Resultados: 87
#1
au:CASTRO, PAULO ALEXANDRE DE
Filtros
Ordenar por
Página
de 6
Próxima
1.
Long-term oncological and surgical outcomes after Video Endoscopic Inguinal Lymphadenectomy (VEIL) in patients with penile cancer
Facebook Twitter
Facebook Twitter
- Otras redes sociales
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Otras redes
- Métrica
Tobias-Machado, Marcos
; Ornellas, Antonio A.
; Hidaka, Alexandre K.
; Medina, Luis G.
; Mattos, Pablo A. L.
; Besio, Ruben S.
; Abreu, Diego
; Castro, Pedro R.
; Nishimoto, Ricardo H.
; Astigueta, Juan
; Dourado, Aurus
; Machado, Roberto D.
; Magnabosco, Wesley J.
; Corona-Montes, Victor
; Villoldo, Gustavo M.
; Zampolli, Hamilton C.
; Taha, Anis
; Auad, Pericles R.
; Faria, Eliney F.
; Arantes, Paulo B. O.
; Tavares, Alessandro
; Nascimento, Francisco S. M. S.
; Brazão Jr., Eder S.
; Rocha, Maurício M.
; Costa, Walter H.
; Panico, Vinicius
; Reis, Leonardo O.
; Almeida-Carrera, Roberto J.
; Silva, Rafael C.
; Zequi, Stênio C.
; Calixto, José R. R.
; Sotelo, Rene
.
ABSTRACT Objective: To report outcomes from the largest multicenter series of penile cancer patients undergoing video endoscopic inguinal lymphadenectomy (VEIL). Materials and Methods: Retrospective multicenter analysis. Authors of 21 centers from the Penile Cancer Collaborative Coalition-Latin America (PeC-LA) were included. All centers performed the procedure following the same previously described standardized technique. Inclusion criteria included penile cancer patients with no palpable lymph nodes and intermediate/high-risk disease and those with non-fixed palpable lymph nodes less than 4 cm in diameter. Categorical variables are shown as percentages and frequencies whereas continuous variables as mean and range. Results: From 2006 to 2020, 210 VEIL procedures were performed in 105 patients. Mean age was 58 (45-68) years old. Mean operative time was 90 minutes (60-120). Mean lymph node yield was 10 nodes (6-16). Complication rate was 15.7%, including severe complications in 1.9% of procedures. Lymphatic and skin complications were noted in 8.6 and 4.8% of patients, respectively. Histopathological analysis revealed lymph node involvement in 26.7% of patients with non-palpable nodes. Inguinal recurrence was observed in 2.8% of patients. 10y- overall survival was 74.2% and 10-y cancer specific survival was 84.8%. CSS for pN0, pN1, pN2 and pN3 were 100%, 82.4%, 72.7% and 9.1%, respectively. Conclusion: VEIL seems to offer appropriate long term oncological control with minimal morbidity. In the absence of non-invasive stratification measures such as dynamic sentinel node biopsy, VEIL emerged as the alternative for the management of non-bulky lymph nodes in penile cancer.
2.
Maternal depression and offspring mental health at age 5: MINA-Brazil cohort study
Facebook Twitter
Facebook Twitter
- Otras redes sociales
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Otras redes
- Métrica
Matijasevich, Alicia
; Faisal-Cury, Alexandre
; Giacomini, Isabel
; Rodrigues, Julia de Souza
; Castro, Marcia C.
; Cardoso, Marly A.
.
ABSTRACT OBJECTIVE: To identify longitudinal patterns of maternal depression between three months and five years after child's birth, to examine predictor variables for these trajectories, and to evaluate whether distinct depression trajectories predict offspring mental health problems at age 5 years. METHODS: We used data from the Maternal and Child Health and Nutrition in Acre (MINA-Brazil) study, a population-based birth cohort in the Western Brazilian Amazon. Maternal depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale (EPDS) at 3 and 6–8 months, and 1 and 2 years after delivery. Mental health problems in 5-year-old children were evaluated with the Strengths and Difficulties Questionnaire (SDQ) reported by parents. Trajectories of maternal depression were calculated using a group-based modelling approach. RESULTS: We identified four trajectories of maternal depressive symptoms: "low" (67.1%), "increasing" (11.5%), "decreasing" (17.4%), and "high-chronic" (4.0%). Women in the "high/chronic" trajectory were the poorest, least educated, and oldest compared with women in the other trajectory groups. Also, they were more frequently multiparous and reported smoking and having attended fewer prenatal consultations during pregnancy. In the adjusted analyses, the odds ratio of any SDQ disorder was 3.23 (95%CI: 2.00–5.22) and 2.87 (95%CI: 1.09–7.57) times higher among children of mothers belonging to the "increasing" and "high-chronic" trajectory groups, respectively, compared with those of mothers in the "low" depressive symptoms group. These differences were not explained by maternal and child characteristics included in multivariate analyses. CONCLUSIONS: We identified poorer mental health outcomes for children of mothers assigned to the "chronic/severe" and "increasing" depressive symptoms trajectories. Prevention and treatment initiatives to avoid the adverse short, medium, and long-term effects of maternal depression on offspring development should focus on women belonging to these groups.
RESUMO OBJETIVO: Identificar padrões longitudinais de depressão materna entre três meses e cinco anos após o nascimento de seus filhos, analisar variáveis preditoras dessas trajetórias e avaliar se trajetórias distintas de depressão predizem problemas de saúde mental infantil aos cinco anos de idade. MÉTODOS: Utilizou-se dados do estudo sobre saúde e nutrição materno infantil no Acre (MINA-Brasil), uma coorte de nascimentos de base populacional na Amazônia ocidental brasileira. Os sintomas depressivos maternos foram avaliados pela Escala de Depressão Pós-parto de Edimburgo (EPDS) aos 3 e 6–8 meses e 1 e 2 anos após o parto. Problemas de saúde mental em crianças com cinco anos de idade foram avaliados pelo Questionário de Capacidades e Dificuldades (SDQ– Strengths and Difficulties Questionnaire), respondido pelos pais. As trajetórias de depressão materna foram calculadas usando uma abordagem de modelagem baseada em grupos. RESULTADOS: Foram identificadas quatro trajetórias de sintomas depressivos maternos: "baixa" (67,1%), "crescente" (11,5%), "decrescente" (17,4%) e "alta-crônica" (4,0%). As mulheres na trajetória "alta/crônica" eram mais pobres, menos escolarizadas, mais velhas e multíparas e relataram tabagismo com maior frequência e menor número de consultas de pré-natal durante a gestação do que as demais. Nas análises ajustadas, a razão de chances de qualquer transtorno do SDQ foi 3,23 (IC95%:2,00–5,22) e 2,87 (IC95%: 1,09–7,57) vezes maior entre os filhos de mães nos grupos de trajetória "crescente" e "alta-crônica", respectivamente, do que de mães do grupo de sintomas depressivos "baixos". As características maternas e infantis incluídas nas análises multivariadas foram incapazes de explicar essas diferenças. CONCLUSÕES: Identificou-se piores desfechos de saúde mental para filhos de mães atribuídas às trajetórias "crônica/grave" e "crescente" de sintomas depressivos. Iniciativas de prevenção e tratamento para evitar os efeitos adversos a curto, médio e longo prazo da depressão materna sobre o desenvolvimento de seus filhos devem se concentrar principalmente nas mulheres nesses grupos.
