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Offensive odors from wastewater treatment plants (WWTP) are caused by volatile inorganic compounds such as hydrogen sulfide and ammonia and volatile organic compounds (VOCs), such as toluene. To treat these pollutants, biofiltration is an effective and economical technology used worldwide due to its low investment and environmental impact. In this work, a laboratory-scale prototype biofilter unit for the simultaneous biofiltration of hydrogen sulfide, ammonia, and toluene was evaluated by simulating the emission concentrations of the El Salitre WWTP Bogotá, Colombia, using a compost of chicken manure and sugarcane bagasse as packing material for the biofilter. The prototype biofilter unit was set to an operation flow rate of 0.089 m3/h, an empty bed residence time (EBRT) of 60 s, and a volume of 0.007 m3 (6.6 L). The maximum removal efficiency were 96.9 ± 1.2% for H2S, at a loading rate of 4.7 g/m3 h and a concentration of 79.1 mg/m3, 68 ± 2% for NH3, at a loading rate of 1.2 g/m3 h and a concentration of 2.0 mg/m3, and 71.5 ± 4.0% for toluene, at a loading rate of 1.32 g/m3 h and a concentration of 2.3 mg/m3. The removal efficiency of the three compounds decreased when the toluene concentration was increased above 40 mg/m3. However, a recovery of the system was observed after reducing the toluene concentration and after 7 days of inactivity, indicating an inhibitory effect of toluene. These results demonstrate the potential use of the prototype biofilter unit for odor treatment in a WWTP.
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Horses constantly face several challenges inherent to the domestic environment, and it is common for the expression of their natural behavior to be drastically limited. Environmental enrichment has been suggested as an alternative to improve the captive situation of domestic horses. Among the recently proposed enrichment strategies, olfactory stimulation has emerged as a method for improving several aspects related to animal behavior. Olfaction is a sensory modality that plays a significant role in the expression of equine behavior, and in recent years, studies have shown that olfactory stimulation can influence the physiological and behavioral parameters of horses. This review provides current information on the anatomical particularities of the equine olfactory system, presents the physiological mechanisms involved in the odor detection process, and demonstrates how stress can interfere with this process. Finally, the use of olfactory stimulation as an environmental enrichment for domestic horses (Equus ferus caballus) is explored. The need for new studies that answer pertinent questions related to this topic is discussed throughout the manuscript.
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Abstract Background: The human-opossum (Didelphis marsupialis) conflict has increased during the last decades mainly due to natural habitat loss, and mediated by generalist and opportunistic habits of opossums. A potential solution to reduce this conflict is to discourage the presence of opossums in human settlements without affecting the welfare of either part. Objective: To develop an artisanal odor device and test three chemical substances (citronella, ammonia, and creolin) for their separate effectiveness to drive away opossums. Methods: We first attracted local opossums using fruits or canned sardines as bait in an urban natural park (n=2 sites) and a peri-urban forest reserve (n=4 sites), both located in the Municipality of Envigado, Province of Antioquia, Colombia. Then we installed odor devices containing one of the three chemicals on each site and let them there during two weeks. The test was repeated with each of the chemicals in all sites. The number of opossum visits per night was recorded daily using camera-traps with bait and bait+chemical. Results: We found that ammonia and creolin were associated to fewer opossum visits per night. Citronella did not reduce the presence of opossums. In addition, the number of opossums/per night was higher in the urban park compared with the forest reserve. Conclusion: We suggest to further test the repellent effect of ammonia and creolin on real human-opossum conflict scenarios; however, caution is warranted given their irritant, flammable, and corrosive properties.
Resumen Antecedentes: El conflicto entre humanos y zarigüeyas (Didelphis marsupialis) se ha acrecentado en las últimas décadas debido, principalmente, a la pérdida de hábitats naturales y mediado por los hábitos generalistas y oportunistas de las zarigüeyas. Una posible alternativa de solución a este conflicto es desalentar la presencia de zarigüeyas en áreas habitadas por humanos, sin afectar el bienestar de ninguna de las dos partes. Objetivo: Desarrollar un dispositivo artesanal de olor y probarlo con tres sustancias químicas de manera separada (citronela, amoniaco, y creolina) probando su efectividad para ahuyentar a las zarigüeyas. Métodos: Inicialmente cebamos con frutas o sardinas enlatadas para atraer las zarigüeyas locales en un parque natural urbano (n=2 sitios) y una reserva forestal peri-urbana (n=4 sitios), ambas en el Municipio de Envigado, Departamento de Antioquia, Colombia. Posteriormente, instalamos el dispositivo con uno de los tres químicos en cada sitio durante dos semanas. El test se repitió con los tres químicos en todos los sitios. El número de zarigüeyas/noche se registró diariamente usando cámaras-trampa con cebo, y con cebo+químico. Resultados: El amoníaco y la creolina se asociaron con un menor número de visitas de zarigüeya/noche. Por otro lado, cuando se adicionó citronela, el número de visitas no disminuyó. Adicionalmente, el número de zarigüeyas/noche registradas en el parque urbano fue mayor con respecto a la reserva forestal peri-urbana. Conclusión: El amoniaco y la creolina tienen efecto ahuyentador de zarigüeyas. Sugerimos evaluar su efecto en ambientes de conflicto real humanos-zarigüeyas, tomando precauciones durante su manipulación dadas sus propiedades irritantes, corrosivas e inflamables.
