Blood donation is a social practice that helps treat diseases and maintain public health. The DoeSangue application was designed and developed to support donor recruitment and loyalty, strengthening ...health promotion and social engagement. We aimed to assess the DoeSangue application from the perspective of hematology and hemotherapy experts. A methodological, applied and qualitative research was carried out from September 2015 to July 2017 in Fortaleza, Ceará. The study was based on Participatory Interaction Design associated with Symbolic Interactionism. After conducting the first two steps, application design and development in a laboratory and assessment by donor users, the application was validated by eight experts from the Fortaleza's public blood center. For data collection, the 'application validation form with experts' was used based on a Likert-type scale, and a focus group was conducted. The tool was positively assessed by participants, with an average Content Validation Index of 0.88. Evaluators pointed out, among other features, the tool's ability to promote interactivity, mobilization and social engagement, in addition to contributing to gathering and loyalty of blood donors.
Receptors of living donor liver transplantation (LDLT) have higher rate of postoperative biliary and vascular complications that may reduce posttransplant quality of life (QOL) due to the need of ...invasive and repetitive treatments.
The purpose of our study is to assess the various aspects of QOL of receptors undergoing LDLT after 10 years of transplantation and to identify potential factors that might be associated with impaired QOL.
Data of all patients with more than 10 years of LDLT were retrospectively evaluated. Patients were interviewed through a quality of life questionnaire (SF-36).
From a total of 440 LT performed in 17 years (from September 1991 through December 2008), 78 patients underwent LDLT, of which 27 were alive and 25 answered completely the questionnaire. There were 17 (68%) men and 8 (32%) women, with a mean age of 38.6±18.5 years at the time of transplantation and mean follow up time of 15.1±1.9 years. The average MELD was 16.4±4.9 and the main indication for LT was hepatic cirrhosis caused by hepatitis B virus (32%). When compared to the general po-pulation, LDLT patients had lower mental health score (66.4 vs 74.5, P=0.0093) and higher vitality score (87.8 vs 71.9, P<0.001), functional aspects (94.6 vs 75.5, P=0.002), social aspects (93 vs 83.9, P=0.005), physical aspects (92 vs 77.5, P=0.006), and emotional aspects (97.33 vs 81.7, P<0.001). General health status (73.28 vs 70.2, P=0.074) and pain (78.72 vs 76.7, P=0.672) scores were similar in both groups.
It is concluded that the various aspects LDLT recipients' QOF are similar to those of the general population more than a decade after the transplant, except for the mental health domain which is lower.
Para os Matis, o espaço obtido da floresta para habitar e cultivar representa uma conquista sobre o universo dos animais e dos espíritos, um espaço socializado que deve ser preservado a todo custo ...contra o possível retorno dos antigos donos. Por isso, os animais familiares admitidos na maloca formam, enquanto categoria liminar, na fronteira entre o social e o anti-social, um perigo simbólico que pode ser comparado aos trechos de florestas em processo de regeneração. As restrições topográficas impostas aos animais familiares refletem portanto a ambiguidade inerente à sua inserção social.
Resumo Trata-se de uma pesquisa de caráter exploratório e natureza qualitativa realizada com 33 moradores de zonas rurais localizadas no município de Mossoró (RN) e seu entorno. Objetivou-se analisar ...a relação que os donos de terras produtoras de petróleo mantêm com as empresas exploradoras. Para a coleta de dados foi utilizado um roteiro de entrevista com questões abertas e confeccionado um diário a fim de auxiliar na pesquisa não participante. Os resultados mostraram a existência de uma relação verticalizada de poder mantida entre os entrevistados e as empresas exploradoras fazendo-os culpabilizar unicamente a estatal Petrobras pela diminuição no repasse financeiro que lhes é concedido em razão da limitação do uso de suas terras. Verificou-se também a ausência de políticas consolidadas por parte das empresas exploradoras bem como do poder público com o intuito de tornar esses sujeitos independentes financeiramente do lucro da extração do petróleo. Em anos anteriores o setor de exploração de petróleo em terra na região foi capaz de modificar a realidade local por se tratar de um subsídio auxiliar nas atividades de agricultura familiar e criação de gado leiteiro, atuando como suporte financeiro nos períodos de seca prolongada.
