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Abstract This study aimed to assess the cortisol, body and reproductive development of prepubertal Holstein and Holstein-Gir ¾ heifers at 27 months of age maintained in an integrated livestock-forest (ILF) system for 60 summer days compared to the monoculture system in full sun (FS). The ILF system promoted changes (P=0.02) in the cortisol levels of Holstein-Gir ¾ heifers and did not affect weight gain in any of the breed groups studied. Animals in ILF system presented a lower (P=0.006) vulvar development for the rima height parameter and similar for the vulva width parameter. The ovarian follicular population of Holstein-Gir ¾ heifers in the ILF system was lower (P=0.004); however, for the Holstein heifers, no statistical difference was found, and numbers were higher (P=0.08) in the ILF system. None of the other ovarian parameters studied had any changes, and we also found important racial differences. Weight gain (P=0.003), vulvar development (P<0.001), and mean follicular size (P=0.008) were higher in the Holstein-Gir ¾ animals. Based on such results, the effect of the ILF system at 27 months of age on stress and reproductive parameters in the Holstein breed is considered positive, although negative effects have been detected on reproductive parameters in the Holstein-Gir ¾ breed.

https://doi.org/10.1590/1984-3143-ar2023-0100

Predisposing factors and impact of healthcare-associated infections in patients with status epilepticus
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RIVERO RODRÍGUEZ, Dannys

; SCHERLE MATAMOROS, Claudio

; DICAPUA SACOTO, Daniela

; GARCIA-PTACEK, Sara

; PERNAS SANCHEZ, Yanelis

; PLUCK, Graham

Arquivos de Neuro-Psiquiatria

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mar 2021, Volume 79 N. 3 Pages 209 - 215

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT Background: Few studies have evaluated the incidence, predisposing factors and impact of healthcare-associated infections (HCAIs) in relation to outcomes among patients with status epilepticus (SE). Objective: To investigate the variables associated with development of HCAIs among patients with SE and the impact of factors relating to HCAIs on mortality at three months. Methods: This study was a retrospective analysis on our prospectively collected dataset, from November 2015 to January 2019. The sample included all consecutive patients diagnosed with SE who were treated at Hospital Eugenio Espejo during that period. In total, 74 patients were included. Clinical variables such as age, etiology of SE, Charlson comorbidity index (CCI), hospital length of stay, refractory SE (RSE) and outcomes were analyzed. Results: HCAIs were diagnosed in 38 patients (51.4%), with a preponderance of respiratory tract infection (19; 25.7%). Prolonged hospital length of stay (OR=1.09; 95%CI 1.03-1.15) and CCI≥2 (OR=5.50; 95%CI 1.37-22.10) were shown to be independent variables relating to HCAIs. HCAIs were associated with an increased risk of mortality at three months, according to Cox regression analysis (OR=2.23; 95%CI 1.08-4.58), and with infection caused by Gram-negative microorganisms (OR=3.17; 95%CI 1.20-8.39). Kaplan-Meier curve analysis demonstrated that HCAIs had a negative impact on the survival rate at three months (log rank=0.025). Conclusions: HCAIs are a common complication among Ecuadorian patients with SE and were related to a lower survival rate at three months. Prolonged hospital length of stay, RSE and CCI≥2 were associated with the risk of developing HCAIs.

RESUMEN Antecedentes: Pocos estudios han evaluado la incidencia, los factores predisponentes y el impacto de las infecciones asociadas a los cuidados de salud (IACS) en pacientes con Estatus Epiléptico (EE). Objetivo: Evaluar los factores predisponentes de IACS en pacientes con EE y su impacto evolutivo después de tres meses. Métodos: Se realizó un análisis retrospectivo de los datos recogidos prospectivamente en nuestra base de datos, desde noviembre de 2015 hasta enero de 2019. Se incluyeron todos los pacientes diagnosticados y consecutivamente tratados con EE, en el Hospital Eugenio Espejo, durante ese periodo. En total, 74 pacientes fueron incluidos. Se analizaron variables clínicas y evolutivas. Resultados: Las IACS fueron identificadas en 38 pacientes (51,4%), con predominio de infecciones respiratorias (25,7%). Los factores asociados con el desarrollo IACS fueron la estadía hospitalaria prolongada (OR=1,09, IC95% 1,03-1,15) y el índice de Charlson (ICH)≥2 (OR=5,50, IC95% 1,37-22,10). La regresión de Cox demostró un incremento significativo de la mortalidad en los pacientes con IACS (OR=2,23, IC95% 1,08-4,58) y en las causadas por gérmenes gram-negativos (OR=3,17, IC95% 1,20-8,39). La curva de Kaplan Meier evidenció el impacto desfavorable de las IACS (log rank=0.025) en la evolución de los pacientes después de los tres meses. Conclusiones: Las IACS fueron complicaciones frecuentes en los pacientes ecuatorianos con EE y fueron asociadas con una menor supervivencia después de los tres meses. Las variables como la estadía hospitalaria prolongada, el EE refractario y el ICH≥2 fueron identificados como factores de riesgo para sufrir una IACS.

