scholarly journals Contribuições do cuidado de enfermagem na redução da dor em clientes com dermatoses imunobolhosas: avaliação pela lógica fuzzi

2016 ◽  
Vol 15 (4) ◽  
pp. 675 ◽  
Author(s):  
Euzeli Da Silva Brandão ◽  
Iraci Dos Santos ◽  
Regina Serrão Lanzillotti
Keyword(s):  
Fuzzy Logic ◽  
Pain Intensity ◽  
Nursing Care ◽  
Pain Reduction ◽  
Low Level ◽  
Before And After ◽  
Reduction Of Pain ◽  
High Level

Aim: to evaluate the intensity of the client’s pain with autoimmune bullous  dermatoses,  before  and  after the  protocol  of  nursing  care  is  applied to  a  client with autoimmune bullous dermatoses. Method: the data were treated using fuzzy logic. Results: when associating the implementation of the protocol with pain reduction in the 14 study subjects the following stand out: in T0, seven subjects presented high levels of pain, with a pertinence of 1.0; in T1, 24 hours after intervention, eight presented a low level of pain, with pertinences ranging from 1.0 and 0.75, and only one with high level of pain;  in  T2,  only  one  remained  with  a  high  level  of  pain.  Discussion:  the  use  of analgesics prior to application of the protocol demonstrates that change in pain intensity was  not  influenced  by  use  of  medication,  but  rather  by  the  implemented  care. Conclusion: based on the classifications of fuzzy logic, there was a significant reduction of pain levels, especially in the first 24 hours.

Triggering of transient LES relaxations in ferrets: role of sympathetic pathways and effects of baclofen

2000 ◽  
Vol 279 (1) ◽  
pp. G157-G162 ◽  
Author(s):  
Esther Staunton ◽  
Scott D. Smid ◽  
John Dent ◽  
L. Ashley Blackshaw
Keyword(s):  
Gastroesophageal Reflux ◽  
Lower Esophageal Sphincter ◽  
Glucose Infusion ◽  
Gastric Distention ◽  
Low Level ◽  
Before And After ◽  
Esophageal Sphincter ◽  
Splanchnic Mechanoreceptors ◽  
High Level

Activation of gastric vagal mechanoreceptors by distention is thought to be the trigger for transient lower esophageal sphincter relaxations (TLESR), which lead to gastroesophageal reflux. The contribution of higher-threshold gastric splanchnic mechanoreceptors is uninvestigated. GABABreceptor agonists, including baclofen, potently reduce triggering of TLESR by low-level gastric distention. We aimed to determine first whether this effect of baclofen is maintained at high-level distention and second the role of splanchnic pathways in triggering TLESR. Micromanometric/pH studies in conscious ferrets showed that intragastric glucose infusion (25 ml) increased triggering of TLESR and reflux. Both were significantly reduced by baclofen (7 μmol/kg ip) ( P < 0.05). When 40 ml of air was added to the glucose infusion, more TLESR occurred than with glucose alone ( P < 0.01). These were also reduced by baclofen ( P < 0.001). TLESR after glucose/air infusion were assessed before and after splanchnectomy (2–4, 9–11, and 23–25 days), which revealed no change. Baclofen inhibits TLESR after both low- and high-level gastric distention. Splanchnic pathways do not contribute to increased triggering of TLESR by high-level gastric distention.

scholarly journals The Study Of Exploration Of Religiosity And Implementation Of Muslim Spiritual Nursing Care (AKSM) For Ners Professional Students Of PSIK FKM UMI Makassar In 2018

2018 ◽  
pp. 346-354
Author(s):  
Samsualam Samsualam ◽  
Rahmat Hidayat ◽  
Karyanti Lestari Aswan
Keyword(s):  
Qualitative Methods ◽  
Health Worker ◽  
Nursing Care ◽  
Research Method ◽  
Healing Process ◽  
Bivariate Analysis ◽  
Professional Students ◽  
Low Level ◽  
High Level ◽  
Quantitative And Qualitative Methods

