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Content validity and internal consistency of an algorithm for cleansing wounds with granulation and necrotic tissues: Content validity and internal consistency of an algorithm for cleansing wounds with granulation and necrotic tissues
No full textProtocols in the form of algorithms allow the nurse team to make rapid decisions, lowering risks and improving outcome. There is a lack of readily available protocols for the use of correct techniques and products for wound cleansing. Objective. To assess the content validity and internal consistency of an algorithm for cleansing wounds with granulation and necrotic tissues. Methods. A literature search was conducted to identify relevant studies for the construction of the algorithm, using the following descriptors: “wounds and injuries”, “algorithms”, “cleansing agents”, “therapeutic irrigation”, and “debridement” in both English, Brazilian Portuguese and Spanish. The development of the algorithm involved the planning and production of content and definition of topics. The algorithm was assessed for content validity by 20 judges and for internal consistency by 31 judges. Results. An algorithm was developed to help health professionals in the cleansing of wounds. It describes wound cleansing techniques and provides recommendations for therapeutic interventions and primary dressings, based on the type of wound tissue. The judges assessing the content validity of the algorithm reached consensus in two rounds of consultation. The algorithm showed good internal consistency with a Cronbach’s alpha of 0.851. Conclusions. The validated algorithms will provide health professionals with relevant information to choose appropriate wound cleansing techniques and therapeutic procedures according to the type of wound tissue.Protocols in the form of algorithms allow the nurse team to make rapid decisions, lowering risks and improving outcome. There is a lack of readily available protocols for the use of correct techniques and products for wound cleansing.Objective. To assess the content validity and internal consistency of an algorithm for cleansing wounds with granulation and necrotic tissues.Methods. A literature search was conducted to identify relevant studies for the construction of the algorithm, using the following descriptors: “wounds and injuries”, “algorithms”, “cleansing agents”, “therapeutic irrigation”, and “debridement” in both English, Brazilian Portuguese and Spanish. The development of the algorithm involved the planning and production of content and definition of topics. The algorithm was assessed for content validity by 20 judges and for internal consistency by 31 judges.Results. An algorithm was developed to help health professionals in the cleansing of wounds. It describes wound cleansing techniques and provides recommendations for therapeutic interventions and primary dressings, based on the type of wound tissue. The judges assessing the content validity of the algorithm reached consensus in two rounds of consultation. The algorithm showed good internal consistency with a Cronbach’s alpha of 0.851.Conclusions. The validated algorithms will provide health professionals with relevant information to choose appropriate wound cleansing techniques and therapeutic procedures according to the type of wound tissue.Protocols in the form of algorithms allow the nurse team to make rapid decisions, lowering risks and improving outcome. There is a lack of readily available protocols for the use of correct techniques and products for wound cleansing. Objective. To assess the content validity and internal consistency of an algorithm for cleansing wounds with granulation and necrotic tissues. Methods. A literature search was conducted to identify relevant studies for the construction of the algorithm, using the following descriptors: “wounds and injuries”, “algorithms”, “cleansing agents”, “therapeutic irrigation”, and “debridement” in both English, Brazilian Portuguese and Spanish. The development of the algorithm involved the planning and production of content and definition of topics. The algorithm was assessed for content validity by 20 judges and for internal consistency by 31 judges. Results. An algorithm was developed to help health professionals in the cleansing of wounds. It describes wound cleansing techniques and provides recommendations for therapeutic interventions and primary dressings, based on the type of wound tissue. The judges assessing the content validity of the algorithm reached consensus in two rounds of consultation. The algorithm showed good internal consistency with a Cronbach’s alpha of 0.851.Conclusions. The validated algorithms will provide health professionals with relevant information to choose appropriate wound cleansing techniques and therapeutic procedures according to the type of wound tissue
Análise microbiológica de superfícies inanimadas de Unidades de terapia intensiva em hospital privado e público
