scholarly journals NURSING RECOMMENDATIONS TO REDUCE THE RISK OF PREECLAMPSIA DURING PRENATAL CARE

2021 ◽  
pp. 25
Author(s):  

Aim: Develop nursing recommendations based on scientific evidence, aimed at reducing the probability of developing pre-eclampsia during prenatal care. Material and methods: A bibliographic search was carried out on the web: Medline, BVS, Cinahl and Google Scholar with the descriptors: pre-eclampsia, prenatal care, nursing with the conjunction AND and the disjunction OR. The documents with the referred descriptors were included. Two reviewers selected the articles. Conflicts were resolved by another reviewer. The methodological quality of each article was evaluated. The evidence was ranked and the recommendation was made. The Shekelle and Galvez Toro model was used for grading. Results: 4 aspects were evidenced: risk factors, timely detection, nursing care, protective factors and recommendations. Conclusions: Prenatal care continues to be a source of protection and control for pregnant women. Blood pressure measurement continues to be the gold standard for early detection. Nursing is a primary protective factor.

2016 ◽  
Vol 64 (4) ◽  
pp. 369-375 ◽  
Author(s):  
Fernanda Santos de Oliveira de SOUSA ◽  
Ana Paula Pires dos SANTOS ◽  
Fernanda BARJA-FIDALGO ◽  
Branca Heloisa de OLIVEIRA

ABSTRACT Objective: The aim of this paper was to demonstrate how a general dental practitioner tried to answer, based on scientific evidence, to the question: "Does the darkening of caries lesions caused by silver diamine fluoride treatment contribute to reducing parents' acceptance of such treatment?". Methods: The dentist adopted the following approach: formulation of a specific question; bibliographic search using controlled vocabulary and free terms; selection of full-text articles for reading; reading and critical appraisal of selected articles; summary of the available evidence; translation of the evidence into clinical practice. The dentist identified 45 studies and selected 20 to be read in full, but only three could be used; two controlled trials from China and one from Brazil. Results: Results showed that the esthetic effect was neither a major issue nor a decisive factor for the indication of the proposed treatment. However, although there is robust scientific evidence on the effectiveness of silver diamine fluoride in arresting and preventing caries lesions, there is scarce information about its esthetic effect. Thus, the lack of studies assessing the impact of the darkening of caries lesions and the esthetic effect of the treatment on the quality of life of children and their parents must be emphasized. Conclusion: The dentist concluded that there is insufficient evidence about the esthetic effect of silver diamine fluoride applications on primary teeth and opted to inform it to his/her patients' caregivers and to share with them the decision whether to use it or not in each specific case.


2016 ◽  
Vol 50 (2) ◽  
pp. 324-334 ◽  
Author(s):  
Maria Beatriz Guimarães Ferreira ◽  
Caroline Freitas Silveira ◽  
Sueli Riul da Silva ◽  
Delvane José de Souza ◽  
Mariana Torreglosa Ruiz

Abstract OBJECTIVE: To analyze the available evidence in the literature on nursing care for women with pre-eclampsia and/or eclampsia. METHODS: Integrative review searching for primary studies in the databases PubMed, CINAHL, LILACS and SciELO. RESULTS: The sample size consisted of 17 primary studies published between January 2000 and December 2014, grouped into four categories: standardizing blood pressure measurement technique; training with simulation; instruments for standardization of care and quality of care The main nursing actions were: physical examination, early detection of signs of pre-eclampsia/eclampsia, monitoring of laboratory tests, fetal assessment, qualification and training of professionals. We identified the need for standardization of care from instruments, protocols and blood pressure measurement technique, early identification and treatment of hypertensive crisis through institutional protocols and review of cases and work processes. CONCLUSION: Women with pre-eclampsia and/or eclampsia require specific nursing care, which must be guided by care protocols based on scientific evidence.


Author(s):  
Ana P. Antonio ◽  
Maria B. Silva ◽  
Mariana F. Souza ◽  
Maria F. Barbosa

Background: Patients on oncologic palliative care (OPC), due to diverse symptomatology and variable severity, tend to present polypharmacy that, although it seems justifiable in many cases, can pose health risks and negative consequences on patients’ quality of life. Thus, it is necessary to evaluate the presence of possible therapeutic futilities, guiding the process of deprescription, in which there is a reduction in the amount of medication after reviewing the treatment objectives and assessing risks and benefits. Aim: The objective of this study was to identify the main classes of drugs that are candidates for the deprescribing for OPC patients by reviewing the literatura of the last 8 years. Methods: The bibliographic search was performed in the Medline and LILACS databases. Inclusion criteria were articles published between 2010 and 2018, which dealt with the topic of deprescription in CPO. The publications were analyzed for Qualis and the level of scientific evidence, in order to identify the main drugs candidates for deprescription. Results: Twenty articles were evaluated, being only 4 randomized clinical trials (RCTs), with level II of scientific evidence. Among the classes of drugs that are candidates for deprescription, the following stand out: statins (20.37%) and antihypertensives (20.07%). ECRs that corroborate with scientific evidence of quality need to be developed for guidelines that make it possible to prescribe, especially for the population in CPO. Conclusion: We highlight the importance of the use of tools to identify inappropriate medicines, and the use of medication conciliation as a means of identifying them, as well as pharmacotherapeutic follow-up.


