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Gleim Dias de Souza, Luciana Rodrigues Queiroz Souza, Ronaldo Máfia Cuenca, Bárbara Stephane de Medeiros Jerônimo, Guilherme Medeiros de Souza, Vinícius Martins Vilela
Introduction: Contrast computed tomography and magnetic resonance imaging are widely used due to its image quality and ability to study pancreatic and peripancreatic morphology. The understanding of the various subtypes of the disease and identification of possible complications requires a familiarity with the terminology, which allows effective communication between the different members of the multidisciplinary team. Aim: Demonstrate the terminology and parameters to identify the different classifications and findings of the disease based on the international consensus for acute pancreatitis ( Atlanta Classification 2012)...
July 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Fábio da Costa Carbogim, Larissa Bertacchini de Oliveira, Vilanice Alves de Araújo Püschel
OBJECTIVE: to analyze the concept of critical thinking (CT) in Rodger's evolutionary perspective. METHOD: documentary research undertaken in the Cinahl, Lilacs, Bdenf and Dedalus databases, using the keywords of 'critical thinking' and 'Nursing', without limitation based on year of publication. The data were analyzed in accordance with the stages of Rodger's conceptual model. The following were included: books and articles in full, published in Portuguese, English or Spanish, which addressed CT in the teaching and practice of Nursing; articles which did not address aspects related to the concept of CT were excluded...
2016: Revista Latino-americana de Enfermagem
Bethania Ferreira Goulart, Silvia Helena Henriques Camelo, Ana Lúcia de Assis Simões, Lucieli Dias Pedreschi Chaves
OBJECTIVE: To identify, within a multidisciplinary team, the facilitating and hindering aspects for teamwork in a coronary care unit. METHOD: A descriptive study, with qualitative and quantitative data, was carried out in the coronary care unit of a public hospital. The study population consisted of professionals working in the unit for at least one year. Those who were on leave or who were not located were excluded. The critical incident technique was used for data collection, by means of semi-structured interviews...
May 2016: Revista da Escola de Enfermagem da U S P
Keri Elizabeth Zug, Silvia Helena De Bortoli Cassiani, Joyce Pulcini, Alessandra Bassalobre Garcia, Francisca Aguirre-Boza, Jeongyoung Park
OBJECTIVE: to identify the current state of advanced practice nursing regulation, education and practice in Latin America and the Caribbean and the perception of nursing leaders in the region toward an advanced practice nursing role in primary health care to support Universal Access to Health and Universal Health Coverage initiatives. METHOD: a descriptive cross-sectional design utilizing a web-based survey of 173 nursing leaders about their perceptions of the state of nursing practice and potential development of advanced practice nursing in their countries, including definition, work environment, regulation, education, nursing practice, nursing culture, and perceived receptiveness to an expanded role in primary health care...
August 8, 2016: Revista Latino-americana de Enfermagem
Sáskia Sampaio Cipriano de Menezes, Consuelo Garcia Corrêa, Rita de Cássia Gengo E Silva, Diná de Almeida Monteiro Lopes da Cruz
OBJECTIVE: This study aimed at analyzing the current state of knowledge on clinical reasoning in undergraduate nursing education. METHODS: A systematic scoping review through a search strategy applied to the MEDLINE database, and an analysis of the material recovered by extracting data done by two independent reviewers. The extracted data were analyzed and synthesized in a narrative manner. RESULTS: From the 1380 citations retrieved in the search, 23 were kept for review and their contents were summarized into five categories: 1) the experience of developing critical thinking/clinical reasoning/decision-making process; 2) teaching strategies related to the development of critical thinking/clinical reasoning/decision-making process; 3) measurement of variables related to the critical thinking/clinical reasoning/decision-making process; 4) relationship of variables involved in the critical thinking/clinical reasoning/decision-making process; and 5) theoretical development models of critical thinking/clinical reasoning/decision-making process for students...
December 2015: Revista da Escola de Enfermagem da U S P
Raíssa Neves Fagundes, Lincoln Eduardo Villela Vieira de Castro Ferreira, Fábio Heleno de Lima Pace
OBJECTIVE: Comparing Health-Related Quality of Life (HRQoL) scores in patients with chronic hepatitis C undergoing double and triple antiviral therapy and analyzing possible factors related to HRQoL. METHOD: HRQoL was assessed using the Short Form 36 and Chronic Liver Disease Questionnaire, which were applied at baseline and at weeks 4, 12 and 16 of treatment to 32 patients divided into two groups: double therapy with pegylated interferon (IFN-PEG) and ribavirin, and triple therapy with PEG-IFN, ribavirin and telaprevir...