Resumo Antecedentes: O conflito humano-gambá (Didelphis marsupialis) tem aumentado durante as últimas décadas devido principalmente à perda do habitat natural e tem sido mediado pelos hábitos generalistas e oportunistas do gambá. uma solução potencial para reduzir esse conflito é desencorajar a presença de gambás em assentamentos humanos sem afetar o bem-estar de ambas as partes. Objetivo: Desenvolver um dispositivo artesanal de odor com três diferentes produtos químicos: citronela, amônia e creolina, e testamos sua eficácia para afastar gambás. Métodos: Inicialmente atraímos gambás locais usando frutas ou sardinhas em lata como isca em duas áreas, um parque natural urbano (n=2 locais) e uma reserva florestal periurbana (n=4 locais), ambos em Envigado, Antioquia, Colômbia. Posteriormente, instalamos o dispositivo de odor usando um dos três produtos químicos em cada local durante duas semanas. O ciclo foi repetido com todos os três produtos químicos em todos os locais. O número de gambás/noite foi registrado diariamente usando câmera-armadilhas com isca e isca+produto químico. Resultados: Verificamos que a amônia e a creolina estiveram associadas ao menor número de gambás/noite, mesmo quando os locais ainda estavam iscados, e que a citronela não diminuiu a presença de gambás/noite quando adicionada aos locais iscados. Além disso, o número de gambás/noite foi maior no parque urbano em relação à reserva florestal. Conclusão: Sugerimos avaliar o efeito repelente da amônia e da creolina em cenários reais de conflito entre humanos e gambás; no entanto, deve-se ter cuidado devido às suas propriedades irritantes, inflamáveis e corrosivas.
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INTRODUCTION: In adults, olfactory loss is one of the earliest and most frequent acute clinical manifestations of SARS-CoV-2 infection. The number of children infected with SARS-CoV-2 is relatively small, perhaps due to the lower expression of Angiotensin Converting Enzyme 2 (ACE2) in children compared to adults. Little is known about foetal impairment in mothers infected with SARS-CoV-2. This paper describes an ongoing scientific project on smell perception in infantsOBJECTIVE: The goal of the study is to develop and validate a behavioural evaluative scale of olfactory perception in healthy newborns and to apply this scale to newborn children of women infected with COVID-19 during pregnancy comparing to newborn children of women without COVID-19 infection history, in order to compare these groupsMETHODS: This is a retrospective comparative analytical cohort study of 300 newborns exposed and unexposed to COVID-19 during pregnancy. The data collection will follow the experimental procedure in a previous study that explored odours of the maternal breastmilk, vanilla (sweet) and distilled water (neutral). A coffee smell was implemented as an addition to this previous study in order to include acid/bitterness category to the categories of stimuliDISCUSSION: It is feasible to argue the hypothesis of the involvement of the foetus' olfactory bulb as one of the indelible pathophysiological manifestations to the clinical diagnosis of COVID-19 with neurosensory olfactory deficit in foetuses and newborns affected by intrauterine infection. This study aims to investigate if newborn children of women infected with COVID-19 during pregnancy have olfactory sensory changes. The clinical trial was registered in the Brazilian Registry of Clinical Trials (ReBEC- RBR-65qxs2