3.
Lesão Miocárdica e Prognóstico em Pacientes Hospitalizados com COVID-19 no Brasil: Resultados do Registro Nacional de COVID-19
Facebook Twitter
Facebook Twitter
- Otras redes sociales
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Otras redes
- Métrica
Barbosa, Hannah Cardoso
; Martins, Maria Auxiliadora Parreiras
; Jesus, Jordana Cristina de
; Meira, Karina Cardoso
; Passaglia, Luiz Guilherme
; Sacioto, Manuela Furtado
; Bezerra, Adriana Falangola Benjamin
; Schwarzbold, Alexandre Vargas
; Maurílio, Amanda de Oliveira
; Farace, Barbara Lopes
; Silva, Carla Thais Cândida Alves da
; Cimini, Christiane Corrêa Rodrigues
; Silveira, Daniel Vitorio
; Carazai, Daniela do Reis
; Ponce, Daniela
; Costa, Emanuel Victor Alves
; Manenti, Euler Roberto Fernandes
; Cenci, Evelin Paola de Almeida
; Bartolazzi, Frederico
; Madeira, Glícia Cristina de Castro
; Nascimento, Guilherme Fagundes
; Velloso, Isabela Vasconcellos Pires
; Batista, Joanna d’Arc Lyra
; Morais, Júlia Drumond Parreiras de
; Carvalho, Juliana da Silva Nogueira
; Ruschel, Karen Brasil
; Martins, Karina Paula Medeiros Prado
; Zandoná, Liege Barella
; Menezes, Luanna Silva Monteiro
; Kopittke, Luciane
; Castro, Luís César de
; Nasi, Luiz Antônio
; Floriani, Maiara Anschau
; Souza, Maíra Dias
; Carneiro, Marcelo
; Bicalho, Maria Aparecida Camargos
; Lima, Maria Clara Pontello Barbosa
; Godoy, Mariana Frizzo de
; Guimarães-Júnior, Milton Henriques
; Mendes, Paulo Mascarenhas
; Delfino-Pereira, Polianna
; Ribeiro, Raquel Jaqueline Eder
; Finger, Renan Goulart
; Menezes, Rochele Mosmann
; Francisco, Saionara Cristina
; Araújo, Silvia Ferreira
; Oliveira, Talita Fischer
; Oliveira, Thainara Conceição de
; Polanczyk, Carisi Anne
; Marcolino, Milena Soriano
.
Arquivos Brasileiros de Cardiologia
- Métricas del periódico
Abstract Background Cardiovascular complications of COVID-19 are important aspects of the disease’s pathogenesis and prognosis. Evidence on the prognostic role of troponin and myocardial injury in Latin American hospitalized COVID-19 patients is still scarce. Objectives To evaluate myocardial injury as independent predictor of in-hospital mortality and invasive mechanical ventilation support in hospitalized patients, from the Brazilian COVID-19 Registry. Methods This cohort study is a substudy of the Brazilian COVID-19 Registry, conducted in 31 Brazilian hospitals of 17 cities, March-September 2020. Primary outcomes included in-hospital mortality and invasive mechanical ventilation support. Models for the primary outcomes were estimated by Poisson regression with robust variance, with statistical significance of p<0.05. Results Of 2,925 patients (median age of 60 years [48-71], 57.1% men), 27.3% presented myocardial injury. The proportion of patients with comorbidities was higher among patients with cardiac injury (median 2 [1-2] vs. 1 [0-2]). Patients with myocardial injury had higher median levels of brain natriuretic peptide, lactate dehydrogenase, creatine phosphokinase, N-terminal pro-brain natriuretic peptide, and C-reactive protein than patients without myocardial injury. As independent predictors, C-reactive protein and platelet counts were related to the risk of death, and neutrophils and platelet counts were related to the risk of invasive mechanical ventilation support. Patients with high troponin levels presented a higher risk of death (RR 2.03, 95% CI 1.60-2.58) and invasive mechanical ventilation support (RR 1.87, 95% CI 1.57-2.23), when compared to those with normal troponin levels. Conclusion Cardiac injury was an independent predictor of in-hospital mortality and the need for invasive mechanical ventilation support in hospitalized COVID-19 patients.
Resumo Fundamento As complicações cardiovasculares da COVID-19 são aspectos importantes da patogênese e do prognóstico da doença. Evidências do papel prognóstico da troponina e da lesão miocárdica em pacientes hospitalizados com COVID-19 na América Latina são ainda escassos. Objetivos Avaliar a lesão miocárdica como preditor independente de mortalidade hospitalar e suporte ventilatório mecânico em pacientes hospitalizados, do registro brasileiro de COVID-19. Métodos Este estudo coorte é um subestudo do registro brasileiro de COVID-19, conduzido em 31 hospitais brasileiros de 17 cidades, de março a setembro de 2020. Os desfechos primários incluíram mortalidade hospitalar e suporte ventilatório mecânico invasivo. Os modelos para os desfechos primários foram estimados por regressão de Poisson com variância robusta, com significância estatística de p<0,05. Resultados Dos 2925 pacientes [idade mediana de 60 anos (48-71), 57,1%], 27,3% apresentaram lesão miocárdica. A proporção de pacientes com comorbidades foi maior nos pacientes com lesão miocárdica [mediana 2 (1-2) vs. 1 (0-20)]. Os pacientes com lesão miocárdica apresentaram maiores valores medianos de peptídeo natriurético cerebral, lactato desidrogenase, creatina fosfoquinase, N-terminal do pró-peptídeo natriurético tipo B e proteína C reativa em comparação a pacientes sem lesão miocárdica. Como fatores independentes, proteína C reativa e contagem de plaquetas foram relacionados com o risco de morte, e neutrófilos e contagem de plaquetas foram relacionados ao risco de suporte ventilatório mecânico invasivo. Os pacientes com níveis elevados de troponina apresentaram um maior risco de morte (RR 2,03, IC95% 1,60-2,58) e suporte ventilatório mecânico (RR 1,87;IC95% 1,57-2,23), em comparação àqueles com níveis de troponina normais. Conclusão Lesão cardíaca foi um preditor independente de mortalidade hospitalar e necessidade de suporte ventilatório mecânico em pacientes hospitalizados com COVID-19.
4.
Guidelines from the Brazilian society of surgical oncology regarding indications and technical aspects of neck dissection in papillary, follicular, and medullary thyroid cancers
Facebook Twitter
Facebook Twitter
- Otras redes sociales
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Otras redes
- Métrica
Farias, Terence
; Kowalski, Luiz Paulo
; Dias, Fernando
; Barreira, Carlos S. Ritta
; Vartanian, José Guilherme
; Tavares, Marcos Roberto
; Vaisman, Fernanda
; Momesso, Denise
; Oliveira, Alexandre Ferreira
; Pinheiro, Rodrigo Nascimento
; Ribeiro, Heber Salvador de Castro
.
