Risk factors and immunological biomarkers in denture stomatitis: An observational cross-sectional study.

OBJECTIVE: Assess risk factors, local and systemic immunological biomarkers in healthy individuals and with Denture Stomatitis (DS). DESIGN: For this observational transversal study, 27 participants without DS (Group 0), 24 with moderate DS (Group 1), and 25 with severe DS (Group 2) were assessed for sociodemographic, behavioral, and clinical parameters, microbial load of Candida spp., Staphylococcus spp., Streptococcus mutans, Pseudomonas spp., and enterobacteria, and cytokine and C-reactive protein levels. ANOVA, Fisher's exact, Kruskal-Wallis, Mann-Whitney, Wilcoxon and Pearson's chi-square tests were used for data analysis (α = 0.05). RESULTS: Group 1 had a significantly higher mean age compared to the other groups (P = 0.018), but no correlation was identified between age and DS (P = 0.830; r = 0.025). No significant differences were found among the groups for other sociodemographic and behavioral characteristics. Group 1 had significantly older upper and lower dentures; however, no correlation was identified between age of upper (P = 0.522; r = 0.075) and lower (P = 0.143; r = 0.195) dentures and DS. The microbial load of Candida albicans on the dentures (P = 0.035) and Candida spp. on the palate (P = 0.008) of the groups 1 and 2 was higher than group 0. Group 1 and 2 had higher Candida spp. counts on denture (P = 0.003) than group 0. There was no difference among groups for bacterial analyzed. Group 1 showed higher and Group 2 intermediate salivary levels of IL-6 compared to Group 0. There was no difference in the C-reactive protein levels among groups. CONCLUSIONS: Microbial load of Candida spp. is the factor with the strongest relationship with DS, with capacity for local signaling through IL-6.

Effect of a Hygiene Protocol on Denture-Related Stomatitis Remission, Local Inflammatory Factors, and Hemodynamic Responses by Arterial Pressure.

Denture-related stomatitis (DRS) is frequent oral inflammation in complete denture wearers. This study evaluated the effect of a hygiene protocol on DRS remission, local inflammatory factors, and hemodynamic responses. Thirty-three individuals were enrolled in the study. The outcomes were measured before and after 10 days of a hygiene protocol treatment consisting of brushing the palate with a soft brush and water and denture brushing with a denture-specific brush and mild soap, as well as immersion of the denture for 20 min in a 0.25% sodium hypochlorite solution. Data were analyzed by paired Wilcoxon for biofilm removal and CFU count of microorganisms. The paired T test was used to assess salivary MUC 1, cytokines, and arterial pressure (p < 0.05). A significant difference was found in the DRS degree (p < 0.001), biofilm (p < 0.001), microbial load of Candida spp. (p < 0.001), Gram-negative (p < 0.004), Staphylococcus spp. (p < 0.001), and S. mutans (p < 0.001) of the denture, and S. mutans (p < 0.001) of the palate after use of the protocol. The salivary flow (p = 0.2) and pH (p = 0.97) did not change; there was an increase of MUC 1 (p = 0.049) and a decrease in IL-6 (p = 0.038), IL-2 (p = 0.04), IL-10 (p = 0.041), and IFNγ (p = 0.04). There was also a decrease in systolic (p = 0.012) and mean arterial pressure (p = 0.02). The current hygiene protocol reduced the inflammation degree of DRS and promoted an improvement of local inflammatory factors and a reduction in the systolic arterial pressure of the patients.

[Order as a task: the construction of nursing diagnoses]. / Ordem como tarefa: a construção dos diagnósticos de enfermagem.

Classifying means segregating. It means seeing the world as something that can be made up of different entities that could be sorted and make what has been organized into something real. Thus, the Nursing Diagnoses (ND) aims at being an archive that allows a knowledge framework to be drawn about the individuals. In this paper we intend to learn how nurses have built this documental device. So, we analysed articles published on the Revista Brasileira de Enfermagem and found out that some meanings have been attributed to ND, which allowed us to group them into five classes. We also observed that the journal's discourses assign powers to such classification, because they make this knowledge stronger by publicising it.