INTRODUÇÃO: Em adultos, a perda olfativa é uma das manifestações clínicas agudas mais precoces e frequentes da infecção por SARS-CoV-2. O número de crianças infectadas com SARS-CoV-2 é pequeno, talvez devido à menor expressão da Enzima Conversora da Angiotensina 2 (ACE2) em crianças em comparação com adultos. Pouco se sabe sobre o comprometimento fetal em mães infectadas com SARS-CoV-2. Este artigo descreve um projeto em andamento sobre a percepção olfativa em bebês recém-nascidosOBJETIVO: o objetivo do presente estudo é desenvolver e validar uma escala de avaliação comportamental da percepção olfativa em recém-nascidos saudáveis e aplicá-la a recém-nascidos de mulheres infectadas com COVID-19 durante a gravidez e comparar a recém-nascidos de mulheres sem histórico de infecção por COVID-19MÉTODO: Este é um estudo de coorte analítico comparativo retrospectivo de 300 recém-nascidos expostos e não expostos ao COVID-19 durante a gravidez. A coleta de dados seguirá o procedimento experimental de estudo anterior que explorou odores do leite materno, baunilha (doce) e água destilada (neutro). Um cheiro de café foi implementado como um complemento a este estudo anterior, a fim de incluir a categoria ácido / amargo nas categorias de estímulosDISCUSSÃO: É possível argumentar a hipótese do envolvimento do bulbo olfatório do feto durante a vida intrauterina como uma das manifestações fisiopatológicas indeléveis para o diagnóstico clínico de COVID-19 com déficit olfatório neurossensorial em fetos e recém-nascidos afetados por infecção intrauterina. Este estudo tem como objetivo investigar se filhos recém-nascidos de mulheres infectadas com COVID-19 durante a gravidez apresentam alterações sensoriais olfativas. O ensaio clínico foi registrado no Registro Brasileiro de Ensaios Clínicos (ReBEC- RBR-65qxs2
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Humanos , Masculino , Feminino , Recém-Nascido , Recém-Nascido , Coronavírus Relacionado à Síndrome Respiratória Aguda Grave , Percepção Olfatória , COVID-19Assuntos
Cefaleia , Cefaleia do Tipo Tensional , Criança , Cefaleia/diagnóstico , Cefaleia/epidemiologia , HumanosRESUMO
Nowadays, polypropylene is one of the most common polymers used in the food packaging industry due to its good functionality and relatively low cost. Nevertheless, usage of plastic disposable packaging can be a generator of plastic pollution having negative environmental effects. A feasible solution for this issue would be to recycle. The polypropylene samples were submitted to two processes, forced contamination, and recycling, and they were analyzed by solid-phase microextraction gas chromatograph-olfactometry-mass spectrometry. 45 different volatile compounds were identified and 9 of them presented distinct odoriferous activities. Among them, two important markers were detected: diethyl phthalate (probably coming from the catalyst of PP polymerization, intentionally added substance (IAS)), and glycerine (a marker of non-intentionally added substances (NIAS)).
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Embalagem de Alimentos/métodos , Odorantes/análise , Polipropilenos/química , Reciclagem , Compostos Orgânicos Voláteis/análise , Contaminação de Alimentos/análiseRESUMO
INTRODUCTION: Headache attacks may be triggered by several factors, among them odors, especially in migraine patients. OBJECTIVES: The aim of this study wasto determine the association between gasoline odor and headache attacks in patients with migraine or tension-type headache (TTH). SUBJECTS AND METHODS: The study was prospective, cross-sectional, with comparison of groups, using nonrandom sample and convenience. Fifty-two gas station workers diagnosed with migraine or TTH according to ICHD-3 criteria were interviewed on the relationship between gasoline odor and headache. RESULTS: Of the 52 gas station workers with headaches, there were 39 (75%) with migraine without aura and 13 (25%) with TTH. The age ranged from 19 to 50 years, with a mean of 29.5 ± 7.2 years. Osmophobia during headache attacks predominated in workers with migraine (29/39; 74.4%). The onset of headache due to odor exposure occurred in 23/39 (60%) of the workers with migraine and in 2/13 (15.4%) in TTH. These differences were statistically significant (χ2 = 7.4; p = 0.016). Osmophobia in the absence of pain (period between attacks) predominated in workers with migraine (17/39, 43.6%), but with no statistical value. CONCLUSIONS: Gas station workers diagnosed with migraine or TTH may experience osmophobia and headache triggered by the odor of gasoline.
