Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 213
Filtrar
1.
Ecology ; : e4280, 2024 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-38566463

RESUMO

The effects of biodiversity on ecological processes have been experimentally evaluated mainly at the local scale under homogeneous conditions. To scale up experimentally based biodiversity-functioning relationships, there is an urgent need to understand how such relationships are affected by the environmental heterogeneity that characterizes larger spatial scales. Here, we tested the effects of an 800-m elevation gradient (a large-scale environmental factor) and forest habitat (a fine-scale factor) on litter diversity-decomposition relationships. To better understand local and landscape scale mechanisms, we partitioned net biodiversity effects into complementarity, selection, and insurance effects as applicable at each scale. We assembled different litter mixtures in aquatic microcosms that simulated natural tree holes, replicating mixtures across blocks nested within forest habitats (edge, interior) and elevations (low, mid, high). We found that net biodiversity and complementarity effects increased over the elevation gradient, with their strength modified by forest habitat and the identity of litter in mixtures. Complementarity effects at local and landscape scales were greatest for combinations of nutrient-rich and nutrient-poor litters, consistent with nutrient transfer mechanisms. By contrast, selection effects were consistently weak and negative at both scales. Selection effects at the landscape level were due mainly to nonrandom overyielding rather than spatial insurance effects. Our findings demonstrate that the mechanisms by which litter diversity affects decomposition are sensitive to environmental heterogeneity at multiple scales. This has implications for the scaling of biodiversity-ecosystem function relationships and suggests that future shifts in environmental conditions due to climate change or land use may impact the functioning of aquatic ecosystems.

2.
Int J Rheum Dis ; 27(1): e15021, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38287551

RESUMO

Fibromyalgia (FM) is a highly prevalent chronic disease. About 4.7% of the world's population suffers from generalized pain and hypersensitivity, in addition to a wide range of physical and psychological symptoms. The etiopathogenesis of this disease is multifactorial, which makes its diagnosis and treatment challenging. Recently, the increase in the number of studies on microbiota has provided new data that can help to understand the onset and development of FM. An updated systematic review of the causes of FM has been carried out in this work. Particularly in the last decade, research has focused on the gut-brain axis, which has emerged as a crucial mechanism for microbiota-host crosstalk. In FM patients, quantitative imbalances of the intestinal microbiota (dysbiosis) and bacterial metabolites with differential relative abundance have been found, especially short-chain fatty acids and lipopolysaccharides. Furthermore, the microbiota has been found to indirectly influence host neurotransmitter mechanisms, mainly through the serotonin precursor, glutamate, and gamma-aminobutyric acid. Thus, all these mechanisms and their influence on the etiopathogenesis of FM are discussed in this review.


Assuntos
Fibromialgia , Microbioma Gastrointestinal , Humanos , Fibromialgia/diagnóstico , Fibromialgia/etiologia , Dor , Disbiose/metabolismo , Disbiose/microbiologia , Bactérias
3.
RSC Adv ; 13(47): 32940-32971, 2023 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-38025849

RESUMO

Epoxides derived from waste biomass are a promising avenue for the production of bio-based polymers, including polyamides, polyesters, polyurethanes, and polycarbonates. This review article explores recent efforts to develop both catalytic and non-catalytic processes for the epoxidation of terpene, employing a variety of oxidizing agents and techniques for process intensification. Experimental investigations into the epoxidation of limonene have shown that these methods can be extended to other terpenes. To optimize the epoxidation of bio-based terpene, there is a need to develop continuous processes that address limitations in mass and heat transfer. This review discusses flow chemistry and innovative reactor designs as part of a multi-scale approach aimed at industrial transformation. These methods facilitate continuous processing, improve mixing, and either eliminate or reduce the need for solvents by enhancing heat transfer capabilities. Overall, the objective of this review is to contribute to the development of commercially viable processes for producing bio-based epoxides from waste biomass.

