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Blanca Gregoria Melo Melo Yamile Vargas Hernández Gloria Mabel Carrillo Diana Katherine Alarcón Trujillo 《Enfermería clínica》2018,28(1):36-43
Objective
To determine the effect of the programme Hospitalisation discharge plan for patients with chronic diseases and family caregivers to strengthen their home care competence –CUIDAR– and reduce the caregiver burden.Method
Quasi-experimental study approach with intervention group. Participants were 62 patients and their caregivers who consulted with a health care institution in the city of Girardot (Colombia). The intervention was carried out for one month, during which, measurements were performed before and after the programme.Results
Most patients were elderly, diagnosed with diabetes, hypertension or COPD, 35% of them with some degree of dependency. The caregivers were mostly women, between the ages of 35 and 59 years old, domestic caregivers, and responsible for caring for their patients for between 13-24 hours a day. At the start of the programme the competency for care was low in both patients and caregivers, after the intervention there was a general increase in care and a statistically significant change. Also, at the beginning, 48% of caregivers had some level of burden, and after the study only 27% reported burden with care.Conclusions
The Hospitalisation discharge plan is a strategy that increases the home care competency of the patient and the caregiver, and decreases the caregiver burden. 相似文献23.
Aldo Miro de Medeiros Karoline de Sousa Castro Mayara Lopes Gundim de Macêdo Aruzza Mabel de Morais Araújo Djalma Ribeiro da Silva Amanda Duarte Gondim 《RSC advances》2022,12(16):10163
Catalytic pyrolysis of vegetable oil is one of the potential routes to convert oil to drop-in biofuels, known as renewable hydrocarbons. In this paper, we explored catalytic pyrolysis of coconut oil using SBA-15 impregnated with Ni in proportions of 1% to 5% to produce sustainable aviation fuel. The catalysts were synthesized, calcined and then characterized by XRD, FTIR, SEM, and EDS. In order to better understand the behavior of this process, thermal and kinetic studies were carried out by thermogravimetry. The TG curves of vegetable oil with (10%) and without catalysts were obtained at heating rates of 5, 15 and 20 °C min−1, in the temperature range between 30 and 600 °C. The kinetic parameters were calculated by the Ozawa–Flynn–Wall (OFW) and Kissinger–Akahira–Sunose (KAS) methods. In the kinetic study, lower heat rates promoted higher conversions and the KAS model suits the process. The results calculated for the OC sample using the two kinetic models showed an increase in the Ea energy as the conversion progressed to a certain point. Catalytic pyrolysis experiments were performed in a one-stage tubular reactor at 500 °C with a catalyst loading of 10 wt% on the basis of mass of oil. The catalyst with 5% Ni showed greater presence of hydrocarbons and greater formation of water, indicating that the deoxygenation process occurred through decarbonylation. With this, the present study was successful in the development of methodologies for obtaining hydrocarbons with a composition close to that of drop-in fuels, compared to the process carried out with vegetable oil in the absence of catalysts.Catalytic pyrolysis of vegetable oil is one of the potential routes to convert oil to drop-in biofuels, known as renewable hydrocarbons. 相似文献
24.
Fang X Yu MM Yuen WH Zee SY Chang RC 《International journal of molecular medicine》2005,16(6):1109-1116
Prunella vulgaris L. (Labiatae), a popular Western and Chinese herbal medicine, has long been associated with anti-viral and anti-bacterial effects. While its anti-viral effects are attributed mainly to the inhibition of virus replication, the biological mechanisms of its anti-bacterial effects remain unknown. As a biological response modifier (BRM), the polysaccharides isolated from P. vulgaris have been shown to up-regulate the immune responses of monocytes/macrophages. However, the immune stimulatory effects seem to contradict its well-known anti-inflammatory properties. We hypothesized that the anti-microbial effects exhibited by the polysaccharides isolated from P. vulgaris encompass both anti-inflammatory and immune stimulatory effects. One of the polysaccharide fractions PV2IV markedly stimulated the production of superoxide and nitrite representing nitric oxide from murine macrophage RAW264.7 and brain macrophage BV2 cells. The amount of nitrite and superoxide produced after PV2IV stimulation was as high as that stimulated by bacterial endotoxin lipopolysaccharide (LPS) in a dose-dependent manner. In addition, PV2IV also increased cellular protein levels of inducible nitric oxide synthase (iNOS) and mRNA for tumor necrosis factor-alpha (TNFalpha). Similar to the effects of a high dose of LPS, the fraction PV2 could trigger activation-induced cell death (AICD) by stimulating caspase-3 activity and reduction of MTT uptake in monocytes/macrophages. These results may help our understanding of the molecular mechanism of P. vulgaris, which exhibited both immune stimulatory and anti-inflammatory effects against microbial invasion. 相似文献
25.