https://doi.org/10.1590/0004-282x-anp-2019-0365 435 downloads

Segurança e educação durante a COVID-19: prevalência, fatores associados e planos de reabertura da Faculdade de Enfermagem
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Rafael, Ricardo de Mattos Russo

; Correia, Luiza Mara

; Mello, Alex Simões de

; Prata, Juliana Amaral

; Gallasch, Cristiane Helena

; Pérez Junior, Eugenio Fuentes

; Silva, Frances Valeria Costa e

; Penna, Lucia Helena Garcia

; Morera, Jaime Caravaca

; Breda, Karen Lucas

; David, Helena Maria Scherlowski Leal

Escola Anna Nery

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2021, Volume 25 N. spe elocation e20200528

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo Objetivo analisar a prevalência e os fatores associados à triagem da COVID-19 e propor as estratégias necessárias para a reabertura das Escolas de Enfermagem universitárias para as aulas presenciais. Métodos um estudo transversal foi projetado a partir da linha de base de uma pesquisa longitudinal baseada na Internet de uma Escola Brasileira de Enfermagem. Com o resultado ordinal (classificação operacional COVID-19), a análise de dados foi conduzida usando um modelo de regressão multinomial. Resultados um total de 498 participantes foi incluído na análise e revelou 67,27% de casos suspeitos e 11,65% de casos confirmados de COVID-19. O uso de máscaras, o transporte público e fazer parte da linha de frente dos trabalhadores da saúde foram estatisticamente associados a um histórico positivo para a COVID-19. Conclusão os planos de reabertura de Escolas de Enfermagem devem integrar o uso de equipamentos de proteção pessoal, o transporte público e a triagem da COVID-19 na educação.

Abstract Objective to analyze the prevalence and factors associated with COVID-19 screening and propose the necessary strategies for the reopening of university Nursing Schools to face-to-face classes. Methods aa cross-sectional study was designed from the baseline of a longitudinal Internet-based survey of a Brazilian School of Nursing. With the ordinal outcome (COVID-19 operational classification), data analysis was conducted using a multinomial regression model Results a total of 498 participants were included in the analysis and revealed 67.27% suspected and 11.65% confirmed cases of COVID-19. Wearing masks, public transportation, and being part of frontline healthcare workers were statistically associated with a positive history for COVID-19. Conclusion plans to reopen Nursing Schools must integrate the use of personal protective equipment, public transportation, and COVID-19 screening into education.

Resumen Objetivo analizar la prevalencia y los factores asociados al rastreo de COVID-19 y proponer las estrategias necesarias para la reapertura de Escuelas Universitarias de Enfermería para clases presenciales. Métodos se diseñó un estudio transversal a partir de la línea de base de una investigación longitudinal basada en Internet de una Escuela Brasileña de Enfermería. Con el resultado ordinal (clasificación operativa COVID-19), se realizó el análisis de datos mediante un modelo de regresión multinomial. Resultados se incluyeron en el análisis un total de 498 participantes que revelaron el 67,27% de los casos sospechosos y el 11,65% de los casos confirmados de COVID-19. El uso de máscaras, el transporte público y ser parte de la primera línea de los trabajadores de la salud se asociaron estadísticamente con un historial positivo de COVID-19. Conclusión los planes de reapertura de Escuelas de Enfermería deben integrar el uso de equipos de protección personal, transporte público y el rastreo de COVID-19 en la educación.

https://doi.org/10.1590/2177-9465-ean-2020-0528 460 downloads

Análisis comparativo de la contaminación en barras de gutapercha
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Córdova Reyes, Sofía Michelle

; Guillen Guillen, Raquel Esmeralda

; Mena Silva, Paola Andrea

; Hidalgo Moya, Viviana

; Martini Garcia, Isadora

Revista Eugenio Espejo

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jun 2020, Volume 14 N. 1 Pages 1 - 7

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract An in vitro analytical research was carried out in the general laboratory of the "Carlos Andrade Marín" Hospital. The population consisted of 20 bars of Meta®Biomed brand gutta-percha (Korea) distributed in four groups made up of 5 bars according to the pre-established characteristics in terms of thermoplasticization and handling. Only 15% of the selected samples showed signs of bacterial growth, of which 66.67% belonged to the group of solid gutta-percha bars that were manipulated, establishing specific differences with respect to the rest of the groups (p≤0.01), according to the T-students test. Most of the samples have no evidence of bacterial growth. However, two of the three samples that showed this microbiological activity belonged to the group of solid gutta-percha bars that were manipulated.