4.
Front Psychol ; 14: 1249556, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37842714

RESUMO

Romantic love and jealousy seem antagonistic, but the expression of both emotions have evolutionary functions that can go in the same direction of maintaining a relationship. Considering natural selection designed adaptations to solve the problems surrounding reproduction, then love and romantic jealousy are emotions aimed at staying cooperative for a period of time, where love solves the adaptive challenges of promoting pair bonding, cooperation, and protecting offspring; and jealousy is triggered by a threat or the loss of a valuable cooperative relationship, either on behalf of descendants in need of resources, or a close romantic bond. Consequently, understanding love and romantic jealousy points in the same adaptive functional domain of protecting a romantic pair bond. Specifically, love can be comprehended in two different ways and in regard to jealousy. First, conceiving love as the attachment to significant others one develops throughout lifetime, and secondly, it contemplates affective dependence. Results from a sample of single and committed individuals (n = 332) show the predicted positive correlation between attachment and jealousy as stable traits, consistent with previous literature. In addition, there is a non-significant and low correlation, respectively, between attachment and love as a measure of dependence. Furthermore, in the single participants group, jealousy was associated with love. The discussion emphasizes the need for expanding a functional account of love and jealousy as complementary emotions of our human affective endowment. Finally, it would be informative to study attachment as a relational trait and love as a specific affection for a romantic partner that could be manipulated to elucidate the functional design of jealousy.

5.
Worldviews Evid Based Nurs ; 20(6): 559-573, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37743584

RESUMO

BACKGROUND: Missed nursing care is defined as care that is delayed, partially completed, or not completed at all. The scenario created by the COVID-19 pandemic may have influenced multifactorial determinants related to the care environment, nursing processes, internal processes, and decision-making processes, increasing missed nursing care. AIM: This scoping review aimed to establish the quantity and type of research undertaken on missed nursing care during the COVID-19 pandemic. METHODS: This review was conducted following the Joanna Briggs Institute methodology for scoping reviews. We searched CINAHL, MEDLINE, Scopus, two national and regional databases, two dissertations and theses databases, a gray literature database, two study registers, and a search engine from November 1, 2019, to March 23, 2023. We included quantitative, qualitative, and mixed studies carried out in all healthcare settings that examined missed nursing care during the COVID-19 pandemic. Language restrictions were not applied. Two independent reviewers conducted study selection and data extraction. Disagreements between the reviewers were resolved through discussion or with an additional reviewer. RESULTS: We included 25 studies with different designs, the most common being acute care cross-sectional survey designs. Studies focused on determining the frequency and reasons for missed nursing care and its influence on nurses and organizational outcomes. LINKING EVIDENCE TO ACTION: Missed nursing care studies during the COVID-19 pandemic were essentially nurses-based prevalence surveys. There is an urgent need to advance the design and development of longitudinal and intervention studies, as well as to broaden the focus of research beyond acute care. Further research is needed to determine the impact of missed nursing care on nursing-sensitive outcomes and from the patient's perspective.


Assuntos
COVID-19 , Cuidados de Enfermagem , Humanos , COVID-19/epidemiologia , Pandemias , Estudos Transversais , Atenção à Saúde
6.
Arch Sex Behav ; 52(6): 2475-2490, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37154879

RESUMO

Mate value is an important concept in mate choice research although its operationalization and understanding are limited. Here, we reviewed and evaluated previously established conceptual and methodological approaches measuring mate value and presented original research using individual differences in how people view themselves as a face-valid proxy for mate value in long- and short-term contexts. In data from 41 nations (N = 3895, Mage = 24.71, 63% women, 47% single), we tested sex, age, and relationship status effects on self-perceived mate desirability, along with individual differences in the Dark Triad traits, life history strategies, peer-based comparison of desirability, and self-reported mating success. Both sexes indicated more short-term than long-term mate desirability; however, men reported more long-term mate desirability than women, whereas women reported more short-term mate desirability than men. Further, individuals who were in a committed relationship felt more desirable than those who were not. Concerning the cross-sectional stability of mate desirability across the lifespan, in men, short- and long-term desirability rose to the age of 40 and 50, respectively, and decreased afterward. In women, short-term desirability rose to the age of 38 and decreased afterward, whereas long-term desirability remained stable over time. Our results suggest that measuring long- and short-term self-perceived mate desirability reveals predictable correlates.


