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1.
Artigo em Inglês | MEDLINE | ID: mdl-38575452

RESUMO

Trigeminal neuralgia is one of the most common neurological pains affecting the head and neck and is associated with severe, lancinating, electrical pain episodes. The maxillary and mandibular branches are usually affected. The ophthalmic branch is rarely involved and, when present, it requires a comprehensive workup to rule out major conditions. Pharmacotherapy and surgery are the most common treatment options for this condition. Systemic medications may pose a wide range of side effects and effectiveness may decrease over time while surgery has inherent complications. Injectable onabotulinum toxins have been utilized for various applications in medicine and dentistry. There is, however, limited data on their use for the management of refractory trigeminal neuralgia of the ophthalmic branch. We present the case of a 58-year-old male diagnosed with refractory idiopathic trigeminal neuralgia affecting the ophthalmic branch, which was unresponsive to standard care and successfully managed with onabotulinum toxin type A. This treatment should be considered in cases of refractory trigeminal neuralgia prior to surgery. We reviewed the relevant literature concerning the application of Onabotulinum toxin A for managing trigeminal neuralgia of the ophthalmic branch. This case report and review aim to enlighten the application of Onabotulinum toxin A for managing refractory trigeminal neuralgia of the ophthalmic branch. Our case report and review show that Onabotulinum toxin A could be used for managing TN of the ophthalmic branch.


Assuntos
Toxinas Botulínicas Tipo A , Neuralgia do Trigêmeo , Humanos , Neuralgia do Trigêmeo/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Toxinas Botulínicas Tipo A/uso terapêutico , Fármacos Neuromusculares/uso terapêutico , Medição da Dor
2.
J Environ Manage ; 351: 119929, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38169262

RESUMO

The textile industry is an important economic sector; however, its wastewater generates a great impact on the environment. A heterogeneous solar Fenton (HSF) process was evaluated for denim wastewater treatment. The catalyst was obtained through ultrasonic modification of recycled polyethylene terephthalate (PET) with Fe nanoparticles (PET/NPs- Fe3O4). The SFH process was optimized using surface response methodology with a face-centered central composite design considering the effects of the hydraulic retention time (10, 25, and 40 min), hydrogen peroxide dosage (500, 1000, and 1500 mg/L), and mass of the packed catalyst (4, 6 and 8 g) on the color, COD, and turbidity removal efficiencies. The operating conditions for maximum COD removal were H2O2 541.7 mg/L, HRT 33.9 min, and PET/NPs- Fe3O4 dose 7.9 g with solar radiation. The removal of 91.2% COD, 86.2% color, 90.4% turbidity, and 81.9% TOC was obtained at 14.2 kJ/L QUva. PET modification yielded 1.6 mg Fe/g PET, and the modification method does not allow Fe leaching. The effluent obtained from the SFH process complies with the maximum permissible limits in Mexican legislation in terms of COD, TOC, turbidity, and color and allows the reuse of PET.


Assuntos
Poluentes Químicos da Água , Purificação da Água , Eliminação de Resíduos Líquidos/métodos , Polietilenotereftalatos , Ultrassom , Peróxido de Hidrogênio , Ferro , Poluentes Químicos da Água/análise , Purificação da Água/métodos , Catálise , Oxirredução
3.
Heliyon ; 9(11): e21581, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38027994

