Nursing care regarding the psycho-emotional aspects of women submitted to mastectomy / Assistência de enfermagem frente aos aspectos psicoemocionais de mulheres mastectomizadas

Breast cancer, or breast neoplasm, is one of the most frequent types of cancer, and one of the most prevalent among women. The diagnosis and specific treatments, such as mastectomy surgery, lead women to experience different feelings, with the most predominant negative thoughts. In this way, the objective of this study is to describe the importance of nursing care in the face of the psycho-emotional aspects of women after mastectomy. This is an integrative literature review study, developed in electronic Medline and Lilacs databases. The following terms were used: Breast neoplasm; Nursing; Emotions; Mastectomy. A total of 2,314 articles were found, of which eight were selected. The results and discussions were divided into two thematic axes: The first deals with the emotions of women after mastectomy, whose feelings arising from the diagnosis of the disease start to affect different areas, such as personality, sexuality, family, and social relationships. Furthermore, the second deals with nursing care after mastectomy, which must be conducted integrally, aiming at restoring physical and emotional health. Nursing is the vehicle capable of planning and collaborating with these women, promoting humanized treatment and assistance, oriented and aimed at a better quality of life, and stimulating self-help, self-esteem, and acceptance of their body.

O câncer de mama ou neoplasia da mama, é um dos tipos de cânceres mais frequentes, e um dos mais prevalentes entre as mulheres. O diagnóstico e determinados tratamentos, como a cirurgia de mastectomia, levam as mulheres a vivenciarem diferentes sentimentos, sendo os pensamentos negativos os mais predominantes. Desta maneira, o objetivo deste estudo é descrever a importância da assistência do enfermeiro frente aos aspectos psicoemocionais de mulheres mastectomizadas. Trata-se de um estudo de revisão integrativa da literatura, desenvolvida nas bases eletrônicas de dados Medline e Lilacs. Foram utilizados os seguintes descritores: Neoplasias da mama; Enfermagem; Emoções; Mastectomia. Foram encontrados 2314 artigos, dos quais foram selecionados oito. Os resultados e discussões foram divididos em dois eixos temáticos: O primeiro trata das emoções das mulheres mastectomizadas, cujos sentimentos advindos com o diagnóstico da doença passam a afetar diferentes aspectos psicoemocionais, como personalidade, sexualidade, família e relações sociais. E o segundo trata da assistência de enfermagem após a mastectomia, a qual deve se dar de maneira integral, visando tanto o restabelecimento da saúde física quanto emocional. A enfermagem pode desempenhar um cuidado diferenciado e voltado para as necessidades psicoemocionais das mulheres, promovendo tratamento e assistência humanizados, orientados e voltados a uma melhor qualidade de vida, e com o fim de estimular a autoajuda, a autoestima e a aceitação de seu corpo.

Beneficial Effect of Exogenously Applied Calcium Pyruvate in Alleviating Water Deficit in Sugarcane as Assessed by Chlorophyll a Fluorescence Technique.

The growing demand for food production has led to an increase in agricultural areas, including many with low and irregular rainfall, stressing the importance of studies aimed at mitigating the harmful effects of water stress. From this perspective, the objective of this study was to evaluate calcium pyruvate as an attenuator of water deficit on chlorophyll a fluorescence of five sugarcane genotypes. The experiment was conducted in a plant nursery where three management strategies (E1-full irrigation, E2-water deficit with the application of 30 mM calcium pyruvate, and E3-water deficit without the application of calcium pyruvate) and five sugarcane genotypes (RB863129, RB92579, RB962962, RB021754, and RB041443) were tested, distributed in randomized blocks, in a 3 × 5 factorial design with three replications. There is dissimilarity in the fluorescence parameters and photosynthetic pigments of the RB863129 genotype in relation to those of the RB041443, RB96262, RB021754, and RB92579 genotypes. Foliar application of calcium pyruvate alleviates the effects of water deficit on the fluorescence parameters of chlorophyll a and photosynthetic pigments in sugarcane, without interaction with the genotypes. However, subsequent validation tests will be necessary to test and validate the adoption of this technology under field conditions.

Effect of Hydrogen Peroxide Application on Salt Stress Mitigation in Bell Pepper (Capsicum annuum L.).

