International Archives of Medicine (E-Journal)
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The therapeutic approach of the May-Thurner Syndrome without Deep Venous Thrombosis: a systematic review
Get PDFMay-Thurner Syndrome is a clinical condition which causes a variety of vascular symptoms, resulting from pelvic and lower extremity venous flow obstruction caused by the compression of the iliac vein by overlying iliac artery. Treatment paradigms have changed as experience with endovascular modalities has evolved, making traditional surgical treatment strategies essentially obsolete and a endovascular treatment with angioplasty and stenting along selective thrombolysis has become the standard for symptomatic the syndrome. The objective of this present study is to show the therapeutic approach in treatment when there’s no presence of Deep Venous Thrombosis (DVT) symptoms. To accomplish this purpose, a systematic review of articles about May-Thurner Syndrome and its management therapies, published from January 1, 2005 to September 20, 2015, on PubMED and SCOPUS databases, was carried out. Search terms were “may-thurner syndrome” (medical subject headings [MeSH term]), “iliocaval compression syndrome” (MeSH), “cockett syndrome” (MeSH), “peripheral vascular diseases” (MeSH), and “treatment” (keyword). Of the 89 retrieved studies, 14 met the elegibility criteria. Retrieved studies covered that without correction of this syndrome, patients are at continued risk for recurrent deep vein thrombosis and post-thrombotic syndrome. Considering the therapy, systemic anticoagulation is the first component, and endovascular treatment appears to be superior to conventional surgical treatment. It should be the first line of therapy. Furthermore, there has been multiple advences in the recent years for chronic arterial occlusions using techniques such as blunt micro dissection, radiofrequency energy and laser. In the absence of deep venous trombosis, conservative treatments are preferred. To conclude, based on the review of the literature, a combination of conservative and endovascular therapy usually provides the best treatment in most cases. Thus, further researches must be done to advance in the matter of therapeutic of the non-DVT form of May-Thurner Syndrome.
Keywords: May-Thurner Syndrome, Iliocaval Compression Syndrome, Cockett Syndrome, Peripheral Vascular Disease, Treatment
Overload Of Work Of The Nursing Professionals That Work In The Surgical Center And The Repercussions In The Quality Of Life
Get PDFThe Surgical Center is a restricted environment of high complexity, where the professionals who work in it deal with exhausting activities, as well as complex and unexpected situations, which are potential physical and psychological stressors, and can interfere in the quality of life. This is an exploratory, descriptive, quantitative qualitative approach, with the objective of analyzing the workload of nursing professionals working at the Surgical Center and the repercussions on the quality of life, submitted and approved by the Research Ethics Committee of the Health Sciences Center of the Federal University of Paraíba (CCS/ UFPB), according to the protocol n° 0156/16, CAAE: 55298616.3.0000.5188. The sample consisted of 15 nurses of both sexes who work in a Philanthropic Hospital located in the municipality of João Pessoa / PB. A questionnaire was applied to characterize the participants' profile, an interview script with data related to work overload and WHOQOL-Bref. It was found that 80% of the participants were women, the average age was 37.8 years. In the sample, 60% were neither satisfied nor dissatisfied with their quality of life, and 33% stated they were dissatisfied with their quality of health. It is concluded that the results obtained provided a more reflective analysis of the workload of nursing professionals working in the surgical center, besides analyzing the repercussions that affect the quality of life of these people, evaluating the association between the variables of the characterization Of the nursing professionals' profile with the domains measured by WOQOL Bref
The Family Health Support Core (NASF) And Health Practices: Are There Many Challenges To Be Overcome?
Get PDFObjective: Describe and characterize NASF health practices.
Method: It is a review of current literature carried out by consulting the database Lilacs and Virtual Library of SciELO in the period from December 2016 to January 2017.
Conclusion: It is concluded that, although the NASF is recognized as a support to the Family Health Strategy (FHS), still does not act in an articulated way, being fundamental that changes take place in the organization of the services and in the conduct of the health professionals who contemplate it.
