The practice of nurses caring for families of pediatric inpatients in light of Jean Watson

Objective To know the facilities and the difficulties of nurses in caring practice of hospitalized children’s families in the light of Jean Watson’s Theory of Human Caring. Method It was used the descriptive qualitative approach. The data collection was conducted in three stages: presentation of theoretical content; engagement with families in the light of Watson’s theory; and semi-structured interview with 12 pediatric nurses. The interviews were analysed using inductive thematic analysis, being possible to form three themes: Recognizing a framework for care; Considering the institutional context; and Challenges in family’s relationship. Results The theory favored reflections about self, about the institutions and about nurses’ relationship with the family of the child, normalized by a consciousness toward caring attitudes. Conclusion In this process, it is imperative that nurses recognize the philosophical-theoretical foundations of care to attend the child’s family in hospital.



Organização e trabalho em transição: da lógica "sistêmico-controladora" à lógica "processual-relacional"

Para pesquisadores e gestores, é útil identificar duas formas alternativas de caracterizar discursivamente as atividades organizacionais e gerenciais: uma forma sistêmico-controladora e outra processual-relacional. A primeira é proveniente de aspirações modernistas e universalistas acerca da maximização do controle nas questões humanas, operacionalizando-se por meio da idéia de que as organizações são grandes sistemas controláveis, mecânicos e orientados para resultados. Em vez disso, é mais útil caracterizar a realidade organizacional pelo foco em processos emergentes dos padrões das relações entre as pessoas, as organizações e o ambiente social que as cerca. Se os gestores compreenderem o modo como seu trabalho contribui para a formação de tais processos, podem promover a evolução do aprendizado e de competências gerenciais por meio da construção de significados, negociações e barganhas, e do exercício do poder.

THE SCHISTOSOMULA TEGUMENT ANTIGEN AS A POTENTIAL CANDIDATE FOR THE EARLY SEROLOGICAL DIAGNOSIS OF SCHISTOSOMIASIS MANSONI

If Schistosoma mansoni infection could be detected in its early stages, especially before the egg deposition in the host tissues, the development of severe pathologic lesions could be efficiently prevented. We therefore developed an indirect enzyme-linked immunosorbent assay based on the detection of specific IgG against schistosomula antigens (ELISA-SmTeg). The assay was applied in sera samples from non-infected and infected mice collected seven and 15 days post-infection. The results were compared to the number of adult worms obtained by perfusion of the murine hepatic system 50 days post-infection. The sensitivity and specificity of the ELISA-SmTeg were 100% (p = 0.0032 and 0.0048 respectively for seven and 15 days of infection) with a cutoff value of 0.15 (p = 0.0002). Our findings show a novel low-cost serological assay using antigens which are easy to obtain, which was able to detect all the infected mice as early as seven days post-infection.

Antigens of worms and eggs showed a differentiated detection of specific IgG according to the time of Schistosoma mansoni infection in mice

INTRODUCTION: The correlation between the immunological assay and the antibody titer can offer a tool for the experimental analysis of different phases of the disease. METHODS: Two simple immunological assays for Schistosoma mansoni in mice sera samples based on specific IgG detection for worms soluble antigens and eggs soluble antigens were standardized and evaluated in our laboratory. Fifty mice were used in negative and positive groups and the results obtained by enzyme-linked immunosorbent assays (ELISA) assays were compared with the number of worms counted and the IgG titers at different times of infection. RESULTS: Data showed that ELISA using adult worm antigens (ELISA-SWAP) presented a satisfactory correlation between the absorbance value of IgG titers and the individual number of worms counted after perfusion technique (R²=0.62). In addition, ELISA-SWAP differentially detected positive samples with 30 and 60 days post infection (p=0.011 and 0.003, respectively), whereas ELISA using egg antigens (ELISA-SEA) detected samples after 140 days (p=0.03). CONCLUSIONS: These data show that the use of different antigens in immunological methods can be used as potential tools for the analysis of the chronological evolution of S. mansoni infection in murine schistosomiasis. Correlations with human schistosomiasis are discussed.

