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https://www.readbyqxmd.com/read/29629884/aspetti-deontologici-e-giuridici-della-responsabilit%C3%A3-professionale-del-chirurgo-in-italia-evoluzione-storica-a-partire-dal-900
#1
Nicola Picardi
È pleonastico ricordare che ogni individuo raziocinante delle essere responsabile delle sue azioni: deve agire con la coscienza degli scopi che si propone evitando possibili conseguenze negative dei suoi atti. In ambito medico questo tipo di responsabilità è codificata con le norme della "deontologia". Per secoli l'arte terapeutica è stata praticata da individui dotati di una particolare vocazione ed una particolare cultura acquisita da Maestri dell'arte ancor prima che dalla propria esperienza, con nozioni di erboristeria e di elementari conoscenze anatomiche e di fisiologia, circondati da un'aura sacerdotale e da un rispetto derivante dal timore e dall'ammirazione per il coraggio e auspicabilmente dai successi, e facendo riferimento nell'occidente mediterraneo alle regole operative fissate nel Giuramento di Ippocrate, di significato tra il sacro ed il deontologico...
2018: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29493653/dimensional-psychopathology-of-schizophrenia-svarad-dimensional-profiles-in-an-acute-inpatient-sample
#2
Martina Valentini, Massimo Biondi, Massimo Pasquini, Angelo Picardi
Objective: This study aimed at describing the dimensional profile of schizophrenia in an acute inpatient sample, and at exploring the different components of psychopathological suffering within this single diagnostic category according to a dimensional perspective. Methods: The sample consisted of 81 schizophrenic patients consecutively admitted to a psychiatric inpatient care unit. Each patient was administered the rapid dimensional assessment scale SVARAD (acronym for the Italian name “Scala per la VAlutazione RApida Dimensionale”) and the Global Assessment of Functioning scale...
January 2018: Rivista di Psichiatria
https://www.readbyqxmd.com/read/29353302/-diazepam-loading-%C3%A2-can-a-strategy-for-preventing-alcohol-withdrawal-be-used-to-treat-benzodiazepine-use-disorder
#3
Clara Oliveras, Adriana Fortea, Laura Espinosa, Pablo Barrio, Anna Lligoña, Mercè Balcells-Olivero
Benzodiazepines (BZDs) are central nervous system (CNS) depressants which are widely used to treat insomnia and anxiety, despite having long-term adverse side effects. (Fortea González, Oriolo, Balcells Oliveró, Sánchez Del Valle & Castellvi, 2017). As with alcohol, continued use can lead to tolerance and dependence phenomena. Discontinuation in such cases can produce abstinence symptoms such as tremors, anxiety, seizures and, occasionally, death (Brett y Murnion, 2015).
April 15, 2018: Adicciones
https://www.readbyqxmd.com/read/29169540/retroperitoneoscopic-lumbar-sympathectomy-for-plantar-hyperhidrosis
#4
Sonia O Lima, Vanessa R de Santana, Daisy P Valido, Renata L B de Andrade, Leticia M Fontes, Victor Hugo O Leite, José M Neto, Jéssica M Santos, Lucas L Varjão, Francisco P Reis
OBJECTIVE: The objective of this study was to assess the reduction in quality of life (QoL) caused by the persistence of primary plantar hyperhidrosis (PPH) symptoms and the level of satisfaction in PPH patients after retroperitoneoscopic lumbar sympathectomy (RLS). The efficacy, safety, and procedure of bilateral RLS in both sexes are also described in this study. METHODS: This is a longitudinal study of consecutive patients who sought specific treatment from a private practitioner for severe PPH as classified on the Hyperhidrosis Disease Severity Scale (HDSS) from October 2005 to October 2014...
December 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29028600/physico-chemical-characterization-of-playground-sand-dust-inhalable-and-bioaccessible-fractions
#5
Iris H Valido, Elio Padoan, Teresa Moreno, Xavier Querol, Oriol Font, Fulvio Amato
Dust is a mixture of natural and anthropogenic particles originated from multiple sources, which can represent an hazard for human health. Playgrounds are a site of particularly concern, due to sand dust ingestion by toddlers and inhalation. In this study, 37 sands used in public playgrounds in the city of Barcelona were physico-chemically characterized also in relation to routine maintenance activities such as disinfection and sand renewal. The analyzed sands show a felsic mineralogy dominated by Na-feldspar, quartz, and, to a lesser extent, K-feldspar, with minor amounts of clay minerals, carbonates and hematite...