RESUMO

Biological treatments have become insufficient to treat municipal wastewater with greater toxicity and excess nitrogen and phosphate species, thus affecting the organisms that consume the water. In this work, a process was implemented for the removal of nutrients through three stages: stage A, complete aeration (24 h, 43 months); stage B, decreased aeration (12 h, 17 months); and stage C, decreased aeration with biocalcium (12 h, 19 months). The addition of biocalcium from eggshell promoted the formation of flocks, which resulted in the removal of nitrites (61 %), nitrates (84 %), total nitrogen (57 %), total phosphorus (8.3 %), sedimentable solids (50 %), total suspended solids (69 %), BOD5 (76 %), helminth eggs (50 %) and fecal coliforms (54 %). The statistical analyses in the three stages indicated that there is a strong correlation between the concentration of fats and oils and the removal of sedimentable solids and total suspended solids, since these parameters were correlated by 97 and 89 %, respectively. Sedimentable solids were correlated with total suspended solids by 94 %, while nitrates and total nitrogen were correlated 92 %, which favors the removal of nutrients in wastewater. The increase in the concentration of nitrogen in the sludge in stage C generated a C:N ratio of 7.98. This ratio shows that the sludge is feasible for use as a mediator of soils and a biofertilizer because of the high contents of calcium, phosphorus and nitrogen. In addition, biocalcium promoted the precipitation of hydroxyapatite, struvite, calcite and quartz. In general, the three stages of the treatment contributed to the stabilization of the wastewater treatment plant (WWTP) in an efficient, economical, and safe way.

4.
Environ Technol ; : 1-15, 2023 Aug 29.
Artigo em Inglês | MEDLINE | ID: mdl-37490626

RESUMO

Rainwater Electro-Galvanic Alkalization (EGA) was performed using copper and magnesium (1:1) electrode. Efficiently removal of pollutants without external energy consumption was carried out, in addition essential ions were dosed for alkalization of rainwater. The optimal system conditions were obtained using response surface methodology (RSM) by considering the following operating variables: flow rate and concentration of the supporting electrolyte (NaCl and CaCl2). Furthermore, the maximum efficiency of nitrate, ammoniacal nitrogen, colour, and turbidity removal was evaluated. The results showed that the response variables were mainly sensitive to the type of supporting electrolyte used and the flow rate. Under experimental conditions of 0.009 M (NaCl) and 20 mL min-1, the removal rate was 74.19%, 72.49%, and 81.43% for nitrates, colour, and turbidity, respectively, and the lowest concentration of ammoniacal nitrogen (0.99mgL-1) was obtained. The kinetic models for nitrate and colour were fitted to zero-order models with k=0.33mgL-1min-1 and k=0.933Pt-Co, respectively. In addition, turbidity was fitted to a first-order model (k=0.1661min-1), and ammoniacal nitrogen was fitted to a second-order model (k=0.0217Lmg-1min-1). The concentration increases of minerals such as Ca and Mg, which rises the rainwater alkalinity after treatment (pH shift from 6.1 to 8.91), was determined by inductively coupled plasma (ICP) analysis.

5.
Chemosphere ; 323: 138254, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-36858121

RESUMO

H2S is a gaseous compound that contributes to air pollution. In this work, the electrochemical oxidation treatment of gaseous streams polluted with H2S is evaluated using a jet mixer and electrochemical cell device, in which the performance of electrolytic and electro-Fenton assisted absorption processes are compared. Results demonstrate the feasibility of both processes to remove H2S, reaching coulombic efficiencies of nearly 100% in the electrolytic assisted absorption, and 70-80% in the electro-Fenton assisted absorption. Aqueous solutions containing phosphate salts as electrolyte were found to be suitable as absorbents for the process. Efficiency in the cathodic production of H2O2 in these solutions using the experimental device was found to be as high as 32.8% (1.184 mgH2O2/min) at 12 °C and atmospheric pressure. Sequential formation of SO2 and SO3 is obtained by the oxidation of H2S contained in the gas. These species are hydrolysed, and a part remained in the absorbent as SO32- and SO42-, while the rest is dragged in the outlet gas. SO3 production is promoted by electrolytic assisted absorption and polysulphides by the electro-Fenton technology. Low concentrations of elemental sulphur are detected in the solid suspensions formed during the process.


