Context: The verification of quality of life at work (QLW) indices can provide information on factors that directly interfere with personal and collective satisfaction and motivation, with reflections on the excellence of the structure and service. Objective: To evaluate the quality of life at work of active nurses. Material and methods: descriptive and correlational, cross-sectional study with a quantitative approach, carried out with 104 nurses in the service of a tertiary public hospital, in the municipality of Aracaju/SE from August 2018 to July 2019. Results: Factors such as working conditions, safety and remuneration are degrading factors in the quality of life at work and these also have direct repercussions on health and the quality of nursing care provided. Conclusion: Low levels of quality of life at work have direct negative repercussions on nurses' health. It is suggested that further studies evaluate the measures taken by hospital institutions to investigate the effectiveness of quality of life at work in nursing.
Progesterone plays an important role in initial conceptus development and in a successful pregnancy, but results related to progesterone or its analogues (altrenogest) supplementation in early pregnancy of pigs are conflicting. The present study evaluated the effects of altrenogest supplementation in sows during days 6 and 12 of pregnancy on reproductive performance. On day 6 of pregnancy, 301 females were allocated at random to one of the following treatments: CON (Control: non-supplemented females, n = 163) or ALT (females daily supplemented with 20 mg of altrenogest, orally, from day 6 to 12 of pregnancy, n = 138). Ovulation was considered as occurred at 48 h after the first estrus detection to standardize the first day of pregnancy. The supplementation increased the number of total piglets born (ALT: 17.3 ± 0.4; CON: 16.6 ± 0.4), piglets born alive (ALT: 15.6 ± 0.4; CON: 14.8 ± 0.3), and placenta weight (ALT: 4.2 ± 0.1; CON: 3.8 ± 0.1) and decreased the stillbirth rate (ALT: 5.9 ± 0.6; CON: 7.6 ± 0.6) and the number of piglets born weighing less than 800 g (ALT: 6.6 ± 0.6; CON: 8.0 ± 0.6), without impairment on farrowing rate. These results demonstrated that altrenogest supplementation on swine females between days 6 and 12 of pregnancy may be used to improve reproductive performance.
Context: A calcaneal spur, also known as an enthesophyte, is an abnormal bone growth on the underside of the calcaneus, which is the most common site for a bone spur to occur. Although there is consensus that calcaneal spurs are a common cause of heel pain, approximately 20% of calcaneal spurs are asymptomatic and their pathology is still not fully understood. Objective: Report the presence of a plantar spur on the calcaneus and another on the insertion of the Achilles tendon bilaterally. Case report: Female patient, 58 years old, housewife, came to our clinic with a history of pain in the heel region bilaterally when walking, more pronounced on the left, which started approximately two years ago. An X-ray of the ankles and feet was requested, where an enthesophyte could be seen at the insertion of the Achilles tendon and in the plantar fascia of the Achilles in both the right and left foot. After diagnosing the presence of enthesophytes, she was medicated with a non-hormonal anti-inflammatory drug and referred to physical therapy. After a year, the pain improved and she returned to his daily walking activities. Conclusion: Conservative clinical treatment produced satisfactory results in the treatment of calcaneal spurs.
A demência é uma síndrome clínica caracterizada por sintomas que progressivamente reduzem a capacidade cognitiva e funcional do cérebro, afetando vários aspectos da vida do indivíduo. Os sintomas se apresentam de várias formas, e dentre estas, a perda de memória aparece em cerca de 70-80% desses indivíduos. A doença de Alzheimer é a forma mais comum da demência, podendo atingir em 2050, cerca de 130 milhões de pessoas ao redor do mundo. Por causa da complexidade fisiopatológica da doença, e do seu maior fator de risco, a idade, ainda não há nenhuma medicação que possa ser admitida como tratamento ideal para evitar a progressão da mesma. Isso tem permitido que prescrições em não conformidade com as orientações da bula, sejam indicadas e realizadas para o manejo da doença, que além de aumentar os efeitos colaterais dos medicamentos, também aumentam a mortalidade desses pacientes. Dessa maneira, os estudos têm sido direcionados aos tratamentos alternativos, como o uso da Cannabis sativa e seus derivados, com foco no delta-9-hidrocannabinol (THC) e o cannabidiol (CBD), que têm se mostrado eficazes para várias doenças neurológicas e neurodegenerativas. Esta revisão teve como objetivo realizar uma discussão abrangente acerca da fisiopatologia, bem como o uso delta-9-hidrocannabinol (THC) e o cannabidiol (CBD) e no tratamento da doença de Alzheimer. Trata-se de uma revisão bibliográfica integrativa em que os mais recentes artigos (2017-2021) foram incluídos para compor a amostra da pesquisa. Todos os artigos estão contidos nas bases de dados PubMed, SciELO e Google Acadêmico, nos idiomas inglês e português. Para isso, foram utilizados as Palavras-chave "cannabis" e "alzheimer's disease therapy". A inclusão foi feita através da leitura dos títulos e resumo dos artigos e foram selecionados 39 artigos, dos quais 22 foram utilizados. O uso de THC e CBC em alguns estudos científicos reduz o comprometimento da memória em estágios mais avançados da DA, além de previnir e reparar a neurodegeneração e neuroinflmação e ser um possível antioxidante. É ineficaz o uso dos cannabinoides em sintomas neuropsiquiátricos e mostra efeitos benéficos no equilíbrio e na marcha. Assim foi possível identificar que, o Alzheimer é uma doença extremamente debilitante e progressiva, e que infelizmente não há comprovação científica concreta de tratamentos eficazes para reverter ou interromper a doença.
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