Effectiveness of a “home care model” for oral cancer patients on the home care competency of their caregivers

Background: Cancer can occur to everyone regardless of sex, age, culture, socioeconomic status, and geographical area. Various forms of cancer strike at different age, ethnic, gender groups with severity, and varying frequency. Objective: The study objectives were as follows: (1) To develop and implement a home care model on home care competency of caregivers and (2) to evaluate the effectiveness of home care model on home care competency of caregivers. Materials and Methods: For this study, a quantitative research approach was used to develop and implement a home care model on home care competency (knowledge and practice) of caregivers. A quasi-experimental one-group pre-test and post-test design was used in the study. The study was conducted in a selected hospital, Dehradun, Uttarakhand. Consecutive sampling technique was used to select the study subject. Data were collected from 40 caregivers of oral cancer patients using a structured knowledge questionnaire, structured self-report nutritional practice checklist, and structured observational wound care checklist. Results: The mean post-test practice scores and knowledge scores (18.75, 12.82, and 7.55) were higher than mean pre-test practice scores and knowledge scores (11.95, 8.85, and 4.23) which were found statistically significant at P < 0.05. The mean percentage area-wise distribution of knowledge regarding nutritional management at pre-test was 51% and wound care management was 55%, which was improved for both (81%) at post-test. No significant association was found between knowledge and practice except occupation. Minor correlation was found between post-test knowledge and post-test practice scores. Conclusion: It is concluded that home care competency program was found effective to improve the knowledge and practice of caregivers of oral cancer patients.

Compor imagens: clínica psicoterápica da melancolia e dos estados depressivos / Composing Images: psychotherapeutic clinic for melancholy and depressive dtates / Composer des images: la clinique psychothérapique de la mélancolie et les états dépressifs / Componer imágenes: clínica psicoterapéutica de la melancolía y de los estados depresivos

O artigo apresenta a modalidade de composição estética associada à psicanálise na clínica da depressão e da melancolia. Para tanto, analisa a relação da imagem visual com a palavra, o ato como corte, a suplência na melancolia e a relação entre o sensório e o estético.

This paper discusses a combination of esthetic composition and psychoanalysis for treating depression and melancholia. The relationship between visual images and words, act as rupture, substitution in melancholia and the relationship between feeling and esthetics are discussed.

Cet article présente le mode de composition esthétique associé à la psychanalyse dans le traitement de la dépression et de la mélancolie. Dans ce but, on analyse le rapport entre les images visuelles et les mots, l'acte comme coupure, la suppléance dans la mélancolie et le rapport entre le sensoriel et l'esthétique.

El artículo presenta el modo de composición estética asociada con el psicoanálisis en el tratamiento de la depresión y de la melancolía. Se analiza la relación de la imagen visual con la palabra, el acto como un corte, la suplencia en la melancolía y la relación entre lo sensorial y lo estético.

Proposta de padronização farmacotécnica para dispensação não farmacopeica de medicamentos homeopáticos em potências cinquenta-milesimais (LM) diluídas, em complexos e em glóbulos / Proposal for pharmacotechnical standardization of non-pharmacopeial preparation of homeopathic medicines in fifty-millesimal potencies (LM) with additional dilution, as complex or in globules

O preparo e a dispensação dos medicamentos homeopáticos, em nosso país, são realizados em farmácias com manipulação homeopática, fato que possibilita a perfeita adequação da prescrição às necessidades do paciente. O trabalho da classe farmacêutica homeopática levou à publicação de várias edições da Farmacopeia Homeopática Brasileira; com isto foi padronizada a manipulação desses medicamentos nas diversas farmácias do país. Com o tempo, porém, observamos que algumas necessidades não foram supridas. Com o objetivo de colaborar com a padronização dos medicamentos, neste trabalho propomos um procedimento para preparo e dispensação de medicamentos com o método cinquenta-milesimal diluídos (para pacientes mais sensíveis), sob a forma decomplexos e ainda em glóbulos.