Assuntos
Gases , Poluentes Químicos da Água , Peróxido de Hidrogênio/química , Eletrólise , Oxirredução , Eletrodos , Poluentes Químicos da Água/química
7.
Environ Technol ; 44(28): 4424-4440, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35731670

RESUMO

Acid mine drainage was evaluated using a galvanic (GV) electrochemical system, Al-Cu (anode/cathode), based on a 32 factorial design. The factors analyzed were anodic area/volume ratios (A/V) of 0.037, 0.072, and 0.112 cm2/cm3, and treatment time from 0.25-8 h, and analyses were performed in duplicate with 11 degrees of freedom. The response variables were the total dissolved solids and concentrations of As, Cu, Co, Cr, Pb, Fe, Ni, and SO42-. The pH, electrical conductivity, and temperature were monitored during the process. Significant differences between treatments were determined by analysis of variance with Tukey's test (p < 0.05) using Statgraphics Centurion XVI.I software. The results showed that a greater electrode surface, A/V ratio, and treatment time improved pollutant removal. The spontaneous reactions generated by the galvanic cell, through the current that flows owing to the potential difference between the Al and Cu electrodes, allows the removal of heavy metals, arsenic, and SO42- by coagulation and precipitation mechanisms. The removal efficiencies achieved were Cu (99.1%), As (76.6%), Ni (80.2%), Pb (83.6%), Cr (100%), Fe (93.71%), and 92.9% for sulfates. The X-ray diffraction and Raman analyses of the solid fraction indicated that cuprite was formed with a purity of 96%, and the recovery of Cu by the GV system may be a viable option for mining companies.


Assuntos
Arsênio , Metais Pesados , Poluentes Químicos da Água , Chumbo/análise , Poluentes Químicos da Água/análise , Metais Pesados/análise , Mineração , Ácidos
8.
Clin Adv Periodontics ; 13(2): 106-109, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34780104

RESUMO

INTRODUCTION: Granulomatosis with polyangiitis (GPA), is a rare systemic disease that if left untreated, it may lead to death within 6-12 months. This case report describes a 15-year-old female with a 14-month history of epiphora, nasal breathing difficulties, headaches, and jaw pain. The patient reported having various medical procedures attempted to address her symptoms. The classical presentation of strawberry gingivitis led to the diagnosis of GPA. Based on a multi-language search, this is the first reported case, that GPA is mistaken as Temporomandibular Joint Disorders (TMD). CASE PRESENTATION: A 15-year-old female with nearly 14 months of numerous complaints, including headaches and jaw pain, was referred for an orofacial pain (OFP) consultation. The patient had completed a dental examination and was prescribed chlorhexidine for gingivitis control. The OFP examination was not consistent with signs and symptoms of TMD. However, the gingival appearance of strawberry gingivitis was suggestive of GPA. A rheumatologist confirmed the diagnosis of GPA based on the clinical interview, serology testing, and dental findings. A course of rituximab and corticosteroids, and regular dental cleanings were recommended. A 4-month follow-up visit demonstrated complete resolution of her jaw pain and headaches. Gingival tissue appeared normal. CONCLUSION: This case emphasizes the need for familiarity with systemic diseases that can present oral manifestations. It also stresses the importance for dental professionals to be knowledgeable of differential diagnoses for TMD, headaches, and autoimmune disorders. Why is this case new information? This is believed to be the first published case mistaking GPA as TMD. This is a case in which a multidisciplinary approach and management were keys for a successful treatment outcome. What are the keys to successful management of this case? Obtain a thorough clinical history. Know the oral manifestation of systemic diseases. Know differential diagnosis of TMD and headaches. What are the primary limitations to success in this case? Having no access to the medical records during the OFP consultation. Having no awareness of differential diagnosis for gingivitis: strawberry, plaque-induced.