The present study aimed to evaluate the effects of the foliar application of hydrogen peroxide on the attenuation of salt stress on the growth, photochemical efficiency, production and water use efficiency of 'All Big' bell pepper plants. The experiment was conducted under greenhouse conditions in Campina Grande, PB, Brazil. Treatments were distributed in a randomized block design, in a 5 × 5 factorial scheme, corresponding to five levels of electrical conductivity of irrigation water (0.8, 1.2, 2.0, 2.6 and 3.2 dS m-1) and five concentrations of hydrogen peroxide (0, 15, 30, 45 and 60 µM), with three replicates. Foliar application of hydrogen peroxide at concentration of 15 µM attenuated the deleterious effects of salt stress on photochemical efficiency, biomass accumulation and production components of bell pepper plants irrigated using water with an electrical conductivity of up to 3.2 dS m-1. Foliar spraying of hydrogen peroxide at a concentration of 60 µM intensified the effects of salt stress. The 'All Big' bell pepper was classified as moderately sensitive to salt stress, with an irrigation water salinity threshold of 1.43 dS m-1 and a unit decrease of 8.25% above this salinity level.

Salicylic Acid as a Salt Stress Mitigator on Chlorophyll Fluorescence, Photosynthetic Pigments, and Growth of Precocious-Dwarf Cashew in the Post-Grafting Phase.

Salicylic acid is a phytohormone that has been used to mitigate the effects of saline stress on plants. In this context, the objective was to evaluate the effect of salicylic acid as a salt stress attenuator on the physiology and growth of precocious-dwarf cashew plants in the post-grafting phase. The study was carried out in a plant nursery using a randomized block design in a 5 × 4 factorial arrangement corresponding to five electrical conductivity levels of irrigation water (0.4, 1.2, 2.0, 2.8, and 3.6 dS m-1) and four salicylic acid concentrations (0, 1.0, 2.0, and 3.0 mM), with three replications. Irrigation water with electrical conductivity levels above 0.4 dS m-1 negatively affected the relative water content in the leaf blade, photosynthetic pigments, the fluorescence of chlorophyll a, and plant growth and increased electrolyte leakage in the leaf blade of precocious-dwarf cashew plants in the absence of salicylic acid. It was verified through the regression analysis that salicylic acid at a concentration of 1.1 mM attenuated the effects of salt stress on the relative water content and electrolyte leakage in the leaf blade, while the concentration of 1.7 mM increased the synthesis of photosynthetic pigments in precocious-dwarf cashew plants.

Bacilli Rhizobacteria as Biostimulants of Growth and Production of Sesame Cultivars under Water Deficit.

A strategy using bacilli was adopted aiming to investigate the mitigation of the effects of water deficit in sesame. An experiment was carried out in a greenhouse with 2 sesame cultivars (BRS Seda and BRS Anahí) and 4 inoculants (pant001, ESA 13, ESA 402, and ESA 441). On the 30th day of the cycle, irrigation was suspended for eight days, and the plants were subjected to physiological analysis using an infrared gas analyzer (IRGA). On the 8th day of water suspension, leaves were collected for analysis: superoxide dismutase, catalase, ascorbate peroxidase, proline, nitrogen, chlorophyll, and carotenoids. At the end of the crop cycle, data on biomass and vegetative growth characteristics were collected. Data were submitted for variance analysis and comparison of means by the Tukey and Shapiro-Wilk tests. A positive effect of inoculants was observed for all characteristics evaluated, contributing to improvements in plant physiology, induction of biochemical responses, vegetative development, and productivity. ESA 13 established better interaction with the BRS Anahí cultivar and ESA 402 with BRS Seda, with an increase of 49% and 34%, respectively, for the mass of one thousand seeds. Thus, biological indicators are identified regarding the potential of inoculants for application in sesame cultivation.

Influence of Foliar Application of Hydrogen Peroxide on Gas Exchange, Photochemical Efficiency, and Growth of Soursop under Salt Stress.

