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Carvalho JOD, Toledo LV, Braga LM, Krempser P, Pacheco ZML, Dutra HS. Hypothermia among premature newborns on admission to a neonatal intensive care unit. Rev Gaucha Enferm 2023; 44:e20220042. [PMID: 36995809 DOI: 10.1590/1983-1447.2023.20220042.en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 07/04/2022] [Indexed: 03/31/2023] Open
Abstract
OBJECTIVE To assess prevalence and factors associated with hypothermia in preterm infants admitted to a neonatal intensive care unit. METHODS It is a cross-sectional retrospective study, with 154 premature newborns admitted between 2017 and 2019 in a neonatal intensive care unit. Logistic regression was used to evaluate the association to hypothermia. RESULTS There was a predominance of males (55.8%), coming from the operating room (55.8%), gestational age > 32 weeks (71.4%), weight > 1500g (59.1%), Apgar in the 1st minute of life less than seven (51.9%) and in the 5th minute of life greater than or equal to seven (94.2%). The prevalence of hypothermia at admission was 68.2%. It was found that the lower the weight, the greater the chances of hypothermia, being three times higher in low weight (OR 3.480), five times higher in very low weight (OR5.845) and up to 47 times higher in extremely low weight (OR47.211). CONCLUSION Hypothermia was 68.2% and it was associated with lower birth weight.
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Affiliation(s)
- Janaina Otoni de Carvalho
- Universidade Federal de Juiz de Fora (UFJF), Faculdade de Enfermagem, Programa de Pós-Graduação em Enfermagem. Juiz de Fora, Minas Gerais, Brasil
| | - Luana Vieira Toledo
- Universidade Federal de Viçosa (UFV), Departamento de Medicina e Enfermagem. Viçosa, Minas Gerais, Brasil
| | - Luciene Muniz Braga
- Universidade Federal de Viçosa (UFV), Departamento de Medicina e Enfermagem. Viçosa, Minas Gerais, Brasil
| | - Paula Krempser
- Universidade Federal de Juiz de Fora (UFJF), Faculdade de Enfermagem, Programa de Pós-Graduação em Enfermagem. Juiz de Fora, Minas Gerais, Brasil
| | - Zuleyce Maria Lessa Pacheco
- Universidade Federal de Juiz de Fora (UFJF), Faculdade de Enfermagem, Programa de Pós-Graduação em Enfermagem. Juiz de Fora, Minas Gerais, Brasil
| | - Herica Silva Dutra
- Universidade Federal de Juiz de Fora (UFJF), Faculdade de Enfermagem, Programa de Pós-Graduação em Enfermagem. Juiz de Fora, Minas Gerais, Brasil
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Krepker FF, Arreguy-Sena C, Braga LM, Krempser P, Santos JDC, Dutra HS. Protocolo de enfermagem na prevenção de doença renal crônica em pessoas idosas na atenção primária. Rev Bras Enferm 2023. [DOI: 10.1590/0034-7167-2022-0052pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
RESUMO Objetivos: desenvolver um protocolo para a operacionalização do Processo de Enfermagem na abordagem de pessoas idosas com vulnerabilidade para doença renal crônica na Atenção Primária à Saúde, alicerçado nos estressores de Neuman. Métodos: estudo metodológico, realizado em duas etapas: síntese das evidências por estratégia indutiva (estudo de método misto) e desenvolvimento do protocolo para subsidiar a operacionalização do Processo de Enfermagem com pessoas idosas adstritas a uma Unidade Básica de Saúde, utilizando estratégia dedutiva (conceitos de estressores de Neuman, taxonomias NANDA, NIC e NOC, linha de raciocínio de Risner e mapeamento cruzado), descrito segundo A Step-by-Step Guide to Developing Protocols. Resultados: participaram 102 idosos. Foram captados 17 diagnósticos, 34 intervenções e 26 resultados de enfermagem. Conclusões: o protocolo elaborado constitui uma tecnologia que possibilita operacionalizar o processo de enfermagem alicerçado nos estressores de Neuman e em referenciais taxonômicos, conceituais e assistenciais, norteando o cuidado e os registros de enfermagem.
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Krepker FF, Arreguy-Sena C, Braga LM, Krempser P, Santos JDC, Dutra HS. Nursing protocol in chronic kidney disease prevention in older adults in primary care. Rev Bras Enferm 2022; 76:e20220052. [PMID: 36449972 PMCID: PMC9728820 DOI: 10.1590/0034-7167-2022-0052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 08/09/2022] [Indexed: 12/23/2022] Open
Abstract
OBJECTIVES to develop a protocol for Nursing Process operationalization in approaching older adults with vulnerability to chronic kidney disease in Primary Health Care, based on Neuman's stressors. METHODS a methodological study, carried out in two stages: 1) synthesis of evidence using an inductive strategy (mixed method study) and 2) protocol development to support the nursing process operationalization with older adults enrolled in a Basic Health Unit, using a deductive strategy (Neuman's stressor concepts, NANDA, NIC, and NOC taxonomies, Risner's line of reasoning, and cross-mapping), described according to A Step-by-Step Guide to Developing Protocols. RESULTS 102 older adults participated, and 17 diagnoses, 34 interventions and 26 nursing outcomes were identified. CONCLUSIONS the protocol developed is a technology that makes it possible to operationalize the Nursing Process, based on Neuman's stressors and on taxonomy, conceptual and care frameworks, guiding care and nursing records.