Resumen Se realizó una investigación analítica realizada in vitro en el laboratorio general del Hospital “Carlos Andrade Marín”. La población estuvo compuesta por 20 barras de gutapercha marca Meta®Biomed (Korea), distribuidas en cuatro grupos compuestos por 5 barras atendiendo a características preestablecidas en cuanto a realización de termoplastificación y manipulación. Solo el 15% de las muestras se registró indicios de crecimiento bacteriano, de las que el 66,67% pertenecieron al grupo de barras sólidas de gutapercha que fueron manipuladas, estableciéndose diferencias significativas con respecto al resto de los grupos (p≤0.01), según la prueba de T-students. La mayoría de las muestras no mostró indicios de crecimiento bacteriano. Sin embargo, dos de las tres muestras que manifestaron esa actividad microbiológica pertenecieron al grupo de las barras sólidas de gutapercha que fueron manipuladas.

https://doi.org/10.37135/ee.04.08.01 7 downloads

What is on the menu for frugivorous birds in the Cerrado? Fruiting phenology and nutritional traits highlight the importance of habitat complementarity
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Maruyama, Pietro Kiyoshi

; Melo, Celine

; Pascoal, Camila

; Vicente, Eduardo

; Cardoso, João Custódio Fernandes

; Brito, Vinícius Lourenço Garcia

; Oliveira, Paulo Eugênio

Acta Botanica Brasilica

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sep 2019, Volume 33 N. 3 Pages 572 - 583

Abstract: En | Text: En | PDF: En

ABSTRACT The relationship between plants and frugivorous animals is modulated by morphological and nutritional characteristics of fruits, as well as their seasonal availability across habitats. We evaluated fruiting phenology, fruit morphology and nutritional characteristics of 35 abundant plant species from 15 families associated with frugivorous birds from distinct habitats in the Cerrado (savanna, forest, and palm swamp). For a subset of 16 plant species, we also evaluated the overlap in interactions with frugivorous birds using data from the literature. Open-habitat plants had their fruiting peak during the rainy season, while fruiting of forest species was evenly distributed across the year. Plants of the same family exhibited similar fruit morphology and nutritional characteristics. Most plants had fruits with more sugars than lipids, while all species with higher lipid content were from savanna habitats and produced fruits during the rainy season, the peak reproductive season for birds. Assemblages of frugivorous birds exhibited considerable overlap, irrespective of habitat or fruiting season of plants. The complementarity found among habitats, considering seasonal availability and nutritional profile of fruits for frugivorous birds, is relevant for community maintenance and regeneration. Therefore, this landscape level complexity should always be considered in conservation and restoration policies for the Cerrado.

https://doi.org/10.1590/0102-33062019abb0221 1621 downloads

Gestão estratégica em frigoríficos: aplicação da análise SWOT na etapa de armazenagem e expedição
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Ferreira, Evelise Pereira

; Gruber, Crislaine

; Merino, Eugenio Andrés Díaz

; Merino, Giselle Schmidt Alves Díaz

; Vergara, Lizandra Garcia Lupi

Gestão & Produção

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2019, Volume 26 N. 2 elocation e3147

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Para permanecerem competitivas no cenário industrial atual, as empresas precisam realizar diagnósticos de forma sistemática a fim de prospectar estratégias de posicionamento no mercado. Além de análises globais, é necessário examinar cada uma das etapas do processo produtivo da empresa, pois todas concorrem para o sucesso do negócio, em maior ou menor grau. Considerando o diagnóstico essencial para a manutenção de uma empresa em um patamar competitivo, este trabalho tem o objetivo de propor soluções para a etapa de armazenagem e expedição de um frigorífico, com vistas ao aperfeiçoamento dos processos e atividades internas. Para isso, utilizou-se a ferramenta Análise SWOT, a qual permite organizar por ordem de relevância forças, fraquezas, oportunidades e ameaças à empresa ou à etapa de armazenagem e expedição, e correlacionar esses fatores. Para subsidiar o diagnóstico, foram utilizadas informações disponíveis na literatura e realizadas visitas in loco e entrevistas com trabalhadores do frigorífico. A Análise SWOT indicou que a etapa em estudo se encontra no segundo quadrante da matriz, denominado Manutenção. Com base no resultado da análise, fez-se um estudo relacionando as forças e as oportunidades destacadas, seguido da conversão das ameaças em oportunidades e da utilização das forças para eliminar as fraquezas, além de sugestões de estratégias para a etapa de armazenagem e expedição. Dentre as propostas, destacam-se, por exemplo, capacitação dos trabalhadores, automatização de atividades e melhoria das embalagens dos produtos.