Hydrogen peroxide at low concentrations has been used as a salt stress attenuator because it induces a positive response in the antioxidant system of plants. This study aimed to assess the gas exchange, quantum yield, and development of soursop plants cv. Morada Nova grown with saline water irrigation and foliar hydrogen peroxide application. The experiment was carried out under greenhouse conditions using a randomized block design in a 4 × 4 factorial scheme corresponding to four levels of electrical conductivity of irrigation water, ECw (0.8, 1.6, 2.4, and 3.2 dS m-1), and four doses of hydrogen peroxide, H2O2 (0, 10, 20, and 30 µM), with three replicates. The use of irrigation water with electrical conductivity above 0.8 dS m-1 inhibited stomatal conductance, internal CO2 concentration, transpiration, maximum fluorescence, crown height, and vegetative vigor index of the Morada Nova cultivar of soursop. Compared to untreated plants, the hydrogen peroxide concentration of 30 µM resulted in greater stomatal conductance. Water salinity of 0.8 dS m-1 with hydrogen peroxide concentrations of 16 and 13 µM resulted in the highest variable fluorescence and quantum efficiency of photosystem II, respectively, of soursop plants cv. Morada Nova at 210 days after transplantation.

Marine invertebrates associated with rhodoliths/maërl beds from northeast Brazil (State of Paraíba).

BACKGROUND: This study investigates the marine macroinvertebrate fauna of rhodolith beds (non-geniculated red corallinaceaous algae) in northeast Brazilian. A total of 57 species were identified, belonging to six phyla (Platyhelminthes, Annelida, Sipuncula, Mollusca, Arthropoda and Echinodermata), of which 50 are considered here as new records for the Paraíba State. Annelids (Class Polychaeta) were the most representative taxa in Miramar and Seixas Beaches, while molluscs were dominant in Maceió Beach. NEW INFORMATION: This is the first study that includes an identification key, diagnostic features and distribution patterns worldwide and local (including new records) of the marine invertebrate fauna associated with rhodolith beds in northeast Brazil (State of Paraíba). Sampling events were performed in 2018, at low tide in the intertidal to shallow subtidal zones (1.5 and 4.0 m depth), in Miramar, Seixas and Maceió Beaches. A total of 17 species were found for the first time on Seixas Beach, as well as all identified species for Miramar and Maceió. This study tries to contribute to the knowledge of marine invertebrates in northeast Brazilian shallow habitats, providing a baseline for future environmental studies.

Is tourism affecting polychaete assemblages associated with rhodolith beds in Northeastern Brazil?

Introduction: Rhodoliths are biogenic structures distributed worldwide, formed by several types of calcareous algae. They may host a great diversity of marine invertebrates, among which polychaetes are conspicuous and diversified representatives. Rhodolith beds are notwithstanding vulnerable to several human activities (e.g. exploitation of commercial species associated with rhodoliths, petroleum exploration, fishing activities, effluent discharges, and tourism), which may compromise that diversity. Tourism is presently increasing its impact on rhodolith beds. Global warming and ocean acidification are also determinant factors in faunal change. Objective: to analyse the polychaete assemblages associated with rhodolith beds subject to different intensities of touristic pressure at Seixas Beach (NE Brazil), where tourism is gradually increasing over time. Methods: Effects were evaluated at two depths, 1.5 m and 4.0 m. Sampling was done every two months during 2015, encompassing the two marked seasons of the year in the region (rainy and dry). Quadrats of 15 x 15 cm were placed in each depth during sampling. All rhodoliths present within the quadrat were collected (usually four to five rhodoliths). Our hypothesis was that the deeper depth and the samples from the dry season months would be increasingly subject to the impact of tourism. Results: Overall, 49 species were found (from 21 different families), and a total of 733 individuals were collected. The most abundant species was Eunice wasinensis (280 individuals, 38.2% of total abundance). The species Eurythoe complanata, Eunice biannulata, E. wasinensis, Lysidice ninetta, Oxydromus pugettensis and Ceratonereis (Ceratonereis) singularis appeared in all months. The study detected a tendency for higher diversity to occur at the depth of 1.5 m for all indices, but only the Shannon-Wiener values were significantly higher there (p < 0.05). No clear differences were found regarding months or season. Conclusions: These results suggest that a higher potential pressure due to tourism may occur at 4.0 m due to more intense craft shipping activities (traffic of catamaran boats transporting tourists to and from the reefs) in that area.