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Gasolina/efeitos adversos , Cefaleia/etiologia , Odorantes , Transtornos do Olfato/etiologia , Adulto , Estudos Transversais , Feminino , Cefaleia/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos do Olfato/diagnóstico , Estudos Prospectivos , Adulto JovemRESUMO
OBJECTIVE: The objectives of this study are to study osmophobia and odor-triggered headaches among headache pediatric patients. BACKGROUND: Achieving the correct diagnosis for headaches in younger children can be challenging. The presence of osmophobia could constitute a helpful piece of information for making the correct diagnosis of headaches among adults. METHODS: This was a cross-sectional study. Children and adolescents with headaches who were seen consecutively at a pediatric outpatient service and had at least 1 headache attack over the previous 12 months were included. We used a semi-structured questionnaire, Pediatric Migraine Disability Assessment, State-Trait Anxiety Inventory, and Children's Depression Inventory. RESULTS: About 300 patients were included; 253 had migraine, 47 had a tension-type headache; 137 had osmophobia during headaches (135 were migraineurs). "Osmophobia during headaches" for diagnosing migraine: Sensitivity: 54.4% (95% CI: 48.2%-60.5%); specificity: 95.8% (95% CI: 85.8%-98.8%); positive predictive value (PPV): 98.5% (95% CI: 94.8%-99.6%); negative predictive value (NPV): 28.5% (95% CI: 22.0%-36.0%). Osmophobia was associated with higher intensity (OR: 2.90; 95% CI: 1.63, 5.15; P < .001) and duration of the headache (OR: 5.73; 95% CI: 2.29, 14.3; P < .001) and with vomiting (OR: 3.56; 95% CI: 1.83, 6.96; P < .001) (logistic regression). There were 62 patients (all of them migraineurs) with odor-triggered headaches: sensitivity for diagnosing migraine: 24.9% (95% CI: 19.9%-30.6%); specificity: 100% (95% CI: 92.4%-100%), PPV: 100% (95% CI: 94.8%-100%), NPV: 20% (95% CI: 16%-26.0%). Odor-triggered headaches were associated with higher intensity (OR: 3.47; 95% CI: 1.64, 7.35; P = .001) and duration of the headache (OR: 3.28; 95% CI: 1.37, 7.86; P = .001), vomiting (OR: 2.37; 95% CI: 1.19, 4.74; P = .014), and phonophobia (OR: 2.40; 95% CI: 1.08, 5.32; P = .031) (logistic regression). Osmophobia was associated with higher-impact migraine (OR: 4.65; 95% CI: 1.30, 16.6; P = .018) and emergency care (OR: 4.65; 95% CI: 1.81, 12.0; P = .001) (logistic regression). CONCLUSIONS: Osmophobia and odors as triggers for headaches are useful in diagnosing migraine and are markers for the severity of migraine in the pediatric population.
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Cefaleia/diagnóstico , Cefaleia/etiologia , Transtornos de Enxaqueca/diagnóstico , Transtornos de Enxaqueca/etiologia , Transtornos do Olfato/complicações , Transtornos do Olfato/diagnóstico , Adolescente , Criança , Estudos Transversais , Feminino , Cefaleia/induzido quimicamente , Humanos , Masculino , Transtornos de Enxaqueca/induzido quimicamente , Odorantes , Transtornos Fóbicos/complicações , Transtornos Fóbicos/diagnóstico , Prevalência , Sensibilidade e Especificidade , Índice de Gravidade de DoençaRESUMO
Phlebotomines are important vectors of bacteria, viruses and protozoan parasites. Protozoans of the genus Leishmania which cause visceral and cutaneous leishmaniases, are among the most important etiologic agents transmitted by sand flies. Different blends of human and animal volatiles have been evaluated for use in surveillance and/or control of hematophagous insects. With regard to phlebotomine sand flies there are few records of attraction under laboratory and field conditions. This study was carried out at two collecting sites located in a Brazilian town with a high prevalence of cutaneous leishmaniasis. The aim of the present study was to evaluate the effect of adding two kinds of commercial bait which mimic human odors to light traps to attract sand flies and compare the results with those of light traps without any additional bait. The commercial baits, BG-Lure® and BG-Sweetscent®, were developed to catch anthropophilic mosquitoes. Three treatments were evaluated: 1 - HP light trap with BG-Lure® added; 2 - HP light trap with BG-Sweetscent® added and 3- HP light trap without any attractant. A total of 3,682 sand flies were collected during the study. Constrained correspondence analysis was applied to perform ordination of the captured community of sand fly species that could be explained by attractant, sampling site and sex. The most abundant species: Pintomyia nevesi, Nyssomyia whitmani and Nyssomyia antunesi were further investigated by fitting generalized linear mixed models. Only Ny. whitmani showed a slight indication of an increase in catches with BG-Lure®.
