Objective:To assess health-related quality of life, its predictors and magnitude of changes in health-related quality of life in patients with chronic wounds receiving specialized outpatient treatment. Method: Secondary, retrospective, descriptive, quantitative study with patients with chronic wounds from two specialized outpatient services in Brazil assessed through Ferrans & Powers Quality of Life Index-Wound Version, Visual Analog Pain Scale, Global Assessment Scale, Pressure Ulcer Scale for Healing, sociodemographic and clinical questionnaires at baseline and after 60 days of treatment. Data were analyzed by ANOVA, Spearman Coefficient, Mann-Whitney test and multivariate logistic regression. Results: Twenty-seven patients participated in the study. The overall health-related quality of life scale, health and functioning subscale and socioeconomic subscale scores increased after 60 days of treatment compared to baseline. Pain reduction was a predictor of changes in overall health-related quality of life score as well as religious practice in the family subscale. 92.6% patients perceived moderate to extensive changes in health-related quality of life. Conclusion: there was improvement of health-related quality of life for the sample studied in the period; pain and religious practice have emerged as predictors of changes in health-related quality of life. DESCRIPTORS INTRODUCTIONChronic wounds are among health conditions which the patient may suffer for several years, often causing impairment of work activities that results in early retirement and restrictions in daily living and leisure activities (1)(2)(3)(4) , thus reducing the quality of life (QoL) at any stage of the life cycle and across all life domains (2) . Chronic wounds lead to feelings of frustration, anxiety, isolation, depression, low self-esteem, and negative self-concept, thus reducing the QoL of patients (1,4) . The way patients experience their lives, deal with the problem, and perceive family support are challenges faced by nurses. Emotions and thought patterns emerge as key determinants of overall health (5) . Thus, the assessment of health-related quality of life (HRQoL) is an important way for evaluating the results of health interventions by focusing on biopsychosocial needs in search of improved living conditions (6) . There are numerous definitions of HRQoL that include fundamental ideas. The concept should indicate whether the health status measured or estimated is relatively desirable (7) . The assessment of HRQoL is an attempt to quantify the consequences of diseases and treatments, according to the subjective perception of patients (8) .For the purpose of this study, QoL is defined as "a person's sense of well-being that stems from satisfaction or dissatisfaction with the areas of life that are important to him/her", as proposed by the authors of the instrument (9) . This theoretical framework laid the foundation of Ferrans and Powers Quality of Life Index (FPQLI) (10) , a generic instrument for evaluating QoL, from which ...
RESUMO -O presente trabalho teve como objetivo avaliar o efeito residual de herbicidas na qualidade fisiológica e na atividade enzimática em plântulas de arroz. Foram testados quatro herbicidas (clomazone, quinclorac, propanil, byspiribac-sodium) em duas épocas de aplicação e quatro cultivares de arroz (ARRANK, BRS-PELOTA, BR-IRGA 410 e BR-IRGA 417). Para avaliar a qualidade fisiológica das sementes foram realizados os testes de germinação, de frio e de condutividade elétrica. Quanto à atividade enzimática foram avaliadas as enzimas: esterase, glutamato oxaloacetato transaminase, malato desidrogenase, glutamato desidrogenase, fosfogluco isomerase e a fosfatase ácida. Herbicidas com mecanismos de ação diferentes, podem modificar o desempenho fisiológico de sementes de arroz, ao serem aplicados em pós-emergência. A expressão enzimática varia em função do genótipo e não decorrente do efeito residual do herbicida.Termos para indexação: Oryza sativa, germinação, enzimas. REFLEXES OF THE MECHANISM OF HERBICIDES ACTION IN SEED PHYSIOLOGIC QUALITY AND IN THE ENZYMATIC ACTIVITY OF RICE SEEDLINGSABSTRACT -The present work had the objective of evaluating the residual effect of the herbicides in the physiologic quality and in the enzymatic activity in rice seeds. Four herbicides were tested (clomazone, quinclorac, propanil, byspiribac-sodium) in two application times and four rice cultivars (ARRANK, BRS-PELOTA, BR-IRGA 410 and BR-IRGA 417). To evaluate the physiologic quality of the seeds the germination test, cold test and electric conductivity were accomplished. For the enzymatic activity it was evaluated the following enzymes: esterase, glutamate oxaloacetate transaminase, malate dehydrogenase, glutamate dehydrogenase, phosphoglucose isomerase and the acid phosphatase. The herbicides of different mechanisms of action in post emergence application, can modify rice physiologic performance. The enzymatic expression varies as a function of the genotype and it is not dependent of the herbicide residual effect.