Assuntos
Gengivite , Granulomatose com Poliangiite , Transtornos da Articulação Temporomandibular , Humanos , Feminino , Adolescente , Granulomatose com Poliangiite/diagnóstico , Granulomatose com Poliangiite/complicações , Transtornos da Articulação Temporomandibular/diagnóstico , Transtornos da Articulação Temporomandibular/complicações , Dor Facial/complicações , Cefaleia/etiologia , Cefaleia/complicações
10.
Edumecentro ; 152023.
Artigo em Espanhol | LILACS | ID: biblio-1448170

RESUMO

Introducción: la COVID-19 modificó los protocolos de comportamiento social y de los sistemas de salud. La atención estomatológica mantuvo la asistencia a urgencias y otros tratamientos limitados con el cumplimiento estricto de medidas de bioseguridad por ser el personal sanitario más expuesto. Objetivo: analizar las condiciones y riesgos de la atención estomatológica en tiempos de pandemia de COVID-19. Métodos: se realizó una revisión bibliográfica sistemática para desarrollar un análisis reflexivo del tema en las bases de datos PubMed, SciELO Cuba, Cumed y en Google Académico, fueron seleccionados artículos de los últimos cinco años y 23 estudios con el 100 % de actualización. Las palabras claves utilizadas fueron: capacitación, COVID-19, educación médica. Tras la identificación de los estudios preseleccionados se realizó la lectura de los títulos y resúmenes para comprobar su pertinencia en el estudio. Desarrollo: se concretan aspectos generales relacionados con la enfermedad de COVID-19, las investigaciones realizadas sobre el virus SARS-CoV-2 y su incidencia en las condiciones de la consulta odontológica. Conclusiones: la información acerca de las condiciones y riesgos de la atención estomatológica en tiempos de pandemia de COVID-19 es fundamental para poder brindar una atención estomatológica con información suficiente, responsabilidad y evitar el contagio.


Introduction: COVID-19 modified the protocols of social behavior and health systems. dental care maintained emergency assistance and other limited treatments with strict compliance with biosafety measures as they are the most exposed health personnel. Objective: to analyze the conditions and risks of dental care in times of the COVID-19 pandemic. Methods: a systematic bibliographic review was carried out to develop a reflective analysis of the subject in the PubMed, SciELO Cuba, Cumed and Google Scholar databases, articles from the last five years and 23 studies with 100% updating were selected. The keywords used were: training, COVID-19, medical education. After the identification of the preselected studies, the titles and abstracts were read to verify their relevance to the study. Development: general aspects related to the COVID-19 disease, the research carried out on the SARS-CoV-2 virus and its incidence in the conditions of the dental office are specified. Conclusions: the information about the conditions and risks of dental care in times of the COVID-19 pandemic essential to maintain dental cares with sufficient information, responsibility and avoiding contagion.


Assuntos
Assistência Odontológica , Contenção de Riscos Biológicos , Educação Médica , Capacitação Profissional , COVID-19
11.
Environ Sci Pollut Res Int ; 29(45): 67604-67640, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35930148

RESUMO

This review summarizes research data on the pharmaceutical drugs used to treat the novel SARS-CoV-2 virus, their characteristics, environmental impacts, and the advanced oxidation processes (AOP) applied to remove them. A literature survey was conducted using the electronic databases Science Direct, Scopus, Taylor & Francis, Google Scholar, PubMed, and Springer. This complete research includes and discusses relevant studies that involve the introduction, pharmaceutical drugs used in the SARS-CoV-2 pandemic: chemical characteristics and environmental impact, advanced oxidation process (AOP), future trends and discussion, and conclusions. The results show a full approach in the versatility of AOPs as a promising solution to minimize the environmental impact associated with these compounds by the fact that they offer different ways for hydroxyl radical production. Moreover, this article focuses on introducing the fundamentals of each AOP, the main parameters involved, and the concomitance with other sources and modifications over the years. Photocatalysis, sonochemical technologies, electro-oxidation, photolysis, Fenton reaction, ozone, and sulfate radical AOP have been used to mineralize SARS-CoV-2 pharmaceutical compounds, and the efficiencies are greater than 65%. According to the results, photocatalysis is the main technology currently applied to remove these pharmaceuticals. This process has garnered attention because solar energy can be directly utilized; however, low photocatalytic efficiencies and high costs in large-scale practical applications limit its use. Furthermore, pharmaceuticals in the environment are diverse and complex. Finally, the review also provides ideas for further research needs and major concerns.