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Controle de Insetos/métodos , Phlebotomus , Animais , Feminino , Humanos , Leishmaniose Cutânea/transmissão , MasculinoRESUMO
Background. There is no gold standard method for human skin odor determination; several techniques can be applied to collect, extract, transfer, and detect human skin odors. However, none of these methods are suitable for field sampling of a large number of individuals. Objective. The present study aimed to develop a simple, fast, non-invasive, and low-cost method for such a purpose. Methods. Considering that hair from legs can act as a retention mesh of volatile organic compounds (VOCs), samples of leg hairs provided by healthy adult males were collected and solid-phase microextraction (SPME), in headspace (HS) mode, coupled to gas chromatography (GC) and mass spectrometry (MS) analysis of the samples was carried out. A pilot test was applied to detect five quality markers that are frequently reported in human skin odors. Then, several steps were performed for method standardization. The method was applied to 36 different individuals (3 sampled under laboratory conditions and 33 under field conditions), aiming to evaluate its applicability in both environments. Findings. A total of 49 VOCs were identified, and 73.5% of these have been reported in previous studies. Main Conclusions. Hair from legs can be considered an efficient tool for human skin odor sampling and a suitable and practical matrix for human skin odor profile determination by using HS-SPME/GC-MS.
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Cabelo/química , Odorantes/análise , Pele/metabolismo , Análise de Variância , Cromatografia Gasosa-Espectrometria de Massas , Humanos , Microextração em Fase Sólida , Compostos Orgânicos Voláteis/análise , Compostos Orgânicos Voláteis/química , Compostos Orgânicos Voláteis/isolamento & purificaçãoRESUMO
Socioeconomic status can significantly impact health. To what degree education and other socioeconomic factors influence the chemical sense of olfaction is not clear. Most studies that have assessed such influences come from countries lacking large disparities in education and income and generally view such measures as nuisance variables to be controlled for statistically. In this study, we evaluated the influences of education and income on odor identification in a diverse sample of subjects from Brazil, a society where large disparities in both income and education are present. The 40-item University of Pennsylvania Smell Identification Test (UPSIT) was administered to 1572 healthy Brazilian citizens with no self-reported olfactory or gustatory deficits and for whom detailed socioeconomic and educational status data were obtained. Univariate and multivariate models were employed to examine the influence of socioeconomic status on the test scores. After controlling for age, sex, ethnicity, and smoking behavior, income and educational level were positively and independently related to the olfactory test scores (respective psâ¯<â¯0.001 & 0.01). Both linear and quadratic functions described the relationship between the UPSIT scores and the levels of education and socioeconomic status. Individuals of lower socioeconomic status performed significantly worse than those of higher socioeconomic status on 20 of the 40 odorant items. This study demonstrates socioeconomic status is significantly associated with influence the ability to identify odors. The degree to which this reflects differential exposures to xenobiotic agents, cultural differences, familiarity with odors or their names, cognitive development, or other factors requires further investigation.
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Percepção Olfatória/fisiologia , Olfato/fisiologia , Classe Social , Adulto , Idoso , Brasil , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Odorantes , Fatores SocioeconômicosRESUMO
Foul odors comprise generally a complex mixture of molecules, where reduced sulfur compounds play a key role due to their toxicity and low odor threshold. Previous reports on treating mixtures of sulfur compounds in single biofilters showed that hydrogen sulfide (H2S) interferes with the removal and degradation of other sulfur compounds. In this study, hydrogen sulfide (H2S) and dimethyl disulfide (DMDS) were fed to an alkaline biotrickling filter (ABTF) at pH 10, to evaluate the simultaneous removal of inorganic and organic sulfur compounds in a single, basic-pH system. The H2S-DMDS mixture was treated for more than 200 days, with a gas residence time of 40 s, attaining elimination capacities of 86 gDMDS m-3 h-1 and 17 gH2S m-3 h-1 and removal efficiencies close to 100%. Conversion of H2S and DMDS to sulfate was generally above 70%. Consumption of sulfide and formaldehyde was verified by respirometry, suggesting the coexistence of both methylotrophic and chemoautotrophic breakdown pathways by the immobilized alkaliphilic biomass. The molecular biology analysis showed that the long-term acclimation of the ABTF led to a great variety of bacteria, predominated by Thioalkalivibrio species, while fungal community was notoriously less diverse and dominated by Fusarium species.
