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Lesiones osteolíticas multifocales
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Sáez-García, MA

; Romano, M

; Crego-Vita, DM

; Ortega-Núñez, MA

; Rueda-Correa, F

; Ferrara-Coppola, C

Sanidad Militar

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sep 2022, Volume 78 N. 3 Pages 193 - 194

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

SUMMARY A 79-year-old woman with multiple pathologies and multiple osteolytic lesions during the Covid-19 pandemic. Histopathological and radiological differential diagnosis of injuries.

Un hallazgo inesperado en hipocondrio derecho
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Gutiérrez-Pantoja, MA

; Soriano-Navarro, F

; Romano, M

; Cordido-Henriquez, F

; Vallejo-Desviat, P

; Molina-López-Nava, P

Sanidad Militar

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sep 2022, Volume 78 N. 3 Pages 191 - 192

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

ABSTRACT A 90-years-old man comes to the emergency department with diffuse abdominal pain and fever three days. On physical examination, the abdomen is soft and depressible with air-fluid sound present and bilateral reductible inguinal hernias. A mass is palpated at the level of the roght hypochondrium with a positive Murphy´s sign whitout signs of peritoneal irritation. An abdominal CT with intravenous contrast is requested due to the suspicion of acute abdominal pathology, observing cholelithiasis and a markedly distended gallbladder with torsion.

Relevancia clínica, diversidad y variabilidad genética de distintas especies del género Mycobacterium
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Imperiale, Belén

; Di Giulio, Beatriz

; Moyano, Roberto D

; Santangelo, Ma de la Paz

; Tártara, Silvina

; Alonso, Viviana

; Sanjurjo, Myriam

; García, Graciela

; Castellaro, Patricia

; Romano, Ma Isabel

; Morcillo, Nora

Revista americana de medicina respiratoria

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sep 2017, Volume 17 N. 3

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

Introduction: The term non-tuberculous mycobacteria (NTM) includes different ambient species capable of sickening humans and/or animals, even by means of a potential zoonotic transmission. Objectives: To determine: The clinical importance of several species within the genus Mycobacterium and the genetic diversity of the M. avium complex (MAC), the in vitro bacterial sensitivity and the success of the specific treatment. Materials and Methods: Collection of clinical and epidemiologic data and information about isolates of the 2009-2016 period; molecular identification of the isolates; determination of the in vitro bacterial sensitivity and genetic diversity of the MAC; treatment evaluation. Results: 225 mycobacteriosis cases were diagnosed, with a stable prevalence of ≈6% per year and 22 recovered species: 4 rapidly growing species isolated from 66 patients and 18 slowly growing species. The MAC was isolated in 95 cases, M. avium hominissuis - 40 cases, M. intracellulare - 51 cases, M. chimaera - 3 cases and M. colombiense - 1 case. We observed a greater probability of getting sick from M. intracellulare in patients previously treated for tuberculosis (TB). HIV-positive patients had a greater risk of falling ill from M. avium hominissuis. Aminoglycosides, fluoroquinolones and macrolides were the most active drugs against most NTM. Approximately half of the cases healed. Conclusions: M. intracellulare, M. aviumhominissuis with great genetic variability and M. abscessus were the most commonly found pathogens. The cases of TB+NTM mixed disease were an important finding. For treating these patients, it was necessary to add second line drugs to the therapeutic regimen for TB; and most of them healed.

