62 research outputs found

    Erros pré-analíticos em anatomia patológica: prevalência, caracterização e consequências para a segurança do doente

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    RESUMO - A literatura disponível revela que a maioria dos erros relacionados com os exames anatomopatológicos ocorre na fase pré-analítica. Existem alguns estudos que quantificam e caracterizam estes erros mas, não foram encontrados artigos publicados sobre o tema em hospitais portugueses. Foi objetivo deste estudo determinar qual a prevalência e características dos erros pré-analíticos em amostras anatomopatológicas e as suas consequências para a segurança do doente. Analisaram-se 10574 casos de exames anatomopatológicos, de cinco hospitais da região de Lisboa e Vale do Tejo. Os serviços de anatomia patológica registaram e caracterizaram, durante vinte dias, erros detetados nas amostras anatomopatológicas com origem nos serviços requisitantes. Posteriormente os hospitais foram caracterizados quanto aos procedimentos relativos à fase pré-analítica. A prevalência de erros aferida foi de 3,1% (n=330), com um intervalo de confiança a 95% compreendido entre os valores 2,8% e 3,5%. Para além destes resultados destacam-se os seguintes pontos: i. As amostras histológicas têm 4,1% de prevalentes e as de citologia 0,9%; ii. Foram registados erros em 2,6% das requisições e em 1,5% dos contentores com as amostras; iii. A aceitação dos casos com erro é a ação mais frequente (66,9%), seguida pela devolução (24,4%) e retenção (8,7%); iv. Os hospitais com sistemas de notificação de erros e normas escritas para aceitação de amostras têm menor prevalência de erros; v. O impacte dos erros detetados na segurança dos doentes é difícil de determinar, sendo que os mais críticos relacionam-se com amostras devolvidas a fresco, meio de colheita inadequado ou com amostras danificadas. Este estudo permitiu determinar a prevalência e caracterizar os erros pré-analíticos envolvendo amostras anatomopatológicas em hospitais portugueses. Reflete a dimensão atual do problema e efetua recomendações para a sua mitigação. A prevalência de erros encontrada é inferior às publicadas em estudos semelhantes.ABSTRACT - Several studies showed that most errors related with anatomic pathology analysis occur in the pre-analytical phase. There are some studies that quantify and characterize these errors, none, to our best knowledge, were made in portuguese laboratories. The objective of this study was to determine the prevalence and characteristics of pre-analytical errors in anatomic pathology samples, and their implications for patient safety. In this investigation 10574 cases for anatomic pathology examination were analyzed in five hospitals in the region of Lisbon. The pathology laboratories recorded and characterized, for twenty days, errors detected in samples originating in services requesting these examinations. Subsequently, procedures for pre-analytical phase were characterized for each hospital. The prevalence of error obtained was 3.1% (n=330). The 95% confidence interval lies between the values 2.8% and 3.5%. Other results were: i. Errors occur in 4.1% of histology specimens and 0,9% of cytology specimens; ii. Errors were found in 2.6 % of the requisition forms and in 1.5% of samples containers; iii. Acceptance of cases with error is the action most frequent (66.9%), followed by rejection (24.4%) and retention (8.7%); iv. Services with error reporting systems and written standards for acceptance of samples have lower prevalence of errors; v. The impact of these errors on patient safety are difficult to determine, the most critical are related to rejection of non-fixed specimens, inappropriate fixative or damaged samples. This study allowed us to determine the prevalence and characterize the pre-analytical errors involving anatomic pathology samples in portuguese hospitals, shows the size of the problem and makes recommendations for their mitigation. The prevalence of errors found is lower than those published in similar studies

    Taurhina Burmeister 1842

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    Genus Taurhina Burmeister, 1842 The genus was revised together with related genera (e.g. Eudicella, Cyprolais, Mecynorrhina, Amaurodes) by Holm (1993b). Taurhina, as defined by this author, includes three subgenera (Neptunides Thomson, 1878, Rhamphorrhina Klug, 1855 and Taurhina). These taxa sometimes are treated at the subgenus level as was established by Holm (1993b) (e.g. Antoine & Minetti 2005; Beinhundner 2017a) or at the genus level (e.g. Krajcik 2008a). Here we follow the former criterion. Two species were previously recorded for Angola (Paulino de Oliveira 1882; Ferreira 1965). A new species record is given in this work.Published as part of Serrano, Artur R. M., Capela, Rúben A., Nunes, Telmo & Santos, Carmen Van-Dú- Nem Neto, 2020, The rose chafers (Coleoptera: Scarabaeidae: Cetoniinae) of Angola: a descriptive checklist with new records and synonymic notes, pp. 1-130 in Zootaxa 4776 (1) on page 105, DOI: 10.11646/zootaxa.4776.1.1, http://zenodo.org/record/382128

