Complications in oncological patients resulting from using long-term catheters

2011 ◽  
Vol 5 (4) ◽  
pp. 916
Author(s):  
Aldenir Damião Araújo ◽  
Cleci Schmidt Rosanelli ◽  
Marli Maria Loro ◽  
Eniva Miladi Fernandes Stumm ◽  
Adriane Bernat Kolankiewicz

ABSTRACT Objective: to know the profile and complications experienced by oncological patients with long-term catheter, who were receiving chemotherapy treatment. Method: a quantitative, descriptive, retrospective, and documental research. The data were collected in July and August 2009, in the records "files of the catheters" from patients attended at a Center for High Complexity in Oncology at a hospital in the Northwest of Rio Grande do Sul. The project was approved by the Ethics Committee in Research of Unijuí (134/2009). Results: from 147 registers, 66.7% were female, the mean age was 44,06 years-old, the general services occupation represented 38.8%. The breast cancer in women is the disease with highest percentages (32.7%), the mean permanence of first catheter is 442,47 days and the second is 426,50 days. The complications with first catheter were: obstructions (4.8%), edemas (2.0%), infections (2.0%), disconnections, and hematomas (2.0%). With implantation of the second catheter, 1.4% of patient had obstructions and 0.7% of infection. Conclusion: nurses need knowledge and abilities on the handling of long-term catheter, with the objective of minimizing complications arising their use. Descriptors: oncology; chemotherapy; central venous catheterization; indwelling catheters.RESUMOObjetivo: conhecer o perfil e as complicações apresentadas por pacientes oncológicos, com cateter de longa permanência, em tratamento quimioterápico. Método: pesquisa quantitativa, descritiva, documental e retrospectiva. Os dados foram coletados em julho e agosto de 2009, nos registros “arquivos dos cateteres” de pacientes assistidos em um Centro de Alta Complexidade em Oncologia de um hospital do Noroeste do estado do Rio Grande do Sul. Obteve-se aprovação do Comitê de Ética em Pesquisa da Unijuí (134/2009). Resultados: dos 147 registros, 66,7% são do sexo feminino, a média de idade é de 44,06 anos, a ocupação dos serviços gerais é de 38,8%. A neoplasia da mama feminina é a doença com percentual mais elevado (32,7%), a média de permanência do primeiro cateter é de 442,47 dias e do segundo cateter é de 426,50 dias. As complicações com o primeiro cateter foram: obstruções (4,8%), edema (2,0%) infecção (2,0%), desconexão e hematoma (2,0%). Com a implantação do segundo cateter, 1,4% dos pacientes tiveram obstrução e 0,7%, infecção. Conclusão: o enfermeiro necessita ter conhecimentos e habilidades acerca do manuseio do cateter de longa permanência, com o intuito de minimizar complicações decorrentes de seu uso. Descritores: oncologia; quimioterapia; cateterismo venoso central; cateteres de demora.RESUMENObjetivo: conocer el perfil y las complicaciones presentadas por pacientes oncológicos, con catéter de larga permanencia, sometidos a quimioterapia. Método: pesquisa cuantitativa, descriptiva, documental y retrospectiva. Los datos fueron colectados en julio y agosto de 2009, en los registros “archivos de los catéteres” de pacientes tratados en un Centro de Alta Complejidad en Oncología, de un hospital del Noroeste del estado del Rio Grande do Sul. Se obtuvo aprobación del Comité de Ética en Pesquisa de la Unijuí (134/2009). Resultados: de los 147 registros, 66,7% son de mujeres, la media de edad es de 44,06 años, la ocupación de los servicios generales es de 38,8%. La neoplasia de mama femenina es la enfermedad con mayor porcentaje (32,7%), la media de permanencia del primer catéter es de 442,47 días y del segundo, 426,50 días. Las complicaciones con el primer catéter fueron: obstrucciones (4,8%), edema (2,0%), infección (2,0%), desconexión y hematoma (2,0%). Con la implantación del segundo catéter, 1,4% de los pacientes tuvieron obstrucción y 0,7%, infección. Conclusión: el enfermero debe tener conocimientos y habilidades en el manoseo del catéter de larga permanencia, con intención de minimizar complicaciones provenientes del uso de los mismos. Descriptores: oncología; quimioterapia; cateterismo venoso central; catéteres de retraso.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1643.1-1643
Author(s):  
J. M. Kerber ◽  
J. D. De Mello ◽  
P. Palominos ◽  
A. A. Gasparin ◽  
F. D. A. Menegat ◽  
...  

