettuce matrix. This method uses acetonitrile, methanol, 0.5% formic acid, and McIlvaine-EDTA buffer as extraction solvents, and dispersive solid-phase extraction (dSPE) for the clean-up. The analytes were detected using a liquid chromatography technique coupled to mass spectrometry (HPLC-MS/MS). Parameters such as the specificity, linearity, recovery, precision, limit of detection, and limit (LOD) of quantification (LOQ) were calculated according to the recommendations established in the European Union decision 2021/808/EC and VICH GL2: Validation of analytical procedures. The LOQ for the analytes OTC, 4-epi-OTC, CFX, and SCP was 1 µg·kg-1, whereas for EFX, it was 5 µg·kg-1 dry weight. All calibration curves showed a coefficient of determination (R2) of >0.99. The recovery levels ranged from 93.0 to 110.5% and the precision met the acceptance criteria, with a coefficient of variation of ≤14.02%. Therefore, this methodology allows for the precise and reliable detection and quantification of these analytes. The analysis of commercial samples confirmed the suitability of this method.
RESUMO
This research aims to explore how work demands and resource variables affect the burnout and satisfaction of employees of family businesses in the context of the pandemic (COVID-19) and the moderation effect of fear of COVID-19 on this relationship. A sample of 214 Chilean family business employees is used for hypotheses testing. Results indicate that the demands and resources partially explain the burnout and satisfaction of employees of family firms during the pandemic. Employees' fear of COVID-19 moderates the relationship between resources-demands and burnout-job satisfaction in family firms. This work contributes to understanding how these organizations can manage adverse scenarios to survive and continue operations.
RESUMO
INTRODUCTION: Rural primary health centers frequently treat patients with tick bites. This study compares everyday clinical practice at our primary healthcare center to practices recommended by current scientific evidence. PURPOSE: To describe the everyday management of tick bites by different healthcare professionals and to compare this management to evidence-based therapy guidelines. DESIGN: Cross-sectional, descriptive observational study. METHODS: Data was collected through an anonymous self-completed questionnaire. The form was filled out by a consecutive sample of nurses, physicians and pediatricians of the clinical management unit of Medina-Sidonia (Cádiz). RESULTS: Most nurses in the sample group use some type of product to facilitate the extraction of the tick (10 of the 11 surveyed nurses, 90.9%). The most frequently used products were chloroethyl and local anesthetic. In addition, nine nurses use gentle traction with tweezers (81.82%) to remove the tick. In the physician sample group, 3 out of 12 respondents (25%) prescribe antibiotics in all cases and nine stated that they knew which antibiotic should be used as first choice. In both cases, a high number of healthcare providers confirm giving post-extraction advice to patients: 11 in the medical community (91.66%) and nine nurses (81.82%). CONCLUSIONS: We conclude that the performance of the healthcare providers that integrate this study does not closely follow general recommendations for extraction, treatment and follow-up care in patients with tick bites. Therefore, there is a need to improve the level of knowledge to ensure quality care in these instances.
INTRODUCCIÓN: En los centros de salud rurales se reciben con cierta frecuencia personas afectadas por picadura por garrapata. Hemos querido comparar el trabajo diario del equipo de atención primaria con la evidencia científica actual. Objetivos: Describir los métodos y tratamientos habituales ante una picadura por garrapata en la práctica diaria de los diferentes profesionales que componen la muestra, y compararlos con las recomendaciones generales que aportan mayor evidencia científica. MATERIAL Y MÉTODOS: Se trata de un estudio observacional, descriptivo y transversal, realizado mediante la recolección de datos a través de cuestionario auto cumplimentado anónimo. Este instrumento se aplicó a una muestra consecutiva constituida por enfermeros, médicos y pediatras de la Unidad de Gestión Clínica de Medina Sidonia (Cádiz, España). RESULTADOS: Una gran mayoría de enfermeros usa algún tipo de producto para facilitar la extracción del artrópodo (10 de los 11 encuestados, 90,91%), siendo los más utilizados el cloroetilo y la anestesia local. De ellos, 9 la realizan mediante tracción suave con pinzas (81,82%). De los médicos y pediatras, 3 de los 12 encuestados (25%) prescriben tratamiento antibiótico profiláctico en todos los casos. De los restantes, 9 facultativos afirman conocer cuál es el de elección y su posología. En ambos casos es elevado el número de profesionales que indican dar consejos post extracción, 11 en el colectivo médico (91,66%) y 9 en enfermería (81,82%). CONCLUSIONES: Se concluye que la actuación de los profesionales que han participado en este estudio en muchos aspectos no siguen las recomendaciones actuales para la extracción y tratamiento/seguimiento de pacientes afectados por picadura por garrapata. Por tanto, es necesario aumentar el grado de conocimientos de los mismos para garantizar una asistencia de calidad.
Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Qualidade da Assistência à Saúde , Serviços de Saúde Rural/estatística & dados numéricos , Picadas de Carrapatos/terapia , Adulto , Idoso , Estudos Transversais , Medicina Baseada em Evidências , Pesquisas sobre Atenção à Saúde , Humanos , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/estatística & dados numéricos , Guias de Prática Clínica como Assunto , Padrões de Prática Médica/normas , Padrões de Prática Médica/estatística & dados numéricos , Atenção Primária à Saúde/normas , Atenção Primária à Saúde/estatística & dados numéricos , Serviços de Saúde Rural/normas , Espanha , Inquéritos e QuestionáriosRESUMO
La calcifilaxis o arteriolopatía urémica es una patología que afecta principalmente a pacientes con insuficiencia renal en diálisis, trasplantados renales e hiperparatiroidismo. Se manifiesta con úlceras necróticas intensamente dolorosas en piel. Presentamos tres pacientes con arteriolopatía urémica
Uremic arteriolopathy or calciphylaxis is a condition primarily affecting patients with kidney failure on dialysis, kidney transplant and hyperparathyroidism. It is characterized by intensely painful necrotic skin ulcers. We report three cases with uremic arteriolopathy.
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Úlcera da Perna , Doença Arterial Periférica , Diálise , Insuficiência RenalRESUMO
El lupus eritematoso (LE) es una enfermedad multisistémica en cuya etiología influyen factores genéticos, ambientales y hormonales. En este trabajo efectuamos un estudio retrospectivo descriptivo de los pacientesmayores de 16 años que consultaron en el Servicio de Dermatología del HIGA SanMartín de La Plata durante el período comprendido entre enero de 2009 y agosto de 2014. Las lesiones mucocutáneas se dividieron según la clasificación de James Gilliam. Se recolectaron datos de edad, género, variantes clínicas y asociación conotras enfermedades autoinmunes. La información se obtuvo a partir de las historias clínicas del Servicio de Dermatología. Nuestro objetivo fue describir las distintas variantes clínicas de LE, establecer su distribución por género, edad y comparar los resultados con la bibliografía. Se evaluó un total de 47 pacientes con diagnóstico de LE. De éstos, el 78,72% fueron mujeres. Del total de pacientes, el 85,1% presentó lesiones específicas. Dentro de éstas (n = 50), 26 correspondieron a la variante de LECC (52%), 15 a LECA (30%) y 9 a LECSA (18%). Entre estos casos destacamos un LED secundario al uso de etanercept y 2 casos de síndrome de Rowell. Las lesiones inespecíficas se presentaron en 33 pacientes, en 7 de ellos fueron la única manifestación cutánea presente. Uno de estos pacientes presentó un lupus ampollar. Dentro de lasasociaciones encontradas, la más frecuente fue el síndrome antifosfolipídico, el cual se manifestó en un paciente con úlceras cutáneas necróticas...