RESUMEN
PURPOSE: To evaluate the antimicrobial activity of dentifrices based on Malva sylvestris and propolis and the effect on the acrylic resin. METHODS: The inhibitory effect against Candida albicans, Enterococcus faecalis and Streptococcus mutans was determined. The specimens of resin were divided into groups: Control (brushing with distilled water); brushing with Colgate; brushing with Protex; brushing with Malvatricin, brushing with Proporalcare Dental Gel and brushing with Green Propolis Dental Gel. Brushing was carried out in a brushing machine. Roughness and color were assessed. The data were analyzed by ANOVA, followed by the Bonferroni post test (α= 0.05). RESULTS: The products evaluated showed antimicrobial activity against all microorganisms (P< 0.05), except Proporalcare Dental Gel, which was not effective against E. faecalis. Greater roughness (P< 0.05) was observed in the samples treated with Colgate. The samples from control and Protex groups showed the lowest color variation and the highest luminosity, with a difference in relation to the others (P< 0.05), which showed higher values, although clinically acceptable. CLINICAL SIGNIFICANCE: The dentifrices based on natural products can be indicated for cleaning prostheses, since they showed antimicrobial activity and did not cause perceptible color changes of the resin tested. The dentifrices did not produce adverse effects on the surface of the resin or did so less than the conventional dentifrice.
Asunto(s)
Resinas Acrílicas , Candida albicans , Dentífricos , Bases para Dentadura , Streptococcus mutans , Dentífricos/farmacología , Streptococcus mutans/efectos de los fármacos , Candida albicans/efectos de los fármacos , Enterococcus faecalis/efectos de los fármacos , Própolis/farmacología , Propiedades de Superficie , Ensayo de Materiales , Color , Humanos , Antiinfecciosos/farmacología , Cepillado Dental , Pastas de Dientes/farmacología , Pastas de Dientes/química , Ácido SilícicoRESUMEN
A enfermeira da unidade de pronto atendimento defronta-se com rápidas mudanças, processos complexos,de forma que deve utilizar habilidade de reflexão crítica para tomada de decisão, ela liderara, organiza e sistematiza a assistência influenciando diretamente nos resultados. O processo de enfermagem consiste em cinco fases seqüenciais e inter-relacionadas: Histórico de Enfermagem, Diagnóstico de Enfermagem, Planejamento, Implementação e Evolução de Enfermagem. Na prática da enfermagem não sistematizada se deixa de valorizar a própria profissão colaborando para sua estagnação. O objetivo principal do trabalho é levantar as dificuldades encontradas pelo enfermeiro na realização da Sistematização da Assistência de Enfermagem (SAE) na unidade de pronto atendimento. Trata-se de um estudo de campo, descritivo, transversal de análise quantitativa. Verificou-se que a população de estudo é constituída do sexo feminino 67%, com alta rotatividade nos turnos de trabalho, 55,55% aprenderam a realizar o processo de enfermagem no curso degraduação, 33% acertaram as fases do processo de enfermagem, 100% consideram primordial realização daSAE e sentem dificuldades em realizá-la, sendo elas: falta de tempo 50%, ambiente 16,67%, instrumento11,11%, conhecimento teórico 11,11%, a alta demanda de pacientes e resistência dos enfermeiros. Conclui-se que a implementação da SAE em unidade de emergência constitui-se de vários desafios desde a alta demanda de clientes, falta de tempo e o desconhecimento. Destaca-se a importância da SAE para qualidadeda assistência prestada ao cliente e a necessidade de investimentos em pesquisas relacionadas a esse tema.
The Emergency Room nurse faces hard challenges, complex procedures, and must develop abilities across decisions, leadership, organizing, and standardizing nursings assistance, reflecting directly on the final results. Nursing process is composed by five steps: Nursing history, Nursing diagnosis, planning, implementation, and nursing evolution. The consequence of the nurses´ practice without standardization is a less valuable profession, disturbing their own evolution. Objectives: To review nurses difficulties on standardized nursing assistance at the Emergency Room. Methods: Its a field, cross-sectional study with quantitative analysis. Results: The great majority of the studied population comprised 67% female nurses, working on more than one shift , 55.5% learned nursing process at the university during the graduation course, 33% answered thenursings process steps correctly, 100% considered SNA important, and also found difficulties on its application and execution. The adversities pointed out were: lack of time 50%, environment 16.7%, instruments 11.11%, theoretical knowledge 11.11%, amount of patients and nurses´s resistance. Conclusion: Standardized Nursing Assistance on the E.R. provides lots of challenges for the nurses such as lack of time to unknown theme. In conclusion, SNA could be considered a fundamental part for the nursing quality on assistance; further research are needed on that subject.