oalib

Publish in OALib Journal

ISSN: 2333-9721

APC: Only $99

Submit

Any time

4 ( 1 )

2019 ( 82 )

2018 ( 167 )

2017 ( 132 )

Custom range...

Search Results: 1 - 10 of 57374 matches for " Edson da; Bergsten-Mendes "
All listed articles are free for downloading (OA Articles)
Page 1 /57374
Display every page Item
Prevalência do uso de medicamentos na gravidez: uma abordagem farmacoepidemiológica
Fonseca,Márcia Regina Campos Costa da; Fonseca,Edson da; Bergsten-Mendes,Gun;
Revista de Saúde Pública , 2002, DOI: 10.1590/S0034-89102002000200013
Abstract: introduction: few brazilian papers on the use of medication in pregnancy have been found in the indexed medical literature. this paper describes the use of medication during pregnancy among women who gave birth in a teaching maternity hospital in the city of campinas, brazil. methods: a retrospective study on the pattern of drug use during pregnancy was conducted among 1,000 mothers who were interviewed using a structured questionnaire after delivery, while they were still in hospital. the following parameters were registered: sociodemographic characteristics, obstetric and contraceptive history, data on prenatal care and medications used during pregnancy. statistical analysis was performed using anova and chi-square test at p = 0.05. results: among the interviewed patients, 94.6% had taken at least one medication during pregnancy, and 46.1% had used medication in the first trimester. of 3,778 medications reported, 88.8% had been prescribed by a doctor. the median of medications taken was 3 (ranging from 0 to 18). the six most used classes of medications were: analgesics, spasmolytics, gynecological antiinfectious agents, antianemics, antacids and systemic antibiotics. the five most used medications were: butyl scopolamine, ferrous sulfate, dipirone, nistatin and multivitamin tablets. only 27.7% of the patients had been alerted to the risk of taking medication during pregnancy. conclusion: knowing the profile of medications used during pregnancy may help devising programs to provide information to the patients and continuing education to health care professionals.
Prevalência do uso de medicamentos na gravidez: uma abordagem farmacoepidemiológica
Fonseca Márcia Regina Campos Costa da,Fonseca Edson da,Bergsten-Mendes Gun
Revista de Saúde Pública , 2002,
Abstract: INTRODU O: Tendo em vista as mudan as freqüentes do mercado de medicamentos que influenciam o padr o de prescri o e automedica o, realizou-se estudo para conhecer a utiliza o de medicamentos entre mulheres durante a gravidez. MéTODOS: Em um estudo retrospectivo sobre o padr o do uso de medicamentos durante a gravidez realizado em um hospital-escola de Campinas, SP, 1.000 puérperas foram entrevistadas após o parto, ainda no hospital, por meio de um questionário estruturado. Foram registrados: características sociodemográficas, antecedentes obstétricos e de contracep o, dados sobre assistência pré-natal e sobre uso de medicamentos na gravidez. Para análise estatística dos dados, foram utilizados Anova e qui-quadrado considerando o nível de significancia (sinal de menor a 0,05). RESULTADOS: Das entrevistadas, 94,6% tomaram pelo menos um medicamento durante a gravidez, e 46,1% das pacientes utilizaram medicamentos no primeiro trimestre. Dos 3.778 itens de medicamentos relatados, 88,8% foram prescritos por médico. A mediana de medicamentos utilizados foi de 3 (0-18). As seis classes de medicamentos mais usados foram: analgésicos, antiespasmódicos, antiinfecciosos ginecológicos, antianêmicos, antiácidos e antibióticos sistêmicos. Os cinco medicamentos mais utilizados foram: butilescopolamina, sulfato ferroso, dipirona, nistatina e multivitaminas. Apenas 27,7% das pacientes haviam sido alertadas para o risco de utilizar medicamentos na gravidez. CONCLUS O: Conhecer o perfil dos medicamentos usados na gravidez pode ajudar a planejar programas de esclarecimento para pacientes e de educa o continuada para profissionais de saúde.
Rea??es adversas a medicamentos como determinantes da admiss?o hospitalar
PFAFFENBACH, GRACE;CARVALHO, OLGA MARIA;BERGSTEN-MENDES, GUN;
Revista da Associa??o Médica Brasileira , 2002, DOI: 10.1590/S0104-42302002000300037