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Affiliation(s)
| | | | | | - Paula Krempser
- Universidade Federal de Juiz de Fora. Juiz de Fora, Minas Gerais, Brazil
| | | | - Herica Silva Dutra
- Universidade Federal de Juiz de Fora. Juiz de Fora, Minas Gerais, Brazil
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Silva Dutra H, Costa Alexandre NM, De Brito Guirardello E. Avaliação de aspectos assistenciais, organizacionais e laborais na perspectiva dos profissionais de Enfermagem. Investg Enferm Imagen Desarollo 2022. [DOI: 10.11144/javeriana.ie24.aaao] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Introdução: a equipe de enfermagem desempenha um papel importante no contexto da saúde, no qual é necessário alinhar o controle dos elevados custos com a segurança e a qualidade assistencial, o que pode contribuir para as decisões de gestão e para a concepção de políticas públicas capazes de influenciar os resultados para os profissionais, pacientes e serviços de saúde. Objetivo: avaliar as condições de trabalho, qualidade dos cuidados de enfermagem, satisfação profissional e intenção de permanecer no trabalho atual e na profissão na perspectiva dos profissionais de enfermagem. Métodos: Foi um estudo transversal, descritivo e correlacional realizado em três hospitais gerais no Brasil. Os dados foram coletados com apoio de formulário contendo caracterização pessoal e profissional e da avaliação dos cuidados, aspectos organizacionais e de trabalho. Resultados: participaram um total de 452 profissionais de enfermagem. Os profissionais de enfermagem estão satisfeitos com o seu trabalho, reportaram a sua intenção de permanecer no trabalho atual e na profissão durante os próximos 12 meses e reportaram boas condições de trabalho. Conclusão: a instituição que teve acreditação hospitalar apresentou melhores resultados, sugerindo que as certificações de qualidade podem favorecer a percepção dos profissionais de enfermagem a respeito da avaliação dos cuidados, aspectos organizacionais e de trabalho.
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de Souza Motta D, Bezerra Cavalcante R, Silva Dutra H, da Conceição Oliveira Coelho A, Lessa Pacheco ZM, Borges dos Santos K, da Costa Carbogim F. DESARROLLO Y VALIDACIÓN DE TECNOLOGÍA PARA LA ENSEÑANZA DEL SOPORTE VITAL BÁSICO EN LA PARADA CARDÍACA. Cogitare Enferm 2022. [DOI: 10.5380/ce.v27i0.87280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
Objetivo: desarrollar y validar una aplicación multimedia en una plataforma móvil para la enseñanza del soporte básico en la parada cardíaca a estudiantes de pregrado de salud.
Método: estudio metodológico realizado en dos etapas: desarrollo de la aplicación y validación del contenido por expertos. La aplicación se ha desarrollado basándose en el Design Instruccional Contextualizado, siguiendo las etapas de análisis, diseño, desarrollo e implementación. Para la validación del contenido, 11 expertos evaluaron la aplicación en cuanto a relevancia, claridad, coherencia, información, presentación, navegabilidad, accesibilidad y diseño.
Resultados: La aplicación SBVida fue desarrollada para dispositivos móviles en la plataforma Android. Se obtuvo un Índice de Validez de Contenido global de 0,87.
Conclusión: la aplicación SBVida fue desarrollada y validada y puede contribuir a la preparación y perfeccionamiento de estudiantes y profesionales de Enfermería y otras áreas de la salud.
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de Souza Motta D, Bezerra Cavalcante R, Silva Dutra H, da Conceição Oliveira Coelho A, Lessa Pacheco ZM, Borges dos Santos K, da Costa Carbogim F. DEVELOPMENT AND VALIDATION OF TECHNOLOGY FOR TEACHING BASIC LIFE SUPPORT IN CARDIO-RESPIRATORY ARREST. Cogitare Enferm 2022. [DOI: 10.5380/ce.v27i0.87279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Objective: to develop and validate a multimedia application on a mobile platform for teaching basic support in cardiac arrest to undergraduate health care students.
Method: methodological study conducted in two stages: development of the application and content validation by experts. The application was developed based on Contextualized Instructional Design, following the stages of analysis, design, development, and implementation. For the content validation, 11 experts evaluated the application regarding relevance, clarity, coherence, information, presentation, navigability, accessibility, and design.
Results: The SBVida application was developed for mobile devices on the Android platform. An overall Content Validity Index of 0.87 was achieved.
Conclusion: The SBVida application was developed and validated and can contribute to the preparation and further training of students and professionals from Nursing and other health fields.
