Analysis of the malnutrition-inflammation score (MIS) and phase angle (PHA) with clinical outcome in adult and elderly patients on dialysis at the dialysis center of a private hospital in São Paulo, Brazil.

Object Recent findings have suggested a correlation between obsessive-compulsive disorder (OCD) symptom dimensions and clinical outcome after limbic system surgery for treatment-refractory patients. Based on previous evidence that the hoarding dimension is associated with worse outcome in conventional treatments, and may have a neural substrate distinct from OCD, the authors examined a large sample of patients undergoing limbic surgery (40 with capsulotomy, 37 with cingulotomy) and investigated if symptom dimensions, in particular hoarding, could influence treatment outcome. Methods Data from 77 patients from 3 different research centers at São Paulo (n = 17), Boston (n = 37), and Stockholm (n = 23) were analyzed. Dimensional Yale-Brown Obsessive Compulsive Scale (Y-BOCS; São Paulo) or Y-BOCS Symptom Checklist scores (Boston and Stockholm) were used to code the presence of 4 well-established symptom dimensions: forbidden thoughts, contamination/cleaning, symmetry/order, and hoarding. Reductions in YBOCS scores determined clinical outcome. Results Mean Y-BOCS scores decreased 34.2% after surgery (95% CI 27.2%–41.3%), with a mean follow-up of 68.1 months. Patients with hoarding symptoms had a worse response to treatment (mean Y-BOCS decrease of 22.7% ± 25.9% vs 41.6% ± 32.2%, respectively; p = 0.006), with no significant effect of surgical modality (capsulotomy vs cingulotomy). Patients with forbidden thoughts apparently also had a worse response to treatment, but this effect was dependent upon the co-occurrence of the hoarding dimension. Only the negative influence of the hoarding dimension remained when an ANOVA model was performed, which also controlled for preoperative symptom severity. Conclusions The presence of hoarding symptoms prior to surgery was associated with worse clinical outcome after the interventions. Patients with OCD under consideration for ablative surgery should be carefully screened for hoarding symptoms or comorbid hoarding disorder. For these patients, the potentially reduced benefits of surgery need to be carefully considered against potential risks.

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Hand Hygiene Campaigns in a Private Hospital in São Paulo: Unconventional Approaches for Better Results

American Journal of Infection Control ◽

10.1016/j.ajic.2018.04.110 ◽

2018 ◽

Vol 46 (6) ◽

pp. S55

Author(s):

Raisa Beatrice Mourão Novo ◽

Diana Teixeira Franca ◽

Marcelle Rocha ◽

Glaucia Fernanda Varkulja ◽

Marcelle Rocha

Keyword(s):

Hand Hygiene ◽

Private Hospital ◽

Sao Paulo ◽

São Paulo

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Percepções dos enfermeiros sobre o conceito de assédio moral

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963-v12i3a23504p738-744-2018 ◽

2018 ◽

Vol 12 (3) ◽

pp. 738

Author(s):

Ellen Maria Hagopian ◽

Genival Fernandes Freitas ◽

Thais Araújo Silva ◽

Marcus Vinícius Lima Oliveira ◽

Kleber Souza Costa

Keyword(s):

Content Analysis ◽

Exploratory Study ◽

Concept Formation ◽

Private Hospital ◽

Sao Paulo ◽

São Paulo ◽

De Se ◽

Qualitative Descriptive ◽

Nursing Professionals ◽

The City

RESUMOObjetivo: identificar as percepções dos enfermeiros de um hospital privado do município de São Paulo com relação ao conceito do assédio moral. Método: estudo qualitativo, descritivo e exploratório, do qual participaram 11 enfermeiros. A coleta de dados foi realizada por meio de entrevistas com questões norteadoras posteriormente analisadas pela técnica de Análise de Conteúdo, na modalidade Categorização Temática. Resultados: a partir dos depoimentos dos enfermeiros, foi possível verificar as diversidades, divergências e dificuldades dos mesmos em definir corretamente o conceito de assédio moral. Conclusão: o estudo aponta para a importância de se criar espaços de discussão sobre o assédio moral no trabalho por causa da dificuldade que os profissionais enfermeiros têm em conceituar o termo assédio moral. Descritores: Enfermagem; Assédio não Sexual; Conflito; Comportamento Social; Formação de Conceito; Moral.ABSTRACT Objective: to identify the perceptions of the nurses of a private hospital in the city of São Paulo in relation to the concept of moral harassment. Method: qualitative, descriptive and exploratory study, in which eleven nurses participated. Data collection was done through interviews with guiding questions later analyzed by the technique of Content Analysis, in the Thematic Categorization modality. Results: from the nurses' testimonies, it was possible to verify the diversities, divergences and difficulties of the same in correctly defining the concept of moral harassment. Conclusion: the study points to the importance of creating spaces for discussion about Harassment at work because of the difficulty that Nursing professionals have in conceptualizing the term moral harassment. Descriptors: Nursing; Non-sexual Harassment; Confict; Social Behavior; Concept Formation; Moral.RESUMEN Objetivo: identificar las percepciones de los enfermeros de un hospital privado del municipio de São Paulo con relación al concepto del acoso moral. Método: estudio cualitativo, descriptivo y exploratorio, del cual participaron 11 enfermeros. La recolección de datos fue realizada por medio de entrevistas con cuestiones orientadoras posteriormente analizadas por la técnica de Análisis de Contenido, en la modalidad Categorización Temática. Resultados: a partir de los testimonios de los enfermeros, fue posible verificar las diversidades, divergencias y dificultades de los mismos en definir correctamente el concepto de acoso moral. Conclusión: el estudio apunta a la importancia de crear espacios de discusión sobre el acoso moral en el trabajo, debido a la dificultad que los profesionales enfermeros tienen en conceptualizar el término acoso moral. Descriptores: Enfermeira; Acoso no Sexual; Conflito; Conducta Social; Formación de Concepto; Moral.

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