Attitudes towards suicidal behaviour and associated factors among nursing professionals: A quantitative study.

WHAT IS KNOWN ON THE SUBJECT?: Self-confident health professionals with positive and understanding attitudes can take better care of people with suicidal behaviour, but the factors associated with these attitudes are not known. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: The majority of nursing professionals had no experience or training in mental health or suicide. They were less self-confident and had more negative attitudes. Nurses and nursing assistants who worked before in mental health services were more understanding with people with suicidal behaviour. Nurses and nursing assistants who were working in prehospital services were less self-confident to taking care of people with suicidal behaviour. Some members of the nursing team had already seriously considered committing suicide. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The practicing, support and training in mental health may improve the nurses' attitudes and emotional competencies. It is important to know why few nurses had suicide-related training, despite the relevance of this issue. Training in mental health or suicide need to include attitudinal and emotional competencies. It is important to offer emotional support to emergency nursing professionals. ABSTRACT: Background The attitudes towards suicide of emergency nurses may affect the care provided. However, the factors associated with these attitudes remain unclear. Objective To investigate attitudes towards suicidal behaviour and associated factors among nursing professionals working in emergency settings. Methods A cross-sectional observational study including 28 nurses and 118 who were nursing assistants employed at two emergency services in Brazil was conducted. Data were collected in 2015 using a self-administered sociodemographic questionnaire and the Suicide Behavior Attitude Questionnaire (SBAQ). Results The majority of participants reported having no experience or training in mental health or suicide. They reported more negative feelings towards the patient and a lower self-perception of professional competence regarding suicidal behaviours, and these attitudes seemed to reinforce each other. Nurses who worked in mental health services reported less moralistic/judgemental attitudes. Working in prehospital services was associated with having a lower self-perception of professional competence. There were professionals who reported thinking seriously about committing suicide. Conclusion When combined with support and training, practicing mental health nursing may serve as an opportunity to develop favourable attitudes and emotional competences, and these issues need to be addressed in suicide education strategies.

Morfologia do estômago e do duodeno da paca (Cuniculus paca Linnaeus, 1766) / Morphology of the stomach and duodenum of paca (Cuniculus paca Linnaeus, 1766)

Considerando a importância da paca (Cuniculus paca, Linnaeus, 1766), tanto como fonte proteica alternativa para a população quanto pela possibilidade de vir a se tornar um animal de experimentação e pela falta de informações sobre a sua anatomia, objetivou-se descrever a morfologia macroscópica e histológica do estômago e do duodeno desse roedor, reconhecendo as relações, forma e posição que esses órgãos estabelecem entre si e com outros órgãos. O estômago da paca é unicavitário, está no plano médio mais voltado para o antímero esquerdo, transversalmente, na região hipocôndrica em posição ventrocaudal, interposto entre o esôfago e o duodeno. O duodeno da paca se inicia em sequência ao estômago, segue caudalmente até o nível da quinta ou sexta vértebra lombar, na altura das quais se curva e toma direção cranial, dirigindo-se até o nível da transição entre a última vértebra torácica e a primeira vértebra lombar, onde se continua como jejuno. Histologicamente, o estômago e o duodeno da paca possuem o padrão característico da arquitetura dos órgãos ocos, apresentando as seguintes túnicas: mucosa, submucosa, muscular e serosa. Da forma que se conduziu este estudo, conclui-se que o estômago e duodeno da paca, de forma geral, possuem características morfológicas macroscópicas e histológicas semelhantes às dos animais domésticos e de outros roedores selvagens(AU)

Considering the importance of paca (Cuniculus paca, Linnaeus, 1766) as an alternative protein source for the population as well as the possibility to become an experimental model and the lack of information regarding to the anatomy of this species, the present study aims to describe the gross anatomy and the histology of the stomach and duodenum of this rodent, recognizing the relations, shape and position that these organs establish between themselves and among other organs. The paca stomach is monocavitary; it is located at the median plane, more toward the left antimere, transversally, at the hypochondriac region in a ventrocaudal position, interposed between the esophagus and duodenum. The duodenum of paca begins in sequence of the stomach, following caudally until the fifth or sixth lumbar vertebra, at this level it curves and takes the cranial direction, going until the transition level between the last thoracic vertebra and the first lumbar vertebra where it continues as jejune. Histologically, the stomach and duodenum of paca have the characteristic pattern of the hollow organs architecture, presenting the following layers: mucosa, submucosa, muscular and serous. As this study was conducted, it is possible to conclude that the stomach and duodenum of paca, in general, present gross anatomical and histological characteristics similar to the domestic animals and to the other wild rodents(AU)