Assuntos
Comportamento de Escolha , Individualidade , Masculino , Humanos , Feminino , Adulto Jovem , Adulto , Estudos Transversais , Parceiros Sexuais , Comportamento Sexual
7.
Sci Rep ; 13(1): 4969, 2023 04 11.
Artigo em Inglês | MEDLINE | ID: mdl-37041216

RESUMO

People vary both in their embrace of their society's traditions, and in their perception of hazards as salient and necessitating a response. Over evolutionary time, traditions have offered avenues for addressing hazards, plausibly resulting in linkages between orientations toward tradition and orientations toward danger. Emerging research documents connections between traditionalism and threat responsivity, including pathogen-avoidance motivations. Additionally, because hazard-mitigating behaviors can conflict with competing priorities, associations between traditionalism and pathogen avoidance may hinge on contextually contingent tradeoffs. The COVID-19 pandemic provides a real-world test of the posited relationship between traditionalism and hazard avoidance. Across 27 societies (N = 7844), we find that, in a majority of countries, individuals' endorsement of tradition positively correlates with their adherence to costly COVID-19-avoidance behaviors; accounting for some of the conflicts that arise between public health precautions and other objectives further strengthens this evidence that traditionalism is associated with greater attention to hazards.


Assuntos
COVID-19 , Humanos , Pandemias , Motivação , Saúde Pública
8.
Public Health Nurs ; 40(1): 1-8, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36000570

RESUMO

OBJECTIVE: To explore people's decision-making regarding whether or not to get vaccinated against COVID-19. METHODS: A purposive sample of people over the age of 18 who had not yet been vaccinated against COVID-19 was studied. Data were gathered using semi-structured interviews in focus groups and personal in-depth interviews. All interviews were conducted on the Zoom® platform and were recorded for subsequent verbatim transcription. Using a grounded theory approach, both open and axial coding of the narrative data were performed. RESULTS: Information saturation was reached after eight focus group meetings and 14 in-depth interviews (n = 55). Six principal themes emerged, with the fear of possible adverse side-effects and the worries generated by the speed of the development and commercialization of the vaccine amongst the main expressed anxieties. Social pressure to get vaccinated was a recurrent subject, as was the desire for clear and understandable information from reliable sources. CONCLUSIONS: The willingness to get vaccinated against COVID-19 is determined by a complex series of interconnected factors that define an explanatory model, which has evolved concurrently with the development of the vaccines and the progress of the vaccination campaigns. This model will be useful for deciding social scenarios aimed at tackling this or future pandemics and for designing formulas that will increase the initial acceptance of these vaccines.


Assuntos
COVID-19 , Vacinas , Humanos , Adulto , Pessoa de Meia-Idade , SARS-CoV-2 , COVID-19/prevenção & controle , Vacinas contra COVID-19/uso terapêutico , Ansiedade , Medo , Vacinação
9.
Evol Hum Behav ; 43(6): 527-535, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36217369

RESUMO

The COVID-19 pandemic caused drastic social changes for many people, including separation from friends and coworkers, enforced close contact with family, and reductions in mobility. Here we assess the extent to which people's evolutionarily-relevant basic motivations and goals-fundamental social motives such as Affiliation and Kin Care-might have been affected. To address this question, we gathered data on fundamental social motives in 42 countries (N = 15,915) across two waves, including 19 countries (N = 10,907) for which data were gathered both before and during the pandemic (pre-pandemic wave: 32 countries, N = 8998; 3302 male, 5585 female; M age  = 24.43, SD = 7.91; mid-pandemic wave: 29 countries, N = 6917; 2249 male, 4218 female; M age  = 28.59, SD = 11.31). Samples include data collected online (e.g., Prolific, MTurk), at universities, and via community sampling. We found that Disease Avoidance motivation was substantially higher during the pandemic, and that most of the other fundamental social motives showed small, yet significant, differences across waves. Most sensibly, concern with caring for one's children was higher during the pandemic, and concerns with Mate Seeking and Status were lower. Earlier findings showing the prioritization of family motives over mating motives (and even over Disease Avoidance motives) were replicated during the pandemic. Finally, well-being remained positively associated with family-related motives and negatively associated with mating motives during the pandemic, as in the pre-pandemic samples. Our results provide further evidence for the robust primacy of family-related motivations even during this unique disruption of social life.

