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https://www.readbyqxmd.com/read/27860416/the-adequacy-of-the-q-methodology-for-clinical-validation-of-nursing-diagnoses-related-to-subjective-foci
#1
Susana Miguel, Sílvia Caldeira, Margarida Vieira
OBJECTIVE: This article describes the adequacy of the Q methodology as a new option for the validation of nursing diagnoses related to subjective foci. METHODS: Discussion paper about the characteristics of the Q methodology. FINDINGS: This method has been used in nursing research particularly related to subjective concepts and includes both a quantitative and qualitative dimension. CONCLUSIONS: The Q methodology seems to be an adequate and innovative method for the clinical validation of nursing diagnoses...
November 17, 2016: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/27832231/radial-probe-ebus-for-the-diagnosis-of-peripheral-pulmonary-lesions
#2
Marcia Jacomelli, Sergio Eduardo Demarzo, Paulo Francisco Guerreiro Cardoso, Addy Lidvina Mejia Palomino, Viviane Rossi Figueiredo
Objective: Conventional bronchoscopy has a low diagnostic yield for peripheral pulmonary lesions. Radial-probe EBUS employs a rotating ultrasound transducer at the end of a probe that is passed through the working channel of the bronchoscope. Radial-probe EBUS facilitates the localization of peripheral pulmonary nodules, thus increasing the diagnostic yield. The objective of this study was to present our initial experience using radial-probe EBUS in the diagnosis of peripheral pulmonary lesions at a tertiary hospital...
July 2016: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/27812630/factors-associated-with-disease-specific-survival-of-patients-with-non-small-cell-lung-cancer
#3
Mirian Carvalho de Souza, Oswaldo Gonçalves Cruz, Ana Glória Godoi Vasconcelos
Objective: Lung cancer is a global public health problem and is associated with high mortality. Lung cancer could be largely avoided by reducing the prevalence of smoking. The objective of this study was to analyze the effects of social, behavioral, and clinical factors on the survival time of patients with non-small cell lung cancer treated at Cancer Hospital I of the José Alencar Gomes da Silva National Cancer Institute, located in the city of Rio de Janeiro, Brazil, between 2000 and 2003...
September 2016: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/27759985/adecuaci%C3%A3-n-de-las-peticiones-de-los-niveles-de-vitamina-d-al-laboratorio
#4
Francisco Javier Valero Chávez, Luis Miguel Luengo Pérez, Javier Cubero Juánez
Introducción: ante las nuevas implicaciones atribuidas a la vitamina D y la asociación con enfermedades tales como el cáncer, diabetes, enfermedades cardiovasculares, autoinmunes y mortalidad, no es de extrañar que se haya defendido la medición de los niveles de vitamina D en la población general. Sin embargo, no existen datos experimentales que demuestren la viabilidad y rentabilidad de la estrategia de cribado en la población y tampoco se ha comprobado la existencia de beneficios para la salud, por lo que en la actualidad solo es aconsejable la medida de 25 (OH) vitamina D en los grupos de personas de alto riesgo como indican las guías clínicas internacionales...
September 20, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27759773/prognostic-factors-and-survival-analysis-in-esophageal-carcinoma
#5
Francisco Tustumi, Cintia Mayumi Sakurai Kimura, Flavio Roberto Takeda, Rodrigo Hideki Uema, Rubens Antônio Aissar Salum, Ulysses Ribeiro-Junior, Ivan Cecconello
Background: Despite recent advances in diagnosis and treatment, esophageal cancer still has high mortality. Prognostic factors associated with patient and with disease itself are multiple and poorly explored. Aim: Assess prognostic variables in esophageal cancer patients. Methods: Retrospective review of all patients with esophageal cancer in an oncology referral center. They were divided according to histological diagnosis (444 squamous cell carcinoma patients and 105 adenocarcinoma), and their demographic, pathological and clinical characteristics were analyzed and compared to clinical stage and overall survival...