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de Souza Motta D, Bezerra Cavalcante R, Silva Dutra H, da Conceição Oliveira Coelho A, Lessa Pacheco ZM, Borges dos Santos K, da Costa Carbogim F. DESENVOLVIMENTO E VALIDAÇÃO DE TECNOLOGIA PARA ENSINO DE SUPORTE BÁSICO DE VIDA NA PARADA CARDIORRESPIRATÓRIA. Cogitare Enferm 2022. [DOI: 10.5380/ce.v27i0.84170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Objetivo: desenvolver e validar um aplicativo multimídia em plataforma móvel para o ensino de suporte básico na parada cardiorrespiratória para estudantes de graduação da área de saúde.
Método: estudo metodológico conduzido em duas etapas: desenvolvimento do aplicativo e validação de conteúdo por especialistas. O aplicativo foi desenvolvido a partir do Design Instrucional Contextualizado, seguindo as etapas de análise, desenho (design), desenvolvimento e implementação. Para a validação de conteúdo, 11 especialistas avaliaram o aplicativo quanto à relevância, à clareza, à coerência, às informações, à apresentação, à navegabilidade, à acessibilidade e ao design.
Resultados: o aplicativo SBVida foi desenvolvido para dispositivos móveis em plataforma Android. Foi alcançado Índice de Validade de Conteúdo geral de 0,87.
Conclusão: o aplicativo SBVida foi desenvolvido e validado e pode contribuir para a preparação e a capacitação complementar a estudantes e profissionais de Enfermagem e de demais áreas da saúde
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Fernandes LS, Fernandes GAB, Dos Reis VN, Gazola PRF, Dutra HS. CLASSIFICAÇÃO DA COMPLEXIDADE DA ASSISTÊNCIA DE ENFERMAGEM EM UNIDADE DE INTERNAÇÃO CLÍNICA. Rev Enferm Atual In Derme 2022. [DOI: 10.31011/reaid-2022-v.96-n.39-art.1396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objetivo: caracterizar a complexidade do cuidado de enfermagem dos pacientes em unidade de internação clínica utilizando a Escala de Fugulin. Método: pesquisa descritiva, documental e retrospectiva com abordagem quantitativa. O instrumento foi aplicado em pacientes internados na respectiva unidade entre os meses de maio a julho de 2021. A amostra foi totalizada em 998 avaliações. A exploração do material foi feita por meio de estatística descritiva e definição da classificação de dependência dos pacientes conforme escore obtido. Resultados: a maioria dos pacientes demandou cuidados mínimos (34,7%), seguido dos cuidados de alta dependência (21%), cuidados intermediários (18,2%), cuidados semi-intensivo (18%) e intensivo (8%). Conclusões: este estudo evidencia a importância do uso da Escala de Fugulin como ferramenta para avaliar a complexidade assistencial dos pacientes, contribuindo com a organização da assistência de enfermagem.
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Silva Dutra H, Arreguy-Sena C, Cordeiro Ribeiro F, Muniz Braga L, Krempser P, Deleon de Melo L. Representações sociais de mulheres sobre cateterização venosa para procedimento anestésico-cirúrgico. Rev Cuid 2022. [DOI: 10.15649/cuidarte.1258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Introdução: A cateterização venosa é essencial para procedimentos anestésico-cirúrgicos, com características compatíveis com estabilidade, volume de fluxo em curtos espaços de tempo e grosso calibre a fim de evitar trauma vascular. Objetivo: Identificar as representações sociais de mulheres sobre punção venosa para fins anestésico-cirúrgicos à luz dos estressores de Neuman. Materiais e métodos: Estudo qualitativo por abordagem estrutural das representações sociais realizada em um serviço de cirurgia, Brasil. Amostra de seleção completa (n=180) com delineamento temporal composta por mulheres (idade ≥18 anos) submetidas à punção venosa durante procedimentos anestésico-cirúrgicos. Utilizou-se técnica de evocação livre de palavras com o termo indutor “pegar veia para anestesia e cirurgia”. Realizou-se análise prototípica empregando o software EVOC2003. Os requisitos ético-legais foram atendidos. Resultados: As mulheres tinham de 20 a 39 anos (63%) e 10 a 13 anos de escolaridade (56,1%). No possível núcleo central constam sentimentos (“dor” e “medo-sem-medo”) em oposição à área de contraste “(in)certeza-habilidade-profissional” e “tranquila-fácil” e com elementos objetivados superativados alocados na primeira periferia, retratando estressores intrapessoais, interpessoais e extrapessoais. Discussões: A dor, enquanto objeto representacional, remeteu à função justificadora quando aproximada da agulha, reafirmando o surgimento de medo, nervosismo e da ansiedade (estressores). Conclusões: Dor, medo, ansiedade e nervosismo foram estressores identificados nas representações sociais que necessitam ser monitorados terapeuticamente por meio de relações interpessoais de confiança entre profissional-usuário, aliando a performance do desempenho, sendo necessário inserir a educação permanente para profissionais que puncionam vasos.