Abstract Companies need to perform systematic diagnoses to prospect the market positioning strategies and remain competitive in the current industrial scenario. Each of the company’s sectors must be analyzed because they all lead to business success. Based on the understanding that diagnosis is essential for maintaining the competitiveness of a company, this document aims to propose improvements in processes and activities of storage and shipping stage of a meat processing company. A SWOT analysis is used to classify strengths, weaknesses, opportunities, and threats and to correlate these factors. The information for the diagnosis was collected initially on literature and then through on-site visits and interviews with employees from the meat processing company. The results indicated that the storage and shipping stage of the analyzed company is positioned on the second matrix quadrant, called Maintenance. Based on the achieved results, a correlational study between strengths and opportunities has been carried out, converting threats into opportunities, using strengths to eliminate weaknesses, and also suggestions of strategies to the storage and shipping stage are presented. Among the proposals, the training of workers, activity automation and improvement of product packaging can be highlighted.

https://doi.org/10.1590/0104-530x-3147-19 13693 downloads

Análisis de costes del programa integrado de tratamiento renal sustitutivo en la provincia de Toledo (2012-2013)
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Conde Olasagasti, José L.

; Garcia Diaz, José Eugenio

; Carrasco Benitez, Pilar

; Mareque Ruiz, Miguel Ángel

; Parras Partido, María Pilar

; Moreno Alia, Inmaculada

; Jimenez Lopez, Laura

; Cia Lecumberri, Juan José

; Araque, Pilar

; Fernandez, María Luisa

Nefrología (Madrid)

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jun 2017, Volume 37 N. 3 Pages 285 - 292

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract Background: Renal replacement therapy (RRT) is the object of constant analysis in the search for efficiency and sustainability. Objective: To calculate the direct cost of healthcare for the prevalent RRT population in the province of Toledo (2012/2013). Method: Population: All prevalent patients at some point in RRT in 2012 (669) and in 2013 (682). Costs included (€): 1) dialysis procedure; 2) inpatient, outpatient and emergency care, dialysis and non-dialysis related; 3) drug consumption; 4) medical transport. Calculation and analysis: The aggregate localized or reconstructed cost of each item was calculated from the individual cost of each patient. Annual cost and cost per patient/year was calculated for the whole RRT and for its subprograms (€). Results: Aggregate costs: The total cost of RRT amounted to 15.84 and 15.77 million euros (2012/2013). Dialysis procedures account for 40.2% of the total while the sum of hospital care and drug consumption represents 41.5%. Healthcare for patients on hospital haemodialysis (HHD) and combined haemodialysis (CHD), peritoneal dialysis (PD) and transplant (Tx) accounts for 70.0, 5.0 and 25.0% of the total respectively. Patient/year cost: From the number of patients/year provided by each subprogramme, the following values were obtained in 2012/2013: All RRT 26,130/25,379; HHD 49,167/53,289; CHD 44,657/44,971; PD 45,538/51,869 and Tx 10,909/10,984. Conclusions: Our results are consistent with others published, although our patient/year values are slightly higher, probably because they include elements such as outpatient pharmacy, hospital and medical transport cargo. The growing contribution of Tx to the survival of the whole RRT population contains the overall costs and reduces the patient/year cost, making RRT sustainable.

Resumen Introducción: El coste ocasionado por los programas de tratamiento renal sustitutivo (TRS) es objeto de análisis permanente en busca de su eficiencia y sostenibilidad. Objetivo: Calcular el coste directo de la atención a la población prevalente en TRS en Toledo en los años 2012 y 2013. Método: Población: Todos los pacientes prevalentes en algún momento en TRS en 2012 (669) y en 2013 (682). Componentes del coste (€): 1) procedimiento de diálisis; 2) atención hospitalaria: ingresos, consultas, procedimientos ambulatorios y urgencias; 3) consumo de fármacos; 4) transporte. Cálculo y análisis: para cada uno de esos componentes se calculó el coste agregado localizado o reconstruido a partir del coste individual de cada paciente. Se calculó el coste anual y el coste paciente/año del TRS y de cada uno de sus subprogramas (€). Resultados: Costes agregados: el coste anual fue de 15,84 (2012) y de 15,77 millones de euros (2013). Los procedimientos de diálisis representan el 40,2% y la atención hospitalaria más el consumo de fármacos, el 41,5%. La atención a los pacientes en hemodiálisis hospitalaria (HDH) y concertada (HDC), diálisis peritoneal (DP) y trasplantados (Tx) representan, respectivamente, el 70,0; el 5,0 y el 25,0% del total. Coste paciente/año: considerando el número de pacientes/año proporcionado por cada subprograma, se obtuvieron los siguientes valores en 2012/2013: para todo TRS 26.130/25.379; HDH 49.167/53.289; HDC 44.657/44.971; DP 45.538/51.869 y Tx 10.909/10.984. Conclusiones: Nuestros resultados son consistentes con otros publicados, aunque arrojan valores paciente/año ligeramente superiores, debido a que incluyen elementos como farmacia extrahospitalaria, carga hospitalaria y transporte sanitario. La contribución creciente del Tx a la sobrevida del conjunto de la población en TRS contiene los costes globales y reduce el coste paciente/año, lo que hace sostenible el TRS.