Descriptors: Primary Health Care. Family Health; Public Health Policies. Nursing
Trends In Geriodontics Publication: A Specialty Emerging In Brazil
Get PDFThe population of Brazil and the world is aging. The great challenge is to grow old by maintaining quality of life with health, including oral health. The objective of this study was to identify the recurrent themes in Geriodontics, through a bibliometric survey, using the database of Latin American and Caribbean Literature in Health Sciences (LILACS), conducted in 2016. Geriodontics, as a relatively new specialty, presents major challenges related to the elderly population (oral health, prostheses, periodontics, for example). In view of a historical context of aging and increased elderly population, there is a concern to deepen the studies in relation to the subject. Knowing the problems allows offering a better service with quality and adequate training of the professional
Complete Blood Count Interpretation: A Survey Of Health Professional In Brazil
Get PDFBackground: Complete blood count is one of the most ordered tests in clinical and surgical practice. However, it is important to know how to properly interpret it. The aim of this study was to measure the level of knowledge that health professionals have concerning the proper interpretation of the CBC test.
Methods and Findings: The article reports and analyzes the responses of questionnaires on the interpretation of CBC results applied in a sample of one hundred health professionals. A semi-structured tool was developed and composed of topics regarding sociodemographic data, a specific knowledge test on CBC, and a self-evaluation on the interpretation and the importance of the test. All participants scored less than 90% on the questionnaire, a result that was established as unsatisfactory regarding CBC interpretation. Only physicians and biomedical scientists showed suitable knowledge on the interpretation of hematological terms.
Conclusion: Despite the fact CBC is one of the main tests in clinical routine, our results showed deficits in knowledge on the theme by health professionals. Perhaps these results may help to reinforce the importance of multidisciplinarity and also highlight the deficiencies of training in the different professions studied
Associations Between Lifestyle Factors And Parkinson’s Disease In An Urban Sri Lankan Clinic Study
Get PDFBackground- Information on lifestyle factors (eg. coffee /tea drinking, smoking) and Parkinson’s Disease(PD) in South Asia is limited. The objective of this study was to determine associations between lifestyle factors and PD in a clinic-based study in Sri Lanka.
Methods–Demographic and lifestyle factor data was collected from an unselected cohort of PD patients and age and gender-matched controls attending clinics in Greater Colombo, Sri Lanka.
Findings–Of 229 patients with parkinsonism, 144 had Idiopathic PD. Controls numbered 102. Coffee drinkers and smokers were significantly less likely to have PD (coffee, p<0.001; OR=0.264; smoking, p=0.043; OR=0.394). Coffee drinkers were older at PD onset(p<0.001). Similar trends seen with tea drinking were not statistically significant.
Conclusions -This is the first formal study of PD and these lifestyle factors in South Asia. It demonstrates an association between coffee drinking, smoking and a decreased prevalence of PD, and coffee drinking and later age of PD onset. This is in line with other studies done worldwide, suggesting biological associations with global relevance
Multidimensional Assessment Of Institutionalized Elderly: The Reality Of A Brazilian Institution
No full textBackground: The population aging in Brazil is characterized by the accumulation of progressive disabilities in their functional activities and daily life. To consider the elderlies in his/her multiple dimensions turns out to be a critical issue to improve their assistance to an institutionalized level, improving their health and quality of life. To perform a mini-overall evaluation of institutionalized elderly person to trace their profile in relation to the socio-demographic, functional capacity, nutritional status and cognition.
Methods: descriptive, cross-sectional study of quantitative approach conducted in facilities for the aged people in Natal, RN.
Results: 63.3% of the elderly were female, with ages varying from 61 to 103 years. 60.0% were single; 56.7% were literate. 66.7% had no children and 55% lived with their families before the institutionalization. As for the institutionalization time, 63.3% resided in the institution for four years. As what concerns the aspects of health, 73.3 of the elderly presented hearing difficulties, 90% make use of medicines predominantly to diabetes and hypertension. There is clear evidence that the institutionalization has been harmful to the elderly as with regards basic activities of daily living, nutritional status and cognitive aspects.
