scholarly journals Estratégia de enfrentamento de diagnóstico laboratorial da COVID-19 no estado da paraíba

2020 ◽  
Vol 11 (2.ESP) ◽  
Author(s):  
Maria Soraya Pereira Franco Adriano ◽  
Betânia Maria Pereira dos Santos ◽  
Carmem Gabriela Gomes de Figueiredo ◽  
Ana Carolina Bernardes Dulgheroff ◽  
Ronaldo Rodrigues Sarmento ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Health Professionals ◽  
Scientific Information ◽  
Laboratory Diagnosis ◽  
Technical School ◽  
Second Stage ◽  
Exposed Population ◽  
Third Stage ◽  
Epidemiological Profile ◽  
Study Type

Objetivo: Relatar a experiência de uma equipe multiprofissional na implementação de um laboratório, para realização de testes para diagnóstico precoce de infecção pelo Coronavírus da Síndrome Respiratória Aguda Grave 2 (SARS-CoV-2). Método: Estudo descritivo, tipo relato de experiência, desenvolvido numa Escola Técnica de Saúde Federal de João Pessoa, Paraíba. Resultados: A experiência ocorreu em três etapas: na primeira etapa foi realizada a organização do laboratório; na segunda etapa a descrição do funcionamento deste, com acolhimento e análise das amostras da nasofaringe e orofaringe dos indivíduos e profissionais da saúde; e, na terceira etapa que constitui a investigação dos indivíduos e avaliação de profissionais da saúde com risco para a doença do coronavírus 2019 (COVID-19), por meio do mapeamento das unidades assistenciais para o SARS-CoV-2 e outros vírus respiratórios, com o intuito de estabelecer o perfil epidemiológico da população exposta. Conclusão: A estratégia desenvolvida pela Escola Técnica de Saúde em apoiar o estado da Paraíba nas ações de controle e mitigação da pandemia da COVID-19, mais especificamente no diagnóstico da doença, permitiu grande avanço do ponto de vista do conhecimento científico e contribuição na geração de informação, capacitação, produtos, processos ou serviços especializados.Descritores: Biologia Molecular; Diagnóstico Precoce; Infecção por Coronavírus; Profissionais da Saúde.COVID-19 LABORATORY DIAGNOSIS COPING STRATEGY IN THE STATE OF PARAÍBAObjective: To report the experience of a multidisciplinary team in the implementation of a laboratory, to carry out tests for the early diagnosis of infection by the Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Method: Descriptive study, type of experience report, developed at a Federal Health Technical School in João Pessoa, Paraíba. Results: The experience took place in three stages: in the first stage, the laboratory was organized; in the second stage the description of its functioning, with reception and analysis of the nasopharynx and oropharynx samples of individuals and health professionals; and, in the third stage that constitutes the investigation of individuals and the evaluation of health professionals at risk for coronavirus disease-2019 (COVID-19), through the mapping of care units for SARS-CoV-2 and other respiratory viruses, in order to establish the epidemiological profile of the exposed population. Conclusion: A strategy developed by the Technical School of Health in support of Paraíba state, in the actions to control and mitigate the pandemic of COVID-19, more specific in the diagnosis of the disease, allowed a great advance in terms of scientific knowledge and research scientific information, training, products, processes or specialized services.Descriptores: Molecular Biology; Early Diagnosis; Coronavirus Infections; Health Personnel. ESTRATEGIA DE COPIA DEL DIAGNÓSTICO DE LABORATORIO COVID-19 EN EL ESTADO DE PARAÍBAObjetivo: Informar la experiencia de un equipo multidisciplinario en la implementación de un laboratorio, para llevar a cabo pruebas para el diagnóstico precoz de infección por el Coronavirus del Síndrome Respiratorio Agudo Grave 2 (SARS-CoV-2). Método: Estudio descriptivo, tipo de informe de experiencia, desarrollado en una Escuela Técnica Federal de Salud en João Pessoa, Paraíba. Resultados: El experimento se realizó en tres etapas: en la primera etapa, se organizó el laboratorio; en la segunda etapa la descripción de su funcionamiento, con recepción y análisis de muestras de individuos y profesionales de la salud de la nasofaringe y la orofaringe; y, en la tercera etapa que constituye la investigación de individuos y la evaluación de profesionales de la salud en riesgo de contraer la enfermedad por coronavirus 2019 (COVID-19), a través del mapeo de unidades de atención para SARS-CoV-2 y otros virus respiratorios, para establecer el perfil epidemiológico de la población expuesta. Conclusión: La estrategia desarrollada por la Escuela Técnica de Salud para apoyar al estado de Paraíba en las acciones para controlar y mitigar la pandemia de COVID-19, más específicamente en el diagnóstico de la enfermedad, permitió un gran progreso desde el punto de vista del conocimiento científico y la contribución a la generación. información, formación, productos, procesos o servicios especializados.Descriptores: Biología Molecular; Diagnóstico Precoz; Infecciones por Coronavirus; Personal de Salud.