Introducción: El término micobacterias no tuberculosas (MNT) incluye distintas especies ambientales capaces de enfermar humanosy/o animales incluso mediante una probable transmisión zoonótica Objetivos. Determinar: la importancia clínica de varias especies del género Mycobacterium y la diversidad genética del Complejo M. avium (MAC), la sensibilidad bacteriana in vitro yel éxito del tratamiento especifico. Materiales y Métodos: Recolección de datos clínicos, epidemiológicos y aislamientos en el periodo 2009-2016; identificación molecular de los aislamientos; determinación de la sensibilidad bacteriana in vitro y de la diversidad genética del MAC; evaluación del tratamiento. Resultados: Fueron diagnosticados 225 casos de micobacteriosis, con prevalencia estable ≈ 6% por año, y 22 especies recuperadas: 4 de rápido desarrollo aisladas de 66 pacientes y 18 de lento desarrollo. MAC fue aislado en 95 casos, 40 M. avium hominissuis, 51 M. intracellulare, 3 M. chimaera, 1 M. colombiense. Se observó mayor probabilidad de enfermar por M. intracellulare en pacientes tratados previamente por tuberculosis (TB). Los pacientes HIV+ tuvieron riesgo incrementado de enfermedad causada por M. avium hominissuis. Los aminoglucósidos, fluoroquinolonas y macrólidos fueron las drogas más activas frente a la mayoría de las MNT. Aproximadamente la mitad de los casos curaron. Conclusiones: M. intracellulare, M. aviumhominissuis con una gran variabilidad genética, y M. abscessus fueron los patógenos más frecuentemente hallados. Un hallazgo importante fue el de casos de enfermedad mixta TB+MNT. Estos pacientes requirieron una terapia con agregado de drogas de segunda línea al esquema terapéutico para TB habiendo curado la mayoría de ellos.

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V Diretriz da Sociedade Brasileira de Cardiologia sobre Tratamento do Infarto Agudo do Miocárdio com Supradesnível do Segmento ST
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Piegas, LS

; Timerman, A

; Feitosa, GS

; Nicolau, JC

; Mattos, LAP

; Andrade, MD

; Avezum, A

; Feldman, A

; De Carvalho, ACC

; Sousa, ACS

; Mansur, AP

; Bozza, AEZ

; Falcão, BAA

; Markman Filho, B

; Polanczyk, CA

; Gun, C

; Serrano Junior, CV

; Oliveira, CC

; Moreira, D

; Précoma, DB

; Magnoni, D

; Albuquerque, DC

; Romano, ER

; Stefanini, E

; Santos, ES

; God, EMG

; Ribeiro, EE

; Brito Júnior, FS

; Feitosa-Filho, GS

; Arruda, GDS

; Oliveira, GBF

; Lima, GG

; Dohmann, HFR

; Liguori, IM

; Costa, JR

; Saraiva, JFK

; Maia, LN

; Moreira, LFP

; Arrais, M

; Canesin, MF

; Coutinho, MSSA

; Moretti, MA

; Ghorayeb, N

; Vieira, NW

; Dutra, OP

; Coelho, OR

; Leães, PE

; Rossi, PRF

; Andrade, PB

; Lemos, PA

; Pavanello, R

; Vivacqua Costa, RC

; Bassan, R

; Esporcatte, R

; Miranda, R

; Giraldez, RRCV

; Ramos, RF

; Martins, SK

; Esteves, VBC

; Mathias Junior, W

Arquivos Brasileiros de Cardiologia

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aug 2015, Volume 105 N. 2 Pages 1 - 121

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.5935/abc.20150107 181064 downloads

Hand hygiene technique quality evaluation in nursing and medicine students of two academic courses
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Škodová, Manuela

; Gimeno-Benítez, Alfredo

; Martínez-Redondo, Elena

; Morán-Cortés, Juan Francisco

; Jiménez-Romano, Ramona

; Gimeno-Ortiz, Alfredo

Revista Latino-Americana de Enfermagem

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aug 2015, Volume 23 N. 4 Pages 708 - 717

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

ResumoObjetivo:assim como as mãos dos professionais de saúde, as mãos dos estudantes de Enfermagem e Medicina durante os estágios clínicos podem funcionar como veículo de transmissão das infecções hospitalares.Método:estudo descritivo com estudantes de Graduação em Enfermagem e Medicina. Avaliou-se a qualidade da técnica de higiene das mãos por meio de prova visual a partir de solução hidro-alcoólica marcada com fluoresceína e lâmpada de luz ultravioleta.Resultados:avaliaram-se 546 alunos, 73,8% da Graduação em Medicina e 26,2% da Enfermagem. As áreas das mãos com correta distribuição de sabão foram as palmas (92,9%); as áreas não esfregadas corretamente foram os polegares (55,1%). Em ambas as mãos, a higienização foi muito boa em 24,7%, boa em 29,8%, regular em 25,1% e má em 20,3%. Os piores foram: os homens, os estudantes de Enfermagem e os estudantes do primeiro ano de escola. Não houve diferenças significativas por idade.Conclusões:a técnica de higiene de mãos não foi realizada de modo eficaz. O papel educativo é fundamental para sedimentar as bases de boas práticas na higienização das mãos, em conhecimentos teóricos e no desenvolvimento de habilidades e reforço de boas práticas

