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Clinical epidemiological profile and the main diagnostic labels nursing to hospitalized patients with stroke in a large hospital in the south of the Legal Amazônia region
Get PDFIntroduction: Cerebrovascular Accident (CVA) is a disease
that leaves to the patient some important neurological deficits
interfering in maintaining the health and quality of life,
therefore it becomes essential identify the epidemiological
clinical profile of stroke patients with order to develop nursing
actions in a systematic way. Objective: The objectives were
identify and analyze the epidemiological clinical profile of
patients admitted with a stroke diagnosis in the Intensive
Care Unit (ICU) of a large hospital and propose nursing
diagnoses labels. Material and Methods: This is a
descriptive, cross-sectional and retrospective study with a
quantitative approach, the sample was 73 (100%) records of
patients with a diagnosis of stroke admitted to the ICU.
Results: The most of patients were female 52.1% (38) and
69% (51) of the total sample studied lived in the urban area.
The Ischemic Stroke achieved significant prevalence of 63%
(46) compared to 32.9% hemorrhagic stroke (24), and 4.1%
(3) of the patients were diagnosed with both types of stroke.
The analysis found that 87.7% (64) of the patients had
hypertension, 30.2% (22) of the patients had diabetes
mellitus. Clinical manifestations and consequences presented
by the most prevalent patients were 38.4% (28) for
hemiplegia, motor aphasia 31.5 % (23) and 21.6% (16)
developed memory loss. Conclusion: It was concluded that
most patients were female and lived in the urban area with a
mean age of 69.1 years. The main proposed nursing
diagnoses labels were impaired physical mobility, impaired
swallowing, imbalanced nutrition: less than body
requirements, and the profile found shows the importance of
the multidisciplinary team performance, enabling the creation
and implementation of strategies to improvements in care to
stroke patients
Prevalence of Burnout syndrome in Facimed medicine of academic
Get PDFThe staff burnout expression created for Freudenberger. He described a syndrome
consisting of exhaustion, disappointment and isolation of health workers. The Burnout
Syndrome (BS) recognized as an occupational hazard for professions that involved
caring for health, education and human services, due to wear psychosocial. The study’s
aim was a crossover design in order to determine the prevalence of BS in medical
students of Facimed. Two questionnaires conducted by a sociodemographic issues, academic, and psychosocial and with validated version in Portuguese of the MBI-SS
(Maslasch Burnout Inventary-Student Survey). The medical Facimed’s students
surveyed of the periods 2 to 8, excluding those who are at boarding school, totaling 176
participants. Were identified 16 (9.1%) students with BS: 4 in the 2º period, 6 in the 4º
period, 5 in the 6º period and 1 in the 8º period. In the analysis that combines the two
questionnaires was inferred that friendship/social life and cultural activity more closely
related to the manifestation of the BS during the school period, with p = 0.008 and p =
0.02 respectively. Thus, we conclude that those who negatively assess their
interpersonal relationships and those who do not practice cultural activity were more
likely to have burnout and a significant prevalence in the study group compared to
literature
Quality of aneroid sphygmomanometers used by health professionals in the units of the SUS Cacoal – RO
Get PDFBlood pressure is a clinical variable of great medical importance, and its correct measurement
depends on the precise measurement of blood pressure. This research examined the quality of
aneroid sphygmomanometers used in outpatient and hospital services SUS Cacoal-RO. This is
a cross-sectional study that analyzed 54 sphygmomanometer in use in health services Cacoal RO. The devices were analyzed for physical conditions and calibration. The devices analyzed
37.04% of the devices were in use in Basic Health Units (UBS) and 62.96% in Hospital
Services. The physical conditions of the devices were analyzed by direct examination of the
same and the calibration was checked against a mercury column, checking the correlation
values every 20 mmHg from 0mmHg to 240mmHg. When checking the state of conservation
of cuffs, 70.37% presented themselves clean and 81.48% intact. Of the total
sphygmomanometers, 79.63% are uncalibrated. The most unreliable measurements was
performed in hospital services (p <0.001). From the results, it is concluded that most
sphygmomanometers of Cacoal SUS services is not properly calibrated, especially in hospital
services, which can lead to incorrect assessments of blood pressure compromising diagnoses
and medical procedures resulting from this variable. Our results reflect the need for
improvement in the quality of aneroid sphygmomanometers used in SUS units Cacoal-RO.
