A Qualitative Study Exploring the Perceived Barriers Among Patients After Percutaneous Coronary Intervention

@#Introduction: Cardiovascular diseases, particularly coronary heart disease (CHD), are the third biggest cause of mortality worldwide, and percutaneous coronary intervention (PCI) is one of the available treatments. The patient’s self-efficacy in performing self-care decreases as a result of several post-PCI hurdles, which has an effect on their quality of life. The purpose of this investigation was to explore the barriers that patients experience following PCI. Methods: The study design used was descriptive qualitative in 15 patients after PCI. Purposive sampling was used to conduct the participant recruitment process. Between June 2021 and January 2022, data were collected using a semi-structured interviewing method. The data were analysed through the use of thematic content analysis. Results: The thematic content analysis found four themes: 1) Perceived physical barriers; 2) Perceived psychological barriers; 3) Low adherence; 4) The adverse side effects of medications. Conclusion: The results of this study highlight the value of empowering patients to take care of themselves at home following PCI and assisting in the creation of holistic and continuity nurse intervention models.

ARABIDOPSIS MUESTRA RESISTENCIA NO-HOSPEDERO CONSTITUTIVA CONTRA Xanthomonas phaseoli pv. manihotis / Arabidopsis shows non-host constitutive resistance against Xanthomonas phaseoli pv. Manihotis

RESUMEN La bacteriosis vascular de la yuca, causada por la bacteria gram negativa Xanthomonas phaseoli pv. manihotis (Xpm), anteriormente conocida como Xanthomonas axonopodis pv. manihotis, es la principal enfermedad bacteriana que compromete su producción. Con la meta de generar una resistencia durable y de amplio espectro a la bacteriosis es posible explotar los mecanismos naturales presentes en plantas no-hospedero. Arabidopsis es una planta modelo extensamente estudiada, la cual es no-hospedero de Xpm. La meta de este estudio fue determinar si la resistencia no-hospedero de Arabidopsis es consecuencia de la presencia de barreras físicas o si esta depende de determinantes genéticos. En este trabajo se evaluó la capacidad de plantas de Arabidopsis de responder a la inoculación con Xpm. Ninguno de los ocho ecotipos de Arabidopsis evaluados mostraron una respuesta hipersensible a la inoculación con ocho diferentes cepas de Xpm. Aunque no se identificó la presencia de especies reactivas de oxígeno si se encontró un bloqueo en el crecimiento de Xpm en las plantas de Arabidopsis. En conjunto, los resultados aquí presentados sugieren que Arabidopsis no está activando una respuesta contra Xpm y que la resistencia observada puede ser consecuencia de las barreras físicas presentes en Arabidopsis que Xpm no es capaz de superar.

ABSTRACT Cassava bacterial blight (CBB), caused by the gram-negative bacteria Xanthomonas phaseoli pv. manihotis (Xpm), previously known as Xanthomonas axonopodis pv. manihotis, is the main bacterial disease compromising cassava production. With the aim to generate durable and broad-spectrum resistance to CBB is possible to exploit the natural mechanism present in non-host plants. Arabidopsis is an extensively studied model plant, which is a non-host of Xpm. The aim of this study was to determinate if the Arabidopsis non-host resistance is a consequence of physical barriers or if it depends on genetic determinants. In this work we evaluated the ability of Arabidopsis plants to respond after Xpm inoculation. None of the eight Arabidopsis ecotypes showed a hypersensitive response after inoculation with eight different Xpm strains. Although reactive oxygen species (ROS) production was not present, impairment in Xpm proliferation was found. These results suggest that Arabidopsis is not activating an immunity response against Xpm and the resistance might be a consequence of physical barriers present in Arabidopsis that Xpm is not able to overcome.

Barreiras físicas e o acesso às aulas de educação física / Physical barriers and access to physical education classes / Ebarreras y acceso físico para las clases de educación física

O conceito “inclusão” tem sido amplamente discutido, mas para que se torne realidade necessita que toda a sociedade se adapte. O objetivo deste estudo foi descrever a situação das barreiras físicas existentes em escolas de um município do Estado de São Paulo, com relação ao ambiente pedagógico destinado às aulas de Educação Física (EF). Foram observados espaços como banheiro, salas de aula, calçadas, entre outros, de 29 escolas. A coleta de dados se deu através de um protocolo de observação. Os resultados demonstraram que apenas 13% das escolas permitem que a Pessoa com Deficiência Física (PDF) se locomova em seu interior sem auxílio, sendo apenas três as que possuem rotas alternativas de acesso. E ainda, 90% das escolas não possuem condições físicas mínimas para oferecer à PDF um convívio adequação no contexto das aulas de EF.