Archives of Endocrinology and Metabolism
- Métricas del periódico
ABSTRACT Objective: The purpose of these guidelines is to provide specific recommendations for the surgical treatment of neck metastases in patients with papillary, follicular, and medullary thyroid carcinomas. Materials and methods: Recommendations were developed based on research of scientific articles (preferentially meta-analyses) and guidelines issued by international medical specialty societies. The American College of Physicians’ Guideline Grading System was used to determine the levels of evidence and grades of recommendations. The following questions were answered: A) Is elective neck dissection indicated in the treatment of papillary, follicular, and medullary thyroid carcinoma? B) When should central, lateral, and modified radical neck dissection be performed? C) Could molecular tests guide the extent of the neck dissection? Results/conclusion: Recommendation 1: Elective central neck dissection is not indicated in patients with cN0 well-differentiated thyroid carcinoma or in those with noninvasive T1 and T2 tumors but may be considered in T3-T4 tumors or in the presence of metastases in the lateral neck compartments. Recommendation 2: Elective central neck dissection is recommended in medullary thyroid carcinoma. Recommendation 3: Selective neck dissection of levels II–V should be indicated to treat neck metastases in papillary thyroid cancer, an approach that decreases the risk of recurrence and mortality. Recommendation 4: Compartmental neck dissection is indicated in the treatment of lymph node recurrence after elective or therapeutic neck dissection; “berry node picking” is not recommended. Recommendation 5: There are currently no recommendations regarding the use of molecular tests in guiding the extent of neck dissection in thyroid cancer.
5.
IMPACTO-MR: um estudo brasileiro de plataforma nacional para avaliar infecções e multirresistência em unidades de terapia intensiva
Facebook Twitter
Facebook Twitter
- Otras redes sociales
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Otras redes
- Métrica
Tomazini, Bruno M
; Nassar Jr, Antonio Paulo
; Lisboa, Thiago Costa
; Azevedo, Luciano César Pontes de
; Veiga, Viviane Cordeiro
; Catarino, Daniela Ghidetti Mangas
; Fogazzi, Debora Vacaro
; Arns, Beatriz
; Piastrelli, Filipe Teixeira
; Dietrich, Camila
; Negrelli, Karina Leal
; Jesuíno, Isabella de Andrade
; Reis, Luiz Fernando Lima
; Mattos, Renata Rodrigues de
; Pinheiro, Carla Cristina Gomes
; Luz, Mariane Nascimento
; Spadoni, Clayse Carla da Silva
; Moro, Elisângela Emilene
; Bueno, Flávia Regina
; Sampaio, Camila Santana Justo Cintra
; Silva, Débora Patrício
; Baldassare, Franca Pellison
; Silva, Ana Cecilia Alcantara
; Veiga, Thabata
; Barbante, Leticia
; Lambauer, Marianne
; Campos, Viviane Bezerra
; Santos, Elton
; Santos, Renato Hideo Nakawaga
; Laranjeiras, Ligia Nasi
; Valeis, Nanci
; Santucci, Eliana
; Miranda, Tamiris Abait
; Patrocínio, Ana Cristina Lagoeiro do
; Carvalho, Andréa de
; Sousa, Eduvirgens Maria Couto de
; Sousa, Ancelmo Honorato Ferraz de
; Malheiro, Daniel Tavares
; Bezerra, Isabella Lott
; Rodrigues, Mirian Batista
; Malicia, Julliana Chicuta
; Silva, Sabrina Souza da
; Gimenes, Bruna dos Passos
; Sesin, Guilhermo Prates
; Zavascki, Alexandre Prehn
; Sganzerla, Daniel
; Medeiros, Gregory Saraiva
; Santos, Rosa da Rosa Minho dos
; Silva, Fernanda Kelly Romeiro
; Cheno, Maysa Yukari
; Abrahão, Carolinne Ferreira
; Oliveira Junior, Haliton Alves de
; Rocha, Leonardo Lima
; Nunes Neto, Pedro Aniceto
; Pereira, Valéria Chagas
; Paciência, Luis Eduardo Miranda
; Bueno, Elaine Silva
; Caser, Eliana Bernadete
; Ribeiro, Larissa Zuqui
; Fernandes, Caio Cesar Ferreira
; Garcia, Juliana Mazzei
; Silva, Vanildes de Fátima Fernandes
; Santos, Alisson Junior dos
; Machado, Flávia Ribeiro
; Souza, Maria Aparecida de
; Ferronato, Bianca Ramos
; Urbano, Hugo Corrêa de Andrade
; Moreira, Danielle Conceição Aparecida
; Souza-Dantas, Vicente Cés de
; Duarte, Diego Meireles
; Coelho, Juliana
; Figueiredo, Rodrigo Cruvinel
; Foreque, Fernanda
; Romano, Thiago Gomes
; Cubos, Daniel
; Spirale, Vladimir Miguel
; Nogueira, Roberta Schiavon
; Maia, Israel Silva
; Zandonai, Cassio Luis
; Lovato, Wilson José
; Cerantola, Rodrigo Barbosa
; Toledo, Tatiana Gozzi Pancev
; Tomba, Pablo Oscar
; Almeida, Joyce Ramos de
; Sanches, Luciana Coelho
; Pierini, Leticia
; Cunha, Mariana
; Sousa, Michelle Tereza
; Azevedo, Bruna
; Dal-Pizzol, Felipe
; Damasio, Danusa de Castro
; Bainy, Marina Peres
; Beduhn, Dagoberta Alves Vieira
; Jatobá, Joana D’Arc Vila Nova
; Moura, Maria Tereza Farias de
; Rego, Leila Rezegue de Moraes
; Silva, Adria Vanessa da
; Oliveira, Luana Pontes
; Sodré Filho, Eliene Sá
; Santos, Silvana Soares dos
; Neves, Itallo de Lima
; Leão, Vanessa Cristina de Aquino
; Paes, João Lucidio Lobato
; Silva, Marielle Cristina Mendes
; Oliveira, Cláudio Dornas de
; Santiago, Raquel Caldeira Brant
; Paranhos, Jorge Luiz da Rocha
; Wiermann, Iany Grinezia da Silva
; Pedroso, Durval Ferreira Fonseca
; Sawada, Priscilla Yoshiko
; Prestes, Rejane Martins
; Nascimento, Glícia Cardoso
; Grion, Cintia Magalhães Carvalho
; Carrilho, Claudia Maria Dantas de Maio
; Dantas, Roberta Lacerda Almeida de Miranda
; Silva, Eliane Pereira
; Silva, Antônio Carlos da
; Oliveira, Sheila Mara Bezerra de
; Golin, Nicole Alberti
; Tregnago, Rogerio
; Lima, Valéria Paes
; Silva, Kamilla Grasielle Nunes da
; Boschi, Emerson
; Buffon, Viviane
; Machado, André Sant’Ana
; Capeletti, Leticia
; Foernges, Rafael Botelho
; Carvalho, Andréia Schubert de
; Oliveira Junior, Lúcio Couto de
; Oliveira, Daniela Cunha de
; Silva, Everton Macêdo
; Ribeiro, Julival
; Pereira, Francielle Constantino
; Salgado, Fernanda Borges
; Deutschendorf, Caroline
; Silva, Cristofer Farias da
; Gobatto, Andre Luiz Nunes
; Oliveira, Carolaine Bomfim de
; Dracoulakis, Marianna Deway Andrade
; Alvaia, Natália Oliveira Santos
; Souza, Roberta Machado de
; Araújo, Larissa Liz Cardoso de
; Melo, Rodrigo Morel Vieira de
; Passos, Luiz Carlos Santana
; Vidal, Claudia Fernanda de Lacerda
; Rodrigues, Fernanda Lopes de Albuquerque
; Kurtz, Pedro
; Shinotsuka, Cássia Righy
; Tavares, Maria Brandão
; Santana, Igor das Virgens
; Gavinho, Luciana Macedo da Silva
; Nascimento, Alaís Brito
; Pereira, Adriano J
; Cavalcanti, Alexandre Biasi
.
