Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

Introduction:The quality of life of critically ill patients who survive treatment in intensive care units is lower than that of the general population. Baseline health status and severity of clinical condition on admission to intensive care are risk factors for quality of life and functionality. Objetive: To analyze the level of knowledge on quality of life and functionality of intensive care survivors. Materials and Methods: An exploratory review was conducted by searching studies published between January 2010 and May 2020 in Scielo, PubMed, Science Direct, ProQuest, Redalyc, Dialnet, OVID, and Scopus databases. The study was conducted according to the PRISMA statement. Full texts that met the inclusion criteria were reviewed and analyzed in the final selection of articles. Results: Of 1814 articles identified, 65 articles describing the quality of life and functionality in post-intensive care patients were screened. Finally, 16 were included to analyze the article’s characteristics, population characteristics, and variables of analysis for assessing the quality of life and functionality of post-intensive care survivors. Conclusions: Studies on quality of life and functionality in intensive care survivors were conducted mainly in Europe between 2010 and 2016. They are primarily prospective observational studies correlating factors determining mental and physical health after intensive care discharge. Multiple scales were applied; the most used were the SF-36 and the EQ-5D to assess the quality of life and the Barthel Index to determine functional status in patients discharged from intensive care. The SF- 36 and Barthel index reported impaired quality of life and functionality of the intensive care survivor population. How to cite this article: Mejia Vanegas Dulfary, Arias Díaz Julia Andrea, Leyton Toro Lleraldyn, Ayala Grajales Katherine Yuliet, Becerra Londoño Angie Manuela, Vallejo Ospina Jorge Iván, Rincón Hurtado Ángela María. Calidad de vida y funcionalidad en sobrevivientes de cuidados intensivos: Una revisión exploratoria. Revista Cuidarte. 2022;13(3):e2269. http://dx.doi.org/10.15649/cuidarte.2269    

Introduction: The glass ceiling effect is a term named after a feminist movement in the 1980s in the United States referring to an “invisible” barrier that impedes women’s progress in their working careers. Objective: To analyze the presence of the glass ceiling effect in nursing in the available state of the art. Materials and Methods: An integrative review was conducted following Crossetti’s five steps and using descriptors such as nursing, board of directors, nursing supervision, leadership, gender inequality and sexism, which have been validated in DeCS thesaurus and linked with the Boolean And operation on WoS, PubMed, Scopus, SciELO and BVS databases. Results: After applying descriptors and search strategies, 133 articles were initially retrieved of which, after applying filters, 43 articles were selected to finally obtain 6 articles after applying inclusion and exclusion criteria. After a manual search, 2 articles were found to make a sample of 8 articles on which a scaling proposal was applied to ensure sample quality, resulting in 7 articles. Discussion: Selected articles indicated limited female representation of nurses in managerial positions, emphasizing that men are better compensated in terms of remuneration, professional advancement, and better and more prestigious positions. Conclusions: Analyzed articles reflect the presence of the glass ceiling effect in which female nurses have more difficulties than men in accessing managerial positions by an apparent etiology merely marked by gender. How to cite this article: Valencia-Contrera Miguel Andrez, Orellana-Yañez Alda Ester. Fenómeno techo de cristal en enfermería: revisión integrativa. Revista Cuidarte. 2022;13(1):e2261.http://dx.doi.org/10.15649/cuidarte.2261

Introduction: The access of people with colorectal cancer to surgical treatment with stomization implies a difficult itinerary through the network of care, and when accessing the tertiary level in an apprehensive preoperative waiting. Objetive: To know the access and waiting for stomization of people sick with colorectal cancer at the tertiary level of the Brazilian Unified Health System. Materials and Methods:Ethnographic study based on the Sociology of Health, with 8 relatives and 14 patients in a High Complexity Oncology Center, Brazil. Data were collected between October 2018 to March 2019, with participant and non-participant observation, field diary recording, and semi-structured interview. Statements and ethnographic notes after triangulation were subjected to inductive content analysis in six steps. Results:"The history of illness interspersed with difficulties" and "The losses in the process of patience-resilience along the way" were apprehended. Discussion: Three types of access were reported, as well as the sub-meanings "I paid privately" and the diagnostic delay mobilized by official and unofficial means in the Unified Health System. Social capital is pressing, a network without which users' access is impacted. At the tertiary level while waiting for stomization, resilience was unveiled not as a heroic resource, but as a personal and collective resource. Conclusion: The access counted on relational mobilization and a range of paths to hospitalization with part of the journey in supplementary health, while the waiting for stomization mitigates patience making resilience a beneficial resource in the wait for surgical programming. How to cite this article: Correa Júnior, Antonio Jorge Silva; Souza, Thaís Cristina Flexa; de Santana, Mary Elizabeth; Sonobe, Helena Megumi; Pimentel, Ingrid Magali de Souza; Carvalho, Jacira Nunes.  Acesso e aguardo pela estomização segundo pessoas com câncer colorretal: estudo etnográfico. Revista Cuidarte. 2022;13(3):e1175. http://dx.doi.org/10.15649/cuidarte.1175      