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Dissulfetos/química , Sulfeto de Hidrogênio/química , Eliminação de Resíduos Líquidos/métodos , Bactérias/metabolismo , Reatores Biológicos , Dissulfetos/análise , Filtração , Sulfeto de Hidrogênio/análise , Sulfatos/metabolismo , Sulfetos/metabolismo , Compostos de Enxofre/metabolismoRESUMO
Objectives The objective of this article is to characterize olfactory stimulation as a trigger of headaches attacks and differentiation between migraine and other primary headaches. Participants and methods The study was prospective and experimental, with comparison of groups. A total of 158 volunteers (73 men and 85 women) were diagnosed with primary headaches, according to the criteria of the International Classification of Headache Disorders, Third Edition (beta version) (ICHD-3ß). The study was conducted by two examiners; one of them was assigned to diagnose the presence and type of primary headache, while the other was responsible for exposing the volunteers to odor and recording the effects of this exposure. Results Of the 158 volunteers with headache, there were 72 (45.6%) cases of migraine and 86 (54.4%) with other primary headaches. In both groups, there were differences in headache characteristics (χ2 = 4.132; p = 0.046). Headache attacks (25/72; 34.7%) and nausea (5/72; 6.9%) were triggered by odor only in patients with migraine, corresponding to 19.0% (30/158) of the sample, but in none with other primary headaches (χ2 = 43.78; p < 0.001). Headache occurred more often associated with nausea ( p = 0.146) and bilateral location ( p = 0.002) in migraineurs who had headache triggered by odor. Headache was triggered after 118 ± 24.6 min and nausea after 72.8 ± 84.7 min of exposure to odor. Conclusions The odor triggered headache attacks or nausea only in migraineurs. Therefore, headache triggered by odors may be considered a factor of differentiation between migraine and other primary headaches and this trigger seems very specific of migraine.
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Cefaleia/diagnóstico , Transtornos de Enxaqueca/diagnóstico , Odorantes , Adolescente , Adulto , Feminino , Humanos , Masculino , Transtornos de Enxaqueca/etiologia , Estudos Prospectivos , Adulto JovemRESUMO
OBJECTIVES: To evaluate the association between osmophobia and the characteristics of patients and their headaches, among migraine patients. METHODS: This was a cross-sectional study. Patients who consecutively sought medical attendance in a primary care unit were asked about their headaches over the last 12 months. Those who had migraine were included. A semi-structured interview, the Headache Impact Test and the Hospital Anxiety and Depression Scale were used. RESULTS: 147 patients had migraine; 78 had osmophobia; 60 had significant anxiety symptoms; and 78 had significant depression symptoms. The mean age of these patients was 43.2 years (± 13.7); 91.2% were women. The mean length of time with complaints of headache was 13.8 years (± 12). Among the migraine patients, those with anxiety, more years of headache history, and phonophobia presented significantly more osmophobia (multivariate logistic regression). CONCLUSION: Osmophobia in migraine patients is associated with significant anxiety symptoms, length of headache history, and phonophobia.
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Ansiedade/epidemiologia , Transtornos de Enxaqueca/complicações , Transtornos de Sensação/epidemiologia , Adulto , Ansiedade/complicações , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos de Enxaqueca/psicologia , Odorantes , Transtornos de Sensação/complicaçõesRESUMO
A ferida neoplásica acomete cerca de 5% a 10% dos pacientes com câncer em cuidados paliativos. O foco central do cuidado dessas feridas é o controle dos sintomas, em que o odor está presente em 10,4% e o exsudato em 14,6% dos casos, sendo responsáveis pelo impacto no aspecto psicossocial do paciente. O estudo teve como objetivo de avaliar as associações entre odor, exsudato e isolamento social em pacientes com feridas neoplásicas. Trata-se de uma pesquisa quantitativa do tipo transversal prospectivo realizado com os pacientes com feridas neoplásicas no Ambulatório de cuidados paliativos do Núcleo de Atenção Oncológica do Hospital Universitário Antônio Pedro, aprovada pelo Comitê de Ética do HUAP c/nº: 183.757. A coleta de dados foi realizada durante a consulta de enfermagem pela da aplicação das escalas de odor, exsudação (Push) e escala de Likert de três dimensões para avaliação dos aspectos sociais do paciente, bem como dados contidos em prontuário para caracterização da clientela. Para a análise estatística aplicou-se o teste de normalidade Shapiro wilk, verificando que a amostra não é paramétrica (p valor ≤ 0,05) para as variáveis: tamanho da lesão, ferida total, odor total e exsudato total (escala likert) e paramétrica (p valor > 0,05) para a variável idade. Os dados foram apresentados em forma de mediana e intervalo interquartil (x̱ Q3-Q1) para análises das variáveis não paramétricas; média e desvio padrão (xÌ ± D. P) para variável paramétrica. Realizou-se o teste de Kruskal Wallis para verificação de associação multivariada entre os dados clínicos e da escala e o teste de Spearman para verificar se o grau do odor, quantidade de exsudato, tamanho e localização da lesão apresentam correlação com a interferência da socialização do paciente. A confiabilidade da ISPOE foi medida pelo coeficiente Alfa de Cronbach. Constatou-se, então a correlação entre o grau de odor e as perguntas 1 e 5 da escala da dimensão odor. Assim, o odor interfere no constrangimento (p; 0,0053) e frequentar locais públicos (p; 0,0495). A quantidade de exsudato apresentou correlação com a primeira questão da escala da dimensão exsudato, interferindo no constrangimento (p; 0,0453). A variável tipo de ferida apresentou correlação com as questões 3 e 5, logo, interferindo na relação com a família e em frequentar locais públicos, fatores esses que favorecem o isolamento social em pacientes com feridas