scholarly journals Aplicabilidade da classificação das intervenções e atividades de nutrição clínica em unidade hospitalar: estudo piloto/ Applicability of the clinical nutrition interventions classification and activities in a hospital unit: pilot study

2017 ◽  
Vol 16 (4) ◽  
Author(s):  
Clotilde Oliveira ◽  
Raquel Gaidzinski
Keyword(s):  
Pilot Study ◽  
Sao Paulo ◽  
Clinical Nutrition ◽  
São Paulo ◽  
Nutrition Interventions ◽  
Hospital Unit

Este estudo teve como objetivo avaliar a viabilidade do uso de uma classificação de intervenções/atividades executadas por nutricionistas no ambiente hospitalar e descrever o processo de trabalho destes profissionais. Pesquisa transversal, descritiva, observacional, realizada em um hospital público, no município de São Paulo. Participaram duas nutricionistas da unidade de internação cirúrgica. O instrumento aplicado contemplava o elenco de intervenções/atividades desenvolvidas pelos nutricionistas no Brasil. O tempo despendido pelos nutricionistas foi obtido pela observação direta e contínua das intervenções/atividades realizadas durante jornada de trabalho, por meio da técnica de tempo e movimento. Para análise dos dados, aplicou-se a estatística descritiva. O instrumento testado permitiu identificar todas as intervenções/atividades realizadas pelos nutricionistas, sem necessidade de alteração. Foram observadas 68,8% (22) intervenções/atividades.  O tempo total observado correspondeu 1920 minutos. As nutricionistas despenderam a maior parte do tempo de trabalho em intervenções de cuidados diretos e indiretos (1406 minutos; 55,9%), espera (358 minutos; 18,6%), atividades pessoais (206,4 minutos; 10,8%) e deslocamento (205,4 minutos; 10,7%). O uso desse instrumento mostrou potencial para ser aplicado em unidades hospitalares brasileiras e forneceu dados preliminares sobre a prática profissional dos nutricionistas observados.

scholarly journals Use of doxycycline for leptospirosis after high-risk exposure in São Paulo, Brazil

1998 ◽  
Vol 40 (1) ◽  
pp. 59-61 ◽  
Author(s):  
Claudio R. GONSALEZ ◽  
Jorge CASSEB ◽  
Francisco G. V. MONTEIRO ◽  
João B. PAULA-NETO ◽  
Rufino B. FERNANDEZ ◽  
...  
Keyword(s):  
Pilot Study ◽  
Treated Group ◽  
Sao Paulo ◽  
Risk Exposure ◽  
São Paulo ◽  
High Exposure ◽  
Igm Antibodies ◽  
Igm Antibody ◽  
Double Blinded ◽  
Number Of Individuals

A clinical trial pilot study, double-blinded, randomized, and controlled with a placebo to assess the effectiveness of oral doxycycline (200 mg, single dose) in preventing leptospirosis after high exposure to potentially contamined water was performed in São Paulo, SP, Brazil. Confirmed cases were defined as those with leptospira IgM antibody and symptoms; asymptomatic cases were those presenting with IgM antibodies but no symptoms; and suspected cases were individuals with symptoms but no IgM antibody. Forty subjects were given doxycycline and 42 were given placebo. In the drug-treated group there were 2 confirmed cases, 11 asymptomatic cases, and 6 suspected cases. In the placebo group there were 5 confirmed, 6 symptomatic, and 5 suspected cases. Even though we found a protective association of doxycycline for confirmed leptospirosis cases (RR = 2.3) and seroconversion only (RR = 2.0), the association was not statistically significant because of the small number of individuals enrolled in this pilot study. We observed that the 22% of the volunteers already had IgM antibodies to leptospirosis at the first sampling. Finally, the attack rate to confirmed, asymptomatic, and suspected cases of Leptospirosis was 8.5%, 22%, and 13%, respectively, in this population.

