Mollerupmunkholm7858
To analyze the effect of motivational interviewing on self-care for people with chronic heart failure.
A multicenter randomized clinical trial, which divided people into an intervention group (n=59) and a control group (n=59), followed for 60 days in centers of Brazil and Uruguay. The intervention group received three consultations per motivational interviewing, with an interval of 30 days, and the control group maintained conventional follow-up in specialized clinics. The data were assessed using the Self-Care of Heart Failure Index 6.2, before and after intervention in each of the centers. They were analyzed using the mean, median, t-test, correlation analysis using the Spearman coefficient and effect of the intervention by Cohen's d.
One hundred and eighteen people completed the study. In view of the assessment of the effect of the motivational interviewing on self-care, compared to conventional follow-up, a medium effect on maintenance and management (Cohen's d=0.6723; 0.5086) and high on self-care confidence (Cohen's d=0.9877).
Motivational interviewing was effective in improving self-care in patients with heart failure, being a feasible strategy to be implemented in specialized clinics. Brazilian Registry of Clinical Trials (Registro Brasileiro de Ensaios Clínicos) RBR-6fp5qt.
Motivational interviewing was effective in improving self-care in patients with heart failure, being a feasible strategy to be implemented in specialized clinics. click here Brazilian Registry of Clinical Trials (Registro Brasileiro de Ensaios Clínicos) RBR-6fp5qt.
To analyze the prevalence and factors associated with sexual violence against children and adolescents in the city of Petrolina/Pernambuco.
Ecological study carried out with data from children and adolescents who were victims of sexual violence, collected in the Information System for Notifiable Diseases and analyzed according to descriptive and inferential statistics, with multiple logistic regression.
A total of 1,232 cases of sexual violence against children and adolescents were registered, with a prevalence of 30.6%. Sexual violence was more likely to occur among female victims (Odds Ratio = 11.39), in their own home (Odds Ratio = 1.96), and the father was the most likely aggressor (Odds Ratio = 8.97). Alcohol use by the aggressor increased the chance for the outcome (Odds Ratio = 2.26).
The prevalence of sexual violence and associated factors point to the need to implement humane practices within a network of health services integrated with other public systems, with the objective of promoting, protecting and defending the rights of children and adolescents.
The prevalence of sexual violence and associated factors point to the need to implement humane practices within a network of health services integrated with other public systems, with the objective of promoting, protecting and defending the rights of children and adolescents.
To identify evidence in the literature about the effects of the association between spirituality, religiosity and physical activity on physical and mental health.
A systematic review conducted in January 2019 in the MEDLINE/PubMed, SCOPUS, Web Of Science, CINAHL, PsycINFO, LILACS and SciELO databases with the descriptors "spirituality", "religion", "physical activity" and "physical exercise ". Primary studies carried out with adults published until 2018 in Portuguese, English or Spanish were included.
Nine international studies were selected which had been published between 2011 and 2017, with cross-sectional design (55%) and an evidence level of four (78%). Eight studies addressed effects on physical health and one addressed effects on mental health.
The association between spirituality, religiosity and physical activity promotes effects on physical and mental health, however the available evidence is not sufficient for this association to be applied in clinical practice.
The association between spirituality, religiosity and physical activity promotes effects on physical and mental health, however the available evidence is not sufficient for this association to be applied in clinical practice.
The aim of the present study was to design a content-valid nursing objective structured clinical examination attending a first-year clinical nursing practice program.
The examination was designed following a procedure based on the consensus of experts which was comprised of three phases selection of the activities in which students should be competent according to the learning outcomes of the course, clinical case design, and integration of the clinical cases designed into the stations of the test.
Of the 44 surveys submitted for the design of the stations, 37 were answered, of which 31 respondents met the inclusion criteria of the panel of experts. The activities on which the experts reached the highest degrees of consensus were basic physical assessment and monitoring of vital signs, assessment of hygiene and skin status, ability to develop care plans, management of safety principles in administration of medication and administration of oral medication. Based on the selected activities, the experts developed 20 clinical cases, from which a four-station nursing objective structured clinical examination was designed.
The structured methodology based on the design of experts enabled the design of a content-valid objective structured clinical examination appropriate for the evaluation of the learning outcomes achieved by the students attending a clinical practice program.
The structured methodology based on the design of experts enabled the design of a content-valid objective structured clinical examination appropriate for the evaluation of the learning outcomes achieved by the students attending a clinical practice program.The use of industrial waste as an additive in soil improvement has many advantages, including recycling of waste, reducing the need for waste storage, and obtaining an economical material. With the use of these wastes, desired positive results are obtained in some geotechnical properties of soil. However, the wastes can create trace element contamination in soil and groundwater. In this study, trace elements originating from industrial wastes contaminating groundwater are investigated. The industrial wastes were mixed at different proportions with the soil. These mixtures were compacted into a permeameter cells, and a seepage tests were performed. The leachates obtained from seepage tests were analyzed with inductively coupled plasma mass spectrometry (ICP-MS) to determine trace elements. The measured trace element quantities were compared with the allowable values in the relevant standards (EPA 822, WHO, TS266). The results reveal that quantitative values of the trace elements from the leachates were within the allowable limits, except for arsenic and chromium.
