Características sociodemográficas e clínicas de pacientes portadoras de cardiomiopatia periparto: contribuições para a enfermagem [Sociodemographic and clinical characteristics of peripartum cardiomyopathy patients: contributions to nursing] [Características sociodemográficas y clínicas de pacientes portadoras de cardiomiopatía periparto: contribuciones a la enfermería]

Objetivo: identificar as características clínicas e sociodemográficas das pacientes portadoras de cardiomiopatia periparto em unidade cardiointensiva de um hospital universitário no Estado do Rio de Janeiro. Método: estudo quantitativo, transversal, de análise documental em cinco prontuários, entre janeiro de 2014 a dezembro de 2016, obedecendo aos critérios preestabelecidos de inclusão e exclusão e iniciado após aprovação do Comitê de Ética e Pesquisa. Os dados foram coletados mediante um formulário próprio, tabulados em planilhas eletrônicas e analisados através de estatística descritiva simples. Resultados: houve predominância de idade entre 26-35 anos – 4 (80%), multíparas, etnia parda, internação para pós-operatório de parto cesárea – 4 (80%), internação inferior a 2 semanas 4 (80%). Dentre os problemas de enfermagem encontrados, estão o débito cardíaco diminuído e padrão respiratório ineficaz. Conclusão: divulgar as características sociodemográficas e clínicas dessa clientela pode ajudar a delimitar alguns problemas de enfermagem representativos nessa população.ABSTRACTObjective: to identify the clinical and sociodemographic characteristics of patients with peripartum cardiomyopathy in a cardiac intensive care unit of a university hospital in Rio de Janeiro State. Method: this quantitative, cross-sectional, documentary analysis studied five medical records, between January 2014 and December 2016, according to pre-established inclusion and exclusion criteria, after approval by the research ethics committee. Data were collected using a specific form, tabulated in electronic spreadsheets, and analyzed by simple descriptive statistics. Results: subjects were aged predominantly 26-35 years (4; 80%), multiparous, skin color brown, admitted for caesarean section postoperative care (4; 80%), and for less than 2 weeks (4; 80%). The nursing problems encountered included decreased cardiac output and ineffective respiratory pattern. Conclusion: disclosure of this clientele’s sociodemographic and clinical characteristics can help to delimit some representative nursing problems in this population.RESUMENObjetivo: identificar las características clínicas y sociodemográficas de las pacientes portadoras cardiomiopatía periparto en una unidad de cuidados intensivos coronarios de un hospital universitario en el Estado de Río de Janeiro. Método: estudio cuantitativo, transversal, de análisis documental en cinco historias clínicas, entre enero de 2014 y diciembre de 2016, obedeciendo a los criterios preestablecidos de inclusión y exclusión e iniciado tras la aprobación del Comité de Ética en Investigación. Los datos fueron recolectados a través de un formulario propio, tabulados en planillas electrónicas y analizados a través de estadística descriptiva simple Resultados: hubo predominancia de edad entre 26 y 35 años – 4 (80%), multíparas, etnia parda, internación para postoperatorio de parto cesárea - 4 (80%), internación inferior a 2 semanas – 4 (80%). Entre los problemas de enfermería encontrados, están el débito cardíaco disminuido y el patrón respiratorio ineficaz. Conclusión: divulgar las características sociodemográficas y clínicas de esa clientela puede ayudar a delimitar algunos problemas de enfermería representativos en esa población.

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Prevalência da Síndrome de Burnout entre trabalhadores hidroviários [Prevalence of Burnout Syndrome among waterway workers] [Prevalencia de la Síndrome de Burnout entre trabajadores por vía navegable]

Revista Enfermagem UERJ ◽

10.12957/reuerj.2018.26131 ◽

2018 ◽

Vol 26 ◽

pp. e26131 ◽

Cited By ~ 1

Author(s):

Jorge Luiz Lima da Silva ◽

Ândrea Cardoso de Souza ◽

Rafael Da Silva Soares ◽

Enéas Rangel Teixeira ◽

Felipe Dos Santos Costa ◽

...