scholarly journals Development and Evaluation of a Blog about Cleft Lip and Cleft Palate and Hearing

2017 ◽  
Vol 22 (01) ◽  
pp. 060-067 ◽  
Author(s):  
Luciana Maximino ◽  
Ticiana Zambonato ◽  
Mirela Picolini-Pereira ◽  
Camila Castro Corrêa ◽  
Mariza Feniman ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Health Professionals ◽  
Cleft Lip ◽  
Digital Information ◽  
Pedagogical Tool ◽  
Second Stage ◽  
The Third ◽  
Third Stage ◽  
Selection Of

Introduction Cleft lip and cleft palate can result in impairments in communication, specifically in hearing, making the use of technological resources such as blogs a fundamental guideline for health professionals. Objective The aim of this study was to prepare and analyze the access to a blog about cleft lip and cleft palate and hearing as a pedagogical tool for health professionals. Methods The first stage for the development of the blog was the selection of the content that would be addressed and the respective illustrations. The second stage was making the blog available through the WordPress platform, and the third stage included the evaluation of the blog, of the access to the WordPress statistical features, and of the quality of the blog through the Emory questionnaire, which was answered by 75 professionals. Results The blog, titled “Fissure and Hearing”, was developed with the architecture of a digital information environment containing a system of organization, navigation, labeling and search (first stage). The address hosting the blog was: http://fissuraeaudicao.wordpress.com (second stage). The result of the third stage included 56,269 views of the blog from different countries, and Brazil was the country with the highest viewing. Regarding the assessment by the Emory questionnaire, we found that for most of the major issues, the percentages obtained were or equal to 90%, while the analysis of the scales, navigation and structure presented the lowest scores. Conclusion The blog was developed and enabled greater access to information available on the web about cleft lip and cleft palate and hearing.

The Coherence of Mary Barton: Romance, Realism, and Utopia

2015 ◽  
Vol 5 (3) ◽  
pp. 185-200
Author(s):  
Robert Z. Birdwell
Keyword(s):  
Thomas Carlyle ◽  
The Novel ◽  
Second Stage ◽  
The Third ◽  
Third Stage ◽  
Three Stages ◽  
Mode Of Production

Critics have argued that Elizabeth Gaskell's first novel, Mary Barton (1848), is split by a conflict between the modes of realism and romance. But the conflict does not render the novel incoherent, because Gaskell surpasses both modes through a utopian narrative that breaks with the conflict of form and gives coherence to the whole novel. Gaskell not only depicts what Thomas Carlyle called the ‘Condition of England’ in her work but also develops, through three stages, the utopia that will redeem this condition. The first stage is romantic nostalgia, a backward glance at Eden from the countryside surrounding Manchester. The second stage occurs in Manchester, as Gaskell mixes romance with a realistic mode, tracing a utopian drive toward death. The third stage is the utopian break with romantic and realistic accounts of the Condition of England and with the inadequate preceding conceptions of utopia. This third stage transforms narrative modes and figures a new mode of production.

How well do voice-hearing assessment measures capture the positive experiences of individuals?