10.
Proc Biol Sci ; 289(1982): 20220978, 2022 09 14.
Artigo em Inglês | MEDLINE | ID: mdl-36069015

RESUMO

Differences in attitudes on social issues such as abortion, immigration and sex are hugely divisive, and understanding their origins is among the most important tasks facing human behavioural sciences. Despite the clear psychological importance of parenthood and the motivation to provide care for children, researchers have only recently begun investigating their influence on social and political attitudes. Because socially conservative values ostensibly prioritize safety, stability and family values, we hypothesized that being more invested in parental care might make socially conservative policies more appealing. Studies 1 (preregistered; n = 376) and 2 (n = 1924) find novel evidence of conditional experimental effects of a parenthood prime, such that people who engaged strongly with a childcare manipulation showed an increase in social conservatism. Studies 3 (n = 2610, novel data from 10 countries) and 4 (n = 426 444, World Values Survey data) find evidence that both parenthood and parental care motivation are associated with increased social conservatism around the globe. Further, most of the positive association globally between age and social conservatism is accounted for by parenthood. These findings support the hypothesis that parenthood and parental care motivation increase social conservatism.


Assuntos
Comparação Transcultural , Motivação , Atitude , Criança , Feminino , Humanos , Política , Gravidez , Inquéritos e Questionários
12.
Sci Data ; 9(1): 499, 2022 08 16.
Artigo em Inglês | MEDLINE | ID: mdl-35974021

RESUMO

How does psychology vary across human societies? The fundamental social motives framework adopts an evolutionary approach to capture the broad range of human social goals within a taxonomy of ancestrally recurring threats and opportunities. These motives-self-protection, disease avoidance, affiliation, status, mate acquisition, mate retention, and kin care-are high in fitness relevance and everyday salience, yet understudied cross-culturally. Here, we gathered data on these motives in 42 countries (N = 15,915) in two cross-sectional waves, including 19 countries (N = 10,907) for which data were gathered in both waves. Wave 1 was collected from mid-2016 through late 2019 (32 countries, N = 8,998; 3,302 male, 5,585 female; Mage = 24.43, SD = 7.91). Wave 2 was collected from April through November 2020, during the COVID-19 pandemic (29 countries, N = 6,917; 2,249 male, 4,218 female; Mage = 28.59, SD = 11.31). These data can be used to assess differences and similarities in people's fundamental social motives both across and within cultures, at different time points, and in relation to other commonly studied cultural indicators and outcomes.

13.
Arch Sex Behav ; 51(6): 2867-2877, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35859261

RESUMO

Jealousy is an affective state activated by a perceived threat to a valued relationship by a third party. On average, males report higher distress about their partner's sexual extra-pair involvement, while females show higher emotional jealousy. These sex differences are specific to heterosexuals and to contexts with potential reproductive costs. We tested the effect of sex and sexual orientation of the individual, and sex of the partner and potential rival on sexual versus emotional jealousy. Sexual orientation was operationalized as a willingness to form long-term relationships with men, women, or both. Heterosexual, homosexual, and bisexual males (N = 416) and females (N = 1328) from Brazil, Chile, and Portugal responded to the Sexual vs. Emotional Jealousy Scale and then ranked their distress to four hypothetical scenarios: sexual or emotional involvement of their partner with a male or a female rival. This is the first study to simultaneously test for an effect of self, partner, and rival sex on jealousy: bisexual individuals responded twice, about a hypothetical female and about a male partner. Individuals were most preoccupied with their partner's emotional relationship with a rival of the same sex as the respondent. Heterosexual males reported higher sexual jealousy than the other groups, but did not differ from bisexual men responding about female partners. Bisexual females were more upset by sexual extra-pair involvement of their female (versus male) partners with a male rival. Thus, jealousy was influenced by sex and sexual orientation of the individuals, sex of the partners, and also by sex of the rivals: same-sex rivals were perceived as most threatening. This suggests that besides being a strategy to maintain a primary relationship, jealousy is particularly sensitive to same-sex competitors, being an intra-sexual competition strategy.