AbstractObjective: because they are health professionals, nursing and medical students' hands during internships can function as a transmission vehicle for hospital-acquired infections.Method: a descriptive study with nursing and medical degree students on the quality of the hand hygiene technique, which was assessed via a visual test using a hydroalcoholic solution marked with fluorescence and an ultraviolet lamp.Results: 546 students were assessed, 73.8% from medicine and 26.2% from nursing. The area of the hand with a proper antiseptic distribution was the palm (92.9%); areas not properly scrubbed were the thumbs (55.1%). 24.7% was very good in both hands, 29.8% was good, 25.1% was fair, and 20.3% was poor. The worst assessed were the male, nursing and first year students. There were no significant differences in the age groups.Conclusions: hand hygiene technique is not applied efficiently. Education plays a key role in setting a good practice base in hand hygiene, theoretical knowledge, and in skill development, as well as good practice reinforcement.

ResumenObjetivo:al igual que los profesionales sanitarios, las manos de los estudiantes de enfermería y medicina durante las estancias clínicas pueden funcionar como vehículo de trasmisión de las infecciones nosocomiales.Método:estudio descriptivo con estudiantes de Grado de Enfermería y de Medicina. Se evaluó la calidad de la técnica de la higiene de manos por prueba visual con solución hidroalcohólica marcada con fluoresceína y lámpara de luz ultravioleta.Resultados:se evaluó a 546 alumnos, Grado de Medicina 73,8% y 26,2% de Enfermería. Las zonas de las manos con una correcta distribución de desinfectante fueron las palmas (92,9%); las no frotadas correctamente fueron los pulgares (55,1%). En ambas manos fue muy buena en el 24,7%, buena en el 29,8%, regular en 25,1% y mala en 20,3%. Los peores han sido: los hombres, los estudiantes de enfermería y los de primer año de estudio. No hubo diferencias significativas por edad.Conclusiones:no se realizó la técnica de higiene de manos de una manera eficaz. El papel de la educación es fundamental para sentar las bases de buenas prácticas en higiene de manos, en conocimientos teóricos y en el desarrollo de habilidades y el refuerzo de buenas prácticas

https://doi.org/10.1590/0104-1169.0459.2607 14495 downloads

Hand hygiene technique quality evaluation in nursing and medicine students of two academic courses
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Škodová, Manuela

; Gimeno-Benítez, Alfredo

; Martínez-Redondo, Elena

; Morán-Cortés, Juan Francisco

; Jiménez-Romano, Ramona

; Gimeno-Ortiz, Alfredo

Revista Latino-Americana de Enfermagem

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aug 2015, Volume 23 N. 4 Pages 708 - 717

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

https://doi.org/10.1590/0104-1169.0459.2607 5 downloads

Uso de cerámica vidriada como fuente de exposición a plomo en niños indígenas de zonas marginadas de Oaxaca, México
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Terrazas-Meraz, María Alejandra

; Hernández-Cadena, Leticia

; Rueda-Hernández, Gabriela E

; Romano-Riquer, Sonia Patricia

; Shamah-Levy, Teresa

; Villalpando-Hernández, Salvador

; Téllez-Rojo Solís, Martha Ma

; Hernández-Ávila, Mauricio

Salud Pública de México

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jun 2015, Volume 57 N. 3 Pages 260 - 264

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

Objective. To find out whether the use of lead-glazed ceramic (LGC) is associated with blood lead levels in indigenous schoolchildren from Oaxaca, México. Materials and Methods. We evaluated LGC use at home as a primary source of lead exposure in 387 indigenous schoolchildren in Oaxaca in May 2001. Results. We found an adjusted difference of 3.9μg/dl (p<0.01) in blood lead levels (BLL) among children reporting to use (82%) LGC at home vs those who didn't. BL levels greater or equal than 10 and 20 μg/dl were observed in 60 and 27% of children, respectively. Conclusions. Lead poisoning from LGC use could remain a concern for public health in Mexico, where there is a need to provide care and further study to verify its effect on BLL.