December 2015: Revista da Escola de Enfermagem da U S P
Larissa Bertacchini de Oliveira, Leidy Johanna Rueda Díaz, Fábio da Costa Carbogim, Adriano Rogério Baldacin Rodrigues, Vilanice Alves de Araújo Püschel
OBJECTIVE: To evaluate the effectiveness of teaching strategies used for development of critical thinking (CT) in undergraduate nursing students. METHOD: Systematic review with meta-analysis based on the recommendations of the Joanna Briggs Institute . Searches were conducted in the following databases: PubMed, CINAHL, EMBASE, Web of Science, SCOPUS, LILACS, Cochrane CENTRAL, PsycINFO, ERIC, and a database of theses from four continents. The initial selection and evaluation of studies and assessment of methodological quality was performed by two reviewers independently...
April 2016: Revista da Escola de Enfermagem da U S P
Pierfranco Terrosu
The net clinical benefit of aspirin in primary prevention is uncertain as the reduction in occlusive events needs to be balanced against the increase in gastro-intestinal and cerebral bleedings. The meta-analysis of ATT (Anti Thrombotic Trialists) Collaboration in 2009 showed that aspirin therapy in primary prevention was associated with 12% reduction in cardio-vascular events, due mainly to a reduction in non-fatal myocardial infarction (0.18% vs 0.23% per year, p<0.0001). However, the benefit in term of coronary events was almost balanced by the increase in major bleedings...
2016: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
Anna Bocchino, María Jesús Medialdea, Isabel Lepiani, Concepción Mejías, María Dueñas
PURPOSE: This study aimed to validate the definition and define the characteristics and related factors of unemployment disorder, a proposed nursing diagnosis. METHODS: Using Fehring's diagnostic content validity model, Spanish experts were asked to assess the adequacy of the label, defining the characteristics and other related factors. FINDINGS: The content validity index was 0.8690. A total of 16 defining characteristics reached major criteria (>0...
June 16, 2016: International Journal of Nursing Knowledge
Rogério Zigaib, Danilo Teixeira Noritomi
No abstract text is available yet for this article.
July 2014: Revista Brasileira de Terapia Intensiva
Otavio Tavares Ranzani, Mariana Barbosa Monteiro, Elaine Maria Ferreira, Sergio Ricardo Santos, Flavia Ribeiro Machado, Danilo Teixeira Noritomi
OBJECTIVE: The current definition of severe sepsis and septic shock includes a heterogeneous profile of patients. Although the prognostic value of hyperlactatemia is well established, hyperlactatemia is observed in patients with and without shock. The present study aimed to compare the prognosis of septic patients by stratifying them according to two factors: hyperlactatemia and persistent hypotension. METHODS: The present study is a secondary analysis of an observational study conducted in ten hospitals in Brazil (Rede Amil - SP)...
October 2013: Revista Brasileira de Terapia Intensiva
Manuel E Herrera-Gutiérrez, Gemma Seller-Pérez, José A Sánchez-Izquierdo-Riera, Javier Maynar-Moliner
PURPOSE: This study aimed to measure the point prevalence of kidney dysfunction (KD) in the intensive care setting. MATERIALS AND METHODS: A point-prevalence, single-day, prospective study was conducted. Of 919 patients present in 42 Intensive care units (ICUs) for 2 specific days (September 2009 and March 2010), 832 cases were included. Mild KD was defined as a measured creatinine clearance of 90 to 60 mL min(-1) 1.73 m(-2), and severe KD was defined as a creatinine clearance less than 60 mL min(-1) 1...
October 2013: Journal of Critical Care
A Martinuzzi, E Ferraresi, M Orsati, A Palaoro, J Chaparro, S Alcántara, C Amin, C Feller, M E Di Leo, A Guillot, V García
INTRODUCTION: In a preceding article the state of Nutritional support (NS) in an Intensive Care Unit (ICU) was documented [Martinuzzi A et al. Estado del soporte nutricional en una unidad de Cuidados críticos. RNC 2011; 20: 5-17]. In this follow-up work we set to assess the impact of several organizational, recording and educational interventions upon the current state of NS processes. MATERIALS AND METHODS: Interventions comprised presentation of the results of the audit conducted at the ICU before the institution's medical as well as paramedical personnel; their publication in a periodical, peer-reviewed journal; drafting and implementation of a protocol regulating NS schemes to be carried out at the ICU; and conduction of continuous education activities on Nutrition (such as "experts talks", interactive courses, and training in the implementation of the NS protocol)...
