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critical medicina

V López Camps, M A García García, M C Martín Delgado, J M Añón Elizalde, N Masnou Burrallo, O Rubio Sanchiz, A Estella García, J L Monzón Marín
INTRODUCTION: Multiple interventions are performed in critical patients admitted to Intensive Care Units (ICUs). This study explores the presence in the daily practice of ICUs of elements related to the 6 bioethics quality indicators of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units, and the participation of their members in the hospital ethics committees. MATERIALS AND METHODS: A multicenter observational study was carried out, using a survey exploring descriptive aspects of the ICUs, with 25 questions related to bioethics quality indicators, and assessing the participation of ICU members in the hospital ethics committees...
April 4, 2017: Medicina Intensiva
Costantino Roberto Frack Costantini, Jose Antonio Ramires, Costantino Ortiz Costantini, Marcos Antonio Denk, Sergio Gustavo Tarbine, Marcelo de Freitas Santos, Daniel Aníbal Zanuttini, Carmen Weigert Silveira, Admar Moraes de Souza, Rafael Michel de Macedo
BACKGROUND: Functional assessment of coronary artery obstruction is used in cardiology practice to correlate anatomic obstructions with flow decrease. Among such assessments, the study of the coronary fractional flow reserve (FFR) has become the most widely used. OBJECTIVE: To evaluate the correlation between FFR and findings of ischemia obtained by noninvasive methods including stress echocardiography and nuclear medicine and the presence of critical coronary artery obstruction...
January 2017: Arquivos Brasileiros de Cardiologia
Adelina Anthony, Aimee Carrillo Rowe
This interview explores how performing artist, activist, writer, director, performer Adelina Anthony stages queer women of color affects as a complex terrain to mobilize a decolonial imaginary. Anthony's characters are complex, contradictory, surly, and resilient with whom audience members connect and feel deeply. Especially for queer women of color, who rarely get to see their own experiences on film or on stage, Anthony's work provides a critical forum for discussing, imagining, naming, and envisioning the connections between our personal struggles and broader forces of imperialism, heterosexual capitalism, and settler colonialism...
September 9, 2016: Journal of Lesbian Studies
M Llauradó-Serra, R Güell-Baró, A Castanera-Duro, I Sandalinas, E Argilaga, M L Fortes-Del Valle, M F Jiménez-Herrera, L Bordonado-Pérez, C Fuentes-Pumarola
BACKGROUND: The implementation of evidence based practice is essential in clinical practice. However, it is still a challenge in critical care patients. AIM: To identify the barriers for conducting research that nursing professionals perceive in intensive care and medical emergency departments, as well as to investigate the areas of interest and motivations to carry out research projects. METHOD: Cross-sectional and multicentre study carried out in 4 intensive care units and in one Medical Emergency Department emergency pre-hospital carein Catalonia on 2014...
October 2016: Enfermería Intensiva
Silene El-Fakhouri, Hugo Victor Cocca Gimenez Carrasco, Guilherme Campos Araújo, Inara Cristina Marciano Frini
OBJECTIVE: To characterize the epidemiological profile of the hospitalized population in the ICU of Hospital das Clínicas de Marília (Famema). METHOD: A retrospective, descriptive and quantitative study. Data regarding patients admitted to the ICU Famema was obtained from the Technical Information Center (Núcleo Técnico de Informações, NTI, Famema). For data analysis, we used the distribution of absolute and relative frequencies with simple statistical treatment...
May 2016: Revista da Associação Médica Brasileira
Carolina López-Rubalcava, Erika Estrada-Camarena
ETHNOPHARMACOLOGICAL RELEVANCE: Anxiety and depression are considered the most prevalent psychiatric disorders worldwide. In Mexico, the use of medicinal plants to alleviate the symptoms associated with these psychiatric disorders is increasing. However, there is little scientific evidence that validates the efficacy of these plants. This evidence needs to be critically revised, and further studied to provided scientific support for their use. AIM OF THE STUDY: To identify the plants that are used in Mexico for the treatment of disorders related to anxiety and depression, and to review the current preclinical and when available, clinical information of these plants...
June 20, 2016: Journal of Ethnopharmacology
Keisuke Masuyama, Minoru Goto, Sachio Takeno, Nobuo Ohta, Mitsuhiro Okano, Atsushi Kamijo, Motohiko Suzuki, Tetsuya Terada, Daiju Sakurai, Shigetoshi Horiguchi, Kohei Honda, Shoji Matsune, Takechiyo Yamada, Masafumi Sakashita, Atsushi Yuta, Takashi Fuchiwaki, Ikuyo Miyanohara, Takeo Nakayama, Yoshitaka Okamoto, Shigeharu Fujieda
OBJECTIVE: Sublingual immunotherapy (SLIT) appears to offer practical advantages for the treatment of allergic rhinitis (AR). Based on a review of the scientific literature, we present recommendations as guiding principles to administer SLIT safely. METHODS: Clinical questions concerning SLIT were prepared. Literature published between January 2003 and December 2012 was searched from PubMed, the Cochrane Library, and Japana Centra Revuo Medicina. Qualified studies were analyzed and the results were evaluated, consolidated, and codified...