Conclusion: the progressive disability in functional activities of daily life interferes directly in the quality of life, increasing dependency and minimizing the autonomy of these individuals. It is necessary to effective implementation of public policies directed to the institutionalized elderly from the perspective of effective actions for improved attention and assistance.
Descriptors: Aged, Institutionalization, Aging, Facilities for the Aged. 
Nursing technologies applied to families’ members: Integrative review
No full textBackground: When practing care, the nurse is able to apply all technologied possibilities in favor of the demands of the necessities of both patients and their relativies
Objective: To reveal the kinds of light technologies that have been developed by nurses to the families of patients who take care of them.
Method: Integrative literature review conducted by the search in the databases LILACS, MEDLINE, BDENF and Scopus, with the key words "technology", "nursing", "care" and "family", published between 2005 and 2016 with a final selection of 16 items.
Results: The categories developed by similar subject for analysis were: light technologies focused on family care; group technology as a strategy of care for families and educational technologies in nursing care context.
Conclusion: The nurse takes control of soft Technologies based on the development of care for Family members. But there are gaps to consolidate this assistance having the necessity of implementing public policies to ensure, in fact, these necessities.
Keywords: Technology. Caution. Nursing. Famil
Health Education to Strengthen Breastfeeding Actions
Get PDFIntroduction: Breast milk is, without a doubt, the food that provides all the nutrients essential for the healthy growth and development of children. Through effective breastfeeding practices, it is possible to prevent several chronic noncommunicable diseases in childhood, adolescence, and adulthood.
Objective: To investigate the relevance of using an educational strategy in breastfeeding promotion.
Methods: It was a descriptive study with uncontrolled analytical approach conducted with 36 mothers of children under 2 years of age about breastfeeding, through an educational intervention using the booklet “Breastfeeding: an act of love”. Data collection took place in two moments (pre-test and post-test). Ethics Committee approved the project under protocol No. 058657.
Results: Data analysis revealed that 41.6% of the interviewees stated that they did not receive guidance about breast problems from any professional during prenatal care, and 22% reported having presented nipple fissures. Regarding the initiation of breastfeeding, 11.1% of the women interviewed did not knowthe importance of colostrum, and 30.6% did not know its benefits. Assessment of the mothers’ knowledge before and after the intervention obtained a percentage of correctness of 50.7% and 70%, respectively.
Conclusion: The educational activity to encourage breastfeeding was able to increase the mothers’ knowledge about breastfeeding and its health benefits for women and children. It is imperative to carry out activities such as the one proposed in this study, which enables the prevention of several problems that directly affect the health of families, acting effectively to promote a solid knowledge for the population.
Keywords: Breast Feeding. Child Health. Health Education. Infant Nutrition. Food and Nutrition Education
Care Network For The Elderly With Alzheimer’s Disease In The View Of Primary Care Nurses
Get PDFObjective: to build a care network for the elderly with Alzheimer’s disease from the view of nurses of the Family Health Strategy (FHS).
Method: exploratory qualitative study, developed with seven nurses from the FHS in the city of Santa Cruz, state of Rio Grande do Norte, Brazil. After obtaining a favorable opinion of the Ethics Committee of the Alcides Carneiro University Hospital (CAAE nº 31307314.9.0000.5182), data were collected through semi-structured interviews and analyzed according to the Collective Subject Discourse.
Results: for an effective care network to the elderly with Alzheimer, some elements are necessary, such as: care in the three levels of complexity, family support, complementary diagnostic center, pharmaceutical services, continuing education, intersectionality and group of caregivers.
Conclusions: when the care to the elderly with Alzheimer’s disease is performed in an articulated manner between the multiples axes that compose the network, it clarifies the caring process, facilitates the decision making, directs care, guarantee a comprehensive care and greatly reduce the deficits associated with this disease.
Key-Words: Alzheimer’s disease; Family Health Strategy; Health Care Network