Taking care as a relationship: a phenomenological view

The purpose of this study was to understand and analyse the meanings given to caring of patients on the isolation ward by nursing students, focusing particularly on the aspects of communication and interpersonal relationships. The data were collected from individual interviews with 18 nursing students who were performing nursing practice on the isolation ward. The results, analysed and interpreted according to existential phenomenology, describe the structure of the phenomenon 'taking care on the isolation ward' from a relational perspective. The students described their difficulties and anxieties, as well as their willingness to take care of isolated patients, resulting in the overcoming of obstacles and in contacting and becoming involved when taking care of these patients.

Peroxide penetration from the pulp chamber to the external root surface after internal bleaching

Purpose: To quantify the amount of peroxide penetration from the pulp chamber to the external surface of teeth during the walking bleaching technique. Methods: Seventy-two bovine lateral incisors were randomly divided over five experimental groups and one control (n = 12 per group): (1) 35% hydrogen peroxide (HP); (2) 35% carbamide peroxide (CP); (3) sodium perborate (SP); (4) (HP+SP); (5) (CP+SP) and (6) Control (CG), deionized water. All groups were treated according to the walking bleach technique. After 7 days at 37 degrees C in an acetate buffer solution, 100 mu l violet leukocrystal coloring and 50 mu l peroxidase was added, producing a blue stain that could be measured in a spectrophotometer and then converted into peroxide mu g/ml. Results: G5 exhibited the greatest penetration, while G2 and G3 produced the lowest values. All bleaching agents penetrated from the pulp chamber to the external root surface. There was a direct correlation between the presence of oxidative agents and penetration potential. Sodium perborate in distilled water was less oxidative and appeared to be the least aggressive bleaching agent. (Am J Dent 2010;23:171-174).

Three-Higgs-doublet model with A(4) symmetry

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Correlation between maxillary central incisor form and face form in 4 racial groups

Objectives: the purpose of this study was to evaluate the correlation between central incisor form and face form in 4 racial groups and to investigate if there was agreement among experts in categorizing the central incisor forms. Method and Materials: A total of 160 subjects (40 whites, 40 mulattos, 40 blacks, and 40 Asians) ranging from 18 to 33 years of age were selected. Digital photographic records were made, 1 full-face and 1 intraoral view of the maxillary right central incisor. The outline tracings of the tooth and face images were obtained using Adobe Photoshop 5.0 software. The outline tracings were printed in distinct transparencies, and 3 prosthodontists determined if there was correspondence between the tooth and the face forms by superimposition of the transparencies. If there was disagreement among the prosthodontists' evaluations, the prevalent decision was considered. The experts also classified the central incisor forms into square, ovoid, tapering, or combination at 2 different sessions. At the first session, no instructions were given. At the second session, the prosthodontists were instructed to follow Williams' method of classification. Results: A correspondence between tooth and face forms was found in 23.75% of all cases. Agreement on the tooth form classifications among the prosthodontists occurred in 30.62% of all cases at the first session and 24.37% at the second session. Conclusion: There is not a highly defined correlation between central incisor form and face form in any racial group studied. In addition, the experts were not in fair agreement in categorizing tooth forms.

The Ringed Kingfisher, Ceryle or Megaceryle torquata (Cerylinae, Alcedinidae, Coraciiformes)? An osteological view

In spite of the unquestionable monophyly of die Cerylinae subfamily, there are divergences in considering Megaceryle torquata in die genera Megaceryle or Ceryle. In order to address the question, here is a comparative osteological study between M. torquata and C. rudis, as well as with the other Megaceryle species and Chloroceryle. The findings showed more osteological similarities between M. torquata and the other Megaceryle species, differing considerably of C. rudis. Also, the data have permited the identification of the genus Megaceryle, with most of the characters from the skull. In spite of not having any phylogenetic inference, there are relevant osteological evidences that permit the consideration of M. torquata in the genus Megaceryle and the maintenance of Ceryle only for reception of C. rudis. Accepted 19 June 2006.

