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Chen Xu, Cheng Zhang, Yingxi Wang, Li Liu, Ling Li, Andrew K Whittaker
In this study, novel magnetic core-shell nanoparticles Fe3O4@La-BTC/GO have been synthesized by the layer-by-layer self-assembly (LBL) method and further modified by attachment of amino-modified PEG chains. The nanoparticles were thoroughly characterized by XRD, FTIR, SEM and TEM. The core-shell structure was shown to be controlled by the LBL method. The drug loading of doxorubicin (DOX) within the Fe3O4@La-BTC/GO-PEG nanoparticles with different numbers of deposited layers was investigated. It was found that DOX loading increased with increasing number of MOF coating layers, indicating that the drug loading can be controlled through the controllable LBL method...
October 11, 2017: Nanotechnology
Cassiana Mendes Bertoncello Fontes, Daniele Vieira de Menezes, Maria Helena Borgato, Marcos Roberto Luiz
Objectives: describe how the process of breaking bad news is established and identify how nurses approach the task of giving bad news. Method: integrative review of the literature for articles in Portuguese and English published between 1993-2014, in the databases: Bireme, PubMed, Scopus, Web of Science, CINAHL and Embase. Nine articles were included using the selection flow chart. A digital form was completed for each article according to the Consolidated Criteria for Reporting Qualitative Research checklist and the level of scientific evidence was determined...
September 2017: Revista Brasileira de Enfermagem
Cláudia Cristiane Filgueira Martins Rodrigues, Viviane Euzébia Pereira Santos, Paulo Sousa
Objective: To analyze studies on stress, Burnout Syndrome, and patient safety in the scope of nursing care in the hospital environment. Method: This was an integrative literature review. Data collection was performed in February 2016 in the following databases: Medical Literature Analysis and Retrieval System Online - PubMed/MEDLINE, Latin American and Caribbean Literature in Health Sciences - LILACS. Results: Ten scientific productions were selected, which listed that factors contributing to stress and Burnout Syndrome of nursing professionals are the work environment as a source of stress, and excessive workload as a source of failures...
September 2017: Revista Brasileira de Enfermagem
Kamylla Santos da Cunha, Carolina Kahl, Cintia Koerich, José Luís Guedes Dos Santos, Gabriela Marcellino de Melo Lanzoni, Alacoque Lorenzini Erdmann
Objective: To comprehend how university management contributes on the performance of nurses who are professors and managers in a public university. Method: Qualitative research anchored on the Grounded Theory. The setting to collect the data was a public university in south Brazil and it happened between May and September of 2016. A total of 19 nurses took part in the study, all of them also faculty members and managers that were divided in two sample groups. Results: Two subcategories were created: the comprehension that university management improves the faculty performance; obtaining a wider view of the university...
September 2017: Revista Brasileira de Enfermagem
Marcelo Siqueira de Oliveira, Romeu Paulo Martins Silva, Suiane da Costa Negreiros do Valle, Elisabeth Níglio de Figueiredo, Dayana Fram
Objective: compare chronic hepatitis B patients to those superinfected with hepatitis D virus, according to Child-Pugh score regarding disease severity. Method: retrospective descriptive study, performed with 59 patients followed in the ambulatory, of which 22 (37.3%) were chronically infected with hepatitis B virus (Group HBV) and 37 (62.7%) superinfected with Delta virus (Group HBV+HDV); variables of sex, age and items of Child-Pugh score were collected by consulting medical records...
September 2017: Revista Brasileira de Enfermagem
Priscila Fernandes Martins, Marcia Galan Perroca
Objectives: To compare care necessities as perceived by the patient and nursing team and to investigate the sociodemographic factors associated with these perceptions. Method: A comparative study was conducted in units and hospitalized patients of a hospital institution in the state of São Paulo. The participants comprised 100 health professionals (50 nurses and 50 nursing technicians and auxiliaries) and 50 patients. A questionnaire was constructed and validated regarding care needs and was completed by the participants...
September 2017: Revista Brasileira de Enfermagem
Aline Marcelino Ramos, Edison Luiz Devos Barlem, Jamila Geri Tomaschewski Barlem, Laurelize Pereira Rocha, Graziele de Lima Dalmolin, Aline Belletti Figueira
Objective: Cross-culturally adapt and validate the Moral Distress Scale-Revised for nurses. Method: Quantitative, analytical cross-sectional study conducted with 157 nurses of two hospital institutions of Southern Brazil, one public and one philanthropic. Procedures conducted: cultural adaptation of the instrument according to international recommendations; validation for the Brazilian context. Results: Face and content validation was considered satisfactory as assessed by a specialist committee and a pretest...