Salivary antibody detection in epidemiological surveys: a pilot study after a mass vaccination campaign against rubella in São Paulo, Brazil

1995 ◽  
Vol 89 (1) ◽  
pp. 115-118 ◽  
Author(s):  
Raymundo Scares de Azevedo Neto ◽  
Alison Richards ◽  
David James Nokes ◽  
Ana Silvia Barreiros Silveira ◽  
Bernard John Cohen ◽  
...  
Keyword(s):  
Pilot Study ◽  
Vaccination Campaign ◽  
Sao Paulo ◽  
Mass Vaccination ◽  
Antibody Detection ◽  
São Paulo ◽  
Mass Vaccination Campaign ◽  
Epidemiological Surveys

scholarly journals Mycotoxin Co-Occurrence in Milks and Exposure Estimation: A Pilot Study in São Paulo, Brazil

Toxins ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 507
Author(s):  
Matheus Frey ◽  
Roice Rosim ◽  
Carlos Oliveira
Keyword(s):  
Mass Spectrometry ◽  
Liquid Chromatography ◽  
Pilot Study ◽  
Daily Intake ◽  
Sao Paulo ◽  
Milk Consumption ◽  
São Paulo ◽  
Exposure Estimation ◽  
Low Levels ◽  
Low Exposure

The aim of this study was to conduct a first evaluation on the co-occurrence of aflatoxins (AF) M1, B1, B2, G1 and G2; fumonisins (F) B1 and B2; deoxynivalenol (DON); de-epoxydeoxinivalenol (DOM-1); ochratoxin A (OTA); zearalenone (ZEN); α-zearalenol (α-ZEL); and β-zearalenol (β-ZEL) in 68 samples of fluid milk consumed in Pirassununga, São Paulo, Brazil. The probable daily intake (PDI) was also calculated for each mycotoxin evaluated. Mycotoxins were determined by liquid chromatography coupled to mass spectrometry. Sixty-two (91.2%) samples contained at least one type of mycotoxin. AFM1 was found in 6 samples (8.8%), and none of them presented concentrations above the Brazilian maximum permitted level in milk (500 ng/L). Low levels of non-regulated mycotoxins DOM-1, OTA, FB1, FB2, α-ZEL and β-ZEL were found in 6 (8.8%), 17 (25%), 10 (14.7%), 3 (4.4%), 39 (57.4%) and 28 (41.2%) samples of milk, respectively. None of the PDIs calculated for the quantified mycotoxins were above recommended values, indicating low exposure through milk consumption in the area studied. However, 21 samples (30.9%) contained 2–4 types of mycotoxins, which warrants concern about the potential adverse effects of mycotoxin mixtures in milks.

scholarly journals Gestão da Enfermagem em Hospital Geral Público Acreditado no Enfrentamento da Pandemia por COVID-19

2020 ◽  
Vol 11 (1.ESP) ◽  
Author(s):  
Paula Maria Corrêa de Gouveia Araujo ◽  
Elena Bohomol ◽  
Tereza Aparecida Benjamim Teixeira
Keyword(s):  
General Hospital ◽  
State Government ◽  
Tertiary Care ◽  
Sao Paulo ◽  
Direct Care ◽  
Care Hospital ◽  
São Paulo ◽  
Nursing Management ◽  
Hospital Unit ◽  
Hospital General

