The authors' developed protocol, encompassing a range of topics, was utilized for the independent extraction of data, concentrating mainly on the performed behavioral auditory tests and the associated findings.
Considering the 867 identified records, 24 exhibited the required data to answer the survey's questions.
An almost exhaustive number of studies investigated performance on one or two auditory processing tests. The target population exhibited heterogeneity, characterized by the relatively high prevalence of persons with diabetes, stuttering, auditory processing disorder, and noise exposure. Information on age-specific testing benchmarks is remarkably limited.
Verification of performance was primarily conducted in one or two auditory processing tests within virtually all studies. The target population was composed of a range of individuals, but diabetes, stuttering, auditory processing disorders, and noise exposure appeared most frequently. Testing benchmarks, specific to age brackets, are unfortunately poorly documented.
Examining the impact of preventive, non-medication interventions on dysphagia progression in patients with head and neck cancer undergoing radiation therapy.
The research spanned databases such as Medline (via PubMed), Scopus, Embase, and the gray literature.
Randomized clinical trials evaluated adult head and neck cancer patients (18 years of age or older), treated with radiotherapy, potentially in conjunction with surgical and/or chemotherapeutic interventions, and who were subject to non-pharmacological protocols for dysphagia prevention.
Using the PEDRO scale, the risk of bias was evaluated; the GRADE instrument was then employed to assess the overall quality of the evidence.
Out of the four studies evaluated, two were determined appropriate for the meta-analysis procedure. A mean difference of 127 points favored the intervention group, representing a statistically significant effect within the 95% confidence interval of 74 to 180. Low heterogeneity was evident in the study, with the mean score for assessing risk of bias amounting to 75 out of 11 points. The lack of nuanced detail within the care-giving process, encompassing selection, performance, detection, attrition, and reporting, contributed to a judgment that the quality of evidence was inadequate.
The use of prophylactic measures to address dysphagia results in considerable enhancements in oral intake for patients with head and neck cancer undergoing radiotherapy, in comparison to patients who did not receive such interventions.
Preventive measures against dysphagia can produce noteworthy improvements in the amount of food consumed orally by head and neck cancer patients compared to those who did not receive these interventions during radiotherapy.
To ensure a valid Brazilian Portuguese version, this study aims at translating, adapting, and cross-culturally validating the Hearing Protection Assessment Questionnaire (HPA).
In English, the instrument evaluates obstacles and benefits pertinent to hearing protection device (HPD) use, additionally assessing workers' comprehension, habits, and viewpoints in relation to occupational noise. Five steps were instrumental in translating, adapting, and validating the questionnaire across cultures: 1) translation from English to Portuguese; 2) reverse translation from Portuguese to English; 3) expert review by three professionals; 4) pretesting with 10 workers; 5) implementation with 509 meatpacking employees post-pre-employment medical examination.
The Brazilian Portuguese version's internal consistency and its construction and content validity have been supported by the results, specifically when applied to a working population.
This study culminated in the translation, cultural adaptation, and validation of the Hearing Protection Assessment Questionnaire (HPA), preparing it for use in evaluating hearing protection practices in the occupational context.
This study facilitated the translation, cultural adaptation, and validation of the Hearing Protection Assessment Questionnaire (HPA) for assessing hearing protection use in the occupational field, the instrument named the Hearing Protection Assessment Questionnaire (HPA).
For patients with idiopathic pulmonary arterial hypertension (PAH), a positive response to acute vasodilator challenges, accompanied by a sustained clinical improvement of at least one year on calcium channel blockers (CCBs), traditionally identifies them as true responders. Despite this, the long-term effects of CCBs, and whether a sustained response occurs, remain poorly understood. The response to CCBs in idiopathic PAH patients, initially considered true responders, was evaluated for alterations after a prolonged course of treatment. Our research suggests that idiopathic PAH patients can experience a lessening of clinical effect from CCBs, even after one year of clinical stability, reinforcing the crucial need for ongoing, multi-faceted reassessments to ascertain the requisite targeted PAH therapies and correct patient categorization.
Among those with COPD, a significant number experience exacerbations, which are characterized by an acute worsening of respiratory symptoms. C188-9 molecular weight For the purpose of minimizing exacerbations, telehealth has advanced as a substitute method for optimizing clinical management, facilitating access to healthcare, and supporting self-management protocols. The purpose of this study was to delineate the evidence supporting the use of telehealth/telemedicine for monitoring adult COPD patients following hospitalization due to an exacerbation.