Acute schistosomiasis diagnosis: a new tool for the diagnosis of schistosomiasis in a group of travelers recently infected in a new focus of Schistosoma mansoni

IntroductionThe diagnosis of schistosomiasis mansoni on early stages of infection is important to prevent late morbidity. A simple, cheap, sensitive and specific assay for routine diagnosis of schistosome infection based on the detection of specific IgG for schistosomula tegument antigens (ELISA-SmTeg) was developed by our group.MethodsWe describe here an acute outbreak involving a travel group of 80 individuals from a non-endemic area of the State of Minas Gerais, Brazil. These individuals were in contact with a freshwater pool where Biomphalaria glabrata was found. Results obtained from our new methodology were compared to IgG antibody titers against soluble worm antigenic preparation (SWAP) by ELISA and, also to parasitological examination, nuclear magnetic resonance and clinical findings.ResultsELISA-SmTeg was capable of detecting 64 positive cases among the 80 individuals participating at the survey with a positivity ratio of 80% and a higher sensitivity than ELISA-SWAP that was only sensitive for 56% of positive cases. Besides, a significant correlation was found for the severity of the infection and the specific IgG titers against SmTeg.ConclusionsOur data showed that ELISA-SmTeg might serve as the initial diagnostic tool for acute stages of the infection in community-based helminth control programs or for the surveillance of individuals from non-endemic areas.

PRELIMINARY RESULTS OF A LARGE-SCALE TREE INVENTORY OF UPLAND RAIN FOREST IN THE CENTRAL AMAZON

A large-scale inventory of trees > 10cm DBH was conducted in the upland "terra firme" rain forest of the Distrito Agropecuário da SUFRAMA (Manaus Free Zone Authority Agricultural District) approximately 65Km north of the city of Manaus (AM), Srasil. Thegeneral appearance and structure of the forest is described together with local topography and soil texture. Thepreliminary results of the Inventory provide a minimum estimate of 698 tree species in 53 families in the 40Km radius sampled, including 17 undescribed species. Themost numerically abundant families, Lecythidaceae, Leguminosae, 5apotaceae and Burseraceae as also among the most species rich families. One aspect of this diverse assemblage is the proliferation of species within certain genera, Including 26 genera In 17 families with 6 or more species or morphospecies. Most species have very low abundances of less than 1 tree per hectare. While more abundant species do exist at densities ranging up to a mean of 12 trees per ha, many have clumped distributions leading to great variation in local species abundance. The degree of similarity between hectare samples based int the Coefficient of Community similarity Index varies widely over different sample hectares for five ecologically different families. Soil texture apparently plays a significant role In determining species composition in the different one hectare plots examined while results for other variable were less consistent. Greater differences in similarity indices are found for comparisons with a one hectare sample within the same formation approximately 40Km to the south. It is concluded that homogeneity of tree community composition within this single large and diverse yet continuous upland forest formation can not be assumed.

Characterisation of virulence genes in methicillin susceptible and resistant Staphylococcus aureus isolates from a paediatric population in a university hospital of Medellín, Colombia

Virulence and antibiotic resistance are significant determinants of the types of infections caused by Staphylococcus aureus and paediatric groups remain among the most commonly affected populations. The goal of this study was to characterise virulence genes of methicillin-susceptible S. aureus (MSSA) and methicillin-resistant S. aureus (MRSA) strains isolated from a paediatric population of a Colombian University Hospital during 2009. Sixty MSSA and MRSA isolates were obtained from paediatric patients between zero-14 years. We identified the genes encoding virulence factors, which included Panton-Valentine leucocidine (PVL), staphylococcal enterotoxins A-E, exfoliative toxins A and B and toxic shock syndrome toxin 1. Typing of the staphylococcal chromosome cassette mec (SCCmec) was performed in MRSA strains. The virulence genes were more diverse and frequent in MSSA than in MRSA isolates (83% vs. 73%). MRSA strains harboured SCCmec types IVc (60%), I (30%), IVa (7%) and V (3%). SCCmec type IVc isolates frequently carried the PVL encoding genes and harboured virulence determinants resembling susceptible strains while SCCmec type I isolates were often negative. PVL was not exclusive to skin and soft tissue infections. As previously suggested, these differences in the distribution of virulence factor genes may be due to the fitness cost associated with methicillin resistance.