Revista Brasileira de Terapia Intensiva
- Métricas del periódico
ABSTRACT Objective: To describe the IMPACTO-MR, a Brazilian nationwide intensive care unit platform study focused on the impact of health care-associated infections due to multidrug-resistant bacteria. Methods: We described the IMPACTO-MR platform, its development, criteria for intensive care unit selection, characterization of core data collection, objectives, and future research projects to be held within the platform. Results: The core data were collected using the Epimed Monitor System® and consisted of demographic data, comorbidity data, functional status, clinical scores, admission diagnosis and secondary diagnoses, laboratory, clinical, and microbiological data, and organ support during intensive care unit stay, among others. From October 2019 to December 2020, 33,983 patients from 51 intensive care units were included in the core database. Conclusion: The IMPACTO-MR platform is a nationwide Brazilian intensive care unit clinical database focused on researching the impact of health care-associated infections due to multidrug-resistant bacteria. This platform provides data for individual intensive care unit development and research and multicenter observational and prospective trials.
RESUMO Objetivo: Descrever o IMPACTO-MR, um estudo brasileiro de plataforma nacional em unidades de terapia intensiva focado no impacto das infecções por bactérias multirresistentes relacionadas à assistência à saúde. Métodos: Descrevemos a plataforma IMPACTO-MR, seu desenvolvimento, critérios para seleção das unidades de terapia intensiva, caracterização da coleta de dados, objetivos e projetos de pesquisa futuros a serem realizados na plataforma. Resultados: Os dados principais foram coletados por meio do Epimed Monitor System® e consistiram em dados demográficos, dados de comorbidades, estado funcional, escores clínicos, diagnóstico de internação e diagnósticos secundários, dados laboratoriais, clínicos e microbiológicos e suporte de órgãos durante a internação na unidade de terapia intensiva, entre outros. De outubro de 2019 a dezembro de 2020, 33.983 pacientes de 51 unidades de terapia intensiva foram incluídos no banco de dados principal. Conclusão: A plataforma IMPACTO-MR é um banco de dados clínico brasileiro de unidades de terapia intensiva focado na pesquisa do impacto das infecções por bactérias multirresistentes relacionadas à assistência à saúde. Essa plataforma fornece dados para o desenvolvimento e pesquisa de unidades de terapia intensiva individuais e ensaios clínicos observacionais e prospectivos multicêntricos.
6.
Sobre a origem da linguagem de Herder, o seu legado e a inevitável reflexão a fazer no hipotético quadro de singularidade tecnológica
Facebook Twitter
Facebook Twitter
- Otras redes sociales
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Otras redes
- Métrica
Resumo: Johann Gottfried Herder, à semelhança dos seus contemporâneos, reflectiu sobre a linguagem e, em 1772, publicou o Ensaio Sobre a Origem da Linguagem, que, no ano anterior, lhe valera a distinção da Academia de Berlim para melhor ensaio. No entanto, ainda hoje, muito do seu pensamento é desconhecido, ignorando-se, por isso, que algumas das modernas abordagens da filosofia contemporânea, da antropologia filosófica ou mesmo da sociobiologia estão já aí enunciadas, nomeadamente nas narrativas decorrentes da enunciação das quatro leis naturais. Mais do que a justificação sobre a origem da linguagem, o ensaio do filósofo permite ainda compreender a natureza humana, inserindo no coração da antropologia filosófica a sua génese, e contrariando, se não mesmo confrontando, dessa forma, a tradição divina dessa atribuição. Assim, num primeiro momento, far-se-á uma análise genérica da obra, ressaltando as teses fundamentais que permitirão o estabelecimento do diálogo com algumas das abordagens filosóficas contemporâneas. De seguida, admitindo a possibilidade de um cenário de singularidade tecnológica, tal como enunciado por Irving John Good, Vernor Vinge ou Ray Kurzweil, verificar a plausibilidade e a validade das teses de Herder, no que concerne ao alcance da linguagem e à natureza humana, e de como isso poderá constituir uma fronteira de resistência.
Abstract: Johann Gottfried Herder, like his contemporaries, reflected on language and in 1772 published the Treatise on the Origin of Language, which in the previous year had earned the distinction of the Berlin Academy for best essay. However, even today, much of his thought is unknown, ignoring the fact that some of the modern approaches of contemporary philosophy, philosophical anthropology or even sociobiology are already stated there, namely in the narratives resulting from the enunciation of the four natural laws. More than justifying the origin of language, the philosopher’s essay also allows us to understand human nature, inserting its genesis at the heart of philosophical anthropology and contradicting, if not even confronting in this way, the divine tradition of this attribution. Thus, at first, a generic analysis of the work will be carried out, highlighting the fundamental theses that will allow the establishment of a dialogue with some of the contemporary philosophical approaches. Then, admitting the possibility of a scenario of technological singularity, as stated by Irving John Good, Vernor Vinge or Ray Kurzweil, to verify the plausibility and validity of Herder’s theses regarding the scope of language and human nature and how this could constitute a frontier of resistance.
7.
Endocardite por Coxiella Burnetii: A Tomografia por Emissão de Pósitrons pode ser uma Alternativa ao Diagnóstico?
Facebook Twitter
Facebook Twitter
- Otras redes sociales
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Otras redes
- Métrica
Mizuta, Marjorie Hayashida
; Romero, Cristhian Espinoza
; Vintimilla, Santiago Castro
; Leal, Tatiana de Carvalho Andreucci Torres
; Soares, Paulo Rogério
; Soeiro, Alexandre de Matos
.
Arquivos Brasileiros de Cardiologia
- Métricas del periódico
8.
Narasin improves ewe milk yield efficiency and may affect performance of lambs
Facebook Twitter
Facebook Twitter
- Otras redes sociales
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Otras redes
- Métrica
Martins, André Storti
; Polizel, Daniel Montanher
; Oliveira, Gabriela Bagio
; Barroso, José Paulo Roman
; Ferraz Jr., Marcos Vinicius de Castro
; Miszura, Alexandre Arantes
; Baggio, Marcelo
; Ferreira, Evandro Maia
; Pires, Alexandre Vaz
.