Objetivo. Conocer si el uso de lozo de barro vidriada (LBV) se asocia con concentraciones de plomo en sangre en niños de zonas rurales de Oaxaca, México. Material y métodos. Se evaluó el uso de LBV en el hogar como principal fuente de exposición al plomo en 387 niños escolares indígenas de Oaxaca durante mayo de 2001. Resultados. Se encontró una diferencia ajustada de plomo en sangre (PbS) (evaluada por Environmental Testing and Consulting [LeadCare]) de 3.9μg/ dl (p<0.01) mayor en niños que reportaron usar (82%) LBV en el hogar contra los que reportaron no usarlo. Además, 60 y 27% de los niños tuvieron concentraciones de PbS mayores o iguales a 10 y 20μg/dl, respectivamente. Conclusión. La intoxicación por plomo por el uso de LBV podría seguir siendo una preocupación para la salud pública en México.

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Uso de cerámica vidriada como fuente de exposición a plomo en niños indígenas de zonas marginadas de Oaxaca, México
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Terrazas-Meraz, María Alejandra

; Hernández-Cadena, Leticia

; Rueda-Hernández, Gabriela E

; Romano-Riquer, Sonia Patricia

; Shamah-Levy, Teresa

; Villalpando-Hernández, Salvador

; Téllez-Rojo Solís, Martha Ma

; Hernández-Ávila, Mauricio

Salud Pública de México

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jun 2015, Volume 57 N. 3 Pages 260 - 264

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

3030 downloads

Prenatal screening for congenital toxoplasmosis in Campania: preliminary report on activities and results
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Stagni, L

; Romano, MA

; Romano, A

; Magli, A

; Briganti, F

; Del Pezzo, MA

; Buffolano, W

Memórias do Instituto Oswaldo Cruz

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mar 2009, Volume 104 N. 2 Pages 374 - 377

Abstract: En | Text: En | PDF: En

By 1997, an open cohort of 1,652 live newborn of 1,637 mothers with gestational toxoplasmosis had been recruited in the Campania region to monitor the burden of congenital toxoplasmosis (CT). Of the 1,556 mother-child pairs that completed the follow up, 92 definite cases were detected, yielding a 5.9% (4.8-7.1 95% CI) transmission rate. The onset was patent for 43% of patients and sensorineural complications were shown for a further 15% of subclinical onset patients later than two years of age. The overall prevalence of toxoplasmosis during gestation was 2.46 of 1,000 deliveries, while the prevalence of definite CT was 1.38 of 10,000 live newborns. However, there is still room for intervention, as only 23% of the maternal diagnoses were proven through seroconversion, 63 of the late-gestation seroconverters remained untreated, and six probable CT diagnoses were made following referrals due to patent sequelae and born during the study period. There was a positive secular trend on the rates of infant referral and definite CT diagnosis, according to the live birth rate (Ç2 for trend < 0.001). Extension of this surveillance system across the country could help to define a future strategy for prevention.

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Análise da deflexão, do comprimento anterior e posterior da base do crânio, em indivíduos dolicofaciais, com má oclusão de Classe III esquelética
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Gonçalves, Fernando Antonio

; Tavares, Stênyo Wanderley

; Pereira Neto, João Sarmento

; Nouer, Darcy Flávio

; Magnani, Maria Beatriz Borges de Araújo

; Romano, Fábio Lourenço

Revista Dental Press de Ortodontia e Ortopedia Facial

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aug 2006, Volume 11 N. 4 Pages 46 - 52

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

OBJETIVO: avaliar três grandezas cefalométricas: S-N.S-Ar (ângulo sela), S-N e S-Ar, segundo a análise de Jarabak. METODOLOGIA: foram utilizadas telerradiografias cefalométricas em norma lateral de 12 indivíduos dolicofaciais com má oclusão esquelética de Classe III, sendo seis indivíduos do gênero masculino e seis do gênero feminino, com média de idade de 27,2 anos. Os resultados foram comparados com os intervalos considerados normais para cada grandeza. Para a análise estatística foi utilizado o teste t de Student, com nível de significância de 5%. RESULTADOS E CONCLUSÕES: embora os resultados não apresentassem diferenças estaticamente significantes, mostraram uma tendência de valores mais baixos que o intervalo considerado normal, para o ângulo sela e para S-N.