Assuntos
Ciúme , Comportamento Sexual , Bissexualidade/psicologia , Feminino , Heterossexualidade/psicologia , Homossexualidade , Humanos , Masculino , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia
14.
Value Health ; 25(9): 1602-1618, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35659485

RESUMO

OBJECTIVES: This psychometric systematic review aimed to identify the most suitable patient-reported outcome measures (PROMs) of quality of life (QoL) in people affected by diabetic foot. METHODS: We performed a literature search in MEDLINE (PubMed), CINAHL (EBSCOhost), and PsycINFO (EBSCOhost) databases from inception to February 1, 2022. We also searched gray literature databases. Eligible studies were full-text reports developing a QoL condition-specific PROM or assessing one or more of its measurement properties in people affected by diabetic foot. We assessed the methodological quality of included studies independently using the "Consensus-Based Standards for the Selection of Health Measurement Instruments Risk of Bias" checklist. The measurement properties were evaluated using specific criteria. We graded the quality of the evidence using a "Grading of Recommendations Assessment, Development and Evaluation" approach modified by Consensus-Based Standards for the Selection of Health Measurement Instruments. RESULTS: Forty-three reports (46 studies) providing information on the measurement properties of 10 different PROMs were included. We did not identify any instruments that could be recommended for use. We identified 2 PROMs that were not recommended for use and 8 that were potentially recommended but would require further investigation. Of these 8 PROMs, 4 had better evidence for content validity. CONCLUSIONS: Available PROMs to measure QoL in people affected by diabetic foot have limited evidence for their measurement properties. There is no fully suitable PROM. Pending further evidence, 4 PROMs could potentially be recommended for use.


Assuntos
Diabetes Mellitus , Pé Diabético , Lista de Checagem , Pé Diabético/terapia , Humanos , Medidas de Resultados Relatados pelo Paciente , Psicometria , Qualidade de Vida
15.
Infancy ; 27(5): 997-1003, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35611448

RESUMO

Jealousy protests have been linked to the intrusion of social rivals challenging infants' exclusive access to maternal care and resources that typically accompany attachment. Previous studies revealed that the experimental presentation of social rivals evokes protest in as early as 6 months old infants. This study replicated research on jealousy protests in a novel language and sociocultural context with 10-20 months old infants. We compared protests of 45 children when their mothers attended to each of the rivals and controlled for attachment dimensions. As hypothesized, infants had a stronger jealousy protest to the social rival, and their response was associated with attachment avoidance. We concluded that our results contribute to evidence on jealousy protest as an evolutionary rooted phenomenon that favors the mother's attention in a social rivalry scenario over nonsocial stimuli. Attachment avoidance may be a precluding factor of jealousy when faced with a social rival scenario that deserves further research.


Assuntos
Ciúme , Mães , Atenção , Criança , Chile , Feminino , Humanos , Lactente
16.
Geroscience ; 44(4): 2243-2257, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35604612

RESUMO

Sleep disturbances are common during aging. Compared to young animals, old mice show altered sleep structure, with changes in both slow and fast electrocorticographic (ECoG) activity and fewer transitions between sleep and wake stages. Insulin-like growth factor I (IGF-I), which is involved in adaptive changes during aging, was previously shown to increase ECoG activity in young mice and monkeys. Furthermore, IGF-I shapes sleep architecture by modulating the activity of mouse orexin neurons in the lateral hypothalamus (LH). We now report that both ECoG activation and excitation of orexin neurons by systemic IGF-I are abrogated in old mice. Moreover, orthodromical responses of LH neurons are facilitated by either systemic or local IGF-I in young mice, but not in old ones. As orexin neurons of old mice show dysregulated IGF-I receptor (IGF-IR) expression, suggesting disturbed IGF-I sensitivity, we treated old mice with AIK3a305, a novel IGF-IR sensitizer, and observed restored responses to IGF-I and rejuvenation of sleep patterns. Thus, disturbed sleep structure in aging mice may be related to impaired IGF-I signaling onto orexin neurons, reflecting a broader loss of IGF-I activity in the aged mouse brain.