Religiosity can describe a person's behavior at work, especially working as a health worker to help the healing process both physically, psychologically and spiritually. The purpose of this study was to analyze the level of religious religiosity of professional students and to analyze the implementation of Muslim spiritual nursing care for ners profession students in PSIK FKM Universitas Muslim Indonesia. This research method used quantitative and qualitative methods (Mix Method). Based on the results of the descriptive bivariate analysis of religiosity and the implementation of Muslim nursing care in 2018, it was shown that out of 0 (100%) respondents at a high level of religiosity overall did not implement complete Muslim spiritual nursing care, 24 people (100%) and 6 (100 %) respondents with a low level of religions overall did not carry out complete implementation of Muslim spiritual nursing care, namely 6 (100%) respondents. This shows that descriptively students who have high religiosity and low religiosity do not implement Muslim spiritual nursing care (AKSM).

Relaxation, Stress, and Palmar Skin Potential Level in Smokers and Non-Smokers

1980 ◽  
Vol 46 (3_suppl) ◽  
pp. 1187-1193 ◽  
Author(s):  
Verner J. Knott
Keyword(s):  
Skin Potential ◽  
High Arousal ◽  
Low Level ◽  
Before And After ◽  
Relaxation Stress ◽  
High Level ◽  
Palmar Skin ◽  
Potential Level

Palmar skin potential level was examined as an index of speed of relaxation in 8 non-smokers, 8 smokers low in arousal, and 8 high in arousal during resting periods before and after an interpolated stressor. The former were smokers who experienced their strongest need to smoke in low-arousal situations characterized by, e.g., monotony and low-level stimulation, while the latter experienced their strongest need to smoke in high-arousal situations characterized by, e.g., anxiety and high-level stimulation. The rate and the amount of reduction in negativity of pre-stressor palmar skin potential level was significantly greater in non-smokers. No significant differences were observed between the groups of smokers. Stress significantly retarded relaxation in nonsmokers to a level comparable to the two groups of smokers.

scholarly journals Failure of VITEK2 to reliably detect vanB- mediated vancomycin resistance in Enterococcus faecium

2020 ◽  
Author(s):  
Sarah V. Walker ◽  
Martina Wolke ◽  
Georg Plum ◽  
Robert E. Weber ◽  
Guido Werner ◽  
...  
Keyword(s):  
Enterococcus Faecium ◽  
Vancomycin Resistance ◽  
Bacterial Suspension ◽  
Initial Growth ◽  
Low Level ◽  
Test Kit ◽  
Before And After ◽  
Vancomycin Resistant ◽  
High Level ◽  
Level Resistance

AbstractObjectivesThe increasing prevalence of vancomycin resistant enterococci (VRE) necessitates a reliable detection of VRE especially for low level resistance mediated by vanB in Enterococcus faecium. In this prospective study we analyzed if vanB mediated vancomycin resistance can be reliably detected by Vitek2.Methods1344 enterococcal isolates from routine clinical specimens were tested by Vitek2 (bioMérieux, Nürtingen, Germany). Additionally, a bacterial suspension (0.5 McFarland) was inoculated on a chromID VRE screening agar (bioMérieux) and incubated for 48 hours. If vancomycin was tested susceptible by Vitek2 but growth was detected on the screening agar a PCR for vanA/vanB was performed (GeneXpert vanA/B test kit, Cepheid, Frankfurt, Germany). MICs of vancomycin susceptible by Vitek but vanA/B positive isolates were determined before and after cultivation in a broth with increasing concentration of vancomycin.Results156/492 of E. faecium were VRE, predominantly vanB (87.0%) of which 14 were not identified as VRE by Vitek2 (sensitivity 91.0%). The majority (9/14) demonstrated high-level MICs by broth dilution. Even after exposure to increasing vancomycin concentrations MICs remained nearly identical. Three of the undetected isolates demonstrated initial growth on chromID VRE, after the vancomycin exposure additional 7 isolates demonstrated growth on chromID VRE.ConclusionsVitek2 fails to detect vanB mediated vancomycin resistance consistently, especially but not limited to low-level resistance. As this may lead to treatment failure and further dissemination of vanB VRE, additional methods (e.g. culture on VRE screening agar or PCR) are necessary to reliably identify vanB-positive enterococci in clinical routine.