PubMed, CINAHL, Web of Science, Scopus, LILACS, and the Cochrane Library databases were searched bibliographically to pinpoint articles addressing telehealth and telemonitoring strategies published in Portuguese, English, or Spanish by the end of December 2021.
Thirty-nine articles in this telehealth review explored telehealth (21), telemonitoring (20), telemedicine (17), teleconsultation (5), and teleassistance (4), respectively. This included, further, detailed studies of telehomecare (3), telerehabilitation (3), telecommunication (2), mobile health (2), e-health management (1), e-coach (1), telehome (1), telehealth care (1), and televideo consultation (1). C188-9 molecular weight Telephonic and/or video call-based strategies for coaching, data monitoring, and health education are illustrated by these concepts, aiming to promote self-management or self-care within a framework of remote, integrated home care, potentially including telemetry devices.
Following hospitalization for a COPD exacerbation, this review illustrated telehealth/telemedicine, in conjunction with telemonitoring, as a potentially beneficial strategy, leading to improved quality of life and a decrease in re-hospitalizations, emergency room admissions, hospital length of stay, and health care costs.
This review highlighted telehealth/telemedicine, coupled with telemonitoring, as a promising approach for COPD patients discharged after an exacerbation. This strategy aims to enhance quality of life, reduce readmissions, emergency department visits, hospital stays, and overall healthcare expenditures.
With a surge in the clinical application of continuous renal replacement therapy (CRRT), improving therapeutic outcomes has emerged as a priority for researchers. Within a simulated in vitro continuous veno-venous hemodialysis (CVVH) model, we assessed the clearance of middle molecular uremic toxins (MMUTs) by evaluating nine CRRT filter designs. These designs varied in hollow fiber packing density (PD) and housing geometry (represented by the ratio of effective hollow fiber length (L) to inner housing diameter (D) (L/D ratio)). Doppler ultrasonography was instrumental in measuring the maximum internal filtration flow rate (QIF-Max), a method that enabled the exploration of how different design factors affected convection, and thus, the effectiveness of MM removal. Subsequently, we developed a multiple linear regression model encompassing design factors and QIF-Max, subsequently subjected to experimental confirmation. A final, accurate, and practical design equation was established to characterize the design elements impacting CRRT filters and convective phenomena. QIF-Max=4749ND2+2293LD-34775, where the respective ratios of N/D2 and L/D influence QIF-Max by 150% and 850%. By effectively quantifying the convective influence of differently designed CRRT filters, this equation accurately predicted MM removal efficacy; it proves invaluable for advancing CRRT-related product design.
Exploring the interrelationship of nursing knowledge and philosophy, and their collective influence on the development of caring practices.
This text presents a theoretical framework, drawing on the diverse range of literature from both philosophy and nursing scholars and theorists.
Nursing's advancement hinged on the study's enumeration of philosophical traits crucial for cultivating novel knowledge and skills.
Philosophy's significant contribution, as highlighted in the text, is the revelation of caring as the fundamental human essence, a principle also embraced as the core of nursing practice.
The text illuminates Philosophy's contribution in recognizing caring as the defining characteristic of humanity, a perspective that Nursing fully subscribes to.
Postgraduate programs in mental health nursing care, particularly those of stricto sensu, are analyzed here to map and characterize their produced studies using a phenomenological perspective.
Bibliographic, retrospective, and descriptive research, conducted in October of 2022, utilized the Coordination for the Improvement of Higher Education Personnel's Catalog of Theses and Dissertations as its data source. The search strategy employed the Boolean operator 'AND' to integrate the term 'phenomenology' with the descriptor 'Mental Health'.
The twenty-two studies included fifteen Master's dissertations, accounting for sixty-eight percent, and seven PhD theses representing thirty-two percent. The phenomenological framework stemmed from Schutz's influential work.
A phenomenological perspective reveals the fluctuating nature of nursing's scientific work in the mental health sector. C188-9 molecular weight Despite its early development, the framework of phenomenology sheds fresh light on care paradigms, emphasizing the unique attributes and potential of the users.