Nevin Manimala

Rev Gaucha Enferm. 2023 Jul 28;44:e20220269. doi: 10.1590/1983-1447.2023.20220269.en. eCollection 2023.

ABSTRACT

OBJECTIVE: Analyze the spiritual growth of family caregivers of people with severe disabilities who reside in the Metropolitan District of Quito and identify the cognitive-affective factors, bio-sociocultural characteristics and care characteristics that model it.

METHOD: Cross-sectional study, carried out during the second semester of 2021, probabilistic sample of 223 caregivers residing in Quito-Ecuador. Descriptive statistics, correlation coefficients and regression were applied.

RESULTS: 49.8% perceived a high spiritual growth. This correlated with the manageability dimension of the sense of coherence and with the self-efficacy of care. Some cognitive-affective factors, bio-sociocultural characteristics and care characteristics explained 25% of its variation.

CONCLUSION: The results showed a frequent practice of actions that promote spiritual growth, self-efficacy of care is highlighted as an important protective factor, these results can serve as a basis for planning interventions towards the evaluation and development of spiritual growth in search of a healthy lifestyle. in this vulnerable population.

PMID:37585960 | DOI:10.1590/1983-1447.2023.20220269.en

Rev Gaucha Enferm. 2023 Jul 28;44:e20220202. doi: 10.1590/1983-1447.2023.20220202.en. eCollection 2023.

ABSTRACT

OBJECTIVE: To describe the sociodemographic and gestational profile of HIV-positive women in Curitiba-PR, years 2018-2020.

METHOD: Observational, cross-sectional research, with data obtained from the Information System of Diseases of Notification of Pregnant Women. Data were analyzed for consistency exploration, description and analysis.

RESULTS: The sample consisted mostly of women aged 13-30 years, white and with incomplete elementary school. Prenatal care was performed by 93.8% of pregnant women, 66.1% of whom knew their serological status before prenatal care and 45% received notification in the first gestational trimester. Access to antiretroviral medication occurred for 82.4% of pregnant women and for 74.6% the pregnancy outcome was alive newborns. The statistical variables associated with prenatal care were pregnancy evolution, ART prophylaxis, type of delivery and ART at delivery (p<0.00).

CONCLUSION: The pregnant women in the sample presented desired gestational indicators. The collected data allowed describing the sample’s profile and evaluating the performance of the health policy for pregnant women.

PMID:37585957 | DOI:10.1590/1983-1447.2023.20220202.en

Rev Bras Parasitol Vet. 2023 Aug 11;32(3):e006223. doi: 10.1590/S1984-29612023049. eCollection 2023.

ABSTRACT

The objectives of this work were to investigate the occurrence of parasites in feces of cats, compare different coproparasitological techniques for their diagnosis and determine associations with parasitism. The samples were processed using three different coproparasitological techniques: centrifugal flotation in sucrose, centrifugal flotation in ZnSO4 and simple sedimentation. The parasitic association between parasitism and variables such as age, sex and fecal consistency was performed using the chi-square test or the G test with a significance level of 5%. A total of 237 samples were analyzed, of which 93 (39.2%) were positive, being Ancylostoma spp. (17.3%), Giardia intestinalis (12.2%), Platynosomum illiciens (8.0%), Cystoisospora spp. (6.3%), Toxoplasma gondii/ Hammondia hammondi (3.4%), Diphyllobothriidae (2.1%), Toxocara spp. (1.7%), Dipylidium caninum (1.3%) and Mesocestoides spp. (0.8%). In the parasitism association analysis, it was possible to verify a statistical difference in the age category for Cystoisospora spp. (p=0.001) observing a strong relationship between parasitism and young animals, the association with sex proved to be important for P. illiciens (p<0.001) with a higher frequency of parasitized females and fecal consistency revealed to be related to the parasites G. intestinalis (p=0.007) and P. illiciens (p=0.033) showing a higher number of positive animals for these parasites with normal fecal consistency. In conclusion, we observed a higher occurrence of Ancylostoma spp. and G. intestinalis in fecal samples from domestic cats received in routine diagnoses and the presence of other parasites with zoonotic potential, as well as the relationship of these diagnosed parasites with the categories sex, age and fecal consistency.

PMID:37585954 | DOI:10.1590/S1984-29612023049

Rev Saude Publica. 2023 Aug 14;57:51. doi: 10.11606/s1518-8787.2023057004828. eCollection 2023.

ABSTRACT

OBJECTIVE: Describe the trends in the production of dental prosthetics by the Unified Health System (SUS) in older people aged 60 years or older in Brazil and country regions from 2010 to 2019 and the impact of the covid-19 pandemic on the expected production for 2020 and 2021.

METHODS: A time series study using secondary data from the SUS database (Datasus-Tabnet) and the Instituto Brasileiro de Geografia e Estatística (Brazilian Institute of Geography and Statistics – IBGE) from 2010 to 2021. Age-standardized rates were calculated for Brazil and regions for each year analyzed. Generalized linear regressions estimated production trends using the Prais-Winstein estimation method.