July 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27571661/-not-available
#6
Juan Emmanuel Pérez-Flores, Mariana Chávez-Tostado, Youné Elizabeth Larios-Del-Toro, Jesús García-Rentería, Jorge Rendrón-Félix, Marcela Salazar-Parra, Leire Irusteta-Jiménez, Luis Rodrigo Michel-Espinoza, Aída Rebeca Márquez-Valdez, Lisbeth Cuesta-Márquez, Andrea Socorro Álvarez-Villaseñor, Clotilde Fuentes-Orozco, Alejandro González Ojeda
Introducción: la desnutrición intrahospitalaria se ha descrito hace más de 70 años como un problema frecuente. En México se reportan cifras de entre el 20% al 50%; sin embargo no se ha estudiado su prevalencia ni su asociación con la morbilidad y mortalidad hospitalaria.Objetivos: evaluar el estado nutricional y su relación con la morbimortalidad hospitalaria en pacientes mexicanos.Métodos: cohorte prospectiva de pacientes que ingresaron en un hospital de referencia para una estancia hospitalaria mayor de 5 días...
2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27571654/-not-available
#7
Larissa Pessoa Vila Nova, Cristiane Maria Araújo Tavares de Sá, Maria Cleide Freire Clementino da Silva, Marinaldo Freire Lustosa, Rafael Augusto Batista de Medeiros, Daniel Calado Brito, Maria Goretti Pessoa De Araújo Burgos
Introducción: en los últimos años la importancia de identificar la resistencia a la insulina (RI) en pacientes con enfermedades cardiovasculares isquémicas viene siendo debatida. Métodos alternativos, como los indicadores antropométricos y de composición corporal, han sido señalados como una buena opción y contribuyen para identificar anomalías metabólicas y prevenir complicaciones.Objetivo: asociar indicadores antropométricos y de composición corporal como predictores de la resistencia a la insulina (RI) en pacientes con enfermedad de las arterias coronarias...
2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27571646/-not-available
#8
Daniela Angulo, Edson Bustos, Andrés Sánchez, Salesa Barja
Introducción: la rehabilitación de la alimentación por vía oral (RVO) es compleja en pacientes que han recibido nutrición enteral (NE) prolongada. Objetivo: describir este proceso en niños con enfermedades respiratorias crónicas y sonda nasoenteral (SNE) o gastrostomía (GT).Pacientes y métodos: estudio retrospectivo con revisión de registros clínicos de niños con NE mayor a dos meses, ingresados entre 2005 y 2014 al Hospital Josefina Martínez.Resultados: Se incluyeron 116 pacientes, con mediana de edad 10 meses (Rango: 3 a 101), 56% hombres...
2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27556716/partner-notification-for-sexually-transmitted-infections-and-perception-of-notified-partners
#9
Elani Graça Ferreira Cavalcante, Mahara Coelho Crisostomo Miranda, Ana Zaiz Flores Hormain Teixeira de Carvalho, Ivana Cristina Vieira de Lima, Marli Teresinha Gimeniz Galvão
OBJECTIVE: Learn the perceptions of patients with sexually transmitted infections and sexual partners who are notified of the infection. METHOD: A descriptive and qualitative study, based on the collective subject discourse technique, was conducted in four healthcare centers of reference in Fortaleza, Ceará, from March to July 2014. The sample comprised 21 subjects (11 index patients and 10 notified partners). RESULTS: The index patients reported complicity, concern about the partner's health and revelation of diagnosis aiming to preserve the relationship...
May 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27556541/multiprofissional-electronic-protocol-in-ophtalmology-with-enfasis-in-strabismus
#10
Christie Graf Ribeiro, Ana Tereza Ramos Moreira, José Simão DE Paula Pinto, Osvaldo Malafaia
OBJECTIVE: to create and validate an electronic database in ophthalmology focused on strabismus, to computerize this database in the form of a systematic data collection software named Electronic Protocol, and to incorporate this protocol into the Integrated System of Electronic Protocols (SINPE(c)). METHODS: this is a descriptive study, with the methodology divided into three phases: (1) development of a theoretical ophthalmologic database with emphasis on strabismus; (2) computerization of this theoretical ophthalmologic database using SINPE(c) and (3) interpretation of the information with demonstration of results to validate the protocol...