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Marziale MHP, Rocha FLR, Cassenote AJF, Robazzi MLDCC, Palha PF, Ballestero JGDA, Terra FDS, Mininel VA, Santos HECD, Fracarolli IFL, Garcia GPA, Fortunato MAB, Lima MMD, Dutra HS, Thofehrn MB, Dutra LS, Araújo CR, Braga LM, Carbogim FDC, Coelho ADCO. CARTA AO EDITOR SOBRE O ARTIGO - AVALIAÇÃO DO RISCO DE EXPOSIÇÃO PROFISSIONAL AO COVID-19: ADAPTAÇÃO TRANSCULTURAL. Texto contexto - enferm 2022. [DOI: 10.1590/1980-265x-tce-2022-c001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Dutra HS, Campagnacci. LR, Pinto PS, Arreguy-Sena C, Carvalho JOD, Paiva EPD. CAPACITAÇÃO EM SERVIÇO SOBRE REGISTROS DE ENFERMAGEM EM UNIDADE DE DIÁLISE RENAL. Rev Enferm Atual In Derme 2021. [DOI: 10.31011/reaid-2021-v.95-n.36-art.1244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objetivo: avaliar os registros da equipe de enfermagem em unidade de diálise renal antes e após a realização de capacitação em serviço. Método: estudo quase-experimental do tipo série de tempo interrompida realizado em uma unidade de diálise renal. Foi utilizada análise documental para avaliação dos registros de enfermagem antes e após capacitação em serviço quanto ao cumprimento da legislação específica. A análise documental pré-intervenção considerou prontuários dos pacientes que foram atendidos nos meses de maio e junho de 2015. No período pós-intervenção foram avaliados os prontuários dos pacientes atendidos entre setembro a novembro de 2015. Resultados: participaram da capacitação em serviço 49 profissionais de enfermagem. Foram avaliados um total de 10727 registros de enfermagem, sendo 4043 antes e 6684 após a capacitação. O maior número de registros foi feito pelos técnicos de enfermagem. As variáveis identificação incompleta do paciente (p<0,001), ausência de hora (p<0,001), ausência de assinatura (p<0,001), ausência de carimbo/identificação profissional (p<0,001), letra ilegível (p<0,001), erros ortográficos (p=0,045) e folha de sala de diálise incompleta (p<0,001) apresentaram porcentagem de adequação melhor após a intervenção. Rasuras (p=0,290) não foram impactadas pela intervenção. Ausência de data (p=0,003) e abreviaturas não padronizadas (p<0,001) aumentaram após a intervenção. Conclusão: capacitação em serviço pode melhorar a qualidade dos registros de enfermagem em unidade de diálise renal.
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Ferreira JDJ, Farah BF, Dutra HS, Bahia MTR, Sanhudo NF, Faza Franco MF. ATUAÇÃO DO ENFERMEIRO NA GESTÃO DE RECURSOS MATERIAIS NA ATENÇÃO PRIMÁRIA À SAÚDE. Rev Enferm Atual In Derme 2021. [DOI: 10.31011/reaid-2021-v.95-n.35-art.1213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objetivo: compreender como enfermeiros supervisores da Atenção Primária à Saúde realizam a gestão dos recursos materiais. Método: abordagem qualitativa, tipo estudo de caso, com 13 enfermeiros supervisores e/ou assistenciais, que responderam a entrevista semiestruturada. Resultados: a gestão dos recursos materiais foi entendida de maneira diversificada pelos enfermeiros mencionando etapas isoladas de previsão e provisão; controle, organização e gestão dos recursos materiais; sendo realizadas de forma incompleta. É parametrizada pelo nível central sem prever o estoque de segurança e dividida em duas etapas: previsão e controle de estoque. Fatores desafiadores: estrutura física das unidades, interrupções frequentes no intervalo entre a solicitação e a entrega dos materiais. Potencialidades: integração da equipe multidisciplinar, comunicação entre os supervisores por meio de redes sociais. Conclusão: a racionalização e a gestão dos recursos materiais eficiente e eficaz são necessárias, pois contribuirão para manutenção da continuidade da assistência, garantindo a qualidade.
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Dutra HS, Guirardello EDB. Nursing work environment and accreditation: Is there a relationship? J Nurs Manag 2021; 29:2183-2188. [PMID: 33993587 DOI: 10.1111/jonm.13371] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Revised: 05/02/2021] [Accepted: 05/11/2021] [Indexed: 10/21/2022]
Abstract
BACKGROUND The association between Magnet recognition and nursing work environment is well established; however, little is known about hospital accreditation and its relationship to the nursing work environment. OBJECTIVE To describe the Brazilian nurses' perceptions of the work environment and their relationship with hospital accreditation. METHODS A cross-sectional survey study was carried out in three Brazilian hospitals. Nurses who delivered direct patient care and worked for at least 6 months were invited to participate. Those who were on vacation or leave for any reason during data collection were excluded. The participants were asked to fill out the personal and professional characterization form and the Brazilian version of the Revised Nursing Work Index. RESULTS The work environment was evaluated as favourable by Brazilian nurses. Linear regression analysis evidenced that hospital accreditation is associated with the nursing work environment, affecting the nurse-physician relationship (OR = 0.266, p < .001), organisational support (OR = 0.256, p < .001), control over the practice setting (OR = 0.229, p < .001) and autonomy (OR = 0.227, p < .001). CONCLUSION The findings suggest that there is a positive influence of hospital accreditation on nurses' perceptions of the work environment concerning autonomy, nurse-physician relationship, control over the practice setting and organisational support. IMPLICATION FOR NURSING MANAGEMENT Nurse managers can apply the recommendations of certification programmes in practice settings to improve the nursing work environment.