https://doi.org/10.1016/j.nefro.2016.11.016 359 downloads

Remoción quimica-mecánica del tejido cariado en dientes permanentes: reporte de caso clínico
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Fronza, Letícia Karine

; Schmitz, Mariane

; Porn, Jeferson Luis

; Garcia, Eugenio Jose

; Bussadori, Sandra Kalil

; Hilgenberg, Sérgio Paulo

Revista Estomatológica Herediana

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apr 2017, Volume 27 N. 2 Pages 111 - 115

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

anesthesia and rotating instruments. In order to solve this problem, the chemical-mechanical method for the elimination of the carious tissue, is a conservative and effective alternative since it avoids the use of anesthetics and rotary instruments. According to studies, this method is more accepted by patients compared to the traditional method. This paper aims to present a clinical case of the use of papain gel (Papacárie ®) for the chemical-mechanical removal of carious tissue in permanent teeth.

En odontopediatría, una de las principales dificultades que se presenta en la remoción del tejido dental cariado, es el manejo del paciente niño debido al miedo y a la ansiedad por el uso de anestesia e instrumentos rotatorios. A fin de resolver este problema, el método químico-mecánico para la eliminación del tejido cariado, es una alternativa conservadora y eficaz ya que evita el uso de anestésicos e instrumental rotatorio. Según estudios, este método es más aceptado por los pacientes comparado con el método tradicional. Este artículo tiene como objetivo presentar un caso clínico del uso del gel a base de papaína (Papacárie ®) para la eliminación químico-mecánica del tejido cariado en dientes permanentes.

https://doi.org/10.20453/reh.v27i2.3141

Overactive bladder – 18 years – Part II
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Truzzi, Jose Carlos

; Gomes, Cristiano Mendes

; Bezerra, Carlos A.

; Plata, Ivan Mauricio

; Campos, Jose

; Garrido, Gustavo Luis

; Almeida, Fernando G.

; Averbeck, Marcio Augusto

; Fornari, Alexandre

; Salazar, Anibal

; Dell’Oro, Arturo

; Cintra, Caio

; Sacomani, Carlos Alberto Ricetto

; Tapia, Juan Pablo

; Brambila, Eduardo

; Longo, Emilio Miguel

; Rocha, Flavio Trigo

; Coutinho, Francisco

; Favre, Gabriel

; Garcia, José Antonio

; Castaño, Juan

; Reyes, Miguel

; Leyton, Rodrigo Eugenio

; Ferreira, Ruiter Silva

; Duran, Sergio

; López, Vanda

; Reges, Ricardo

International braz j urol

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apr 2016, Volume 42 N. 2 Pages 199 - 214

Abstract: En | Text: En | PDF: En

ABSTRACT Traditionally, the treatment of overactive bladder syndrome has been based on the use of oral medications with the purpose of reestablishing the detrusor stability. The recent better understanding of the urothelial physiology fostered conceptual changes, and the oral anticholinergics – pillars of the overactive bladder pharmacotherapy – started to be not only recognized for their properties of inhibiting the detrusor contractile activity, but also their action on the bladder afference, and therefore, on the reduction of the symptoms that constitute the syndrome. Beta-adrenergic agonists, which were recently added to the list of drugs for the treatment of overactive bladder, still wait for a definitive positioning – as either a second-line therapy or an adjuvant to oral anticholinergics. Conservative treatment failure, whether due to unsatisfactory results or the presence of adverse side effects, define it as refractory overactive bladder. In this context, the intravesical injection of botulinum toxin type A emerged as an effective option for the existing gap between the primary measures and more complex procedures such as bladder augmentation. Sacral neuromodulation, described three decades ago, had its indication reinforced in this overactive bladder era. Likewise, the electric stimulation of the tibial nerve is now a minimally invasive alternative to treat those with refractory overactive bladder. The results of the systematic literature review on the oral pharmacological treatment and the treatment of refractory overactive bladder gave rise to this second part of the review article Overactive Bladder – 18 years, prepared during the 1st Latin-American Consultation on Overactive Bladder.

https://doi.org/10.1590/S1677-5538.IBJU.2015.0367 2297 downloads

10.

Overactive bladder – 18 years – part I
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Truzzi, Jose Carlos

; Gomes, Cristiano Mendes

; Bezerra, Carlos A.

; Plata, Ivan Mauricio

; Campos, Jose

; Garrido, Gustavo Luis

; Almeida, Fernando G.