Assuntos
COVID-19 , Ozônio , Poluentes Químicos da Água , Purificação da Água , Humanos , Peróxido de Hidrogênio/química , Radical Hidroxila/química , Oxirredução , Ozônio/química , Preparações Farmacêuticas , SARS-CoV-2 , Luz Solar , Águas Residuárias/química , Água , Poluentes Químicos da Água/análise , Purificação da Água/métodos
12.
Ecol Food Nutr ; 61(5): 638-648, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36031931

RESUMO

Women living below the federal poverty level have low breastfeeding rates and historically have lacked access to doula care. This disparity is particularly evident among African American women. The objective of this pilot study was to assess doulas' experiences delivering lactation education to racially/ethnically diverse, primarily Medicaid-eligible pregnant women and describe doulas' perceptions of client barriers to breastfeeding. We also wanted to understand doulas' views of infant feeding and lactation education during their participation in a quality improvement intervention that trained doulas to provide lactation education and breastfeeding support at 4 clinics serving low-income clients. Two focus groups were conducted with 7 doulas. Focus group data were transcribed, coded, and analyzed using qualitative thematic analysis. Doulas reported close relationships with their clients and provided consistent breastfeeding support and education to women in prenatal, birth, and postpartum phases of care. Doulas emphasized the need for more lactation education, especially to overcome clients' perceived milk insufficiency and early termination due to breastfeeding barriers. Doula-led breastfeeding education and support may improve breastfeeding outcomes for diverse women from underserved areas.


Assuntos
Doulas , Aleitamento Materno , Feminino , Humanos , Lactação , Projetos Piloto , Pobreza , Gravidez , Relatório de Pesquisa
13.
Environ Sci Pollut Res Int ; 29(26): 38768-38796, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35277825

RESUMO

Drinking water contaminated with As and [Formula: see text] is increasingly prevalent worldwide. Their coexistence can have negative effects due to antagonistic or synergistic mechanisms, ranging from cosmetic problems, such as skin lesions and teeth staining, to more severe abnormalities, such as cancer and neurotoxicity. Available technologies for concurrent removal include electrocoagulation ~ adsorption > membranes > chemical coagulation > , and among others, all of which have limitations despite their advantages. Nevertheless, the existence of competing ions such as silicon > phosphate > calcium ~ magnesium > sulfate > and nitrate affects the elimination efficiency. Mexico is one of the countries that is affected by As and [Formula: see text] contamination. Because only 10 of the 32 states have adequate removal technologies, more than 65% of the country is impacted by co-presence problems. Numerous reviews have been published concerning the elimination of As or [Formula: see text]. However, only a few studies have focused on the simultaneous removal. This critical review analyzes the new sources of contamination, simultaneous physicochemical behaviors, available technologies for the elimination of both species, and future trends. This highlights the need to implement technologies that work with actual contaminated water instead of aqueous solutions (55% of the works reviewed correspond to aqueous solutions). Similarly, it is necessary to migrate to the creation of pilot, pre-pilot, or prototype scale projects, because 77% of the existing studies correspond to lab-scale research.


Assuntos
Água Potável , Poluentes Químicos da Água , Purificação da Água , Adsorção , Poluentes Químicos da Água/análise , Poluição da Água
14.
Environ Technol ; 43(8): 1189-1199, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32912062

