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DESBRIDAMENTO CIRúRGICO E A COMPETêNCIA LEGAL DO ENFERMEIRO
Isabel Cristina Ramos Vieira Santos,Regina C lia de Oliveira,Mailton Alves da Silva
Texto & Contexto - Enfermagem , 2013,
Abstract: El estudio tuvo como objetivo analizar los dispositivos legales de la profesión, relacionados conel tema de desbridamiento quirúrgico. Esta es una investigación documental con un análisis categórico de datos. Los datos fueron recolectados a través de la web del Consejo Regional de Enfermería. El material fue sometido a la técnica de análisis de contenido. Los resultados revelaron tres categorías: El tema del documento y la temática del texto, Definición y clasificación de desbridamiento, una amplia gama de conceptos y Conclusión de documentos a la competencia legal de los enfermeros para llevar a cabo el desbridamiento quirúrgico. Los resultados de la análisis categórico mostró la necesidad de una política única de la agencia federal que regule la práctica del desbridamiento quirúrgico conservador para los enfermeros teniendo en cuenta: la normalización de los términos, para evitar diferentes interpretaciones, actitudes y límites de ejecución, teniendo en cuenta las indicaciones y contraindicaciones de este método más allá de los requisitos para la formación necesaria.
Prevalência de pé diabético e fatores associados nas unidades de saúde da família da cidade do Recife, Pernambuco, Brasil, em 2005
Vieira-Santos, Isabel Cristina Ramos;Souza, Wayner Vieira de;Carvalho, Eduardo Freese de;Medeiros, Maria Carolina Wanderley Costa de;Nóbrega, Milka Gabrielle de Lira;Lima, Patrícia Michelly Santos;
Cadernos de Saúde Pública , 2008, DOI: 10.1590/S0102-311X2008001200015
Abstract: one of the most important chronic complications of diabetes mellitus is diabetic foot. severe progression of diabetes can lead to lower limb amputations. however, since evolution of the disease is slow, it is possible to implement prevention and control measures. the scope of the family health program (in terms of the possibility of early diagnosis of diabetes mellitus and diabetic foot) favors epidemiological studies to determine the problem's magnitude. this article aimed to identify the proportion of individuals with diabetic foot treated at family health units in the city of recife, pernambuco state, brazil. an epidemiological survey was conducted with a probabilistic sample of medical charts of diabetic patients (n = 1,374) enrolled in six health districts in the city, analyzing relations between socioeconomic variables, health conditions, and the occurrence of amputation. diabetic foot was observed in 9% of the sample. there was a positive and statistically significant association with the variables alcoholism and amputation (p < 0.001). the prevalence of lower limb amputations was 25.6% among individuals with complications and 2.3% of the total sample.
Complica??es cr?nicas dos diabéticos tipo 2 atendidos nas Unidades de Saúde da Família, Recife, Pernambuco, Brasil
Santos, Isabel Cristina Ramos Vieira;Carvalho, Eduardo Freese de;Souza, Wayner Vieira de;Medeiros, Maria Carolina Wanderley Costa de;Nóbrega, Milka Gabrielle de Lira;Lima, Patrícia Michelly Santos;
Revista Brasileira de Saúde Materno Infantil , 2008, DOI: 10.1590/S1519-38292008000400008
Abstract: objectives: to analyze the complications associated with type 2 diabetes in patients seen by family health units. methods: a study was conducted of the family health units of the six health districts of the city of recife, state of pernambuco, brazil, with a sample of 1374 records of diabetic patients registered on the family health program. the variables used were: the occurrence of macro-and microvascular complications, age, sex, years of schooling, alcohol consumption, smoking, first and last glucose recorded. results: there was a higher rate of complications in women (71.5%) compared to men (29.5%). of the total, 58.9% had at least one complication. the macrovascular complications corresponded to 95.6%. the peripheral vascular disease was responsible for 92.1%, when considered as a single complication. there was an association between the age of 66 years or more and macrovascular complications, with a prevalence of 37.8%. microvascular complications were half as common among women as among men (3.6 x 6.4) and this represents a statistically significant difference (p=0.04). smoking was shown to be associated with microvascular complications (p<0001). conclusions: the results point to a need to strengthen, alongside basic health services, measures recommended by the health department, aiming to reduce risk factors and the impact of complications.
