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Carlos Walter Sobrado, Lucas Faraco Sobrado
Introduction: Acute severe colitis is a potentially lethal medical emergency and, even today, its treatment remains a challenge for clinicians and surgeons. Intravenous corticoid therapy, which was introduced into the therapeutic arsenal in the 1950s, continues to be the first-line treatment and, for patients who are refractory to this, the rescue therapy may consist of clinical measures or emergency colectomy. Objective: To evaluate the indications for and results from drug rescue therapy (cyclosporine, infliximab and tacrolimus), and to suggest a practical guide for clinical approaches...
July 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Camila Amthauer, Maria Luzia Chollopetz da Cunha
OBJETIVE: to characterize the care services performed through risk rating by the Manchester Triage System, identifying demographics (age, gender), main flowcharts, discriminators and outcomes in pediatric emergency. METHOD: cross-sectional quantitative study. Data on risk classification were obtained through a search of computerized registration data from medical records of patients treated in the pediatric emergency within one year. Descriptive statistics with absolute and relative frequencies was used for the analysis...
2016: Revista Latino-americana de Enfermagem
Mercedes de la Torre, Nieves de Lucas, Roberto Velasco, Borja Gómez, Santiago Mintegi
BACKGROUND: Recent studies have shown changes in the aetiology of serious bacterial infections in febrile infants ≤ 90 days of age. The aim of this study was to describe the current microbiology and outcomes of these infections in Spain. MATERIAL AND METHODS: Sub-analysis of a prospective multicentre study focusing on febrile infants of less than 91 days of life, admitted between October 2011 and September 2013 to Emergency Departments of 19 Spanish hospitals, members of the Spanish Paediatric Emergency Research Group of the Spanish Society of Paediatric Emergencies (RISeuP/SPERG)...
August 16, 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Lilian Machado Torres, Ruth Natália Teresa Turrini, Miriam Aparecida Barbosa Merighi, Arménio Guardado Cruz
OBJECTIVE: Characterizing readmissions from orthopedic surgical site infections. METHOD: An integrative review of literature in the LILACS, IBECS, MEDLINE, Cochrane, SciELO and PUBMED databases, using the descriptors Patient readmission, Wound infection, Cross infection, Orthopedic procedures, Orthopedics. RESULTS: 78 studies were identified and 10 publications were selected. Surgical site infections are the most common cause of unplanned orthopedic readmissions, representing long periods of hospitalization, new surgical procedures and high costs, and greater possibility of subsequent hospitalizations...
December 2015: Revista da Escola de Enfermagem da U S P
Telma Alteniza Leandro, Thelma Leite de Araujo, Tahissa Frota Cavalcante, Marcos Venícios de Oliveira Lopes, Tyane Mayara Ferreira de Oliveira, Ana Cecília Menezes Lopes
OBJECTIVE: Identifying the prevalence of Stress urinary incontinence (SUI), Urge urinary incontinence (UUI), Functional urinary incontinence (FUI), Overflow urinary incontinence (OUI) and Reflex urinary incontinence (RUI) nursing diagnoses and their defining characteristics in stroke patients. METHOD: A cross-sectional study with 156 patients treated in a neurological clinic. Data were collected through interviews and forwarded to nurses for diagnostic inference...
December 2015: Revista da Escola de Enfermagem da U S P
Larissa Larie Mota, Selma Regina de Andrade
OBJECTIVE: To systematize, with professionals from the Mobile Emergency Care Service of Santa Catarina municipality, the main issues for the development of an educational tool of attention to the emergency room, dedicated to the school-age population. METHOD: Qualitative study, conducted through meetings in the focus group format, with 19 professionals who develop their activities in the city Emergency Mobile Emergency Service. Data were categorized and analyzed using thematic analysis technique...
June 2016: Revista da Escola de Enfermagem da U S P
Maynara Fernanda Carvalho Barreto, Mara Solange Gomes Dellaroza, Gilselena Kerbauy, Cintia Magalhães Carvalho Grion
OBJECTIVE: To estimate the cost of hospitalization of patients with severe sepsis or septic shock admitted or diagnosed in the Urgent and Emergency sector at a university hospital and followed until the clinical outcome. METHOD: An epidemiological, prospective, observational study conducted in a public hospital in southern Brazil for the period of one year (August 2013 to August 2014). Sepsis notification forms, medical records and data of the cost sector were used for the collection of clinical and epidemiological data...
April 2016: Revista da Escola de Enfermagem da U S P
Ana Luiza Vilela Borges, Osmara Alves Dos Santos, Natália de Castro Nascimento, Christiane Borges do Nascimento Chofakian, Flávia Azevedo Gomes-Sponholz
OBJECTIVE: The objective of this study is to assess preconception health behaviors among Brazilian women, and analyze the effect of pregnancy planning status in carrying out preconception measures. METHOD: This is a cross-sectional quantitative study conducted with 807 women, of whom 649 had a planned or ambivalent pregnancy. Preconception health behaviors were assessed by the Brazilian version of the London Measure of Unplanned Pregnancy. RESULTS: Preconception health behaviors were performed by only 15...
April 2016: Revista da Escola de Enfermagem da U S P
R Cuervo Pinto, E Rodríguez Adrada, C Domínguez Bernal, D Chaparro Pardo, F J Martín-Sánchez, J M González del Castillo
BACKGROUND: To determine if antidiabetes treatment adjustment at discharge from an Emergency Department(ED) is associated with 30-day outcomes in patients with diabetes mellitus presenting to the ED with hypoglycemia. METHODS: Retrospective cohort observational study. Patients with diabetes mellitus presenting to the ED with hypoglycemia directly discharged from the ED between 2012-2014 were included. Primary outcome was a 30-day composite adverse event(mortality or revisiting)...