RESUMO

In this study, acetaminophen (ACT) in aqueous solution was treated with electrooxidation and photo-electrooxidation processes (PEO). An electrochemical cell was used for the treatment of different concentrations of ACT (10, 50 and 80 mg L-1). A 23 factorial design was proposed, and the variables studied were current intensity 0.5 A (45.45 mA cm-2) and 1.0 A (90.91 mA cm-2), electrode configuration (anode:BDD, cathode:Fe or Cu) and presence/absence of UV light; NaCl 0.043 M (2.5 g L-1) was used as supporting electrolyte, the initial pH was 5.5, and the treatment time was 3 h. The aqueous solutions were characterized before and after the treatment using infrared spectroscopy (FT-IR), Ultraviolet-visible spectroscopy (UV-Vis), chemical oxygen demand (COD), total organic carbon (TOC), total carbon (TC), and fluorescence spectroscopy. The optimal operating conditions using an initial ACT concentration of 80 mg L-1 were 1.0 A, BDD-Fe configuration and UV light (254 nm). The removal efficiencies were 100% of ACT and 82.75% of TOC after 15 min of treatment. At concentrations of 50 and 10 mg L-1, 77.16% and 50.29% of TOC were removed after 10 and 5 min of treatment, respectively. Finally, the kinetic study showed an increase in the rate constants when the UV light was applied.


Assuntos
Acetaminofen , Poluentes Químicos da Água , Eletrodos , Oxirredução , Espectroscopia de Infravermelho com Transformada de Fourier , Poluentes Químicos da Água/química
15.
Environ Technol ; 43(23): 3646-3660, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34006194

RESUMO

The goal of this research is to apply an electrocoagulation process in continuous flow for the defluoridation of drinking water. Two sampling sites were studied, Temascalcingo (T), Mexico state and Jerecuaro (J), Guanajuato, with fluoride (F-) concentrations above the norms (2.3 mg L-1 and 4.5 mg L-1, respectively). In addition, a second Temascalcingo sample was enriched (TE) to 9.2 mg L-1 F- to study the effect of the F- concentration. A response surface design was proposed through a Box-Behnken model, and the variables studied were electrode system, flow-rate and current intensity. 51 experiments were performed with T-site to determine the best operating conditions for the system. These conditions were applied to the J-site. The experiments for T, Al/Al system achieves an F- concentration within permissible limits (0.72 mg L-1 F-) at 10 min of treatment, 0.2 A (Current density j 48.78 A m-2) and 10 mL min-1 with a removal efficiency of 68.69%, and after 160 min, the removal increased to 99.56%. AlMg/AlMg needs 10 min to achieve a concentration of 0.75 mg L-1 F- at 0.2 A (j 25 A m-2), 16 mL min-1 with a removal efficiency of 67.39%, and after 100 min, the removal is increased to 92.17%. An important and novel advantage is the use of AlMg allows an acceptable removal of F- (<1.5 mg L-1) at high and low concentrations in short periods of time; this also allows save energy costs and the effluent is free of residual aluminum, avoiding side effects.


Assuntos
Água Potável , Poluentes Químicos da Água , Purificação da Água , Alumínio , Eletrocoagulação , Eletrodos , Fluoretos , Magnésio
16.
Physiother Can ; 74(2): 173-183, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-37323716

RESUMO

Purpose: Trismus, or restricted mouth opening, is a common side effect of treatment for head and neck cancer. This scoping review examined the characteristics, extent, and nature of existing research on manual therapy and jaw-mobilizing devices to prevent and manage trismus related to head and neck cancer. Method: Six electronic databases were searched using the terms trismus, head and neck cancer, and physical therapy and the associated MeSH terms. The review focused on the factors related to intervention delivery: timing, adherence, completion rates, and adverse events. Results: Nine studies were included. Eight examined the use of a jaw-mobilizing device, and one explored the benefit of remote telephone support. Two studies involved cancer survivors at risk of trismus, five involved survivors with trismus, and two included survivors both with and at risk of trismus. No studies were found examining physiotherapist provision of manual therapy. Within-group comparisons supported the benefit of using a jaw-mobilizing device to manage trismus, whereas significant between-groups differences were found only in non-randomized controlled trials. Survivor symptoms and intervention burden were reported reasons for poor adherence and completion rates. Conclusions: No benefit was found for the use of jaw-mobilizing devices for the prevention of trismus. Given the potential of manual therapy to enhance outcomes, physical therapist-led research is warranted.