Introducción: Rodolitos son estructuras biogénicas distribuidas en todo el mundo, formadas por varios tipos de algas calcáreas. Pueden albergar una gran diversidad de invertebrados marinos, entre los cuales los poliquetas son representantes conspicuos y diversificados. No obstante, los fondos de los rodolitos son vulnerables a varias actividades humanas (por ejemplo, la explotación de especies comerciales asociadas con rodolitos, exploración petrolera, actividades de pesca, descargas de efluentes y turismo), que pueden comprometer esa diversidad. El turismo está aumentando su impacto en los fondos de rodolitos. El calentamiento global y la acidificación de los océanos también son factores determinantes en el cambio de fauna. Objetivo: El presente estudio tuvo como objetivo analizar los conjuntos de poliquetos asociados con fondos de rodolitos sujetos a diferentes intensidades de presión turística en la playa de Seixas (Nordeste de Brasil), donde el turismo está aumentando gradualmente con el tiempo. Métodos: Los efectos fueron evaluados a dos profundidades, 1.5 m y 4.0 m. El muestreo se realizó cada dos meses durante 2015, abarcando las dos estaciones marcadas del año en la región (lluviosa y seca). Se colocaron cuadrantes de 15 x 15 cm en cada profundidad durante el muestreo. Se recolectaron todos los rodolitos presentes dentro del cuadrante (generalmente de four a five rodolitos). Nuestra hipótesis era que la mayor profundidad y las muestras de la estación seca estarían cada vez más sujetas al impacto del turismo. Resultados: En total, se encontraron 49 especies (de 21 familias diferentes) y se recolectó un total de 733 individuos. La especie más abundante fue Eunice wasinensis (280 individuos, 38.2 % de la abundancia total). La especie Eurythoe complanata, Eunice biannulata, E. wasinensis, Lysidice ninetta, Oxydromus pugettensis y Ceratonereis (Ceratonereis) singularis aparecieron en todos los meses. El estudio detectó una tendencia a mayor diversidad en la profundidad de 1,5 m para todos los índices, pero solo los valores de Shannon-Wiener fueron significativamente mayores allí (p < 0.05). No se encontraron diferencias con respecto a los meses. Conclusiones: Estos resultados sugieren que puede haber una mayor presión potencial debido al turismo a 4.0 m debido a actividades de embarcaciones más intensas (tráfico de catamaranes que transportan turistas hacia y desde los arrecifes) en esa área. Nuestros resultados aumentan nuestro conocimiento sobre la diversidad de poliquetos asociados con los fondos de rodolitos en áreas tropicales, y resaltan la necesidad de estudios de monitoreo para probar el impacto de los factores de estrés locales en estos conjuntos.

A prevalência de cefaleia e fatores psicossociais associados em estudantes de medicina no Ceará / The prevalence of headache and psychosocial factors associated among medical students in a university of northeast Brazil

Introdução: A cefaleia é uma afecção que impacta negativamente a qualidade de vida da pessoa. O curso de medicina é reconhecidamente um gerador de esgotamento e, de acordo com a literatura, fatores estressantes são mais comuns em alunos de medicina que na população em geral, podendo desencadear a cefaleia. Esses fatores estressores podem ser intensificados em períodos que antecedem as provas devido a mudanças nos hábitos de sono e de estudo, havendo uma possível relação com o surgimento de cefaleias primárias. Objetivo: Avaliar a prevalência de cefaleia primária nos estudantes de medicina (EM) em períodos de provas e relacionar com fatores psicossociais. Métodos: Trata-se de um estudo transversal, baseado na aplicação de dois questionários a uma amostra de 219 EM do 1º ao 8º semestre de uma universidade no interior do Ceará. Um questionário relacionou a cefaleia com fatores psicossociais em períodos de provas. O segundo questionário: HSQ-DV, foi utilizado para o diagnóstico de enxaqueca e cefaleia do tipo tensional (CTT). Resultados: 98% dos EM relataram já ter sentido cefaleia. A prevalência de CTT e enxaqueca encontradas foi de 61,9% e 18,1%, respectivamente, dados maiores que a média para a população geral. Estudantes com enxaqueca têm mais crises antes de provas, se automedicam mais, ingerem mais psicoestimulantes, são mais ansiosos, mais depressivos, mais sedentários, mais estressados e dormem menos que aqueles com CTT. Conclusão: De fato, os EM são um grupo de risco para o desenvolvimento de cefaleias, merecendo, portanto, uma maior ênfase de pesquisas científicas sobre as cefaleias primárias neste grupo.

