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Nursing in the hospital accreditation process: practice and implications in the work quotidian
Manzo, Bruna Figueiredo;Ribeiro, Helen Cristiny Teodoro Couto;Brito, Maria José Menezes;Alves, Marília;
Revista Latino-Americana de Enfermagem , 2012, DOI: 10.1590/S0104-11692012000100020
Abstract: the aim of this study was to investigate the role and influence of nursing in the hospital accreditation process. it is a qualitative study, conducted in a private hospital of belo horizonte. the study subjects were nine nurses and 15 nursing technicians. data collection was through semi-structured interviews, which were subjected to content analysis. the results showed that the role of the nursing team in the accreditation involves care, administrative, educational and research issues. the study subjects presented different perceptions regarding the influence of the accreditation process in their work. the positive aspects of personal growth and valorization of the curriculum were highlighted as well as negative aspects such as stress and little professional valorization. therefore, it is necessary that the professionals understand the logic of the process and act with a view to the interdisciplinarity and overcoming the fragmentation of care, thus achieving integral healthcare and the quality of care desired.
PARTICULARIDADES DO TRABALHO DO ENFERMEIRO NO SERVI O DE ATENDIMENTO MóVEL DE URGêNCIA DE BELO HORIZONTE
Mar lia Alves,Thays Batista da Rocha,Helen Cristiny Teodoro Couto Ribeiro,Gelmar Geraldo Gomes
Texto & Contexto - Enfermagem , 2013,
Abstract: Fue realizado un Estudio de Caso descriptivo y cualitativo que objetivó conocer la percepción de enfermeros sobre su trabajo en el Servicio de Atención Móvil de Urgencias. Los sujetos fueron 12 enfermeros y los datos fueron recolectados a través de entrevistas y sometidos al análisis de contenido. Los resultados muestran como aspectos positivos del trabajo: el dinamismo y la capacidad de resolución del servicio, su visibilidad en la red de salud, ejecución de las actividades de asistencia y la satisfacción en el trabajo. Los negativos implican: el poco conocimiento de la población acerca de la organización y el funcionamiento del Servicio, la exposición a los factores de riesgos ambientales y físicos, violencia en los barrios bajos en el momento del servicio y problemas de recepción de los pacientes en unidad de salud fija. Se puede observar que los aspectos positivos están relacionados con el contenido del trabajo y su propósito y los negativos con las condiciones del trabajo.
Hemorragia digestiva alta associada ao consumo de ácido acetilsalicílico e de anti-inflamatórios n?o-esteróides em Portugal Resultados do estudo PARAINES
Couto,Gilberto; Macedo,Guilherme; Ribeiro,Filipe;
Jornal Português de Gastrenterologia , 2010,
Abstract: introduction: acetylsalicylic acid (asa) and non-steroidal anti-inflammatory drugs (nsaids) are amongst the most prescribed drugs in the world and may lead to peptic ulcer related bleeding and death. patients and methods: paraines study was a multicentre and retrospective study whose objective was to characterize the magnitude and management of asa/nsaids related upper gastrointestinal bleeding in portugal (9 centres; referral population 2.5 million) in 2006. results: we report 291 hospitalizations for 280 patients (estimated incidence 145.5/100000 asa/nsaids consumers/year). two thirds were male; 68.7% were older than 65 years and 24.1% had a previous history of peptic ulcer. low-dose asa was the most prescribed drug. fifteen per cent of the patients with gastrointestinal risk were taking a proton pump inhibitor for gastric protection. 237 peptic ulcers were diagnosed, 51% with endoscopic high-risk stigmata, usually treated with dual injection therapy (77.2%) and iv proton pump inhibitors (33% high dose continuous infusion). ten patients died during hospitalization (3.6%; estimated incidence 5/100000 asa/nsaids consumers/year). conclusions: hospitalization and in-hospital mortality incidence of asa/nsaids related upper gastrointestinal bleeding in portugal were lower than expected; only a few patients with associated risk factors are actually on proton pump inhibitors prophylaxis; peptic ulcer bleeding treatment may be further optimized.