ABSTRACT: Adding ionophores to ruminant diets is a strategy to manipulate ruminal fermentation and improve milk yield. This study evaluates the effects of narasin supply to lactating ewes on dry matter intake (DMI), milk yield and composition, and performance of the lambs. Thirty lactating Santa Inês and Santa Inês × Dorper ewes fed a basal diet containing 50 % coastcross hay and 50 % concentrate were randomly assigned to two treatments: control (CON; without ionophores) or NAR (addition of 13 mg narasin kg–1 DM). From the 2nd to 10th week of lactation, DMI of ewes was determined, and once a week, their milk production and composition was measured over a 3-h interval. At the 10th week of lactation, lambs were weaned and their average daily gain (ADG) and starter DMI continued to be evaluated for two more weeks. Narasin supply did not affect weight and DMI of ewes. Ewes fed NAR had greater feed efficiency for milk production and displayed tendency for higher milk yield. Narasin supply reduced milk protein levels, but it did not affect other milk component levels. Ewes fed NAR had greater production of milk urea nitrogen and showed tendency for higher production of fat and total solids. Starter DMI of lambs was not affected by treatments; however, there was a tendency for greater weaning weight for NAR lambs. At the end of experiment, no differences were observed in the performance of lambs. The supply of 13 mg narasin kg–1 to lactating ewes improved milk yield efficiency and tended to increase the weaning weight of their lambs.
https://doi.org/10.1590/1678-992x-2020-0334
182 descargas
9.
Práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras: uma análise secundária do estudo Fluid-TRIPS
Facebook Twitter
Facebook Twitter
- Otras redes sociales
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Otras redes
- Métrica
Freitas, Flavio Geraldo Rezende de
; Hammond, Naomi
; Li, Yang
; Azevedo, Luciano Cesar Pontes de
; Cavalcanti, Alexandre Biasi
; Taniguchi, Leandro
; Gobatto, André
; Japiassú, André Miguel
; Bafi, Antonio Tonete
; Mazza, Bruno Franco
; Noritomi, Danilo Teixeira
; Dal-Pizzol, Felipe
; Bozza, Fernando
; Salluh, Jorge Ibrahin Figueira
; Westphal, Glauco Adrieno
; Soares, Márcio
; Assunção, Murillo Santucci César de
; Lisboa, Thiago
; Lobo, Suzana Margarete Ajeje
; Barbosa, Achilles Rohlfs
; Ventura, Adriana Fonseca
; Souza, Ailson Faria de
; Silva, Alexandre Francisco
; Toledo, Alexandre
; Reis, Aline
; Cembranel, Allan
; Rea Neto, Alvaro
; Gut, Ana Lúcia
; Justo, Ana Patricia Pierre
; Santos, Ana Paula
; Albuquerque, André Campos D. de
; Scazufka, André
; Rodrigues, Antonio Babo
; Fernandino, Bruno Bonaccorsi
; Silva, Bruno Goncalves
; Vidal, Bruno Sarno
; Pinheiro, Bruno Valle
; Pinto, Bruno Vilela Costa
; Feijo, Carlos Augusto Ramos
; Abreu Filho, Carlos de
; Bosso, Carlos Eduardo da Costa Nunes
; Moreira, Carlos Eduardo Nassif
; Ramos, Carlos Henrique Ferreira
; Tavares, Carmen
; Arantes, Cidamaiá
; Grion, Cintia
; Mendes, Ciro Leite
; Kmohan, Claudio
; Piras, Claudio
; Castro, Cristine Pilati Pileggi
; Lins, Cyntia
; Beraldo, Daniel
; Fontes, Daniel
; Boni, Daniela
; Castiglioni, Débora
; Paisani, Denise de Moraes
; Pedroso, Durval Ferreira Fonseca
; Mattos, Ederson Roberto
; Brito Sobrinho, Edgar de
; Troncoso, Edgar M. V.
; Rodrigues Filho, Edison Moraes
; Nogueira, Eduardo Enrico Ferrari
; Ferreira, Eduardo Leme
; Pacheco, Eduardo Souza
; Jodar, Euzebio
; Ferreira, Evandro L. A.
; Araujo, Fabiana Fernandes de
; Trevisol, Fabiana Schuelter
; Amorim, Fábio Ferreira
; Giannini, Fabio Poianas
; Santos, Fabrício Primitivo Matos
; Buarque, Fátima
; Lima, Felipe Gallego
; Costa, Fernando Antonio Alvares da
; Sad, Fernando Cesar dos Anjos
; Aranha, Fernando G.
; Ganem, Fernando
; Callil, Flavio
; Costa Filho, Francisco Flávio
; Dall´Arto, Frederico Toledo Campo
; Moreno, Geovani
; Friedman, Gilberto
; Moralez, Giulliana Martines
; Silva, Guilherme Abdalla da
; Costa, Guilherme
; Cavalcanti, Guilherme Silva
; Cavalcanti, Guilherme Silva
; Betônico, Gustavo Navarro
; Betônico, Gustavo Navarro
; Reis, Hélder
; Araujo, Helia Beatriz N.
; Hortiz Júnior, Helio Anjos
; Guimaraes, Helio Penna
; Urbano, Hugo
; Maia, Israel
; Santiago Filho, Ivan Lopes
; Farhat Júnior, Jamil
; Alvarez, Janu Rangel
; Passos, Joel Tavares
; Paranhos, Jorge Eduardo da Rocha
; Marques, José Aurelio
; Moreira Filho, José Gonçalves
; Andrade, Jose Neto
; Sobrinho, José Onofre de C
; Bezerra, Jose Terceiro de Paiva
; Alves, Juliana Apolônio
; Ferreira, Juliana
; Gomes, Jussara
; Sato, Karina Midori
; Gerent, Karine
; Teixeira, Kathia Margarida Costa
; Conde, Katia Aparecida Pessoa
; Martins, Laércia Ferreira
; Figueirêdo, Lanese
; Rezegue, Leila
; Tcherniacovsk, Leonardo
; Ferraz, Leone Oliveira
; Cavalcante, Liane
; Rabelo, Ligia
; Miilher, Lilian
; Garcia, Lisiane
; Tannous, Luana
; Hajjar, Ludhmila Abrahão
; Paciência, Luís Eduardo Miranda
; Cruz Neto, Luiz Monteiro da
; Bley, Macia Valeria
; Sousa, Marcelo Ferreira
; Puga, Marcelo Lourencini
; Romano, Marcelo Luz Pereira
; Nobrega, Marciano
; Arbex, Marcio
; Rodrigues, Márcio Leite
; Guerreiro, Márcio Osório
; Rocha, Marcone
; Alves, Maria Angela Pangoni
; Alves, Maria Angela Pangoni
; Rosa, Maria Doroti
; Dias, Mariza D’Agostino
; Martins, Miquéias
; Oliveira, Mirella de
; Moretti, Miriane Melo Silveira
; Matsui, Mirna
; Messender, Octavio
; Santarém, Orlando Luís de Andrade
; Silveira, Patricio Júnior Henrique da
; Vassallo, Paula Frizera
; Antoniazzi, Paulo
; Gottardo, Paulo César
; Correia, Paulo
; Ferreira, Paulo
; Torres, Paulo
; Silva, Pedro Gabrile M. de Barros e
; Foernges, Rafael
; Gomes, Rafael
; Moraes, Rafael
; Nonato filho, Raimundo
; Borba, Renato Luis
; Gomes, Renato V
; Cordioli, Ricardo
; Lima, Ricardo
; López, Ricardo Pérez
; Gargioni, Ricardo Rath de Oliveira
; Rosenblat, Richard
; Souza, Roberta Machado de
; Almeida, Roberto
; Narciso, Roberto Camargo
; Marco, Roberto
; waltrick, Roberto
; Biondi, Rodrigo
; Figueiredo, Rodrigo
; Dutra, Rodrigo Santana
; Batista, Roseane
; Felipe, Rouge
; Franco, Rubens Sergio da Silva
; Houly, Sandra
; Faria, Sara Socorro
; Pinto, Sergio Felix
; Luzzi, Sergio
; Sant’ana, Sergio
; Fernandes, Sergio Sonego
; Yamada, Sérgio
; Zajac, Sérgio
; Vaz, Sidiner Mesquita
; Bezerra, Silvia Aparecida Bezerra
; Farhat, Tatiana Bueno Tardivo
; Santos, Thiago Martins
; Smith, Tiago
; Silva, Ulysses V. A.