Abstract: background: few studies have addressed how often adverse drug reactions cause hospital admissions in brazil. this study was carried out in a university hospital looking for the patterns of drug utilization before hospital admission and the frequency of adverse drug reactions. methods: the study was developed in two steps. the first step evaluated the hospital admission morbidity patterns at an internal medicine ward during 1997, using the hospital register system. the second step was carried out in 1999 when a hospital-based intensive monitoring program was performed during a 4 months period. patients admitted to this ward were interviewed for the drugs used during 15 days before admission, their morbidity patterns were described in detail, and the possibility of adverse drug reactions being the cause of hospital admission was evaluated. results: during 1997, of the 938 patients admitted to the internal medicine ward, 46.6% were female patients, and a mean of 1.1 diagnosis per hospital admission was recorded. no adverse drug reaction was found. during the hospital-based intensive monitoring, of the 135 patients studied, 52% were female, 92% had used at least one drug before the hospital admission, and 42% had used self-medication. the mean of utilized drug was 3.7. adverse drug reaction was the cause of or contributed to 6.6% of the hospital admissions. conclusions: hospital-based intensive monitoring stimulates the reporting of drug adverse reactions and is an important resource for training in rational drug use.
Rea es adversas a medicamentos como determinantes da admiss o hospitalar
PFAFFENBACH GRACE,CARVALHO OLGA MARIA,BERGSTEN-MENDES GUN
Revista da Associa??o Médica Brasileira , 2002,
Abstract: OBJETIVO: A freqüência de rea o adversa a medicamentos (RAM) como determinante da hospitaliza o n o está bem documentada na literatura médica brasileira. Objetivou-se determinar esta freqüência, documentando o padr o de uso de medicamentos antes da hospitaliza o. MéTODOS: O estudo foi realizado em um hospital escola de aten o terciária à saúde. Constou de duas fases distintas, sendo a primeira a análise dos dados disponíveis a respeito dos diagnósticos que levaram à admiss o hospitalar na enfermaria de Medicina Interna durante o ano de 1997. Após esta análise, foi realizado em 1999 o monitoramento intensivo das RAMs de pacientes internados durante quatro meses e o registro dos medicamentos usados nos 15 dias que antecederam a interna o e os padr es de morbidade dos pacientes da enfermaria. RESULTADOS: Em 1997, ocorreram 938 interna es, 53,4% de pacientes masculinos, com 1,1 diagnóstico por interna o e nenhum diagnóstico de RAM. Na segunda fase do estudo, dos 135 pacientes, 52% do sexo feminino, 92% usaram medicamentos antes da interna o, e destes, 42% se auto-medicaram nos 15 dias anteriores à interna o. A média de uso de medicamentos foi de 3,7. RAM foi responsável por ou teve participa o em 6,6% das interna es. CONCLUS ES: O Monitoramento intensivo de pacientes estimula a notifica o de RAM e serve como um recurso didático importante na forma o dos profissionais de saúde quanto ao uso racional de medicamentos.
Antibiotic prophylaxis in orthopedic surgeries: the results of an implemented protocol
Queiroz, Raquel;Grinbaum, Renato S.;Galv?o, Luciana L.;Tavares, Fernando G.;Bergsten-Mendes, Gun;
Brazilian Journal of Infectious Diseases , 2005, DOI: 10.1590/S1413-86702005000400003
Abstract: though the basic principles of antibiotic prophylaxis have been well established, there is still considerable incorrect usage, including how much is prescribed and especially in the duration of treatment, which is generally superior to what is indicated. the adequate use of these drugs contributes towards decreasing the time of internment of the patient, prevents surgical site infection (ssi), decreasing the development of resistant microorganisms, and towards reduced costs for the hospital pharmacy. a protocol for the use of antibiotic prophylaxis in the orthopedics and traumatology service of the hospital do servidor público estadual de s?o paulo was developed. the objectives of the study were to promote rational antibiotic surgical prophylaxis, through the implantation of a protocol for the use of these drugs in a surgical unit, with the direct contribution of a druggist in collaboration with the infection control committee, to evaluate the adhesion of the health team to the protocol during three distinct periods (daily pre-protocol, early post-protocol and late post-protocol) and to define the consumption of antimicrobials used, measured as daily defined dose.
Sistema Brasileiro de Informa??o sobre Medicamentos - SISMED
