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Reflect on the influence of Florence Nightingale's teachings to face the COVID-19 pandemic and its repercussions for the future of the profession.
Descriptive reflective study, carried out between May and July 2020, through narrative review on the theme and debates between the authors.
The findings are divided into two chapters, namely Environmental Theory and the teachings of Florence Nightingale in the face of the COVID-19 pandemic; and Florence Nightingale legacy, present and perspectives.
Florence Nightingale's studies with the Environmentalist Theory and her teachings as a nurse are still valid, even after almost two centuries since her prelude, and should continue to serve as a foundation for the consolidation of the nursing profession.
Florence Nightingale's studies with the Environmentalist Theory and her teachings as a nurse are still valid, even after almost two centuries since her prelude, and should continue to serve as a foundation for the consolidation of the nursing profession.
This essay aims to reflect on the repercussions of the pandemic in obstetric care in the light of sexual and reproductive rights, focusing on delivery and birth care.
The reflection shows that the pandemic has accentuated the violation of these rights, which is evidenced by racial inequalities in maternal mortality, as well as restrictions and interventions in childbirth care without scientific evidence, detour of resources, interruption of services, reduced human resources, shortage of medicines and supplies, and imbalances in the provision of health services.
It is concluded obstetric care faces even greater barriers in access to health care, just as the pandemic of COVID-19 highlighted inequities, disproportionately impacting vulnerable populations whose human rights are less protected.
It is concluded obstetric care faces even greater barriers in access to health care, just as the pandemic of COVID-19 highlighted inequities, disproportionately impacting vulnerable populations whose human rights are less protected.
Reflect on the implications of COVID-19 for the nursing care of pediatric oncology patients.
Theoretical and reflective essay, based on recent scientific publications and expert recommendations on the care of pediatric patients under cancer treatment in the context of the current pandemic.
Reflected on the involvement of the pediatric population in general by COVID-19, the vulnerability of pediatric oncology patients to the complications of the disease and the likely challenges for their care. The pandemic demanded a rapid adaptation of health services in terms of patient care flow, care protocols, infection prevention measures, and redefinition of cancer therapy, with repercussions for professionals, patients, and their families.
It is not yet known how often or how severely children with cancer have been affected by COVID-19, but therapeutic and care adaptations for the maintenance of these patients' treatment in the pandemic context are noted.
It is not yet known how often or how severely children with cancer have been affected by COVID-19, but therapeutic and care adaptations for the maintenance of these patients' treatment in the pandemic context are noted.
to analyze the association between sexuality and quality of life of Brazilian elderly residents in the community.
a cross-sectional study conducted with 477 Brazilian elderly. The data were collected between August and October 2020. We used the EVASI and WHOQOL-OLD (World Health Organization Quality of Life). Data analysis was performed with Mann-Whitney, Spearman and Kruskal-Wallis correlation tests, with Bonferroni post-hoc application when necessary, considering a 95% confidence interval.
there was a statistical association between all dimensions of sexuality and the general quality of life of the elderly (p<0.05).
the stimulation of sexuality can be configured as an innovative and holistic strategy focused on the promotion of health and active aging, since this study found the association between sexuality and the general quality of life of elderly people.
the stimulation of sexuality can be configured as an innovative and holistic strategy focused on the promotion of health and active aging, since this study found the association between sexuality and the general quality of life of elderly people.
to analyze the relationship between affective and sexual experiences and the intensity of physical and psychological symptoms of older adults.
observational, cross-sectional and analytical study, guided by the STROBE tool, carried out in a geriatric outpatient clinic. Sociodemographic and health questionnaire, Affective and Sexual Experiences Scale for Elderly, Edmonton Symptom Assessment Scale were used. Descriptive statistical analysis and Spearman correlation were performed.
forty-five older adults participated, with a mean age of 73.8 years; most (91.1%) were married. The highest averages of symptom intensity were pain (4.9), anxiety (4.8), drowsiness (4.5), and a feeling of well-being (4.5). There was a negative correlation between sadness and the dimensions of sexual activity and affective relationships (rs=-0.365; p=0.014 and rs=-0.386; p=0.009) and between anxiety and sexual activity (rs=-0.308; p=0.040).
as sadness increases, affective and sexual experiences are less. The greater the anxiety intensity, the lower the sexual experiences.
as sadness increases, affective and sexual experiences are less. The greater the anxiety intensity, the lower the sexual experiences.
To construct and validate an algorithm for transitional care for caregivers of dependent older adults.