AIM: to evaluate three cephalometric measures: S-N.S-Ar, S-N and S-Ar, according to Jarabak's analysis. METHODS: using cephalometric teleradiographies in a lateral pattern in 12 dolichofacial individuals with skeletal Class III malocclusion, being six individuals of male gender and six of female gender, having a mean age of 27,2 years. The results have been compared to the intervals considered normal for each measure. For the statistical analysis, it was used the Student's "t" test, with a significance level set on 5%. RESULTS AND CONCLUSION: although the results would have not showed statistically significant differences, S-N.S-Ar and S-N have showed a trend of more low values than the interval considered normal.

5664 downloads

11.

Atuação da enfermagem no gerenciamento de recursos materiais em Unidades de Terapia Intensiva (UTIs)
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Romano, Cátia

; Veiga, Kátia

Revista Brasileira de Enfermagem

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sep 1998, Volume 51 N. 3 Pages 485 - 492

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

Este estudo teve como objetivo identiticar a atuação da enfermagem no gerenciamento de recursos materiais em hospitais gerais. Trata-se de um trabalho descritivo, de natureza quanti-qualitativa, realizado em quatro UTIs de hospitais gerais e de grande porte da cidade de Salvador-Ba. Observou-se que, das quatro unidades, em três há a presença do enfermeiro na comissão de seleção e compra de materiais. A participação da enfermagem no processo da previsão e controle de materiais é mínima, não havendo conseqüentemente uma avaliação do material que se está comprando, ocasionando a presença, muitas vezes, de materiais similares, ociosos e de má qualidade, comprometendo direta ou indiretamente a assistência prestada. Constatou-se que a atuação da enfermagem no gerenciamento de recursos materiais ficou restrita, apenas, à reposição destes nos serviços, sem, no entanto, inserir-se efetiva e eficazmente no processo de previsão, seleção, compra e controle desses insumos.

This study had as a goal to identify the nursing practice in management of material resources in a general hospital. It is a descriptive work of quantiqualitative nature, performed in four ICU's (Intensive Care Units) among the largest general hospitals in Salvador-Bahia. It has been observed that (only) in three out of four Units, there was the presence of nurses in the commission of material purchase and selection. In addition, the participation of the nursing group in the process of material prevision and control is the lowest, there is lack of evaluation of purchased material; resulting, in turn, in the not occasional presence, of second line, useless and of low quality materials which directly or indirectly affect the provided care. It has been noticed that the nursing performance in material resources management became restrict, only for the reposition of these consumed materials, without, therefore, an effective and efficient insertion in the process of prevision, selection, purchasing and controlling.

Este estudio tuvo como objetivo identificar la actuación de la enfermería en el gerenciamiento de recursos materiales en hospitales generales. Se trata de un trabajo descriptivo, de naturaleza cuanti-cualitativa, realizada en cuatro UTls de hospitales generales y de grande tamaño, de la ciudad de Salvador-Ba. Fué observado que, de las cuatro unidades, en tres existe la presencia del enfermero en la comisión de selección y compra de materiales. La participación de la enfermería en el proceso de la previsión y control de materiales, es mínima, no habiendo, consecuentemente, una evaluación del material que se está comprando, ocasionando la presencia, muchas vezes, de materiales similares, ociosos y de mala calidad, comprometiendo directa o indirectamente la asistencia prestada. Quedó constatado que la actuación de la enfermería en el gerenciamento de recursos materiales se limitó, apenas, a la reposición de estos en el servicio, sin, apesar de esto,incluirse efectiva y efizcamente en el proceso de previsión, selección, compra y control de estos insumos.

14509 downloads

12.

Atuação da enfermagem no gerenciamento de recursos materiais em Unidades de Terapia Intensiva (UTIs)
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Romano, Cátia

; Veiga, Kátia

Revista Brasileira de Enfermagem

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sep 1998, Volume 51 N. 3 Pages 485 - 492

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

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sponsor	sponsor
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volume	article volume
issue	article issue
elocation	elocation
doi	DOI number
issn	journal ISSN
in	SciELO colection code (e.g. scl - Brasil, col - Colômbia)
use_license	article usage license code

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