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https://www.readbyqxmd.com/read/28922580/accuracy-of-the-defining-characteristics-of-the-nursing-diagnosis-hypothermia-in-newborns
#1
Wislla Ketlly Menezes de Aquino, Marcos Venícios de Oliveira Lopes, Viviane Martins da Silva, Nathaly Bianka Moraes Fróes, Angélica Paixão de Menezes, Aline de Aquino Peres Almeida, Bianca Alves Sobreira
PURPOSE: To analyze the accuracy of the defining characteristics of hypothermia in newborns and to verify associations between defining characteristics and clinical variables. METHODS: A cross-sectional accuracy study with statistical analysis. FINDINGS: Slow capillary refill, decrease in ventilation, peripheral vasoconstriction, and insufficient weight gain were the defining characteristics with the highest specificity values, while slow gastric emptying, skin cool to touch, irritability, and bradycardia were the defining characteristics with the highest values for both sensitivity and specificity...
September 18, 2017: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/28834407/psychometric-testing-of-integrare-an-instrument-for-the-assesment-of-pressure-ulcer-risk-in-inpatients
#2
Ana María Porcel-Gálvez, Rocío Romero-Castillo, Elena Fernández-García, Sergio Barrientos-Trigo
PURPOSE: The aim of this study is to evaluate the psychometric properties of INTEGRARE, an instrument based on Nursing Outcome Classification. METHOD: A multicenter, cross-sectional, methodological design was used. FINDINGS: The study included 3,835 patients. Internal consistency α = 0.86. Confirmatory factor analysis demonstrated the unidimensionality of the scale, indicating a good model fit (CMIN/DF = 4; GFI, CFI, NFI, IFI = 0.999; RMSEA = 0...
August 21, 2017: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/28746534/brazilian-guidelines-for-the-diagnosis-and-treatment-of-cystic-fibrosis
#3
Rodrigo Abensur Athanazio, Luiz Vicente Ribeiro Ferreira da Silva Filho, Alberto Andrade Vergara, Antônio Fernando Ribeiro, Carlos Antônio Riedi, Elenara da Fonseca Andrade Procianoy, Fabíola Villac Adde, Francisco José Caldeira Reis, José Dirceu Ribeiro, Lídia Alice Torres, Marcelo Bicalho de Fuccio, Matias Epifanio, Mônica de Cássia Firmida, Neiva Damaceno, Norberto Ludwig-Neto, Paulo José Cauduro Maróstica, Samia Zahi Rached, Suzana Fonseca de Oliveira Melo
Cystic fibrosis (CF) is an autosomal recessive genetic disorder characterized by dysfunction of the CFTR gene. It is a multisystem disease that most often affects White individuals. In recent decades, various advances in the diagnosis and treatment of CF have drastically changed the scenario, resulting in a significant increase in survival and quality of life. In Brazil, the current neonatal screening program for CF has broad coverage, and most of the Brazilian states have referral centers for the follow-up of individuals with the disease...
May 2017: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/28693030/prevalencia-de-alteraciones-en-la-interfase-vitreoretiniana-detectadas-mediante-tomograf%C3%A3-a-de-coherencia-%C3%A3-ptica-de-dominio-espectral
#4
Julie Jacob, Peter Stalmans
Objetivo: El objetivo principal del presente estudio consistió en determinar la prevalencia de los cambios en la interfase vitreomacular (IVM) mediante tomografía de coherencia óptica (OCT) en la población general. En segundo lugar, se describieron otros cambios de la OCT. Métodos: Las anomalías en la IVM se diagnosticaron mediante OCT y se distribuyeron de acuerdo con la clasificación del grupo International Vitreomacular Traction Study (estudio internacional de tracción vitreomacular, IVTS, por sus siglas en inglés) y se dividieron en 3 grados según John et al...