scholarly journals Low-level laser therapy, at 830 nm, for pain reduction in experimental model of rats with sciatica

2011 ◽  
Vol 69 (2b) ◽  
pp. 356-359 ◽  
Author(s):  
G R F Bertolini ◽  
E L Artifon ◽  
T S Silva ◽  
D M Cunha ◽  
P R Vigo
Keyword(s):  
Laser Therapy ◽  
Pain Reduction ◽  
Low Level Laser Therapy ◽  
Painful Condition ◽  
Low Level ◽  
Low Level Laser ◽  
Level Laser ◽  
Before And After ◽  
Common Clinical Presentation ◽  
The Right

Chronic pain, resulting from nerve compression, is a common clinical presentation. One means of conservative treatment is low-level laser therapy, although controversial. The aim of this study was to evaluate the effects of two doses of low-level laser, at 830 nm, on pain reduction in animals subjected to sciatica. Eighteen rats were used, divided into three groups: GS (n=6), sciatica and simulated treatment; G4J (n=6), sciatica and treatment with 4 J/cm²; and G8J (n=6), sciatica and irradiation with 8 J/cm². The right sciatic nerve was exposed and compressed using catgut thread. Five days of treatment were started on the third postoperative day. Pain was assessed by means of the paw elevation time during gait: before sciatica, before and after the first and second therapies, and the end of the fifth therapy. Low-level laser was effective in reducing the painful condition.

scholarly journals Cuidados de enfermagem para conforto de pessoas com dermatoses imunobolhosas: avaliação pela lógica fuzzy [Nursing care to comfort people with immunobullous dermatoses: evaluation by fuzzy logic] [Cuidados de enfermería para la comodidad de personas con dermatosis inmunoampollares: evaluación por la lógica fuzzy]

2018 ◽  
Vol 26 ◽  
pp. e32877
Author(s):  
Euzeli Da Silva Brandão ◽  
Iraci Dos Santos ◽  
Regina Serrão Lanzillotti
Keyword(s):  
Fuzzy Logic ◽  
Nursing Care ◽  
Rio De Janeiro ◽  
Mato Grosso ◽  
Evaluation Protocol ◽  
Before And After ◽  
Inferential Analysis ◽  
Care Technology ◽  
Mato Grosso Do Sul

