International Archives of Medicine (E-Journal)
Not a member yet
263 research outputs found
Sort by
Cardiopulmonary Re-Immonation (CPR): How Long Should A Person Insist On Performing The Maneuvers?
Get PDFObjetive: The study had the aim to describe the exact moment of interrupting CPR maneuvers in patients in CRP situations.
Method: This is an exploratory and descriptive research, with quantitative character and approach. It was performed with 67 (seventy-seven) nurses from a Regional Hospital, who were informed about the objectives of the same. There were included those who act in direct patient care; of effective position and contracted in the service; And with more than one (1) year of training. The instrument used for data collection was a questionnaire, previously elaborated, containing objective, subjective and non-inductive questions, which allowed the informant to answer the data pertinent to the study. It was found that the majority of the interviewees were women, aged between 31 and 35 years, specialists, with more than 4 years of training and 3 years of service, medical / surgical clinic attendees, and without reports of training.
Results: They demonstrated they know the exact timing of CPR maneuvers but reported that they would not apply CPR in situations in which the patient had cadaveric stiffness, decomposition, crushing of the skull and thorax, or a CPA report of more than 20 minutes. Faced with conditions in which the team could decide not to perform CPR, they reported not applying CPR in the vegetative state, in terminal or chronic patients.
Conclusion: Therefore, they conclude that the said moment of interrupting the protocol is determined in a personal and ethical way, that is, by the individuality of each situation.
Keywords: Nurses. Cardiovascular Stop. Cardiopulmonary resuscitation
Scientific Production about the Adherence to Antiretroviral Therapy
Get PDFObjective: To identify the elite of authors about the subject adherence to antiretroviral therapy; to identify the journals turned to publishing articles about adherence to antiretroviral therapy; and to identify and analyze the most commonly used words in abstracts of articles about adherence to antiretroviral therapy.
Method: A bibliometric study conducted through the Scopus base. We used articles published between 1996 and 2014, after application of the eligibility criteria, there were composed the sample with 24 articles. The data were analyzed descriptively. Were used the laws of bibliometric (Lotka, Bradford and Zipf) and the conceptual cloud map of words, through the program Cmap tools.
Results: Lotka's Law identified the 5 authors more productive (46% of the total published). Bradford is impaired in this study. Concerning Zipf, 3 zones were determined, 31.47% of the words with in the first zone, 26.46% in the second and 42.06% in the third. In the conceptual map, the words/factors that positively and negatively influence adherence were emphasized, among them the need for more research in the health services.
Conclusion: There are few publications about the accession to antiretroviral therapy, and the scientific production is in the process of maturation. One can infer that the theme researched is not yet an obsolete topic. It should be noted that the Bibliometric was a relevant statistic tool to generate information about the publications about the antiretroviral therapy.
Descriptors: Antiretroviral Therapy, Highly Active; Medication Adherence; Bibliometric; HIV; Acquired Immunodeficiency Syndrom
Protocol Proposal For The Care Of The Person With Venous Ulcer
Get PDFObjective: To propose a care protocol for the care of the person with a venous ulcer in highly complex services.
Methods and results: This is a methodological study, in three stages: literature review, validation of content and validation in the clinical context. The literature review was carried out from June to August/2011, being the basis for the construction of the Protocol for Venous Ulcers. The content validation included 53 judges (44 nurses, 8 physicians and 1 physiotherapist) selected through the Lattes platform to evaluate the items of the protocol. Validation in the clinical context occurred at the University Hospital Onofre Lopes, in Natal/RN with four judges (nurses), who worked in pairs, evaluating 32 patients with venous ulcers. The protocol was validated with 15 categories: sociodemographic data; anamnesis; examinations; ulcer characteristics; care with the lesion and perilesional area; medicines used to treat the lesion; evaluation and treatment of pain; surgical treatment of chronic venous disease; recurrence prevention (clinical and educational strategies); reference; counter-reference; and quality of life.
Conclusion: The validated protocol regarding content and clinical context was applicable. Its implementation is a viable measure that assists in the reorientation of the team in high complexity services, aiming at wound healing and restoration of the patient´s integral health.
