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Prevalent Signs and Symptoms in Patients with Skin Cancer and Nursing Diagnoses
Lisboa, Isabel Neves Duarte,de Azevedo Macena, Monica Suela,da Conceicao Dias Fernandes, Maria Isabel,de Almeida Medeiros, Ana Beatriz,de Lima, Cyndi Fernandes,de Carvalho Lira, Ana Luisa Brandao Asian Pacific Journal of Cancer Prevention 2016 Asian Pacific journal of cancer prevention Vol.17 No.7
Background: Skin cancer has a remarkable importance given the high incidence in the population. In Brazil, it is estimated that there were 98,420 new cases of non-melanoma skin cancer among men and 83,710 new cases among women in 2014. Objectives: To verify signs and symptoms present in patients with skin neoplasms according to the literature and relate them to the nursing diagnoses of NANDA International. Materials and Methods: Integrative literature review carried out from March to May 2015 in the databases: Cumulative Index to Nursing and Allied Health Literature, SCOPUS, National Library of Medicine and Nattional Institutes of Health, Latin American and Caribbean Sciences of Health and Web of Science. The descriptors used were: 'Signs and Symptoms' and 'Skin Neoplasms'. Sixteen articles were identified as the final sample. After review, the signs and symptoms of skin cancer identified in the literature were related to the defining characteristics present in NANDA International, with the aim to trace possible nursing diagnoses. Results: The most prevalent signs and symptoms were: asymmetric and well circumscribed nodules with irregular borders; speckles with modified color aspect; ulcerations; blisters; pain; itching; and bleeding. The principal nursing diagnoses outlined were: risk for impaired skin integrity; impaired skin integrity; acute pain; risk of shock; and impaired comfort. Conclusions: The identification of signs and symptoms present in patients with skin cancer and the relationships of these with the nursing diagnoses of NANDA International provide a basis for qualified and systematized nursing care to this clientele.
Strange Foreigners We Are!: Identity Transits in Portuguese Immigration
Isabel Pires de LIMA 이화여자대학교 이화인문과학원 2012 탈경계인문학 Vol.5 No.1
Portugal, a country for centuries in a Diaspora fed upon by massive waves of emigration in the 19th and 20th centuries, has become a destination for Cape Verdean, Moldovan, Brazilian, Ukrainian, Chinese, and Russian immigration over the last 15 years. From an analysis of Portuguese and Brazilian contemporary fiction works in the fields of novels, cinema, video, I attempt to study how identities in transit are developed and built through processes of cultural hybridism and of ‘ghettoization’ experiences, leading both the Portuguese and the others, the immigrants, to become some ‘others’—we are all strange foreigners in the sudden world of global migrations.
Experimental analysis on steel and lightweight concrete composite beams
Isabel B. Valente,Paulo J.S. Cruz 국제구조공학회 2010 Steel and Composite Structures, An International J Vol.10 No.2
The present work describes the experimental tests on steel and lightweight concrete composite beams performed at University of Minho, Portugal. The study involves tests on simply supported composite beams of 4.5 m span, with the same geometrical disposition, supports and materials. The geometrical configuration for the cross section and supports is identical for every beam, varying the shear connectors?distribution and the loading conditions. Headed studs are used to provide the connection between the steel profile and the concrete slab. The parameters in study are the stud disposition and the load distribution. The main objective is to describe the composite beams behaviour, focused on its connection, and to analyse the contribution of the different components to the beams load and deformation capacity. All the tests explored the beams maximum load and deformation capacity and different types of failure were observed.