2019 ◽  
Author(s):  
Lucy Armstrong ◽  
Lorna Hogg ◽  
Pamela Charlotte Jacobsen
Keyword(s):  
Systematic Review ◽  
Lived Experience ◽  
Second Stage ◽  
The Third ◽  
Third Stage ◽  
Hearing Assessment ◽  
Positive Experiences ◽  
Assessment Measures ◽  
Stage 1 ◽  
The Voice

The first stage of this project aims to identify assessment measures which include items on voice-hearing by way of a systematic review. The second stage is the development of a brief framework of categories of positive experiences of voice hearing, using a triangulated approach, drawing on views from both professionals and people with lived experience. The third stage will involve using the framework to identify any positve aspects of voice-hearing included in the voice hearing assessments identified in stage 1.

scholarly journals When the World Breaks Down: A 3-Stage Existential Model of Nihilism in Schizophrenia

2021 ◽  
pp. 1-24
Author(s):  
Philipp Klar ◽  
Georg Northoff
Keyword(s):  
The Self ◽  
First Person ◽  
Second Stage ◽  
Existential Crisis ◽  
Third Stage ◽  
The World ◽  
Third Person ◽  
Pathological Development ◽  
Sense Of Reality ◽  
Intentional Structure

The existential crisis of nihilism in schizophrenia has been reported since the early days of psychiatry. Taking first-person accounts concerning nihilistic experiences of both the self and the world as vantage point, we aim to develop a dynamic existential model of the pathological development of existential nihilism. Since the phenomenology of such a crisis is intrinsically subjective, we especially take the immediate and pre-reflective first-person perspective’s (FPP) experience (instead of objectified symptoms and diagnoses) of schizophrenia into consideration. The hereby developed existential model consists of 3 conceptualized stages that are nested into each other, which defines what we mean by existential. At the same time, the model intrinsically converges with the phenomenological concept of the self-world structure notable inside our existential framework. Regarding the 3 individual stages, we suggest that the onset or first stage of nihilistic pathogenesis is reflected by phenomenological solipsism, that is, a general disruption of the FPP experience. Paradigmatically, this initial disruption contains the well-known crisis of common sense in schizophrenia. The following second stage of epistemological solipsism negatively affects all possible perspectives of experience, that is, the first-, second-, and third-person perspectives of subjectivity. Therefore, within the second stage, solipsism expands from a disruption of immediate and pre-reflective experience (first stage) to a disruption of reflective experience and principal knowledge (second stage), as mirrored in abnormal epistemological limitations of principal knowledge. Finally, the experience of the annihilation of healthy self-consciousness into the ultimate collapse of the individual’s existence defines the third stage. The schizophrenic individual consequently loses her/his vital experience since the intentional structure of consciousness including any sense of reality breaks down. Such a descriptive-interpretative existential model of nihilism in schizophrenia may ultimately serve as input for future psychopathological investigations of nihilism in general, including, for instance, its manifestation in depression.

The Origins of the Village Revisited: From Nuclear to Extended Households

2002 ◽  
Vol 67 (3) ◽  
pp. 417-433 ◽  
Author(s):  
Kent V. Flannery
Keyword(s):  
Nuclear Family ◽  
Extended Family ◽  
Near East ◽  
Shared Storage ◽  
Nuclear Families ◽  
Second Stage ◽  
Third Stage ◽  
Two Stages ◽  
Extended Households ◽  
The Village

In Mesoamerica and the Near East, the emergence of the village seems to have involved two stages. In the first stage, individuals were distributed through a series of small circular-to-oval structures, accompanied by communal or “shared” storage features. In the second stage, nuclear families occupied substantial rectangular houses with private storage rooms. Over the last 30 years a wealth of data from the Near East, Egypt, the Trans-Caucasus, India, Africa, and the Southwest U.S. have enriched our understanding of this phenomenon. And in Mesoamerica and the Near East, evidence suggests that nuclear family households eventually gave way to a third stage, one featuring extended family households whose greater labor force made possible extensive multifaceted economies.