2016: Anales del Sistema Sanitario de Navarra
R Calvo-Rodríguez, F J Montero-Pérez, A García-Olid, E Baena-Delgado, J M Gallardo-Valverde, J M Calderón de la Barca-Gázquez, L M Jiménez-Murillo
BACKGROUND: Intestinal obstruction is one of the most frequent surgical emergencies. Its diagnosis is essentially based on clinical history, physical exploration and image tests. The aim of this study was to analyze the diagnostic value of acute phase reactants in patients with benign versus malign intestinal obstruction. METHOD: Historical cohort study of 53 patients who underwent surgery because of intestinal obstruction and/or non-obstructive colorectal cancer...
2016: Anales del Sistema Sanitario de Navarra
A Daponte-Codina, J Bolívar-Muñoz, E Sánchez-Cantalejo, I Mateo-Rodríguez, G Babio, N Romo-Avilés, F Rosell-Ortiz
OBJECTIVE: To identify factors associated with prehospital delay in people who have had an acute coronary syndrome. METHODS: Using a survey we studied patients admitted due to acute coronary syndrome in the 33 Andalusian public hospitals, obtaining information about different types of variables: socio-demographic, contextual,clinical, perception, action, and transportation.Multivariate logistic regression models were applied to calculate the odds ratios for the delay...
2016: Anales del Sistema Sanitario de Navarra
J L Gálvez San Román, C Jiménez Hidalgo, M M Portillo Cano, M O García Sánchez, C Navarro Bustos, A Julián-Jiménez, M Martínez Ortiz de Zárate, J González del Castillo
BACKGROUND: The aim of this paper is to determine both the prevalence of urinary tract infection (UTI) in the emergency department (ED) and the most relevant epidemiological changes in the last decade, as well as the profile and management of these patients. METHODS: Descriptive cross-sectional analysis at 49 Spanish ED during 12 months. All patients with infections and UTI diagnosis were included. All patients attended to in ED during the study were recorded as well...
2016: Anales del Sistema Sanitario de Navarra
Nerea Bilbao, Paula Santiago, Beatriz Azkunaga, Santiago Mintegi
No abstract text is available yet for this article.
August 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
A Jiménez de Domingo, E Rubio García, R Marañon Pardillo, V Arias Constanti, L A Frontado Haiek, M Soriano Arola, F Ripoll Oliveras, C Remón García, G Estopiña Ferrer, J Lorente Romero
OBJECTIVES: To describe the epidemiological characteristics of unintentional injuries due to falls in children under one year and to analyse the risk factors associated with severe injuries. PATIENTS AND METHODS: This multicentre, observational and cross-sectional study included all children less than one year treated for unintentional fall in the Emergency Departments of 8 Spanish Hospitals, belonging to the «Unintentional Paediatric Injury Workshop» of the Spanish Paediatric Emergency Society, between March 1st, 2014 and February 28th, 2015...
February 8, 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Edurne Lopez, June Udaondo, Mikel Olabarri, Lorea Martinez-Indart, Javier Benito, Santiago Mintegi
BACKGROUND: Analysis of the causes of death in children in the pediatric emergency department (ED) may aid the development of management and prevention practices. OBJECTIVE: To identify the causes of death in Spanish pediatric EDs and to analyze the management of these children in the prehospital and hospital settings. METHODS: This was a retrospective descriptive multicenter survey including all patients whose death was certified in 18 Spanish pediatric EDs between 2008 and 2013...
December 29, 2015: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
Sydney Correia Leão, José Fernandes de Araújo, Alessandro Rodrigues Silveira, Alex André Ferreira Queiroz, Maria Júlia Silveira Souto, Rodrigo Oliveira Almeida, Diego Carvalho Maciel, Tânia Maria de Andrade Rodrigues
OBJECTIVES: to evaluate and indicate the procedure to be followed in the health unit, both for diagnosis and the treatment of acute exogenous intoxications by carbamates or organophosphates. METHODS: a descriptive study based on retrospective analysis of the clinical history of patients diagnosed with intoxication by carbamates or organophosphates admitted at the emergency unit of the Hospital de Urgências de Sergipe Governador João Alves (HUSE) between January and December of 2012...
September 2015: Revista da Associação Médica Brasileira
A Ledezma-León, I Contreras-Hernandez, M Bernal-Díaz, S Sanchez-Garcia, C García-Peña
No abstract text is available yet for this article.
November 2015: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
(no author information available yet)
OBJECTIVE: This consensus document is an update of occupational and non-occupational prophylaxis guidelines in HIV-patients, promoting appropriate use of them, from the standpoint of care. METHODS: This document has been approved by expert panel of SPNS, GESIDA, SEMST and different scientific societies related, after reviewing the results of efficacy and safety clinical trials, cohort and pharmacokinetic studies published in biomedical journals (PubMed and Embase) or presented at conferences and different guidelines...
February 2016: Enfermedades Infecciosas y Microbiología Clínica
Carlos Polanco González, Thomas Buhse, Rocío Arreguín Nava, Jorge Alberto Castañón González, José Lino Samaniego Mendoza, Sebastián Villanueva Martínez
No abstract text is available yet for this article.
July 2015: Gaceta Médica de México
Francisco Takao Kaneko-Wada
No abstract text is available yet for this article.
May 2015: Gaceta Médica de México
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