Vidotti, Carlos C. F.;Hoefler, Rogério;Silva, Emília Vitória;Bergsten-Mendes, Gun;
Cadernos de Saúde Pública , 2000, DOI: 10.1590/S0102-311X2000000400030
Abstract: this paper describes the professional profile of pharmacists as specialists in drug information. drug information (di) and drug information centers (dic) are defined. the fundamental activity of a dic should be that of providing passive information or answering questions. the advantage of a dic network is discussed, and strategies to implement the brazilian drug information system (sismed) are presented: investment in professional specialization and regular meetings of dic coordinators to exchange experiences. the different dics work within a cooperative protocol. four training courses have been held, resulting in the rapid development of brazil's national dic network. two national meetings of dic professionals have helped strengthen the brazilian drug information system.
Prescri??o de medicamentos para crian?as hospitalizadas: como avaliar a qualidade?
MEINERS, M.M.M.A.;BERGSTEN-MENDES, G.;
Revista da Associa??o Médica Brasileira , 2001, DOI: 10.1590/S0104-42302001000400036
Abstract: background: pediatric patients called "therapeutic orphans" are usually excluded from clinical trials for development of new drugs, which, sometimes, are used empirically. this study evaluates the prescriptions for pediatric inpatients, and proposes criteria for evaluation of the quality of the prescriptions. methods: the hospital pharmacist determined the prevalence of drug prescription in five pediatric wards. one day collection of all prescriptions for pediatric inpatients was performed in march, april, may and june 1999, and the data were jointly analyzed. six criteria were proposed for quality evaluation of the drug prescriptions. the drugs were classified according to the atc classification index. results: the prescriptions of a total of 322 patients were collected in the four collection days. the three most common diagnoses were: pneumonia 40.4%, meningitis and meningococcemia 6%, diarrhea and dehydration 6%. the three most prescribed therapeutic classes were: nervous system (n ) 109%, general antiinfectives for systemic use ( j ) 81.9% and respiratory system ( r ) 69,0%. the three most prescribed drugs were: metamizole 88.3%, fenoterol 30.7% and penicillin g 25.0%. the quality evaluation showed 1. an excessive use of the intravenous route, 2. appropriate dose schedule for drugs with narrow therapeutic index, 3. no therapeutic duplication, 4. prescription of unapproved and off-label drugs, 5. frequent potential adverse drug interactions, and 6. prescription of drugs not in the therapeutic formulary of the hospital. conclusion: very simple measures can improve the quality of the health care of pediatric inpatients as inclusion of adequate drug presentations in the hospital formulary, and a careful evaluation of the need of the intravenous route. this study also shows the hospital pharmacists acting as part of the multidisciplinary health care team.
Prescri o de medicamentos para crian as hospitalizadas: como avaliar a qualidade?
MEINERS M.M.M.A.,BERGSTEN-MENDES G.
Revista da Associa??o Médica Brasileira , 2001,
Abstract: Pacientes pediátricos, chamados "órf os terapêuticos", s o geralmente excluídos de ensaios clínicos para desenvolvimento de novos medicamentos, os quais s o usados em crian as de modo empírico e muitas vezes questionável. Este estudo descreve o padr o de prescri o de medicamentos para crian as hospitalizadas e prop e critérios para avaliar a qualidade da prescri o. MéTODOS: O farmacêutico hospitalar determinou a prevalência de prescri o de medicamentos em cinco enfermarias pediátricas, a partir da análise conjunta de dados reunidos em quatro coletas de um dia, nos meses de mar o, abril, maio e junho de 1999, quando foram registrados todos os medicamentos prescritos nas enfermarias em estudo. Foram propostos seis critérios para avaliar a qualidade das prescri es. Os medicamentos foram classificados pela ATC, classifica o recomendada pela OMS. RESULTADOS: Foi analisada a prescri o de 332 pacientes. Os diagnósticos mais freqüentes foram pneumonia (40,4%), meningite e meningococcemia 6%, diarréia e desidrata o 6%. As três classes terapêuticas mais prescritas foram: sistema nervoso (N) 109%, antiinfecciosos de uso sistêmico (J) 81,9% e sistema respiratório ( R ) 69%. Os três medicamentos mais prescritos foram dipirona 88,3%, fenoterol 30,7% e penicilina G 25,0%. A avalia o da