Keyword(s):

Rio De Janeiro ◽

Associated Factors ◽

Work Organization ◽

Maslach Burnout Inventory ◽

Ethics Committee ◽

University Hospital ◽

Burnout Syndrome ◽

Cross Sectional ◽

Hospital Research ◽

Janeiro State

Objetivo: descrever a prevalência da suspeição de Síndrome de Burnout entre os trabalhadores, analisando possíveis fatores associados. Método: estudo observacional transversal. Os participantes da pesquisa foram 430 funcionários de empresa de transporte hidroviário, no Estado do Rio de Janeiro. O maslach burnout inventory foi utilizado para a avaliação do Burnout tendo sua prevalência observada, segundo critérios de Grunfeld e colaboradores. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa do Hospital Universitário Antônio Pedro, CAAE55109216.4.0000.5240. Resultados: a prevalência de suspeição de Síndrome de Burnout foi observada em 336 (78,1%), valor expressivo. Conclusão: pôde-se constatar que a síndrome se apresenta como possível complicação, relacionada à organização do trabalho, que independente de diversas variáveis investigadas, demonstrou-se presente.ABSTRACTObjective: to describe the prevalence of suspected Burnout Syndrome among workers, and to analyze possible associated factors. Method: the subjects of this cross-sectional observational study were 430 employees of a water transport company in Rio de Janeiro state. Burnout was identified using the Maslach Burnout Inventory, and its prevalence measured on the criteria of Grunfeld et al. The study was approved by the Antônio Pedro University Hospital research ethics committee (CAAE55109216.4.0000.5240). Results: suspected Burnout Syndrome was observed in 336 workers (78.1% prevalence), which is a considerable value. Conclusion: the syndrome was observed to present as a possible complication of work organization, independently of several study variables present.RESUMENObjetivo: describir la prevalencia de sospecha de Síndrome de Burnout entre los trabajadores, el analizando posibles factores asociados. Método: estudio transversal observacional. Los participantes de la investigación fueron 430 empleados de la empresa de transporte por vía navegable, en el estado de Río de Janeiro. Se utilizó el Maslach Burnout Inventory para la evaluación de Burnout, y su prevalencia fue observada de acuerdo con los criterios de Grunfeld y cols. La investigación fue aprobada por el Comité de Ética en Investigación del Hospital Universitario Antônio Pedro, CAAE55109216.4.0000.5240. Resultados: se observó la prevalencia de sospecha de Síndrome de Burnout en 336 (78,1%), valor expresivo. Conclusión: se pudo observar que el síndrome se presenta como posible complicación relacionada con la organización del trabajo que, independiente de diversas variables investigadas, demostró estar presente.

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Hepatitis A seroprevalence in public school children in Campos dos Goytacazes, Rio de Janeiro State, Brazil, prior to the introduction of the hepatitis A universal childhood vaccination

Cadernos de Saúde Pública ◽

10.1590/0102-311x00175614 ◽

2016 ◽

Vol 32 (11) ◽

Cited By ~ 2

Author(s):

Charbell Miguel Kury ◽

Marcelo Alves Pinto ◽

Jaquelline Pereira da Silva ◽

Oswaldo Gonçalves Cruz ◽

Claudia Lamarca Vitral

Keyword(s):

Skin Color ◽

Rio De Janeiro ◽

Hepatitis A ◽

Protective Factor ◽

Hepatitis A Virus ◽

Childhood Vaccination ◽

Cross Sectional ◽

White Skin ◽

Total Prevalence ◽

Janeiro State

Abstract: This cross-sectional study was carried out between August 2011 and July 2012 in the city of Campos dos Goytacazes in Rio de Janeiro State, Brazil. Dried blood spot samples were collected on filter paper from 919 individuals between the ages of 1 and 19 and were tested for antibodies against the hepatitis A virus (anti-HAV). The total prevalence was 20.7%, while 94.7% of children under the age of 5 were found to be susceptible to HAV infection. The prevalence of anti-HAV increased with age, reaching 33.3% among individuals aged between 15 and 19, thereby indicating that this municipality has a low level of endemicity for hepatitis A. Age, non-white skin color, accustomed to swimming in the river and more than five people living at home were the factors that were associated with an increase in the chance of a positive anti-HAV result. Mother's education level (secondary or tertiary) was considered a protective factor for HAV infection. The data obtained showed that a large proportion of the children from Campos dos Goytacazes were at risk of HAV infection, which should be minimized with the introduction of the vaccination program against hepatitis A that was launched in the municipality in 2011.