In Brazil, homeopathic medicines are prepared and delivered by homeopathic pharmacies, which allows for exact fitting of the medicines to the patients’ needs. As a result of the cumulative work of homeopathic pharmacists, several editions of the Brazilian Homeopathic Pharmacopeia were published, resulting in nationwide standardization of the preparation of homeopathic medicines. That advance notwithstanding, clinical practice showed that some particular cases escaped the scope of the standards. To contribute to a more thorough standardization of the preparation of homeopathic medicines, in the present article we describe procedures for preparation and delivery of fifty-millesimal (LM) potencies with additional dilutions (for more sensitive patients), in complex formulas or globules.

IgG intrathecal synthesis and specific antibody index in patients with neurocysticercosis

We analyzed cerebrospinal fluid (CSF) and blood serum from 55 patients with neurocysticercosis (NC) at different clinical stages. According to inflammatory activity in the CSF, three stages were identified: (1) reactive, when there was at least an increase in the number of cells; (2) weakly reactive, when significant alterations were found in the CSF, including an increase in gamma globulins, albeit without hypercytosis; (3) non-reactive, when there was neither hypercytosis nor increase in gamma globulins. Nineteen patients had the reactive form; 18 had the weakly reactive form; 18 displayed the non-reactive form. Local immunoproduction was intense in the reactive group, moderate in the weakly reactive group, and absent in the non-reactive group. The specific antibody index was raised in approximately 2/3 of patients with the reactive form, 2/3 in those with the weakly reactive form, and 1/3 in those with the non-reactive form. In conclusion: (1) the classical CSF syndrome in NC can present both in complete and partial modes; (2) local immunoproduction can occur in weakly reactive forms; (3) a raised specific antibody index can occur in the absence of an inflammatory reaction in the CSF

A atuaçäo do enfermeiro em radioterapia / The role of the nurse in radiation oncology

Este trabalho tem como objetivo mostrar a importância do enfermeiro no setor de radioterapia dando ênfase a três níveis de atuaçÝo: administrativo, assistencial e educacional. Em decorrência dos avanços técnico-científico da área da saúde, foi necessário a criaçÝo de novos serviços impondo os profissionais de saúde - entre os quais o enfermeiro - a necessidade de se atualizar e se adaptar a esse processo de desenvolvimento. Atualmente se tem reconhecido a importância do atendimento do enfermeiro aos pacientes que se submetem à quimioterapia, na radioterapia entretanto ainda sÝo poucos os serviços que valorizam e dispSem de um enfermeiro especializado. Os autores relatam suas experiências administrativas no que se referem ao processo de gerenciamento do serviço e a sua competência quanto à elaboraçÝo de relatórios administrativos, supervisÝo da equipe, coordenaçÝo do agendamento dos pacientes em tratamento, entre outras atividades. Quanto à área assistencial o enfermeiro é visto como um profissional diferenciado que necessita de conhecimento especializado e habilidades específicas para desenvolver as suas atividades na área de radioterapia. Enfatiza-se a importância da Consulta de Enfermagem e todas as suas implicaçSes. Quanto ao aspecto educacional mostram os autores que esta açÝo se encontra presente nas áreas relatadas. Eles destacam o treinamento dos funcionários, o acompanhamento dos estagiários de enfermagem, reciclagem para a enfermagem e atividade extra-hospitalares. Esta conquista de novos espaços vem demonstrar o interesse pela aquisiçÝo de conhecimentos técnicos científicos do enfermeiro e, nas instituiçSes de saúde, este profissional vem se destacando como elemento imprescindível e insubstituível em relaçÝo à qualidade da assistência prestada, desenvolvendo uma atençÝo individualizada e buscando formas de integraçÝo entre o conhecimento e a açÝo.

Health legislation trends in the English-speaking American region: the last four years

This technical report contains three legislation studies of a general nature: Canada, English-speaking Caribbean, and United States