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Level of care

H X Shi, J Z Wu, G B Chen, B Z Zhu, W Y Yan, L Chen, Y J Xiao, L Y Zhang
Objective: To assess the effectiveness in optimizing resources and shortening critical children's waiting time in pediatric emergency department (PED) with five-level pediatric emergency triage system (PETS). Methods: This retrospective study was conducted in the First Affiliated Hospital of Xiamen University after PETS was applied. The data of patients who visited the pediatric emergency department from January 2015 to December 2017 were collected and analyzed, including age, sex, diseases, visiting time, triage rate and destination...
December 2, 2018: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
Anne-Sofie Ravn Ballegaard, Charlotte Bernhard Madsen, Katrine Lindholm Bøgh
BACKGROUND: Allergic sensitisation to foods may occur in infancy without prior oral exposure to the offending food, leading to the assumption that food allergy sensitisation may occur through the skin. Concerns have been raised regarding the safety of use of personal care products containing hydrolysed wheat proteins, since these products have been shown to induce allergy through the skin, and even cause an abrogation of an already established oral tolerance. OBJECTIVE: To establish an animal model for food allergy skin sensitisation and compare the sensitising capacity of an unmodified and an acid-hydrolysed gluten product via slightly damaged skin in naïve versus tolerant rats...
December 5, 2018: International Archives of Allergy and Immunology
Alessandro Bosco, Justine Schneider, Donna Maria Coleston-Shields, Martin Orrell
BACKGROUND: Despite robust evidence on its effectiveness, current approaches that aspire to person-centred care (PCC) frequently locate people with dementia as passive recipients rather than as active agents in the care process. We define active involvement in care as 'co-production'. In order to investigate co-production, we set out to review the evidence concerning personhood and dignity in dementia care. METHOD: We adopted a meta-ethnographic approach to synthesise the predominantly- qualitative literature on personhood and dignity in dementia care using EMBASE, PsycINFO, and ASSIA databases...
November 16, 2018: Archives of Gerontology and Geriatrics
Michael T Spooner, John E Alex, Joy A Greer, Donald R Delorey, Rebecca A Kiser, Carl Petersen, Travis Polk, Kim Gunzelman
Introduction: A standardized training curriculum designed for general medical officers (GMO) titled Simulation Training for Operational Medicine Providers (STOMP) was recently developed to educate and improve GMOs' procedural skills through directed feedback prior to assuming duties in an operational environment. This study aimed to determine the impact this novel curriculum had on GMOs'confidence levels in 21 core privileges covering eight different subspecialties while stationed at Naval Medical Center Portsmouth (NMCP)...
December 4, 2018: Military Medicine
Qing Peng, Carrie A Karvonen-Gutierrez, John F Randolph, Bin Nan, Daniel McConnell, Siobán D Harlow
Context: Women with polycystic ovary syndrome (PCOS) have a higher prevalence of metabolic syndrome (MetS), but whether they develop MetS earlier than women without PCOS is unknown. Understanding the impact of PCOS on the timing of MetS onset is important for screening and clinical care in this population. Design: Women with PCOS-like status ("PCOSp") were identified from participants of the Michigan Bone Health and Metabolism Study based upon history of irregular menstrual cycles, high free-androgen index and high levels of anti-müllerian hormone...
December 3, 2018: Journal of Clinical Endocrinology and Metabolism
Juliana L Torres, Silvia L A da Silva, Fabiane R Ferreira, Liliane P S Mendes, Luciana A Machado
Background: Chronic pain is known to increase health care use in high-income countries, but in Brazil, little is known. Objective: To investigate the association between chronic pain and health care use among Brazilian older adults and explore the relationship between pain severity and health care use. Methods: This cross-sectional study was derived from the population-based study Frailty in Brazilian Older People-FIBRA. Chronic pain, pain intensity and pain-related disability were assessed through additional telephone interviews...
December 5, 2018: Family Practice
George A Stamatiades, Rona S Carroll, Ursula B Kaiser
The hypothalamic decapeptide, GnRH, is the gatekeeper of mammalian reproductive development and function. Activation of specific, high affinity cell surface receptors (GnRHR) on gonadotropes by GnRH triggers signal transduction cascades to stimulate the coordinated synthesis and secretion of the pituitary gonadotropins, FSH and LH. These hormones direct gonadal steroidogenesis and gametogenesis, making their tightly regulated production and secretion essential for normal sexual maturation and reproductive health...