May 2016: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/27513513/-not-available
#11
Marta Baena González, Guillermo Molina Recio
Introducción: la disfagia es un síntoma que se refiere a la dificultad para mover el bolo alimentario desde la boca al estómago. A pesar de su relevancia y de la gravedad de sus posibles complicaciones, es poco conocida y estudiada. La prevalencia de la disfagia orofaríngea en enfermosde alzhéimer es de un 84% y puede originar complicaciones de gran trascendencia clínica como consecuencia de las alteraciones en la eficacia de la deglución, y en la seguridad de la misma.Objetivo: conocer el estado actual del conocimiento en relación al abordaje de la disfagia en enfermos de alzhéimer, localizando aquellos factores que permitan un diagnóstico precoz que facilite la prevención de complicaciones y la elección de la pauta de actuación más adecuada...
June 30, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27444485/-not-available
#12
Marta Baena González, Guillermo Molina Recio
Introducción: la disfagia es un síntoma que se refiere a la dificultad para mover el bolo alimentario desde la boca al estómago. A pesar de su relevancia y de la gravedad de sus posibles complicaciones, es poco conocida y estudiada. La prevalencia de la disfagia orofaríngea en enfermosde alzhéimer es de un 84% y puede originar complicaciones de gran trascendencia clínica como consecuencia de las alteraciones en la eficacia de la deglución, y en la seguridad de la misma.Objetivo: conocer el estado actual del conocimiento en relación al abordaje de la disfagia en enfermos de alzhéimer, localizando aquellos factores que permitan un diagnóstico precoz que facilite la prevención de complicaciones y la elección de la pauta de actuación más adecuada...
2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27437867/relationship-between-calcium-score-and-myocardial-scintigraphy-in-the-diagnosis-of-coronary-disease
#13
Fabio Paiva Rossini Siqueira, Claudio Tinoco Mesquita, Alair Augusto Sarmet M Damas Dos Santos, Marcelo Souto Nacif
Half the patients with coronary artery disease present with sudden death - or acute infarction as first symptom, making early diagnosis pivotal. Myocardial perfusion scintigraphy is frequently used in the assessment of these patients, but it does not detect the disease without flow restriction, exposes the patient to high levels of radiation and is costly. On the other hand, with less radiological exposure, calcium score is directly correlated to the presence and extension of coronary atherosclerosis, and also to the risk of cardiovascular events...
October 2016: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/27383934/the-value-of-antibody-coated-bacteria-in-tracheal-aspirates-for-the-diagnosis-of-ventilator-associated-pneumonia-a-case-control-study
#14
Otavio Tavares Ranzani, Daniel Neves Forte, Antonio Carlos Forte, Igor Mimica, Wilma Carvalho Neves Forte
Objective: Ventilator-associated pneumonia (VAP) is the leading type of hospital-acquired infection in ICU patients. The diagnosis of VAP is challenging, mostly due to limitations of the diagnostic methods available. The aim of this study was to determine whether antibody-coated bacteria (ACB) evaluation can improve the specificity of endotracheal aspirate (EA) culture in VAP diagnosis. Methods: We conducted a diagnostic case-control study, enrolling 45 patients undergoing mechanical ventilation...
May 2016: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/27321209/developing-and-testing-of-a-software-prototype-to-support-diagnostic-reasoning-of-nursing-students
#15
Vanessa Emille Carvalho de Sousa, Marcos Venícios de Oliveira Lopes, Gail M Keenan, Karen Dunn Lopez
PURPOSE: To design and test educational software to improve nursing students' diagnostic reasoning through NANDA-I-based clinical scenarios. METHODS: A mixed method approach was used and included content validation by a panel of 13 experts and prototype testing by a sample of 56 students. FINDINGS: Experts' suggestions included writing adjustments, new response options, and replacement of clinical information on the scenarios. Percentages of students' correct answers were 65...