Objetivo: Relatar a experiência vivenciada pela gestão de enfermagem de um hospital geral público acreditado e apresentar as principais mudanças na estrutura institucional para o enfrentamento da pandemia. Método: Relato de experiência em uma Organização Social de Saúde de parceria com governo estadual. Trata-se de um hospital geral de nível terciário com 247 leitos. Resultados: As principais mudanças estruturais e de processos de trabalho ocorridas durante o período de 13 de março a 23 de abril de 2020 foram: Implantação de um Comitê de Crise; programação de treinamentos institucionais; medidas administrativas voltadas ao cancelamento de cirurgias eletivas; disponibilização de equipamentos de proteção individual; mudanças no fluxo de entrada do paciente com suspeita de COVID-19; mudanças nas características das unidades; incremento no número de leitos; contratação de pessoal; e apoio para equipe. Conclusão: Destaca-se a importância da equipe de enfermagem e seu preparo para gerenciar novos espaços, alocar recursos e treinar a equipe no atendimento direto ao paciente.Descritores: pandemia; COVID-19; enfermagem; infecções por coronavírus. NURSING MANAGEMENT IN AN ACCREDITED PUBLIC GENERAL HOSPITAL IN THE RESPONSE TO THE COVID-19 PANDEMICObjective: Reporting the experiences of the nursing management team of an accredited Brazilian public general hospital and the main institutional changes made to face the COVID-19 pandemic. Method: An experience report about a Social Healthcare Organization that has a partnership with the São Paulo state government. This is a 247-bed tertiary care hospital. Results: During the period between March 13 and April 23 2020, the main changes made to the institution and its work practices were: Implementing a Crisis Committee; scheduling institutional trainings; managerial measures concerning the cancellation of elective surgeries; providing personal protective equipment; changes in the admission of patients with suspected COVID-19; changes in the characteristics of the hospital unit; an increase in the number of beds; hiring new personnel; and supporting the current staff. Conclusion: This highlights the importance of the nursing team and how prepared it is to manage new rooms, allocate resources, and get the staff ready for the direct care of patients.Descriptors: pandemic, COVID-19; nursing; coronavirus infections. GESTIÓN DE ENFERMERÍA EN UN HOSPITAL GENERAL PÚBLICO ACREDITADO EN EL ENFRENTAMIENTO DE LA PANDEMIA DE COVID-19Resumen Objetivo: Reportar la experiencia de la gestión de enfermería de un hospital general público acreditado brasileño y presentar los principales cambios en la estructura institucional para enfrentar la pandemia de COVID-19. Metodo: Registro de experiencia en una Organización Social de Salud en colaboración con el gobierno del Estado de São Paulo. Se trata de un hospital general de nivel tercer nivel con 247 camas. Resultados: Los principales cambios estructurales y en los procesos de trabajo ocurridos en el periodo entre el 13 de marzo y el 23 de abril fueron: La implantación de un Comité de Crisis; programación de prácticas institucionales; medidas administrativas dirigidas a la cancelación de cirugías electivas;  disponibilidad de  equipos de protección individual;  cambios en el flujo de ingreso de pacientes con sospecha de COVID-19; cambios en las características de la unidad hospitalaria; incremento en el número de camas; contratación de personal; y apoyo al equipo. Conclusión: Se destaca la importancia del equipo de enfermería y su preparación para gestionar nuevos espacios, alocar recursos e instruir el equipo para la atención directa al paciente.Descriptores: pandemia; COVID-19; enfermaría; infecciones por coronavirus.

scholarly journals Use of a Mobile Phone App to Treat Depression Comorbid With Hypertension or Diabetes: A Pilot Study in Brazil and Peru

10.2196/11698 ◽  
2019 ◽  
Vol 6 (4) ◽  
pp. e11698 ◽  
Author(s):  
Paulo Menezes ◽  
Julieta Quayle ◽  
Heloísa Garcia Claro ◽  
Simone da Silva ◽  
Lena R Brandt ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Pilot Study ◽  
Mobile Phones ◽  
Treatment Success ◽  
Sao Paulo ◽  
São Paulo ◽  
Pilot Studies ◽  
Middle Income ◽  
Mhealth Intervention ◽  
Physical Disorders

Background Depression is underdiagnosed and undertreated in primary health care. When associated with chronic physical disorders, it worsens outcomes. There is a clear gap in the treatment of depression in low- and middle-income countries (LMICs), where specialists and funds are scarce. Interventions supported by mobile health (mHealth) technologies may help to reduce this gap. Mobile phones are widely used in LMICs, offering potentially feasible and affordable alternatives for the management of depression among individuals with chronic disorders. Objective This study aimed to explore the potential effectiveness of an mHealth intervention to help people with depressive symptoms and comorbid hypertension or diabetes and explore the feasibility of conducting large randomized controlled trials (RCTs). Methods Emotional Control (CONEMO) is a low-intensity psychoeducational 6-week intervention delivered via mobile phones and assisted by a nurse for reducing depressive symptoms among individuals with diabetes or hypertension. CONEMO was tested in 3 pilot studies, 1 in São Paulo, Brazil, and 2 in Lima, Peru. Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9) at enrollment and at 6-week follow-up. Results The 3 pilot studies included a total of 66 people. Most participants were females aged between 41 and 60 years. There was a reduction in depressive symptoms as measured by PHQ-9 in all pilot studies. In total, 58% (38/66) of the participants reached treatment success rate (PHQ-9 <10), with 62% (13/21) from São Paulo, 62% (13/21) from the first Lima pilot, and 50% (12/24) from the second Lima pilot study. The intervention, the app, and the support offered by the nurse and nurse assistants were well received by participants in both settings. Conclusions The intervention was feasible in both settings. Clinical data suggested that CONEMO may help in decreasing participants’ depressive symptoms. The findings also indicated that it was possible to conduct RCTs in these settings.