July 2012: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
J J Peña, E Mateo, E Martín, J Llagunes, P Carmona, L Blasco
INTRODUCTION: Postoperative bleeding is common complication, affecting up to 20% of patients, after cardiac bypass surgery. Fibrinolysis is one of the causes of this excessive bleeding, and for this reason the use of tranexamic acid is recommended. The problem with using this is that there are numerous guidelines and differences in the dose to be administered. Our aim was to evaluate whether there were any differences in postoperative bleeding and morbidity after cardiac surgery with the administering of different tranexamic acid doses in three university hospitals...
March 2013: Revista Española de Anestesiología y Reanimación
Francisco Alvarez, Pedro Olaechea, Santiago Grau, Mónica Marín, Alfonso Domínguez, José Martínez-Lanao, Dolors Soy, Manuel Alos, María Victoria, Belén Sádaba, Africa Mediavilla, Daniel Fatela
Monitoring plasma concentrations of antimicrobial agents used to treat infection in critically ill patients is one of the recommended strategies for improving clinical outcome. Drug monitoring has a double aim: to limit adverse events and to increase the effectiveness of the drugs. In clinical practice, however, this approach is mainly limited to monitoring plasma concentrations of vancomycin and aminoglycosides, although future extension to other antimicrobial agents would be desirable. Application of this technique varies considerably between hospitals, and this makes interpretation and comparison of the results obtained difficult...
March 2008: Farmacia Hospitalaria
Jesús Rodríguez-Baño, Cornelia Bischofberger, Francisco Alvarez-Lerma, Angel Asensio, Teresa Delgado, Dolores García-Arcal, Lola García-Ortega, M Jesús Hernández, Jesús Molina-Cabrillana, Carmen Pérez-Canosa, Miquel Pujol et al.
Methicillin-resistant Staphylococcus aureus (MRSA) is an important pathogen, both in-hospital and in the community. Although there are several guidelines with recommendations for the control of this microorganism, the measures proposed are not uniformly implemented in Spanish hospitals. The objective of this document is to provide evidence-based recommendations that are applicable to Spanish hospitals, with the aim of reducing transmission of MRSA in our health care centers. The recommendations are divided into the following groups: surveillance, active detection of colonization in patients and health care workers, control measures for colonized or infected patients, decolonization therapy, environmental cleaning and disinfection, antimicrobial consumption, measures for non-hospitalized patients, and others...
May 2008: Enfermedades Infecciosas y Microbiología Clínica
Francisco Alvarez-Lerma, Pedro Olaechea, Santiago Grau, Mónica Marín, Alfonso Domínguez, José Martínez-Lanao, Dolors Soy, Manuel Alos, María Victoria Calvo, Belén Sádaba, Africa Mediavilla, Daniel Fatela
UNLABELLED: Monitoring plasma concentrations of antimicrobial agents used to treat infection in critically ill patients is one of the recommended strategies for improving clinical outcome. Drug monitoring has a double AIM: to limit adverse events and to increase the effectiveness of the drugs. In clinical practice, however, this approach is mainly limited to monitoring plasma concentrations of vancomycin and aminoglycosides, although future extension to other antimicrobial agents would be desirable...
April 2008: Enfermedades Infecciosas y Microbiología Clínica
P M Olaechea Astigarraga, J Garnacho Montero, S Grau Cerrato, O Rodríguez Colomo, M Palomar Martínez, R Zaragoza Crespo, P Muñoz García-Paredes, E Cerdá Cerdá, F Alvarez Lerma
In recent years, an increment of infections caused by gram-positive cocci has been documented in nosocomial and hospital-acquired-infections. In diverse countries, a rapid development of resistance to common antibiotics against gram-positive cocci has been observed. This situation is exceptional in Spain but our country might be affected in the near future. New antimicrobials active against these multi-drug resistant pathogens are nowadays available. It is essential to improve our current knowledge about pharmacokinetic properties of traditional and new antimicrobials to maximize its effectiveness and to minimize toxicity...
August 2007: Enfermedades Infecciosas y Microbiología Clínica
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