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1.
J. Health Biol. Sci. (Online) ; 10(1): 1-5, 01/jan./2022. tab
Artículo en Inglés | LILACS | ID: biblio-1358203

RESUMEN

Objectives: The present study was designed to examine the efficacy of Cissus quadrangularis paste on fracture healing in artificially induced fractured rabbits. Methods: Fifteen rabbits were separated into three groups namely A, B, and C. Veldt grape paste was applied in groups B and C (Treatment Group) by close reduction and open reduction methods of fracture management; respectively, while group A was kept as control. The blood parameter and fracture healing properties in all animals have been monitored and examined routinely during the study period. Results: Both treated groups revealed lower serum calcium levels (SCL) than the control group after 24 hours of fracture that became within the normal range on the 14th day. Fracture healing in the treated groups has been commenced more rapidly than the control group with complete bridging of discontinuity by a distinct osseous callus in the fracture line on day 7 and complete effacing of fracture line on day 14. Conclusion: We did not find any type of anomalousness, clinical deviations, and alteration of serum calcium level on the 14th day of the fracture in treated animals hence Veldt Grape paste could be readily applicable to the management of the fracture in animals.


Objetivos: avaliar a eficácia da pasta de Cissus quadrangularis na consolidação de fraturas em coelhos fraturados artificialmente. Metodos: quinze coelhos foram separados em três grupos (A, B e C). A pasta foi aplicada nos grupos B e C (Grupo de Tratamento) pelos métodos de redução fechada e redução aberta de gerenciamento de fraturas; respectivamente. O grupo A foi mantido como controle. O parâmetro sanguíneo e as propriedades de cicatrização de fraturas em todos os animais foram monitorados e examinados, rotineiramente, durante o período do estudo. Resultados: ambos os grupos tratados revelaram níveis séricos de cálcio (SCL) mais baixos do que o grupo controle, após 24 horas de fratura que se tornou normal no 14º dia. A cicatrização da fratura nos grupos tratados foi iniciada mais rapidamente do que o grupo controle, com ponte completa de descontinuidade por um calo ósseo distinto na linha de fratura no dia 7 e apagamento completo da linha de fratura no dia 14. Conclusao: não encontramos nenhum tipo de anomalia, desvios clínicos e alteração do nível sérico de cálcio no 14º dia da fratura nos animais tratados, portanto, a pasta Veldt Grape pode ser aplicável ao manejo da fratura em animais.


Asunto(s)
Curación de Fractura , Cissus , Pomadas , Terapéutica , Callo Óseo , Fracturas Óseas , Objetivos , Animales de Laboratorio , Métodos
2.
BMJ Open ; 12(8): e060226, 2022 Aug 03.
Artículo en Inglés | MEDLINE | ID: mdl-35922109

RESUMEN

INTRODUCTION: In partnership with Cancer Council Western Australia (WA), the East Metropolitan Health Service in Perth, WA has developed a clinical simulation training programme 'Talking Together' using role play scenarios with trained actors as patients/carers. The aim of the training is to improve clinicians' communication skills when having challenging conversations with patients, or their carers, in relation to goals of care in the event of clinical deterioration. METHODS AND ANALYSIS: A multisite, longitudinal mixed-methods study will be conducted to evaluate the impact of the communication skills training programme on patient, family/carer and clinician outcomes. Methods include online surveys and interviews. The study will assess outcomes in three areas: evaluation of the 'Talking Together' workshops and their effect on satisfaction, confidence and integration of best practice communication skills; quality of goals of patient care conversations from the point of view of clinicians, carers and family/carers; and investigation of the nursing/allied role in goals of patient care. ETHICS AND DISSEMINATION: This study has received ethical approval from the Royal Perth Hospital, St John of God and Curtin University Human Research Ethics Committees. The outputs from this project will be a series of research papers and conference presentations.