Introducción: Recientemente se han descubierto nuevos medicamentos para el tratamiento de la diabetes tipo 2, con novedosos mecanismos de acción y menos efectos adversos. Dentro de ellos tenemos los análogos del péptido similar al glucagón tipo 1.Objetivo: Explicar la evidencia existente sobre los efectos del tratamiento con agonistas del receptor del péptido similar al glucagón tipo 1 en las personas con obesidad y diabetes mellitus tipo 2.Material y Métodos: Se realizó una revisión sistemática que incluyó estudios de los efectos de los agonistas del receptor del péptido similar al glucagón tipo1 como tratamiento en personas mayores de 12 años con obesidad y diabetes tipo 2. Se realizó una síntesis narrativa formal de los datos recogidos, no se realizó una síntesis estadístico formal. La calidad de evidencia para cada desenlace se determinó, según la metodología Grading of Recommendations Assessmet, Developmet and Evaluation.Resultados: La evidencia disponible demuestra que los agonistas del receptor del péptido similar al glucagón tipo 1, lograron una mayor disminución del peso corporal (-7,0 % vs -2 %) y de las cifras de hemoglobina glucosilada (HbA1c) (-0,40 % vs -0,10 %) respecto al grupo placebo. Además, de una mayor reducción de la cintura abdominal.Conclusiones: La evidencia analizada muestra que los fármacos del tipo agonistas del receptor del péptido similar al glucagón tipo 1 tienen efectos beneficiosos en el tratamiento de las personas con obesidad y diabetes, disminuyendo el peso corporal y los valores de glucemia.

Introducción: La sífilis es una infección de transmisión sexual causante de grandes estragos durante toda la historia de la humanidad, en la actualidad su prevalencia es preocupante. El compromiso óseo en la sífilis secundaria puede preceder o seguir a las lesiones mucocutáneas y en algunos casos ocurrir como única manifestación.Objetivo: Describir el caso clínico de un paciente con osteítis de calota en el curso de una sífilis secundaria, que permita a los profesionales de la salud asociar estas lesiones con las infecciones de transmisión sexual.Presentación de caso: Paciente masculino de 33 años de edad, estado civil soltero, con antecedentes patológicos personales de ser portador del Virus del herpes simple oral desde los 24 años, quien asiste a la consulta por presentar cefalea frontal izquierda, opresiva, pulsátil, de inicio leve que se intensifica e irradia al oído homolateral. El examen físico, que incluyó el sistema nervioso, fue negativo. Se indicaron estudios imagenológicos y de laboratorio, los que evidenciaron la presencia de imágenes osteolíticas en región parietal izquierda próxima a la sutura sagital y pruebas serológicas positivas que confirman el diagnóstico de manifestaciones óseas de osteítis de calota por sífilis secundaria.Conclusiones: Durante la sífilis secundaria el hueso del cráneo es el más afectado, al sufrir osteítis proliferativa. Es responsabilidad del personal de salud el diagnóstico oportuno y precoz de la enfermedad, a fin de evitar su progresión, morbilidad y posibles complicaciones.

En los últimos años, el aceite esencial de orégano se ha utilizado como aditivo en alimentos para animales debido a sus propiedades antifúngicas y antibacterianas, así como sustituto sintético de antibióticos. Es deseable desarrollar un método rápido y efectivo de cuantificación de timol y carvacrol en una matriz orgánica de alimento para cerdo. En este trabajo se realiza una comparación de rendimiento entre la técnica de extracción con disolvente Soxhlet utilizando éter de petróleo y acetato de etilo y la técnica de microextracción en fase sólida en el espacio de cabeza (HS-SPME). Se realizó un diseño de experimentos 24 para definir los parámetros de HS-SPME: temperatura de equilibrio de 40 °C, temperatura de extracción de 40 °C, fuerza iónica de 0.57 M y tiempo de extracción de 40 min. El método HS-SPME es más eficiente para la extracción de timol y carvacrol de una matriz orgánica. Los límites de los valores de detección y cuantificación utilizando la extracción Soxhlet con acetato de etilo fueron de 3.7 y 12.5 μl-1 para timol y de 1.4 y 4.7 μg l-1 para carvacrol, respectivamente; mientras que el LDD y el LDC para HS-SPME fueron de 0.9 y 3.1 μg L-1 para timol y de 0.6 y 1.9 μg L-1 para carvacrol, respectivamente. El método de microextracción en fase sólida en el espacio de cabeza tiene el potencial de control de calidad en la industria para compuestos activos presentes en el aceite esencial de orégano como aditivo en una matriz orgánica.

Caseous lymphadenitis is a disease that affects sheep and goat production worldwide. The etiological agent is a Gram-positive, facultative intracellular bacterium called Corynebacterium pseudotuberculosis biovar ovis. The disease can occur with a cutaneous or visceral development, causing deterioration in the physical condition of the animal, as well as losses in the production of milk and meat, carcass confiscation, skin rejection and consequently, great economic losses. The study of virulence factors and pathogenesis mechanisms have made it possible to understand this disease, as well as to establish the target molecules for the development of new vaccines. There are commercial vaccines available globally; however, the protection conferred by them has not been effective in controlling the disease. Currently, the use of new technologies has allowed the obtaining and characterization of proteins with immunogenic potential for the development of new vaccines, which could be an alternative to increase protection. In the present work, the main factors of virulence of Corynebacterium pseudotuberculosis, their implications in the pathogenesis and the current trends in the vaccine formulations are presented.

