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Monitora??o da ades?o à higieniza??o das m?os: uma revis?o de literatura
Oliveira, Adriana Cristina de;Paula, Adriana Oliveira de;
Acta Paulista de Enfermagem , 2011, DOI: 10.1590/S0103-21002011000300016
Abstract: surveys conducted show a lack of standardized methods for assessing the adherence of health professionals to the practice of hand hygiene. therefore, this review aimed to identify the different methods used to assess adherence to this practice found within the literature, referenced by the following query databases - latin american and caribbean health sciences, medical analysis retrieval system online scientific electronic library online. a total of 210 studies were identified, among which 34 were selected articles published between the years 2001 to 2010. the study presents the different methods used to conduct the evaluation of adherence to hand hygiene procedures and highlights their strengths and weaknesses, in order to subsidize the critical analysis on the part of health professionals, to facilitate the choice of the most appropriate method for each institution and reality.
Descoloniza??o de portadores de Staphylococcus aureus: indica??es, vantagens e limita??es
Oliveira, Adriana Cristina de;Paula, Adriana Oliveira de;
Texto & Contexto - Enfermagem , 2012, DOI: 10.1590/S0104-07072012000200025
Abstract: the objective of this article was to establish the main indications, advantages and limitations of the decolonization of patients with staphylococcus aureus. an integrative literature review was performed on the lilacs, medline, science direct, scopus and isi web of knowledge databases for articles published after 1999. the main indications for decolonization pertained to high-risk patients (admitted to the icu, post-operative, long stay, etcetera). the advantages were based on the eradication of the microorganism, reducing infection rates and the spread of the microorganism. the observed controversies were due to the possibility of increasing bacterial resistance and lack of scientific evidence regarding the effectiveness of the eradication of the colonizing microorganism, as well as reducing infection rates. thus, it was observed that decolonization should not be indicated routinely; rather, it should only be recommended for patients at risk and during outbreaks.
Descoloniza o de portadores de Staphylococcus aureus: indica es, vantagens e limita es
Adriana Cristina de Oliveira,Adriana Oliveira de Paula
Texto & Contexto - Enfermagem , 2012,
Abstract: El objetivo fue establecer las principales indicaciones, ventajas y limitaciones de la descolonización de los pacientes infectados por Staphylococcus aureus. Se realizó una revisión integrativa de literatura, buscando artículos, publicados a partir de 1999, en las bases de datos LILACS, MEDLINE, Science Direct, SCOPUS y el ISI Web of Knowledge. Las principales indicaciones fueron dirigidas a los pacientes de alto riesgo (ingresados en la UCI, sometidos a cirugía, con una estancia de larga duración, etc), los beneficios se fundamentaron en la erradicación y reducción de la propagación de microrganismos y la reducción de las tasas de infección. Las controversias observadas fueron debido a la posibilidad de aumentar la resistencia bacteriana y la falta de evidencia científica sobre la eficacia de la eliminación de los microorganismos colonizadores, así como la reducción de la tasa de infección. Se observa que la descolonización no debe ser administrada de manera rutinaria ya que sólo debe ser recomendada para los pacientes en riesgo y durante los brotes específicos.
Discontinuation of antimicrobials and costs of treating patients with infection Descalonamento antimicrobiano y costos con el tratamiento de pacientes con infecciones Descalonamento de antimicrobiano e custos do tratamento de pacientes com infec o
Adriana Cristina de Oliveira,Adriana Oliveira de Paula
Acta Paulista de Enfermagem , 2012,
Abstract: OBJECTIVE: To evaluate the repercussions of discontinuation the cost with the antimicrobial treatment of patients with bloodstream infection. METHODS: A historical cohort study conducted in the intensive care unit of a hospital in Belo Horizonte (MG). The population included 62 patients with bloodstream infection caused by Staphylococcus aureus. Data were collected between March/2007 and March/2011 from patients' medical records, Commission of Hospital Infection Control and Sector of Costs, with descriptive and univariate analysis. RESULTS: Colonization was associated with the occurrence of infection with resistant microorganisms (p <0.05). The antimicrobial discontinuation reduced the spectrum of action of the antibiotic prescribed, and the treatment costs (R$ 2,673.12 to R$ 727.03, p = 0.001). CONCLUSION: The discontinuation of antimicrobials favored the redirection of patient therapy, reducing, where necessary, the spectrum of action of the prescribed antimicrobial and, consequently, the costs of treatment. OBJETIVO: Evaluar las repercusiones del desescalamiento en los costos con el tratamiento antimicrobiano de pacientes con infección de la corriente sanguínea. MéTODOS: Estudio de cohorte histórica realizado en una Unidad de Terapia Intensiva de un hospital de Belo Horizonte (MG). La población incluyó a 62 pacientes con infección de la corriente sanguínea causada por Staphylococcus aureus. Los datos fueron recolectados entre marzo/2007 y marzo/2011 en las historias clínicas de los pacientes, Comisión de Control de Infección Hospitalaria y Sector de Costos con