neoplásicas As variáveis: tamanho da lesão e local da lesão não apresentaram correlação significativa com as questões da escala na dimensão ferida. As três dimensões da escala apresentaram consistência interna satisfatória com alfa: 0,82 (dimensão ferida); 0,94 (dimensão exsudato) e 0,88 (dimensão odor). Com isso, o odor e o exsudato interferem negativamente fatores sociais e psicológicos que podem favorecer, diretamente, o isolamento social. Além do conhecimento sobre as particularidades dessas lesões e dos produtos adequados ao cuidados, é fulcral que o profissional de enfermagem conheça os principais queixas relacionadas à lesão e o impacto que causam ao cotidiano do paciente. Conhecer esse conflito social e psicológico fará toda a diferença no cuidado de enfermagem, pois, dessa forma, poderá atuar de maneira assertiva e holística no cuidado no cotidiano do paciente, enxergando-o para além dos sintomas: seus anseios psicológicos e sociais. A constatação da associação entre as variáveis poderá auxiliar a avaliação dos aspectos que podem interferir na qualidade de vida e no cuidado prestado aos pacientes com feridas neoplásicas
Neoplastic wound affects about 5% to 10% of cancer patients in palliative care. The central focus of the care of these wounds is to control the symptoms, where the odor is present in 10.4% and exudate in 14.6% of cases, being responsible for the impact on the psychosocial aspect of the patient. The study aimed to evaluate the association between odor, exudate and social isolation in patients with neoplastic wounds. This is a quantitative study of the kind prospective cross-sectional with patients with neoplastic wounds in outpatient palliative care in Oncology Attention Core of University Hospital Antonio Pedro, approved by HUAP Ethics Committee c / No: 183757. Data collection was performed during the nursing consultation by the application of odor scales, exudation (Push) and Likert scale of three dimensions to assess the social aspects of the patient, as well as data contained in records for population. The statistical analysis was applied to the normality test Shapiro Wilk, verifying that the sample is not parametric (p value ≤ 0.05) for the variables: size of the lesion, the total wound, the total odor and overall exudate (Likert scale) and parametric (p value> 0.05) for the age variable. Data were presented as median and interquartile range ((x) ± Q3-Q1) for analysis of nonparametric variables; mean and standard deviation (x Ì ± S.P) for parametric variable. He held the Kruskal Wallis test for multivariate association check between clinical data and scale and the Spearman test to see if the odor degree, amount of exudate, size and location of the lesion correlate with the interference of socialization patient. The reliability of ISPOE was measured by Cronbach alpha coefficient. It was found, then the correlation between the degree of odor and the questions 1 to 5 scale of the odor scale. Thus, the odor interferes with the constraint (p, 0.0053) and attend public places (p; 0.0495). The amount of exudate correlated with the first issue of exudate size scale, interfering with embarrassment (p; 0.0453). The variable type of injury correlated with the issues 3:05, so interfering with the relationship with the family and attend public places, factors that favor social isolation in patients with neoplastic Variables wounds: lesion size and location of injury no significant correlation with the range of issues in the wound size. The three dimensions of the scale showed satisfactory internal consistency with alpha: 0.82 (wound size); 0.94 (exudate dimension) and 0.88 (size odor). Thus, the odor and exudate negatively affect social and psychological factors that may contribute, directly, social isolation. In addition to the knowledge about the characteristics of these injuries and products suitable for care, it is crucial that nursing professionals know the main complaints related to the injury and the impact they cause to the daily life of the patient. Knowing that social and psychological conflict will make all the difference in nursing care, because thus may act assertively and holistic care in the patient's daily life, seeing it beyond the symptoms: their psychological and social aspirations. The finding of association between variables may assist the evaluation of aspects that can interfere with quality of life and care provided to patients with neoplastic wounds
Assuntos
Exsudatos e Transudatos , Odorantes , Enfermagem Oncológica , Cuidados Paliativos , Isolamento Social , Ferimentos e LesõesRESUMO
OBJECTIVES: The aims of this study were to investigate the prevalence of osmophobia among primary headaches, evaluate the association between osmophobia and the characteristics of patients and their headaches, and assess the usefulness of this symptom for diagnosing migraine. METHODS: This was a cross-sectional study in a primary care unit. Patients who consecutively sought medical attendance in a primary care unit were asked about headaches (convenience sample). Those who reported having had at least 1 episode of headache during the last 12 months were interviewed. Semi-structured interview, the Headache Impact Test, and the Hospital Anxiety and Depression Scale were used. RESULTS: Two hundred thirty-five patients had headaches, 147 patients had migraine (53% of them had osmophobia), and 87 had tension-type headache (11.5% of them had osmophobia), and 1 patient had an unclassifiable headache. Among the headache patients, those with migraine and more years of headache history presented significantly more osmophobia (multivariate logistic regression).The sensitivity and specificity of osmophobia for establishing a diagnosis of migraine were 53.1% and 87.5%. The positive predictive value and negative predictive value were 87.6% and 52.7%. CONCLUSION: We found high prevalence of osmophobia among migraine patients, and this complaint is useful in making the diagnosis of migraine in primary care. Osmophobia is associated with migraine and more years of headache history.