La N-(n-butil) triamida tiofosfórica (NBPT) es un inhibidor de la ureasa usado en los sistemas agrícolas para reducir las pérdidas por volatilización de NH3 y maximizar el uso del nitrógeno ureico (N). Se realizó un estudio de campo para evaluar el efecto de la urea tratada con NBPT sobre la densidad volumétrica y la masa de forraje en el pasto Brachiaria brizantha cv. Xaraés. El periodo experimental fue de un año (septiembre 2017 a septiembre 2018). El diseño experimental fue de bloques completamente aleatorios con un arreglo factorial de 3×2×4: tres estaciones del año (lluvia, sequía y transición), dos fuentes de urea (convencional y tratada con NBPT), y cuatro tasas de N (0, 80, 160 y 240 kg N ha-1 año-1). Se hicieron tres réplicas. Ambas fuentes de nitrógeno tuvieron un efecto positivo (P<0.0001) sobre la densidad aparente, la masa de forraje y el estrato de pastoreo durante la estación de lluvia y la de transición. También produjeron aumentos de N en los pastos. La relación hoja:tallo disminuyó linealmente (P<0.0045) a medida que aumentaron las tasas de N; la relación mayor fue durante la estación de lluvia y la menor en la estación de sequía. A la tasa de 80 kg N ha-1 año-1, hubo una diferencia (P=0.0042) entre las fuentes de N. A esta tasa la urea convencional produjo una mayor (P=0.0006) masa de forraje total, masa de forraje pospastoreo (P= 0.0042) y densidad volumétrica del forraje (P=0.0006). En las estaciones de lluvia y de transición, la aplicación de N, cual sea la fuente, resultó en un aumento en la masa y la densidad volumétrica del forraje en praderas de pasto Xaraés hasta la tasa de 240 kg N ha-1 año-1.

The effect of three natural extracts made from culinary spices with antioxidant activity on the oxidative stability of lipids and proteins, color changes, and sensory quality of cooked pork during 12 days of refrigerated storage was evaluated. Hamburger-type model systems were made with the Longissimus thoracis et lomborum muscle, dorsal fat, salt, water and the corresponding extract. The antioxidant activity of the extracts was determined by the DPPH and ABTS+ methods, while the oxidation of lipids and proteins by TBA-RS and DNPH, respectively. For the color evaluation, the parameters of luminosity (L*) and Hue angle (°h) were used. The sensory analysis was carried out with an untrained panel, which evaluated the attributes of taste, color, smell and texture. The statistical processing of the data obtained on antioxidant activity, lipid and protein oxidation, as well as color, was performed by an analysis of variance. The sensory evaluation was processed with nonparametric statistics. Extract two had the highest antioxidant activity (P≤0.05); the three extracts managed to inhibit (P≤0.05) lipid oxidation in the hamburgers (P≤0.05); however, none of the three extracts managed to inhibit protein oxidation. There were also no differences (P≥0.05) with respect to the L* parameter, while the values of °h showed that the three extracts managed to preserve the color of the cooked hamburgers during refrigerated storage. Finally, the sensory evaluation showed that none of the three extracts altered the organoleptic quality of the hamburgers.

The objective of the study was to estimate the correlations of the rib-eye area (REA) and the thickness of the dorsal subcutaneous fat (TDSF) with morphometric variables in sheep carcasses produced in Mexico. Seven hundred fifty sheep carcasses were used, which were grouped by genotype (hair, wool and crossed hair ˣ wool), sex (males and females) and production system (intensive and semi-intensive). The normality of the distribution was determined, and simple correlation analyses were performed to estimate the degree of association between the variables. In hair genotypes, REA correlated with the weight of the carcass both hot and cold (r=0.42**; n=328; P<0.001 in males and r=0.48**; n=91; P<0.001 in females), but in females the perimeter (r=0.52**; n=91; P<0.001) and width of the rump (r=0.48**; n=91; P<0.001) were also relevant. In hair animals, the TDSF correlated with slaughter weight (r=0.36**; n=328; P<0.001 in males and r=0.57**; n=91; P<0.001 in females). In wool males, REA showed high correlation with carcass length (r=0.61**; n=116; P<0.001) and rump perimeter (r=0.50**; n=116; P<0.001), while the TDSF correlated with the internal depth of the thorax (r=0.50**; n=116; P<0.01) and its perimeter (r=0.45**; n=116; P<0.001). In crosses hair ˣ wool, REA had the highest correlation with thorax width (r=0.47**; n=215; P<0.001) and hot carcass weight (r=0.43**; n=215; P<0.001), while the TDSF only had a low correlation with slaughter weight (r=0.19**; n=215; P<0.001).