Characterization of the episodes of severe hypoglycemia evaluated by a pre-hospital care unit of a reference hospital

2014 ◽  
Author(s):  
Cesar Esteves ◽  
Manuel Celestino Neves ◽  
Rui Baldaia ◽  
Joao Sa ◽  
Davide Carvalho
Keyword(s):  
Hospital Care ◽  
Severe Hypoglycemia ◽  
Reference Hospital

Characterization of severe hypoglycemia episodes evaluated in the emergency department of a central hospital

2014 ◽  
Author(s):  
Cesar Esteves ◽  
Manuel Celestino Neves ◽  
Rui Baldaia ◽  
Joao Sa ◽  
Davide Carvalho
Keyword(s):  
Emergency Department ◽  
Severe Hypoglycemia ◽  
Central Hospital

scholarly journals Characterization of service of a pre-hospital care service to older persons involved in fall / Caracterização do atendimento de um serviço pré-hospitalar a idosos envolvidos em queda

2018 ◽  
Vol 10 (1) ◽  
pp. 62
Author(s):  
Thainara Araujo Franklin ◽  
Hemilena Carmo Da Silva Santos ◽  
Julival Andrade Santos Junior ◽  
Alba Benemérita Alves Vilela
Keyword(s):  
Hospital Care ◽  
Older Persons ◽  
Care Service

Introdução: O RISCO DE QUEDA EM IDOSOS É UM DOS GRAVES PROBLEMAS DE SAÚDE PÚBLICA DEVIDO À ALTA PREVALÊNCIA, AS COMPLICAÇÕES E AOS ALTOS CUSTOS PARA OS SERVIÇOS DE SAÚDE. Objetivo: ANALISAR AS CARACTERÍSTICAS DO ATENDIMENTO DO SAMU AOS IDOSOS ENVOLVIDOS EM QUEDA NO ANO DE 2013. Métodos: ESTE É UM ESTUDO DESCRITIVO, RETROSPECTIVO, DE ANÁLISE DOCUMENTAL, COM ABORDAGEM QUANTITATIVA, DESENVOLVIDO NO SAMU NA CIDADE DE JEQUIÉ/BA. Resultados: A AMOSTRA FOI CONSTITUÍDA POR 183 IDOSOS VÍTIMAS DE QUEDA, COM IDADES A PARTIR DE 60 ANOS. MAIOR NÚMERO DE QUEDAS NAS MULHERES 68,3%, ENQUANTO NOS HOMENS FORAM 32,7%. A MAIORIA DAS QUEDAS OCORREU DA PRÓPRIA ALTURA, CORRESPONDENDO A 85,8%. QUANTO A IDADE, OS IDOSOS COM 80 ANOS OU MAIS SOFRERAM MAIS QUEDAS 43,7%. Conclusão: OS RESULTADOS APONTAM PARA UMA NECESSIDADE DE NOVAS PESQUISAS REFERENTES AO SERVIÇO PRÉ-HOSPITALAR COM RELAÇÃO AO ATENDIMENTO AO IDOSO.

scholarly journals Epidemiological and sociodemographic characterization of women and men with cancer in a State in the Brazilian Amazon

2020 ◽  
Vol 8 (6) ◽  
pp. 545-576
Author(s):  
Carlos Alberto Paraguassu Chaves ◽  
Allan Kardec Duailibe Barros Filho ◽  
Carlos de Andrade Macieira ◽  
Fabrício Moraes de Almeida ◽  
Lenita Rodrigues Moreira Dantas ◽  
...  
Keyword(s):  
The State ◽  
Primary Data ◽  
Cross Sectional ◽  
Unified Health System ◽  
Informed Consent Form ◽  
Health Council ◽  
Reference Hospital ◽  
Therapeutic Procedures ◽  
Epidemiological Profile