; Averbeck, Marcio Augusto

; Fornari, Alexandre

; Salazar, Anibal

; Dell'Oro, Arturo

; Cintra, Caio

; Sacomani, Carlos Alberto Ricetto

; Tapia, Juan Pablo

; Brambila, Eduardo

; Longo, Emilio Miguel

; Rocha, Flavio Trigo

; Coutinho, Francisco

; Favre, Gabriel

; Garcia, José Antonio

; Castaño, Juan

; Reyes, Miguel

; Leyton, Rodrigo Eugenio

; Ferreira, Ruiter Silva

; Duran, Sergio

; López, Vanda

; Reges, Ricardo

International braz j urol

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apr 2016, Volume 42 N. 2 Pages 188 - 198

Abstract: En | Text: En | PDF: En

ABSTRACT Abstract: Overactive bladder syndrome is one of the lower urinary tract dysfunctions with the highest number of scientific publications over the past two decades. This shows the growing interest in better understanding this syndrome, which gathers symptoms of urinary urgency and increased daytime and nighttime voiding frequency, with or without urinary incontinence and results in a negative impact on the quality of life of approximately one out of six individuals – including both genders and almost all age groups. The possibility of establishing the diagnosis just from clinical data made patients' access to specialized care easier. Physiotherapy resources have been incorporated into the urological daily practice. A number of more selective antimuscarinic drugs with consequent lower adverse event rates were released. Recently, a new class of oral drugs, beta-adrenergic agonists has become part of the armamentarium for Overactive Bladder. Botulinum toxin injections in the bladder and sacral neuromodulation are routine modalities of treatment for refractory cases. During the 1st Latin-American Consultation on Overactive Bladder, a comprehensive review of the literature related to the evolution of the concept, epidemiology, diagnosis, and management was conducted. This text corresponds to the first part of the review Overactive Bladder 18-years.

https://doi.org/10.1590/S1677-5538.IBJU.2015.0365 3261 downloads

11.

Asociación entre la calidad de vida relacionada con la salud, el estado nutricional (IMC) y los niveles de actividad física y condición física en adolescentes chilenos
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Garcia-Rubio, Javier

; Olivares, Pedro R.

; Lopez-Legarrea, Patricia

; Gomez-Campos, Rossana

; Cossio-Bolaños, Marco A.

; Merellano-Navarro, Eugenio

Nutrición Hospitalaria

Journal Metrics
- Sobre o periódico
- SciELO Analytics

oct 2015, Volume 32 N. 4 Pages 1695 - 1702

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Aim: the objective of this study was to analyze the potential relationships between Health Related Quality of Life (HRQoL) with weight status, physical activity (PA) and fitness in Chilean adolescents in both, independent and combined analysis. Method: a sample of 767 participants (47.5% females) and aged between 12 and 18 (mean age 15.5) was employed. All measurements were carried out using selfreported instruments and Kidscreen-10, iPAQ and IFIS were used to assess HRQoL, PA and Fitness respectively. One factor ANOVA and linear regression models were applied to analyze associations between HRQoL, weight status, PA and fitness using age and sex as confounders. Results: body mass index, level of PA and fitness were independently associated with HRQoL in Chilean adolescents. However, the combined and adjusted by sex and age analysis of these associations showed that only the fitness was significantly related with HRQoL. Conclusion: general fitness is associated with HRQoL independently of sex, age, bodyweight status and level of PA. The relationship between nutritional status and weekly PA with HRQoL are mediated by sex, age and general fitness.

Objetivos: el objetivo del presente estudio fue analizar las posibles relaciones entre la Calidad de Vida Relacionada con la Salud (CVRS) con el estado nutricional y los niveles de Actividad Física (AF) y Condición Física (CF) en adolescentes chilenos, de manera independiente e interactiva. Método: se utilizó una muestra de 767 participantes (47,5% chicas) con edades comprendidas entre los 12 y los 18 años de edad (edad media 15,5 años). Todas las medidas utilizadas se obtuvieron mediante instrumentos auto- administrados. Se utilizó el Kidscreen-10, iPAQ e IFIS para evaluar la CVRS, la AF y la CF, respectivamente. Se realizaron análisis de ANOVA de un factor y modelos de regresión lineal para analizar las asociaciones entre la CVRS, el estado nutricional, la AF y la CF utilizando la edad y el sexo como variables confusoras. Resultados: se ha encontrado una asociación independiente del Índice de Masa Corporal, el nivel de AF y de CF con el nivel de CVRS de adolescentes chilenos. Sin embargo, al analizar esta asociación de forma combinada y ajustada por sexo y edad tan solo el nivel de CF general se asocia de forma significativa con la CVRS. Conclusión: el nivel de CF general se asocia con la CVRS en adolescentes chilenos independientemente del sexo, la edad, el estado nutricional y el nivel de AF. La relación entre el estado nutricional y el nivel de AF semanal con la CVRS están mediadas por el sexo, la edad y el nivel de CF general.

https://doi.org/10.3305/nh.2015.32.4.9182 1486 downloads

12.

