ABSTRACT
BACKGROUND: Oncology nurses are challenged to coordinate an effective, evidence-based approach to comprehensive patient education, symptom management, and psychosocial support for patients with pancreatic and colorectal cancers during chemotherapy. OBJECTIVES: The purpose of the study was to develop and evaluate a nurse-led psychoeducational intervention using a multimedia tool. METHODS: Development and testing of the intervention was grounded in the Science and Practice Aligned Within Nursing model for evidence-based practice implementation. FINDINGS: Forty-five participants completed the study (29 with pancreatic cancer and 16 with colorectal cancer). Patient knowledge increased significantly in patients with pancreatic cancer following the intervention (p = 0.05).
Subject(s)
Ambulatory Care , Palliative Care , Evidence-Based Practice , Humans , Oncology NursingABSTRACT
The purpose of this article is to share one institution's intervention to improve oral chemotherapy patient education. The overall aim was to provide clinicians with a single source of educational materials that would meet a diverse group of patients' educational needs and be consistent with published guidelines.â©.
Subject(s)
Antineoplastic Agents/administration & dosage , Neoplasms/drug therapy , Patient Education as Topic/methods , Teaching Materials/supply & distribution , Access to Information , Administration, Oral , Antineoplastic Agents/adverse effects , CD-ROM , Female , Humans , Male , Total Quality Management , United StatesABSTRACT
OBJECTIVE: To evaluate the influence of bonding and debonding of orthodontic brackets on dental in-home bleaching, taking into account three different adhesive systems. METHODS: Forty-four bovine incisors were divided into four groups according to the primer system used for orthodontic bracket bonding. Following the debonding of orthodontic brackets, the teeth were stored in staining solution for 96 hours. Then, teeth were whitened using 10% carbamide peroxide for two weeks at a 6-hour-a-day regime. Standardized digital photographs were taken at the following intervals: T0 (initial); T1 (after debonding); T2 (after pigmentation); T3, T4 and T5 representing 1, 7, and 14 days of bleaching. Repeatability and stability tests were carried out to check the method accuracy. Images were analyzed using Adobe Photoshop 7.0 software considering (L*a*b*) color coordinate values and a modified color difference total (ΔE'). RESULTS: The results of this study (ANOVA and Tukey; p < 0.01) demonstrated that after 7 days of bleaching, experimental groups showed significantly less teeth whitening compared to the control group. However, there were no significant color differences between the groups after 14 days, according to values of lightness (L*). CONCLUSIONS: Regardless of the adhesive primer system applied, bonding and debonding of orthodontic brackets alters the outcome of tooth whitening in the first 7 days of bleaching, however it has no influence on the whitening of the dental structure after 14 days of in-home dental bleaching with 10% carbamide peroxide.
Subject(s)
Dental Bonding/methods , Dental Cements/chemistry , Dental Debonding/methods , Orthodontic Brackets , Peroxides/chemistry , Tooth Bleaching Agents/chemistry , Tooth Bleaching/methods , Urea/analogs & derivatives , Analysis of Variance , Animals , Carbamide Peroxide , Cattle , Colorimetry , Urea/chemistryABSTRACT
OBJECTIVE: To evaluate the influence of bonding and debonding of orthodontic brackets on dental in-home bleaching, taking into account three different adhesive systems. METHODS: Forty-four bovine incisors were divided into four groups according to the primer system used for orthodontic bracket bonding. Following the debonding of orthodontic brackets, the teeth were stored in staining solution for 96 hours. Then, teeth were whitened using 10% carbamide peroxide for two weeks at a 6-hour-a-day regime. Standardized digital photographs were taken at the following intervals: T0 (initial); T1 (after debonding); T2 (after pigmentation); T3, T4 and T5 representing 1, 7, and 14 days of bleaching. Repeatability and stability tests were carried out to check the method accuracy. Images were analyzed using Adobe Photoshop 7.0 software considering (L*a*b*)color coordinate values and a modified color difference total (Δ;E'). RESULTS: The results of this study (ANOVA and Tukey; p < 0.01) demonstrated that after 7 days of bleaching, experimental groups showed significantly less teeth whitening compared to the control group. However, there were no significant color differences between the groups after 14 days, according to values of lightness (L*). CONCLUSIONS: Regardless of the adhesive primer system applied, bonding and debonding of orthodontic brackets alters the outcome of tooth whitening in the first 7 days of bleaching, however it has no influence on the whitening of the dental structure after 14 days of in-home dental bleaching with 10% carbamide peroxide.