Abstract This is an exploratory and qualitative study performed with 33 inhabitants of rural areas located in the city of Mossoró (RN) and its surroundings. The objective of this study was to examine the relationship between owners of oil-producing land and oil-exploring companies. For data collection an interview with open questions was used and also a diary, in order to assist in non-participant research. The results showed the existence of a hierarchical relationship of power maintained between the interviewees and the exploring companies, making the first ones blame solely the state-owned oil company Petrobras by the decrease in financial grant, which happens because of the limitation in the use of their land. There was also an absence of social politics made by exploring companies as well as the public administration in order to make these individuals financially independent of the oil extraction profit. In previous years oil exploration sector in the region was able to modify the local reality because it assists in the activities of family agriculture and dairy farming, acting as financial support during periods of prolonged drought.
Chagas disease currently affects 5.7 million people in Latin America and is emerging in non-endemic countries. There is no consensus concerning the efficacy of trypanocidal therapy for patients with ...the chronic form of the disease. We evaluated cardiac function and sociodemographic, clinical, and serologic characteristics of a group of asymptomatic Trypanosoma cruzi-seropositive former blood donors, and compared the effects of benznidazole treatment applied for different lengths of time.
Blood donors who screened positive for T. cruzi between 1998 and 2002 were recruited 10 years later for follow-up (n = 244); 46 individuals had received treatment. Three subjects had terminated treatment prematurely. The remaining 43 individuals were divided into two groups: individuals who had received benznidazole therapy for 50-60 days (n = 28; BT ≤60 group) or more than 60 days (n = 15; BT >60). Serologic assays, biochemical tests, electrocardiographic, echocardiographic, and clinical examinations were performed on all participants. Parasite loads were determined by qualitative and quantitative polymerase chain reaction.
Parasitemia was significantly reduced in the BT ≤60 and BT >60 groups compared with the untreated group. There were no differences in epidemiologic profiles or clinical, biochemical, electrocardiographic, or echocardiographic data between any of the groups.
Despite elimination or significant reduction in parasitemia in patients with chronic Chagas disease who received benznidazole, there was no clinical difference between those who were treated for >60 days and those treated for a shorter duration. Furthermore, the adverse effects of benznidazole appear to be less severe than previous reports would suggest.
Since women are frequently the minority among blood donors worldwide, studies evaluating this population usually reflect male features. We assessed the features of female blood donors with positive ...serology for HBV and compared them with those of men.METHODS The study comprised consecutive blood donors referred to a specialized liver disease center to be evaluated due to HBsAg- and/or anti-HBc-positive tests.
The study encompassed 1,273 individuals, 219 (17.2%) of whom were referred due to positive HBsAg test and 1,054 (82.8%) due to reactive anti-HBc test. Subjects' mean age was 36.8±10.9 years, and 28.7% were women. Female blood donors referred for positive HBsAg screening tests demonstrated higher prevalence of healthcare workers (9.3% vs 2.5%) and lower prevalence of sexual risk behaviors (15.1% vs 41.1%) and alcohol abuse (1.9% vs 19.8%) compared to men. Women had lower ALT (0.6 vs 0.8×ULN), AST (0.6 vs 0.8×ULN), direct bilirubin (0.2 vs 0.3mg/dL), and alkaline phosphatase (0.5 vs 0.6×ULN) levels and higher platelet count (223,380±50,293 vs 195,020±53,060/mm3). Women also had a higher prevalence of false-positive results (29.6% vs 17.0%). No differences were observed with respect to liver biopsies. Female blood donors referenced for reactive anti-HBc screening tests presented similar clinical, epidemiological, and biochemical characteristics to those reported for positive HBsAg screening tests and similarly had a higher prevalence of false-reactive results.
Compared to men, female blood donors with positive HBsAg and/or anti-HBc screening tests demonstrated higher prevalence of professional risk and false-positive results and reduced alteration of liver chemistry.
Para os Matis, o espaço obtido da floresta para habitar e cultivar representa uma conquista sobre o universo dos animais e dos espíritos, um espaço socializado que deve ser preservado a todo custo ...contra o possível retorno dos antigos donos. Por isso, os animais familiares admitidos na maloca formam, enquanto categoria liminar, na fronteira entre o social e o anti-social, um perigo simbólico que pode ser comparado aos trechos de florestas em processo de regeneração. As restrições topográficas impostas aos animais familiares refletem portanto a ambiguidade inerente à sua inserção social.
Relacja mówiona zarejestrowana w ramach Programu Historia Mówiona realizowanego w Ośrodku "Brama Grodzka - Teatr NN" (www.historiamowiona.teatrnn.pl). Wyraża ona wyłącznie subiektywne wspomnienia i ...poglądy świadka historii, które nie mogą być utożsamiane z oficjalnym stanowiskiem Ośrodka.