2019 ◽  
Vol 3 (2) ◽  
pp. 77-84
Author(s):  
Budi Arto ◽  
Basuki Winarno ◽  
Nur Asyik Hidayatullah

The development of technology is expected to help humans in quality of life. The industrial world is making preparations for industrial revolution 4.0 which is designed to integrate the online world with production lines in industrial processes. All production processes in the 4.0 era and running with the internet as support. The internet has become one of the human's main needs. At present, the development of the internet has not yet developed with the development of protection and control systems in the electricity sector. A breakthrough is needed to create the necessary protection systems and also control the load. A Smart Plug is a breakthrough that can accommodate this. Relays available on Smart Plugs can be used as protection and control devices on household electrical appliances. To read current and load, the current sensor (ZHT 03) and voltage sensor (ZMPT101B) are used. All sensor and relay data is performed by Arduino Nano. Whereas NodeMCU 12-E is used to connect the Smart Plug with the web and database. Smart Plug test results with the web site show that Smart Plug can work well on protection and control systems. This is evidenced by the interrupted current flowing at the load, the load compilation current is more than the value of the current that has been determined as the set point. While the control system can also work optimally. Relays can be received according to orders given from the website.


Author(s):  
Russell L. Steere ◽  
Eric F. Erbe ◽  
J. Michael Moseley

We have designed and built an electronic device which compares the resistance of a defined area of vacuum evaporated material with a variable resistor. When the two resistances are matched, the device automatically disconnects the primary side of the substrate transformer and stops further evaporation.This approach to controlled evaporation in conjunction with the modified guns and evaporation source permits reliably reproducible multiple Pt shadow films from a single Pt wrapped carbon point source. The reproducibility from consecutive C point sources is also reliable. Furthermore, the device we have developed permits us to select a predetermined resistance so that low contrast high-resolution shadows, heavy high contrast shadows, or any grade in between can be selected at will. The reproducibility and quality of results are demonstrated in Figures 1-4 which represent evaporations at various settings of the variable resistor.


Author(s):  
Margaret Jane Radin

Boilerplate—the fine-print terms and conditions that we become subject to when we click “I agree” online, rent an apartment, or enter an employment contract, for example—pervades all aspects of our modern lives. On a daily basis, most of us accept boilerplate provisions without realizing that should a dispute arise about a purchased good or service, the nonnegotiable boilerplate terms can deprive us of our right to jury trial and relieve providers of responsibility for harm. Boilerplate is the first comprehensive treatment of the problems posed by the increasing use of these terms, demonstrating how their use has degraded traditional notions of consent, agreement, and contract, and sacrificed core rights whose loss threatens the democratic order. This book examines attempts to justify the use of boilerplate provisions by claiming either that recipients freely consent to them or that economic efficiency demands them, and it finds these justifications wanting. It argues that our courts, legislatures, and regulatory agencies have fallen short in their evaluation and oversight of the use of boilerplate clauses. To improve legal evaluation of boilerplate, the book offers a new analytical framework, one that takes into account the nature of the rights affected, the quality of the recipient's consent, and the extent of the use of these terms. It goes on to offer possibilities for new methods of boilerplate evaluation and control, and concludes by discussing positive steps that NGOs, legislators, regulators, courts, and scholars could take to bring about better practices.


Author(s):  
V. V. Agafonov ◽  
V. Yu. Zalyadinov ◽  
M. E. Yusupov ◽  
N. S. Bikteeva

Sustainability of mining companies is of of high concern. The problem is specifically acute at companies that are monotownor monosettlement-forming. Sustainability of a mine depends in many ways on product quality and production resource-intensity. This article discusses formation of mineral quality indexes in terms of an open pit chrysotile mine. The studies took into account specific features of operation procedures implemented by each structural division of the mine. The analysis has found managerial and technological inconsistencies which affect quality and marketable product output, as well as efficiency of the mine in whole. The background for efficiency enhancement at a company is, by the authors’ opinion, consolidation of personnel subject to the single development strategy, namely: improvement of production and control efficiency, as well as use of available reserves and resources by means of better setup for production. The proposed approaches to planning mining operations and forming mineral quality allow higher quality of processing stock. In addition, a new model proposed for interaction between structural divisions of a mining company ensures improvement of general production indexes.


2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Vũ Xuân Hùng

In the process of teaching, technical teaching facilities are both a content and a means of conveying information, they help the lecturer organize and control the students' cognitive activities, in addition, they also help students be interested in learning, practice practical skills from which to form active and creative learning methods. Teaching technology is one of the necessary conditions to help teachers carry out their related work of educating, teaching and bringing up, and intellectual development, arouse the inherent intelligence qualities of students. Currently, the management of technical teaching facilities at the Central Kindergartens College has been carried out on a regular basis and achieved certain results, but in fact, there are still many inadequacies. Finding a number of limitations in the management of teaching technical facilities, thereby proposing solutions to overcome those limitations, improve the efficiency of investment, preservation and use of teaching technical facilities in the trend of Industry Revolution 4.0, improving the quality of teaching at Central Kindergarten Pedagogy colleges in the current period is a very important and urgent task.


Sign in / Sign up

Export Citation Format

Share Document