Pesquisa em enfermagem: fatores implicados na categoriza??o de dados
Chianca, Tania Couto Machado;Garcia, Telma Ribeiro;
Revista Latino-Americana de Enfermagem , 1996, DOI: 10.1590/S0104-11691996000700016
Abstract: in this study we aimed at training a nurse to apply communication techniques in order to become more therapeutic in her successive interpersonal relations. along the research we found categorization problems that were considered and analyzed.
Hemorragia digestiva alta associada ao consumo de ácido acetilsalicílico e de anti-inflamatórios n o-esteróides em Portugal Resultados do estudo PARAINES Upper gastrointestinal bleeding associated with acetylsalicylic acid and non-steroidal antiinflammatory drugs in Portugal Results from PARAINES study
Gilberto Couto,Guilherme Macedo,Filipe Ribeiro
Jornal Português de Gastrenterologia , 2010,
Abstract: INTRODU O: O ácido acetilsalicílico (AAS) e os anti-inflamatórios n o esteróides (AINE) s o dos fármacos mais prescritos em todo o mundo e associam-se a um elevado risco de hemorragia digestiva alta por úlcera péptica e morte. MATERIAL E MéTODOS: O estudo PARAINES, retrospectivo e multicêntrico, avaliou a express o e consequências da hemorragia digestiva alta associada ao consumo de AAS/AINE, e sua abordagem, no nosso país (9 centros, popula o de referência: 2,5 milh es), durante o ano de 2006. RESULTADOS: Ocorreram 291 admiss es relativas a 280 doentes (incidência estimada: 145,5/100 000 consumidores de AAS/AINE/ano). Dois ter os dos doentes eram do sexo masculino; 68,7% tinha mais de 65 anos e 24,1% tinha história prévia de úlcera péptica. O fármaco mais consumido foi o AAS (em baixa dose). Quinze por cento dos doentes de risco dizia fazer protec o gástrica com inibidores da bomba de prot es. Fez-se o diagnóstico de úlcera péptica em 237 casos; 51% tinham estigmas endoscópicos de alto risco e foram tratados com terapêutica injectável dupla (77,2%) e inibidores da bomba de prot es IV (33% altas doses, perfus o contínua). Faleceram 10 doentes no hospital (3,6%; incidência estimada: 5/100 000 consumidores de AAS/AINE/ano). CONCLUS ES: As incidências de internamento e de mortalidade por hemorragia digestiva alta associada ao consumo de AAS/AINE em Portugal s o inferiores às relatadas noutras séries; s o poucos os doentes de risco que fazem protec o gástrica; e existe algum espa o para optimizar a terapêutica da hemorragia digestiva alta por úlcera péptica de acordo com a evidência e recomenda es actuais. INTRODUCTION: Acetylsalicylic acid (ASA) and non-steroidal anti-inflammatory drugs (NSAIDs) are amongst the most prescribed drugs in the world and may lead to peptic ulcer related bleeding and death. PATIENTS AND METHODS: PARAINES study was a multicentre and retrospective study whose objective was to characterize the magnitude and management of ASA/NSAIDs related upper gastrointestinal bleeding in Portugal (9 centres; referral population 2.5 million) in 2006. RESULTS: We report 291 hospitalizations for 280 patients (estimated incidence 145.5/100000 ASA/NSAIDs consumers/year). Two thirds were male; 68.7% were older than 65 years and 24.1% had a previous history of peptic ulcer. Low-dose ASA was the most prescribed drug. Fifteen per cent of the patients with gastrointestinal risk were taking a proton pump inhibitor for gastric protection. 237 peptic ulcers were diagnosed, 51% with endoscopic high-risk stigmata, usually treated with dual injection thera
AINEs e HDA em Portugal. Necessário insistir na gastro-protec o! NSAIDs and upper bleeding in Portugal. It is necessary to insist in gastroprotection!