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Affiliation(s)
- Herica Silva Dutra
- School of Nursing, Federal University of Juiz de Fora, Juiz de Fora, Brazil
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Dutra HS, Thofehrn MB, Dutra LS, Araújo CR, Braga LM, Carbogim FDC, Coelho ADCO. ASSESSMENT OF THE PROFESSIONAL RISK OF EXPOSURE TO COVID-19: A TRANSCULTURAL ADAPTATION. Texto contexto - enferm 2021. [DOI: 10.1590/1980-265x-tce-2021-0097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to translate and transculturally adapt the Risk assessment and management of exposure of health care workers in the context of COVID-19 questionnaire. Method: this is a methodological study. The translation, back-translation, synthesis, evaluation by experts committee and pre-test stages were followed. The participants were invited by electronic means and answered an online questionnaire. The data were collected between June and September 2020. Content validation by the experts committee was verified using the Content Validity Index. The pre-test participants assessed the instrument's applicability by means of the “Assessment of Instruments' Feasibility” questionnaire. Results: the study participants were four translators, eight evaluators in the experts committee and 35 professionals who answered the pre-test. The changes suggested by the experts committee were accepted and consensus was reached in two evaluation rounds, obtaining a content validity index higher than 0.80 for all items of the instrument. The pre-test version presented good applicability and satisfactory reliability (0.76). Conclusion: the instrument was adapted for use in Brazil, which will allow international comparison of the results and using the data obtained for assessment and decision-making in relation to workers' health. In addition to that, its use may be expanded to assess other situations of health professionals' exposure to the risk of contamination by infectious agents.
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Pereira APN, Arreguy-Sena C, Queiroz ABA, Dutra HS, De Melo LD, Krempser P. Representações sociais de enfermeiros da atenção primária sobre registros de enfermagem em prontuários. ACTA ACUST UNITED AC 2020. [DOI: 10.33233/eb.v18i6.3219] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Introdução: Registros de enfermagem constituem estratégias comunicacionais ético-legal para o exercício profissional. Objetivos: Compreender a representação social dos registros (papel-convencional e eletrônico) dos enfermeiros na consulta pré-natal na Estratégia da Saúde da Família. Métodos: Pesquisa qualitativa alicerçada nas abordagens estrutural (n = 81) e processual (n = 78) da Teoria das Representações Sociais e na Teoria de Betty Neuman. Dados coletados por entrevistas individuais em profundidade utilizando técnica de evocação e questões norteadoras. Análise utilizou os softwares: Ensemble de Programmes Permettant L´Analyse des Evocations (análise prototípica) e NVivo Pro11 (análise de conteúdo utilizando Pearson ≥ 0,70). Atendidos todos requisitos éticos/legais em pesquisa. Resultados: Participaram enfermeiras (96,3%) com tempo médio de atuação profissional de 18 anos. Emergiram as categorias: 1) Registros de enfermagem: legalidade (in)visibilidade e possibilidades e 2) Tecnologia digital: da (des)valorização à utopia. Os registros impressos foram influenciados por julgamento normativo construído pelo compartilhamento de vivências/experiências laborais e os eletrônicos pelas habilidades digitais, predominando em ambos a dimensão valorativa. Conclusão: A compreensão das representações sobre registros tradicional e eletrônico foram concordantes quanto a sua importância e divergentes pela indisponibilidade tecnológica.Palavras-chave: registros de enfermagem, registros eletrônicos de saúde, sistemas de informação em saúde, indicadores básicos de saúde, atenção primária à saúde.
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Gomes PDAR, Farah BF, Rocha RS, Friedrich DBDC, Dutra HS. Electronic Citizen Record: An Instrument for Nursing Care / Prontuário Eletrônico do Cidadão: Instrumento Para o Cuidado de Enfermagem. ACTA ACUST UNITED AC 2019. [DOI: 10.9789/2175-5361.2019.v11i5.1226-1235] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Objetivo: Analisar a percepção dos enfermeiros sobre a implantação e o uso do Prontuário Eletrônico do Cidadão (PEC) no cuidado de enfermagem. Método:Pesquisa de abordagem qualitativa realizada com 11 enfermeiros da Atenção Básica. Resultados: Emergiram três categoriais: O Prontuário Eletrônico do Cidadão sob a ótica dos enfermeiros da Atenção Básica (AB); A Implantação do Prontuário Eletrônico do Cidadão nas Unidades de Atenção Básica (UBS); Contribuições e desafios na utilização do PEC para o cuidado de enfermagem. Identificou-se que PEC é uma ferramenta que pode contribuir para a melhoria do funcionamento das UBS e para a qualificação do cuidado de enfermagem.Conclusão:O PEC colabora nos processos de trabalho do enfermeiro no assistir, administrar e pesquisar. Para funcionamento do PEC nas UBS é preciso implementar suporte e manutenção da rede lógica e internet; capacitação dos profissionais no uso da informáticae organização de educação permanente.