Reconstruction of Tragus and External Auditory Meatus using Remnant Auricle during Microtia Reconstruction

2018 ◽  
Vol 34 (02) ◽  
pp. 227-229
Author(s):  
Yi-gao Hu ◽  
Wei Ding ◽  
Jun Tan ◽  
Xin Chen ◽  
Tao Luo ◽  
...  
Keyword(s):  
Skin Flap ◽  
Skin Grafting ◽  
External Auditory Meatus ◽  
Reconstruction Technique ◽  
External Ear ◽  
Flap Necrosis ◽  
Second Stage ◽  
The Third ◽  
Third Stage ◽  
Thin Skin

AbstractThis article investigates an effective method with which to reconstruct the tragus and external auditory meatus for microtia reconstruction. The external ear was reconstructed using a delayed postauricular skin flap in patients with congenital microtia. After the first stage of delaying the postauricular skin flap and the second stage of otoplasty with ear framework fabricated from autogenous rib cartilage draping with the delayed skin flap, the third stage involved tragus and external auditory meatus canaloplasty. After designing the remnant auricle flap, the lower part was trimmed and the tragus was reconstructed. The upper part was trimmed into a thin skin flap, which was rotated and used to cover the hollowed wound posterosuperior to the tragus so as to mimic the external auditory meatus. If remnant wounds were present, skin grafting was conducted. In total, 121 patients with congenital microtia were treated from March 2010 to March 2016. The reconstructed tragus and external auditory meatus were well formed, and all wounds healed well. No severe complications such as flap necrosis occurred. Six months postoperatively, the morphology of the reconstructed tragus and external auditory meatus was good. Overall, the patients and their families were satisfied. The use of remnant auricle to reconstruct the tragus and external auditory meatus is an effective auricular reconstruction technique.

Order-disorder phenomena in α -brass - III. Influence of plastic deformation

1960 ◽  
Vol 257 (1290) ◽  
pp. 363-385 ◽  
Keyword(s):  
Plastic Deformation ◽  
Cold Work ◽  
Stored Energy ◽  
High Concentration ◽  
Complex Behaviour ◽  
Second Stage ◽  
Third Stage ◽  
Anneal Hardening ◽  
Two Stages ◽  
Degree Of Order

The evolution of stored energy during heating for specimens of deformed α-brass is quite different from that previously observed for pure metals; the stored energy is much larger and at least three stages of evolution exist. These have been studied for deformation in torsion and tension and the results correlated with measurements of electrical resistivity, density and hardness. The large release of energy in the first two stages is attributed mainly to the return of order destroyed by plastic deformation; the degree of disorder after heavy cold work is much greater than after quenching (part II). However, slight deformation (10% tension) increases the degree of order slightly. The first stage of energy release, below 120 °C, is probably due to rapid reordering assisted by vacancies created during deformation. The second stage represents the bulk of the reordering and some recovery involving rearrangement and annihilation of dislocations. The deformed specimens are probably strain-aged and thus recovery is accompanied by the dispersal of atmospheres of zinc which increases resistivity and decreases density, to some extent counteracting the effects of recovery. The balance of these three processes in stage 2 causes complex behaviour, the magnitude and even the sign of some changes in properties varies with the deformation. Reordering is complete before the beginning of the third stage of further recovery and recrystallization, in which dispersal of atmospheres is again important. Comparison of measurements of energy, resistivity and density suggests that the high concentration of stacking faults contributes to the resistivity. Anneal hardening is observed for the higher deformations and the maximum hardness coincides with the maximum degree of order.