December 4, 2018: Endocrinology
Giola Santoni, Amaia Calderón-Larañaga, Davide L Vetrano, Anna-Karin Welmer, Nicola Orsini, Laura Fratiglioni
Background: Geriatric health charts that are similar to pediatric growth charts could facilitate monitoring health changes and predicting care needs in older adults. We aimed to validate an existing composite score (Health Assessment Tool [HAT]) and provide provisional age-specific reference curves for the general older population. Methods: Data came from the SNAC-K population study (n=3363 participants 60+ years examined clinically at baseline and 3 years later)...
December 4, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Márcia Marques Dos Santos Felix, Maria Beatriz Guimarães Ferreira, Lucas Felix de Oliveira, Elizabeth Barichello, Patricia da Silva Pires, Maria Helena Barbosa
OBJECTIVE: to evaluate the effect of relaxation therapy with guided imagery on state anxiety and cortisol in the immediate preoperative period in patients submitted to bariatric surgery by videolaparoscopy. METHOD: a randomized, triple-blind clinical trial in a large teaching hospital in the interior of Minas Gerais. Twenty-four patients who would undergo video-laparoscopic bariatric surgery were randomly allocated in two groups, namely 12 in the control group and 12 in the experimental group...
November 29, 2018: Revista Latino-americana de Enfermagem
Antônio Carlos Ferreira, Antônio Lúcio Teixeira, Marise Fagundes Silveira, Mariângela Carneiro
INTRODUCTION: Quality of life (QoL) is important for people living with HIV/AIDS, particularly as the disease progresses. This study evaluated the QoL of people living with HIV/AIDS (PLWHA), as well as its predictors, in one of the most impoverished regions of Brazil. METHODS: This cross-sectional study was conducted with patients older than 18 years with HIV/AIDS from two specialized HIV/AIDS care centers in the city of Montes Claros between 2013 and 2014. Sample size was calculated considering the estimates of mean scores for various dimensions of the European Portuguese version of the World Health's Organization Quality of Life Instrument in HIV Infection (WHOQOL-HIV Bref)...
November 2018: Revista da Sociedade Brasileira de Medicina Tropical
David Alonso Calle Londoño, Olga Natalia Álvarez, Lisardo Osorio, Juan Gabriel Piñeros Jiménez, Guillermo León Rúa Uribe
OBJECTIVES: To determine the knowledge about malaria and use practice of insecticide-treated mosquito nets in the departments of Antioquia and Chocó in Colombia, 2013. MATERIALS AND METHODS: Cross-sectional and descriptive study with probability sampling of clusters, stratified and two-staged. The head of household survey was developed using ten questions on knowledge, transmission, symptoms and preventive measures against malaria, used in the questionnaires of the 2007 National Health Survey in Colombia, as well as 13 questions on long-lasting insecticidal nets, tenure, use, reasons for non-use, short-term health side effects, washing and drying...
July 2018: Revista Peruana de Medicina Experimental y Salud Pública
Rogério Lessa Horta, Christian Loret de Mola, Bernardo Lessa Horta, Candido Norberto Bronzoni de Mattos, Marco Antonio Ratzsch de Andreazzi, Maryane Oliveira-Campos, Deborah Carvalho Malta
INTRODUCTION: The use of illicit drugs is a public health concern. This paper describes the prevalence and factors associated with the use of illicit drugs throughout life among 9th grade students attending public and private schools in daylight period in Brazil. METHOD: Data from the Brazilian Adolescent School-based Health Survey (PeNSE) were analyzed. Use of illicit drugs at some point in life was assessed considering marijuana, cocaine, crack, solvent-based glue, ether-based inhalants, ecstasy, and oxy...
November 29, 2018: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
Maria do Livramento Saraiva Lucoveis, Mônica Antar Gamba, Maria Angela Boccara de Paula, Ana Beatriz Pinto da Silva Morita
OBJECTIVE: To classify the level of risk for foot ulcers in people with diabetes mellitus and identify their main predictive risk factors. METHOD: Exploratory, descriptive study, in which patients were assessed in a municipal ambulatory of São Paulo through nursing consultation, following the guidelines of the International Consensus on the Diabetic Foot. Data were descriptively analyzed. RESULTS: The analyzed population was composed of 50 longevous and retired people, with household income of up to two minimum wages, with dermato-neurofunctional risk factors and unfavorable clinical indicators, and 66% had Risk 1; 16% Risk 2; 6% Risk 3 and 12% Risk 4...
