Limits and possibilities experienced by nurses in the treatment of women with chronic venous ulcers / Límites y posibilidades vividas por enfermeras en el tratamiento de mujeres con úlcera venosa crónica / Limites e possibilidades vivenciados por enfermeiras no tratamento de mulheres com úlcera venosa crônica

Objective To understand the experiences and expectations of nurses in the treatment of women with chronic venous ulcers. Method Phenomenological research was based on Alfred Schütz, whose statements were obtained in January, 2012, through semi-structured interviews with seven nurses. Results The nurse reveals the difficulties presented by the woman in performing self-care, the perceived limitations in the treatment anchored in motivation, and the values and beliefs of women. It showed professional frustration because venous leg ulcer recurrence, lack of inputs, interdisciplinary work and training of nursing staff. There was an expected adherence to the treatment of women, and it emphasized the need for ongoing care, supported self-care and standard practices in treatment. Conclusion That treatment of chronic venous leg ulcers constitutes a challenge that requires collective investment, involving women, professionals, managers and health institutions. .

Objetivo Comprender las experiencias y expectativas de enfermeras en el tratamiento de mujeres con úlcera venosa crónica. Método Investigación fenomenológica fundamentada en Alfred Schutz, que buscó Se realizó entrevista semiestructurada con siete enfermeras, en enero del 2012. Resultados La enfermera revela dificultades presentadas por la mujer para realizar el autocuidado, percibe limitaciones en el tratamiento relacionadas con la desmotivación, los valores y las creencias de las mujeres. Refiere frustración profesional debido a la recidiva de la lesión, a la falta de insumos, al deficiente trabajo interdisciplinar y a la limitada capacitación del equipo de enfermeras. Espera la adhesión de la mujer al tratamiento y resalta la necesidad del cuidado continuo, del autocuidado apoyado y de estandarizar conductas de tratamiento. Conclusión El tratamiento de la úlcera venosa crónica es un desafío que requiere contribución colectiva, involucrando a las mujeres, a los profesionales, a los gestores y a las instituciones de salud. .

Objetivo Compreender as experiências e expectativas de enfermeiras no tratamento de mulheres com úlcera venosa crônica na Atenção Primária à Saúde. Método Pesquisa fundamentada na fenomenologia social de Alfred Schütz, com depoimentos obtidos em janeiro de 2012, por meio de entrevista semiestruturada com sete enfermeiras. Resultados As enfermeiras revelam dificuldades apresentadas pelas mulheres com úlcera venosa crônica para realizar o autocuidado, percebem limitações na terapêutica ancoradas na desmotivação e nos valores e crenças das mulheres. Referem frustração profissional em razão da recidiva da lesão, falta de insumos e tecnologia, de trabalho interdisciplinar e da capacitação da equipe de enfermagem. Esperam a adesão das mulheres ao tratamento e ressaltam a necessidade do cuidado contínuo, do autocuidado apoiado e da padronização de condutas no tratamento. Conclusão O tratamento da úlcera venosa crônica constitui-se em um desafio que requer investimento coletivo, envolvendo a mulher, os profissionais, os gestores e as instituições de saúde. .

Neuron to nerve terminals: aspects of neuropathology and toxicology

The nervous system is highly plastic. Its development and maturation is characterised by neuronal proliferation, specialisation and loss and the sorting of synaptic connectivity. Transmission (chemical and electrical), receptor and ion channel transcription and distribution all contribute to the emerging selectivity of action. Numerous factors – especially genetic and autoimmune – and extrinsic factors – synthetic and natural toxic chemicals – disrupt this process of development and maturation or interfere with the function and structure of the mature system. In this review, the response of the peripheral nervous system to such influences is discussed.