This was a methodological study developed in three phases a literature review, designing an algorithm, and its validation by a peer panel with twenty-seven experts selected according to pre-defined inclusion criteria.
The algorithm predicted interventions in transitional care (hospital stay, at discharge, and 30 days at home post-discharge) aimed at the exercise of the caregiver role; needs assessment; training in care management of dependent older adults and management of self-care, and ensuring continuity of care (of older adults and caregivers).
Agreement between expert raters and a reliability test of 0.92 indicate that the algorithm can be used by professionals to decide the transitional care interventions to be administered to the caregivers of dependent older adults. Future studies should be conducted to perform its clinical validation.
Agreement between expert raters and a reliability test of 0.92 indicate that the algorithm can be used by professionals to decide the transitional care interventions to be administered to the caregivers of dependent older adults. Future studies should be conducted to perform its clinical validation.
Analyze the coefficient, associated factors, and causes of mortality in community-dwelling elderly.
Longitudinal and analytical study. Data collection, at baseline, was performed in the elderly's home. The first wave occurred after 42 months. Complementary data collection identified the cause of death. Variables analyzed demographic, social, economic, and clinical. Logistic regression was used for data analysis.
The coefficient of mortality was 7.9%. The variables associated with mortality were longevity, inability to read, absence of religious practice, stroke, consultation, and hospitalization in the last 12 months. The main groups of primary causes of death were ill-defined and unspecified causes of mortality, respiratory system diseases, and neoplasms.
The coefficient of mortality in community-dwelling elderly was lower than national and international studies investigated.
The coefficient of mortality in community-dwelling elderly was lower than national and international studies investigated.The mutations are genetic changes in the genome sequences and have a significant role in biotechnology, genetics, and molecular biology even to find out the genome sequences of a cell DNA along with the viral RNA sequencing. The mutations are the alterations in DNA that may be natural or spontaneous and induced due to biochemical reactions or radiations which damage cell DNA. There is another cause of mutations which is known as transposons or jumping genes which can change their position in the genome during meiosis or DNA replication. The transposable elements can induce by self in the genome due to cellular and molecular mechanisms including hypermutation which caused the localization of transposable elements to move within the genome. The use of induced mutations for studying the mutagenesis in crop plants is very common as well as a promising method for screening crop plants with new and enhanced traits for the improvement of yield and production. The utilization of insertional mutations through transposons or jumping genes usually generates stable mutant alleles which are mostly tagged for the presence or absence of jumping genes or transposable elements. The transposable elements may be used for the identification of mutated genes in crop plants and even for the stable insertion of transposable elements in mutated crop plants. The guanine nucleotide-binding (GTP) proteins have an important role in inducing tolerance in rice plants to combat abiotic stress conditions.Stunting is a significant public health problem in low- and middle-income countries. This study assessed the prevalence of stunting and associated risk factors of stunting among preschool and school-going children in flood-affected areas of Pakistan. A cross-sectional study was conducted by visiting 656 households through multi-stage sampling. Respondent's anthropometric measurements, socio-demographic information and sanitation facilities were explored. A logistic regression model was used to determine determinants of stunting, controlling for all possible confounders. The overall prevalence of stunting in children was 40.5%, among children 36.1% boys and 46.3% of girls were stunted. The prevalence of stunting in under-five children was 50.7%. Female children (OR=1.35, 95% CI0.94-2.0), children aged 13-24 months (OR=6.5, 95% CI 3.0-13.9), mothers aged 15-24 years (OR=4.4, 95% CI 2.6-7.2), joint family (OR=2.1, 95% CI 1.4-3.0) did not have access to improved drinking water (OR=3.3, 95% CI 1.9-5.9), and the toilet facility (OR=2.8, 95% CI, 1.9-4.3), while the children from district Nowshera (OR=1.7, 95% CI 0.9-3.2) were significantly (P less then 0.05) associated in univariate analysis. The regression model revealed that child age, maternal age, family type, quality of water, and toilet facility, were the significant (P less then 0.05) factors contributing to child stunting in the flood-hit areas. Identification of key factors might be helpful for policymakers in designing comprehensive community-based programs for the reduction of stunting in flood-affected areas. In disasters such as flood, the detrimental consequences of the stunting problem could be even more on children. Linsitinib molecular weight Evidence-based education and care must be provided to the families in the flood-affected regions to reduce the stunting problem. The determinants of stunting should be targeted by making comprehensive policies regarding proper nutrition, livelihood, clean water, and sanitation facilities in flood-hit regions.