Communication skills: a mandatory competence for ground and airplane crew to reduce tension in extreme situations
Ana Maria Vieira,Isabel Cristina dos Santos
Journal of Aerospace Technology and Management , 2010,
Abstract: Communication skills have been considered a strategic asset for any kind of organization. However, technical-oriented enterprises usually emphasize the virtues of a cluster of technical competences and technological resources availability. So, this paper aimed to discuss communication skills development beyond technical communication in a high technology and technical-based operation, such as ground and flight operations. To do so, this article describes some tragic-ending cases in commercial aviation in which the poor quality of interpersonal communication was identified as the one of the most influential causes of the aircraft, or at least that was seen as a compelling force for creating the perfect backdrop for a disaster involving civilian aircrafts. Methodological procedures were basically addressed to a qualitative approach, supported by a documental research considering some of the most documented cases of aircraft accidents reported by the Aviation System Safety Report, issued by Federal Aviation Administration (FAA), USA, as well as reports of accidents provided by The National Transportation Safety Board (NTSB), USA, and by the Center for Aircraft Research and Prevention (Cenipa), Brasil.
Os Doutores da Alegria na unidade de interna??o pediátrica: experiências da equipe de enfermagem
Oliveira, Roberta Ramos de;Oliveira, Isabel Cristina dos Santos;
Escola Anna Nery , 2008, DOI: 10.1590/S1414-81452008000200005
Abstract: the study was focused on the nursing staff experience with clown doctors intervention at one unit of pediatric internment. the objectives were to describe the nursing staff knowledge regarding the clown doctors’ performance and to analyze the nursing staff experience with this group. a qualitative study was conducted with ten members of the nursing staff by applying non-directive interview in group. the results highlighted the recognition of the benefits of this intervention over the children illness recovery during their internment, as well as the triad of relations between clowns, accompanying mother and nursing staff. it is concluded that the clowns act as helpers agents, attempting against for the fact of that tricks and toys constitute resources, that may/might to be used in the hospital context, causing new meanings to the taking care of.
Decis?es clínicas na doen?a de Crohn
Magro,Fernando; Correia,Luis; Lago,Paula; Macedo,Guilherme; Peixe,Paula; Portela,Francisco; Dias,Jorge Amil; Barros,Luísa; Belo,Teresa; Caldeira,Paulo; Cerqueira,Rute; Chagas,Cristina; Correia,Manuel; Ferreira,Aníbal; Freire,Paulo; Gon?alves,Ana Rita; Gon?alves,Raquel; Herculano,Rita; Lopes,Susana; Santos,Paula Moura; Machado,Artur; Morna,Henrique; Pimentel,Rita; Ramos,Jaime; Reis,Jorge; Rodrigues,Susana; Rosa,Isadora; Salgado,Marta; Vasconcelos,Helena; Vieira,Ana Isabel;
Jornal Português de Gastrenterologia , 2012,
Abstract: introduction: crohn’s disease is a chronic inflammatory disease from gastrointestinal tract. the increase in incidence and heterogeneity of this pathology, with different presentations and prognostics leads to a constant concern in developing and improving its classification and treatment. objectives: to establish recommendations (based on level of evidence and recommendation grades) to 5 questions considered as the clinical challenges of the therapeutic approach in crohn’s disease. methods: the methodology adopted by the working group dc2 (desafios clínicos na doen?a de crohn) was based on the selection of 5 questions, by voting, and establishing recommendations to each question proposed to each subgroup. discussion and approval of reflexions and final recommendations was carried out in a consensus meeting. conclusion: it has been possible to base conclusions about the questions under study on evidence, being recommended: 1) having crohn’s disease under 40 years old, structuring phenotype disease and anal disease are predictive factors of bad prognostic; 2) it is possible to consider suspension of biologics in patients with endoscopic remission and normal biomarkers; 3) patients with biochemical markers of disease activity (crp and calprotectina) have more probability of relapse; 4) in failure of biologics it is essential to assure that treatment with the first drug was optimized: with infliximab it’s demonstrated that either reduction of the administration range or increasing the dose allows to recover the response in the majority of patients; as for adalimumab, patients should change from bimonthly to weekly administrations; 5) in case of crohn’s disease with intestinal surgery, use of therapeutic to reduce postoperative recurrence is indicated, particularly immunosupressors and biologics
Psychosocial adjustment in infertility: a comparison study of infertile couples, couples undergoing assisted reproductive technologies and presumed fertile couples
Moura--Ramos,Mariana; Gameiro,Sofia; Soares,Isabel; Santos,Teresa Almeida; Canavarro,Maria Cristina;
Psicologia, Saúde & Doen?as , 2010,
Abstract: the aim of the present study was to investigate psychosocial adjustment and infertility related stress of infertile couples and couples undergoing assisted reproductive technologies (art). in a cross sectional study, 148 couples were recruited: 79 couples undergoing art, 25 infertile couples in their first medical appointment in an infertility centre and no previous art treatments and 44 childless couples in reproductive age without infertility history. measures assessed emotional adjustment, quality of life, marital relationship and infertility stress. couples were the focus of the analysis. results indicated that couples undergoing art presented more adjustment difficulties, especially women. no significant differences were found in marital adjustment, although art couples idealized their marital relationship to a higher degree. results are discussed in terms of clinical implications and future research directions.
