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https://www.readbyqxmd.com/read/28198965/development-of-a-virtual-learning-environment-for-cardiorespiratory-arrest-training
#1
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/28076489/robotic-surgery-bioethical-aspects
#2
Rodrigo Siqueira-Batista, Camila Ribeiro Souza, Polyana Mendes Maia, Sávio Lana Siqueira
Introduction: The use of robots in surgery has been increasingly common today, allowing the emergence of numerous bioethical issues in this area. Objective: To present review of the ethical aspects of robot use in surgery. Method: Search in Pubmed, SciELO and Lilacs crossing the headings "bioethics", "surgery", "ethics", "laparoscopy" and "robotic". Results: Of the citations obtained, were selected 17 articles, which were used for the preparation of the article...
November 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/28032870/factores-perinatales-y-su-influencia-en-la-obesidad-infantil-estudio-de-casos-y-controles
#3
S Solano Nortes, T Lacruz Gascón, M Blanco Hurtado, T Moreno Ortega, B Real, M Graell Berna, A R Sepúlveda García
Fundamento. La etiología de la obesidad infantil es compleja y se encuentra implicada la interacción de factores genéticos y ambientales. Las complicaciones obstétricas se han asociado al desarrollo de trastornos mentales y médicos, incluida la obesidad. El objetivo de esta investigación es estudiar la asociación entre las complicaciones durante el embarazo y el parto y el desarrollo de obesidad infantil.Participantes y método. Se presentan los datos de un estudio de casos y controles compuesto por 60 madres de niños con obesidad comparado con 92 madres de niños controles con normopeso y con edades comprendidas entre los 8 y 12 años...
December 30, 2016: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/27982393/the-culture-of-patient-safety-from-the-perspective-of-the-pediatric-emergency-nursing-team
#4
Taise Rocha Macedo, Patricia Kuerten Rocha, Andreia Tomazoni, Sabrina de Souza, Jane Cristina Anders, Karri Davis
OBJECTIVE: To identify the patient safety culture in pediatric emergencies from the perspective of the nursing team. METHOD: A quantitative, cross-sectional survey research study with a sample composed of 75 professionals of the nursing team. Data was collected between September and November 2014 in three Pediatric Emergency units by applying the Hospital Survey on Patient Safety Culture instrument. Data were submitted to descriptive analysis. RESULTS: Strong areas for patient safety were not found, with areas identified having potential being: Expectations and actions from supervisors/management to promote patient safety and teamwork...
September 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27982372/use-of-medicines-and-other-products-for-therapeutic-purposes-among-children-in-brazil
#5
Tatiane da Silva Dal Pizzol, Noemia Urruth Leão Tavares, Andréa Dâmaso Bertoldi, Mareni Rocha Farias, Paulo Sergio Dourado Arrais, Luiz Roberto Ramos, Maria Auxiliadora Oliveira, Vera Lucia Luiza, Sotero Serrate Mengue
OBJECTIVE: To assess the prevalence of the use of medicines and other products for therapeutic purposes in the Brazilian pediatric population and test whether demographic, socioeconomic and health factors are associated with use. METHODS: A cross-sectional population-based study (National Survey on Access, Use and Promotion of Rational Use of Medicines - PNAUM), including 7,528 children aged 12 or younger, living in urban areas in Brazil. Medicine use to treat chronic or acute diseases was reported by the primary caregiver present at the household interview...
December 2016: Revista de Saúde Pública
https://www.readbyqxmd.com/read/27982332/thoracic-damage-control-surgery
#6
Roberto Gonçalves, Roberto Saad
The damage control surgery came up with the philosophy of applying essential maneuvers to control bleeding and abdominal contamination in trauma patients who are within the limits of their physiological reserves. This concept was extended to thoracic injuries, where relatively simple maneuvers can shorten operative time of in extremis patients. This article aims to revise the various damage control techniques in thoracic organs that must be known to the surgeon engaged in emergency care. RESUMO A cirurgia de controle de danos surgiu com a filosofia de se aplicar manobras essenciais para controle de sangramento e contaminação abdominal, em doentes traumatizados, nos limites de suas reservas fisiológicas...