July 11, 2017: Ophthalmologica. Journal International D'ophtalmologie
https://www.readbyqxmd.com/read/28678923/cardiac-amyloidosis-and-its-new-clinical-phenotype-heart-failure-with-preserved-ejection-fraction
#5
Evandro Tinoco Mesquita, Antonio José Lagoeiro Jorge, Celso Vale Souza, Thais Ribeiro de Andrade
Heart failure with preserved ejection fraction (HFpEF) is now an emerging cardiovascular epidemic, being identified as the main phenotype observed in clinical practice. It is more associated with female gender, advanced age and comorbidities such as hypertension, diabetes, obesity and chronic kidney disease. Amyloidosis is a clinical disorder characterized by the deposition of aggregates of insoluble fibrils originating from proteins that exhibit anomalous folding. Recently, pictures of senile amyloidosis have been described in patients with HFpEF, demonstrating the need for clinical cardiologists to investigate this etiology in suspect cases...
July 2017: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/28544813/nursing-diagnosis-risk-for-delayed-surgical-recovery-00246-concept-clarification-and-definition-of-empirical-referents
#6
Simone Martins Rembold, Rosimere Ferreira Santana, Priscilla Alfradique de Souza, Sócrates Miranda de Oliveira Xavier Schwartz
PURPOSE: To clarify the concept of risk for delayed surgical recovery (00246) and to define the empirical referents for identification of predictive factors of delay in recovery. METHOD: A concept analysis was developed based on the eight steps proposed by Walker and Avant. RESULTS: Defining attributes were determined and antecedents and consequents identified. Cases were proposed cases and empirical referents established. CONCLUSION: The results provided evidences and instrumentalize empirical referents, which may support an accurate nursing diagnosis...
May 23, 2017: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/28527274/caracter%C3%A3-sticas-de-la-estructura-molecular-de-las-prote%C3%A3-nas-e-del-virus-del-zika-y-e1-del-virus-de-la-rub%C3%A3-ola-y-posibles-implicaciones-en-el-neurotropismo-y-en-las-alteraciones-del-sistema-nervioso
#7
Luis Alberto Gómez, Gladis Montoya, Hernán Mauricio Rivera, Juan Carlos Hernández
Introducción. El virus del Zika (ZIKV) es un flavivirus con envoltura, transmitido a los seres humanos principalmente por el vector Aedes aegypti. La infección por ZIKV se ha asociado con un gran neurotropismo y con efectos neuropáticos, como el síndrome de Guillain-Barré en el adulto y la microcefalia fetal y posnatal, así como con un síndrome de infección congénita similar al producido por el virus de la rubéola (RV).Objetivo. Comparar las estructuras moleculares de la proteína de envoltura E del virus del Zika (E-ZIKV) y de la E1 del virus de la rubéola (E1-RV), y plantear posibles implicaciones en el neurotropismo y en las alteraciones del sistema nervioso asociadas con el ZIKV...
April 1, 2017: Biomédica: Revista del Instituto Nacional de Salud
https://www.readbyqxmd.com/read/28444828/labeling-and-defining-severe-and-enduring-anorexia-nervosa-a-systematic-review-and-critical-analysis
#8
REVIEW
Catherine Broomfield, Kristin Stedal, Stephen Touyz, Paul Rhodes
OBJECTIVE: With anorexia nervosa (AN) having various presentations, attention has been directed towards particularly durable forms of the condition in both research and clinical contexts. A major hindrance in terms of advancing the field is the inconsistent labeling and defining of this subgroup. This has two implications; first, the inconsistent recruitment of participants when researching this sample, and second, the misdiagnosing of patients who may or may not have a durable course of the disease...