; Damasceno, Valnei Bento
; Nobre, Vandack
; Dantas, Vicente Cés de Souza
; Irineu, Vivian Menezes
; Bogado, Viviane
; Nedel, Wagner
; Campos Filho, Walther
; Dantas, Weidson
; Viana, William
; Oliveira Filho, Wilson de
; Delgadinho, Wilson Martins
; Finfer, Simon
; Machado, Flavia Ribeiro
.
Revista Brasileira de Terapia Intensiva
- Métricas del periódico
RESUMO Objetivo: Descrever as práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras e compará-las com as de outros países participantes do estudo Fluid-TRIPS. Métodos: Este foi um estudo observacional transversal, prospectivo e internacional, de uma amostra de conveniência de unidades de terapia intensiva de 27 países (inclusive o Brasil), com utilização da base de dados Fluid-TRIPS compilada em 2014. Descrevemos os padrões de ressuscitação volêmica utilizados no Brasil em comparação com os de outros países e identificamos os fatores associados com a escolha dos fluidos. Resultados: No dia do estudo, foram incluídos 3.214 pacientes do Brasil e 3.493 pacientes de outros países, dos quais, respectivamente, 16,1% e 26,8% (p < 0,001) receberam fluidos. A principal indicação para ressuscitação volêmica foi comprometimento da perfusão e/ou baixo débito cardíaco (Brasil 71,7% versus outros países 56,4%; p < 0,001). No Brasil, a percentagem de pacientes que receberam soluções cristaloides foi mais elevada (97,7% versus 76,8%; p < 0,001), e solução de cloreto de sódio a 0,9% foi o cristaloide mais comumente utilizado (62,5% versus 27,1%; p < 0,001). A análise multivariada sugeriu que os níveis de albumina se associaram com o uso tanto de cristaloides quanto de coloides, enquanto o tipo de prescritor dos fluidos se associou apenas com o uso de cristaloides. Conclusão: Nossos resultados sugerem que cristaloides são usados mais frequentemente do que coloides para ressuscitação no Brasil, e essa discrepância, em termos de frequências, é mais elevada do que em outros países. A solução de cloreto de sódio 0,9% foi o cristaloide mais frequentemente prescrito. Os níveis de albumina sérica e o tipo de prescritor de fluidos foram os fatores associados com a escolha de cristaloides ou coloides para a prescrição de fluidos.
Abstract Objective: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS. Methods: This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice. Results: On the study day, 3,214 patients in Brazil and 3,493 patients in other countries were included, of whom 16.1% and 26.8% (p < 0.001) received fluids, respectively. The main indication for fluid resuscitation was impaired perfusion and/or low cardiac output (Brazil: 71.7% versus other countries: 56.4%, p < 0.001). In Brazil, the percentage of patients receiving crystalloid solutions was higher (97.7% versus 76.8%, p < 0.001), and 0.9% sodium chloride was the most commonly used crystalloid (62.5% versus 27.1%, p < 0.001). The multivariable analysis suggested that the albumin levels were associated with the use of both crystalloids and colloids, whereas the type of fluid prescriber was associated with crystalloid use only. Conclusion: Our results suggest that crystalloids are more frequently used than colloids for fluid resuscitation in Brazil, and this discrepancy in frequencies is higher than that in other countries. Sodium chloride (0.9%) was the crystalloid most commonly prescribed. Serum albumin levels and the type of fluid prescriber were the factors associated with the choice of crystalloids or colloids for fluid resuscitation.
https://doi.org/10.5935/0103-507x.20210028
273 descargas
10.
Narasin inclusion for feedlot lambs fed a diet containing high amounts of ground flint corn
Facebook Twitter
Facebook Twitter
- Otras redes sociales
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Otras redes
- Métrica
Polizel, Daniel Montanher
; Marques, Samuel Sutil
; Westphalen, Mariana Fontana
; Gouvea, Vinícius Nunes
; Ferraz Júnior, Marcos Vinícius de Castro
; Miszura, Alexandre Arantes
; Barroso, José Paulo Roman
; Limede, Arnaldo Cintra
; Ferreira, Evandro Maia
; Pires, Alexandre Vaz
.
ABSTRACT: Narasin is an antibacterial agent that may change rumen fermentation. Two experiments were proposed to evaluate the efficiency of narasin inclusion for lambs fed a diet containing high amounts of ground flint corn. Thirty rumen-cannulated wethers were used to evaluate nutrient digestibility, nitrogen balance, and rumen metabolism (Exp. 1); and forty-five lambs were used to evaluate performance (Exp. 2) of animals fed with narasin for high flint corn diets. The experimental diets were: control or basal diet without additives (C); 25 mg of monensin kg−1 of dry matter (DM) (M); and inclusion of 5 (N5), 10 (N10), and 15 (N15) mg of narasin kg−1 of DM. The statistical analyses were performed using the MIXED procedure of SAS. Monensin increased DM digestibility compared to C ( p = 0.01) and increasing doses of narasin linearly increased DM digestibility ( p < 0.01). There was a quadratic effect ( p = 0.10) for molar proportion of acetate peaking at N15. Monensin inclusion increased ( p = 0.07) propionate compared to C; however, it did not differ from narasin. The increasing levels of narasin linearly decreased the total volatile fatty acids concentration in the rumen ( p = 0.02). Monensin and C showed a similar performance. The increasing levels of narasin linearly increased ( p ≤ 0.04) average daily gain and feed efficiency. Monensin and narasin changed rumen fermentation and improved overall nutrient digestibility. However, lambs that received narasin showed improved performance when compared with animals that received M.
https://doi.org/10.1590/1678-992x-2020-0010
873 descargas
11.