Objectif : le trismus, ou ouverture restreinte de la bouche, est un effet secondaire courant du traitement du cancer de la tête et du cou. La revue exploratoire a porté sur les caractéristiques, l'ampleur et la nature des recherches sur la thérapie manuelle et les dispositifs de mobilisation mandibulaire pour prévenir et traiter le trismus lié au cancer de la tête et du cou. Méthodologiee : les auteurs ont fouillé six bases de données électroniques à l'aide des termes trismus, head and neck cancer et physical therapy et des termes associés du MeSH. La revue a porté sur les facteurs liés à la prestation des interventions, le moment, le respect, le taux d'achèvement et les événements indésirables. Résultats : neuf études ont été retenues. Huit portaient sur l'utilisation d'un dispositif de mobilisation mandibulaire et un, sur les avantages d'un soutien téléphonique à distance. Deux études étaient consacrées à des survivants du cancer à risque de trismus, cinq sur des survivants atteints de trismus et deux, sur des survivants atteints du trismus ou à risque. Aucune étude n'abordait la thérapie manuelle effectuée par un physiothérapeute. Les comparaisons intragroupes confirment les avantages d'un dispositif de mobilisation mandibulaire pour traiter le trismus, et seules des études témoins non aléatoires ont décelé des différences importantes entre les groupes. Les symptômes des survivants et le fardeau de l'intervention étaient les raisons signalées pour le peu d'adhésion au traitement et le faible taux d'achèvement. Conclusion : l'utilisation de dispositifs de mobilisation mandibulaire pour prévenir le trismus ne comportait pas d'avantages. Puisque la thérapie manuelle a le potentiel d'améliorer les résultats cliniques, il est justifié de réaliser des recherches dirigées par physiothérapeutes.

17.
J Perinat Educ ; 30(4): 203-212, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34908819

RESUMO

Prenatal education may improve breastfeeding outcomes among low-income women. Our objective was to assess breastfeeding intentions and knowledge among women participating in doula-facilitated prenatal education classes from August 2016 to October 2017. Breastfeeding knowledge and infant feeding intentions were assessed before and after the classes. Breastfeeding rates were assessed at birth, 2-4 weeks postpartum, and 6-8 weeks postpartum. Paired t-tests tests were conducted. A total of 121 racially diverse, low-income women were enrolled. Intentions to breastfeed increased pre- to post-intervention (p = 0.007). Breastfeeding knowledge scores increased pre- to post-intervention (p <.001); specifically, among women who were exclusively breastfeeding or breastfeeding while supplementing with formula at birth (p < .001 and p = 0.046, respectively). Doula-facilitated breastfeeding education may help improve breastfeeding outcomes for low-income women.

18.
Nurs Womens Health ; 25(5): 337-345, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34478735

RESUMO

OBJECTIVE: To evaluate a statewide initiative to increase the provisioning of human milk in NICUs. DESIGN: A survey of nurses before participation in an educational session, immediately after education, and again 9 months later. SETTING: Nurses from 22 hospitals throughout Florida. PARTICIPANTS: We surveyed 121 participants, including some nurses who had prior breastfeeding education or certification as well as those without specialized breastfeeding training. INTERVENTION: An educational project called the Breastfeeding Resource Nurse Master program was intended to educate NICU nurses to implement the "Ten Steps to Promote and Protect Human Milk and Breastfeeding in Vulnerable Infants." MEASUREMENT: A quantitative needs assessment survey was administered to participants to determine current hospital practices, policies, and perceived areas for improvement. Pre- and immediate posttraining surveys assessed NICU nurses' knowledge, attitudes, and beliefs about human milk feeding of critical care infants and their self-efficacy for implementing the program in their respective NICUs. A follow-up, open-ended survey was administered at 9 months to yield information on program implementation. RESULTS: NICU breastfeeding practices varied widely at baseline. Nurses' scores for knowledge, beliefs, and behavioral intentions improved postsession, but the implementation of practice changes related to the Ten Steps for Vulnerable Infants proved difficult. Nurses identified insufficient time and resources as barriers to educating others and changing practice. CONCLUSIONS: Policies and regulations that make hospitals accountable for increasing human milk provision to vulnerable infants may be necessary to ensure that hospitals devote adequate resources to implementing practice changes in this area.