September 2016: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/27982326/analysis-of-the-revised-trauma-score-rts-in-200-victims-of-different-trauma-mechanisms
#7
Bruno Durante Alvarez, Danilo Mardegam Razente, Daniel Augusto Mauad Lacerda, Nicole Silveira Lother, Luiz Carlos VON-Bahten, Carla Martinez Menini Stahlschmidt
Objective: to analyze the epidemiological profile and mortality associated with the Revised Trauma Score (RTS) in trauma victims treated at a university hospital. Methods: we conducted a descriptive, cross-sectional study of trauma protocols (prospectively collected) from December 2013 to February 2014, including trauma victims admitted in the emergency room of the Cajuru University Hospital. We set up three groups: (G1) penetrating trauma to the abdomen and chest, (G2) blunt trauma to the abdomen and chest, and (G3) traumatic brain injury...
September 2016: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/27878221/the-use-of-a-metronome-during-cardiopulmonary-resuscitation-in-the-emergency-room-of-a-university-hospital
#8
Renata Maria de Oliveira Botelho, Cássia Regina Vancini Campanharo, Maria Carolina Barbosa Teixeira Lopes, Meiry Fernanda Pinto Okuno, Aécio Flávio Teixeira de Góis, Ruth Ester Assayag Batista
Objective: to compare the rate of return of spontaneous circulation (ROSC) and death after cardiac arrest, with and without the use of a metronome during cardiopulmonary resuscitation (CPR). Method: case-control study nested in a cohort study including 285 adults who experienced cardiac arrest and received CPR in an emergency service. Data were collected using In-hospital Utstein Style. The control group (n=60) was selected by matching patients considering their neurological condition before cardiac arrest, the immediate cause, initial arrest rhythm, whether epinephrine was used, and the duration of CPR...
November 21, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27828677/innovation-development-and-financing-of-institutions-of-higher-education-in-health
#9
Mario Roberto Dal Poz, Maria Helena Costa Couto, Thais de Andrade Vidaurre Franco
The article analyzes the configuration and trends in institutions of Higher Education and their relationship as components of the Health Economic-Industrial Complex (HEIC). The expansion of higher education is part of the transition from elite to mass systems, with tensions between quantitative and qualitative aspects. Such changes reflect different cultures and are related to international phenomena such as globalization, economic transformations, the development of new information and communication technologies, and the emergence of an international knowledge network...
November 3, 2016: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/27759787/management-of-acute-severe-ulcerative-colitis-a-clinical-update
#10
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/27680044/elder-friendly-emergency-services-in-brazil-necessary-conditions-for-care
#11
Mariana Timmers Dos Santos, Maria Alice Dias da Silva Lima, Paula Buchs Zucatti
OBJECTIVE: To identify and analyze the aspects necessary to provide an elder-friendly emergency service (ES) from the perspective of nurses. METHOD: This is a descriptive, quantitative study using the Delphi technique in three rounds. Nurses with professional experience in the ES and/or researchers with publications and/or conducting research in the study area were selected. The first round of the Delphi panel had 72 participants, the second 49, and the third 44...
July 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27679952/profile-of-the-newly-graduated-physicians-in-southern-brazil-and-their-professional-insertion
#12
Kátia Sheylla Malta Purim, Luiza DE Martino Cruvinel Borges, Ana Carolina Possebom
Knowledge of the profile and professional integration of new graduates enables adjustments in medical education. This study evaluated 107 graduates from a private institution in the Brazilian South region, using a self-administered electronic questionnaire. There were similar participation of young physicians of both genders and higher male concentration in general surgery. Graduates are inserted in the public and private labor market. Most do extra shifts in emergency services and trauma surgery, where there is greater need for clinical and surgical skills...