FACES OF V.M. SHUKSHIN: MARTIN IDEN, HAMLET, STEPAN RAZIN

2021 ◽  
pp. 59-65
Author(s):  
Т.А. Богумил
Keyword(s):  
Early Stage ◽  
Socialist Realism ◽  
Crowding Out ◽  
Behavioral Models ◽  
Cluster Approach ◽  
Second Stage ◽  
The Third ◽  
Third Stage ◽  
Early Departure ◽  
First Time

В статье предлагается концепция жизни и творческого роста В.М. Шукшина сквозь призму тезаурусного и кластерного подходов. Объяснительными «персональными моделями» для интерпретации биографического текста писателя являются кластеры Мартина Идена, Гамлета и Степана Разина. Ранее биографы и литературоведы указывали на важность этих персон для Шукшина, но разрозненно. Впервые предпринята попытка свести указанные персональные модели воедино, в целостный сюжет становления писателя в пространстве культуры. На разных этапах эволюции автора доминирует одна из указанных моделей, последовательно сменяя друг друга, но не вытесняя, а «внахлест». Ранний этап творчества, ориентированный на стратегию Мартина Идена, является попыткой «вписаться» в наличный культурный мейнстрим. Выражено это в следовании поэтике соцреализма. Второй этап подспудно начинается с реабилитации отца Шукшина в 1956 года, когда актуализируется «гамлетовский комплекс», проявляющийся в чувстве вины перед отцом, через стратегию утаивания подлинного «я», мотивы чудаковатости. Третий этап связан с личностью реального исторического лица, Степана Разина, и выражается в открытом протесте против власти. Все важные для В.М. Шукшина поведенческие модели объединены мотивом одинокого противостояния враждебному социуму и имеют трагический финал, что обусловило ранний уход писателя и порождение мифов о насильственном характере его смерти. В.М. Шукшин одновременно был фигурой неординарной и типичной, что позволило его биографии стать «персональной моделью» для последующих авторов, выходцев из сельской глубинки. The article proposes the concept of life and creative growth of V.M. Shukshin through the prism of the thesaurus and cluster approach. The explanatory "personal models" for interpreting the biographical text of the writer are clusters of Martin Eden, Hamlet and Stepan Razin. Earlier, biographers and literary critics pointed out the importance of these people for Shukshin, but it was scattered. For the first time, an attempt was made to bring these personal models together into an integral plot of the formation of the writer in the space of culture. At different stages of the writer’s evolution, one of these models dominates, successively replacing each other, but not crowding out, but “overlapping”. The early stage of creativity, focused on Martin Eden’s strategy, is an attempt to “fit in” the current cultural mainstream. This is expressed in following the poetics of socialist realism. The second stage implicitly begins with the rehabilitation of Shukshin’s father in 1956, when the “Hamletian complex” is actualized. It is manifested in a sense of guilt towards his father, the strategy of concealing the true “I”, eccentricities. The third stage is connected with the personality of a real historical person, Stepan Razin, and is expressed in an open protest against the authorities. All important for V.M. Shukshin's behavioral models are united by the motive of a lonely confrontation with a hostile society and have a tragic ending, which led to the early departure of the writer and the generation of myths about the violent nature of his death. V.M. Shukshin was an extraordinary and typical figure at the same time. That allowed his biography to become a “personal model” for subsequent authors who came from the rural outback.

DIAGNÓSTICO PRECOCE DE HANSENÍASE E AÇÕES ESTRATÉGICAS PARA A SUA DETECÇÃO

2018 ◽  
Vol 5 (2) ◽  
pp. 67-73
Author(s):  
Inês Stafin ◽  
Virgílio Ribeiro Guedes ◽  
Seyna Ueno Rabelo Mendes
Keyword(s):  
Early Diagnosis ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Social Impact ◽  
Diagnostic Methods ◽  
Effective Control ◽  
Strategic Actions ◽  
Primary Health ◽  
The World ◽  
Grade Ii