Multi-criteria analysis applied to aircraft selection by Brazilian Navy
Facebook Twitter
Facebook Twitter
- Otras redes sociales
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Otras redes
- Métrica
Maêda, Sérgio Mitihiro do Nascimento
; Costa, Igor Pinheiro de Araújo
; Castro Junior, Marcos Alexandre Pinto de
; Fávero, Luiz Paulo
; Costa, Arthur Pinheiro de Araújo
; Corriça, José Victor de Pina
; Gomes, Carlos Francisco Simões
; Santos, Marcos dos
.
Abstract Paper aims This paper aims to select the best helicopter to be acquired by the Brazilian Navy (BN), enabling greater logistical and combat capacity in marine operations. For this purpose, we applied the AHP-TOPSIS-2N, a hybrid multicriteria method composed by the Analytic Hierarchy Process (AHP), Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) and two normalization procedures (2N). Originality In this paper, a real military case study is conducted to support the decision-making process in BN, contributing to the better performance of the Brazilian Armed Forces. The application of the methodology resulted in two lists of ordering and prioritization of helicopters, providing transparency and simplicity to the decision-making process. Research method We analyzed six aircraft models, considering attack helicopters used by the Armed Forces of developed countries, in the light of their operational and tactical criteria. The selected helicopter would be employed in the fire support and reconnaissance, required by the Brazilian Marine Corps Amphibious Operations. Main findings After the application of the method, the AH-64E APACHE was chosen as the most suitable helicopter to be acquired by the Brazilian Navy. Implications for theory and practice This study brings valuable contribution to academia and society, since it represents the application of a Multi-criteria Decision Analysis (MCDA) method in the state of the art to contribute to the solution of a real problem of the BN. The methodology presented in this paper can notably be used to solve real problems of the most varied types – tactical, operational and strategic – thus being a very useful method for decision-making.
https://doi.org/10.1590/0103-6513.20210011
4 descargas
12.
The brief methylprednisolone administration is crucial to mitigate cardiac dysfunction after myocardial infarction
Facebook Twitter
Facebook Twitter
- Otras redes sociales
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Otras redes
- Métrica
BAHR, ALAN CHRISTHIAN
; LUZ, JULIA PAIM DA
; TEIXEIRA, RAYANE BRINCK
; TÜRCK, PATRICK
; ZIMMER, ALEXSANDRA
; CASTRO, ALEXANDRE LUZ DE
; REIS, EDUARDO ECHER DOS
; VISIOLI, FERNANDA
; BELLÓ-KLEIN, ADRIANE
; ARAUJO, ALEX SANDER DA ROSA
; SCHENKEL, PAULO CAVALHEIRO
.
Anais da Academia Brasileira de Ciências
- Métricas del periódico
Abstract Acute myocardial infarction (AMI) is one of the major causes of heart failure and mortality. Glucocorticoids administration post-infarction has long been proposed, but it has shown conflicting results so far. This controversy may be associated with the glucocorticoid type and the period when it is administered. To elucidate these, the present aims to evaluate if the brief methylprednisolone acetate administration is determinant for heart adaptation after AMI. Male Wistar rats were divided into 3 groups: sham-operated (SHAM); infarcted (AMI); infarcted treated with methylprednisolone acetate (AMI+M). Immediately after surgery, the AMI+M group received a single dose of methylprednisolone acetate (40 mg/kg i.m.). After 56 days, the cardiac function was assessed and lungs, liver and heart were collected to determine rates of hypertrophy and congestion. Heart was used for oxidative stress and metalloproteinase activity analyses. Methylprednisolone acetate attenuated matrix metalloproteinase-2 activity, cardiac dilatation, and prevented the onset of pulmonary congestion, as well as avoided cardiac hypertrophy. Our data indicate that administration of methylprednisolone acetate shortly after AMI may be a therapeutic alternative for attenuation of detrimental ventricular remodeling.
https://doi.org/10.1590/0001-3765202120210297
96 descargas
13.
Low doses of monensin for lambs fed diets containing high level of ground flint corn
Facebook Twitter
Facebook Twitter
- Otras redes sociales
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Otras redes
- Métrica
Polizel, Daniel Montanher
; Martins, André Storti
; Miszura, Alexandre Arantes
; Ferraz Júnior, Marcos Vinícius de Castro
; Bertoloni, Analisa Vasques
; Oliveira, Gabriela Bagio
; Barroso, José Paulo Roman
; Ferreira, Evandro Maia
; Pires, Alexandre Vaz
.
ABSTRACT Two experiments were proposed to evaluate the addition of monensin for lambs fed diets containing a high level of mature ground flint corn. The experimental diets were as follows: no inclusion of monensin (M0) and inclusion of 8 (M8), 16 (M16) and 24 mg kg–1 of monensin (M24). In experiment 1, eight cannulated wethers were divided into a double 4 × 4 Latin square experimental design to evaluate nutrient digestibility, plasma parameters and rumen fermentation. The experiment lasted 112 days, divided into four periods of 28 days each. In experiment 2, ninety-two lambs were used in a randomized block design to evaluate the performance over 56 days. In experiment 1, doses of monensin had no effect on nutrient intake (p ≥ 0.07) and digestibility (p ≥ 0.09). There was a quadratic effect for acetate molar proportion (p = 0.01), acetate to propionate ratio (p = 0.04) and rumen pH (p < 0.01). However, there was no effect on the molar proportion of propionate and butyrate. The monensin decreased linearly the total SCFA concentration (p < 0.01). The inclusion of monensin increased glucose (p < 0.01) and decreased lactate concentration in plasma (p = 0.05). In experiment 2, monensin decreased dry matter intake (p = 0.04). However, there was a quadratic effect for average daily gain (p = 0.03) and feed efficiency (p < 0.01), with the greatest values observed for the M8 diet. Thus, the inclusion of 8 mg kg–1 of dry matter diet (DM) improves ruminal fermentation and plasma parameters, resulting in greater growth performance in lambs.
https://doi.org/10.1590/1678-992x-2019-0263
2449 descargas
14.
Transition to exclusive palliative care for women with breast cancer
Facebook Twitter
Facebook Twitter
- Otras redes sociales
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Otras redes
- Métrica
Telles, Audrei Castro
; Bento, Paulo Alexandre de Souza São
; Chagas, Marléa Crescêncio
; Queiroz, Ana Beatriz Azevedo de
; Bittencourt, Nair Caroline Cavalcanti de Mendonça
; Silva, Marcelle Miranda da
.
RESUMO Objetivo: analisar as perspectivas que tangenciam o processo de transição para o cuidado paliativo exclusivo de mulheres com câncer de mama. Métodos: estudo qualitativo, descritivo, realizado em instituição de saúde pública no Rio de Janeiro, Brasil, entre dezembro de 2018 e maio de 2019. Foram entrevistados 28 profissionais de saúde. Utilizou-se a análise de conteúdo na modalidade temática. Resultados: as dificuldades operacionais atrelaram-se à estrutura física fragmentada, ao caráter tardio e não planejado do encaminhamento, à comunicação ineficaz e déficit de recursos humanos. Em geral, mulheres e familiares resistem ao encaminhamento por não conhecerem o cuidado paliativo. Não há consenso dos oncologistas sobre o momento mais adequado para interromper a terapia sistêmica para controle da doença. Considerações finais: as dificuldades percebidas configuram o encaminhamento abrupto, acompanhado de falsas esperanças e, muitas vezes, limitado aos cuidados no fim da vida.