Prospective Cohort Study of Enterotoxigenic Escherichia coli Infections in Argentinean Children 下载免费PDF全文
Gloria I. Viboud Mabel J. Jouve Norma Binsztein Marta Vergara Marta Rivas Marina Quiroga Ann-Mari Svennerholm 《Journal of clinical microbiology》1999,37(9):2829-2833
In a follow-up study, enterotoxigenic Escherichia coli (ETEC) infections in 145 children from two communities located in northeastern Argentina were monitored for 2 years. The occurrence of diarrhea was monitored by weekly household visits. Of 730 fecal specimens collected, 137 (19%) corresponded to diarrheal episodes. ETEC was isolated from a significantly higher proportion of symptomatic (18.3%) than asymptomatic (13.3%) children (P = 0.04541). Individuals of up to 24 months of age were found to have a higher risk of developing ETEC diarrhea than older children (odds ratio [OR], 3.872; P = 0.00021). When the toxin profiles were considered, only heat stable enterotoxin (ST)-producing ETEC was directly associated with diarrhea (P = 0.00035). Fifty-five percent of the ETEC isolated from symptomatic children and 19% of the ETEC isolated from asymptomatic children expressed one of the colonization factors (CFs) investigated, i.e., CF antigen I (CFA/I), CFA/II, CFA/III, and CFA/IV; coli surface antigens CS7 and CS17; and putative CFs PCFO159, PCFO166, and PCFO20, indicating a clear association between diarrhea and ETEC strains that carry these factors (P = 0.0000034). The most frequently identified CFs were CFA/IV (16%), CFA/I (10%), and CS17 (9%). CFs were mostly associated with ETEC strains that produce ST and both heat-labile enterotoxin and ST. Logistic regression analysis, applied to remove confounding effects, revealed that the expression of CFs was associated with illness independently of the toxin type (OR, 4.81; P = 0.0003). When each CF was considered separately, CS17 was the only factor independently associated with illness (OR, 16.6; P = 0.0151). Most CFs (the exception was CFA/IV) fell within a limited array of serotypes, while the CF-negative isolates belonged to many different O:H types. These results demonstrate that some CFs are risk factors for the development of ETEC diarrhea. 相似文献
26.
The goal of this paper is to study possible differences between the processing of inflectional vs. derivational morphology in Spanish word recognition using electrophysiological measures. A lexical decision task to target words preceded by morphological-related (or unrelated) primes was used. The orthographic and phonological overlap and the grammatical class for the two experimental conditions were exactly the same. Examples of the related conditions were, for inflection, NIÑO-NIÑA (“girl”-“boy”), and for derivation, RAMO-RAMA (“bunch”-“branch”). These conditions were compared with unrelated pairs without orthographic, phonological or semantic relationships. An attenuation of the N-400 component was found for both related conditions from 300 ms until 450 ms (until 500 ms for inflections only). In addition, different locations were suggested by the source analysis. These findings are consistent with accounts that argue for differences between the processing of inflections and derivations. 相似文献
27.
28.
Rodríguez M Roque-Navarro L López-Requena A Moreno E Mateo de Acosta C Pérez R María Vázquez A 《Immunobiology》2007,212(1):57-70
The heavy-chain variable regions (VH) from 14F7 MAb, an IgG1 antibody specific for GM3(NeuGc) ganglioside, and its anti-idiotype, the 4G9 MAb, were cloned and sequenced. Comparison with previously reported sequences showed that VH 14F7 belongs to the J558(VHI) gene family and that it is highly mutated. VH 4G9 belongs to the Q52(VHII) gene family. The HCDR3 14F7 sequence contains three basic residues that could be involved in the binding to 4G9 MAb, which bears acidic residues in its HCDR3. Studies performed in the syngeneic model showed that 14F7 MAb requires both coupling to KLH and the use of Freund's adjuvant to induce an effective anti-idiotypic IgG (Ab2) response. In contrast, P3 MAb, a germline gene-encoded Ab1 that also recognizes the GM3(NeuGc) ganglioside through a basic motif in its H-CDRs, has been reported to be immunogenic in syngeneic mice, even when injected in saline. In addition, when Leghorn chickens were immunized with 14F7 or P3 MAbs emulsified in Freund's adjuvant, only P3-immunized animals were able to develop antibodies that recognized NeuGc-containing gangliosides, antigens which are not present in the normal tissues of this animal species. This phenomenon could be due to the lack of idiotypic connectivity of 14F7MAb. 相似文献
29.
30.
Evidence for linkage of nonsyndromic cleft lip with or without cleft palate to a region on chromosome 2 总被引:4,自引:0,他引:4
Zeiger JS Hetmanski JB Beaty TH VanderKolk CA Wyszynski DF Bailey-Wilson JE de Luna RO Perandones C Tolarova MM Mosby T Bennun R Segovia M Calda P Pugh EW Doheny K McIntosh I 《European journal of human genetics : EJHG》2003,11(11):835-839
Results from a genome-wide screen of 10 multiplex families ascertained through probands with nonsyndromic cleft lip with or without cleft palate (CL/P) in Mexico, Argentina, and the United States yielded suggestive evidence of linkage to chromosomes 2, 6, 17 and 18. Fine mapping excluded all regions except chromosome 2. Subsequent analysis was performed on the original 10 families plus an additional 16 families using 31 markers on chromosome 2. This analysis showed intriguing evidence of linkage to 2q (Zlr=2.26, empirical P-value=0.028 in a chromosome-wide analysis). Transmission disequilibrium tests also revealed evidence of linkage and disequilibrium for two markers in this region (D2S168 and D2S1400 with P-values=0.022 and 0.006, respectively). A subset of these 26 families provided additional evidence for a susceptibility gene for CL/P on 2q, suggesting that further studies of genes in this region are warranted. 相似文献