Objective: Objective: Analyzes the epidemiological and sociodemographic characterization of women and men with cancer in the State of Rondônia, Western Amazon (Brazil), diagnosed over a period of 2 (two) years. Materials and Methods: It is a documentary, cross-sectional and descriptive study, with the systematization of primary data, according to the methodological model recommended by Paraguassú-Chaves et al [25]. We used an instrument developde by Paraguassu-Chaves et al [26], semi-structured, divided into two blocks: (a) Block I – sociodemographic profile and (b) Block II – epidemiological profile. The Ethics Committee on Human Research at the reference hospital was asked to waive the Informed Consent Form. The research project is in accordance with Resolution 196/96 of the National Health Council of Brazil. Results: Of the 3.333 new cases of cancer, 53.4% ​​were female and 46.5% male. The 10 (ten) most common types of cancer among men and women in Rondônia over a 2-year period were non-melanoma skin (C44), breast (C50), prostate (C61), cervix (C53), stomach (C16), thyroid gland (C73), bronchi and lungs (C33-C34), colon (C18), reticuloendothelial hematopoietic system (C42) and rectal cancer (C20). An age range of 50 to 69 years was predominant in both sexes and patients with low educational level. The highest frequency was for married patients. There was a predominance of brown skin, patients born in the State of Rondônia (22.6%) and agricultural workers. The Unified Health System - SUS was responsible for the entry for treatment of 99.5% of patients. Most patients underwent “other isolated therapeutic procedures” and with the disease in advanced stages. Conclusions: The estimate of new cancer cases in Rondônia follows an increasing trend. The scenarios selected from the variables of the sociodemographic and epidemiological indicators of the research require the public health authorities of Rondônia, urgent redirection of actions and strategies for the prevention, control, assistance and treatment of cancer in women and men in Rondônia.

scholarly journals 2123. Rapid Phenotypic Detection of Gram-Negative Bacilli-Resistant to Oximinocephalosporins and Carbapenems in Positive Blood Cultures Using a Novel Protocol

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S718-S718
Author(s):  
Diego Josa ◽  
Gisell Bustos-Moya ◽  
Soad Yusef ◽  
Stephanie Crevoisier ◽  
Edwin Silva ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Bloodstream Infections ◽  
Blood Cultures ◽  
Drug Resistant ◽  
Gram Negative ◽  
Diagnostic Strategies ◽  
Detection Techniques ◽  
Reference Hospital ◽  
Novel Method

Abstract Background Early and adequate antibiotic treatment are the cornerstones to improve clinical outcomes in patients with Bloodstream infections (BSI). Delays in appropriate antimicrobial therapy have catastrophic consequences for patients with BSI. Microbiological characterization of multi-drug-resistant pathogens (MDRP) allow clinicians to provide appropriate treatments. Current available microbiologic techniques may take-up to 96 hours to identify causative pathogens and its resistant patterns. Therefore, there is an important need to develop rapid diagnostic strategies for MDRP. However, rapid detection techniques are costly and are not widely available. We tested a modified protocol designed to detect Gram-negative bacilli (GNB) resistant to oximinocephalosporins and carbapenems from positive blood cultures. Methods This is a prospective, cohort study of consecutive patients with bacteremia. We developed a modified protocol using HB&L® system to detect MDRP. We then attempted to determine accuracy, concordance and reduction of identification time of this novel method in a reference hospital. Descriptive statistics and logistical regressions were used. Results Ninety-six patients with BSI were included in the study. A total of 161 positive blood cultures were analyzed. Escherichia coli (50%, 81/161) was the most frequently identified pathogen followed by Klebsiella pneumoniae (15%, 24/161) and Pseudomonas aeruginosa (8%, 13/161). 32% of isolations had usual resistance patters. However, in 29/161 (18%) of identified pathogens were producer of carbapenemasases and 21/161 (13%) of extended-spectrum β-lactamases. Concordance among our HB&L® modified protocol and traditional method was 99% (159/161). Finally, identification times were significantly shorter using our HB&L® modified protocol than traditional methods (Mean, hours [SD], 20.8 [6.22] vs. 62.8 [6.22], P < 0.001). Conclusion Here we provided novel evidence that using our HB&L® modified protocol is an effective strategy to reduce the time to MDRP detection/identification; with a great concordance rate when compared with the gold standard. Further studies are needed to confirm these findings and to determine whether this method may improve clinical outcomes. Disclosures All authors: No reported disclosures.