Ordem como tarefa: a construção dos Diagnósticos de Enfermagem / Orden como tarea: la construcción de los Diagnósticos de Enfermería / Order as a task: the construction of Nursing Diagnoses

Classificar tem o sentido de segregar. Significa ver o mundo como algo que pode ser formado por entidades distintas que poderiam ser ordenadas e tornar real aquilo que se organizou. Assim, o Diagnóstico de Enfermagem (DE) pretende ser um arquivo, que permite a montagem de um quadro de saberes sobre os indivíduos. Neste trabalho pretendemos conhecer o modo pelo qual as enfermeiras construíram esse aparelho documental. Assim, analisamos as publicações da Revista Brasileira de Enfermagem e constatamos que alguns sentidos foram atribuídos aos DE o que nos permitiu agrupá-los em cinco classes. Observamos, também, que os discursos da revista atribuem poderes a essa classificação, pois ao difundir esse saber o fortalecem.

Classifying means segregating. It means seeing the world as something that can be made up of different entities that could be sorted and make what has been organized into something real. Thus, the Nursing Diagnoses (ND) aims at being an archive that allows a knowledge framework to be drawn about the individuals. In this paper we intend to learn how nurses have built this documental device. So, we analysed articles published on the Revista Brasileira de Enfermagem and found out that some meanings have been attributed to ND, which allowed us to group them into five classes. We also observed that the journal's discourses assign powers to such classification, because they make this knowledge stronger by publicising it.

Clasificar tiene el sentido de segregar. Significa ver el mundo como algo que puede ser formado por entidades distintas que podrían ser ordenadas y volver real aquello que se organizó. Así, el Diagnóstico de Enfermería (DE) pretende ser un archivo, que permite el montaje de un cuadro de saberes sobre los individuos. En este trabajo pretendemos conocer el modo por el cual las enfermeras construyeron ese aparato documental. Así, hicimos un análisis en las publicaciones de la Revista Brasileira de Enfermagem (Revista Brasileña de Enfermería) y constatamos que algunos sentidos se atribuyen a los DE lo que nos permitió agruparlos en cinco clases. Observamos, también, que los discursos de la revista atribuyen poderes a esa clasificación, pues al difundir ese saber lo fortalecen.

Perfil dos profissionais de enfermagem do turno noturno do Hospital de Clínicas de Porto Alegre / Profile of nursing professionals working night shifts at Hospital de Clínicas de Porto Alegre, Brazil

As formas de organização do trabalho vêm se modificando, a fim de satisfazer às necessidades dos grupos que formam a sociedade. A enfermagem, para desenvolver as atividades de cuidado integral em ambiente hospitalar, necessita organizar o seu trabalho em turnos ininterruptos, acompanhando o indivíduo com problemas de saúde durante as 24 horas do dia. Esta pesquisa buscou identificar as características dos profissionais de enfermagem do turno noturno do Hospital de Clínicas de Porto Alegre e os fatores motivadores e estressores relacionados a essa parcela de trabalhadores. A amostra foi de 415 profissionais que exercem suas atividades no turno da noite nas diferentes unidades da instituição em estudo. Os dados foram coletados através de um questionário semi-estruturado, entregue nas unidades durante o turno de trabalho dos profissionais. Entre os sujeitos do estudo, 335 (83%) são do sexo feminino e 62 (16%) do sexo masculino. O tempo médio de trabalho no turno noturno foi de 11 anos. Responderam estar satisfeitos ou plenamente satisfeitos com a sua jornada de trabalho noturna, 391 (95%) trabalhadores. O grande motivador desse profissional foi poder estar mais tempocom a sua família. Em contrapartida, foram consideradas como fatores estressores as dificuldades relacionadas à qualidade do sono, à comunicação e às relações interpessoais prejudicadas. A partir desses achados, podem ser feitas propostas a fim de viabilizar discussões para a implementação de possíveis melhorias, que tenham impacto no processo de comunicação, relacionamento interpessoal e ambiente de trabalho

Forms of labor organization have been changing to respond to the needs of different groups that form society. To provide full health care in hospitals, the nursing department has to organize fulltime labor to follow patients 24 hours a day. This study identified the characteristics of the nursing professionals working night shifts at Hospital de Clínicas de Porto Alegre, Brazil, and investigated the motivators and stressors associated with their night work. The sample was composed of 415 nursing professionals who work night shifts in different units of the institution under study. Data were collected using a semi-structured questionnaire that was handed out during their work shift. Of the study subjects, 335 (83%) were female and 62 (16%) were male. Mean time working night shifts was 11 years. Satisfaction or full satisfaction with their night shift work was indicated by 391 (95%) of the respondents. The most important motivator was the possibility of spending more time with their families. Conversely, difficulties associated with sleep quality, communication and interpersonal relationship were pointed out as stressors. These findings may be useful to support discussions of possible improvements in communication, interpersonal relationship and work environment