Asunto(s)
Objetivos , Entrenamiento Simulado , Comunicación , Hospitales Públicos , Humanos , Atención al Paciente , Australia Occidental
4.
Health Aff (Millwood) ; 41(8): 1142-1152, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35914199

RESUMEN

This study aimed to determine levels of health insurance coverage in low- and middle-income countries and how coverage varies by people's sociodemographic characteristics. We conducted a population size-weighted, one-stage individual participant data meta-analysis of health insurance coverage, using a population-based sample of 2,035,401 participants ages 15-59 from nationally representative household surveys in fifty-six countries during the period 2006-18. One in five people (20.3 percent) across the fifty-six countries in our study had health insurance. Health insurance coverage exceeded 50 percent in only seven countries and 70 percent in only three countries. Substantially more people had public health insurance than private health insurance (71.4 percent versus 28.6 percent). We found that men and older, more educated, and wealthier people were more likely to have health insurance; these sociodemographic gradients in health insurance coverage were strongest in sub-Saharan Africa and followed traditional lines of privilege. Low- and middle-income countries need to massively expand health insurance coverage if they intend to use insurance to achieve universal health coverage.


Asunto(s)
Países en Desarrollo , Cobertura Universal del Seguro de Salud , Adolescente , Adulto , Objetivos , Humanos , Renta , Seguro de Salud , Masculino , Persona de Mediana Edad , Adulto Joven
5.
J Contin Educ Nurs ; 53(8): 355-363, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35914275

RESUMEN

This article proposes an integrative model for the psychological resources of grit. The growing body of work in nursing on the topic of grit indicates considerable interest in achieving long-term goals, especially amidst uncertainty from the COVID-19 pandemic. Motivational behaviors are thought to influence engagement in continuing education in nursing, thereby improving clinical practice and patient outcomes. The model was informed by a comprehensive review of the literature. Sixteen attributes for acquiring and strengthening four psychological resources of grit were identified. Each attribute is discussed along with interrelationships and implications for professional nursing development. Given the complex demands placed on health professionals, this model is both timely and relevant for all nurse and education providers interested in enhancing personal characteristics that may mitigate against stress and build capabilities for goal achievement. [J Contin Educ Nurs. 2022;53(8):355-363.].


Asunto(s)
COVID-19 , Pandemias , Educación Continua en Enfermería , Objetivos , Personal de Salud , Humanos , Incertidumbre
6.
J Contin Educ Nurs ; 53(8): 341-343, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35914278

RESUMEN

Nursing professional development practitioners and nurse planners lead the charge in providing and evaluating nursing continuing professional development (NCPD) to achieve strategic goals. Organizations accredited by the American Nurses Credentialing Center (ANCC) have well-structured nursing professional development departments uniquely positioned to leverage NCPD to achieve organizational goals. This column will demonstrate how ANCC Accreditation in NCPD, in conjunction with the Association for Nursing Professional Development's Nursing Professional Development: Scope & Standards of Practice, underpins the critical role of NCPD and the nurses within the specialty of NCPD. [J Contin Educ Nurs. 2022;53(8):341-343.].


Asunto(s)
Educación Continua en Enfermería , Personal de Enfermería en Hospital , Habilitación Profesional , Atención a la Salud , Objetivos , Humanos , Estados Unidos
7.
Ethiop J Health Sci ; 32(3): 587-596, 2022 May.
Artículo en Inglés | MEDLINE | ID: mdl-35813686

RESUMEN

Background: A comprehensive cardiovascular risk control reduces diabetes-associated complications but achieving the triplet goals (blood glucose, blood pressure (BP), and low-density lipoprotein (LDL-C)) remains a clinical challenge. Patients' knowledge of these diabetes therapeutic goals has been shown to improve glycemic control. However, this is not well studied in Ethiopia. Methods: A cross-sectional study was conducted from March to June 2020 in Tikur Anbessa Specialized Hospital among randomly selected 419 patients with type 2 diabetes. Data was collected using a pretested, structured questionnaire. A multivariable binary logistic regression was fitted to identify determinants of knowledge. Results: The mean age (±SD) of study participants was 57.4 (±10.8) years and the median duration (IQR) of diabetes was 12 (7, 20) years. A quarter of them achieved fasting glycemic control, a fifth of them attained the A1c goal and only 3% achieved the triple targets. Patients who reported knowing their target goals for BP, fasting blood sugar (FBS), A1C, and LDL-C were 79.5, 77.3, 11.7, and 7.2% respectively. The factors associated with knowledge of the therapeutic goals were longer diabetes duration, increased household income, age, being divorced as compared to married, having no formal education, and primary education. Conclusion: The majority of participants knew their BP and FBS targets while only a minority understood their A1c and LDL-C targets. It highlighted the need for the provision of patient-centered diabetes education to improve knowledge of the therapeutic targets.