scholarly journals Surveillance and characterization of drug-resistant Mycobacterium tuberculosis isolated in a reference hospital from Argentina during 8 years' period

2019 ◽  
Vol 8 (3) ◽  
pp. 223 ◽  
Author(s):  
BelénRocío Imperiale ◽  
ÁngelaBeatríz Di Giulio ◽  
MaríaBelén Mancino ◽  
MartínJosé Zumárraga ◽  
NoraSusana Morcillo
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Drug Resistant ◽  
Reference Hospital

scholarly journals Men and motorcycle accidents: characterization of accidents from pre-hospital care

2014 ◽  
Vol 18 (4) ◽  
Author(s):  
Fábio Lucio Tavares ◽  
Maria José Coelho ◽  
Franciéle Marabotti Costa Leite
Keyword(s):  
Hospital Care ◽  
Motorcycle Accidents

scholarly journals FACTORS ASSOCIATED WITH THE SEVERITY OF SCORPIO POISONING

2019 ◽  
Vol 28 ◽  
Author(s):  
Érica Assunção Carmo ◽  
Adriana Alves Nery ◽  
Rafael Pereira ◽  
Marcela Andrade Rios ◽  
Cezar Augusto Casotti
Keyword(s):  
Information System ◽  
Hospital Care ◽  
Cross Sectional Study ◽  
Epidemiological Investigation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Reference Hospital ◽  
The Moment ◽  
Age Range

ABSTRACT Objective: to analyze the factors associated with the severity of scorpionism, according to sociodemographic, clinical and epidemiological aspects. Method: a cross-sectional study was carried out, in 2017, with data extracted directly from the Epidemiological Investigation Records of the Information System for Notifiable Diseases, for the period from 2007 to 2015. These records were provided by the reference hospital in attendance to the cases of scorpionism, located in the municipality of Jequié (Brazil). Logistic regression was used to verify the factors associated with the severity of scorpionism. Results: in the period investigated, 3,565 cases of scorpionism were identified, of which 15.9% were classified as of greater severity. The adjusted analysis showed that the severity of the scorpionism is associated with the ages ranging from 0 to 9 years (OR=6.87; CI 5.23-9.03), from 10 to 19 years old (OR=1.39; CI 1.03-1.87) and 60 or more (OR=4.04, CI 3.12-5.23), and the time elapsed between the moment of the bite and the hospital care of more than 3 hours (OR = 1.38; CI 1.02-1.85). Conclusion: it was found that the age range and the time elapsed between the moment of the bite and the hospital care are associated with the severity of the scorpionism, which signals the emergency characteristics of these accidents, especially when children and elderly people are affected.

scholarly journals Characterization of children and teenagers with ostomies in a health service

2019 ◽  
Author(s):  
Elaine Costa ◽  
Maria Luz ◽  
Marcia Gouveia ◽  
Elaine Andrade ◽  
Paula Nogueira
Keyword(s):  
Nursing Care ◽  
Congenital Malformations ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Organic System ◽  
Accidental Release ◽  
Reference Hospital ◽  
Common Skin

Objective: To characterize the socioeconomic and clinical profile of children and adolescents with ostomies attended at a public reference hospital in children’s health in the state of Piauí, Brazil. Methods: Descriptive cross-sectional study of 55 children/adolescents with at least one ostomy. Results: There was a predominance of males, brown, mean age of 4.1 years. The main causes for the confection of the stoma were congenital malformations, especially the anomaly. Regarding the organic system, the gastrointestinal was the most affected and the colostomy was the most frequent. The majority of participants with elimination ostomies did not use collecting equipment. With regard to the complications of the stoma, the accidental release of the gastrostomy tube was the most common, followed by stomatal bleeding. Dermatitis was the most common skin complication. Conclusion: The realization of this study made it possible to know the socio-demographic profile of children and teenagers with ostomies and to promote reflections about nursing care to improve the assistance provided to these clients.