Assuntos
Aleitamento Materno , Competência Clínica , Enfermeiras e Enfermeiros/psicologia , Educação em Enfermagem , Feminino , Florida , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Lactente , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Leite Humano , Avaliação de Programas e Projetos de Saúde
19.
Environ Sci Pollut Res Int ; 28(38): 52651-52674, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34453253

RESUMO

This review summarizes research data on SARS-CoV-2 in water environments. A literature survey was conducted using the electronic databases Science Direct, Scopus, and Springer. This complete research included and discussed relevant studies that involve the (1) introduction, (2) definition and features of coronavirus, (2.1) structure and classification, (3) effects on public health, (4) transmission, (5) detection methods, (6) impact of COVID-19 on the water sector (drinking water, cycle water, surface water, wastewater), (6.5) wastewater treatment, and (7) future trends. The results show contamination of clean water sources, and community drinking water is vulnerable. Additionally, there is evidence that sputum, feces, and urine contain SARS-CoV-2, which can maintain its viability in sewage and the urban-rural water cycle to move towards seawater or freshwater; thus, the risk associated with contracting COVID-19 from contact with untreated water or inadequately treated wastewater is high. Moreover, viral loads have been detected in surface water, although the risk is lower for countries that efficiently treat their wastewater. Further investigation is immediately required to determine the persistence and mobility of SARS-CoV-2 in polluted water and sewage as well as the possible potential of disease transmission via drinking water. Conventional wastewater treatment systems have been shown to be effective in removing the virus, which plays an important role in pandemic control. Monitoring of this virus in water is extremely important as it can provide information on the prevalence and distribution of the COVID-19 pandemic in different communities as well as possible infection dynamics to prevent future outbreaks.


Assuntos
COVID-19 , SARS-CoV-2 , Humanos , Pandemias , Águas Residuárias , Água
20.
Environ Sci Pollut Res Int ; 28(21): 26325-26358, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33825107

RESUMO

Organochlorine pesticides have generated public concern worldwide because of their toxicity to human health and the environment, even at low concentrations, and their persistence, being mostly nonbiodegradable. The use of 2,4-dichlorophenoxyacetic acid (2,4-D) has increased in recent decades, causing severe water contamination. Several treatments have been developed to degrade 2,4-D. This manuscript presents an overview of the physicochemical characteristics, uses, regulations, environmental and human health impacts of 2,4-D, and different advanced oxidation processes (AOPs) to degrade this organic compound, evaluating and comparing operation conditions, efficiencies, and intermediaries. Based on this review, 2,4-D degradation is highly efficient in ozonation (system O3/plasma, 99.8% in 30 min). Photocatalytic, photo-Fenton, and electrochemical processes have the optimal efficiencies of degradation and mineralization: 97%/79.67% (blue TiO2 nanotube arrays//UV), 100%/98% (Fe2+/H2O2/UV), and 100%/84.3% (MI-meso SnO2), respectively. The ozonation and electrochemical processes show high degradation efficiencies, but energy costs are also high, and photocatalysis is more expensive with a separation treatment used to recover the catalyst in the solution. The Fenton process is a viable economic-environmental option, but degradation efficiencies are often low (50-70%); however, they are increased when solar UV radiation is used (90-100%). AOPs are promising technologies for the degradation of organic pollutants in real wastewater, so evaluating their strengths and weaknesses is expected to help select viable operational conditions and obtain optimal efficiencies.


Assuntos
Poluentes Químicos da Água , Purificação da Água , Ácido 2,4-Diclorofenoxiacético , Humanos , Peróxido de Hidrogênio , Oxirredução , Raios Ultravioleta , Eliminação de Resíduos Líquidos , Águas Residuárias , Poluentes Químicos da Água/análise
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