Introduction: Headache is a condition that impacts negatively the patients' quality of life. The medical course is a known generator of exhaustion and, according to the literature, stressors are more common in medical students (MS) than in the general population, which can trigger a headache. These stressors can be intensified in periods that precede the tests due to changes in sleep and in study habits, with a possible relation with the appearance of primary headache. Objective: To associate the presence of primary headache in MS during periods of tests and to relate to psychosocial factors. Methods: This is a cross-sectional study based on the application of two questionnaires to a sample of 219 MS from the 1st to the 8th semester of a university in Northeast Brazil. The first questionnaire related headache with psychosocial factors in periods of tests. The second questionnaire: HSQ-DV, was used for the diagnosis of migraine and tension-type headache (TTH). Results: 98% of MS reported having experienced headache. The prevalence of TTH and migraine was 61.9% and 18.1%, respectively, higher than the average for the general population. Students with migraine have more attacks before tests, self-medicate more, ingest more psychostimulants, are more anxious, more depressed, more sedentary, more stressed, and sleep less than those with TTH. Conclusion: In fact, MS are a risk group for the development of headache, thus deserving a greater emphasis of scientific research on primary headaches in this group

Seed oil of Joannesia princeps improves cutaneous wound closure in experimental mice.

Joannesia princeps (Cotieira) is a well known medicinal plant in Brazil, however, the therapeutic effects of oil obtained from its seeds have still not been demonstrated. The beneficial effects of J. princeps seed oil on cutaneous wound healing on the back of experimental mice were investigated. An excisional lesion in male Swiss mice (n=20 per group) was topically treated with mineral oil or J. princeps seed oil once a day beginning on the day of lesion until the third day after wounding. Animals were killed and lesions collected after 14 days. Murine skin fibroblast cultures were treated with J. princeps seed oil and fibroblast activity was evaluated. In the in vivo assay, J. princeps seed oil increased wound contraction and migratory tongue length, but reduced neutrophil and macrophage number when compared with the control group. Blood vessel number, collagen deposition, and VEGF levels were increased in treated lesions when compared with control lesions. However, J. princeps seed oil reduced myofibroblast density and carbonyl protein levels when compared with the control group. In the in vitro assay, treatment with J. princeps seed oil increased fibroblast migration and proliferation, but reduced myofibroblastic differentiation in vitro. In conclusion, J. princeps seed oil accelerates wound closure increasing angiogenesis, keratinocyte migration, and fibroblast activity while reducing inflammatory response and oxidative damage.

A very low potential electrochemical detection of L-cysteine based on a glassy carbon electrode modified with multi-walled carbon nanotubes/gold nanorods.

A nanohybrid platform built with multi-walled carbon nanotubes and gold nanorods, prepared via a cationic surfactant-containing seed-mediated sequential growth process, in aqueous solution, on a glassy carbon substrate has been successfully developed to be used in the electrocatalytic oxidation of L-cysteine (Cys). The nanohybrid was characterized by transmission electron microscopy, Raman spectroscopy and electrochemical measurements. Cyclic voltammetry results had shown that the modified electrode allows the oxidation of Cys at a very low anodic potential (0.00 V vs. Ag/AgCl). The kinetic constant kcat for the catalytic oxidation of Cys was evaluated by chronoamperometry and provided a value of 5.6×10(4) L mol(-1) s(-1). The sensor presents a linear response range from 5.0 up to 200.0 µmol L(-1), detection limit of 8.25 nmol L(-1) and a sensitivity of 120 nA L µmol(-1).

Volvo da vesícula biliar / Gallbladder volvulus

A case of torsion of the gallbladder is presented. This is a rare condition that occurs when it is associated with anatomical variants related to abnormal fixation of the gallbladder to the liver bed. The blood irrigation is insufficient and the gallbladder develops necrosis. The abnormal implantation occurs in 4 per cents of the population. If the gallbladder losses its fixations to the inferior margin of the liver with the presence of a long mesocyst a torsion can occur when this gallbladder twists axially with subsequent occlusion of the blood flow. The signs and symptoms are similar to those of severe acute cholecystitis: abrupt onset of the pain and large palpable mass below the right costal margin. The ultrasound can show a very large and anteriorly floating gallbladder. In this case, the ultrasound did not show any abnormal signs, so it is usually diagnosed at laparotomy and the treatment consists of cholecystectomy. This condition should be suspected in acute abdominal pain of unknown origin