Validation of hysteroscopic view in cases of endometrial hyperplasia and cancer in patients with abnormal uterine bleeding

STUDY OBJECTIVE: To validate hysteroscopic view with histology in cases of endometrial hyperplasia and cancer in patients with abnormal uterine bleeding (AUB)DESIGN: Retrospective study.(Canadian Task Force classification II-3).SETTING: University teaching hospitals in Rio de Janeiro and São Paulo, and private office in Rio de Janeiro.PATIENTS: Four thousand and fifty-four patients with AUB in whom hysteroscopic views were complete and the histologic result was conclusive.INTERVENTION: Four thousand and fifty-four office hysteroscopies with complete views and conclusive histologic results. The material for histologic examination was obtained through biopsy of the lesion in an outpatient unit or through the resection of the entire lesion in patients who underwent surgery. Histology was considered the gold standard and compared with the hysteroscopic view.MEASUREMENTS AND MAIN RESULTS: In the histology of the 4054 examinations, 613 (15.2%) were endometrial hyperplasia, and 105 (2.6%) were endometrial cancer. The most frequent hysteroscopic finding was endometrial polyps (31.2%). In endometrial hyperplasia, the sensitivity of the hysteroscopic view was 56.3% (95% CI 52.21-60.2%), specificity was 89.1% (95% CI 88.0%-90.1%), positive predictive value (PPV) was 48.0% (95% CI 44.3%-51.7%), negative predictive value (NPV) was 92.0% (95% Cl 90.1%-92.9%), and accuracy was 72.7% (95% CI 70.7%-74.7%). Accuracy was defined as the proportion of correct results among the hysteroscopic examinations. In endometrial cancer, the sensitivity of the hysteroscopic view was 80.0% (95% Cl 71.1%-87.2%), specificity was 99.5% (95% CI 99.2%-99.7%), PPV was 81.5% (95% Cl 72.7%-88.5%), NPV was 99.5% (95% CI 99.2%-99.7%), and accuracy was 89.8% (95% CI, 85.9%-93.6%). In the 814 patients (20.0%) in whom the hysteroscopic view was normal, there were no false negatives for endometrial cancer; however, there were 37 (4.5%) false negatives for endometrial hyperplasia. In the histologic cases of endometrial cancer, 101 (96.2%) hysteroscopic views were compatible with cancer or hyperplasia (80.0% and 16.2%, respectively). Ninety-seven out of 103 hysteroscopic views with cancer findings (94.2%) had histologic diagnosis of cancer or hyperplasia (81.5% and 12.6%, respectively).CONCLUSION: It seems that even in face of good validity of hysteroscopic view for endometrial hyperplasia and cancer, histologic study is mandatory in the presence of any lesion as the hysteroscopic view cannot completely replace the histologic study in patients with AUB. (C) 2006 AAGL. All rights reserved.

Initial Development of Bovine Placentation (Bos indicus) from the Point of View of the Allantois and Amnion

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

The effectiveness of educational practice in diabetic foot: a view from Brazil

Background: The aim of the present study was to evaluate the prevention and self-inspection behavior of diabetic subjects with foot at ulcer risk, no previous episode, who participated in the routine visits and standardized education provided by the service and who received prescribed footwear. This evaluation was carried out using a questionnaire scoring from 0-10 (high scores reflect worse practice compliance).Results: 60 patients were studied (30 of each sex); mean age was 62 years, mean duration of the disease was 17 years. As for compliance, 90% showed a total score <= 5, only 8.7% regularly wore the footwear supplied; self foot inspection 65%, 28,3% with additional familiar inspection; creaming 77%; proper washing and drying 88%; proper cutting of toe nails 83%; no cuticle cutting 83%; routine shoe inspection 77%; no use of pumice stones or similar abrasive 70%; no barefoot walking 95%.Conclusion: the planned and multidisciplinary educational approach enabled high compliance of the ulcer prevention care needed in diabetic patients at risk for complications. In contrast, compliance observed for the use of footwear provided was extremely low, demonstrating that the issue of its acceptability should be further and carefully addressed. In countries of such vast dimensions as Brazil multidisciplinary educational approaches can and should be performed by the services providing care for patients with foot at risk for complications according to the reality of local scenarios. Furthermore, every educational program should assess the learning, results obtained and efficacy in the target population by use of an adequate evaluation system.