The term "inclusion" has been widely discussed, but that becomes a reality requiresthat every society is adpte. The aim of this study was to describe the situation of physical barriers in the state schools in a municipality of the State of São Paulo, mainly in relation to the educational environment for the physical education classes(PE). Where observed spaces like bathrooms, classroons, sidewalk, among others,in 29 schools. Data collection was through an observation protocol. The results showed that access to the building, only 13% of schools allow a person with physical disabilities (PDF) to get around inside without assistance, being only three, those that have alternative routes of access, and yet, 90% of them do not possess the minimum physical conditions to offer a PDF conviviality adequacy in the contextof PE classes.

El término "inclusión" ha sido ampliamente discutido, pero que se convierte en una realidad cada sociedad debe adaptarse. El objetivo de este estudio fue describir lasituación de las barreras físicas en las escuelas en un municipio del Estado de São Paulo, con respecto al ambiente educativo para las clases de Educación Física (EF).Se han observado ambientes en 29 escuelas. Los datos fueron colectados a través de un protocolo de observación. Los resultados mostraron que sólo el 13% de las escuelas permite que una persona con discapacidad física (PDF) se locomova elinterior sin ayuda, ya que sólo tres, los que tienen rutas alternativas de acceso, y,sin embargo, el 90% de ellos no tienen condiciones físicas mínimas para ofrecer adecuada convivencia PDF en el contexto de la EF.

Outcome of Housebound Seniors:5 Years Follow-up / 中国康复理论与实践

Objective To investigate the outcome of community seniors after 5 years of housebound, and the factors related with the out-come. Methods The housebound seniors confirmed 5 years ago in 5 communities in Tangshan were investigated with self-designed question-naire and elderly depression rating scale again. Results 42.1%of the 147 housebound seniors remained housebound. There was significance between the seniors housebound and non-housebound in the factors of population sociology, such as age, spoused, economic income, hous-ing floor, relationship with their children and social communication, and physical and psychological factors, such as health self-evaluation, loneliness and depression. Conclusion Seniors housebound in community may be reversible with some approaches of intervention.

Acessibilidade em ambiente universitário: identificação de barreiras arquitetônicas no campus da USP de Bauru / Accessibility in the university environment: identification of architectural barriers in the USP campus of Bauru

A acessibilidade é um direito do cidadão assegurado por lei para que portadores de deficiência tenham a possibilidade de usufruir de recursos e ações no âmbito social. Barreiras arquitetônicas interferem na vida destes podendo deixá-los a parte da convivência e vida social. Os objetivos deste estudo foram: identificar, descrever e mapear barreiras físicas no Campus da Universidade de São Paulo de Bauru e apresentar as intervenções realizadas, durante o período de outubro de 2001 a dezembro de 2005. O estudo foi descritivo-quantitativo, no qual a coleta de dados centrou-se na análise das condições arquitetônicas das três unidades que compõe este campus, observada as normativas da Associação Brasileira de Normas técnicas e realizada intervenções. Foram identificados: 72 pontos de guias não rebaixadas, 21 pontos de acessos com diferenças de níveis sem rampas; 220m² de escadas/rampas sem corrimãos; 658m² de escadas/rampas com corrimãos em discordância com as normas vigentes; 03 rampas com inclinações superiores às determinadas nas normas técnicas; 10 banheiros parcialmente adaptados para deficientes; 02 vagas de estacionamento parcialmente adaptadas e 02 elevadores existentes. Foram executados, em 19 pontos, rebaixamentos de guias, somando 115 m², com linhas de piso tátil, pintados; 8 rampas; 14 pontos de escadas e rampas externas instaladas com corrimãos e guarda-corpos, 5 vagas exclusivas no estacionamento; instalado 2 centrais de atendimento telefônico para surdo e adquiridas 3 cadeira de rodas. As intervenções realizadas contribuíram para melhorar a acessibilidade de portadores de deficiência no campus favorecendo a utilização dos recursos existentes neste espaço público.

All citizens have the right assured by law to accessible to enable people with disabilities to enjoy resources and activities in the social environment. Physical barriers intervene in their life and can exclude them from living with others. This study's aims were to identify, describe and map the physical barriers at the Campus of Bauru of the University of São Paulo and to introduce interventions undertaken from October 2001 to December 2005. This was a quantitative descriptive study, in which data was collected on the architectural conditions analysis of the three units that make up this campus. The norms established by the Associação Brasileira de Normas Técnicas (ABNT) were used as bases for accomplishing the interventions. Results: 72 locations were identified as having curb cut problems, 21 points of access were found to have interruptions and grade changes that required ramps; 220m² of stairs/ramps had no handrails; 658m² of stairs/ramps had handrails that were not in accord with requirements; 3 ramps had inclinations higher than stipulated by requirements of the ABNT; 10 bathrooms were partially adapted for people with disabilities; 2 parking spaces were partially adapted and there were only 2 elevators. Curb cuts were installed at 19 points, adding 115 m² with tactile lines painted on the pavement; 8 ramps were installed; 14 handrails and guardrails were installed along external stairs and ramps, 5 reserved parking places were designated and marked; 2 central phones for deaf people were installed and 3 wheelchairs were acquired. The various interventions contributed to improve accessibility for people with disabilities on campus facilitating the use of existing resources of public space.