análisis, descriptivo y univariado. RESULTADOS: La colonización estuvo asociada a la ocurrencia de infección por microorganismo resistente (p<0.05). El desescalamiento antimicrobiano redujo el espectro de acción del antibiótico prescrito y los costos con el tratamiento (de R$2.673,12 para R$727,03, p=0,001). CONCLUSIóN: El desescalamiento de antimicrobianos favoreció el redireccionamiento de la terapia del paciente, reduciendo, cuando necesario, el espectro de acción del antimicrobiano prescrito y, consecuentemente, los costos con el tratamiento. OBJETIVO: Avaliar as repercuss es do descalonamento nos custos com o tratamento antimicrobiano de pacientes com infec o da corrente sanguínea. MéTODOS: Estudo de coorte histórica realizado em Unidade de Terapia Intensiva de hospital de Belo Horizonte (MG). A popula o incluiu 62 pacientes com infec o da corrente sanguínea causada por Staphylococcus aureus. Os dados foram coletados entre mar o/2007 e mar o/2011 nos prontuários dos pacientes, Comiss o
Flavonoid Contents and Antioxidant Activity in Fruit, Vegetables and Other Types of Food  [PDF]
Juliana Cristina Pereira Calado, Paula Adriana Albert?o, Erica Aparecida de Oliveira, Mario Henrique Sisto Letra, Alexandra Christine Helena Frankland Sawaya, Maria Cristina Marcucci
Agricultural Sciences (AS) , 2015, DOI: 10.4236/as.2015.64042
Abstract:

Flavonoids are a class of natural polyphenolic compounds which cannot be synthesized by humans. These substances possess a series of biological properties, acting on biological systems as antioxidants. The purpose of this study was to analyze the properties of certain foods, determining the total flavonoids as well as their antioxidant activity and fat concentration. We evaluated several foods purchased at the local market, with respect to its antioxidant activity, using two experimental models, the discoloration of DPPH˙ radical and ABTS-. Some foods such as pitanga showed antioxidant activity. The lipid content of fatty foods like a\"\"aí, cacao and cupua\"\"ú was determined. Other foods, including pitanga, a\"\"aí, cacao and cupua\"\"ú, were evaluated for flavonoid content and antioxidant activity using multivariate statistical analysis (PCA) as a statistical tool to evaluate the correlation between these two parameters. As samples with ED50 up to 500 μg/mL show promising antioxidant activity, several Brazilian fruit and vegetables could be consumed to this end, with a good correlation between flavonoid content and antioxidant activity in most samples. The daily dose of different types of food for antioxidant activity has been calculated based on these results.

Sub-notification of work accidents involving sharp-edged material in the surgical center unit
Adriana Cristina de Oliveira, Jacqueline de Almeida Gon?alves, Adriana Oliveira de Paula
Revista de Enfermagem UFPE On Line , 2008,
Abstract: The aim was to evaluate the notification of work accidents among professional of the Surgical Center Unit, to identify the incidence and factors related to the accidents with sharp-edged material and to determine the immunization situation for Hepatitis B. The 127 research participants were classified in the following categories: physicians 23,8%, medical residents 30,1%, nurses 1,6%, technicians 20,9% and nursing assistants 16,5%, and general services workers 7,1%. The complete hepatitis B vaccine series was verified in 75,6%. The professional category that experience more accidents was the physician 46,6% and the work accident was notified by only 15,4% of the respondents. The physician category had 6,3 (2,2-17,8) times more chance of suffering an accident and for the inadequate dispose of the sharp-edged material the chance of accident was 3,4 (1,2-9,3) times. According to these results, it is suggested to implement professional’s training on adoption of biosafety measures, conferences regarding of accidents notification seeking to reduce work accidents.
Multiprofissional team’s perception about infection control
Adriana Cristina de Oliveira, Tania Maria Picardi Faria Costa, Adriana Oliveira de Paula, Renata Batista Lelis
Revista de Enfermagem UFPE On Line , 2008,
Abstract: The aim of this study was to analyze a multiprofissional team’s perception about the nosocomial infection control commission and the practices for controlling resistant microorganisms. A semi-structured questionnaire was applied to the assistance team in a big size hospital from September to December of 2006. Concerning the training offered by the nosocomial infection control commission, 23,5% of the workers said that this commission does not realize trainings, 27,0% were not sure about the occurrence of it and 49,5% have never participated of any training. The recognition of the patient with epidemiologically important resistant microorganism occurred in 62,5% of the answers. Although only 37,6% of the professionals who identified theses microorganisms knew the right precautions to aplly. Regarding the reasons for not adopting the standard precautions, were pointed out the inappropriate training (57,5%), followed by lack of information about the issue and overwork (39,0%). On the topic of the activities that nosocomial infection control commission competes, 85,5% of the professionals mentioned surveillance, training and antimicrobial control; and 38,0% of them considered it an active institution. This study reveals the necessity to realize periodicals trainings with health care workers and a better divulgation of the works realized by the nosocomial infection control commission.