Morfologia do estômago e do duodeno da paca (Cuniculus paca Linnaeus, 1766) / Morphology of the stomach and duodenum of paca (Cuniculus paca Linnaeus, 1766)

Considerando a importância da paca (Cuniculus paca, Linnaeus, 1766), tanto como fonte proteica alternativa para a população quanto pela possibilidade de vir a se tornar um animal de experimentação e pela falta de informações sobre a sua anatomia, objetivou-se descrever a morfologia macroscópica e histológica do estômago e do duodeno desse roedor, reconhecendo as relações, forma e posição que esses órgãos estabelecem entre si e com outros órgãos. O estômago da paca é unicavitário, está no plano médio mais voltado para o antímero esquerdo, transversalmente, na região hipocôndrica em posição ventrocaudal, interposto entre o esôfago e o duodeno. O duodeno da paca se inicia em sequência ao estômago, segue caudalmente até o nível da quinta ou sexta vértebra lombar, na altura das quais se curva e toma direção cranial, dirigindo-se até o nível da transição entre a última vértebra torácica e a primeira vértebra lombar, onde se continua como jejuno. Histologicamente, o estômago e o duodeno da paca possuem o padrão característico da arquitetura dos órgãos ocos, apresentando as seguintes túnicas: mucosa, submucosa, muscular e serosa. Da forma que se conduziu este estudo, conclui-se que o estômago e duodeno da paca, de forma geral, possuem características morfológicas macroscópicas e histológicas semelhantes às dos animais domésticos e de outros roedores selvagens.

Considering the importance of paca (Cuniculus paca, Linnaeus, 1766) as an alternative protein source for the population as well as the possibility to become an experimental model and the lack of information regarding to the anatomy of this species, the present study aims to describe the gross anatomy and the histology of the stomach and duodenum of this rodent, recognizing the relations, shape and position that these organs establish between themselves and among other organs. The paca stomach is monocavitary; it is located at the median plane, more toward the left antimere, transversally, at the hypochondriac region in a ventrocaudal position, interposed between the esophagus and duodenum. The duodenum of paca begins in sequence of the stomach, following caudally until the fifth or sixth lumbar vertebra, at this level it curves and takes the cranial direction, going until the transition level between the last thoracic vertebra and the first lumbar vertebra where it continues as jejune. Histologically, the stomach and duodenum of paca have the characteristic pattern of the hollow organs architecture, presenting the following layers: mucosa, submucosa, muscular and serous. As this study was conducted, it is possible to conclude that the stomach and duodenum of paca, in general, present gross anatomical and histological characteristics similar to the domestic animals and to the other wild rodents.

Basic life support knowledge of first-year university students from Brazil

We aimed to evaluate knowledge of first aid among new undergraduates and whether it is affected by their chosen course. A questionnaire was developed to assess knowledge of how to activate the Mobile Emergency Attendance Service - MEAS (Serviço de Atendimento Móvel de Urgência; SAMU), recognize a pre-hospital emergency situation and the first aid required for cardiac arrest. The students were also asked about enrolling in a first aid course. Responses were received from 1038 of 1365 (76.04%) new undergraduates. The questionnaires were completed in a 2-week period 1 month after the beginning of classes. Of the 1038 respondents (59.5% studying biological sciences, 11.6% physical sciences, and 28.6% humanities), 58.5% knew how to activate the MEAS/SAMU (54.3% non-biological vs 61.4% biological, P=0.02), with an odds ratio (OR)=1.39 (95%CI=1.07-1.81) regardless of age, sex, origin, having a previous degree or having a relative with cardiac disease. The majority could distinguish emergency from non-emergency situations. When faced with a possible cardiac arrest, 17.7% of the students would perform chest compressions (15.5% non-biological vs 19.1% biological first-year university students, P=0.16) and 65.2% would enroll in a first aid course (51.1% non-biological vs 74.7% biological, P<0.01), with an OR=2.61 (95%CI=1.98-3.44) adjusted for the same confounders. Even though a high percentage of the students recognized emergency situations, a significant proportion did not know the MEAS/SAMU number and only a minority had sufficient basic life support skills to help with cardiac arrest. A significant proportion would not enroll in a first aid course. Biological first-year university students were more prone to enroll in a basic life support course.

Basic life support knowledge of first-year university students from Brazil.