scholarly journals Neonatal screening for cystic fibrosis in São Paulo State, Brazil: a pilot study

2009 ◽  
Vol 42 (10) ◽  
pp. 973-978 ◽  
Author(s):  
R. Rodrigues ◽  
P.K.R. Magalhaes ◽  
M.I.M. Fernandes ◽  
C.S. Gabetta ◽  
A.F. Ribeiro ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Pilot Study ◽  
Neonatal Screening ◽  
Sao Paulo ◽  
São Paulo ◽  
Paulo State ◽  
São Paulo State

scholarly journals Use of a Mobile Phone App to Treat Depression Comorbid With Hypertension or Diabetes: A Pilot Study in Brazil and Peru (Preprint)

2018 ◽  
Author(s):  
Paulo Menezes ◽  
Julieta Quayle ◽  
Heloísa Garcia Claro ◽  
Simone da Silva ◽  
Lena R Brandt ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Pilot Study ◽  
Mobile Phones ◽  
Treatment Success ◽  
Sao Paulo ◽  
São Paulo ◽  
Pilot Studies ◽  
Middle Income ◽  
Mhealth Intervention ◽  
Physical Disorders

BACKGROUND Depression is underdiagnosed and undertreated in primary health care. When associated with chronic physical disorders, it worsens outcomes. There is a clear gap in the treatment of depression in low- and middle-income countries (LMICs), where specialists and funds are scarce. Interventions supported by mobile health (mHealth) technologies may help to reduce this gap. Mobile phones are widely used in LMICs, offering potentially feasible and affordable alternatives for the management of depression among individuals with chronic disorders. OBJECTIVE This study aimed to explore the potential effectiveness of an mHealth intervention to help people with depressive symptoms and comorbid hypertension or diabetes and explore the feasibility of conducting large randomized controlled trials (RCTs). METHODS Emotional Control (CONEMO) is a low-intensity psychoeducational 6-week intervention delivered via mobile phones and assisted by a nurse for reducing depressive symptoms among individuals with diabetes or hypertension. CONEMO was tested in 3 pilot studies, 1 in São Paulo, Brazil, and 2 in Lima, Peru. Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9) at enrollment and at 6-week follow-up. RESULTS The 3 pilot studies included a total of 66 people. Most participants were females aged between 41 and 60 years. There was a reduction in depressive symptoms as measured by PHQ-9 in all pilot studies. In total, 58% (38/66) of the participants reached treatment success rate (PHQ-9 <10), with 62% (13/21) from São Paulo, 62% (13/21) from the first Lima pilot, and 50% (12/24) from the second Lima pilot study. The intervention, the app, and the support offered by the nurse and nurse assistants were well received by participants in both settings. CONCLUSIONS The intervention was feasible in both settings. Clinical data suggested that CONEMO may help in decreasing participants’ depressive symptoms. The findings also indicated that it was possible to conduct RCTs in these settings.

scholarly journals PILOT STUDY: EPIDEMIOLOGICAL AND CLINICAL PROFILE OF PATIENTS WITH RHEUMATOID ARTHRITIS AT AN UNIVERSITY AMBULATORY CENTER IN THE CITY OF SÃO PAULO

2021 ◽  
Author(s):  
Carolina Bassoli De Azevedo Bella ◽  
Vitoria Schimitberger ◽  
Vitória Campos ◽  
Raynne Jozala ◽  
Leonardo Bella
Keyword(s):  
Rheumatoid Arthritis ◽  
Pilot Study ◽  
Sao Paulo ◽  
Clinical Profile ◽  
São Paulo ◽  
The City

, , , , LEONARDO MENDES BELLA

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