July 2016: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/27579934/manchester-triage-system-main-flowcharts-discriminators-and-outcomes-of-a-pediatric-emergency-care
#13
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/27556709/nurses-knowledge-to-identify-early-acute-kidney-injury
#14
MULTICENTER STUDY
Roseli Aparecida Matheus do Nascimento, Murillo Santucci Cesar Assunção, João Manoel Silva, Cristina Prata Amendola, Taysa Martindo de Carvalho, Emerson Quintino Lima, Suzana Margareth Ajeje Lobo
OBJECTIVE: To evaluate the knowledgeof nurses on early identification of acute kidney injury (AKI) in intensive care, emergency and hospitalization units. METHOD: A prospective multi-center study was conducted with 216 nurses, using a questionnaire with 10 questions related to AKI prevention, diagnosis, and treatment. RESULTS: 57.2% of nurses were unable to identify AKI clinical manifestations, 54.6% did not have knowledge of AKI incidence in patients admitted to the ICU, 87...
May 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27508907/family-violence-against-children-and-adolescents-in-context-how-the-territories-of-care-are-imbricated-in-the-picture
#15
Diene Monique Carlos, Maria das Graças Carvalho Ferriani
OBJECTIVE: to understand the context of care addressed to the families involved in family violence against children and adolescents (IVCA), as produced in the context of the Primary Health Care (PHC), from the vantage point of the practitioners of a municipality in the State of Sao Paulo. METHODS: qualitative research of the social-strategic type, based on the Complexity Paradigm. The participants were 41 health practitioners in five health units of the municipality under study, pertaining to the five districts of the municipality...
August 8, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27462896/assessment-of-nurse-s-knowledge-about-glasgow-coma-scale-at-a-university-hospital
#16
Wesley Cajaíba Santos, Cássia Regina Vancini-Campanharo, Maria Carolina Barbosa Teixeira Lopes, Meiry Fernanda Pinto Okuno, Ruth Ester Assayag Batista
OBJECTIVE: To assess knowledge of nurses of emergency services and intensive care units about Glasgow Coma Scale. METHODS: This cross-sectional analytical study included 127 nurses of critical units of an university hospital. We used structured interview with 12 questions to evaluate their knowledge about the scale. Association of Knowledge with professionals' sociodemographic variables were verified by the Fisher-test, χ2 and likelihood ratio. RESULTS: Most of participants were women mean aged 31...
April 2016: Einstein
https://www.readbyqxmd.com/read/27419673/-factors-affecting-the-quality-of-cardiopulmonary-resuscitation-in-inpatient-units-perception-of-nurses
#17
Clairton Marcos Filho Citolino, Eduesley Santana Santos, Rita de Cassia Gengo E Silva, Lilia de Souza Nogueira
OBJECTIVE: To identify, in the perception of nurses, the factors that affect the quality of cardiopulmonary resuscitation (CPR) in adult inpatient units, and investigate the influence of both work shifts and professional experience length of time in the perception of these factors. METHOD: A descriptive, exploratory study conducted at a hospital specialized in cardiology and pneumology with the application of a questionnaire to 49 nurses working in inpatient units...
December 2015: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27408733/-emergencia-timonensis-a-new-bacterium-isolated-from-the-stool-of-a-healthy-patient
#18
S Bessis, S Ndongo, J-C Lagier, P-E Fournier, D Raoult
We present the essential characteristics of "Emergencia timonensis" strain SN18 (= CSUR P2260), a new member of the order Clostridiales that was isolated from the stool of healthy patient.
July 2016: New Microbes and New Infections
https://www.readbyqxmd.com/read/27384211/sepsis-in-a-university-hospital-a-prospective-study-for-the-cost-analysis-of-patients-hospitalization
#19
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/27355468/emerging-arboviruses-and-public-health-challenges-in-brazil
#20
Tamara Nunes Lima-Camara
Environmental modification by anthropogenic actions, disordered urban growth, globalization of international exchange and climate change are some factors that help the emergence and dissemination of human infectious diseases transmitted by vectors. This review discusses the recent entry of three arboviruses in Brazil: Chikungunya, West Nile, and Zika virus, focusing on the challenges for the Country's public health. The Brazilian population is exposed to infections caused by these three arboviruses widely distributed on the national territory and associated with humans...
June 27, 2016: Revista de Saúde Pública
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