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https://www.readbyqxmd.com/read/27878221/the-use-of-a-metronome-during-cardiopulmonary-resuscitation-in-the-emergency-room-of-a-university-hospital
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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...
2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27556709/nurses-knowledge-to-identify-early-acute-kidney-injury
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
https://www.readbyqxmd.com/read/27209436/incidence-mortality-and-prevalence-of-end-stage-chronic-renal-disease-in-the-bajo-lempa-region-of-el-salvador-a-ten-year-community-registry
#14
Ramón García-Trabanino, Carolina Hernández, Adrián Rosa, Jesús Domínguez Alonso
: The Bajo Lempa is an impoverished rural coastal region of El Salvador affected by the chronic kidney disease (CKD) epidemic known as Mesoamerican nephropathy. The local community organisation Fondo Social de Emergencia para la Salud (FSES) (Emergency social fund for health) is helping to fight the epidemic in 42 communities of the region (19,223 inhabitants; average age 26.7 years; 48.5% male; 40.2% <18 years). OBJECTIVES: To report annual rates of end-stage renal disease (ESRD) incidence and patient mortality in these communities during a 10-year period (2004-2013), and the prevalence of patients receiving renal replacement therapy (RRT) as of 31 December 2013...
May 18, 2016: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
https://www.readbyqxmd.com/read/27125609/-factors-associated-with-prehospital-delay-in-men-and-women-with-acute-coronary-syndrome
#15
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/26409726/-consensus-document-on-post-exposure-prophylaxis-against-hiv-hbv-and-hcv-in-adults-and-children
#16
(no author information available yet)
OBJECTIVE: This consensus document is an update of occupational and non-occupational prophylaxis guidelines in HIV-patients, promoting appropriate use of them, from the standpoint of care. METHODS: This document has been approved by expert panel of SPNS, GESIDA, SEMST and different scientific societies related, after reviewing the results of efficacy and safety clinical trials, cohort and pharmacokinetic studies published in biomedical journals (PubMed and Embase) or presented at conferences and different guidelines...
February 2016: Enfermedades Infecciosas y Microbiología Clínica
https://www.readbyqxmd.com/read/25494015/serum-potassium-levels-inversely-correlate-with-d-dimer-in-patients-with-acute-onset-atrial-fibrillation
#17
Gianfranco Cervellin, Laura Bonfanti, Alessandra Picanza, Giuseppe Lippi
Background: D-dimer values are frequently increased in patients with atrial fibrillation (AF) compared to subjects in sinus rhythm. Hypokalemia plays a role in several cardiovascular diseases, but little is known about the association with AF. Objective: D-dimer values are frequently increased in patients with atrial fibrillation (AF) compared with subjects in sinus rhythm. Hypokalemia plays a role in several cardiovascular diseases, but little is known about the association with AF. The aim of this study was to investigate correlations between D-dimer and serum potassium in acute-onset AF (AAF)...
December 9, 2014: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/25426683/quality-and-effectiveness-of-a-pediatric-triage-training-program-in-a-guatemalan-public-hospital
#18
Heather L Crouse, Henry Vaides, Francisco Torres, Elise M Ishigami, Michael T Walsh, Miguel A Soto, Susan B Torrey
OBJECTIVES: This study aimed to develop and implement an Emergency Triage Assessment and Treatment (ETAT) training program at a Guatemalan public hospital. Collaborators included Baylor College of Medicine/Texas Children's Hospital, the Guatemalan Ministry of Health, and the Pan American Health Organization. METHODS: The ETAT is a World Health Organization program to teach pediatric assessment, triage, and initial management to health care workers in resource-limited settings...
August 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/25352461/focused-cardiac-ultrasound-using-a-pocket-size-device-in-the-emergency-room
#19
Frederico José Neves Mancuso, Vicente Nicoliello Siqueira, Valdir Ambrósio Moisés, Aécio Flavio Teixeira Gois, Angelo Amato Vincenzo de Paola, Antonio Carlos Camargo Carvalho, Orlando Campos
Background: Cardiovascular urgencies are frequent reasons for seeking medical care. Prompt and accurate medical diagnosis is critical to reduce the morbidity and mortality of these conditions. Objective: To evaluate the use of a pocket-size echocardiography in addition to clinical history and physical exam in a tertiary medical emergency care. Methods: One hundred adult patients without known cardiac or lung diseases who sought emergency care with cardiac complaints were included. Patients with ischemic changes in the electrocardiography or fever were excluded...
October 28, 2014: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/24955910/-guidelines-of-categorization-organization-and-functioning-of-the-pediatric-intensive-care-units-and-pediatric-intermediate-care-units-in-health-care-facilities-part-ii-pediatric-intensive-care-unit-level-2-resuscitation-unit-pediatric-intermediate-care-unit
#20
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