Keywords: sphygmomanometer, quality, calibration
Os benefícios obtidos pelo binômio mãe-bebê diante da opção por um parto tipo normal/natural
Get PDFArtigo de Conclusão de Curso apresentado ao Programa de Pós-Graduação em Ginecologia e Obstetrícia da Faculdade de Ciências Biomédicas de Cacoal – FACIMED para obtenção do título de especialista em Ginecologia e Obstetrícia. Orientadora: Profª. Esp. Janice Santana do Nascimento SeguraO presente trabalho tem como objetivo estabelecer uma abordagem sobre a importância e os benefícios obtidos pelo binômio mãe-bebê diante da opção por um parto normal, também tido como parto natural/normal, processo em que o profissional de saúde ou enfermeiro somente acompanha o parto, portanto, ele ocorre sem as intervenções de profissionais e de medicamentos, como por exemplo, episiotomia, as anestesias e indução. Para que esse processo ocorra de maneira saudável e sem riscos é necessário uma assistência no pré-natal através de ações educativas, possibilitando a prevenção de complicações obstétricas. Logo, será possível o bemestar materno e fetal durante o parto, diminuindo os índices de morbimortalidade. Como parâmetro metodológico foi empregado à pesquisa de revisão literária, por meio de pesquisas em diversos tipos de fontes, dos quais se destacam os artigos, os manuais disponíveis na internet, e de obra de vários autores, foi possível observar que no pré-natal as gestantes são orientadas e têm a oportunidade de terem suas dúvidas esclarecidas com equipes multiprofissionais, sobre as formas de partos, dando-lhes a oportunidade de optar pela forma que mais lhes dê prazer e segurança
Perfil epidemiológico e clínico dos pacientes diagnosticados com Hanseníase através de exame de contato no município de Cacoal no período de 2009 a 2013
Get PDFLeprosy is still a significant problem in public health. Transmitted through the respiratory tract, it
primarily affects the skin and the peripheral nerves. The current study deals with a documentary,
cross-sectional, descriptive, quantitative research, which used data from SINAN in the period
between 2009 and 2013, and made up of 13 patients. The aim of this study was to identify the
epidemiological and clinical profiles of these patients who were diagnosed with leprosy through the
contact examination in Cacoal-RO. The results showed that 69,2% were female, prevailing the
white and brown-skinned races with 46,2%. Regarding education 61,5% did not finished
elementary school. Regarding occupation, 30,8% were domestic workers. The urban area had
76,9% of the cases. Teixeirão and Riozinho had 15,4%. The average age was 36,8 years old with a
standard deviation of 13,8. In the operational classification, 61,5% were paucibacillary, in the
clinical form, 61,5% was undetermined. When assessing the degree of disability, 84,6% was
diagnosed with grade zero and in high grade of 92,3%. Diagnosing skin lesions, 84,6% had five or
fewer lesions. About the impairment of the nerve trunks, 76,9% had one or less affected trunk.
Upon examination of smear, 23,1% resulted as positive cases. The proportion of contacts in relation
to the total registered in the period was 4,6%. It is concluded that the active search, contact
examination and the continuity of monitoring, is the opportunity to early diagnose new cases,
reduce the number of permanent sequelae and reduce the outbreaks of transmission
Poisoning by parental pq: case report in a city of Amazonia/Brazil
Get PDFThis study aimed to present a case and propose the major labels nursing diagnoses in
intensive care in victim parenteral Paraquat poisoning. We used the descriptive qualitative case
study method with retrospective approach in medical records of a patient admitted to the
intensive care unit. The data analyzed resulted in 35 nursing diagnoses, hepatorenal
involvement on post intoxication day with PQ, and the third day manifestations severe
respiratory clinics. Concludes that intoxication with PQ via parenteral cause 100% mortality
Continuous education in intensive care unit-icu: literature review
Get PDFBackground: Continuing education is a dynamic process of teaching and learning, active and permanent intended to update and improve the training of
people. This study aimed to review the existing literature about the importance of continuing education in the intensive care unit-ICU, an also
to reveal the year of published articles, authors and states in which they were published.
Online) and BDENF (the Database of Nursing), with the descriptors Decs “continuous education”, “intensive care unit”, “nursing”, “permanent education.”