Gilberto Couto,Guilherme Macedo,Filipe Ribeiro
Jornal Português de Gastrenterologia , 2010,
Abstract:
Effect of Thermal Fluctuations in the Resonance Fluorescence of a Three-Level System
H. Couto,L. A. Amarante Ribeiro
Physics , 2001,
Abstract: The effect of thermal fluctuations in the resonance fluorescence of a three-level system is studied. The damped three-level system is driven by two strong incident classical fields near resonances frequencies. The simulation of a thermal bath is obtained with a large system of harmonic oscillators that represent the normal modes of the thermal radiation field. The time evolution of the fluorescent light intensities are obtained solving by a iterative method the Heisenberg equations of motion in the integral form. The results show that the time development of the intensity of the fluorescence light is strongly affected by the interaction of the system with the thermal bath.
Estudos in vitro e in vivo de análogo da timidina marcada com complexo organometálico de tecnécio-99m para potencial uso em diagnóstico tumoral
Santos, Rodrigo Luis Silva Ribeiro;Faintuch, Bluma Linkowski;Teodoro, Rodrigo;
Revista Brasileira de Ciências Farmacêuticas , 2008, DOI: 10.1590/S1516-93322008000100010
Abstract: thymidine analogs have been labeled with different radioisotopes due to their potential in monitoring the uncontrollable cell proliferation. considering that the radioisotope technetium-99m still keeps a privileged position as a marker due to its chemical and nuclear properties, this work was designed to develop a new technique of labeling of thymidine analog with 99mtc, by means of the organometallic compounds. the aims of this research were: synthesis of the organometallic precursor technetium-99m-carbonyl, thymidine labeling with this precursor, study of stability, and radiochemical e biological evaluation with healthy and tumor-bearing animals. the organometallic precursor and the labeling of thymidine with this precursor were resulted with a radiochemical pureness of > 97% and > 94%, respectively, with good radiochemical stability up to 6 h in room temperature. the cysteine and histidine challenge indicated losses between 8 and 11% for concentrations until 300 mm. the biodistribution assay in healthy mice revealed rapid blood clearance and low uptake by general organs with renal and hepatobiliary excretion. the tumor concentration was of 0.28 and 0.18 %id/g for lung and breast cancer, respectively. the results imply more studies in other thymidine analogs.
Miltefosine induces programmed cell death in Leishmania amazonensis promastigotes
Marinho, Fernanda de Aquino;Gon?alves, Keyla Cristiny da Silva;Oliveira, Selma Soares de;Oliveira, Ana-Carolina de Siqueira Couto de;Bellio, Maria;d'Avila-Levy, Claudia Masini;Santos, André Luis Souza dos;Branquinha, Marta Helena;
Memórias do Instituto Oswaldo Cruz , 2011, DOI: 10.1590/S0074-02762011000400021
Abstract: in the current study, we evaluated the mechanism of action of miltefosine, which is the first effective and safe oral treatment for visceral leishmaniasis, in leishmania amazonensis promastigotes. miltefosine induced a process of programmed cell death, which was determined by the externalization of phosphatidylserine, the incorporation of propidium iodide, cell-cycle arrest at the sub-g0/g1 phase and dna fragmentation into oligonucleosome-sized fragments. despite the intrinsic variation that is detected in leishmania spp, our results indicate that miltefosine causes apoptosis-like death in l. amazonensis promastigote cells using a similar process that is observed in leishmania donovani.
Constru o de um banco de termos da linguagem especial de enfermagem
Meire Chucre Tannure,Tania Couto Machado Chianca,Telma Ribeiro Garcia
Revista Eletr?nica de Enfermagem , 2009,
Abstract: Este artigo apresenta a metodologia empregada na constru o de um banco de termos da linguagem especialde Enfermagem descrevendo o processo de extra o e padroniza o de termos identificados em prontuários depacientes internados em uma unidade de tratamento intensivo de adultos, mapeando os termos extraídos comos termos existentes na CIPE - vers o 1.0 e classificando os termos n o constantes nos sete eixos dessaclassifica o. é possível identificar termos que s o utilizados na prática por enfermeiros e construir bancos determos que possam alimentar sistemas de informa o que auxiliem na operacionaliza o das etapas doprocesso de Enfermagem e na constru o de catálogos CIPE .
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