November 2018: Revista Brasileira de Enfermagem
Ana Elisa Ramos, Carmen Viana Ramos, Marize Melo Dos Santos, Camila Aparecida Pinheiro Landim Almeida, Maria do Carmo de Carvalho E Martins
OBJECTIVE: To analyze the knowledge of breastfeeding (BF) and supplementary feeding (SF) of professionals in the Primary Health Care. METHOD: Cross-sectional study, with 168 professionals, conducted between June and September 2016. The Kruskal Wallis test was used to compare means of percentage of knowledge about BF and SF, by professional category and contingency testing, for association between variables. RESULTS: From the total of professionals, 39...
November 2018: Revista Brasileira de Enfermagem
Eliana de Cássia Arantes, Carina Aparecida Marosti Dessotte, Rosana Aparecida Spadoti Dantas, Lidia Aparecida Rossi, Rejane Kiyomi Furuya
OBJECTIVE: To evaluate the long-term results of an educational program compared to usual care. METHOD: A longitudinal study in which 56 participants from a previous study (randomized controlled clinical trial) were evaluated twelve months after the percutaneous coronary intervention (PCI). Health-related quality of life (HRQoL) was assessed by the Medical Outcomes Study: 36-item Short Form (SF-36), and anxiety and depression symptoms were assessed by the Hospital Anxiety and Depression Scale (HADS)...
November 2018: Revista Brasileira de Enfermagem
Julia Viana Lopes, Cristiane Decat Bergerot, Luciene Rodrigues Barbosa, Nilciza Maria de Carvalho Tavares Calux, Simone Elias, Kimlin Tam Ashing, Edvane Birelo Lopes de Domenico
OBJECTIVE: To evaluate the impact of breast cancer and the quality of life of women survivors and to identify associations between sociodemographic and clinical variables. METHOD: This was a cross-sectional, analytical, quantitative study conducted with women receiving outpatient post-treatment care at a public institution of the city of São Paulo, state of São Paulo, Brazil. Instruments: sociodemographic and clinical questionnaires; Impact of Cancer scale; Functional Assessment of Cancer Therapy-Breast Cancer scale...
November 2018: Revista Brasileira de Enfermagem
Claudete Moreschi, Claudete Rempel, Daiana Foggiato de Siqueira, Dirce Stein Backes, Luis Felipe Pissaia, Magali Teresinha Quevedo Grave
OBJECTIVE: To evaluate the quality of life and to analyze the epidemiological profile of people with diabetes treated in Family Health Strategies. METHOD: A cross-sectional study carried out with 350 people with diabetes. RESULTS: Most people with diabetes are women, elderly, married, white, with low educational level, retired/pensioners, family income of up to two minimum wages. As the time of people with the disease increases, their quality of life decreases...
November 2018: Revista Brasileira de Enfermagem
Ingridt Hildegard Vogler, Daniela Frizon Alfieri, Heloisa Damazio Bruna Gianjacomo, Elaine Regina Delicato de Almeida, Edna Maria Vissoci Reiche
The cascade of care for people living with HIV infection (PLHIV) describes steps in diagnosis, linkage and retention in care, as well as the provision and success of combination antiretroviral therapy (cART). The aim of this study was to evaluate the rates regarding the retention in care, on cART, and suppressed viral load for PLHIV attended at a Brazilian public health network. Data on PLHIV from 116 cities of Paraná, Southern Brazil, attended from 2012 to 2015, were retrospectively collected through the Laboratory Tests Control System (SISCEL)...
November 29, 2018: Cadernos de Saúde Pública
Ali Aycan Kavala, Saygin Turkyilmaz
OBJECTIVE: To compare del Nido cardioplegia (DNC) with blood cardioplegia (BC) in coronary artery bypass grafting (CABG) combined with mitral valve replacement. METHODS: A 3-year single-center retrospective cohort study was carried out. Subjects who underwent CABG (up to triple bypass) combined with mitral valve replacement were divided into DNC and BC groups. Each group had thirty subjects. RESULTS: Both groups demonstrated similar baseline characteristics, including age, gender, cardiac/non-cardiac comorbidity, and preoperative echocardiographic parameters...
September 2018: Brazilian Journal of Cardiovascular Surgery
Hasan Yusefzadeh, Alireza Didarloo, Bahram Nabilou
OBJECTIVES: Injection safety during anesthesia is a challenging health care issue in Iranian hospitals. Anesthesia is one of the most medication-intensive procedures in healthcare and injecting patients are an integral part of that care. The present study aimed to assess the status of medication injection safety practice in a teaching center. DESIGN, SETTING, PARTICIPANTS: A prospective cross-sectional study was done in 2014-2015 at a 500-bed secondary level teaching hospital affiliated with Urmia University of Medical Sciences, Iran...
2018: PloS One
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