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https://www.readbyqxmd.com/read/28300965/collective-strategy-for-facing-occupational-risks-of-a-nursing-team
#1
Marli Maria Loro, Regina Célia Gollner Zeitoune
OBJECTIVE: To socialize an educational action through the process of group discussion and reflection, with the aim to increase the care of nursing workers in facing occupational risks. METHOD: A qualitative descriptive study using the Convergent Care Research modality with nursing staff working in an emergency department of a hospital in the northwest region of the state of Rio Grande do Sul, Brazil. Data collection was carried out through educational workshops and information was processed using content analysis, resulting in two thematic categories: A look at the knowledge and practices about occupational risks in nursing; and adherence to protective measures by the nursing team against occupational risks...
March 9, 2017: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28276227/-usefulness-of-biomarkers-to-predict-bacteraemia-in-patients-with-infection-in-the-emergency-department
#2
REVIEW
A Julián-Jiménez, F J Candel, J González-Del Castillo
Between all patients attended in the Emergency Department (ED), 14.3% have an infectious disease diagnosis. Blood cultures (BC) are obtained in 14.6% of patients and have a profitability of 20%, whereas 1% are considered as contaminated and 1-3% of positive cultures correspond to discharge patients ("hidden bacteraemia"). The highest number of confirmed bacteraemias comes from the samples of patients with urinary tract infections, followed by community-acquired pneumonia. The suspicion and detection of bacteraemia have an important diagnostic and prognostic significance and could modify some important making-decisions (admission, BC request, administration of appropriate and early antimicrobial, etc)...
March 8, 2017: Revista Española de Quimioterapia: Publicación Oficial de la Sociedad Española de Quimioterapia
https://www.readbyqxmd.com/read/28198965/development-of-a-virtual-learning-environment-for-cardiorespiratory-arrest-training
#3
Anazilda Carvalho da Silva, Andrea Bernardes, Yolanda Dora Martinez Évora, Maria Célia Barcellos Dalri, Alexandre Ribeiro da Silva, Camila Santana Justo Cintra Sampaio
OBJECTIVE: To develop a Virtual Learning Environment (VLE) aiming at the training of nursing team workers and emergency vehicle drivers in Basic Life Support (BLS) to attend Cardiorespiratory arrest, and to evaluate the quality of its contents among specialists in the area of Emergency and Urgent care. METHOD: Applied research of technological development. The methodology used was based on the Instructional Design Model (ADDIE), which structures the teaching-learning planning in different stages (analysis, design, development, implementation and evaluation)...
November 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28032880/hepatitis-isqu%C3%A3-mica-secundaria-a-taponamiento-cardiaco-una-causa-poco-frecuente
#4
S Goñi Esarte, J M Zozaya Urmeneta, M Goñi Esarte, J I Uriz Otano, I Idoate Santesteban, M T Beunza Puyol
La hepatitis isquémica es una entidad poco frecuente. Se asocia a una hipoperfusión hepática debida en primer lugar a un bajo gasto cardíaco (insuficiencia cardiaca congestiva, infarto agudo de miocardio o miocardiopatía dilatada). De forma menos frecuente puede ser secundaria a una insuficiencia respiratoria o al aumento de las necesidades de oxígeno en el contexto de una sepsis.Paciente varón de 49 años que acude al servicio de Urgencias por disnea progresiva e hipotensión, objetivándose una importante elevación de transaminasas (aspartato aminotransferasa de 5...
December 30, 2016: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/28032872/compromiso-organizativo-de-los-m%C3%A3-dicos-de-urgencias-de-los-hospitales-p%C3%A3%C2%BAblicos-espa%C3%A3-oles
#5
A Noval de la Torre, J Bulchand Gidumal, S Melián González
Fundamento. Existen pocos estudios sobre las actitudes de los médicos de los servicios de urgencias respecto a sus organizaciones. La actitud de los trabajadores "compromiso con la organización" ha mostrado ser relevante para el rendimiento en el puesto de trabajo y el global de las organizaciones. El objetivo de este trabajo es analizar el grado de compromiso de los médicos de urgencias de los servicios públicos españoles y los posibles determinantes del mismo.Método. Encuesta en línea a médicos de servicios de urgencias de hospitales públicos españoles mediante la aplicación informática SurveyMonkey...