No full textObjective: To microbiologically analyze inanimate surfaces in a public and a private hospital in the city of Cuiabá-MT, and compare the most frequently found microorganisms and their respective resistance mechanisms. Method: Cross-sectional observational study carried out in Intensive Care Units (ICU). 24 samples were collected from each hospital using Stuart swab, which were seeded on chocolate agar, blood and MacConkey culture media and incubated. Subsequently, the microorganisms were identified and an antibiogram was carried out on Mueller hinton agar. Result: In the public hospital, 21 microorganisms were isolated: Pseudomonas aeruginosa (19.1%), Acinetobacter baumannii and Staphylococcus sp coagulase neg. (14.3%), Burkholderia cepacia, Serratia marcescens and Klebsiella pneumoniae (9.5%), Citrobacter freundii, Escherichia coli, Serratia liquefaciens, Enterobacter aerogenes and Candida (4.8%). In the private hospital, 30 microorganisms were isolated: Pseudomonas aeruginosa (33.3%), Acinetobacter sp. (16.7%), Klebsiella sp. (13.3%), Stenotrhophomonas maltophilia (10%); Serratia marcescens (6.7%), Achomobacter, Citrobacter, Flavobacterium and Candida sp. (3.3%). Final considerations: These findings emphasize the ability of bacteria to survive on inanimate hospital surfaces, posing a risk for patients to acquire a hospital infection.Objetivo: Analisar microbiologicamente superfícies inanimadas de um hospital público e um privado no município de Cuiabá-MT, e comparar os microrganismos mais encontrados e os respectivos mecanismos de resistência. Método: Estudo observacional do tipo transversal realizado nas Unidades de Terapia Intensiva (UTI). Foram coletadas 24 amostras de cada hospital usando swab stuart, as quais foram semeadas nos meios de cultura ágar chocolate, sangue e o MacConkey e incubadas. Posteriormente depois foi realizado a identificação dos microrganismos e a realização do antibiograma em ágar Mueller hinton. Resultado: No Hospital público foram isolados 21 microrganismos: Pseudomonas aeruginosa (19,1%), Acinetobacter baumannii e Staphylococcus sp coagulase neg. (14,3%), Burkholderia cepacia, Serratia marcescens e a Klebsiella pneumoniae (9,5%), Citrobacter freundii, Escherichia coli, Serratia liquefaciens, Enterobacter aerogenes e a Candida correspondem (4,8%). No Hospital privado foram isolados 30 microrganismos: Pseudomonas aeruginosa (33,3%), Acinetobacter sp. (16,7%), Klebsiella sp. (13,3%), Stenotrhophomonas maltophilia (10%); Serratia marcescens (6,7%), Achomobacter, Citrobacter, Flavobacterium e a Candida sp. (3,3%). Considerações finais: Estas descobertas enfatizam a capacidade das bactérias sobreviverem em superfícies inanimadas hospitalares, representando um risco para os pacientes adquirirem uma infecção hospitalar
Migração e direito ao trabalho: uma análise discursiva da série “Ser Brasil - Migrantes e Refugiados”
No full textThe aim of this article is to analyze the notions of labor value in the context of migration and refuge in contemporary Brazil. The corpus is composed of five excerpts taken from the series "Ser Brasil – migrantes e refugiados" (2021), directed by André Constantin. The study is guided by the theoretical-methodological contribution of French-oriented discourse analysis in interdisciplinary dialogue with other literatures focused on migration and refuge studies, decoloniality and intersectionality. The analysis points to the mismatch between the notion of labor value in neoliberal policy and the role of the state under the principles of human rights.O objetivo deste artigo é analisar a noção de valor trabalho no contexto de migração e refúgio no Brasil contemporâneo. O corpus é constituído por cinco recortes extraídos da Série “Ser Brasil - migrantes e refugiados” (2021), dirigida por André Constantin. O estudo é orientado pelo aporte teórico-metodológico da análise do discurso de orientação francesa em diálogo interdisciplinar com outras literaturas centradas nos estudos de migração e refúgio, decolonialidade e interseccionalidade. As análises apontam para o descompasso entre a noção de valor trabalho na política neoliberal e o papel do Estado sob os princípios dos direitos humanos
Saussure, de John E. Joseph (Trad. por Bruno Turra)
No full textResenha do livro Saussure de John E. Joseph (Trad. por Bruno Turra
Fragmentum n. 60 (2022): António Lobo Antunes: narrativas sobre um mundo que arde
No full textNúmero completo
Tecnologias e linguagem audiovisual para educação: interação e interatividade
No full textA tecnologia audiovisual no contexto da aprendizagem multimídia interativa tem potencial para proporcionar trabalho colaborativo e autonomia aos usuarios como sujeitos para promoverem a própria aprendizagem. O presente trabalho objetiva refletir e descrever as caraterísticas do video interativo e sua aplicabilidade no processo de ensino/aprendizagem a partir da base teórica da interatividade. Para tal, nos fundamentaremos, teoricamente, em autores que abordam suas caracteristicas, tipologias e potencialidades. E nisto, concluimos que o processo de criação colaborativa dos mesmos com os estudantes deve contemplar e valorizar particularidades culturais do seu dia a dia, permitindo abertura para debates pulsantes que tenham a ver com o modo como a sociedade se move e se renova