Keywords: Varicose ulcer; Tertiary Health Care; Protocols; Validation studies
Thyroid Fine-Needle Aspiration under Ultrasound Guidance: Experience from an Academic Tertiary Care Center in Lebanon
Get PDFThyroid nodules are common. Malignancy was reported in only 5-15% of cases. Fine needle aspiration under US guidance (USG-FNA) proved to be accurate for the detection of thyroid cancer. This is a retrospective review of 400 radiology and cytology USG-FNA reports, randomly selected among those done at the Radiology Department at a tertiary care center in Beirut during the last five years. The specimen was inadequate in 60 (12%) of cases but FNA was repeated in 10 cases only. The final diagnosis was benign in 76.7% of cases, mostly in women. 35% of the malignant and 19% of the benign nodules were hypoechoic, p=0.03. No significant correlation was observed between malignancy and other ultrasonic characteristics. Hypoechogenecity was also more common in nodules with inadequate specimen (40% versus 21.4%, p=0.01). Age, gender, location and size of the nodule did not differ between groups of adequate and inadequate specimen. In conclusion, 3 out of 4 thyroid nodules referred for USG-FNA are benign, mostly in women. Inadequate specimen was observed in 12% of cases. Hypoechogenecity but not other ultrasonic characteristics was associated with malignancy and with test failure.
Key words: Thyroid nodule, fine needle aspirate, ultrasound guidance, thyroid cancer, inadequate.  
Quality Of General Life In The Medicine Course Students
Get PDFObjective: To evaluate the general quality of life in medical students.
Method: This is a cross-sectional observational study of 320 students from the Federal University of Mato Grosso do Sul, located in Campo Grande, Brazil, who answered the WHOQOL-BREF quality of life assessment instrument.
Results: The medical students evaluated having a good general quality of life and good satisfaction with their health. According to the domains, the psychological domain was smaller than the social relationships and environment domains. The students had a difference in the values of the WHOQOL-BREF scores only between the psychological and the environment domains and lower values in the men, in the physical and psychological domains. During the years of the course, there was a difference between the domains only for the 3rd grade of the course, with lower scores for the psychological domain. In each domain, the values of the WHOQOL-BREF scores were higher in the second grade compared to the 5th grade in the social relationships domain, and in the environmental domain. The 1st grade had lower values than the 6th grade.
Conclusion: Medical students have a positive characterization of the quality of life, although it is less in the psychological domain, by the frequency of negative feelings not enjoying life or concentrating in a satisfactory way. Female students are more fragile in the psychological and physical domain than male students.
Keywords: Quality of life; Medical students; Medical Education
Violence against elderly people: characterization of the data reported by the Notification of Injury Information System (SINAN)
Get PDFIntroduction: Violence against the elderly person can be any act, single or repetitive, or omission, that causes harm or discomfort and reduces the quality of life of the elderly.
Objective: To identify the demographic characteristics of elderly victims of violence, notified by the Notification of Injury Information System (SINAN) in the municipality of Porto Nacional - TO in the year 2014, to characterize the most reported forms of violence, the place of occurrence, the means of aggression and the relationship with the victim.
Method: This is an epidemiological, descriptive and exploratory study with a quantitative approach. The survey was conducted through reports issued by SINAN in Porto Nacional. The study population consisted of 130 reports of violence. Data collection took place in April. The data were released with the help of Excel tables and analyzed through BioEstat 5.0.
Result: It was possible to identify that the majority of the elderly were males, with a mean age of 78.3 years, of brown color, who had schooling, married/stable union, retired and had no physical or mental disabilities. In relation to the type of violence suffered by the elderly, physical violence had more notifications. The place of occurrence was in the elderly’s own houses and the relation between aggressor and victim was unknown.
Conclusion: The results found in this study evidenced the importance of notifying all the cases and it is suggested a protocol of attendance to people in situation of violence for all the professionals that compose the networks of care, among these, primary care, hospitals, social action department and public prosecutor's office, which could facilitate the identification of signs of violence
Are there differences between partial and total periodontal examination of the mouth?
Get PDFBackground: Diagnosis of periodontal disease for epidemiologic survey is difficult due to complexity of periodontal exam. The aim of this study was to compare data from a full-mouth examination and a partial-mouth examination, observing the agreement between both methods of presenting the Community Periodontal Index (CPI).