ABSTRACT Objective: to analyze the perspectives that affect the transition to exclusive palliative care for women with breast cancer. Methods: qualitative, descriptive study, carried out in a public health institution in Rio de Janeiro, Brazil, between December 2018 and May 2019. 28 health professionals were interviewed. Content analysis was used in the thematic modality. Results: the operational difficulties were linked to the fragmented physical structure, the late and unplanned nature of the referral, the ineffective communication, and the deficit of human resources. In general, women and family members resist referral because they do not know palliative care. There is no consensus among oncologists on the most appropriate time to stop systemic therapy for disease control. Final considerations: the perceived difficulties configure an abrupt referral, accompanied by false hopes and, often, limited to end-of-life care.
RESUMEN Objetivo: analizar las perspectivas que tocan el proceso de transición al cuidado paliativo exclusivo de mujeres con cáncer de mama. Métodos: estudio cualitativo, descriptivo, realizado en institución de salud pública en Rio de Janeiro, Brasil, entre diciembre de 2018 y mayo de 2019. Fueron entrevistados 28 profesionales de salud. Utilizó el análisis de contenido en la modalidad temático. Resultados: las dificultades operacionales atraillaron a la estructura física fragmentada, al carácter tardío y no planeado del encaminamiento, a la comunicación ineficaz y déficit de recursos humanos. En general, mujeres y familiares resisten al encaminamiento por no conocieren el cuidado paliativo. No hay consenso de los oncólogos acerca del momento más adecuado para interrumpir la terapia sistémica al control de la enfermedad. Consideraciones finales: las dificultades percibidas configuran el encaminamiento abrupto, acompañado de falsas esperanzas y, muchas veces, limitado a los cuidados en el fin de la vida.
https://doi.org/10.1590/0034-7167-2020-1325
324 descargas
15.
Impacte da reabilitação respiratória, prescrita por enfermeiros, na capacidade para o autocuidado, na pessoa com DPOC
Facebook Twitter
Facebook Twitter
- Otras redes sociales
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Otras redes
- Métrica
Pereira, Marlene Andreia dos Santos
; Moreira, Ana Filipa Braga
; Machado, Paulo Alexandre Puga
; Padilha, José Miguel dos Santos Castro
.
Revista Portuguesa de Enfermagem de Reabilitação
- Métricas del periódico
RESUMEN Introducción: La rehabilitación respiratoria (RR) es una componente central del tratamiento no farmacológico de la EPOC. El entrenamiento físico es un elemento primario de RR. Sin embargo, se sabe poco sobre la efectividad de estos programas prescritos por enfermeros. Objetivos: Identificar el impacto de un programa de RR, prescrito por enfermeras, sobre la capacidad de autocuidado de la persona con EPOC. Métodos: Hemos realizado una revisión sistemática de la literatura hasta el 4 de febrero de 2019, utilizando MEDLINE, EMBASE, Web of Science Core Collection, Scopus y CINAHL. Resultados: Este estudio, demostró que las personas con EPOC, que participan en un programa de RR, prescrito por enfermeros, demostraron una reducción en los niveles de fatiga, una mejora en la calidad de vida y en la capacidad de realizar actividades de la vida diaria. Conclusión: El estudio permitió identificar que los programas de RR de enfermería tienen un impacto positivo en la reducción de la fatiga, aumentando la capacidad de las personas para participar en actividades de la vida diaria y mejorando su calidad de vida.
RESUMO Introdução: A Reabilitação Respiratória (RR) é uma componente central do tratamento não farmacológico da DPOC. O treino de exercício é um elemento primordial da RR. Porém, pouco se sabe sobre a efetividade destes programas prescritos por enfermeiros. Objetivos: Identificar o impacte de um programa de RR, prescrito por enfermeiros, na capacidade para o autocuidado, da pessoa com DPOC. Métodos: Revisão sistemática de literatura até ao dia 4 de fevereiro de 2019, com recurso à MEDLINE, EMBASE, Web of Science Core Collection, Scopus, and CINAHL. Resultados: Incluímos um estudo que comprovou que as pessoas com DPOC, que participaram num programa de RR, prescrito por enfermeiros, revelaram uma redução nos níveis de fadiga, melhoria na qualidade de vida e na capacidade para executar as atividades de vida diária. Conclusão: O estudo permitiu identificar melhorias nos níveis de fadiga, na qualidade de vida e na execução das atividades de vida diária resultantes da reabilitação respiratória prescrita por enfermeiros.
ABSTRACT Introduction: Pulmonary Rehabilitation (PR) is a central component in the non-pharmacological treatment of COPD. One of the primary elements of PR is exercise training. However, little is known about the effectiveness of conducting these programs by nurses. Objectives: Identify the impact of an PR program, prescribed by nurses, on the capacity for self-care of the person with COPD. Methods:: Systematic literature review until February 4, 2019, using MEDLINE, EMBASE, Web of Science Core Collection, Scopus, and CINAHL. Results: The systematic literature review included 1 article which showed that people undergoing PR programmes, supervised by nurses, revealed a decrease in fatigue levels, an improvement in their life quality and in the daily routine tasks/activities execution. Conclusion: This review allowed to identify that nurse-led interventions has positive impact over fatigue, health related quality of life and in daily living activity performance of COPD patients.
https://doi.org/10.33194/rper.2020.v3.n2.12.5823
65 descargas
Mostrar
itens por página
Página
de 6
Próxima
Visualizar estadísticas de
Enviar resultado
Sem resultados
No se encontraron documentos para su búsqueda
Glosario y ayuda para la búsqueda
Ud. puede enriquecer su búsqueda de una forma muy sencilla. Use los índices de búsqueda combinados con los conectores (AND u OR) para especificar su busca.
Por ejemplo, si desea buscar artículos acerca de
casos de dengue en el Brasil en 2015, use:ti:dengue and publication_year:2015 and aff_country:Brasil
A continuación se muestra la lista completa de los índices de búsqueda que se pueden utilizar:
Cód. del Índice | Elemento |
---|---|
ti | título del articulo |
au | autor |
kw | palabras clave del artículo |
subject | asunto (palabras del título, resumen y palabras clave) |
ab | resumen |
ta | título abreviado de la revista (ej. Cad. Saúde Pública) |
journal_title | título completo de la revista (ej. Cadernos de Saúde Pública) |
la | código de idioma de publicación (ej. pt - Portugués, es - Español) |
type | tipo de documento |
pid | identificador de la publicación |
publication_year | año de publicación del artículo |
sponsor | financiador |
aff_country | código del país de la afiliación del autor |
aff_institution | institución de filiación del autor |
volume | volumen del artículo |
issue | número del artículo |
elocation | elocation |
doi | número DOI |
issn | ISSN de la revista |
in | código de la colección SciELO (ej. scl - Brasil, col - Colômbia) |
use_license | código de licencia de uso del artículo |