April 25, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28273229/setting-health-priorities-in-a-community-a-case-example
#9
Fábio Alexandre Melo do Rego Sousa, Maria José Garcia Goulart, Antonieta Manuela Dos Santos Braga, Clara Maria Oliveira Medeiros, Débora Cristina Martins Rego, Flávio Garcia Vieira, Helder José Alves da Rocha Pereira, Helena Margarida Correia Vicente Tavares, Marta Maria Puim Loura
OBJECTIVE: To describe the methodology used in the process of setting health priorities for community intervention in a community of older adults. METHODS: Based on the results of a health diagnosis related to active aging, a prioritization process was conceived to select the priority intervention problem. The process comprised four successive phases of problem analysis and classification: (1) grouping by level of similarity, (2) classification according to epidemiological criteria, (3) ordering by experts, and (4) application of the Hanlon method...
March 2, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28247567/spiritual-coping-a-focus-of-new-nursing-diagnoses
#10
Sandra Rosado Cabaço, Sílvia Caldeira, Margarida Vieira, Beth Rodgers
OBJECTIVE: To define the antecedents, consequents, and attributes of spiritual coping. METHODS: Rodgers' evolutionary model for concept analysis was used to guide an integrative literature review of qualitative research. FINDINGS: Six qualitative articles were included and elements that define and contextualize the concept were identified. CONCLUSIONS: Three new nursing diagnoses are proposed, based on qualitative findings...
March 1, 2017: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/28244796/biomarcadores-de-pron%C3%A3-stico-modificables-nutricionalmente-en-el-paciente-con-c%C3%A3-ncer-colorrectal-tras-el-diagn%C3%A3-stico-de-la-enfermedad
#11
Beatriz Escudero Paniagua, Alicia Aguilar-Martínez, Begoña Manuel Keenoy
Introducción: el cáncer colorrectal (CCR) es el segundo cáncer más frecuente en el mundo occidental, de tal manera que se diagnostican cerca de 1 millón de casos nuevos por año. La tasa de supervivencia de pacientes con CCR varía ampliamente, aun entre pacientes con el mismo tumor histológico. Esto posiblemente es debido al impacto de los factores ambientales sobre el desarrollo tumoral. Dentro de estos factores, destaca la dieta. Se conoce que la nutrición puede modificar el riesgo de padecer CCR...
February 1, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/28244767/registro-del-grupo-nadya-senpe-de-nutrici%C3%A3-n-enteral-domiciliaria-en-espa%C3%A3-a-a%C3%A3-os-2014-y-2015
#12
Carmina Wanden-Berghe, Luis Miguel Luengo, Julia Álvarez, Rosa Burgos, Cristina Cuerda, Pilar Matía, Carmen Gómez Candela, Miguel Ángel Martínez Olmos, Montserrat Gonzalo, Alicia Calleja, Cristina Campos, Antonio Pérez de la Cruz, José Antonio Irles, Pere Leyes, Rebeca Sánchez, Daniel De Luis Román, Daniel Cardona, Nieves Santacruz, José Pablo Suárez, Carmen Ballesta, Jordi Salas, María Ángeles Penacho, Carmen Gardez, María José Martínez, Bárbara Cánovas, José Manuel Moreno, Dolores Del Olmo, Fátima Carabaña, Nuria Virgili, Isabel Higuera, Silvia Mauri, Olga Sánchez-Vilar, Nuria Miserachs, Miguel Ángel Ponce, Yaiza García, Jesús M Morán, Antxón Apezetxea, Cristina Tejera, Alfonso Calañas, Ana Cantón, Patricia Díaz, Grupo Nadya-Senpe
Objetivo: exponer los resultados del registro de nutrición enteral domiciliaria (NED) del año 2014 y 2015 del Grupo NADYA-SENPE.Métodos: se recopilaron los pacientes introducidos en el registro desde el 1 de enero al 31 de diciembre de 2014 y la mismas fechas de 2015, y se procedió al análisis descriptivo y analítico de los datos.Resultados: en el año 2014, se registraron 3.749 pacientes y en 2015, 4.202; la prevalencia fue de 80,58 pacientes/millón de habitantes en el año 2014 y de 90,51 en 2015. Por sexos, hubo un 49,9% de mujeres en 2014 y un 50,3% en 2015...