Factor de crecimiento neuronal y sus posibles implicaciones terapéuticas en la actualidad / Nerve growth factor and its possible therapeutical implications today

Desde 1934 se realizaron estudios analizando los efectos que sobre las células sensitivas y neuronas motoras espinales que inervaban las extremidades de animales, producía la extirpación de primordios nerviosos. Las observaciones obtenidas de estos estudios (después de algunos años) permitieron el descubrimiento de un factor promotor del crecimiento neuronal, al cual se designó como factor de crecimiento neuronal (NGF). El NFG es la sustancia mejor caracterizada dentro de una familia de moléculas que se requieren para la supervivencia y el desarrollo de neuronas durante etapas embrionarias del crecimiento y durante la vida adulta. Se ha observado que, bajo ciertas circunstancias, la infusión exógena de BGF puede promover la supervivencia neuronal y la regeneración axonal, por lo cual, en la actualidad, se ha intentado la utilización de este factor para mejorar algunas condiciones patológicas en las cuales el principal componente es el daño neuronal, pudiendo producirse este último por diferentes mecanismos. Dado lo anterior, se ha postulado que la administración de BGF recombinante humano pudiera ser, en el futuro, de utilidad para el tratamiento de enfermedades del sistema nervioso central y periférico, ya que en algunos de los estudios realizados se ha demostrado que este factor puede tener efectos benéficos

Mechanism of transmission and modulation of renal pain in cats; effect of nucleus raphe magnus stimulation on renal pain

Initially, when periaqueductal gray (PAG) is electrically stimulated, analgesia is induced, and this phenomenon is called stimulation-produced analgesia. Nucleus raphe magnus (NRM) as well as PAG are known to be the potent analgesic centers. NRM could modulate the nociceptive response of spinal cord neurons through spinally projecting fibers. However, as well as the above analgesic effects have been confined to the somatic pain, it was variable according to species, and the analgesic effect by NRM stimulation on the visceral pain was not yet clarified. In this study the analgesic effect by NRM stimulation on the visceral pain was examined through recording the activities of the dorsal horn neurons with renal input and renal pain, as a type of visceral pain. The renal pain was induced by ureteral occlusion or renal arterial occlusion, which in turn activated the renal mechanoreceptor or chemoreceptor. These cells had concomitant somatic input. In order to compare the effects of NRM stimulation on the renal pain with somatic pain, the somatic stimulation such as squeezing was conducted on the peripheral receptive field. The main results are summarized as follows: 1) After an electrical stimulation of NRM, spontaneous activities of dorsal horn neurons with renal input were reduced to 73.3 +/- 9.7% of the control value. 2) After an electrical stimulation of NRM, activities of dorsal horn neurons with renal input evoked by a brush, a type of non-noxious stimuli, did not change significantly. But the activities by a squeeze, a type of noxious stimuli, the activities were reduced to 63.2 +/- 7.2% of the control value. 3) After an electrical stimulation of NRM, activities of dorsal horn neurons with renal input evoked by occlusion of ureter or renal artery were reduced to 46.7 +/- 8.8% and 49.0 +/- 8.0% of the control value respectively. 4) The inhibitory effect of NRM on the dorsal horn neurons with renal input did not show any difference between renal A delta fiber and C fiber group. 5) By the electrical stimulation of NRM, the activities evoked by ureteral occlusion showed more reduction in the high threshold cell group than in the wide dynamic range cell group. These results suggest that activation of NRM can alleviate the renal pain as well as the somatic pain by modulating the dorsal horn neurons activities.

Valor do esfregaço no diagnóstico per-operatório dos tumores do sistema nervoso / Value of smear in the diagnosis of perioperative nervous system tumors

O objetivo do estudo foi testar a técnica do esfregaço no Departamento de Patologia da Universidade Federal Fluminense e fazer uma análise citológica dos tumores do sistema nervoso. Foram examinados 137 esfregaços e correlacionados aos aspectos cito e histológicos. Foram também analisadas citologicamente amostras de tecido nervoso normal obtido de necrópsias, com o objetivo de reconhecê-los nas biópsias e distingui-lo do tecido neoplásico. Os resultados demonstraram um percentual de acertos de 91,2%, que coincide com o observado na literatura.