Assuntos
Região Hipotalâmica Lateral , Fator de Crescimento Insulin-Like I , Animais , Camundongos , Orexinas/metabolismo , Fator de Crescimento Insulin-Like I/metabolismo , Região Hipotalâmica Lateral/metabolismo , Sono/fisiologia , Neurônios/metabolismo
17.
Eur J Contracept Reprod Health Care ; 27(4): 341-344, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35403535

RESUMO

OBJECTIVE: Our main goal was to evaluate whether a treatment protocol based on the combination of mifepristone and misoprostol for second-trimester foetal loss was more effective than misoprostol monotherapy. METHODS: This was an observational, retrospective, cross-sectional two-centre study of women receiving treatment for second-trimester pregnancy loss. Patients were recruited in two centres that used different treatment protocols: combined mifepristone-misoprostol treatment or misoprostol monotherapy. RESULTS: A total of 99 patients were included in the study: 41 in the mifepristone-misoprostol combined treatment group and 58 in the misoprostol monotherapy group. The combined treatment group had shorter times to expulsion and shorter hospitalisations, as well as higher rates of hospital discharge within 24 h and complete abortion within the first 6 h and 12 h. There were no differences regarding secondary effects and complication rates. CONCLUSION: A combination of mifepristone and misoprostol appears to be a feasible option for the treatment of second-trimester pregnancy loss.


Assuntos
Abortivos não Esteroides , Aborto Induzido , Misoprostol , Aborto Induzido/métodos , Estudos Transversais , Feminino , Humanos , Mifepristona/uso terapêutico , Misoprostol/efeitos adversos , Gravidez , Segundo Trimestre da Gravidez , Estudos Retrospectivos
18.
Ageing Res Rev ; 76: 101588, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35150901

RESUMO

BACKGROUND: The Tilburg Frailty Indicator (TFI) is one of the most prominent multidimensional frailty assessment instruments. This review aimed to critically appraise and summarise its measurement properties. METHODS: Reports were eligible if they included results of studies aimed at developing the TFI or evaluating its measurement properties. We performed a literature search in MEDLINE, CINAHL, and PsycINFO databases from their inception until December 8, 2021. We also searched grey literature databases. We assessed the methodological quality of the included studies using the "COSMIN Risk of Bias". The measurement properties were evaluated using specific criteria. We graded the quality of the evidence using a GRADE approach. RESULTS: Sixty-three studies were included. We found moderate sufficient evidence for TFI content validity, although it is still insufficient for the comprehensiveness of its items. TFI construct validity was based on sufficient evidence from two studies of its structural validity as well as multiple hypothesis-testing for construct validity studies with inconsistent results. We did not find any studies that assessed cross-cultural validity. Only one of TFI's three dimensions showed sufficient evidence for the internal consistency of its scores, and results in test-retest reliability were inconsistent. The TFI showed high sufficient concurrent validity with the comprehensive geriatric assessment. We identified several studies assessing its predictive validity for adverse frailty-related outcomes, although most of the evidence from these studies was insufficient. We did not find any studies that assessed the responsiveness of TFI scores. CONCLUSIONS: The TFI had evidence gaps in several relevant measurement properties. Further research is needed to strengthen its usefulness as a clinical decision-making tool.