Cliques de guerra: considerações sobre fotografia em Meio Sol Amarelo, de Chimamanda Ngozi Adichie
No full textThe present work aims to discuss the relevance of photography in the novel Meio Sol Amarelo (2008), written by Chimamanda Ngozi Adichie, considering excerpts about war photos and personal portraits. Thus, the idea that photographs are fundamental instruments for the characters to recognize their own identity during the Biafra War was articulated as a hypothesis, since war conflicts imply the loss of customs. For this research, the interpretation of the literary text was supported by the theoretical texts of Serva (2017), Montier (2015) and Kossoy (1998). In this way, it became possible to perceive that war photography has documentary value, but it was not well regarded by individuals who experienced the conflicts. Furthermore, for the characters in the novel, photography plays not only a memorial function, but also an affective and investigative one.O presente artigo tem como objetivo discutir a relevância da fotografia no romance Meio Sol Amarelo (2008), da escritora Chimamanda Ngozi Adichie, considerando trechos sobre fotos de guerra e sobre retratos pessoais. Assim, foi trabalhada a hipótese de que as fotografias são instrumentos fundamentais para que os personagens reconheçam a própria identidade durante a Guerra de Biafra, já que conflitos bélicos implicam a perda de costumes. Para isso, a interpretação do texto literário foi amparada pelos textos teóricos de Serva (2017), Montier (2015) e Kossoy (1998). Desse modo, tornou-se possível perceber que a fotografia de guerra possui valor documental, mas não era bem vista pelos indivíduos que efetivamente vivenciaram os conflitos. Além disso, para os personagens do romance, a fotografia desempenha não só função memorialística, mas também afetiva e investigativa
Corpos, prisioneiras e afetos nos testemunhos femininos da Shoah: Ruth Klüger, Simone Veil e Charlotte Delbo
No full text"[...] women don't have a past". The words of survivor Ruth Klüger (2005) point to a hegemonic male logic that guides the act of witnessing: it is indecent for women to talk about the once. However, Klüger (2005), Delbo (2021) and Veil (2021) show that they also have pasts about the catastrophe (Shoah) and produced their memories, they play the role of superstes In Landscapes of memory, The dawn in Birkenau and Auschwitz and After, respectively, the accounts of these Auschwitz survivors allow us to think about what it was like to survive the camps through women's representations and sensations: about the deadly desubjectivation actions on their bodies-others; they give us a raw landscape of daily life in the Lager, of the frictions, differentiations, and confluences between political prisoners and Jewish prisoners. Finally, the accounts also make it possible to perceive the affections as constructions of spaces of shelter to face the horror.“[...] mulheres não tem passado”. As palavras da sobrevivente Ruth Klüger (2005) apontam para uma lógica masculina hegemônica que guia o ato de testemunhar: é indecente para mulheres falarem sobre o outrora. Contudo, Klüger (2005), Delbo (2021) e Veil (2021) mostram que também possuem passados sobre a catástrofe (Shoah) e produziram suas memórias, exercem o papel de superstes. Em Paisagens da memória, O alvorecer em Birkenau e Auschwitz e Depois, respectivamente, os relatos dessas sobreviventes de Auschwitz permitem pensar como foi sobreviver aos campos a partir das representações e sensações femininas: sobre as ações de dessubjetivação mortíferas sobre seus corpos-outros; nos entregam uma paisagem crua do cotidiano no Lager, dos atritos, diferenciações e confluências entre prisioneiras políticas e prisioneiras judias. Por fim, os relatos também possibilitam perceber os afetos como construções de espaços de acolhimento para enfrentar o horror
Crescimento urbano e parcelamento do solo de uma pequena cidade da Amazônia: o caso de Afuá, PA
No full textThe difficulty of accessing land in cities reflects in their land tenure situation. In the small towns of the Amazon, the land tenure situation indicates the subdivision of land. In this sense, the objective of this article is to present a study of the process of subdivision of urban land in the municipality of Afuá, Para state. Its development was based on the historical understanding of the process of formation of the city, through a survey of property records, available at the local registry office and the total number of properties in the register of the Municipality of Afuá. The land subdivision process in Afuá began after its elevation to the status of city. The registration of the property by the process of purchase and sale represented 62% of the enrollments analyzed, and no transfer by emphyteusis