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Mendonça Moreira J, Farah BF, Silva Dutra H, Fontoura Sanhudo N, De Castro Friedrich DB. FATORES DESENCADEADORES DE (IN)SATISFAÇÁO NO TRABALHO DOS ENFERMEIROS DA ATENÇÃO BÁSICA DE SAÚDE. ACTA ACUST UNITED AC 2019. [DOI: 10.4067/s0717-95532019000100209] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Abstract
BACKGROUND AND PURPOSE To examine computational measures of job-related burnout to determine the best computation to estimate job satisfaction and intent to leave in Brazilian nursing professionals. METHODS Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used assess burnout in 452 hospital-based nursing professionals. Adjusted logistic regression models were fit using different computations of burnout to estimate outcomes of interest. RESULTS Total mean score of burnout subscales was the best estimate of job satisfaction (Cox-Snell R2 = 0.312; Nagelkerke R2 = 0.450) and intent to leave (Cox-Snell R2 = 0.156; Nagelkerke R2 = 0.300), as was high emotional exhaustion (Cox-Snell R2 = 0.219; Nagelkerke R2 = 0.316). CONCLUSION We have provided evidence that different computations of data from the Portuguese (Brazil) MBI-HSS can be used in to estimate the effect of job-related burnout on nurse outcomes.
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Affiliation(s)
| | | | - Yin Li
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA
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Silva Dutra H, Aparecida Lopes Gomes P, Nereu Garcia R, Ceretta Oliveira H, Carvalho de Freitas S, De Brito Guirardello E. Burnout entre profissionais de enfermagem em hospitais no Brasil. Rev Cuid 2018. [DOI: 10.15649/cuidarte.v10i1.585] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Dutra HS, Cimiotti JP, Guirardello EDB. Nurse work environment and job-related outcomes in Brazilian hospitals. Appl Nurs Res 2018; 41:68-72. [DOI: 10.1016/j.apnr.2018.04.002] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2018] [Revised: 04/04/2018] [Accepted: 04/09/2018] [Indexed: 11/28/2022]
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Rossi MID, Barros APDN, Baptista LS, Garzoni LR, Meirelles MN, Takiya CM, Pascarelli BMO, Dutra HS, Borojevic R. Multicellular spheroids of bone marrow stromal cells: a three-dimensional in vitro culture system for the study of hematopoietic cell migration. Braz J Med Biol Res 2005; 38:1455-62. [PMID: 16172738 DOI: 10.1590/s0100-879x2005001000002] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Cell fate decisions are governed by a complex interplay between cell-autonomous signals and stimuli from the surrounding tissue. In vivo cells are connected to their neighbors and to the extracellular matrix forming a complex three-dimensional (3-D) microenvironment that is not reproduced in conventional in vitro systems. A large body of evidence indicates that mechanical tension applied to the cytoskeleton controls cell proliferation, differentiation and migration, suggesting that 3-D in vitro culture systems that mimic the in vivo situation would reveal biological subtleties. In hematopoietic tissues, the microenvironment plays a crucial role in stem and progenitor cell survival, differentiation, proliferation, and migration. In adults, hematopoiesis takes place inside the bone marrow cavity where hematopoietic cells are intimately associated with a specialized three 3-D scaffold of stromal cell surfaces and extracellular matrix that comprise specific niches. The relationship between hematopoietic cells and their niches is highly dynamic. Under steady-state conditions, hematopoietic cells migrate within the marrow cavity and circulate in the bloodstream. The mechanisms underlying hematopoietic stem/progenitor cell homing and mobilization have been studied in animal models, since conventional two-dimensional (2-D) bone marrow cell cultures do not reproduce the complex 3-D environment. In this review, we will highlight some of the mechanisms controlling hematopoietic cell migration and 3-D culture systems.
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Affiliation(s)
- M I D Rossi
- Departamento de Histologia e Embriologia, Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
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Rossi MI, Dutra HS, El-Cheikh MC, Bonomo A, Borojevic R. Extramedullar B lymphopoiesis in liver schistosomal granulomas: presence of the early stages and inhibition of the full B cell differentiation. Int Immunol 1999; 11:509-18. [PMID: 10323203 DOI: 10.1093/intimm/11.4.509] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Inflammatory granulomatous reactions in liver elicited by schistosomal infection have been shown to function as active extramedullar myelopoietic sites, producing potentially all the myeloid lineages. We have now addressed the question of the extramedullar B lymphopoiesis in these sites. We have shown the presence of early B cell precursors (pro-B cells) in the granulomas by immunophenotyping. Their total number in the liver was equivalent to the pro-B cells in the bone marrow of one femur. In agreement with their phenotype, the RT-PCR analysis showed that these cells expressed RAG-1 and lambda5 genes. However, the conversion of the pro-B to pre-B cells was not observed and no clonogenic B cell precursors could be detected in semi-solid cultures stimulated by IL-7. The granulomatous stroma was shown to produce IL-7 and express c-kit, and was able to sustain the full B lymphopoiesis in vitro. Conversely, the granuloma supernatant was shown to inhibit actively the development of B lymphocytes. We conclude that the granuloma environment elicits homing and proliferation of totipotent hematopoietic precursors, and that it is permissive for early commitment to the B cell lineage, but the full extramedullar production of B cell is abrogated by soluble factors produced inside the granulomas.