OBJETIVO: o objetivo desse estudo foi avaliar a influência da colagem e descolagem de braquetes ortodônticos no clareamento caseiro, considerando três diferentes sistemas adesivos. MÉTODOS: quarenta e quatro incisivos bovinos foram divididos em quatro grupos, de acordo com o sistema adesivo utilizado para colagem dos braquetes. Após a descolagem dos braquetes, os dentes foram pigmentados por 96 horas e depois clareados com peróxido de carbamida a 10% por 6 horas diárias, durante duas semanas. Foram realizadas fotografias digitais padronizadas nos tempos: T0 (inicial); T1 (após descolagem); T2 (após pigmentação); T3, T4 e T5 representando 1, 7 e 14 dias de clareamento. Testes de repetitividade e de estabilidade foram realizados para avaliar a acurácia do método. As imagens foram avaliadas pelo software Adobe Photoshop 7.0, considerando os parâmetros de cor (L*a*b*) e a diferença total de cor adaptada para esse estudo (Δ;E'). RESULTADOS: os resultados do presente estudo (ANOVA e Tukey; p < 0,01) demonstraram que, após uma semana de clareamento, os grupos experimentais apresentaram uma resposta mais lenta ao clareamento que o grupo controle. Contudo, após 14 dias, não houve diferença cromática significativa entre os grupos, observada pelos valores de luminosidade (L*). CONCLUSÕES: independentemente do sistema adesivo utilizado, a colagem e descolagem de braquetes ortodônticos altera os resultados de obtenção de cor com sete dias de avaliação. Contudo, após 14 dias não se observa nenhuma diferença de cor na estrutura dentária clareada pela técnica caseira.
Subject(s)
Animals , Cattle , Dental Bonding/methods , Dental Cements/chemistry , Dental Debonding/methods , Orthodontic Brackets , Peroxides/chemistry , Tooth Bleaching Agents/chemistry , Tooth Bleaching/methods , Urea/analogs & derivatives , Analysis of Variance , Colorimetry , Urea/chemistryABSTRACT
No Brasil, os portadores de tuberculose pulmonar sao tratados atravTs da associatpo rifampicina (600 mg), isoniazida (400 mg) e pirazinamida (2 g) ao dia, durante seis meses. Tal forma de terapOutica pode levar ao aparecimento de les)es hepßticas agudas ou cr(nicas. Com finalidade de caracterizß-las, estudamos 1096 portadores de tuberculose pulmonar, sendo 773 do sexo masculino e 323 do feminino. Destes, 66 desenvolveram sinais clfnicos e laboratoriais de agresspo as cTlulas parenquimatosas do ffgado. Do total, 21 (31,81 por cento) cursaram com elevat)es dos nfveis sTricos de bilirrubinas, enquanto 45 (68,19 por cento) com acentuatpo das concentrat)es plasmßticas de aminotransferases. Estas, foram mais freqnentes entre as mulheres, npo guardando relatpo entre ratas ou faixa etßria. Normalizatpo das taxas ocorreu mais rapidamente entre etilistas e npo-tabagistas. As alterat)es hepßticas foram caracterizadas como de pequena e mTdia intensidade, traduzidas por colestase pura ou reat)es hepßticas do tipo hepatocanalicular. Possivelmente, a rifampicina foi importante nesta evolutpo, atuando como potencializador das at)es despertadas pela isoniazida e pirazinamida.
Subject(s)
Female , Humans , Aged , Adult , Middle Aged , Antitubercular Agents/therapeutic use , Isoniazid/therapeutic use , Pyrazinamide/therapeutic use , Rifampin/therapeutic use , Tuberculosis, Pulmonary/drug therapy , Age Factors , Brazil , Ethnicity , Incidence , Isoniazid/adverse effects , Liver Diseases/chemically induced , Pyrazinamide/adverse effects , Rifampin/adverse effects , Sex FactorsABSTRACT
o presente trabalho tem como objetivo a revisão dos principais tópicos relativos à bronquiectasia,desde o conceito até o tratamento,enfocando etiologia,patogenia,tipos,manifestações clinicas,diagnóstico,tratamento,complicações e prognóstico