February 2016: Auris, Nasus, Larynx
Enrico Lavezzo, Marco Falda, Paolo Fontana, Luca Bianco, Stefano Toppo
Argot2.5 (Annotation Retrieval of Gene Ontology Terms) is a web server designed to predict protein function. It is an updated version of the previous Argot2 enriched with new features in order to enhance its usability and its overall performance. The algorithmic strategy exploits the grouping of Gene Ontology terms by means of semantic similarity to infer protein function. The tool has been challenged over two independent benchmarks and compared to Argot2, PANNZER, and a baseline method relying on BLAST, proving to obtain a better performance thanks to the contribution of some key interventions in critical steps of the working pipeline...
January 15, 2016: Methods: a Companion to Methods in Enzymology
Ana E del Pozo, Maria D Pérez-Rosales, Cesar de Almeida-Neto, Mirta C Remesar, Armando D Cortes, Raquel Baumgratz Delgado, Alfredo Mendrone, Ester Sabino
Blood transfusion safety is a critical part of appropriate health care. Considering the limited information available on the use of blood and its components in Latin America and the Caribbean, the Grupo Cooperativo iberoamericano de Medicina Transfusional (Ibero-American Cooperative Group for Transfusion Medicine; GCIAMT), through its Research and International Affairs committees, carried out a project to develop a protocol that would facilitate the evaluation of blood usage at the country, jurisdiction, and institutional levels in varied country contexts...
June 2015: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
Masayo Kojima, Takeo Nakayama, Yutaka Kawahito, Yuko Kaneko, Mitsumasa Kishimoto, Shintaro Hirata, Yohei Seto, Hirahito Endo, Hiromu Ito, Toshihisa Kojima, Keiichiro Nishida, Isao Matsushita, Kiichiro Tsutani, Ataru Igarashi, Naoyuki Kamatani, Mieko Hasegawa, Nobuyuki Miyasaka, Hisashi Yamanaka
OBJECTIVES: To describe the process of collecting and evaluating evidence for treating rheumatoid arthritis (RA) for developing clinical practice guidelines (CPGs) for rheumatologists in Japan. METHODS: The task force comprised rheumatologists, epidemiologists, health economists, and patients. First, the critical outcomes were determined according to a three-round Delphi method, and eight topics with 88 clinical questions (CQs) were formulated. A systematic review of CQs was conducted using the Cochran Database of Systematic Reviews, MEDLINE, and Japana Centra Revvo Medicina (2003-2012)...
2016: Modern Rheumatology
Juan José Montenegro-Idrogo, Jhon William Mejía-Dolores, Joel L Chalco-Huamán
This bibliometric study describes the characteristics of letters to the editor published between 2006-2013 in biomedical journals indexed in SciELO-Peru.253 letters (10.3% of total publications) were collected. Most letters (139) were in the Peruvian Journal of Experimental Medicine and Public Health, with marked increase throughout those years. 25% of letters submitted included medical student participation. 14% of authors presented with international affiliations and 27% with endogenous affiliation - common in university journals (Anales de la Facultad de Medicina, Revista Médica Herediana)...
January 2015: Revista Peruana de Medicina Experimental y Salud Pública
Maria Paula Gomes Mourão, Michele de Souza Bastos, Regina Maria Pinto de Figueiredo, João Bosco de Lima Gimaque, Valquíria do Carmo Rodrigues Alves, Maria das Graças Gomes Saraiva, Mário Luis Garcia Figueiredo, Rajendranath Ramasawmy, Maurício Lacerda Nogueira, Luiz Tadeu Moraes Figueiredo
The Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), located in Manaus, the capital of the State of Amazonas (Western Brazilian Amazon), is a pioneering institution in this region regarding the syndromic surveillance of acute febrile illness, including arboviral infections. Based on the data from patients at the FMT-HVD, we have detected recurrent outbreaks in Manaus by the four dengue serotypes in the past 15 years, with increasing severity of the disease. This endemicity has culminated in the simultaneous circulation of all four serotypes in 2011, the first time this has been reported in Brazil...
2015: Revista da Sociedade Brasileira de Medicina Tropical
Sonia M D Brucki, Norberto Anísio Frota, Pedro Schestatsky, Adélia Henriques Souza, Valentina Nicole Carvalho, Maria Luiza Giraldes Manreza, Maria Fernanda Mendes, Elizabeth Comini-Frota, Cláudia Vasconcelos, Vitor Tumas, Henrique B Ferraz, Egberto Barbosa, Mauro Eduardo Jurno
The use of cannabidiol in some neurological conditions was allowed by Conselho Regional de Medicina de São Paulo and by Agência Nacional de Vigilância Sanitária (ANVISA). Specialists on behalf of Academia Brasileira de Neurologia prepared a critical statement about use of cannabidiol and other cannabis derivatives in neurological diseases.