Solutions in radiology services management: a literature review
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Pereira, Aline Garcia

; Vergara, Lizandra Garcia Lupi

; Merino, Eugenio Andrés Díaz

; Wagner, Adriano

Radiologia Brasileira

Journal Metrics
- Sobre o periódico
- SciELO Analytics

oct 2015, Volume 48 N. 5 Pages 298 - 304

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

ResumoObjetivo:O objetivo deste trabalho é levantar e identificar, na literatura, soluções no âmbito da gestão para os problemas encontrados na área de radiologia.Materiais e Métodos:A pesquisa é um estudo bibliográfico, de natureza básica, de abordagem qualitativa, do tipo exploratório. Foram utilizadas as bases de dados Scopus e SciELO e os softwares Mendeley e Illustrator CC Adobe.Resultados:Nas bases de dados foram contabilizados, ao todo, 565 documentos, dos quais 120 tinham pdf free. Entre os problemas do setor estão: agendamento de horários, humanização, falta de treinamentos, pouco conhecimento e utilização das técnicas de gestão e interação com o usuário. A gestão de design apresenta soluções interessantes para o serviço, tais como Benchmarking, CRM, Lean Approach, ServiceBlueprinting, educação permanente, entre outras.Conclusão:Na busca de levantamento de problemas e soluções, a revisão de literatura é uma importante ferramenta, porém, tendo em vista os poucos estudos encontrados no âmbito de gestão na área, é importante realizar estudos mais profundos, o que torna a área um vasto campo a ser estudado.

AbstractObjective:The present study was aimed at reviewing the literature to identify solutions for problems observed in radiology services.Materials and Methods:Basic, qualitative, exploratory literature review at Scopus and SciELO databases, utilizing the Mendeley and Illustrator CC Adobe softwares.Results:In the databases, 565 papers – 120 out of them, pdf free – were identified. Problems observed in the radiology sector are related to procedures scheduling, humanization, lack of training, poor knowledge and use of management techniques, and interaction with users. The design management provides the services with interesting solutions such as Benchmarking, CRM, Lean Approach, ServiceBlueprinting, continued education, among others.Conclusion:Literature review is an important tool to identify problems and respective solutions. However, considering the small number of studies approaching management of radiology services, this is a great field of research for the development of deeper studies.

https://doi.org/10.1590/0100-3984.2014.0065 54919 downloads

13.

Ratio cintura-estatura y riesgo de síndrome metabólico en adolescentes chilenos
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Garcia-Rubio, Javier

; Lopez-Legarrea, Patricia

; Gomez-Campos, Rossana

; Cossio-Bolaños, Marco

; Merellano-Navarro, Eugenio

; Olivares, Pedro R.

Nutrición Hospitalaria

Journal Metrics
- Sobre o periódico
- SciELO Analytics

apr 2015, Volume 31 N. 4 Pages 1589 - 1596

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Objectives: the aims of this study are twofold: i) to analyze the prevalence of risk of Metabolic Syndrome (MS) using the waist to height ratio (WHR) in a national representative sample of Chilean adolescents; and ii) to obtain percentile tables of WHR by sex and age for this population. Methods: cross-sectional study with a sample of 23180 adolescents (boys n=11253; girls n=11927) from 13 to 16 years old. It was obtained anthropometric measures of height, weight and waist circumference. Risk of MS was calculated by the WHR with a cutoff of 0.5. Prevalence for risk of MS was calculated for all Chilean regions. Percentile table of WHR was calculated for this population. Results: participants who had a WHR higher than 0.5 was 22.4%. This prevalence was higher in the most extreme regions (both north and south). Girls aged 15 and 16 showed higher WHR than boys. Results of this study shows higher values in WHR than published in previous international studies. Conclusion: It has been calculated the risk of MS for Chilean adolescents using WHR and it is associated to sex and region. Additionally percentile tables of WHR for Chilean adolescents aged 13 to 16 have been calculated.

Objetivos: El propósito de este estudio fue: i)analizar la prevalencia del riesgo de sufrir Síndrome Metabólico (SM) mediante la Relación Cintura-Estatura (RCE) en una muestra de adolescentes chilenos representativa a nivel nacional; y ii) obtener tablas de percentiles de la RCE por sexo y edad para esta población. Métodos: estudio transversal con una muestra de 23.180 adolescentes (chicos n= 11.253; chicas n= 11.927) de 13 a 16 años. Se llevaron a cabo medidas antropométricas de altura, peso y perímetro de cintura. El riesgo de sufrir SM se calculó mediante la RCE estableciendo el punto de corte en 0,5 y se obtuvo su prevalencia para todas las regiones chilenas. Se calcularon los percentiles de la RCE para esta población. Resultados: El 22,4% de los participantes mostraron una RCE superior a 0,5 siendo el riesgo la prevalencia de sufrir SM más elevada en las regiones extremas del país (norte y sur). Las chicas de 15 y 16 años mostraron valores de RCE superior a los chicos. Los resultados obtenidos muestran valores de RCE superiores a los publicados en otros estudios a nivel internacional. Conclusión: Se ha determinado el riesgo de sufrir SM en adolescentes chilenos a partir de la RCE, estando éste asociado al sexo y la región donde se vive. Adicionalmente se han obtenido los percentiles de RCE para los jóvenes chilenos de 13 a 16 años en una muestra representativa a nivel nacional.

https://doi.org/10.3305/nh.2015.31.4.8535 506 downloads

14.