Schistosoma mansoni in a low-prevalence area in Brazil: the importance of additional methods for the diagnosis of hard-to-detect individual carriers by low-cost immunological assays

Schistosomiasis diagnosis is based on the detection of eggs in the faeces, which is laborious and lacks sensitivity, especially for patients with a low parasite burden. Immunological assays for specific antibody detection are available, but they usually demonstrate low sensitivity and/or specificity. In this study, two simple immunological assays were evaluated for the detection of soluble Schistosoma mansoni adult worm preparation (SWAP) and egg-specific IgGs. These studies have not yet been evaluated for patients with low parasite burdens. Residents of an endemic area in Brazil donated sera and faecal samples for our study. The patients were initially diagnosed by a rigorous Kato-Katz analysis of 18 thick smears from four different stool samples. The ELISA-SWAP was successful for human diagnosis with 90% sensitivity and specificity, confirming the Kato-Katz diagnosis with nearly perfect agreement, as seen by the Kappa index (0.85). Although the ELISA-soluble S. mansoni egg antigen was 85% sensitive, it exhibited low specificity (80%; Kappa index: 0.75) and was more susceptible to cross-reactivity. We believe that immunological assays should be used in conjunction with Kato-Katz analysis as a supplementary tool for the diagnosis of schistosomiasis for patients with low infection burdens, which are usually hard to detect.

Cuidado transpessoal em enfermagem: uma análise pautada em modelo conceitual

Estudo teórico que objetivou analisar os atributos, antecedentes e consequências do conceito cuidado transpessoal, mediante utilização do Modelo de Análise de Conceito. Para isso, elencaram-se livros publicados pela teórica Jean Watson, em português e em inglês, no período de 1979 a 2012. Cumpridos os critérios de inclusão, permaneceram seis obras literárias. Os antecedentes mais citados foram o momento de cuidado e a intenção em estar na relação. Os atributos mais presentes foram a intersubjetividade e as relações entre os envolvidos no processo. Com relação às consequências, o fato de o cuidado transpessoal propiciar restauração/reconstituição (healing) foi o elemento mais presente. O estudo possibilitou constatar ínfimas alterações na definição do conceito com o passar dos anos e das publicações da teórica. Assim, analisar os atributos, os antecedentes e as consequências do conceito propiciou melhor entendimento deste e compreensão da sua importância na Teoria do Cuidado Humano proposta pela teórica americana.

Aromatherapy and nursing: historical and theoretical conception

Abstract Aromatherapy is a Practical or Complementary Health Therapy that uses volatile concentrates extracted from plants called essential oils, in order to improve physical, mental and emotional well-being. Aromatherapy has been practiced historically and worldwide by nurses and, as in Brazil is supported by the Federal Nursing Council, it is relevant to discuss this practice in the context of Nursing through Theories of Nursing. This study of theoretical reflection, exploratory and descriptive, aims to discuss the pharmacognosy of essential oils, the historical trajectory of Aromatherapy in Nursing and the conceptions to support Aromatherapy in light of eight Nursing Theorists (Florence Nightingale, Myra Levine, Hildegard Peplau, Martha Rogers, Callista Roy, Wanda Horta, Jean Watson and Katharine Kolcaba), contributing to its inclusion as a nursing care practice.

Atributos físicos, químicos e biológicos de solo de cerrado sob diferentes sistemas de uso e manejo