Asunto(s)
Diabetes Mellitus Tipo 2 , Anciano , Presión Sanguínea/fisiología , LDL-Colesterol , Estudios Transversales , Diabetes Mellitus Tipo 2/complicaciones , Diabetes Mellitus Tipo 2/terapia , Etiopía , Hemoglobina A Glucada , Objetivos , Humanos , Persona de Mediana Edad , Centros de Atención Terciaria
8.
Front Public Health ; 10: 894415, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35784207

RESUMEN

Few theory-informed interventions to support people who use drugs during sex have been conceptualized and developed. We conceptualize sexualized drug use, also referred to as chemsex or pharmacosex, as a self-control challenge, and draw on extant theory and research to propose intervention approaches that can be tailored to meet the differing needs of people who engage in sexualized drug use. We draw on a continuum perspective of sexualized drug use, in particular chemsex, and discuss the role of reasoned and automatic processes in behavioral decisions, as well as critical components of effective self-control of behavior. A self-control approach can empower people to tackle their sexualized drug use, and classify their experienced sex-related drug use as problematic. Self-control encompasses clarifying one's goals and identifying strategies to mitigate behaviors to achieve these goals, despite competing pharmacosex desires. Our approach to self-control sexualized drug use contains three critical components: goal setting, goal enactment, and goal progress appraisal and goal adjustment. Goals should be formulated specific, ambitious yet realistic, and tailored to the individual's needs and wishes. Goals may target aspects of drug use, protecting sexual health and mitigating negative impacts. Implementing goal enactment implies translating goals into concrete (short-term) actions to move toward the higher-order goal via goal intentions and action/coping plans. During the goal progress appraisal and adjustment stage, people compare their actual with their planned behavior. This reflection may result in goal adjustment through feedback loops to adjust their goals and action/coping plans. We propose that our self-control approach can guide the development of interventions to effectively support people to prevent or limit pharmacosex, and helps to effectively mitigate or reduce negative impacts via self-help, peer support or professional support, offered via personal counseling or digital tools.


Asunto(s)
Objetivos , Autocontrol , Conductas Relacionadas con la Salud , Humanos , Intención , Motivación
9.
Sci Rep ; 12(1): 12281, 2022 Jul 19.
Artículo en Inglés | MEDLINE | ID: mdl-35853925

RESUMEN

This study aims to assess the validity and reliability of the Polish version of the Sport Anxiety Scale-2, as well as to determine the relationship between anxiety and goal orientation among high-performance and recreational athletes. A total of 519 athletes aged M = 22.83 (SD = 4.92) participated in the study, including 266 males and 253 females. 242 athletes trained professionally and 277 recreationally. The Sport Anxiety Scale-2 (SAS-2) was used to assess anxiety levels, while the Task and Ego Orientation in Sport Questionnaire (TEOSQ) and the Perception of Success Questionnaire (POSQ) enabled to assess athletes' goal orientation. Confirmatory factor analysis showed a good fit of the model to the data for the Polish version of the Sport Anxiety Scale-2 (CFI = 0.945, RMSEA = 0.072). The models obtained during analysis of high-performance and recreational athletes, women and men, also presented a satisfactory fit to the data (CFI 0.932-0.946). The configural, metric, scalar and strict measurement invariances were demonstrated for high-performance and recreational athletes as well as among women and men. High internal consistency coefficients (alpha 0.81-0.91) and a high test-retest reliability indexes were reported (ICC 0.74-0.87). Women presented higher level of competitive anxiety than men. A positive relationship between competitive anxiety and athletes' ego orientation was also presented. This relationship concerned particularly women practicing sport recreationally.