June 20, 2016: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/27305182/the-nursing-diagnosis-of-risk-for-pressure-ulcer-content-validation
#16
Cássia Teixeira Dos Santos, Miriam de Abreu Almeida, Amália de Fátima Lucena
OBJECTIVE: to validate the content of the new nursing diagnosis, termed risk for pressure ulcer. METHOD: the content validation with a sample made up of 24 nurses who were specialists in skin care from six different hospitals in the South and Southeast of Brazil. Data collection took place electronically, through an instrument constructed using the SurveyMonkey program, containing a title, definition, and 19 risk factors for the nursing diagnosis. The data were analyzed using Fehring's method and descriptive statistics...
June 14, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27305111/cardiac-magnetic-resonance-and-computed-tomography-in-hypertrophic-cardiomyopathy-an-update
#17
Diogo Costa Leandro de Oliveira, Fernanda Boldrini Assunção, Alair Agusto Sarmet Moreira Damas Dos Santos, Marcelo Souto Nacif
Hypertrophic cardiomyopathy (HCM) is the most common genetic cardiovascular disease and represents the main cause of sudden death in young patients. Cardiac magnetic resonance (CMR) and cardiac computed tomography (CCT) are noninvasive imaging methods with high sensitivity and specificity, useful for the establishment of diagnosis and prognosis of HCM, and for the screening of patients with subclinical phenotypes. The improvement of image analysis by CMR and CCT offers the potential to promote interventions aiming at stopping the natural course of the disease...
August 2016: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/27275591/impact-of-neoadjuvant-therapy-in-downstaging-of-lower-rectal-adenocarcinoma-and-the-role-of-pelvic-magnetic-resonance-in-staging
#18
Karina Dagre Magri, Fang Chia Bin, Fernanda Bellotti Formiga, Thiago da Silveira Manzione, Caroline Merci Caliari de Neves Gomes, Paulo de Azeredo Passos Candelári, Jorge Alberto Ortiz, Wilmar Artur Klug, José Mandia, Peretz Capelhuchnik
OBJECTIVE: to evaluate the effect of neoadjuvant therapy on the stage (TNM) of patients with rectal adenocarcinoma and validate the use of MRI as a method of determining locoregional stage. METHODS: we conducted a retrospective study of 157 patients with lower rectum adenocarcinoma, whom we divided into two groups: Group 1, 81 patients (52%) who had undergone surgical treatment initially, with the purpose to analyze the accuracy of locoregional staging by pelvic magnetic resonance imaging throug the comparison of radiological findings with pathological ones; Group 2, 76 patients (48%), who had been submitted to neoadjuvant therapy (chemotherapy and radiation) prior to definitive surgical treatment, so as to evaluate its effects on the stage by comparing clinical and radiological findings with pathology...
March 2016: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/27245262/usefulness-of-the-diagnosis-decreased-cardiac-output-00029-in-patients-with-chronic-heart-failure
#19
Lyda Zoraya Rojas Sánchez, Juliana Alexandra Hernández Vargas, Silvia Juliana Trujillo Cáceres, Zayne Milena Roa Díaz, Adriana Milena Jurado Arenales, Yesith Guillermo Toloza Pérez
OBJECTIVE: To determine the clinical and construct validity of the nursing diagnosis "decreased cardiac output" (DCO) in patients with chronic heart failure. METHODS: Cross-sectional study. RESULTS: A total of 200 people were studied. The defining characteristics with the highest prevalence were as follows: arrhythmia (62.5%) and fatigue (61.5%). Adjustment measures such as infit and outfit were maintained between 0.50 and 1.56 and the total variance explained by the measures was 29...
May 31, 2016: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/27125618/-effect-of-antidiabetes-treatment-adjustment-at-discharge-on-30-day-outcomes-of-patients-with-diabetes-mellitus-presenting-to-an-emergency-department-with-hypoglycemia
#20
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
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