Efeito de auxinas e boro no enraizamento de estacas caulinares de kiwi retiradas em diferentes épocas

This work was carried out to study the effects of some synthetical auxins and boron on the rooting of stem cuttings of kiwi (Actinidia deliciosa Pl. cv. Tomuri). Cuttings of semi-woody stems with two knots and leaves divided in two, with approximately 10 cm of length were utilized. The base of the cuttings received the following treatments: 1) water only; 2) NAA 300 ppm; 3) IBA 300 ppm; 4) NAA 300 ppm + B; 5) IBA 300 ppm + B; 6) NAA 0,5%-talc and 7) IBA 0,5%-talc. After these treatments, the stems were placed in suitable rooting dishes, with pure vermiculite in misty nebulization chamber for 120 days. Evaluations were made based on the following observations: percentage of rooted stem cuttings; reductor sugar and total sugar analyses and tryptophan analyses. The results showed that the autumm season is the best for rooting for kiwi stem cuttings. The exogenous application of 0.5% of IBA talc on the bases of the cuttings showed positive results.

Influência de herbicidas em macrófitas aquáticas

The effects of the herbicides atrazine, 2,4-D, glyphosate (direct and rodeo) and trifluralin were determined on the growth and death of fronds of the aquatic macrophytes Spirodela punctata (G.F.W. Meyer) Thompson and Salvinia minima Baker, through three series of concentrations of each herbicide in climatic chamber (3000 lux, 12/12 hours photoperiod, temperature 23 ± 1°C). After seven days, the concentrations of series 1 (0.025, 0.125, 0.625 and 3.125 mg.L -1) inhibited the growth of Salvinia minima. In Spirodela punctata, only the herbicides rodeo and trifluralin caused growth inhibition. These concentrations did not caused death of fronds in the species. The concentrations of series 2 (40, 60, 80 and 100 mg.L -1) of the herbicides 2,4-D, direct e trifluralin decreased growth of Salvinia minima; death of fronds was caused by 2,4-D and trifluralin to Salvinia minima, and by direct and trifluralin to Spirodela punctata. For the series 3 (200, 400, 600, 800 and 1000 mg.L -1), the herbicide 2,4-D caused growth decrease of both species. The herbicides rodeo and trifluralin showed to be the most lethal for both species. The herbicide atrazine caused death of fronds in Spirodela punctata.

Uses of QCD sumrules (QCDSR) from different points of view

We support the idea that the baryon, B with mass MB, couples to its current with a coupling λ2 B ∼ 0.71 M6 B from an analysis of magnetic moment sum rules. And we find a sum rule among the experimental magnetic moments which is independent of the parameters of QCDSR. © 1998 Elsevier Science B.V. All rights reserved.

Technical Progress in Joan Robinson's View: An attempt at systematisation and formalisation

This paper deals with Joan Robinson's contributions to the issue of technical progress and her attempts at treating this subject in accordance with the Keynesian theory of employment and income distribution, mainly in the long run. The paper aims to review this aspect of her work and to establish a systematisation and a formalisation of her approach. At the same time, the paper exposes the problems she faced - but did not always solve. Looking through her main contributions, the paper concludes that she used different criteria for the classification of innovations and that they depended on the specific situations described by the models in which she used the classification.

Aplicação da Geoestatística Não-paramétrica para a compartimentação geomecânica de uma extensão típica do túnel do metrô - Linha 4, da cidade de São Paulo

In view of the limited number of drill holes, interpolation of the data becomes a relatively complex task. In this study, we sought to make estimates associated with lithological types, since a quantification based on lithology can be extracted from the empty spaces in the sampling. For example, QBarton is always below the median of the biotitic litotype, information which can be used in the elaboration of geostatistical models in situations where samples are lacking. To overcome bias in the data, required by geostatistical conceptualization, we worked with the residuals obtained from the adjustment of a surface and the observed values, for the variographic analysis. The final results made possible a more optimized evaluation of the final costs required for the construction project.

Densidade das células do endotélio corneano em olhos de cães à microscopia especular

The aim of this study was to examine the endothelial surface and to perform a morphometric analysis of the corneal endothelial cells in normal eyes of dogs using specular microscopy. Morphometric analysis with regard mean cell area and cell density was performed. Both eyes of ten mixed-breed, males and females, with 6 years of age, weighing about 15 kg euthanatized for reasons unrelated to this study were evaluated. Eyes were examined to determine that they did not have visible ocular disease and transported to the laboratory in moist chamber. Using a contact specular microscope the corneal endothelium was examined. Three images of the central corneal endothelium of each eye were obtained. The mean cell area and the cell density of the corneal endothelial cells were obtained using software for corneal endothelium analysis and density measurement. The mean cell area was 395 ± 36 μm 2 and the endothelial cell density was 2555 ± 240 cells/mm2. The present work demonstrates that the normal corneal endothelium of dog is similar to those described in human.