qualidade, frente aos critérios propostos, mostrou: 1. excessivo uso da via endovenosa, 2. adequada dose dos medicamentos de baixo índice terapêutico, 3. nenhuma duplica o terapêutica, 4. presen a de prescri o de medicamentos n o aprovados para uso em pediatria ou para indica es n o aprovadas, 5. freqüentes intera es medicamentosas potenciais, e 6. prescri o de medicamentos n o padronizados pela institui o. CONCLUS O: Medidas simples, como o uso mais criterioso da via intravenosa e padroniza o adequada às necessidades dos pacientes pediátricos, podem acrescentar qualidade ao atendimento de crian as hospitalizadas e diminuir o seu desconforto. O trabalho mostra o resultado da integra o do farmacêutico hospitalar na equipe multiprofissional de saúde.
Sistema Brasileiro de Informa o sobre Medicamentos - SISMED
Vidotti Carlos C. F.,Hoefler Rogério,Silva Emília Vitória,Bergsten-Mendes Gun
Cadernos de Saúde Pública , 2000,
Abstract: Foram descritas as atividades do farmacêutico especialista em informa o sobre medicamentos (IM) e caracterizados os Centros de Informa o sobre Medicamentos (CIMs), deixando claro o que n o s o e o que s o - mitos e fatos. Foram apresentadas as defini es de IM e de CIMs e apresentadas as atividades usuais dos Centros, destacando a informa o passiva como atividade fundamental. Foi apresentado o Sistema Brasileiro de Informa o sobre Medicamentos (SISMED), uma rede de CIMs integrados através de um Protocolo de Coopera o que estabelece os requisitos mínimos para o funcionamento dos CIMs e os mecanismos de coopera o entre os Centros participantes. As estratégias para a forma o do SISMED foram a capacita o de recursos humanos e encontros dos responsáveis pelos CIMs. O treinamento de recursos humanos através de quatro cursos, deu suporte à implanta o rápida de CIMs pelo Brasil, preenchendo importante lacuna, e consolidando definitivamente esta atividade no país, dentro dos preceitos adotados mundialmente. Os encontros periódicos dos que trabalham nos CIMs fortaleceram os Centros, e consequentemente, o SISMED.
Point prevalence of drug prescriptions for elderly and non-elderly inpatients in a teaching hospital
Braga, Thais Baleeiro Teixeira;Pfaffenbach, Grace;Weiss, Débora Peterson Leite;Barros, Marilisa Berti de Azevedo;Bergsten-Mendes, Gun;
Sao Paulo Medical Journal , 2004, DOI: 10.1590/S1516-31802004000200003
Abstract: context: age-related pharmacokinetic and pharmacodynamic changes have been extensively documented, and several concurrent diseases may underlie multiple drug therapy in the elderly. as a result, the risk of adverse drug reactions and drug interactions increases among aged patients. however, only a few studies have compared the prescribing patterns for different age groups of hospitalized patients or have evaluated the effect of age on drug prescription. objective: to compare the prevalence of drug prescriptions for elderly inpatients, with those for non-elderly inpatients, in order to assess age-related differences in the number of prescribed drugs, drug choices and prescribed doses, and to evaluate the prescription appropriateness for the elderly patients. type of study: cross-sectional survey. setting: 400-bed tertiary care general teaching hospital. participants: all inpatients on one day of june 1995, except for the intensive care unit and for the departments of psychiatry, pediatrics and obstetrics and gynecology. procedures: all medicines prescribed to the eligible patients on the study day were recorded from the prescription sheets provided by the hospital pharmacy. main measurements: name, therapeutic class, and mean daily dose of the prescribed drugs. results: of the 273 eligible inpatients, 46.5% were 14-44 years old, 33% were 45-64 years old and 20.5% were > 64 years old. cancer was significantly more frequent among the elderly. the mean number of prescribed drugs was five for all age groups. the five most prescribed drugs for all patients were dipyrone, ranitidine, dipyrone in a fixed-dose combination, metoclopramide and cefazolin. the elderly had significantly more prescriptions for insulin, furosemide and enoxaparin. for most drugs, the mean prescribed dose showed that there was no dose adjustment for elderly patients, and drug choices for this age group were sometimes questionable. conclusions: there was little variation in the prescribing patterns fo
Page 1 /57374
Display every page Item


Home
Copyright © 2008-2017 Open Access Library. All rights reserved.