Objetivos: avaliar se as intervenções propostas na tecnologia de cuidados de enfermagem ao cliente com dermatoses imunobolhosas contribuem para reduzir o desconforto, reconhecer padrões de desconforto antes e após aplicação da tecnologia. Método: aplicação do protocolo de avaliação em 14 clientes hospitalizados em enfermarias de dermatologia do Rio de Janeiro e Mato Grosso do Sul, Brasil. Os cuidados foram realizados mediante diagnósticos identificados e recomendações da tecnologia. A subjetividade em reconhecer padrões de conforto em clientes com doenças raras direcionou o uso da lógica fuzzy em função dos atributos dor, mobilidade, padrão de sono, exposição do corpo/lesões. Aprovado conforme CAAE: 0258.0.228.000-11. Resultados: dos 14 participantes, oito verbalizaram redução da dor após 24 horas. Após uma semana, três declararam maior redução, cinco manutenção e cinco aumento. Conclusão: a análise inferencial fuzzy propiciou avaliar padrões de desconforto, apontando para a veracidade da hipótese de que a tecnologia contribui para promover o conforto da clientela. ABSTRACT Objectives: to evaluate whether interventions proposed in nursing care technology for clients with immunobullous dermatoses contribute to reducing discomfort, and to recognize patterns of discomfort before and after application of the technology. Method: the evaluation protocol was applied to 14 patients hospitalized in dermatology wards in Rio de Janeiro and Mato Grosso do Sul, Brazil, from June 2012 to April 2013. Care was performed by way of identified diagnoses and recommendations in the technology. The role of subjectivity in recognizing comfort patterns in clients with rare diseases indicated the use of fuzzy logic with attributes of pain, mobility, sleep pattern, and body exposure/lesions. The study was approved under CAAE: 0258.0.228.000-11. Results: of the 14 patients, eight reported diminished pain after 24 hours. After one week, three reported larger reductions; five, no change; and five, increased pain. Conclusion: evaluation of patterns of discomfort by fuzzy inferential analysis supported the hypothesis that the technology contributes to promoting client comfort. RESUMENObjetivos: evaluar si las intervenciones propuestas en la tecnología de cuidados de enfermería al cliente con dermatosis inmunoampollares contribuyen a reducir el incómodo; reconocer patrones de incomodidad antes y después de la aplicación de la tecnología. Método: aplicación del protocolo de evaluación en 14 pacientes hospitalizados en enfermerías de dermatología de Río de Janeiro y Mato Grosso do Sul, Brasil, de junio/2012 a abril/2013. Los cuidados se han realizado mediante diagnósticos identificados y recomendaciones de la tecnología. La subjetividad en reconocer patrones de comodidad en pacientes con enfermedades raras dirigió el uso de la lógica fuzzy en función de los atributos dolor, movilidad, patrón de sueño, exposición del cuerpo / lesiones. Aprobado conforme CAAE: 0258.0.228.000-11. Resultados: de los 14, ocho reportaron reducción del dolor después de 24 horas. Tras una semana, tres declararon una mayor reducción, cinco mantuvieron y cinco aumentaron. Conclusión: el análisis inferencial fuzzy propició evaluar patrones de incomodidad, señalando la veracidad de la hipótesis de que la tecnología contribuye a promover la comodidad de los pacientes.

scholarly journals Neural Timing Deficits Prevalent in Developmental Disorders, Aging, and Concussions Remediated Rapidly By Movement Discrimination Exercises

2021 ◽  
Author(s):  
Teri Lawton ◽  
John Shelley-Tremblay ◽  
Ming-Xiong Huang
Keyword(s):  
Working Memory ◽  
Processing Speed ◽  
Cognitive Skills ◽  
Developmental Disorders ◽  
Visual Motion ◽  
Source Imaging ◽  
Low Level ◽  
Before And After ◽  
High Level ◽  
Movement Discrimination

(1) Background: Substantial evidence that neural timing deficits are prevalent in developmental disorders, aging, and concussions resulting from a mild Traumatic Brain Injury (mTBI) is presented. We show that if timing deficits are remediated using low-level movement discrimination training, then high-level cognitive skills, including reading, attention, processing speed, and working memory improve substantially. (2) Methods: Two case studies are presented using MEG source imaging on an adult dyslexic, and a healthy older adult observed before and after training on movement discrimination two times/week for 8 weeks for adult dyslexic. (3) Results: We found improvements in reading, attention, processing speed, and working memory on neuropsychological tests. Substantial MEG signal increases in visual Motion Networks (V1, V3, MT, MST), Attention Networks (ACC, dlPFC, vlPFC and precuneous/ PCC areas) and Memory Networks (dlPFC). (4) Conclusions: Improving neural timing deficits before cognitive exercises to improve specific cognitive skills provides a rapid and effective method to improve cognitive skills. Improving the timing and sensitivity of low-level dorsal pathways, improving feedforward and feedback pathways, is essential to improve high-level cognitive skills. This adaptive training with substantial feedback shows cognitive transfer to tasks not trained on, significantly improving a person’s quality of life rapidly and effectively.

scholarly journals A COMBINATION BETWEEN RELAXATION AND MASSAGE TEQHNIQUES FOR MOTHERS TO RELIEVE PAIN INTENSITY, DURATION OF LABOR AND APGAR SCORES FOR NEWBORN