Assuntos
Cefaleia/epidemiologia , Transtornos de Enxaqueca/epidemiologia , Transtornos do Olfato/epidemiologia , Atenção Primária à Saúde/normas , Adulto , Estudos Transversais , Feminino , Cefaleia/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos de Enxaqueca/diagnóstico , Transtornos do Olfato/diagnóstico , Prevalência , Atenção Primária à Saúde/métodosRESUMO
It is well established that olfactory dysfunction has significant implications for safety, nutrition, and quality of life. The more reliable standardized tests of olfactory function, such as the University of Pennsylvania Smell Identification Test (UPSIT), assess odor identification ability. Unfortunately, cultural factors can influence such tests, as a number of odors are not universally recognized. In this study, a Portuguese language version of the UPSIT was administered to an age- and sex-stratified prospective sample of 1820 Brazilian subjects. Normative data were developed for a subset of 1578 subjects who reported having no difficulties smelling or tasting. Individuals with a history of head trauma or, in the case of those over the age of 64 years, Mini-Mental State Examination Scores <24, were excluded from analysis. As in other populations, the test scores were significantly influenced by age and sex. The median overall difference between the North American and Brazilian UPSIT scores was 2.2 points for men and 0.8 points for women, although subtle age-related differences were also apparent. This research represents that largest clinical study of olfaction ever performed in South America. Correction factors based upon age and sex are provided to allow for direct comparisons of Brazilian test scores to those based upon North American norms.
Assuntos
Testes Neuropsicológicos , Percepção Olfatória/fisiologia , Adulto , Idoso , Brasil , Características Culturais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos do Olfato/diagnóstico , Estudos Prospectivos , Valores de Referência , Olfato , Estados Unidos , Adulto JovemRESUMO
Studies on the olfactive learning in honey bees (Apis mellifera L.) are predominantly performed with worker bees. In this study, we used the classical conditioning of proboscis extension (PER) to evaluate the effectiveness of 5 scents as conditioned stimuli (CS). Ten groups of 20 drones (A. mellifera L.) each were used. The conditioned stimuli were the odors of Citral, Hexanal, Geraniol, beeswax (comb), and beeswax (foundation sheet). In addition to the acquisition of learning, we measured the persistence of conditioning when the unconditioned stimulus was no longer presented (i.e.,extinction). The intertrial interval, the CS duration and US duration were 10 min, 2 sec, and 3 sec, respectively. The drones were able to demonstrate conditioning and storage of information. Citral, Hexanal, and beeswax (comb) were the most efficient stimuli in classical conditioning with drones.
Estudos sobre a aprendizagem olfativa em abelhas (Apis mellifera L.) são predominantes nas operárias. Neste estudo, utilizou-se o condicionamento clássico da extensão da probóscide (PER) para avaliar o efeito de 5 odores como estímulos condicionantes (EC). Foram utilizados dez grupos de 20 zangões (A. mellifera L.) cada. Os estímulos condicionantes foram Citral, Hexanal, Geraniol, cera de abelha em favo e cera de abelha alveolada. Além da aquisição de aprendizagem, mediu-se a persistência do condicionamento quando o estímulo incondicional (EI) não foi mais oferecido (i.e. extinção). O intervalo entre testes, o tempo de apresentação de EC e EI foram10 minutos, 2 segundos e 3 segundos, respectivamente. Os zangões foram capazes de demonstrar condicionamento e armazenamento de informação. Citral, Hexanal e cera de abelha foram os estímulos mais eficientes no condicionamento clássico (CC) com zangões.