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Affiliation(s)
- M I Rossi
- Departamento de Patologia, Hospital Universitário António Pedro, Universidade Federal Fluminense, Niterói, Brazil
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Dutra HS, El-Cheikh MC, Azevedo SP, Rossi MI, Borojevic R. Murine schistosomiasis mansoni: experimental analysis of bone marrow and peripheral myelopoiesis. Parasitol Res 1998; 84:668-75. [PMID: 9747940 DOI: 10.1007/s004360050467] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
In schistosomiasis a systemic hyperplasia of the monomacrophagic cell lineage is associated with its mild modifications in myelograms and hemograms. We monitored the in vitro proliferation of myeloid precursors obtained from bone marrow, blood, spleen, and liver. The macrophage colony-forming unit (M-CFU) numbers were stable in bone marrow but increased progressively in spleen and in liver, reaching in each organ the values equivalent to one femur. The bone marrow had an increased production and enhanced capacity to release M-CFU. Their quantitative increase in blood and in peripheral tissues of schistosome-infected mice was associated with their qualitative modifications: augmented proliferative capacity, enhanced adhesion, and accelerated differentiation. The accelerated release of monomacrophage progenitors and their enhanced proliferation in peripheral tissues potentially account for the relatively low involvement of the bone marrow and for an efficient in situ production of phagocytes, which participate in host reactions to parasites.
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Affiliation(s)
- H S Dutra
- PABCAM-Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brasil
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Dutra HS, Rossi MI, Azevedo SP, el-Cheikh MC, Borojevic R. Haematopoietic capacity of colony-forming cells mobilized in hepatic inflammatory reactions as compared to that of normal bone marrow cells. Res Immunol 1997; 148:437-44. [PMID: 9498001 DOI: 10.1016/s0923-2494(97)82666-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Chronic inflammatory periovular granulomatous reactions elicited in liver by schistosomal infection are a site of active myelopoiesis. We quantified the colony-forming cells (CFCs) in granulomas and found that the whole liver contains a number of CFCs roughly equivalent to 50% of a femur. Clonogenic analysis showed the presence of committed as well as pluripotent and totipotent CFCs. Long-term Dexter-type cultures showed that the granuloma-derived totipotent CFCs do not have self-renewal capacity. Hence, they did not correspond functionally to haematopoietic stem cells, despite the fact that the stroma established by adherent cells harvested from granulomas had the capacity to sustain long-term proliferation of bone-marrow-derived haematopoietic stem cells. We conclude that myelopoietic cytokines produced by inflammatory reactions in schistosomiasis elicit mobilization of bone marrow CFCs into the circulation, which can settle in hepatic granulomas. This environment may induce their proliferation and differentiation, but not their self-renewal, sustaining temporary production of myeloid cell lineages which nevertheless depends upon cell renewal from the bone marrow pool of haematopoietic precursors.
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Affiliation(s)
- H S Dutra
- Programa Avançado de Biologia Celular Aplicada à Medicina, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Brazil
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el-Cheikh MC, Dutra HS, Minóprio P, Borojevic R. Increase of B-lymphocyte number and activity during experimental murine schistosomiasis mansoni. Braz J Med Biol Res 1994; 27:1605-17. [PMID: 7874027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
1. In schistosomal infection, the hyperergic acute phase of the disease evolves progressively into the chronic one, with establishment of a relative equilibrium between the parasites and the corresponding host responses. This down-regulation of host reactivity is considered to be under the control of T-lymphocyte circuits. 2. In the present study, we investigated lymphocyte populations in spleens of normal mice and the kinetics of the B-cell number increase in mice in the acute, chronic and late chronic phases of schistosomal infection, and we monitored their proliferation and activity in antibody isotype secretion. 3. We observed polyclonal B-cell activation and modulation of Ig isotype production, compatible with the alternate predominance of TH2 and TH1 lymphocyte subsets, in the acute and the chronic phases of the disease, respectively.