Asunto(s)
Atletas , Objetivos , Anciano , Ansiedad , Femenino , Humanos , Masculino , Polonia , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
10.
Updates Surg ; 74(4): 1209-1223, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35804224

RESUMEN

Surveys on Serial Transverse Enteroplasty (STEP) published in international literature (1 January 2003- 31 May 2021) were searched. Articles were included from 17 countries: 1/23 comparative and 22/23 cohort studies. STEP was performed on 308 patients: pediatrics, adults, and mixed ages. Pediatric group included 16 studies and the adult 6. Pre-STEP residual small bowell (SB) length for pediatrics and adults ranged from 18 to 26 cm and from 30 to 70 cm, respectively. Post-STEP increased SB length for pediatrics and adults ranged between 42 and 100% and 50% and 176%, respectively. For pediatrics, enteral autonomy was reached in 32.22% of cases, parenteral nutrition (PN) dependence was 36.11%, a repeated STEP procedure (Re-STEP) was needed in 17.22%, and a bowel transplant was performed in 6.11%. In adults, enteral autonomy was achieved in 52.38%, while PN dependence was 37.1%, and no Re-STEP or transplantation were required. For the mixed group, post-STEP bowel length increased from 2 to 50 cm, enteral autonomy was obtained in 43%, PN dependence was 57%, without reported Re-STEP or transplantation. Mortality rates were between 5.55% (pediatric) and 7.14% (adults). Preoperative length with preservation of ileocecal valve represented the main predictive factors to achieve enteral autonomy.


Asunto(s)
Procedimientos Quirúrgicos del Sistema Digestivo , Síndrome del Intestino Corto , Adulto , Niño , Procedimientos Quirúrgicos del Sistema Digestivo/métodos , Objetivos , Humanos , Nutrición Parenteral , Estudios Retrospectivos , Síndrome del Intestino Corto/cirugía , Resultado del Tratamiento
11.
Environ Sci Technol ; 56(15): 10987-10996, 2022 Aug 02.
Artículo en Inglés | MEDLINE | ID: mdl-35834734

RESUMEN

Livestock are the largest source of anthropogenic methane (CH4) emissions, and in intensive dairy systems, manure management can contribute half of livestock CH4. Recent policies such as California's short-lived climate pollutant reduction law (SB 1383) and the Global Methane Pledge call for cuts to livestock CH4 by 2030. However, investments in CH4 reduction strategies are primarily aimed at liquid dairy manure, whereas stockpiled solids remain a large source of CH4. Here, we measure the CH4 and net greenhouse gas reduction potential of dairy manure biochar-composting, a novel manure management strategy, through a composting experiment and life-cycle analysis. We found that biochar-composting reduces CH4 by 79%, compared to composting without biochar. In addition to reducing CH4 during composting, we show that the added climate benefit from biochar production and application contributes to a substantially reduced life-cycle global warming potential for biochar-composting: -535 kg CO2e Mg-1 manure compared to -194 kg CO2e Mg-1 for composting and 102 kg CO2e Mg-1 for stockpiling. If biochar-composting replaces manure stockpiling and complements anaerobic digestion, California could meet SB 1383 with 132 less digesters. When scaled up globally, biochar-composting could mitigate 1.59 Tg CH4 yr-1 while doubling the climate change mitigation potential from dairy manure management.