Isabel Hidalgo,Alicia Ortiz,Marı´a Sanchez-Pardo,Leticia Gardun˜o-Siciliano,Marcela Herna´ndez-Ortega,Francisco Villarreal,Eduardo Meaney,Nayelli Najera,Guillermo Manuel Ceballos 한국식품영양과학회 2019 Journal of medicinal food Vol.22 No.6
In the production of chocolate, only cocoa seeds are used, generating by-products that are generally discarded, increasing the risk of environmental contamination. Given fiber, carbohydrates, proteins, and flavonoid content the use of cacao pod husks can generate nutraceutical products for human consumption. In contrast, obesity represents a major public health problem worldwide. Cacao derivatives are able to modulate overweight and lipid disorders. The objective of present work was to prepare and characterize products using cacao by-products and analyze their effects on altered cardiometabolic risk markers in an obesity model induced by high fat diet and fructose ingestion in rats. The effects of a pellet and extracts made with outer pod husk and kernel husk for 5 weeks were analyzed in an obesity rat model. The treatments significantly decreased body weight by 39%, systolic blood pressure by 27%, triglycerides by 55%, total cholesterol by 24%, low-density lipoprotein cholesterol by 37%, and the triglycerides/high-density lipoprotein ratio by 54%. Cacao by-products improved the metabolic function of obese animals, without causing secondary effects
Isabel Siow,Benjamin Y.Q. Tan,Keng Siang Lee,Natalie Ong,Emma Toh,Anil Gopinathan,Cunli Yang,Pervinder Bhogal,Erika Lam,Oliver Spooner,Lukas Meyer,Jens Fiehler,Panagiotis Papanagiotou,Andreas Kastrup 대한뇌졸중학회 2022 Journal of stroke Vol.24 No.1
Background and Purpose Mechanical thrombectomy (MT) is an effective treatment for patients with basilar artery occlusion (BAO) acute ischemic stroke. It remains unclear whether bridging intravenous thrombolysis (IVT) prior to MT confers any benefit. This study compared the outcomes of acute BAO patients who were treated with direct MT versus combined IVT plus MT. Methods This multicenter retrospective cohort study included patients who were treated for acute BAO from eight comprehensive stroke centers between January 2015 and December 2019. Patients received direct MT or combined bridging IVT plus MT. Primary outcome was favorable functional outcome defined as modified Rankin Scale 0–3 measured at 90 days. Secondary outcome measures included mortality and symptomatic intracranial hemorrhage (sICH). Results Among 322 patients, 127 (39.4%) patients underwent bridging IVT followed by MT and 195 (60.6%) underwent direct MT. The mean±standard deviation age was 67.5±14.1 years, 64.0% were male and median National Institutes of Health Stroke Scale was 16 (interquartile range, 8 to 25). At 90-day, the rate of favorable functional outcome was similar between the bridging IVT and direct MT groups (39.4% vs. 34.4%, P=0.361). On multivariable analyses, bridging IVT was not associated with favorable functional outcome, mortality or sICH. In subgroup analyses, patients with underlying atherosclerosis treated with bridging IVT compared to direct MT had a higher rate of favorable functional outcome at 90 days (37.2% vs. 15.5%, P=0.013). Conclusions Functional outcomes were similar in BAO patients treated with bridging IVT versus direct MT. In the subgroup of patients with underlying large-artery atherosclerosis stroke mechanism, bridging IVT may potentially confer benefit and this warrants further investigation.
Isabel F. Almeida,Eduarda Fernandes,José L.F.C. Lima,Patrícia Valentão,Paula B. Andrade,Rosa M. Seabra,P.C. Costa,M.F. Bahia 한국식품영양과학회 2009 Journal of medicinal food Vol.12 No.1
Eucalyptus globulus Labill. (Family Myrtaceae) is a plant of Australian origin, with a reported therapeutic use in airway inflammatory diseases. Considering that reactive oxygen species (ROS) and reactive nitrogen species (RNS) have been implicated in the pathogenesis of airway inflammatory diseases such as asthma and chronic obstructive pulmonary disease, an effective scavenging activity against these reactive species may contribute for the therapeutic effect of this plant. In the present study, a water extract of E. globulus leaves was evaluated for its putative in vitro scavenging effects on ROS (HO·, O2·−, ROO·, and H2O2) and RNS (·NO and ONOO−) and on 2,2-diphenyl-1-picrylhydrazyl radical (DPPH). Qualitative and quantitative analyses of the extract's phenolic composition were also performed. The Eucalyptus leaf water extract presented a remarkable capacity to scavenge all the reactive species tested, with all the 50% inhibitory concentrations being found at the μg/mL level. Phytochemical analysis showed the presence of polyphenols such as flavonoids (rutin and quercitrin) and phenolic acids (chlorogenic acid and ellagic acid), which may be partially responsible for the observed antioxidant activity. These observations provide further support, beyond the well-known antibacterial and antiviral activities of the Eucalyptus plant, for its reported use in traditional medicine such as in the treatment of airway inflammatory diseases, considering the important role of ROS and RNS in the inflammatory process, although further studies are needed to prove the bioavailability of the antioxidants/antibacterial compounds of the extract as well as the ability of the active compounds to reach specific tissues and to act in them.