RESULTS: A growth trend occurred in the standardized production rate of complete dentures and other prosthetics per 100,000 inhabitants in Brazil and all country regions. The increase in the production of complete dentures was higher in the Northeast region (50.3%/year) and lower in the North region (19.1%/year). Trends in the production of other prosthetics were higher in the Southeast region (120.7%/year) and lower in the North region (24.5%/year). The output of prosthetics for both groups decreased in the pandemic years. In 2020, the relative difference ranged from -36.4% (North) to -61.7% (Northeast) for producing complete dentures and from -17.9% (North) to -68.4% (Northeast) for other prosthetics. In 2021, standardized rates and total production increased compared to the previous year. However, compared with expected values, the differences were close to those in 2020.

CONCLUSION: Policies aimed at producing complete dentures and other prosthetics have been increasing. However, production remains far from the population’s needs, and there is no equity in providing services. The covid-19 pandemic negatively impacted the production of dental prosthetics by SUS.

PMID:37585950 | DOI:10.11606/s1518-8787.2023057004828

Codas. 2023 Aug 14;35(5):e20210308. doi: 10.1590/2317-1782/20232021308pt. eCollection 2023.

ABSTRACT

PURPOSE: monitor the development of pragmatic skills in children with clinical risk indicators for autism spectrum disorder (ASD) before and after the application of an integrated parental guidance protocol.

METHODS: Seven families who had children with clinical risk indicators for autism spectrum disorder and were in the diagnostic process participated in this study. The study was divided into three moments: (1) structured interview with parents and assessment of children’s pragmatic skills, (2) virtual sessions with guidance to parents related to the characteristics of the condition and skills that can be developed to favor their development, and (3) reassessment of children’s pragmatic skills. Statistical analysis considered occupation of communicative space, use of functions and communicative means at ground zero and post-monitoring.

RESULTS: There was no significant difference between the two evaluation moments, but a greater number was observed in the use of communicative acts and more interactive communicative functions as an outcome.

CONCLUSION: The monitoring of children’s pragmatic skills suggests that they present discrete evolution, especially the more interactive ones, after the application of the integrated parental guidance protocol.

PMID:37585895 | DOI:10.1590/2317-1782/20232021308pt

An Acad Bras Cienc. 2023 Aug 11;95(2):e20200952. doi: 10.1590/0001-3765202320200952. eCollection 2023.

ABSTRACT

Natural substances has been identified to maintain health and improve growth performance in the aquaculture. The effect of Origanum onites on growth and immune response of rainbow trout was investigated. Experimental groups (A and B) of 70 fish were separated into 10 different treatments. A groups were fed with dietary administration of O. onites essential oil (0.5 mL kg-1 and 3.0 mL kg-1) and crude powder (1.0 g kg-1 and 10.0 g kg-1) for a period of 8 weeks. Other groups (B) were vaccinated against Yersinia ruckeri at the beginning of experiment and then fed the same diets described above. Results showed that feed conversion ratio in fish fed a combination of O. onites and vaccine was statistically better than the control. NBT-positive cells, phagocytic activity, serum lysozyme activity and immunoglobulin M level were stimulated in both non vaccinated and vaccinated fish (p<0.05). Cumulative mortality in fish fed O. onites was lower than controls following challenge with Y. ruckeri. No mortality was observed in vaccinated fish fed with 0.5 mL kg-1 of O. onites. These results indicated that dietary administration of O. onites could act as an enhanced non specific immune response, growth performance and resistance to Y. ruckeri.

PMID:37585891 | DOI:10.1590/0001-3765202320200952

Einstein (Sao Paulo). 2023 Aug 14;21:eAO0197. doi: 10.31744/einstein_journal/2023AO0197. eCollection 2023.

ABSTRACT

OBJECTIVE: To analyze the refusal rate of elective aortic aneurysm surgery in asymptomatic patients after the presentation of a detailed informed consent form followed by a meeting where patient and their families can analyze each item.

METHODS: We conducted a retrospective analysis of 49 patients who had aneurysms and were offered surgical treatment between June 2017 and February 2019. The patients were divided into two groups: the Rejected Surgery Group, which was composed of patients who refused the proposed surgical treatment, and the Accepted Surgery Group, comprising patients who accepted the proposed surgeries and subsequently underwent them.

RESULTS: Of the 49 patients, 13 (26.5%) refused surgery after reading the informed consent and attending the comprehensive meeting. We observed that patients who refused surgery had statistically smaller aneurysms than those who accepted surgery (9% versus 26%). These smaller aneurysms were above the indication size, according to the literature.

CONCLUSION: One-quarter of patients who were indicated for elective surgical repair of aortic aneurysms rejected surgery after shared decision-making, which involved presenting patients with an informed consent form followed by a clarification meeting for them and their families to analyze each item. The only factor that significantly influenced a rejection of the procedure was the size of the aneurysm; patients who rejected surgery had smaller aneurysms than those who accepted surgery. Up to 26% of patients with aortic aneurysms refused surgical repair. The proposed technique, whether open or endovascular, did not influence patients’ decisions. Patients with smaller aneurysms were more likely to refuse aortic aneurysm treatment.