Asunto(s)
Compostaje , Estiércol , Carbón Orgánico , Objetivos , Metano , Suelo , Madera
14.
J Environ Public Health ; 2022: 6605935, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35774193

RESUMEN

China's 13th five-year plan puts forward the development concept of "green development" and takes the construction of green financial system as the development strategy, which shows that the concept of environmental governance and green development is becoming more and more important for national economic development. It is a major strategic task for China to build an environmental governance system dominated by the government and dominated by enterprises and implement the main responsibility of enterprise environmental governance. At present, the environmental supervision of local governments needs to be improved urgently. It is necessary to strengthen the production regulation of enterprises and promote the emission of "three wastes" up to the standard based on the principle of "polluter pays." The green development of enterprises is not only conducive to the improvement of their own "three effects" and corporate image but also has the external spillover effect of giants and is conducive to the construction of ecological civilization. Therefore, this study will focus on the collaborative governance in the field of environment, explore the ideal collaborative governance framework in the process of environmental collaborative governance, as well as the difficulties and optimization paths of collaboration, and put forward corresponding suggestions for the current environmental governance.


Asunto(s)
Conservación de los Recursos Naturales , Política Ambiental , Carbono , China , Objetivos , Gobierno
15.
Artículo en Inglés | MEDLINE | ID: mdl-35886174

RESUMEN

A major threat to the achievement of the Sustainable Development Goals and Universal Health Coverage continues to be malnutrition [...].


Asunto(s)
Desnutrición , Salud Pública , Salud Global , Objetivos , Humanos , Cobertura Universal del Seguro de Salud
16.
Artículo en Inglés | MEDLINE | ID: mdl-35886319

RESUMEN

BACKGROUND: An important aspect of achievement goals is the persistence and determination that the person possesses in order to achieve it. Spain does not have an adequate instrument for its measurement. First, this article had the aim of adapt and validate the Motivational Persistence Scale of Constantin et al. in a Spanish population and athletes. Second, it had the aim of prove the relationship with deliberate practice and performance. METHODS: In this study, 384 university students participated, where the factor structure was analyzed by means of a Confirmatory Factor Analysis (CFA). In study 2 of 169 athletes was used to confirm its validity in a homogeneous population and its predictive capacity on the hours of deliberate practice (DP) and performance. RESULTS: The AFC showed a two-factor structure, reducing the original three-factor structure, presenting a good fit in both Spanish and homogeneous population of athletes and achieving a significant predictive capacity on deliberate practice. The new dimensions were Purpose Pursuing (PP) and Recurrence of Unattained Purposes (RUP). CONCLUSIONS: Overall, our results provide evidence that this scale could be a useful tool for the assessment of Persistence in the Spanish adult and athlete population.


Asunto(s)
Logro , Objetivos , Adulto , Análisis Factorial , Humanos , Psicometría , Reproducibilidad de los Resultados , España , Encuestas y Cuestionarios
20.
Epidemiol Serv Saude ; 31(spe1): e2021364, 2022.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-35830015

RESUMEN

OBJECTIVE: To monitor the achievement of the action plans for the prevention and control of Non-Communicable Diseases agreed-upon targets. METHODS: Cross-sectional study, with data from the 2013 and 2019 National Health Survey. The following targets, up to 2025, were evaluated: physical inactivity, alcohol consumption, salt/sodium, tobacco use, high blood pressure, diabetes, overweight, obesity, cervical cytology testing, and drug therapy and counseling. To check whether the targets were achieved, the prevalence ratio was calculated (PR). RESULTS: 60,202 individuals were assessed in 2013, and 88,531 in 2019. The targets for physical inactivity (PR = 0.88; 95%CI 0.86;0.90) and cervical cytology coverage (79.4%; 95%CI 78.3;80.3) were achieved. Tobacco use was reduced, albeit below the target. The prevalence of hypertension, diabetes, overweight, obesity and alcohol consumption increased, and the targets will not be attained. CONCLUSION: Two indicators reached the agreed targets, however it is necessary to advance in actions and policies to meet the others.


Asunto(s)
Diabetes Mellitus , Hipertensión , Enfermedades no Transmisibles , Adaptación Psicológica , Brasil/epidemiología , Estudios Transversales , Diabetes Mellitus/epidemiología , Diabetes Mellitus/terapia , Objetivos , Encuestas Epidemiológicas , Humanos , Hipertensión/epidemiología , Enfermedades no Transmisibles/epidemiología , Enfermedades no Transmisibles/prevención & control , Obesidad/epidemiología , Sobrepeso/epidemiología , Factores de Riesgo
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