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Clinical characteristics and in-hospital outcome of heart failure in women: a single center registry from Egyptian cardiac care unit

The Egyptian Heart Journal ◽

10.1186/s43044-019-0032-0 ◽

2019 ◽

Vol 71 (1) ◽

Cited By ~ 1

Author(s):

Hala Mahfouz Badran ◽

Marwa Ahmed Elgharably ◽

Naglaa Faheem

Keyword(s):

Clinical Characteristics ◽

Heart Diseases ◽

University Hospital ◽

Cardiac Care ◽

Single Center ◽

Term Outcome ◽

Cross Sectional ◽

Valvular Heart Diseases ◽

Significant Difference ◽

Cardiac Care Unit

Abstract Background This study represents figures from a cardiac care unit (CCU) of a university hospital; it describes an example of a tertiary academic center in Egypt and provides an epidemiological view of the female HF patients, their risk profile, and short-term outcome during hospitalization. Results It is a local single-center cross-sectional observational registry of CCU patients 1 year from July 2015 to July 2016. Patient’s data were collected through a special software program. Women with evidence of HF were thoroughly studied. Among the 1006 patients admitted to CCU in 1 year, 345 (34.2%) patients were females and 118 (34.2%) had evidence of HF, whereas 661 (65.7%) were males and 178 (26.9%) of them had HF. Women with HF showed 11.7% prevalence of the total population admitted to CCU. 72.7% were HFrEF and 27.3% were HFpEF. Compared to men, women with HF were older in age, more obese, less symptomatic than men, had higher incidence of associated co-morbidities, less likely to be re-admitted for HF, and less likely to have ACS and PCI. Valvular heart diseases and cardiomyopathies were the commonest etiologies of their HF. Women had more frequent normal ECG, higher EF%, and smaller LA size. There is no difference in medications and CCU procedures. While females had shorter stay, there is no significant difference in hospital mortality compared to male patients. Conclusions Despite higher prevalence of HF in females admitted to CCU and different clinical characteristics and etiology of HF, female gender was associated with similar prognosis during hospital course compared to male gender.

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Working hours and health in nurses of public hospitals according to gender

Revista de Saúde Pública ◽

10.1590/s1518-8787.2017051006808 ◽

2017 ◽

Vol 51 (0) ◽

Cited By ~ 4

Author(s):

Juliana da Costa Fernandes ◽

Luciana Fernandes Portela ◽

Rosane Härter Griep ◽

Lúcia Rotenberg

Keyword(s):

Rio De Janeiro ◽

Reference Group ◽

Working Hours ◽

Cross Sectional Study ◽

Public Hospitals ◽

Cross Sectional ◽

Long Working Hours ◽

Self Rated Health ◽

Janeiro State

ABSTRACT OBJECTIVE To assess the association between weekly working hours and self-rated health of nurses in public hospitals in Rio de Janeiro, State of Rio de Janeiro, Brazil. METHODS A total of 3,229 nurses (82.7% of the eligible group) participated in this cross-sectional study, carried out between April 2010 and December 2011. The collection instrument consisted of a self-administered multidimensional questionnaire. The weekly working hours were calculated from a recall of the daily hours worked over seven consecutive days; this variable was categorized according to tertiles of distribution for men and women. The outcome of interest, self-rated health, was categorized into three levels: good (very good and good), regular, and poor (poor and very poor). The statistical analysis of the data included bivariate and multivariate analyses, having as reference group those with short working hours (first tertile). All the analyses were stratified by gender and elaborated using the program SPSS. RESULTS Among women, the group corresponding to the longest working week (more than 60.5 hours per week) were more likely to report regular self-rated health, compared with those with shorter working hours, after adjusting for confounding factors (OR = 1.30; 95%CI 1.02–1.67). Among men, those with average working hours (49.5–70.5 hours per week) were more than twice as likely to rate their health as regular (OR = 2.17; 95%CI 1.08–4.35) compared to those with shorter working hours (up to 49.5 hours). There was no significant association between long working hours and poor self-rated health. CONCLUSIONS The results point to the urgent need to promote interventions in the organization of work and appreciation of the nursing profession, in order to reduce the number of multiple jobs and thus contribute to mitigate potential effects on the health of workers and the quality of care in hospitals.