À medida que o conhecimento do sistema plantio direto se amplia, verifica-se que o uso de indicadores químicos isolados não permite melhor caracterização dos solos, sendo necessário utilizar um conjunto de indicadores da qualidade do solo com a entrada de outros atributos, entre eles os físicos e os biológicos. Objetivou-se avaliar os efeitos de sistemas de manejo e uso do solo nos atributos físicos, químicos e biológicos de um Latossolo Vermelho distrófico e um Neossolo Quartzarênico órtico sob Cerrado, no entorno do Parque Nacional das Emas. Os aspectos avaliados no Latossolo foram: Cerrado nativo, pastagem, milheto em preparo convencional, nabo forrageiro em plantio direto e sorgo em plantio direto. No Neossolo: Cerrado nativo, pastagem nativa, integração agricultura-pecuária, pastagem cultivada, plantio direto com soja no verão e plantio direto com milho no verão. As amostras de solo foram coletadas na profundidade de 0 a 10 cm. O delineamento experimental foi o inteiramente casualizado, com cinco parcelas de 150 m², sendo coletadas 10 subamostras aleatórias. As análises químicas, físicas e biológicas foram realizadas no Laboratório de Solos da UFG/CJ. Os manejos promoveram alterações na densidade do solo, volume total de poros, macroporos e resistência do solo à penetração no Neossolo e no Latossolo, excetuando-se neste o volume total de poros. Houve pequena variação nos atributos químicos nos dois solos, com o Cerrado apresentando maior acidez potencial e menor teor de cátions trocáveis e P. Os atributos biológicos do solo foram alterados pelos sistemas de manejo, sendo mais prejudicados em sistemas com maior revolvimento do solo. A análise canônica dos dados demonstrou que os atributos físicos foram os de menor importância por apresentar maior coeficiente de ponderação nas variáveis canônicas. Os atributos do solo, isoladamente, pouco contribuíram para a avaliação da qualidade do solo: no entanto, quando se usou a análise multivariada, subsidiaram a constatação dos manejos do solo mais sustentáveis.

Adsorção de boro em solos de várzea do Sul de Minas Gerais

O objetivo deste trabalho foi avaliar a adsorção de B em quatro solos de várzea da região de Lavras, MG, por meio dos parâmetros das isotermas de Langmuir e Freundlich, no período de outubro a novembro de 1998. Amostraram-se solos Aluvial, Glei Pouco Húmico, Glei Húmico, e Orgânico artificialmente drenado, coletados na camada de 0-20 cm e peneirados para 2 mm. Amostras com e sem calagem foram incubadas durante 30 dias. Duplicatas de 4,0 g de solo de cada classe foram acondicionadas em tubos de polietileno com oito diferentes doses de B (0, 2, 4, 8, 12, 16, 24 e 32 mig mL-1) preparadas em CaCl2.2H2O 0,01 mol L-1, com ácido bórico como fonte. Os teores de B na solução de equilíbrio foram determinados pelo método da Azometina-H. Os resultados mostraram que alto teor de matéria orgânica confere ao solo Glei Húmico maior capacidade de adsorver boro. A matéria orgânica, a superfície específica, caulinita e alumínio trocável foram os atributos dos solos que se correlacionaram diretamente com a capacidade máxima de adsorção de B (CMAB). A calagem proporcionou diminuição da CMAB em todos os solos.

Efeito do boro na nodulação da ervilha cultivada em solos de várzea

O objetivo deste trabalho foi avaliar o efeito do boro na nodulação da ervilha (Pisum sativum L. cv. Torta de Flor Roxa), cultivada em solos de várzea em condições de casa de vegetação, entre maio e julho de 1998. Amostras de Neossolo Flúvico, Gleissolo Háplico, Gleissolo Melânico e Organossolo Mésico artificialmente drenado foram coletadas na camada de 0-20 cm. Essas amostras foram previamente cultivadas com rabanete, e receberam calcário, P, K, S, Cu e Zn e seis doses de B (0,0, 0,25, 0,5, 1,5, 3,0 e 6,0 mg dm-3). Por ocasião do cultivo da ervilha aplicou-se apenas K (100 mg dm-3). O delineamento experimental foi inteiramente casualizado, em esquema fatorial 4x6, com três repetições. Foram cultivadas três plantas por vaso, cujas sementes, na época da semeadura, foram submetidas à inoculação com estirpes de Rhizobium leguminosarum (BR 618 e BR 619). Para verificação da existência de estirpes nativas de rizóbio, cultivaram-se sem inoculação nas sementes, três vasos, de cada solo, que haviam recebido a mesma dose de calcário, a mesma adubação básica e 0,5 mg dm-3 de boro. Aos 45 dias após o plantio, em pleno florescimento, colheu-se o experimento. Não foram observadas estirpes nativas nos solos avaliados. Nos solos Gleissolo Háplico e Organossolo Mésico artificialmente drenado, as doses de B influenciaram a nodulação e a atividade da nitrogenase.