PMID:37585885 | DOI:10.31744/einstein_journal/2023AO0197

Afr J Reprod Health. 2021 Oct;25(5):133-139. doi: 10.29063/ajrh2021/v25i5.14.

ABSTRACT

Diabetic pregnant women are susceptible to urinary tract infection, which can result in preterm labor and a low birth weight of the neonate. This was a prospective observational study. In total, 110 diabetic pregnant women between 12-20 weeks of gestation were recruited. Asymptomatic bacteriuria (ASB) was diagnosed when the urinalysis presented a white blood cell (WBC) count ≥ 5 WBCs per high power field (HPF). Urine culture was later performed. Most of the diabetic pregnant women were classified as GDM A1. The prevalence of ASB was 7.2% (8/110 cases). Klebsiella aerogenes was found in only one case from urine culture. ASB was commonly found in the pregnant women with a high BMI, with statistical significance. The prevalence of ASB in the diabetic pregnant women was 7.2%. Urinalysis should be considered for diabetic pregnant women with a high body mass index.

PMID:37585867 | DOI:10.29063/ajrh2021/v25i5.14

Afr J Reprod Health. 2021 Oct;25(5):93-104. doi: 10.29063/ajrh2021/v25i5.10.

ABSTRACT

Obstetric emergencies account for the majority of causes of maternal deaths. The major causes of maternal and neonatal deaths in obstetric emergencies include bleeding, pregnancy-induced hypertension, cord prolapse, shoulder dystocia, poor progress, placenta abruptio, placenta praevia and amniotic fluid embolism. These adverse labour and birth events cause emergency situations and trauma for the nursing staff involved. A qualitative, descriptive phenomenological research design was used to explore and describe the lived experiences of advanced midwives regarding the management of obstetric emergencies in Midwife Obstetric Units (MOUs) of Gauteng Province, South Africa. An interview guide was prepared with a major question which was followed by probing questions based on the participant’s responses. Semi-structured, face-to-face individual interviews were used to collect data from thirteen (13) advanced midwives who were purposively selected and had been working in the Midwife Obstetric Units for two years or more after obtaining their qualifications. The Midwife Obstetric Units were selected based on the records of their birth statistics. The seven Collaizi’s procedural steps were utilised for data analysis. Measures to ensure the trustworthiness of the study were observed within the naturalistic paradigm comprising criteria of credibility; transferability; dependability; and confirmability. Three themes with sub-themes emerged from the current study, namely: psychosocial stress; advanced midwives’ workload; and lack of professionalism. In conclusion, it was evident that advanced midwives experience psychosocial stress because of unconducive working environments which are not adequately resourced, and high expectations from patients and their families. Management should support advanced midwives with the necessary resources that will enable them to perform their duties effectively and minimise their levels of stress and trauma.

PMID:37585863 | DOI:10.29063/ajrh2021/v25i5.10

Afr J Reprod Health. 2021 Oct;25(5):69-78. doi: 10.29063/ajrh2021/v25i5.7.

ABSTRACT

University students are at greatest risk of contracting sexually transmitted diseases and HIV, due to multiple sex partners. However, first-year students are arguably, the most susceptible to sexually transmitted infections and HIV. The study examined the factors associated with multiple sexual partners among 348 first-year students aged 17 to 24 years old in a rural university in 2016. Data were collected on the demographic characteristics and sexual behaviours of the respondents in the one-month preceding the survey. Data were analysed using descriptive statistics and binary logistic regression. The results revealed that 23.5% of the respondents had multiple sexual partners in the last 30 days. The binary logistic regression model showed that male [OR=7.4, 95% CI: 2.9-18.7]; being a member of students’ organisational structures [OR=3.4, 95% CI: 1.3-8.7] and younger age at sexual debut [OR=3.5, 95% CI: 1.3-9.6] were positively associated with multiple sexual partners. Furthermore, significant associations were found between multiple sexual partners, alcohol consumption [OR=2.9, 95% CI: 1.2-7.1), and being uncertain about their cultural perceptions [OR=3.4, 95% CI: 1.2-9.7] on multiple sexual partners. However, high religiosity [OR=0.4, 95% CI: 0.1-0.9)] was negatively associated with multiple sexual partners. Given that we found that a significant number of students were engaged in risky sexual behaviour, innovative behavioural change is expected by emphasising sexual fidelity, good values and responsible consumption alcohol to first year students as part of orientation package. Promotion of condom use should be intensified to protect first year students. Finally, since religiosity is an important practice in the daily life of the study population, integrating the religiosity components into sexual risk-prevention interventions could prove beneficial.

PMID:37585860 | DOI:10.29063/ajrh2021/v25i5.7