scholarly journals Sociodemographic and clinical characterization of patients with chronic hepatitis C

2019 ◽  
Vol 18 (3) ◽  
pp. 157-194
Author(s):  
Juliana Mayara da Silva Leite ◽  
Jéssica de Oliveira Inácio ◽  
Raissa Silva De Melo Monteiro ◽  
Cristiane da Câmara Marques ◽  
Vanessa Pinheiro Barreto ◽  
...  
Keyword(s):  
Chronic Hepatitis ◽  
Hepatitis C ◽  
Hepatitis B ◽  
Chronic Hepatitis C ◽  
Hépatite C ◽  
Cross Sectional ◽  
Multiprofessional Team ◽  
Reference Hospital ◽  
Discovery Time

Objetivo: Describir la caracterización sociodemográfica y clínica de los pacientes portadores de hepatitis C crónica acompañados en el ambulatorio de un hospital de referencia en infectología. Método: Estudio transversal, descriptivo, cuantitativo, con usuarios portadores de hepatitis C crónica asistidos en el ambulatorio de un hospital de referencia durante noviembre de 2015 a abril de 2016 con una muestra de 47 usuarios. Resultados: Los participantes son de sexo masculino (76,6%) con rango de edad superior a 57 años (57,5%), pardo (38,3%), casado (55,3%), con grado de escolaridad (31,9%), y residente en la capital (61,7%), con tiempo de descubrimiento de hasta 6 años (68,1%), desconociendo la forma de contaminación (57,5%), inmunizado contra la hepatitis B (65,9%), realizando tratamiento medicamentoso (85,1%) con Ribavirina (55,6%); Y el 70,2% presentó efectos adversos. Conclusión: La caracterización sociodemográfica y clínica auxilian en la práctica clínica del equipo multiprofesional con los portadores de hepatitis C crónica. Objective: To describe the sociodemographic and clinical characterization of patients with chronic hepatitis C followed at the outpatient clinic of a reference hospital in infectology.Method: A cross-sectional, descriptive, quantitative study with chronic hepatitis C patients attended at a referral hospital during November 2015 to April 2016 with a sample of 47 users. Results: The participants were male (76.6%), 57 years old (57.5%), brown (38.3%), married (55.3%), (61.7%), with a discovery time of up to 6 years (68.1%), not knowing the form of contamination (57.5%), immunized against hepatitis B (65.9%), undergoing drug therapy (85.1%) with Ribavirin (55.6%); And 70.2% had adverse effects. Conclusion: Sociodemographic and clinical characterization assist the clinical practice of the multiprofessional team with patients with chronic hepatitis C Objetivo: Descrever a caracterização sociodemográfica e clínica dos pacientes portadores de hepatite C crônica acompanhados no ambulatório de um hospital referência em infectologia. Método: Estudo transversal, descritivo, quantitativo, com usuários portadores de hepatite C crônica assistidos no ambulatório de um hospital referência durante Novembro 2015 a Abril de 2016 com uma amostra de 47 usuários. Resultados: Os participantes encontram-se no sexo masculino (76,6%) com faixa etária acima de 57 anos (57,5%), pardo (38,3%), casado (55,3%), com grau de escolaridade fundamental incompleto (31,9%), e residente na capital (61,7%), com tempo de descoberta de até 6 anos (68,1%), desconhecendo a forma de contaminação (57,5%), realizando tratamento medicamentoso (85,1%) com Ribavirina (55,6%); e 70,2% apresentaram efeitos adversos. Conclusões: A caracterização sociodemográfica e clínica auxiliam na prática clínica da equipe multiprofissional com os portadores de hepatite C crônica.

Sign in / Sign up

Export Citation Format

Share Document