    Oxythyrea Mulsant 1842

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    *Genus <i>Oxythyrea</i> Mulsant, 1842 <p>The genus was redefined by Antoine (1997) taking into account the structure of the male genitalia. This author listed all the African species known so far in the four subgenera of this genus. A total of ten species are recognized in the nominal subgenus (Beinhundner 2017a). The genus had never been registered for Angola so far.</p>Published as part of <i>Serrano, Artur R. M., Capela, Rúben A., Nunes, Telmo & Santos, Carmen Van-Dú- Nem Neto, 2020, The rose chafers (Coleoptera: Scarabaeidae: Cetoniinae) of Angola: a descriptive checklist with new records and synonymic notes, pp. 1-130 in Zootaxa 4776 (1)</i> on page 52, DOI: 10.11646/zootaxa.4776.1.1, <a href="http://zenodo.org/record/3821288">http://zenodo.org/record/3821288</a&gt

    Bullying en estudiantes de secundaria de una institución educativa estatal y privada de Chiclayo

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    Esta investigación tuvo como objetivo determinar la diferencia significativa del bullying en estudiantes de secundaria de una institución educativa estatal y privada de Chiclayo. Se realizó un estudio descriptivo comparativo; con un diseño Transaccional o Transversal y un muestreo; No probabilístico donde se trabajó con una población total de 510 estudiantes, cuyas edades oscilaron entre 12 a 17 años, de ambos géneros. El instrumento utilizado fue la Escala de Bullying Versión Escolar, el cual goza de validez y confiablidad, siendo los autores Plaza & Toro (2011). Las conclusiones fueron: Existe diferencia altamente significativa en los estudiantes de la I.E. Privada y Estatal (p<,01).Tesi

    Projecto de linha aérea de alta tensão com estudo do comportamento longitudinal das cadeias de isoladores

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    Estágio realizado na EDP Distribuição, Departamento de Projecto e Construção de Linhas AéreasTese de mestrado integrado. Engenharia Electrotécnica e de Computadores (Major Energia). Faculdade de Engenharia. Universidade do Porto. 200

    La noción de posibilidades en Naturaleza, Historia, Dios

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    In This article the author aims for one thing: to present the notion of possibilities in the first book published by Zubiri: Nature, History, God. To do this, the author makes reference to four important articles of that book.Teoría y Praxis Year 8, No. 16, February 2010, pp.57-85En este artículo el autor pretende una cosa: exponer la noción de posibilidades en el primer libro publicado por Zubiri, Naturaleza, Historia, Dios. Para ello se recurre a cuatro de los estudios importantes de dicho libro.Teoría y Praxis Año 8, No. 16, Febrero de 2010, pp.57-8

    Coenochilus parrianus Westwood 1883

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    Coenochilus parrianus Westwood, 1883 Distribution: ANG. Distribution in Angola (Provinces): 1)? Historic records: — Angola (without locality) (Westwood 1883). Material examined: none Remarks. The species was described from Angola (Westwood 1883). It is considered a controversial species and an incertae sedis (Schein 1954a). Schein (1954a) in the “general comments” (“I. Allgemeines”) referred to Coenochilus parrianus based in Schenkling (1921) catalogue (“ parrianus Westwood Tijdschr. voor Ent. 26 Seite 65 Angola ”). Taking into account this reference, it seems that the species considered by Schein (1954a) is indeed that which was described by Westwood (1883), i.e. Coenochilus parrianus from Angola. The same author stated also that the type of C. parrianus was unfortunately lost, concluding that “The Parrianus not mentioned in the Junk Schenkling catalog should therefore remain omitted” (“Der im Junk-Schenkling-Katalog ausgelassene Parrianus muss also weiter im Dunklen bleiben”). Biological and ecological data are not available, but see general comments in Schein (1954a) and the remarks under the genus Coenochilus.Published as part of Serrano, Artur R. M., Capela, Rúben A., Nunes, Telmo & Santos, Carmen Van-Dú- Nem Neto, 2020, The rose chafers (Coleoptera: Scarabaeidae: Cetoniinae) of Angola: a descriptive checklist with new records and synonymic notes, pp. 1-130 in Zootaxa 4776 (1) on pages 55-56, DOI: 10.11646/zootaxa.4776.1.1, http://zenodo.org/record/382128