Methods and Findings: The population comprised of male and female subjects, aged 18 years and over, attending public health centers in the city of Recife, Brazil. A total of 505 patients participated in this study. Each participant completed a form and underwent periodontal examination. Firstly, for each tooth present one of the periodontal conditions was determined: periodontal health, gingival bleeding, dental calculus, shallow periodontal pockets and deep periodontal pockets, according to CPI. Finally, partial data (10 index teeth) was recorded derived from the total version of CPI. Bivariate analysis of frequencies and means was performed. Mc Nemar test was used to calculate the level of statistical significance of the association tested. There are significant statistical differences between partial and full-mouth examination (p<0.001). According to gender, men classified as score 1 presented the same prevalence in both methods; partial recording overestimated 0.2% of women classified as score 1; percentile difference among men was higher for subjects classified as score 0. Among subjects with at least one tooth with deep periodontal pocket, percentile difference between different approaches was higher among elders (60 years and over).
Conclusions: Considering the variable age, the smaller amount of lost information refers to periodontal pockets in individuals aged 18 to 30 years of age. In older individuals classified as periodontally healthy and with gingival bleeding no loss of information was observed. Partial examination of the mouth underestimated the presence of periodontal pockets and overestimated the presence of calculus and bleeding. A high concordance between the partial and total examination was observed
Nursing Assistance At The Puerperium: Integrative Review
Get PDFINTRODUCTION: The Puerperium is a critical time for the woman, her baby and her family, due to psychological and physiological changes. At that moment, the woman experiences significant changes and needs qualified attention in health.
OBJECTIVE: The objective of this research is to describe the scientific production on nursing care in the postpartum period, justifying that the woman, at the moment, undergoes many changes requiring a qualified attention.
METHOD: The methodology used was the integrative review of the literature on nursing care in the puerperal period, in the databases of articles and scientific publications, present in the Virtual Health Library, from 2008 to 2014.
RESULTS: The results highlight the importance of Nursing during puerperal care to resolve and improve the quality of life of puerperal patients.
 
Palliative Cares To Older Person Under The Nurse's Optics
Get PDFINTRODUCTION: Chronic-degenerative diseases need specialized health care, especially in palliative care, since from the beginning of the disease the elderly is in this classification. In this context, the study aimed to know the meaning of palliative care to the elderly person from the nurse
METHODS: This is a descriptive, cross-sectional, qualitative study carried out in a private tertiary hospital in the Northeast of Brazil. The survey was conducted from March to June 2016, with 19 nurses. In the data collection, a semi-structured interview, with four questions were used: what does palliative care mean to you? What does care for the elderly in hospice care mean to you? What strategies do you adopt to promote palliative care for the elderly? Tell me about your experience in providing palliative care to the elderly. The technique of data analysis and organization was the Discourse of the Collective Subject.
RESULTS: Four categories of palliative care were produced: meaning palliative care; Experience in providing palliative care to the elderly; Meaning of caring for the elderly in palliative care; Strategies to promote palliative care for the elderly.
CONCLUSION: The meaning of palliative care was synonymous with comfort and quality of life. It is important to emphasize the patient-centered care and to carry out further studies on the subject to make nursing professionals aware of the importance of promoting adequate behavior in palliative care
Neoplastic wounds: controlling pain, exudate, odor and bleeding
No full textObjective: To synthesize scientific literature published on the control of pain, exudation, odor and bleeding of neoplastic wounds.
Methods: This is an integrative review of the literature in the databases CINAHL, SciELO, MEDLINE and LILACS with articles that approached the theme. Twenty-two articles were included, of which 18 were written in the English language and three in the Spanish language, published between 2004 and 2014.
Results: From the articles studied, categories were constructed: Interventions for pain control; Interventions for the control of exudate; Interventions for the control of odor and Interventions for the control of bleeding.
Conclusion: Most of the studies were bibliographical research originating from opinions of authorities and / or reports of committees of experts in the area. Therefore, it is urgent to carry out randomized clinical trials.
Keywords: Cutaneous ulcer; Injuries and injuries; Nursing oncology; Nursing care