Organizational enlargement: the dominance of time and space relation by transnational enterprises Desfronteiriza o organizacional: o domínio da rela o tempo e espa o pelas organiza es transnacionais
Isabel Cristina dos Santos
Revista Ibero-Americana de Estratégia , 2007, DOI: 10.5585/riae.v2i1.31
Abstract: This work paper aims to discuss the new time and space orientations imposed by transnational companies, mostly supported by the advances of remote communication technologies which has been developed towards to better control new production systems and industrial partnerships. On the other hand, these technologies make new labor forms and relationships possible. In the background of the changes are the efforts to control the variability of the whole organizational environment towards the control of the individual space through global markets. The methodology approach is based on qualitative analysis and bibliografic research related to the taylorist industrial model, organizational culture and employee’s management tools. The conclusion indicates that labor relations are changing and also the individual organizational spaces and roles, previously defined by scientific management. Globalization and a new economic global order, controlled by transnational companies, lead to the rapid rebuilding of organizational reality and competitiveness model, and also interfere with the political and social space of the new industrial localities. O objetivo deste trabalho é discutir as novas orienta es espa o-temporais impostas pelas organiza es transnacionais, as quais se valem dos avan os na tecnologia de comunica o remota e dos sistemas telemáticos para estabelecer novos sistemas de produ o e de rela es de trabalho, configurando uma forma contemporanea de explora o econ mica. O pano de fundo das mudan as é o controle da variabilidade no macroambiente organizacional para domínio dos espa os individuais, por meio da globaliza o dos mercados. Este trabalho foi baseado em pesquisa bibliográfica relacionada ao debate sobre o modelo organizacional mecanicista, à cultura organizacional e aos instrumentos de gest o de recursos humanos. A pesquisa aponta para a transforma o das rela es de trabalho e dos espa os dos indivíduos, antes definidos pelo gerenciamento científico. A globaliza o e a nova ordem econ mica mundial, sob o controle das organiza es transnacionais, imp em rápidas reconstru es da realidade e do modelo competitivo empresarial, interferindo nos espa os sociais e políticos das localidades.
A vis?o do estudante de enfermagem sobre o desenvolvimento do estágio curricular no período noturno
Oliveira, Isabel Cristina dos Santos;
Revista da Escola de Enfermagem da USP , 1996, DOI: 10.1590/S0080-62341996000100007
Abstract: this preliminary work was based in the qualitative method, about the opinion of the college students nursing in the seventh (7h) stage of the course about the development of the curriculary experience on the night shift. thirty (30) relates were identifyed in the respective aspects: importance of the experiences, relationship between overseer nurse and multidisciplinary health care team; difference between day shift and night shift. the most part of the related demonstrates that it's been valided and they've given emphasis, only, in relationship between overseer nurse and multidisciplinary health care team, without emphasizing the effective contribution on the practice knowledge. the relatings emphasized the difference among the shifts. it follows that is necessary an extense discussion of the teachers, nursing body and college students nursing body, under the effective objectives of the practice curriculary experience for professional qualification.
O advento das incubadoras e os cuidados de enfermagem aos prematuros na primeira metade do século XX
Oliveira, Isabel Cristina dos Santos;
Texto & Contexto - Enfermagem , 2004, DOI: 10.1590/S0104-07072004000300017
Abstract: the objectives of this study are: to describe the different types of incubators that existed through the first half of the 20th century and to list the kinds of nursing care given to premature babies concerning the use of incubators. it is a historical study. the primary sources are two articles that are found in the national library, and three articles that were published in the brazilian nursing review in the 1940s and in the 1950s; and the secondary sources are books and articles of national and international periodicals on themes related to pediatric and neonatology history. the types of incubators were closed, semi-closed and open. as far as the nursing care is concerned, one noticies two moments: the immediate care, relating to the first care given to the newborn in the delivery room and its transportation to the nursery, preferably in an incubator, and the intermediate cares, relating to the care given in the nursery. we conclude that it has influenced directly the care given to the premature babies since it requires a more specific assistance.
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