Erros de medicação: análise ergonômica de utensílios da sala de medicação em ambiente hospitalar
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Pichler, Rosimeri Franck

; Garcia, Lucas José

; Seitz, Eva Maria

; Merino, Giselle Schmidt Alves Díaz

; Gontijo, Leila Amaral

; Merino, Eugenio Andres Díaz

Cadernos Saúde Coletiva

Journal Metrics
- Sobre o periódico
- SciELO Analytics

dec 2014, Volume 22 N. 4 Pages 365 - 371

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Da prescrição até a administração de medicamentos em pacientes podem ocorrer erros que causam dor, sofrimento e, em casos extremos, a morte. Assim, o objetivo geral deste artigo foi identificar os problemas relacionados aos utensílios da sala de preparo de medicação de um hospital da Grande Florianópolis no que tange à ergonomia física, cognitiva e organizacional, a fim de propor possíveis soluções no preparo de medicação para a eliminação ou minimização de erros no fluxo de medicação. Como método, fez-se: pesquisa bibliográfica, visita a campo e avaliação dos utensílios quanto à ergonomia física, cognitiva e organizacional. Como resultados, elaborou-se um quadro de análise de alguns utensílios da sala de medicação do hospital escola estudado, os quais foram relacionados com possíveis soluções para a otimização do processo de medicação. Assim, espera-se contribuir para a melhoria do trabalho dos profissionais da saúde e, consequentemente, promover uma melhor prestação de serviços à população.

From prescription to medication administration, errors that cause pain, suffering and, in extreme cases, death may occur in patients. Thus, the aim of this paper was to identify the problems related to the utensils used in the medication room of a hospital in Florianópolis, in respect to physical, cognitive and organizational ergonomics, in order to propose possible solutions to prepare medications for disposal or minimization of errors in the stream of medication. As a method, they were used: literature review, field visit and assessment tools as physical, cognitive and organizational ergonomics. As a results, it is presented a framework analysing some utensils of medication room, which has been elaborated and related with possible solutions to optimization of the medication process. Thus, it is expected to contribute to improving the work of health professionals and promote better service to the population.

https://doi.org/10.1590/1414-462X201400040004 5418 downloads

15.

Reprodução após os 30 anos no estado de São Paulo
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Berquó, Elza Salvatori

; Waldvogel, Bernadette Cunha

; Garcia, Sandra

; Ferreira, Carlos Eugenio de Carvalho

; Lago, Tania Di Giacomo do

; Batista, Luís Eduardo

Novos estudos CEBRAP

Journal Metrics
- Sobre o periódico
- SciELO Analytics

nov 2014, N. 100 Pages 9 - 25

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

O artigo se propôs investigar o adiamento da reprodução no estado de São Paulo, entendido como postergação do nascimento do primeiro filho, de mulheres maiores de 30 anos. Como estratégia metodológica, utilizou-se abordagem por período e por coortes. Dados sobre nascimentos provieram do Registro Civil. Os Censos forneceram os efetivos populacionais femininos por idade, ao longo do período analisado (1960 a 2010). Verificou-se que na coorte de 1980 a fecundidade do grupo 30-39 passou a ter maior participação na fecundidade total. Entre 2000 e 2010, cresceu a proporção de mulheres sem filhos em todas as faixas etárias. A fecundidade por ordem de parturição revelou aumento da proporção de nascimentos de primeiros filhos entre mulheres de 30 a 39 anos, sugerindo a existência de adiamento, temporário ou definitivo.

This paper provides an investigation on the delaying of reproduction in the state of São Paulo, which is understood as the postponement of the birth of the first child of women older than 30 years of age. As a methodological strategy, we approached the issue by period and cohorts. Data on births were obtained from the Civil Registry. The Population Censuses provided the effective women's population size by age across the analyzed period (1960-2010). We verified that in the 1980 cohort the 30-39 fertility group increased its share in total fertility. Between 2000 and 2010, there was an increase in the share of childless women in all age groups. Fertility by birth order of the child showed an increase in the proportion of first-child births among 30-39 year-old women, indicating temporary or permanent postponement.

https://doi.org/10.1590/S0101-33002014000300002 2955 downloads

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