We aimed to evaluate knowledge of first aid among new undergraduates and whether it is affected by their chosen course. A questionnaire was developed to assess knowledge of how to activate the Mobile Emergency Attendance Service - MEAS (Serviço de Atendimento Móvel de Urgência; SAMU), recognize a pre-hospital emergency situation and the first aid required for cardiac arrest. The students were also asked about enrolling in a first aid course. Responses were received from 1038 of 1365 (76.04%) new undergraduates. The questionnaires were completed in a 2-week period 1 month after the beginning of classes. Of the 1038 respondents (59.5% studying biological sciences, 11.6% physical sciences, and 28.6% humanities), 58.5% knew how to activate the MEAS/SAMU (54.3% non-biological vs 61.4% biological, P=0.02), with an odds ratio (OR)=1.39 (95%CI=1.07-1.81) regardless of age, sex, origin, having a previous degree or having a relative with cardiac disease. The majority could distinguish emergency from non-emergency situations. When faced with a possible cardiac arrest, 17.7% of the students would perform chest compressions (15.5% non-biological vs 19.1% biological first-year university students, P=0.16) and 65.2% would enroll in a first aid course (51.1% non-biological vs 74.7% biological, P<0.01), with an OR=2.61 (95%CI=1.98-3.44) adjusted for the same confounders. Even though a high percentage of the students recognized emergency situations, a significant proportion did not know the MEAS/SAMU number and only a minority had sufficient basic life support skills to help with cardiac arrest. A significant proportion would not enroll in a first aid course. Biological first-year university students were more prone to enroll in a basic life support course.

Interleukin 8 as a vaso-occlusive marker in Brazilian patients with sickle cell disease.

Sickle cell disease has a worldwide distribution and is a public health problem in Brazil. Although vaso-occlusive crisis (VOC) is one of the most important clinical features of the disease, there are still several steps of its pathogenesis which are unknown. The increase of the chemotactic factor interleukin 8 (IL-8) has been reported to be involved in sickle cell disease crisis, but this has not been demonstrated conclusively. In the present study we analyzed serum IL-8 levels by ELISA and hematological parameters and hemoglobin patterns by standard techniques in 23 (21 SS and 2 SC) Brazilian patients with sickle cell syndromes during VOC caused by different inducing factors, 22 (21 SS and 1 SC) sickle cell patients out of crisis, and 11 healthy controls. Increased IL-8 levels were observed in 19 of 23 VOC patients (79.2%), 3 of them with more than 1,000 pg/ml. Seventeen of 22 (77.3%) non-crisis patients showed low IL-8 levels (less than 15 pg/ml). Healthy controls had low IL-8 levels. A significant difference in serum IL-8 levels was observed between crisis and non-crisis sickle cell patients (P<0.0001). There was no correlation between IL-8 levels and hematological data or hemoglobin patterns. High serum IL-8 levels were observed in VOC patients independently of the crisis-inducing factor. We conclude that in the studied population, IL-8 concentration may be a useful VOC marker, although the mechanism of the pathogenic process of sickle cell VOC syndromes remains unclear.

Interleukin 8 as a vaso-occlusive marker in Brazilian patients with sickle cell disease

Sickle cell disease has a worldwide distribution and is a public health problem in Brazil. Although vaso-occlusive crisis (VOC) is one of the most important clinical features of the disease, there are still several steps of its pathogenesis which are unknown. The increase of the chemotactic factor interleukin 8 (IL-8) has been reported to be involved in sickle cell disease crisis, but this has not been demonstrated conclusively. In the present study we analyzed serum IL-8 levels by ELISA and hematological parameters and hemoglobin patterns by standard techniques in 23 (21 SS and 2 SC) Brazilian patients with sickle cell syndromes during VOC caused by different inducing factors, 22 (21 SS and 1 SC) sickle cell patients out of crisis, and 11 healthy controls. Increased IL-8 levels were observed in 19 of 23 VOC patients (79.2 percent), 3 of them with more than 1,000 pg/ml. Seventeen of 22 (77.3 percent) non-crisis patients showed low IL-8 levels (less than 15 pg/ml). Healthy controls had low IL-8 levels. A significant difference in serum IL-8 levels was observed between crisis and non-crisis sickle cell patients (P<0.0001). There was no correlation between IL-8 levels and hematological data or hemoglobin patterns. High serum IL-8 levels were observed in VOC patients independently of the crisis-inducing factor. We conclude that in the studied population, IL-8 concentration may be a useful VOC marker, although the mechanism of the pathogenic process of sickle cell VOC syndromes remains unclear

Hepatitis A vaccination in chronic carriers of hepatitis B virus.

Because hepatitis A infection may be more severe in patients with chronic liver disease, we vaccinated 33 children who were chronic HBsAg carriers against hepatitis A virus. Anti-hepatitis A virus seroconversion rates after the first, second, and third doses were 90.9%, 96.9%, and 100%, respectively.