    Lansbergia Ritsema 1888

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    Genus &lt;i&gt;Lansbergia&lt;/i&gt; Ritsema, 1888 &lt;p&gt; The genus was revised by Krajcik (2001), but there is some controversy on the number of valid species (see Drumont 2001). This author, taking into account the Krajcik&rsquo;s (2001) work, registered four species. However, curiously Krajcik&rsquo;s catalogue (2008a) recognized only two species, and the &lt;i&gt;Masoe&lt;/i&gt; P&eacute;ringuey, 1896 and &lt;i&gt;Trapezorrhina&lt;/i&gt; Hauser, 1904 subgenera are considered synonyms of &lt;i&gt;Lansbergia&lt;/i&gt;. Later Beinhundner (2013) added one new subspecies to &lt;i&gt;Lansbergia&lt;/i&gt; (&lt;i&gt;Trapezorrhina&lt;/i&gt;) &lt;i&gt;sordida&lt;/i&gt; Hauser, 1904, a species synonymized with &lt;i&gt;L. albonotata&lt;/i&gt; (P&eacute;ringuey, 1885) by Krajcik (2008a). Whatever the number of species considered valid, one of them occurs in Angola (Lansberge 1886; Ferreira 1965; Krajcik 2008a).&lt;/p&gt;Published as part of &lt;i&gt;Serrano, Artur R. M., Capela, Rúben A., Nunes, Telmo &amp; Santos, Carmen Van-Dú- Nem Neto, 2020, The rose chafers (Coleoptera: Scarabaeidae: Cetoniinae) of Angola: a descriptive checklist with new records and synonymic notes, pp. 1-130 in Zootaxa 4776 (1)&lt;/i&gt; on page 99, DOI: 10.11646/zootaxa.4776.1.1, &lt;a href="http://zenodo.org/record/3821288"&gt;http://zenodo.org/record/3821288&lt;/a&gt

    Distichus picicornis

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    &lt;i&gt;Distichus&lt;/i&gt; (&lt;i&gt;s. str.&lt;/i&gt;) &lt;i&gt;picicornis&lt;/i&gt; (Dejean, 1831) &lt;p&gt; &lt;b&gt;Distribution in Angola (Provinces):&lt;/b&gt; 1) Unknown; 2) Luanda.&lt;/p&gt; &lt;p&gt; &lt;b&gt;Material examined.&lt;/b&gt; Barra do Cuanza (09&deg; 18&acute;55.42&acute;&acute; S, 13&deg; 09&acute;58.57&acute;&acute; E, 11 m alt., 107) (LUANDA), 28.IV.2014, 4&male;, 1&female;, LT, A. Serrano &amp; R. Capela leg., ASC.&lt;/p&gt; &lt;p&gt; &lt;b&gt;Remarks.&lt;/b&gt; A species widely spread throughout all Africa south of Sahara (e.g. Ferreira 1965). This author only refers to the presence of the species in Angola, without specifying localities. Adults were sampled close to River Cuanza by light trapping within a riparian forest. It is a new record for the Luanda Province.&lt;/p&gt;Published as part of &lt;i&gt;Serrano, Artur R. M., Capela, Rúben A. &amp; Santos, Carmen Van-Dúnem Neto, 2017, Biodiversity and notes on carabid beetles from Angola with description of new taxa (Coleoptera: Carabidae), pp. 201-256 in Zootaxa 4353 (2)&lt;/i&gt; on page 206, DOI: 10.11646/zootaxa.4353.2.1, &lt;a href="http://zenodo.org/record/1065124"&gt;http://zenodo.org/record/1065124&lt;/a&gt

    Chondrorrhina Kraatz 1880

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    Genus Chondrorrhina Kraatz, 1880 This is a controversial taxon. The genus was treated as a subgenus of Plaesiorrhinella Krikken by Holm & Marais (1992). Later, Holm (1994) ranked Chondrorrhina as a subgenus under Pedinorrhina Kraatz, 1880. Antoine (2008) ranked the taxon to the genus level with two subgenera (Chondrorrhina and Plaesiorrhinella). Plaesiorrhinella was revised by Holm (1994) who synonymized it with Pedinorrhina [see also remarks in Holm & Sttobia (1995)], but Antoine (2008) reestablished it again as a subgenus under the genus Chondrorrhina, a criterion followed also by Beinhundner (2017a) (see also the comments on Pedinorrhina in this work). However, Krajcik (2008a) treated this taxon at the genus level. The genus Dyspilophora Kraatz, 1880, as well as Taeniesthes Kraatz, 1880, was synonymized with Chondrorrhina (Holm 1994). However, the ranking of this taxon remains controversial (e.g. Krajcik 2008a; Camiade 2015) and in need of revision, jointly with subgeneric taxa (e.g. Krajcik 2008a). Here we follow Beinhundner (2017a) criterion. This author recognized eleven species in this taxon. More two species were added recently (Garnier et al. 2018). There are five species/subspecies recorded for Angola previously (Paulino de Oliveira 1882; Ferreira 1965) and we provide a new species record for the country.Published as part of Serrano, Artur R. M., Capela, Rúben A., Nunes, Telmo & Santos, Carmen Van-Dú- Nem Neto, 2020, The rose chafers (Coleoptera: Scarabaeidae: Cetoniinae) of Angola: a descriptive checklist with new records and synonymic notes, pp. 1-130 in Zootaxa 4776 (1) on page 85, DOI: 10.11646/zootaxa.4776.1.1, http://zenodo.org/record/382128
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