This study aimed to analyze the prevalence of skin tears (ST) among hospitalized oncology patients and associated demographic and clinical variables. This is an epidemiological cross-sectional study type, performed at Octavio Frias de Oliveira State of São Paulo Cancer Institute. All adult patients hospitalized from April 10th to 18th 2010 were evaluated by interview and physical examination. Chi-square test was used to compare demographic and clinical variables between patients with and without ST. Five patients among 157 had nine skin tears, resulting in a prevalence of 3.3%. Among demographic variables, only number of children showed statistically significant difference (p=0.027) between groups. Clinically, patients with ST had lower Karnofsky scores (p=0.031), lower scores at Braden Scale (p=0.026) and less collaborative behaviors (p=0.042) when compared to patients with no lesions. This study contributes to a better knowledge of ST in oncology patients.
Replacement of water by treated wastewater in concrete production, totally or in part, could lead to great water economy. Therefore, this experiment evaluated compressive strength from non-reinforced concrete samples produced with a combination of potable water (PW) and treated domestic wastewater (TW) at four different proportions: 0, 50, 75, and 100% of TW in the mixture. Ten samples were prepared for each proportion and the samples were tested for axial compression on the 28th day after concrete preparation. The data were statistically evaluated to analyze the influence of TW in concrete quality. It was possible to note that there was no significant difference between concretes produced using only PW and those produced with 50 and 75% TW, but when only TW was used, the concrete compressive strength increased on average 17.7%, which indicates the good potential of water reuse in the production of non-reinforced concrete elements.
O objetivo deste trabalho foi avaliar o efeito do recobrimento das sementes de arroz, cultivar Arrank, sobre a qualidade das sementes e desempenho das plântulas. O recobrimento foi feito com solução sintética de ácido giberélico (AG3) em três doses: 0,25; 0,50 e 0,75g.50kg-1 de sementes; dois fungicidas: carboxim + thiram e fludioxinil + metalaxyl; adesivo (acetato de polivinil); aglomerantes (vermiculita + calcário) e polímero (CF Clearâ + corante). O experimento foi instalado em laboratório, casa de vegetação e campo. As avaliações da qualidade das sementes e plântulas foram realizadas através do teste de germinação e teste de frio em laboratório e da estimativa do período médio de emergência e da emergência em casa de vegetação. Na casa de vegetação foram utilizadas bandejas com solo à temperatura de 18 ± 5ºC. O delineamento estatístico utilizado foi completamente casualizado em esquema fatorial simples, com quatro repetições. Os resultados mostraram que o polímero CF Clearâ proporcionou a obtenção de sementes adequadamente recobertas e com boa aparência. As sementes recobertas com o fungicida carboxim + thiram associado às diferentes dosagens apresentaram resultados superiores. A dosagem de AG3 0,50g.50kg-1 de sementes foi a que apresentou melhor desempenho de sementes e de plântulas.
Sepsis can be understood as a set of infections throughout the body. Worldwide, its incidence is estimated at around 15 to 19 million cases annually. Recently, deaths have decreased, reaching an estimated value of 20 to 40% of reported cases. However, in Brazil, according to data from the Instituto Latino Americano de Sepsis (Ilas), death from sepsis corresponds to 65% of all deaths, which is much higher than the world estimate. Thus, in this paper, we will evaluate mortality from sepsis in the State of Pará from 2015 to 2019. An ecological observational study was carried out using the data collected in the Mortality Information System and the Hospital Information System, made available by the Department of Informatics of the Unified Health System in Brazil. During the period investigated, a total of 2,547 deaths from sepsis were recorded. The epidemiological profile of mortality from sepsis presented individuals with the following characteristics: male, mixed race, 1 to 3 years of schooling, marital status: a married, place of occurrence: hospital, and age group from 60 to 79 years. It is of fundamental importance to develop more targeted prevention policies, prioritize educational and population awareness measures, and the continuous improvement of health teams regarding the knowledge of sepsis about early identification and more effective care to reduce mortality from sepsis in the state of Pará, Brazil.
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