January 2018: Chemosphere
https://www.readbyqxmd.com/read/28977228/cross-cultural-adaptation-and-validation-of-the-moral-distress-scale-revised-for-nurses
#6
Aline Marcelino Ramos, Edison Luiz Devos Barlem, Jamila Geri Tomaschewski Barlem, Laurelize Pereira Rocha, Graziele de Lima Dalmolin, Aline Belletti Figueira
Objective: Cross-culturally adapt and validate the Moral Distress Scale-Revised for nurses. Method: Quantitative, analytical cross-sectional study conducted with 157 nurses of two hospital institutions of Southern Brazil, one public and one philanthropic. Procedures conducted: cultural adaptation of the instrument according to international recommendations; validation for the Brazilian context. Results: Face and content validation was considered satisfactory as assessed by a specialist committee and a pretest...
September 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28926191/clinical-validation-of-the-nursing-outcome-swallowing-status-in-people-with-stroke-analysis-according-to-the-classical-and-item-response-theories
#7
Ana Railka de Souza Oliveira-Kumakura, Thelma Leite de Araujo, Alice Gabrielle de Sousa Costa, Tahissa Frota Cavalcante, Marcos Venícios de Oliveira Lopes, Emilia Campos Carvalho
AIMS AND OBJECTIVES: To validate clinically the nursing outcome "Swallowing status". METHODS: The adjustment of the nursing outcome was investigated according to the Classical and Item Response Theories. The models were compared regarding information loss, goodness-of-fit, and differential item functioning. Stability and internal consistency were examined. RESULTS: The nursing outcome has the best fit in the generalized partial credit model with different discrimination parameters...
September 19, 2017: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/28876414/validity-of-questions-about-activities-of-daily-living-to-screen-for-dependency-in-older-adults
#8
Monica Rebouças, João Macedo Coelho-Filho, Renato Peixoto Veras, Maria Fernanda Lima-Costa, Luiz Roberto Ramos
OBJECTIVE: To determine the criterion validity of the activities of daily living present in functionality questionnaires in older adults for population surveys and to identify which activities are valid to quantify the real daily need for help of this population. METHODS: This is a population sample of older adults stratified by levels of functionality, according to self-perception of dependency in the activities of daily living. Self-perception was compared with the gold standard - direct observation of these activities in the household of older adults by a trained professional, blinded to the answers in the questionnaire...
September 4, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28834407/psychometric-testing-of-integrare-an-instrument-for-the-assesment-of-pressure-ulcer-risk-in-inpatients
#9
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/28793128/elaboration-and-validation-of-the-medication-prescription-safety-checklist
#10
Aline de Oliveira Meireles Pires, Maria Beatriz Guimarães Ferreira, Kleiton Gonçalves do Nascimento, Márcia Marques Dos Santos Felix, Patrícia da Silva Pires, Maria Helena Barbosa
Objective: to elaborate and validate a checklist to identify compliance with the recommendations for the structure of medication prescriptions, based on the Protocol of the Ministry of Health and the Brazilian Health Surveillance Agency. Method: methodological research, conducted through the validation and reliability analysis process, using a sample of 27 electronic prescriptions. Results: the analyses confirmed the content validity and reliability of the tool...
August 3, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28767769/the-quebec-sleep-questionnaire-on-quality-of-life-in-patients-with-obstructive-sleep-apnea-translation-into-portuguese-and-cross-cultural-adaptation-for-use-in-brazil
#11
José Tavares de Melo, Rosemeri Maurici, Michelle Gonçalves de Souza Tavares, Marcia Margareth Menezes Pizzichini, Emilio Pizzichini
OBJECTIVE: To translate the Quebec Sleep Questionnaire (QSQ), a specific instrument for the assessment of quality of life in patients with sleep obstructive apnea, into Portuguese and to create a version that is cross-culturally adapted for use in Brazil. METHODS: The Portuguese-language version was developed according to a rigorous methodology, which included the following steps: preparation; translation from English into Portuguese in three versions; reconciliation to a single version; back-translation of that version into English; comparison and harmonization of the back-translation with the original version; review of the Portuguese-language version; cognitive debriefing; text review; and arrival at the final version...
