Objectives: To develop an algorithm for evaluation and treatment of wounds and to test their internal reliability. Method: Crosssectional and descriptive study. For the construction of the algorithm, a review of the literature was realized with databases of health sciences and consultation of books and theses of this area published in the last 10 years, using as descriptors: acute and chronic wounds; wound evaluation; evaluation tools; dressings; nursing evaluation; wound healing and nursing care; and algorithms. Two hundred nurses with at least 12 months of experience in wound care were contacted and 38 of them completed the evaluation questionnaire. The internal consistency of the algorithm was measured by Cronbach's alpha coefficient. Results: All items evaluated had a "excellent" classification, being: graphic presentation (52.65%), readability (60.5%), sequence of the algorithm (52.6%), description of wound types (56.8%), description of tissue types (52.6%), presentation of types of exudate (57.9%), presentation of signs of infection (57.9%) and products to be used in dressing (50%). The algorithm presented excellent internal consistency (α = 0.911). According to 97.4% of the evaluations, the instrument is able to support health professionals in wounds evaluation. Conclusion:The algorithm showed internal reliability for evaluation and treatment of wounds.

RESUMOObjetivo: descrever o desenvolvimento de um aplicativo móvel para a avaliação e tratamento de feridas. Método: estudo metodológico. Foi feita a pesquisa da literatura com os descritores: ferimentos e lesões; bandagens; cicatrização. Foram realizados o planejamento do conteúdo, a seleção das ferramentas do aplicativo, a definição da configuração de ambientes, ferramentas e recursos educacionais, a construção do ambiente na Internet para download e instalação do aplicativo no dispositivo móvel. Resultados: quinze artigos foram selecionados através da pesquisa da literatura. O aplicativo criado possui uma interface gráfica de fácil uso, armazena as características sociodemográficas do paciente, permite a avaliação da ferida e de fatores de risco e recomenda procedimentos terapêuticos. Conclusão: o aplicativo desenvolvido pode ter grande utilidade na prática clínica, ajudando a selecionar intervenções de enfermagem para a prevenção e tratamento de feridas, bem como na educação em enfermagem. Descritores: Aplicativos Móveis; Software; Lasers; Ferimentos e Lesões; Algortimos; Cuidados de enfermagem. ABSTRACT Objective: to describe the development of a mobile application for evaluation and treatment of wounds. Method: methodological study. Literature search was carried out with the descriptors: wounds and injuries; dressings; cicatrization. The following steps were followed: planning of content; selection of application tools; configuration of environments, tools and educational resources; building the Internet environment for downloading and installing the application on mobile devices. Results: fifteen articles were selected through literature search. The application has an easy-to-use graphical interface. It stores the patient's sociodemographic characteristics, allows assessment of the wound and risk factors and recommends therapeutic procedures. Conclusion: the application developed may be very useful in clinical practice, helping to select nursing interventions for wound prevention and treatment, as well as in nursing education. Descriptors: Mobile Applications; Software; Lasers; Wounds and injuries; Algorithms; Nursing care.RESUMENObjetivo: describir el desarrollo de un aplicativo móvil para la evaluación y tratamiento de heridas. Método: estudio metodológico. Fue hecha la investigación de la literatura con los descriptores: heridas y lesiones; vendajes; cicatrización. Fueron realizados el planeamiento del contenido, la selección de las herramientas del aplicativo, la definición de la configuración de ambientes, herramientas y recursos educacionales, la construcción del ambiente en Internet para download e instalación del aplicativo en el dispositivo móvil. Resultados: quince artículos fueron seleccionados a través de la investigación de la literatura. El aplicativo creado posee una interface gráfica de fácil uso, almacena las características sociodemográficas del paciente, permite la evaluación de la herida y de factores de riesgo y recomienda procedimientos terapéuticos. Conclusión: el aplicativo desarrollado puede tener grande utilidad en la práctica clínica, ayudando a seleccionar intervenciones de enfermería para la prevención y tratamiento de heridas, así como en la educación en enfermería. Descriptores: Aplicaciones Móviles; Programas Informáticos; Heridas y Lesiones; Evaluación.

OBJECTIVE: To identify changes in body image in patients with surgical wound dehiscence. DESIGN AND SETTING: This cross-sectional, descriptive, analytical study was conducted in a university hospital and nursing care center in Brazil. PATIENTS AND INTERVENTION: Sixty-one adult surgical patients of both genders from different inpatient wards or receiving outpatient care were selected. Forty-one participants had surgical wound dehiscence, and 20 had achieved complete wound healing (controls). MAIN OUTCOME MEASURE: The Body Dysmorphic Disorder Examination (BDDE), Body Investment Scale (BIS), and a questionnaire assessing clinical and sociodemographic characteristics of patients were used for data collection. MAIN RESULTS: Surgical wound dehiscence defects were 0.5 to 30 cm in length, located on the arms, legs, and chest. They were significantly associated with being white (P = .048), number of children (P = .024), and presence of comorbid conditions (P = .01). Overall, men reported higher BIS scores (positive feelings about the body) than women (P = .035). Patients with wound dehiscence had higher BDDE scores (negative body image) than controls (P = .013). The BDDE scores were associated with presence of surgical wound dehiscence (P = .013), number of children (P = .009), and wound length (P = .02). There were significant correlations between BIS scores in men with wound dehiscence (P = .042), number of children (P < .001), and BDDE scores (P < .001) and between BDDE scores and number of children (P = .031), wound length (P = .028), and BIS scores (P < .001). CONCLUSION: Surgical wound dehiscence had a negative impact on body image.

Este artigo visa analisar a interpretação da realidade tendo como base a teoria da holografia quântica, para isso entendendo os conceitos físicos necessários para compreendê-la. A teoria da realidade será dívida, neste artigo, em cinco definições, sendo a quinta o objeto de foco: a compreensão holográfica da realidade, esta caracterizando-se como a superação da "dualidade da coisa e da não coisa" - que se sustenta sobre a dialética hegeliana aplicada à caverna de Platão. Para isso foram estudadas tanto obras de física, filosofia e direito, como também obras soltas de literatura segmentada aos assuntos supracitados.