April 2015: Arquivos de Neuro-psiquiatria
Caryl Feldacker, Sergio Chicumbe, Martinho Dgedge, Freide Cesar, Gerito Augusto, Molly Robertson, Francisco Mbofana, Gabrielle O'Malley
BACKGROUND: Mozambique suffers from critical shortages of healthcare workers including non-physician clinicians, Tecnicos de Medicina Geral (TMGs), who are often senior clinicians in rural health centres. The Mozambique Ministry of Health and the International Training and Education Center for Health, University of Washington, Seattle, revised the national curriculum to improve TMG clinical knowledge and skills. To evaluate the effort, data was collected at graduation and 10 months later from pre-revision (initial) and revised curriculum TMGs to determine the following: (1) Did cohorts trained in the revised curriculum score higher on measurements of clinical knowledge, physical exam procedures, and solving clinical case scenarios than those trained in the initial curriculum; (2) Did TMGs in both curricula retain their knowledge over time (from baseline to follow-up); and (3) Did skills and knowledge retention differ over time by curricula? Post-graduation and over time results are presented...
2015: Human Resources for Health
Arsenio Ferraces Rodríguez
The article offers an historical study, a new critical edition and the translation of the chapter De Puero virgine of Liber medicinae ex animalibus by Sextus Placitus, firstly edited by Sigerist and Howald in 1927. The book, dating to Late Antiquity, is part of a phyto -zootherapeutical corpus, trasmitted by the manuscript tradition in a single block of text whose central axis is represented by the Herbarium by Pseudo-Apuleius, the tractatus De herba vettonica attributed to Antonius Musa and the De taxone. Chapter 17 is devoted to pharmacological recipes whose ingredients are organic or human body parts; here is provided a critical edition based on the collation of three texts in the manuscript tradition, well testifying the particular vitality of medical prescription texts in Late Antiquity...
2012: Medicina Nei Secoli
Fernando Suparregui Dias, Ederlon Alves de Carvalho Rezende, Ciro Leite Mendes, João Manoel Silva, Joel Lyra Sanches
OBJECTIVE: In Brazil, there are no data on the preferences of intensivists regarding hemodynamic monitoring methods. The present study aimed to identify the methods used by national intensivists, the hemodynamic variables they consider important, the regional differences, the reasons for choosing a particular method, and the use of protocols and continued training. METHODS: National intensivists were invited to answer an electronic questionnaire during three intensive care events and later, through the Associação de Medicina Intensiva Brasileira portal, between March and October 2009...
October 2014: Revista Brasileira de Terapia Intensiva
R Fernandez
BACKGROUND: Before deciding increases in the number or capacitance of Intensive Care Units (ICUs), or the regionalization of Units, it is essential to know their present effectiveness. OBJECTIVE: To analyze the daily occupancy rate of ICUs in Catalonia (Spain) and the frequency of denied admission due to lack of capacity. DESIGN: A prospective, observational multicenter study was carried out. PARTICIPANTS: A total of 35 out of 40 ICUs of Catalonia (87%)...
December 2015: Medicina Intensiva
(no author information available yet)
Perspectives on invasive and noninvasive ventilatory support for critically ill patients are evolving, as much evidence indicates that ventilation may have positive effects on patient survival and the quality of the care provided in intensive care units in Brazil. For those reasons, the Brazilian Association of Intensive Care Medicine (Associação de Medicina Intensiva Brasileira - AMIB) and the Brazilian Thoracic Society (Sociedade Brasileira de Pneumologia e Tisiologia - SBPT), represented by the Mechanical Ventilation Committee and the Commission of Intensive Therapy, respectively, decided to review the literature and draft recommendations for mechanical ventilation with the goal of creating a document for bedside guidance as to the best practices on mechanical ventilation available to their members...
October 2014: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
Sérgio Jezler, Marcelo A Holanda, Anderson José, Suelene Aires Franca
BACKGROUND AND OBJECTIVES: The II Brazilian Consensus Conference on Mechanical Ventilation was published in 2000. Knowledge on the field of mechanical ventilation evolved rapidly since then, with the publication of numerous clinical studies with potential impact on the ventilatory management of critically ill patients. Moreover, the evolving concept of evidence - based medicine determined the grading of clinical recommendations according to the methodological value of the studies on which they are based...
June 2007: Revista Brasileira de Terapia Intensiva
Carmen Sílvia Valente Barbas, Bruno do Valle Pinheiro, Arthur Vianna, Ricardo Magaldi, Ana Casati, Anderson José, Valdelis Novis Okamoto
BACKGROUND AND OBJECTIVES: The II Brazilian Consensus Conference on Mechanical Ventilation was published in 2000. Knowledge on the field of mechanical ventilation evolved rapidly since then, with the publication of numerous clinical studies with potential impact on the ventilatory management of critically ill patients. Moreover, the evolving concept of evidence - based medicine determined the grading of clinical recommendations according to the methodological value of the studies on which they are based...
June 2007: Revista Brasileira de Terapia Intensiva
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