September 2017: Revista Brasileira de Enfermagem
Vagnára Ribeiro da Silva, Luciane de Souza Velasque, Teresa Tonini
Objective: to identify the level of attributed, perceived and real job satisfaction of oncology nursing professionals and analyze the relationships between the levels of satisfaction among these workers. Method: a descriptive, quantitative cross-sectional study was conducted using the Index of Work Satisfaction (IWS) to evaluate the nursing team, nurses and technicians/auxiliaries. A total of 348 workers answered the questionnaire, of which 216 were fully completed and considered for the IWS calculation...
September 2017: Revista Brasileira de Enfermagem
Rosângela Marion da Silva, Regina Célia Gollner Zeitoune, Carmem Lúcia Colomé Beck, Milva Maria Figueiredo de Martino, Francine Cassol Prestes, Marli Maria Loro
Objective: To identify the predominant chronotype in nursing workers who work in surgical clinics of university hospitals and to verify the association with work shift. Method: Cross-sectional study, performed in surgical clinics of university hospitals in the Southern region of Brazil. The sample of 270 nursing workers answered questions of socio-occupational characterization, of health and the Morningness-Eveningness Questionnaire of Horne and Östberg. We performed a descriptive and bivariate analysis with the help of the SPSS software and confidence interval of 95%...
September 2017: Revista Brasileira de Enfermagem
Ingrid de Almeida Barbosa, Maria Júlia Paes da Silva
Objective: Evaluate the perception of nurses regarding interpersonal communication while providing care via telehealth. Method: Qualitative research realized with seven nurses working in telehealth in Brazil, the sample was determined by data saturation. A questionnaire with open questions was applied and then content analysis of the dialogues was conducted, focusing on thematic analysis. Results: Four categories emerged from the dialogues: Understanding the importance of communication; the interpersonal relationship interfering with communication; Communicating via technology; and Learning the communication process...
September 2017: Revista Brasileira de Enfermagem
Norma Valéria Dantas de Oliveira Souza, Francisco Gleidson de Azevedo Gonçalves, Ariane da Silva Pires, Helena Maria Scherlowski Leal David
Objectives: To describe and analyze the influence of the neoliberal economic and political model on the nursing hospital work process and organization. Method: Qualitative descriptive research, having as its scenery a university hospital. The subjects were 34 nursing workers. The data collection took place from March to July 2013, through semi-structured interview. The data treatment technique used was content analysis, which brought up the following category: working conditions precariousness and its consequences to the hospital work process and organization in the neoliberal context...
September 2017: Revista Brasileira de Enfermagem
Isabela Fornerolli de Macedo, Tania Vignuda de Souza, Isabel Cristina Dos Santos Oliveira, Sylvia Alves Cibreiros, Rita de Cássia Melão de Morais, Rosana Fidelis Coelho Vieira
Objectives: to describe nursing team care and discuss the nursing team's conception of companion families of hospitalized children. The study was based on the theoretical framework of Collière's theory of nursing care identity. Method: this was a qualitative study with 14 members of a nursing team, conducted through an unstructured group interview. Thematic data analysis was employed. Results: habitual and repair care was delegated to families, regardless of the child's clinical condition...
September 2017: Revista Brasileira de Enfermagem
Ingrid Margareth Voth Lowen, Aida Maris Peres, Carla da Ros, Paulo Poli, Nilza Teresinha Faoro
Objective: analyze the reorganization of the health care practice of nurses as an innovative strategy for expansion of access in primary care. Method: qualitative and quantitative study, which interviewed 32 management and care nurses and collected documentary data from public reports of production of nursing consultations from 2010 to 2014, in a municipality in southern Brazil. Data processing for textual analysis was performed by IRAMUTEQ software; for simple descriptive statistical analysis, the program Excel 2013 was used...
September 2017: Revista Brasileira de Enfermagem
Miriam Francisco de Souza, Alaneir de Fatima Dos Santos, Ilka Afonso Reis, Marcos Antônio da Cunha Santos, Alzira de Oliveira Jorge, Antônio Tomaz Gonzaga da Matta Machado, Eli Iola Gurgel Andrade, Mariangela Leal Cherchiglia
OBJECTIVE: Analyze the quality of the National Program for Primary Care Access and Quality Improvement variables to evaluate the coordination of primary care. METHODS: A cross-sectional study based on data from 17,202 primary care teams that participated in the National Program for Primary Care Access and Quality Improvement in 2012. Based on the Item Response Theory, Samejima's Gradual Response Model was used to estimate the score related to the level of coordination...