Infec??es relacionadas à assistência em saúde e gravidade clínica em uma unidade de terapia intensiva
Oliveira, Adriana Cristina;Paula, Adriana Oliveira;Iquiapaza, Robert Aldo;Lacerda, Ana Clara de Souza;
Revista Gaúcha de Enfermagem , 2012, DOI: 10.1590/S1983-14472012000300012
Abstract: this study was aimed at verifying the relationship between the severity illness index and the occurrence of healthcare associated infections. a prospective cohort was conducted in an intensive care unit of a university hospital, between august 2009 and february 2010. the average severity index score was used to evaluate the severity of illness. data was collected by active surveillance and processed in spss. univariate analysis was carried out, statistical significance when p<0,05 and confidence interval of 95%. the severity illness index was related to the occurrence of healthcare associated infection, as well as the length of stay in the intensive care unit, patient type, use of invasive procedure, antimicrobials, colonization and patient outcome (p<0,05). the occurrence of infections was also a predictive factor for the occurrence of death (p=0,000). these findings reinforce the idea that the occurrence of healthcare associate infections is a complex multifactorial chain, with emphasis on the clinical severity of the patient.
Hospital Psychological Assessment with the Drawing of the Human Figure: A Contribution to the Care to Oncologic Children and Teenagers  [PDF]
Iracema do Vale Pinheiro, Allyson Guimar?es da Costa, Débora Cristina Bandeira Rodrigues, Nália de Paula Oliveira, Adriana Malheiro, Josafá Lima Ramos
Psychology (PSYCH) , 2015, DOI: 10.4236/psych.2015.64046
Abstract: Cancer affects a large number of children and adolescents each year, and studies prove possible negative influences on the emotional state during the treatment of the disease. This study is part of the macro search entitled “Hospital Psychological Assessment Protocol: A Contribution to the care to Oncologic Patients”, from which the data were extracted. The main objective of this study was to identify the emotional disorders in oncologic children and adolescents in the hospitalization process, through the DHF: Drawing of the Human Figure—DHF. It refers to a cross-sectional descriptive study, with qualitative method, with approach in psychoanalysis. The study included 10 oncohematologic children and adolescents, aged between 5 and 17 years and 11 months in the hospitalization process for cancer treatment in the Hospital Foundation of Hematology of the Amazon—HEMOAM. To obtain preliminary information, we used an Anamnese script in an interview with parents/guardians, after that, it applied the projective psychological test, in a maximum time of 50 minutes. Among the main results identified in the research as emotional changes in the hospitalization process, it could be highlighted: hostility, narcissism, depression, preoccupation with themselves, aggression, insecurity, withdrawal, regression, anxiety and tension. The emotions that were prevalent throughout the period of hospitalization for chemotherapy were: aggression, insecurity, withdrawal, regression, anxiety and tension. The resources used by the child and the adolescent as strategies to tackle the disease were: regression, withdrawal, aggression and hostility. It is concluded that the instrument (DHF) allows psychological assistance which is performed without exposing the patient to content that permeates the hospital environment, thus favoring the therapeutic secrecy without interfering with hospital routine, but adapting to it.
Speech resonance in orthognathic surgery in subjects with cleft lip and palate
Niemeyer, Trixy Cristina;Gomes, Adriana de Oliveira Camargo;Fukushiro, Ana Paula;Genaro, Katia Flores;
Journal of Applied Oral Science , 2005, DOI: 10.1590/S1678-77572005000300006
Abstract: the main purpose of this study was to investigate the impact of maxillary advancement on speech resonance in subjects with cleft lip and palate. the study sample was composed of 42 subjects aged 16 to 41 years old with operated cleft palate ± lip submitted to maxillary advancement. resonance was evaluated before and 3 to 12 months after surgery by perceptual analysis and graduated from absent to severe. it was observed that 47.5% of the subjects presented impairment of resonance after orthognathic surgery, with a confidence interval (at 95%) from 31.5% to 63.9%. these results suggest that orthognathic surgery in individuals with cleft palate may interfere in resonance, causing, or increasing the degree of hypernasality. therefore, this highlights the importance of the orientation about the risks and benefits of maxillary advancement surgery and follow-up of these patients.
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