September 2017: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/28699997/accuracy-of-a-pediatric-early-warning-score-in-the-recognition-of-clinical-deterioration
#12
Juliana de Oliveira Freitas Miranda, Climene Laura de Camargo, Carlito Lopes Nascimento, Daniel Sales Portela, Alan Monaghan
Objective: to evaluate the accuracy of the version of the Brighton Pediatric Early Warning Score translated and adapted for the Brazilian context, in the recognition of clinical deterioration. Method: a diagnostic test study to measure the accuracy of the Brighton Pediatric Early Warning Score for the Brazilian context, in relation to a reference standard. The sample consisted of 271 children, aged 0 to 10 years, blindly evaluated by a nurse and a physician, specialists in pediatrics, with interval of 5 to 10 minutes between the evaluations, for the application of the Brighton Pediatric Early Warning Score for the Brazilian context and of the reference standard...
July 10, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28692073/-le-transizioni-armoniche-valutate-con-l-assessing-interpersonal-motivations-in-transcripts-sono-in-grado-di-discriminare-tra-individui-sicuri-e-disorganizzati-all-adult-attachment-interview
#13
Benedetto Farina, Fabio Monticelli, Maria Giuseppina Mantione, Lucia Pancheri, Anna Maria Speranza, Maurizio Brasini, Claudio Imperatori
RIASSUNTO. Obiettivo. L'Assessing Interpersonal Motivations in Transcripts (AIMIT) è un valido sistema di codifica che valuta l'attivazione dei sistemi motivazionali interpersonali (IMS) nel trascritto della seduta psicoterapeutica. Il Transition Index (TI) è una misura dell'AIMIT che riflette il livello di organizzazione, sincronizzazione e armonia tra 2 o più IMS quando questi mutano rapidamente o simultaneamente all'interno del dialogo clinico. Tale indice è ritenuto essere una misura di integrazione e coerenza dello stato della mente del paziente all'interno della seduta terapeutica...
May 2017: Rivista di Psichiatria
https://www.readbyqxmd.com/read/28562808/validation-of-the-self-assessment-of-communication-skills-and-professionalism-for-nurses
#14
Thaís Josgrilberg Pereira, Ana Claudia Puggina
Objectives: to translate, adapt cross-culturally and validate into Brazilian Portuguese the following instrument: "Self-assessment of communication skills and professionalism in residents" for the nursing professional, and to determine if personal characteristics and performance of the nurse interfere in the self-assessment about professionalism and interpersonal communication. Method: quantitative study. Results: the sample consisted of 110 nurses with mean age of 32 years old (± 7...
May 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28423137/psychometric-properties-of-the-vulnerability-to-abuse-screening-scale-for-screening-abuse-of-older-adults
#15
Raquel Batista Dantas, Graziella Lage Oliveira, Andréa Maria Silveira
OBJECTIVE: Adapt and evaluate the psychometric properties of the Vulnerability to Abuse Screening Scale to identify risk of domestic violence against older adults in Brazil. METHODS: The instrument was adapted and validated in a sample of 151 older adults from a geriatric reference center in the municipality of Belo Horizonte, State of Minas Gerais, in 2014. We collected sociodemographic, clinical, and abuse-related information, and verified reliability by reproducibility in a sample of 55 older people, who underwent re-testing of the instrument seven days after the first application...
April 10, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28135774/functional-consequences-of-plant-animal-interactions-along-the-mutualism-antagonism-gradient
#16
María C Rodríguez-Rodríguez, Pedro Jordano, Alfredo Valido
Plant-animal interactions are pivotal for ecosystem functioning, and usually form complex networks involving multiple species of mutualists as well as antagonists. The costs and benefits of these interactions show a strong context-dependency directly related to individual variation in partner identity and differential strength. Yet understanding the context-dependency and functional consequences of mutualistic and antagonistic interactions on individuals remains a lasting challenge. We use a network approach to characterize the individual, plant-based pollination interaction networks of the Canarian Isoplexis canariensis (Plantaginaceae) with a mixed assemblage of vertebrate mutualists (birds and lizards) and invertebrate antagonists (florivores, nectar larcenists, and predispersal seed predators)...