Assuntos
Fragilidade , Idoso , Idoso Fragilizado , Fragilidade/diagnóstico , Humanos , Psicometria/métodos , Reprodutibilidade dos Testes , Inquéritos e Questionários
19.
Eur J Obstet Gynecol Reprod Biol ; 270: 95-99, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35033932

RESUMO

INTRODUCTION: The development of hysteroscopic techniques has led to an advance in submucous myoma treatment, offering a safe and effective minimally invasive alternative. Our objective was to compare the results of hysteroscopic myomectomy when using whether the mini-resectoscope or the MyoSure morcellator, as well as patient satisfaction after the procedure. MATERIAL AND METHODS: A prospective, cross-sectional, observational study including 80 patients distributed into two groups: Mini-Resectoscope group (MRG) or MyoSure group (MSG), depending on the instrument used for the in-office hysteroscopic myomectomy. Resection time, pain during entry, pain during resection, number of resections required, complete resection, and total satisfaction were recorded. RESULTS: MSG had statistically significant shorter time of entrance. There were no other statistically significant differences between groups. CONCLUSIONS: In-office hysteroscopic myomectomy is associated with high levels of patient satisfaction, without differences between the mini-resectoscope or the MyoSure, allowing high rates of complete resection using both instruments. Thus, it is a feasible technique which could be performed with both instruments, depending on the operator's expertise.


Assuntos
Leiomioma , Miomectomia Uterina , Neoplasias Uterinas , Estudos Transversais , Feminino , Humanos , Histeroscopia/métodos , Leiomioma/complicações , Leiomioma/cirurgia , Satisfação do Paciente , Gravidez , Estudos Prospectivos , Miomectomia Uterina/métodos , Neoplasias Uterinas/complicações , Neoplasias Uterinas/cirurgia
20.
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1439264

RESUMO

Introducción: En los últimos años la definición de síndrome coronario agudo, ha englobado las diferentes formas de presentación de la cardiopatía isquémica aguda. A pesar de las posibilidades terapéuticas actuales presenta todavía una morbimortalidad elevada y no se cuenta con herramientas de laboratorio para sospechar de manera precoz las complicaciones. Objetivo: Determinar el valor de los cambios de la concentración de creatinina, potasio y glicemia como predictores de eventos adversos del síndrome coronario agudo. Métodos: Se realizó un estudio analítico de cohorte. La muestra estuvo constituída por 124 pacientes. Se confeccionó un formulario donde se recogieron los datos a partir de las historias clínicas, las variables fueron: grupos de edades, sexo, color de piel, diagnóstico, evento adverso, creatinina, potasio y glicemia. Resultados: Predominó el grupo de edad de más de 60 años, el sexo masculino y color de piel blanco. Los principales eventos adversos fueron arritmias y disfunción ventricular izquierda. La creatinina elevada se asoció a disfunción ventricular izquierda, insuficiencia cardíaca y edema agudo del pulmón, la hiperpotasemia con arritmias potencialmente fatales que degeneraron en paro en asistolia y muerte. La hipopotasemia se asoció con arritmias y la hiperglicemia con la recurrencia del episodio isquémico. Conclusiones: La totalidad de los pacientes con valores normales de creatinina, potasio y glicemia no presentaron complicaciones y se demostró su utilidad como predictores de eventos adversos del síndrome coronario agudo.


Introduction: In recent years, the definition of acute coronary syndrome has encompassed the different forms of presentation of acute ischemic heart disease. Despite the current therapeutic possibilities, it still presents a high morbidity and mortality and there are no laboratory tools to suspect complications early. Objective: To determine the value of the changes in the concentration of creatinine, potassium and glycemia as predictors of adverse events of acute coronary syndrome in patients admitted to Hospital Universitario Manuel Ascunce Domenech in the period from October 2017 to October 2018. Methods: A analytical cohort study. The sample consisted of 124 patients. A form was made where the data were collected from the medical records, the variables were: age groups, sex, skin color, diagnosis, adverse event, creatinine, potassium and glycemia. Results: The age group over 60 years old, male sex and white skin color predominated. The main adverse events were arrhythmias and left ventricular dysfunction. Elevated creatinine was associated with left ventricular dysfunction with heart failure and acute pulmonary edema, hyperkalemia was associated with potentially fatal arrhythmias that degenerated into asystole arrest and death. Hypokalemia was associated with arrhythmias and hyperglycemia with the recurrence of the ischemic episode. Conclusions: All the patients with normal values ​​of creatinine, potassium and glycemia without complications and their usefulness as predictors of adverse events of acute coronary syndrome was demonstrated.

SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...