It established as criteria of inclusion the articles published nationwide in the period from 2000 to 2011, with a sample collection of 21 articles. :
2006 (19.04%), and the majority of researchers (46.66%) with a PhD in nursing. It also revealed that the largest number of articles published about the
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that the state of São Paulo is a reference to the area in terms of academic life and health. . Additionally, it was found that the intensive care unit is a scenario
: It is
intensive care unit
Estudos epidemiológicos e a obesidade em escolares
Get PDFIntroduction: Obesity is a condition in which
body fat has accumulated in the body such
way that health begins to be affected. Scholars
in the early grades by the end of elementary
school, are showing values over average by
comparing acceptable levels. Objective: And
with that, the aim was to verify studies that
show updated data of childhood obesity and
juvenile to mondial level. Materials and
Methods: for this research sites was used tools
as Scielo, Bireme and Capes’ portal of
journals. Studies have been defined that
broaches obesity in school. Conclusion: It can
be seen that from 2007 to 2014 obesity has
increased in strides, and analyzing studies
cause and effect are carried out to check what
is leveraging this increase
Prevalence of Hepatitis B in manicurist and pedicurist in a city in the southern of Amazonia
No full textDissertação de Mestrado apresentada à Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo para obtenção do Título de Mestre em Ciências da Saúde pelo Programa de Pós Graduação em Ciências da Saúde. Orientadora: Prof.ª Dr.ª Carla PagliariIntroduction: The viral hepatitis is a group of diseases caused by different etiological agents with tropism for liver tissue. Data of Ministry of Health show that viral hepatitis is a major public health problem in Brazil and worldwide. There is a wide clinical spectrum of the disease, ranging from asymptomatic forms, anicteric typical jaundice to acute liver failure and severe forms. In occupational accidents by cutting punch, the risk of contamination by the hepatitis B virus (HBV) is mainly related to the degree of exposure to blood in the workplace and also the presence or absence of HBeAg antigen in the patient. Among all types of vulnerable people to infection with hepatitis B, there is a concern with the professional manicures; then it was created the project "Saber Prevenir", designed and executed by the Coordination of Surveillance and Health in partnership with SAE Cacoal / RO. Objectives: This study aimed to identify the prevalence, determinants and risk factors of viral hepatitis type B in manicures and pedicures in the city of Cacoal / RO, describe the prevalence of serum markers of hepatitis B and identify the vaccination status to hepatitis B in such workers. Methods: The sample consisted of 50 manicures/pedicures that attended the meetings and participated in the project "Saber Prevenir", blood collection for investigation of serological markers of hepatitis B and C and agreement to participate in this study. Results and Conclusions: Our results showed that the average age and manicures profession time was 35.5 and 9.4 respectively. 84% had steady sexual partner and 6% had a history of STIs (gonorrhea, genital herpes and condylomatosis); none was submitted to blood transfusion and all denied using illegal drugs. The prevalence of hepatitis B was 4% and none presented markers for hepatitis C. 64% of manicures showed serological scar for hepatitis B, demonstrating high prevalence of prior contact with the virus; 27 (54%) professionals had full course of vaccine. Of these, 01 (4%) was chronic carrier of the virus with family history, 04 (15%) had acquired immunity by vaccine, 16 (59%) had serological scar by prior contact with the virus and 06 (22%) was susceptible to the disease. 19 did not present vaccine card or ignored their vaccination status of which 02 (11%) presented immunity through vaccine and in 13 (68%) it was found serological scar by contact. 02 (11%) were unvaccinated, but showed serological scar by prior contact and 01 (5%) was chronic carrier. The findings show the need for a closer look by managers and area of Health the professional manicures / pedicures, through strategies that might lead to its greater protection and its customers and reinforces the importance of the "Saber Prevenir" developed in County. The results allow us to conclude that: despite the training received in their different ways, knowledge about risk and biosafety among most professional manicures / pedicures, are still in deficit; the sterilization process and disinfection of the media is still flawed damaging appropriate bio-security conditions and featuring an important risk factor for contact with the hepatitis B virus in manicures and pedicures in the city of Cacoal / RO; the predominant serological marker in the population studied was the presence of anti-HBs + anti-HBc antibodies; the complete vaccination course predominated among the participants work manicures; the risk factors prevalent in this population were using injectable drug recently, recent dental treatment, non-use of condoms, lack of use of PPE, misuse of working tools as disinfection, sterilization and disposal. Considering occupational accidents, 38% said they had been victims and of these, 63% had serological scar to the virus and both that are chronic carriers also said they had suffered punch accident during professional exercise
Preparo dos policiais do Grupo de Operações Especiais - GOE/Cacoal em atendimento de primeiros socorros
Get PDFThis is descriptive research, from the field, it ́s of a qualitative and
quantitative nature and transversal, developed with the Special Opera-
tions Group - GOE - Military Police / RO, the headquartered being in
Cacoal. The officers were selected by convenience, consisted of 22
officers. This study aimed to evaluate whether the police GOE / Cacoal
are prepared to provide first aid to members of their team in a situation
of urgency / emergency. The survey took place in July 2013 a ques-
tionnaire was prepared by the researchers, containing 14 questions,
with 09 closed questions and 05 open questions. It was observed that
63.63 % of the officers questioned did not receive first aid training to
work in the GOE. In the group of the officers interviewed, 68.18%
claim not to have been updated on first aid after entering the GOE;
50% reported that first aid training only occurred every four years or
more; 18.18% reported training every two years; 9.09 % reported
training every three years; and only 22.72% reported training as annu- ally; 63.63% of the military officers claim that the GOE did not feel
prepared to help injured members of their team, because of the first aid
equipment in the vehicles of the GOE; 95.45% of the interviewed
claim not to have first aid material available to them. Most of the mili-
tary officers mentioned situations where they witnessed injuries by
gunshot fire, automobile accident and stab wounds. Considering the
statistical data presented above, it is concluded that the majority of
officers interviewed are not prepared to provide first aid care to injured
members of thei