January 30, 2017: Ecology
https://www.readbyqxmd.com/read/28125149/assessment-of-fatigue-using-the-identity-consequence-fatigue-scale-in-patients-with-lung-cancer
#17
Ingrid Correia Nogueira, Amanda Souza Araújo, Maria Tereza Morano, Antonio George Cavalcante, Pedro Felipe de Bruin, Johana Susan Paddison, Guilherme Pinheiro da Silva, Eanes Delgado Pereira
Objective: To evaluate the properties of the Identity-Consequence Fatigue Scale (ICFS) in patients with lung cancer (LC), assessing the intensity of fatigue and associated factors. Methods: This was a cross-sectional study involving LC patients, treated at a teaching hospital in Brazil, who completed the ICFS. Patients with chronic heart disease (CHD) and healthy controls, matched for age and gender, also completed the scale. Initially, a Brazilian Portuguese-language version of the ICFS was administered to 50 LC patients by two independent interviewers; to test for reproducibility, it was readministered to those same patients...
May 2017: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/27982333/systematic-training-model-for-teaching-development-and-training-of-instructors-in-inguinal-hernia-treatment-using-the-lichtenstein-technique-hernia-campaign-2014-2015
#18
Carlos José Lazzarini-Mendes, Adhemar Monteiro Pacheco, Bárbara Bozzoli Destro, Caroline Tamaro, Fábio Antonio Del Picchia DE Araújo Nogueira, David Chen, Wolfgang Reinpold, Vitor Bruscagin, Sergio Roll, Rodrigo Altenfelder Silva
Objective: to evaluate the method of training and continuing education of 18 surgeons in 2014, and 28 surgeons in 2015, in the Holy Homes of Ribeirao Preto, Araraquara, Franca and San Carlos of São Paulo, in the performance of Lichtenstein inguinal herniorrhaphy, tutored by the Faculty of Medical Sciences of the São Paulo Holy Home and the organization HERNIA HELP - "Hernia Repair for the Underserved". Methods: the training was tutored and systematized through an active methodology of teaching and learning, aiming to offer competence, skills and attitudes, measured by a previously validated Qualification Form, qualifying leaders in trainees' improvement...
September 2016: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/27864234/interruption-of-perivascular-sympathetic-nerves-of-cerebral-arteries-offers-neuroprotection-against-ischemia
#19
Reggie H Lee, Alexandre Couto E Silva, Francesca M Lerner, Carl S Wilkins, Stephen E Valido, Daniel D Klein, Celeste Y Wu, Jake T Neumann, David Della-Morte, Stephen H Koslow, Alireza Minagar, Hung Wen Lin
Sympathetic nervous system activity is increased after cardiopulmonary arrest, resulting in vasoconstrictor release from the perivascular sympathetic nerves of cerebral arteries. However, the pathophysiological function of the perivascular sympathetic nerves in the ischemic brain remains unclear. A rat model of global cerebral ischemia (asphyxial cardiac arrest, ACA) was used to investigate perivascular sympathetic nerves of cerebral arteries via bilateral decentralization (preganglionic lesion) of the superior cervical ganglion (SCG)...
January 1, 2017: American Journal of Physiology. Heart and Circulatory Physiology
https://www.readbyqxmd.com/read/27776808/evaluation-of-family-history-of-permanent-hearing-loss-in-childhood-as-a-risk-indicator-in-universal-screening
#20
Mercedes Valido Quintana, Ángeles Oviedo Santos, Silvia Borkoski Barreiro, Alfredo Santana Rodríguez, Ángel Ramos Macías
INTRODUCTION AND OBJECTIVE: Sixty percent of prelingual hearing loss is of genetic origin. A family history of permanent childhood hearing loss is a risk factor. The objective of the study is to determine the relationship between this risk factor and hearing loss. We have evaluated clinical and epidemiological characteristics and related nonsyndromic genetic variation. MATERIAL AND METHOD: This was a retrospective, descriptive and observational study of newborns between January 2007 and December 2010 with family history as risk factor for hearing loss using transient evoked otoacoustic emissions and auditory brainstem response...
October 21, 2016: Acta Otorrinolaringológica Española
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