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Epidemiological profile of farmworkers from the state of Rio de Janeiro

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0555 ◽

2019 ◽

Vol 72 (suppl 1) ◽

pp. 122-128 ◽

Cited By ~ 2

Author(s):

Riva Schumacker Brust ◽

Luíza Pereira Maia de Oliveira ◽

Aline Cerqueira Santos Santana da Silva ◽

Isabel Cristina Ribeiro Regazzi ◽

Gilberto Santos de Aguiar ◽

...

Keyword(s):

Elementary Education ◽

Regional Differences ◽

Rio De Janeiro ◽

Cross Sectional Study ◽

Cross Sectional ◽

Occupational Risks ◽

The Family ◽

Epidemiological Profile ◽

The City ◽

Janeiro State

ABSTRACT Objective: to describe the epidemiological profile of farmworkers exposed to pesticides in the city of Casimiro de Abreu, Rio de Janeiro State. Method: cross-sectional study, conducted through a questionnaire. The collected data were typed in spreadsheet and processed in the R software. Results: the predominance of female participants, between 40 and 60 years old, married, with some elementary education was observed. Furthermore, the family labor and the production for their own consumption and trade prevail. Herbicide is the most widely used pesticide. Most informants present poisoning symptoms, as they do not use Personal Protective Equipment nor sunscreen. Breast cancer is the most frequent in families; among the participants, 31% had hypertension and 6.4% diabetes. Conclusion: a population vulnerable to environmental and occupational risks, specially the middle-aged group and women, sets up a profile marked by regional differences.

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People living with AIDS: Association between nursing diagnoses and sociodemographic/clinical characteristics

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0420 ◽

2018 ◽

Vol 71 (5) ◽

pp. 2535-2542 ◽

Cited By ~ 1

Author(s):

Richardson Augusto Rosendo da Silva ◽

Romanniny Hévillyn Silva Costa ◽

Laísi Catharina da Silva Barbalho Braz ◽

Indira de Araújo Lucena ◽

Kalyane da Silva Ferreira ◽

...

Keyword(s):

Clinical Characteristics ◽

Illicit Drugs ◽

Family Income ◽

Cross Sectional Study ◽

University Hospital ◽

Clinical Aspects ◽

Access To Health Services ◽

Hospital Data ◽

Cross Sectional ◽

Nursing Diagnoses

ABSTRACT Objective: To analyze the association between nursing diagnoses and sociodemographic and clinical characteristics in people living with AIDS. Method: Cross-sectional study with 100 people living with AIDS in a University Hospital. Data collection took place between January and July 2015, using an interview script and physical examination. The association occurred through Pearson's Chi-Square Test and Fisher's Exact Test. Results: The most prevalent nursing diagnoses were: ineffective protection, poor knowledge, lack of adherence and sexual dysfunction. Significant associations were observed among nursing diagnoses with the following sociodemographic and clinical characteristics: marital status, place of residence, level of schooling, family income, modes of transmission of acquired immunodeficiency virus, current opportunistic infection, abandonment of treatment, difficulty of access to health services and use of alcohol and illicit drugs. Conclusion: The diagnoses presented significant associations with sociodemographic and clinical aspects.

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Frequency of Equine Monocytic Ehrlichiosis (EME) in Brazil

Pesquisa Veterinária Brasileira ◽

10.1590/s0100-736x2013000600001 ◽

2013 ◽

Vol 33 (6) ◽

pp. 697-699 ◽

Cited By ~ 3

Author(s):

Leonardo M.C. Moreira ◽

Karen M. Cardoso ◽

Ary E. Aboud-Dutra ◽

Camile M. Ferrão ◽

Gilberto S. Gazêta

Keyword(s):