Thickness of the remaining enamel after the preparation of cingulum rest seats on maxillary canines.

PURPOSE: This study evaluated the level of tissue removal that takes place on enamel and dentin during cingulum rest seat preparation. MATERIAL AND METHODS: A quantitative evaluation of the thickness of the remaining enamel of cingulum seat preparations to receive removable partial denture rests was carried out in 20 maxillary canines with a light optical microscope. RESULTS: Thirty percent of the preparations were overextended into dentinal tissue, and 85% had depths that were insufficient to receive rests.

A new method to simplify and increase the precision of maxillary cast mounting procedures in fully adjustable or semiadjustable articulators.

This study introduces a new impression procedure that permits mounting the maxillary stone cast in an articulator for any patient treatment and is applicable to any dental arch with any impression material. A transfer tray was designed that makes it possible to transfer the patient's maxillary impression to the articulator in a one-stage procedure without the need for making record bases and occlusion rims or the need to use a face-bow bite fork.

Estudio de movimientos de dientes soportes en función de la localización de los apoyos oclusales de las prótesis parciales removibles de extremo libre, a través de métodos de elementos finitos tridimensionales (trad) / A study of support teeth movements according to the occlusal rests of the distal extension removable partial dentures, by three-dimensional finite elements methods

En las prótesis parciales removibles inferiores de extremidades libres, los apoyos oclusales además de ejercer funciones propias, actúan como fulcrum de fuerzas cuando se mueve la prótesis en el plano horizontal. Su localización en los dientes pilares reviste especial importancia, influyendo en la formación del sistema de palanca y consecuentemente en el dislocamiento que el diente soporte sufre cuando hay incidencia de fuerzas masticatorias. Este estudio fue hecho a través de un programa computarizado para analizar funciones denominado "Método de elementos finitos tridimensional" en que fueron construídos dos modelos, cuyas variables utilizadas fueron la localización de retenedores y apoyos sobre el diente pilar

Estudio de movimientos de dientes soportes en función de la localización de los apoyos oclusales de las prótesis parciales removibles de extremo libre, a través de métodos de elementos finitos tridimensionales (trad) / A study of support teeth movements according to the occlusal rests of the distal extension removable partial dentures, by three-dimensional finite elements methods

En las prótesis parciales removibles inferiores de extremidades libres, los apoyos oclusales además de ejercer funciones propias, actúan como fulcrum de fuerzas cuando se mueve la prótesis en el plano horizontal. Su localización en los dientes pilares reviste especial importancia, influyendo en la formación del sistema de palanca y consecuentemente en el dislocamiento que el diente soporte sufre cuando hay incidencia de fuerzas masticatorias. Este estudio fue hecho a través de un programa computarizado para analizar funciones denominado "Método de elementos finitos tridimensional" en que fueron construídos dos modelos, cuyas variables utilizadas fueron la localización de retenedores y apoyos sobre el diente pilar (AU)

Medida indireta da pressäo arterial na criança: avaliaçäo do método oscilométrico automático näo invasivo / Indirect measure of blood pressure in children: evaluation of a non-invasive automatic oscillometric method

Un nuevo monitor automático oscilométrico y noinvasivo de la presión arterial está disponible en el Brasil. El aparato fue evaluado comparando los datos de la presión arterial media con la medida simultánea de la presión arterial por el método directo de cateterización de la arteria radial concectada al manómetro de mercurio. Fueron estudiados 21 niños divididos en dos grupos: grupo 1, constituido por 10 niños con peso menor de 10K, con edad entre 1 mes y 1 año. Grupo 2, constituído por 11 niños con más de 10 Kg, con edad encima de 1 año y 6 meses. El coeficiente de correlación entre las medidas tomadas en los dos grupos fue de r = 0.85 (p < 0,01) para el grupo 1 y r = 0,88 (p < 0,001) para el grupo 2. Se concluyó que las presiones medias fornecidas por el aparato se correlacionan bien con la medida directa de la presión arterial, siendo un instrumento útil para monitorizar presión arterial en niños

Epidemiology of hepatitis delta virus (HDV) infection.

Markers of hepatitis delta virus (HDV) infection have been detected all over the five continents. Geographical prevalence varied heavily: HDV infection is very rare in Far East Asia, but extremely frequent in Arabian countries, in Romania and in certain Indian populations of South America. In Europe and in the USA the infection is widely spread among high risk groups such as intravenous drug abusers and haemophiliacs.