was verified. We figured out there is different information about the size of the legal city.La dificultad de acceder a la tierra en las ciudades se refleja en su situación de tenencia de la tierra. En los pequeños pueblos de la Amazonía, la situación de tenencia de la tierra indica la subdivisión de la tierra. En ese sentido, el objetivo de este artículo es presentar un estudio del proceso de subdivisión de suelo urbano en el municipio de Afuá, estado de Pará. Su desarrollo se basó en la comprensión histórica del proceso de formación de la ciudad, a través de un levantamiento de los registros de propiedad, disponibles en la oficina de registro local y el número total de propiedades en el registro del Municipio de Afuá. El proceso de parcelación de Afuá se inició después de su elevación a la categoría de ciudad. La inscripción de la propiedad por el proceso de compraventa representó el 62% de las inscripciones analizadas, y no se verificó ninguna transferencia por enfiteusis. Descubrimos que hay información diferente sobre el tamaño de la ciudad legal.A dificuldade de acesso à terra nas cidades se reflete na sua situação fundiária. Nas pequenas cidades da Amazônia a situação fundiária se reflete no parcelamento da terra. Assim, o objetivo deste artigo é apresentar um estudo do processo de parcelamento da terra urbana do município de Afuá, PA. Seu desenvolvimento pautou-se na compreensão histórica do processo de formação da cidade, por meio de levantamento dos registros de imóveis, disponíveis no cartório local e o número total de imóveis existentes no cadastro da Prefeitura Municipal de Afuá. O processo de parcelamento da terra, em Afuá, iniciou após a sua elevação à condição de cidade. O registro do imóvel por processo de compra e venda representou 62% das matrículas analisadas, não tendo sido verificado transferência por aforamento. Foi constatado que há informações diferentes sobre qual seria a dimensão da cidade legal
Caracterização química e potencial biotecnológico de nanoemulsões de óleo essencial de Salvia rosmarinus Spenn
No full textThis study aimed to determine the total phenolic compounds, evaluate the antioxidant and anti-inflammatory activities of nanoemulsions (O/W) and essential oils (EOs) from Salvia rosmarinus (rosemary). The plant material was obtained in the city of São Luís (MA). The EO was obtained by the hydrodistillation technique in a modified Clevenger extractor and the NOE's by phase inversion. The chemical constituents of EO were determined by GC-MS. The determination of total phenolic compounds (TPC) was performed by the Folin-Ciocalteu method. The anti-inflammatory activity was performed by the method of protein denaturation and the antioxidant activity by the spectrophotometric method of scavenging hydroxyl radicals. The GC-MS allowed quantifying 1,8-cineol (30.22%), α-pinene (22.14%), camphor (18.33%) and camphene (10.36%) as major components of the EO. The TPC of the EO was quantified at 26.74 mg EAT g-1 and the refractive index at 1.466 nD 25°. In the antioxidant activity test, an EC50 of 80.33 mgL-1 was obtained for the EO and from 19.56 to 408.85 mg L-1 for the nanoemulsions. In the anti-inflammatory activity assay, an EC50 of 62.46 mgL-1 was obtained for EO and 64.96 to 4220.25 mg L-1 for NOE's. Finally, the pharmacological activities tested showed efficient values for EC50, therefore considered active. This activity is attributed to its chemical compounds present, thus encouraging studies with this species aiming at its potential application in a formulated bioproduct.Este estudo teve como objetivo determinar os compostos fenólicos totais, avaliar as atividades antioxidante e anti-inflamatória de nanoemulsões (O/A) e óleos essenciais (OEs) de Salvia rosmarinus (alecrim). O material vegetal foi obtido na cidade de São Luís (MA). O OE foi obtido pela técnica de hidrodestilação em extrator Clevenger modificado e as NOE´s por inversão de fases. Os constituintes químicos do OE foram determinados por CG-EM. A determinação de compostos fenólicos totais (CFT) foi realizada pelo método de Folin-Ciocalteu. A atividade antiinflamatória foi realizada pelo método de desnaturação de proteínas e a atividade antioxidante pelo método espectrofotométrico de sequestro de radicais hidroxila. A CG-EM pertimitiu quantificar 1,8-cineol (30,22%), α-pineno (22,14%), cânfora (18,33%) e canfeno (10,36%) como componentes majoritários do OE. O CFT do OE foi quantificado em 26,74 mg EAT g-1 e o índice de refração em 1,466 nD 25°. No teste de atividade antioxidante, obteve-se EC50 de 80,33 mgL-1 para o OE e de 19,56 a 408,85 mg L-1 para as nanoemulsões. No ensaio de atividade antiinflamatória, obteve-se CE50 de 62,46 mgL-1 para OE e 64,96 a 4220,25 mg L-1 para as NOE´s.Por fim, as atividades farmacológicas testadas apresentaram valores eficientes para CE50, sendo assim consideradas ativas. Essa atividade é atribuída aos seus compostos químicos presentes, incentivando assim estudos com essa espécie visando sua potencial aplicação em um bioproduto formulado