Rio De Janeiro ◽

Immunofluorescence Assay ◽

Ratio Test ◽

Santa Catarina ◽

Cross Sectional ◽

Metropolitan Regions ◽

Exact Test ◽

Future Studies ◽

Physiographic Regions ◽

Janeiro State

From a cross-sectional observational study with convenience samples, 347 blood samples from horses were collected from different physiographic regions, as follows: Santa Catarina Plateau (Santa Catarina State - SC), Médio Paraíba do Sul (São Paulo State - SP and Rio de Janeiro State RJ), Mountainous and Metropolitan regions (Rio de Janeiro State - RJ). Samples were tested for the presence of antibodies (IgG) anti Neorickettsia risticii by indirect immunofluorescence assay (IFA). The frequency obtained in this study corroborates with the ones obtained in the U.S.A., which refers to endemic regions. Fisher's exact test showed significant differences in the number of positive animals between regions, indicating that the probability of an animal becoming infected varies depending on the area. The CI 95% revealed no association between infection and geopolitical space. Moreover, Odds ratio test showed differences of an animal getting infected in different regions. This event could be influenced by the type of treatment used in each area, as the seasonal frequency of injury or even potential vectors. Therefore, there are seropositive animals for N. risticii in the studied areas, suggesting that this agent may be circulating in those regions. Future studies mainly based on molecular analyzes are needed to confirm these serological findings.

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Medication time out as a strategy for patient safety: reducing medication errors

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0136 ◽

2021 ◽

Vol 74 (1) ◽

Author(s):

Laís Lima Santos ◽

Flávia Giron Camerini ◽

Cíntia Silva Fassarella ◽

Luana Ferreira de Almeida ◽

Daniel Xavier de Brito Setta ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Medication Errors ◽

University Hospital ◽

P Value ◽

Cardiac Intensive Care Unit ◽

Cross Sectional ◽

Material Resources ◽

Time Out ◽

Cardiac Intensive Care

ABSTRACT Objectives: to analyze the implementation of the medication time out strategy to reduce medication errors. Methods: this is a quantitative, cross-sectional, inferential study, with direct observation of the implementation of the medication time out strategy, carried out in a cardiac intensive care unit of a university hospital in Rio de Janeiro. Results: 234 prescriptions with 2,799 medications were observed. Of the prescriptions analyzed, 143 (61%) had at least one change with the use of the strategy. In the prescriptions altered, 290 medications had some type of change, and 104 (35.9%) changes were related to potentially harmful medication. During the application of the strategy, prescriptions with polypharmacy had 1.8 times greater chance of presenting an error (p-value = 0.031), which reinforces the importance of the strategy for prescriptions with multiple medications. Conclusions: the implementation of the medication time out strategy contributed to the interception of a high number of medication errors, using few human and material resources.

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Suicide attempts in emergency department

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.351 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S170-S170

Author(s):

K. Hajji ◽

I. Marrag ◽

R. Ben soussia ◽

L. Zarrouk ◽

S. Younes ◽

...

Keyword(s):

Emergency Department ◽

Clinical Characteristics ◽

Suicide Attempts ◽

Cross Sectional Study ◽

University Hospital ◽

Medical Emergency ◽

Cross Sectional ◽

Adequate Care ◽

Competing Interest ◽

The University

IntroductionThe suicide attempt is a real challenge for the clinician who works at the emergency department in order to identify and propose an adequate care.AimsTo estimate the prevalence of the suicide attempts, to describe the sociodemographic and clinical characteristics and to identify the predictors of recurrence.MethodsOur cross-sectional study was conducted at the medical emergency department of the university hospital of Mahdia and lasted for 12 months. Data were collected using a questionnaire of 51 items exploring the general and clinical characteristics and providing information of the treatment.ResultsAmong the 513 consultants, 90 had attempted suicide (17,5%). We found an average age of 26 years old, a sex-ratio (M/F) of 0,3, a secondary education level (53,3%), an unemployment and a single status (38,9% and 75,6%). The presence of psychiatric personal history and/or suicide attempts was found in 31,1% and 33,3% of cases. Suicide attempts were taken place in all cases at home, between 18 and midnight (43,3%), without premeditation (82,2%), in the presence of triggering factor (95,6%), during the last 3 months of the year (34,4%). In 70,2% of cases, the type of the suicide attempts was a drug intoxication. 67,8% of the suicide attempters regretted and criticized their acts.ConclusionA good assessment of the suicide risk determines the type of intervention that should be established and allows an adequate care.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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