December 30, 2016: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/28000469/tablas-de-referencia-para-aspectos-antropom%C3%A3-tricos-y-de-condici%C3%A3-n-f%C3%A3-sica-en-estudiantes-varones-chilenos-de-10-a-14-a%C3%A3-os
#6
Claudio Hernández Mosqueira, Dagoberto Hernández Vasquez, Alexis Caniuqueo Vargas, Humberto Castillo Quezada, Sandro Fernandes Da Silva, Gustavo Pavez-Adasme, Cristian Martínez Salazar, Jaime Cárcamo-Oyarzún, José Fernandes Filho
Introducción: Chile en las últimas décadas ha experimentado un cambio en su perfil epidemiológico nutricional, pasando de una situación caracterizada por una elevada prevalencia de desnutrición y enfermedades infecciosas/parasitarias a otro completamente distinto, en donde las enfermedades crónicas y degenerativas presentan una elevada prevalencia.Objetivo: el objetivo del estudio es elaborar tablas de referencia de aspectos antropométricos y de condición física en estudiantes varones de 10 a 14 años de la ciudad de Chillán...
November 29, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/27865726/-falls-in-less-than-one-year-old-infants-management-in-the-emergency-department
#7
Elena Rubio García, Ana Jiménez de Domingo, Rafael Marañon Pardillo, Miriam Triviño Rodríguez, Luis Alberto Frontado Haiek, Nuria Gilabert Iriondo, Francesc Ripoll Oliveras, Cristina Remón García, Gloria Estopiña Ferrer, Cristina Muñoz López
OBJECTIVES: A study was performed in order to describe injuries associated with falls in children aged <1 year who attended the emergency department. The approaches used were examined, as well as the factors associated with the greater use of these approaches, and the management of the patient. PATIENTS AND METHODS: This was a multicentre, descriptive and analytical study that included all patients aged <1 year who had experienced a fall for which they attended the emergency departments of one of 8 Spanish Hospitals belonging to the "Unintentional Paediatric Injury Working Group" of the Spanish Paediatric Society...
November 16, 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/27770712/effects-of-noise-on-telephone-calls-to-the-madrid-regional-medical-emergency-service-summa-112
#8
Rocío Carmona, Cristina Linares, Cristina Ortiz, Blanca Vázquez, Julio Díaz
BACKGROUND: Although the effects of noise on population morbidity and mortality have been observed both in the short and long term, the morbidity and mortality indicators used to date have not enabled information on such health effects to be accessed in real time. At an international level, there are relatively few studies, mostly recent, which have considered an alternative indicator, such as the demand for medical attention provided by emergency services, taking into account environmental factors other than noise...
January 2017: Environmental Research
https://www.readbyqxmd.com/read/27759787/management-of-acute-severe-ulcerative-colitis-a-clinical-update
#9
REVIEW
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
https://www.readbyqxmd.com/read/27579934/manchester-triage-system-main-flowcharts-discriminators-and-outcomes-of-a-pediatric-emergency-care
#10
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...
August 29, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27543361/-aetiology-and-outcomes-of-potentially-serious-infections-in-febrile-infants-less-than-3-months-old
#11
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.)
https://www.readbyqxmd.com/read/27419686/-readmission-from-orthopedic-surgical-site-infections-an-integrative-review
#12
REVIEW
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
https://www.readbyqxmd.com/read/27419675/-nursing-diagnoses-of-urinary-incontinence-in-patients-with-stroke
#13
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
https://www.readbyqxmd.com/read/27384285/educational-topics-for-school-from-the-perspective-of-professionals-in-the-mobile-emergency-service
#14
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
https://www.readbyqxmd.com/read/27384211/sepsis-in-a-university-hospital-a-prospective-study-for-the-cost-analysis-of-patients-hospitalization
#15
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
https://www.readbyqxmd.com/read/27384199/preconception-health-behaviors-associated-with-pregnancy-planning-status-among-brazilian-women
#16
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
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
#17
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
https://www.readbyqxmd.com/read/27125616/-value-of-plasma-c-reactive-protein-and-lactate-dehydrogenase-levels-in-the-diagnosis-of-intestinal-obstruction-in-an-emergency-department
#18
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...
April 29, 2016: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/27125609/-factors-associated-with-prehospital-delay-in-men-and-women-with-acute-coronary-syndrome
#19
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
https://www.readbyqxmd.com/read/27125608/-characteristics-and-epidemiological-changes-for-patients-with-urinary-tract-infection-in-the-emergency-department
#20
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
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