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Affiliation(s)
- M C el-Cheikh
- Departamento de Bioquímica, Universidade Federal do Rio de Janeiro, Brasil
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Palatnik-de-Sousa CB, Dutra HS, Borojevic R. Leishmania donovani surface glycoconjugate GP36 is the major immunogen component of the fucose-mannose ligand (FML). Acta Trop 1993; 53:59-72. [PMID: 8096110 DOI: 10.1016/0001-706x(93)90006-w] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Leishmania donovani promastigote glycoconjugate ligands, studied in our laboratory, that interact with the internalization receptors on BALB/c macrophages: the 'fucose mannose ligand' (FML), the 'phosphate mannogalactan ligand' (PMGL), and the 'lipopeptidephosphoglycan' (LPPD), interfered also with interaction between amastigotes and host cells in vitro. Among the three compounds studied, the FML was shown to be the most potent inhibitor of both promastigote and amastigote internalization, and to be present on parasite surface during the vertebrate-host cycle. The FML, but not the other two glycoconjugates, is a potent immunogen in rabbits (ELISA, agglutination and immuno-blots). Rabbit hyperimmune sera recognized essentially the 36 kDa band of FML. Mouse monoclonal antibodies against FML recognized either the 36 kDa or the 55 kDa band. No cross-reactivity between these two FML components was detected. No antigenic similarity could be detected between the 36 and 55 kDa bands of FML and the 'GP63' (promastigote surface proteinase) major surface leishmanial antigen. The 36 kDa-glycoprotein was identified as the major FML antigenic fraction and designated 'GP36'. The integrity of the glycidic moiety was necessary for its antigenicity. This L. donovani surface glycoprotein is apparently one of the major molecules involved in interactions between the parasite and the vertebrate host.
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Pinho RT, Dutra HS, Giovanni-De-Simone S, de Carvalho LC. A glass wool-based method for purifying Trypanosoma cruzi trypomastigotes and identification of an epimastigote-specific glass-adherent surface peptide. Acta Trop 1991; 50:29-38. [PMID: 1686142 DOI: 10.1016/0001-706x(91)90070-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Glass wool, hydrophilic cotton wool, non-electrically charged BIO-GEL P2 and common tissue paper columns were used to purify trypomastigotes from a mixed Trypanosoma cruzi population grown in axenic culture medium. With all these columns, highly purified (up to 98%) trypomastigote preparations were obtained. Trypomastigote yields from cotton wool, BIO-GEL P2 and common tissue paper columns were not as high as from glass wool columns, from which yields varied from 69 to 80%. Purification on glass wool did not affect trypomastigote infectivity or virulence. Dead trypomastigotes could not be purified on glass wool columns. A glass-adherent amphiphilic peptide of 45 kDa, present in the cell membrane, was isolated from epimastigote but not from trypomastigote preparations.
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Affiliation(s)
- R T Pinho
- Departamento de Imunologia, Instituto Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, Brazil
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el-Cheikh MC, Dutra HS, Borojevic R. Eosinophil granulocyte proliferation and differentiation in schistosomal granulomas are controlled by two cytokines. J Transl Med 1991; 64:93-7. [PMID: 1990211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
In parasitic diseases, eosinophilia is controlled at the systemic level by soluble, circulating factors. In addition to their medullar production and migration to tissues involved by parasitosis, eosinophil populations in inflammatory infiltrates may be locally amplified by their in situ proliferation. In granulomas induced in liver tissue by eggs of schistosome worms, eosinophil proliferation and differentiation are observed. We have shown that they were under control of two cytokines, the activity of which can be demonstrated in supernatants of isolated granulomas maintained in culture for 24 hours. One of them has been identified as interleukin-5. The other one is secreted by adherent cells obtained from periovular granulomas, among which macrophages represent more than 99% of cells. It is considered to correspond to the previously described factor, secreted by inflammatory macrophages mobilized on intraperitoneal glass implants in mice with chronic schistosomiasis. In acute schistosomiasis, the activity of the interleukin-5 was predominant, whereas in the chronic phase of the disease, the stimulation of peripheral eosinopoiesis is taken over by the factor secreted by adherent cells. During the progression from the acute to the chronic phase of schistosomiasis, the immune reactivity of the host is down-regulated by T suppressor lymphocyte circuits. In addition, a redistribution of cellular controls of the host reaction to parasites may act as a complementary mechanism for establishment of the viable equilibrium between host and parasite.
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Affiliation(s)
- M C el-Cheikh
- Departamento de Bioquimica, Universidade Federal do Rio de Janeiro, Brazil
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Borojevic R, Guaragna RM, Margis R, Dutra HS. In vitro induction of the fat-storing phenotype in a liver connective tissue cell line-GRX. In Vitro Cell Dev Biol 1990; 26:361-8. [PMID: 2188940 DOI: 10.1007/bf02623827] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Liver connective tissue cells have been characterized as perisinusoidal myofibroblasts and hepatic lipocytes (Ito cells, fat-storing cells). A concept of a single mesenchymal cell population that may be modulated between these two phenotypes has been postulated. We have previously established a continuous murine cell line, GRX, obtained from fibrotic granulomatous lesions induced by schistosomal infection in mouse liver. This cell line is considered to represent liver myofibroblasts. In the present study we have induced the conversion of these cells into lipocyte (fat storing) phenotype by treatment with insulin and indomethacin. We have quantified the lipid synthesis and the increase of activity of involved enzymes during the induction of the fat-storing phenotype and described modifications of cell organization along this modulation of cell functions.
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Affiliation(s)
- R Borojevic
- Departamento de Bioquímica, Universidade Federal do Rio de Janeiro, Brazil
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