2018 ◽  
Vol 11 (2) ◽  
pp. 93
Author(s):  
Ni Putu Karunia Ekayani
Keyword(s):  
Pain Intensity ◽  
Labor Pain ◽  
Rank Test ◽  
Control Group ◽  
Control Group Design ◽  
Apgar Scores ◽  
Before And After ◽  
Reduction Of Pain ◽  
Quasi Experimental ◽  
Wilcoxon Sign Rank

a labor pain can affect maternal conditions for instance fatigue, fear, anxiety or worry and cause stress that may cause the interference on uterus contractions and influence the length of labor. One of nonpharmacologic methods that can be used to relievea labor pain is a breathing relaxation and massage techniques. The research aimed to analyze the influence of combination between breathing relaxations and massage techniques for mothers against pain intensity, duration of labor and APGAR scores for newborn at the Public Health Center of Masbagik East Lombok. This research used Quasi-Experimental with pretest-posttest control group design. The sample applied 30 mothers who were in the first stage of labor that meet the inclusion criteria. The data were analyzed by Wilcoxon Sign-Rank Test, Mann-Whitney test and t two independent samples. The result indicated the comparison of pain intensity in the the pretest and posttest of control group was p = 0.051>0.05 which means there is no difference on pain intensity before and after treatment in the control group. Although the comparison of pain intensity on the group that received the combination techniques is obtained either pretest or posttest was p=0.001<0.05 which means there is a difference which signed by the reduction of pain intensity before and after the treatment by 2.93. Besides, there was a correlation between the implementation of the technique against duration of labor by cervical opening as indicator (p = 0.000). APGAR scores on newborn on the group that received the technique of relaxation and massage was 7-10 (normal). In short, the implementation of the technique can be used as an integral part of providing basic help for mothers to relieve labor pain and to accelerate delivery process.

scholarly journals Incorporating high-level and low-level cues for pain intensity estimation

2018 ◽  
Author(s):  
Ruijing Yang ◽  
Xiaopeng Hong ◽  
Jinye Peng ◽  
Xiaoyi Feng ◽  
Guoying Zhao
Keyword(s):  
Pain Intensity ◽  
Intensity Estimation ◽  
Low Level ◽  
High Level

scholarly journals Pain Management and Its Related Factors in the Emergency Department of Besat Hospital in Sanadaj, 2016

2017 ◽  
Vol 2 (2) ◽  
pp. 33
Author(s):  
Behnam Movahedi ◽  
Elham Khanlarzadeh ◽  
Leila Azizkhani ◽  
Aysan Noori
Keyword(s):  
Emergency Department ◽  
Pain Management ◽  
Pain Intensity ◽  
Injection Pain ◽  
Related Factors ◽  
Before And After ◽  
Reduction Of Pain ◽  
Health Related ◽  
Control Pain

Abstract:Background: Pain is a distressing feeling as well as a discomfort which triggers as the result of a special stimulation of nerve endings.This study aimed to investigate the amount of sufficient pain management among patients referring to the emergency department in Besat Hospital in the city of Sanandaj in Iran.Material and Methods: in this descriptive-analytical study, 175 patients with severe pain intensity higher than 3 and definite causes of pain with physical origins admitted to the emergency department were included. Before and after analgesics injection, pain intensity was assessed by a 10-point scoring system.Results: No significant correlation showed between pain intensity in patients, administration of painkillers, and age (P>0.05).There was a statistically significant relationship between pain intensity, gender, and the type of analgesics received (P<0.05). The findings of this study also revealed that reduction of pain was not significantly correlated with age, gender, referral time, and administration of painkillers on patients (P> 0.05).Conclusion: Failure to control pain among patients can lead to physical, mental, psychological, and social health-related problems. Therefore, proper examination of pains can provide suitable interventions in order to control and manage pains among patients and consequently promote their quality of life.

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