RESUMO Introdução: O diagnóstico da hanseníase ainda causa grande impacto social, tanto por ser frequentemente tardio e evoluir com sequelas, quanto pelos estigmas que a envolvem. O Brasil persiste como uma área endêmica e possui o segundo lugar em número de casos da doença no mundo. Já o Tocantins é um dos estados com maior endemicidade no país, com um aumento importante no número de diagnósticos em menores de 15 anos e no número de pessoas diagnosticadas com incapacidade grau II. Metodologia: Trata-se de uma revisão de literatura do tipo narrativa, realizada por meio de publicações sobre as ações estratégicas para o diagnóstico precoce de hanseníase, entre o período de 2012 a 2017. Desenvolvimento: A situação atual da hanseníase demonstra a persistência da transmissão, a carência de ações para o seu controle efetivo, a sub detecção e um diagnóstico tardio dessa patologia. O presente artigo aborda as principais ações estratégicas para a realização do diagnóstico precoce da hanseníase, bem como os métodos diagnósticos importantes, proporcionando um maior auxílio aos profissionais de saúde da atenção primária. Considerações finais: Para que se amplie o diagnóstico precoce de forma adequada é essencial a busca e avaliação dos contatos, a qualificação adequada dos profissionais de saúde, a educação em saúde da população e a participação ativa dos gestores.   Palavras-chave: Hanseníase; diagnóstico precoce; estratégias; atenção primária. ABSTRACT Introduction: The diagnosis of leprosy still causes great social impact, both because it is often late and evolves with sequelae, and because of the stigmas that surround it. Brazil persists as an endemic area and has the second largest number of cases of the disease in the world. The state of Tocantins represents one of the areas with high endemicity in the country, with a significant increase in the number of diagnoses in children under 15 years and in the number of people diagnosed with disability grade II. Methodology: This is a literature review of the narrative type, carried out through publications on strategic actions for the early diagnosis of leprosy, between the period of 2012 to 2017. Development: The current situation of leprosy shows the persistence of transmission, lack of actions for effective control, sub detection and a late diagnosis of this pathology. This article discusses the main strategic actions for the early diagnosis of leprosy, as well as the important diagnostic methods, providing greater assistance to primary health care professionals. Final considerations: In order to increase the early diagnosis in an adequate way, it is essential the search and evaluation of contacts, the adequate qualification of health professionals, the health education of the population and the participation of managers. Keywords: Leprosy; early diagnosis; strategies; primary care.

FEATURES OF PLEURAL CAVITY DRAINAGE IN PATIENTS WITH ACUTE NONSPECIFIC PLEURAL EMPYEMA

2020 ◽  
pp. 39-42
Author(s):  
D. V. Minukhin ◽  
O. I. Tsyvenko ◽  
A. Yu. Korolevska ◽  
L. G. Tarasenko ◽  
D. Yu. Melnyk ◽  
...  
Keyword(s):  
Chest Wall ◽  
Pleural Cavity ◽  
Pleural Empyema ◽  
Pleural Drainage ◽  
Main Method ◽  
Second Stage ◽  
The Third ◽  
Third Stage ◽  
Minor Surgery ◽  
Surgical Manipulation

Most authors considered pleural cavity drainage to be the main method of treatment of acute pleural empyema using minor surgery. Despite the simplicity of drainage of the pleural cavity, the number of complications after this surgical manipulation, according to the reports of some authors, varies from 3 to 8 %. The complications of pleural drainage in the patients with acute nonspecific pleural empyema have been studied and the technique of pleural drainage "blindly" has been introduced, which allows drainage to be located along the chest wall. At the first stage of the four−stage study, the complications of pleural drainage in 38 patients with acute nonspecific pleural empyema were analyzed, at the second stage a device for drainage of the pleural cavity "blindly" was developed to place drainage in parallel to the chest wall, at the third stage patients were tested; on IV −− drainage of the pleural cavity of 34 patients was performed according to the proposed method. The reason for the development of drainage complications in the pleural cavity of patients with acute pleural empyema was the inadequate location of drainage in the pleural cavity, drainage of the pleural cavity was carried out in general hospitals without the use of thoracoscopic equipment. Curved thoracoport with trocar for a blind drainage of the pleural cavity "blindly" was developed and introduced into clinical practice. This technique eliminates the involuntary location of the drainage in the pleural cavity, installing it along the chest wall, and is safe. Complications associated with drainage of the pleural cavity according to the developed method using a curved thoracoport with a trocar, inadequate location of drainage, were not observed in patients. Key words: acute pleural empyema, pleural cavity drainage, curved trocar.

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