2017: Revista de Saúde Pública
Paula Vitali Miclos, Maria Cristina Marino Calvo, Claudia Flemming Colussi
OBJECTIVE: The objective of this study has been to evaluate the performance of the primary care of Brazilian municipalities in relation to health actions and outcomes. METHODS: This is an evaluative, cross-sectional research, with a quantitative approach, aimed at the identification of the efficiency frontier of the primary care in health actions and outcomes in Brazilian municipalities. Secondary data have been collected from the Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (National Program for Improving Access and Quality of Primary Care) and the Department of Informatics of the Brazilian Unified Health System, in 2012...
2017: Revista de Saúde Pública
Lorena Luryann Cartaxo da Silva, Fernanda Sasaki Vergilio, Diva Carvalho Collarile Yamaguti, Isabela Azevedo Nicodemos da Cruz, Joana Angrisani Granato Queen
Germ cell tumors are rare neoplasms that mostly occur in the gonads, although they can also affect other body sites, especially the anterior mediastinum (50 to 70% of all extragonadal germ cell tumors). We report a case of a primary mediastinal yolk sac tumor, a rare and aggressive germ cell tumors subtype. This was a 38-year-old man who was admitted to Hospital do Servidor Público Estadual "Francisco Morato de Oliveira", complaining about dyspnea and dry cough for 1 year. The computed tomography scan of his chest revealed a large mass in the anterior mediastinum with heterogeneous enhancement to the contrast associated with pleural effusion...
September 21, 2017: Einstein
Bianca Bianco, Denise Maria Christofolini, Gabriel Seixas Conceição, Caio Parente Barbosa
Duchenne muscular dystrophy is the most common muscle disease found in male children. Currently, there is no effective therapy available for Duchenne muscular dystrophy patients. Therefore, it is essential to make a prenatal diagnosis and provide genetic counseling to reduce the birth of such boys. We report a case of preimplantation genetic diagnosis associated with Duchenne muscular dystrophy. The couple E.P.R., 38-year-old, symptomatic patient heterozygous for a 2 to 47 exon deletion mutation in DMD gene and G...
September 21, 2017: Einstein
Pietro Pirina, Marco Martinetti, Claudia Spada, Elisabetta Zinellu, Rosanna Pes, Efisio Chessa, Alessandro Giuseppe Fois, Marc Miravitlles
BACKGROUND: COPD frequently coexists with HF with which shares several risk factors. A greater collaboration is required between cardiologists and pulmonologists to better identify and manage concurrent HF and COPD. This observational, retrospective study provides new data regarding the management of these patients. METHODS: from the Health Search Database which collects information generated by the routine activity of general practitioners, we selected 803 patients suffering from COPD or HF alone or combined analyzing similarities and differences regarding risk factors, diagnostic workup and therapeutic approaches...
October 2017: Respiratory Medicine
Jong-Bae Choi, Sun-Hwa Shim, Jeon-Eun Yang, Hyun-Dong Kim, Doo-Ho Lee, Ji-Su Park
BACKGROUND: Dysphagia after stroke can cause a variety of complications, especially aspiration pneumonia, which can be life-threatening. Therefore, rehabilitation methods to reduce aspiration in patients with dysphagia are important. OBJECTIVE: In the present study, we aimed to investigate the effects of Shaker exercise on aspiration and oral diet level in stroke survivors with dysphagia. METHODS: Participants were randomly assigned to an experimental group (n = 16) or a control group (n = 16)...
September 16, 2017: NeuroRehabilitation
Keisuke Maeda, Hidetaka Wakabayashi, Hiroshi Shamoto, Junji Akagi
AIM: Hospital-associated dysphagia, characterized by deconditioning of swallowing as a result of hospitalization, is sometimes observed in patients with aspiration pneumonia (AP). Cognitive impairment is known as a negative factor in dysphagia rehabilitation. The present study aimed to examine the association between cognitive impairment and hospital-associated dysphagia in patients with AP receiving dysphagia rehabilitation. METHODS: A retrospective observational study was carried out in an acute geriatric hospital...
September 21, 2017: Geriatrics & Gerontology International
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