February 1, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/28099588/dobutamine-stress-echocardiography-safety-in-chagas-disease-patients
#13
Daniela do Carmo Rassi, Marcelo Luiz Campos Vieira, Rogerio Gomes Furtado, Fabio de Paula Turco, Luciano Henrique Melato, Viviane Tiemi Hotta, Colandy Godoy de Oliveira Nunes, Luiz Rassi, Salvador Rassi
Background: A few decades ago, patients with Chagas disease were predominantly rural workers, with a low risk profile for obstructive coronary artery disease (CAD). As urbanization has increased, they became exposed to the same risk factors for CAD of uninfected individuals. Dobutamine stress echocardiography (DSE) has proven to be an important tool in CAD diagnosis. Despite being a potentially arrhythmogenic method, it is safe for coronary patients without Chagas disease. For Chagas disease patients, however, the indication of DSE in clinical practice is uncertain, because of the arrhythmogenic potential of that heart disease...
February 2017: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/28099585/impact-of-different-normality-thresholds-for-24-hour-abpm-at-the-primary-health-care-level
#14
Guilherme Brasil Grezzana, David William Moraes, Airton Tetelbon Stein, Lucia Campos Pellanda
Background: Hypertension is an important risk factor for cardiovascular outcomes. Primary health care (PHC) physicians should be prepared to act appropriately in the prevention of cardiovascular risk factors. However, the rates of patients with control of blood pressure (BP) remain low. The impact of the reclassification of high BP by 24-hour ambulatory BP monitoring (ABPM) can lead to different medical decisions in PHC. Objective: To evaluate the agreement between the BP measured by a conventional method by PHC physicians and by 24-hour ABPM, considering different BP normal thresholds for the 24-hour ABPM according to the V Brazilian ABPM Guidelines and the European Society of Hypertension Guidelines...
February 2017: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/28032871/debate-multidisciplinar-de-expertos-asma-no-controlada-causas-consecuencias-y-posibles-soluciones
#15
V Plaza Moral, T Carrillo, J Delgado, L M Entrenas, E Martinez Moragón, J M Olaguibel, L Pérez de Llano, M Perpiñá, J Sastre, A Valero, S Quirce
  Fundamento. Numerosos estudios constatan que aproximadamente la mitad de la población asmática no está bien controlada. El objetivo de este trabajo fue analizar entre expertos las causas, consecuencias y las posibles soluciones del asma no controlada (ANC).  Material y métodos. Debate entre expertos en asma de las especialidades de Neumología, Alergología y Atención Primaria, estructurado en tres fases 1) Cuestionario para pulsar la opinión de los participantes en los diferentes elementos implicados del ANC; 2) Reunión presencial de los expertos, en la que se discutieron los resultados de la encuesta y se presentaron y debatieron ponencias sobre el diagnóstico, tratamiento y seguimiento del ANC; 3) Formulación de 83 ítems que fueron sometidos a consenso entre todos los participantes mediante el método Delphi...
November 21, 2016: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/27976526/child-development-new-diagnoses-for-the-nanda-international
#16
Juliana Martins de Souza, Diná de Almeida Lopes Monteiro da Cruz, Maria De La Ó Ramallo Veríssimo
OBJECTIVE: The paper proposes new diagnoses on child development (CD) for NANDA International. METHODS: The study followed the recommended steps of Developmental Processes for NANDA International Nursing Diagnoses. It was a secondary analysis study on the findings of a concept analysis study on CD. RESULTS: A proposal of labels and components of three diagnoses: "Delayed child development," "Risk for delayed child development," and "Readiness for enhanced child development...
December 15, 2016: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/27860416/the-adequacy-of-the-q-methodology-for-clinical-validation-of-nursing-diagnoses-related-to-subjective-foci
#17
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
#18
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
#19
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
#20
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
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