Background:Ankylosing spondylitis (AS) leads to back pain and structural damage that may result in functional impairment1. Function is usually assessed in clinical trials conducted in developed countries, with patients receiving biological therapy2,3.Objectives:To evaluate variation in the Bath Ankylosing Functional index (BASFI) over time in a AS cohort followed in a developing country. Compare the improvement in BASFI between patients achieving or not sustained (≥12 months) ASDAS-CRP remission/low disease activity (LDA). Analyze predictors for achieving a minimum clinically important improvement (MCII) in BASFI (ΔBASFI ≤ -0.6)4.Methods:This cross-sectional analysis was conducted in a retrospective cohort. Adult patients fulfilling the New York criteria for AS and followed during at least 5 years in the Spondyloarthritis clinic were included. BASFI variation (ΔBASFI) was described as median (25th/75th). Comparison of ΔBASFI between patients fulfilling or not sustained ASDAS-CRP remisson/LDA was done using the Mann-Whitney test. Hierarchical Poisson model was used to identify predictors for achieving a MCII in BASFI.Results:69 patients were analyzed, 53.6% were men, the mean age was 48.9±11.4 years, and the mean follow-up time was 6.1±0.5 years, median (25th/75th) disease duration of 10 (5-18) years; 14.5% of the patients were on biological therapy at baseline. The median (25th/75th) ΔBASFI was low: -0.1 (-1.9 /+1.1) but 46.4% (N= 32) presented a MCII in BASFI during follow-up. Patients who achieved sustained ASDAS-CRP remission/LDA had a significant improvement in BASFI over time compared with those who did not achieve this target (p=0.026) (Figure 1). Patients with higher BASFI scores at baseline had a greater probability of achieving a MCII in BASFI (RR1.13 95%CI 1.00-1.27 p=0.047). Achieving and maintaining ASDAS-CRP remission/LDA during at least 12 months increased in 82% the probability to obtain a MCII in BASFI (RR 1.82 95% CI 1.14-2.91, p=0.012). Conclusion: Patients achieving sustained ASDAS-CRP remission/LDA had better functional outcomes over time compared to those not achieving this target. Higher BASFI scores at baseline and sustained ASDAS remission/LDA were predictors of a MCII in BASFI.Figure 1.Comparison of ΔBASFI between patients who achieved or not sustained ASDASCRP remission/LDA.References:[1] Madsen OR: Stability of fatigue, pain, patient global assessment and the Bath Ankylosing Spondylitis Functional Index (BASFI) in spondyloarthropathy patients with stable disease according to the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). Rheumatol Int. 2018;38(3):425-432.[2] Baraliakos X, Kivitz AJ, et al: Long-term effects of interleukin-17A inhibition with secukinumab in active ankylosing spondylitis: 3-year efficacy and safety results from an extension of the Phase 3 MEASURE 1 trial. Clin Exp Rheumatol. 2018; 36(1):50-55[3] Deodhar A, Reveille JD, et al: Safety and Efficacy of Golimumab Administered Intravenously in Adults with Ankylosing Spondylitis: Results through Week 28 of the GO-ALIVE Study. J Rheumatol. 2018; 45(3):341-348[4] Kviatkovsky MJ, Ramiro S, Landewé R, et al: The Minimum Clinically Important Improvement in Patient-acceptable Symptom State in the BASDAI and BASFI for Patients with Ankylosing Spondylitis. J Rheumatol 2016; 43(9): 11680-1686.Disclosure of Interests:Juliana Maria Kerber Grant/research support from: This work was sponsored by the regional society of rheumatology (Sociedade de Reumatologia do Rio Grande do Sul)., Juliana Dias de Mello Grant/research support from: This work was sponsored by the regional society of rheumatology (Sociedade de Reumatologia do Rio Grande do Sul)., Penelope Palominos Grant/research support from: This work was sponsored by the regional society of rheumatology (Sociedade de Reumatologia do Rio Grande do Sul)., Andrese Aline Gasparin Grant/research support from: This work was sponsored by the regional society of rheumatology (Sociedade de Reumatologia do Rio Grande do Sul)., Franciele de Almeida Menegat Grant/research support from: This work was sponsored by the regional society of rheumatology (Sociedade de Reumatologia do Rio Grande do Sul)., Claiton Viegas Brenol Grant/research support from: This work was sponsored by the regional society of rheumatology (Sociedade de Reumatologia do Rio Grande do Sul)., Charles Kohem Grant/research support from: This work was sponsored by the regional society of rheumatology (Sociedade de Reumatologia do Rio Grande do Sul).


2020 ◽  
Vol 10 (32) ◽  
pp. 194-204
Author(s):  
Leticia Silveira Cardoso ◽  
Letice Dalla Lana ◽  
Cynthia Fontella Sant’Anna ◽  
Josefine Busanello ◽  
Valdecir Zavarese da Costa ◽  
...  

O acidente por queda representa a terceira maior causa de morte no país, fomentando ações multiprofissionais de promoção, proteção e recuperação da saúde. O estudo objetivou conhecer a assistência dos profissionais da Estratégia Saúde da Família nos acidentes por quedas. Trata-se de um estudo exploratório, descritivo-analítico, transversal ao processo de trabalho de 72 profissionais vinculados a oito equipes de Saúde da Família de um município da fronteira oeste do Rio Grande do Sul. As entrevistas foram gravadas, digitalizadas e organizadas em um banco de dados no formato de texto. Os dados foram processados no software IRAMUTEC e analisados pela classificação hierárquica descendente, análise de similitude e nuvem de palavras. Os resultados mostram que os profissionais realizam atendimento das vítimas de acidentes por quedas, de forma diferenciada na assistência e gerência, com ênfase na resolutividade, na pessoa idosa e na continuidade do cuidado na Rede de Atenção à Saúde.Descritores: Acidentes por Quedas, Estratégia Saúde da Família, Equipe de Assistência ao Paciente. Fall accidents: professional assistance in the family health strategyAbstract: Fall accidental represent the third leading cause of death in the country, promoting multiprofessional actions to promote, protect and recover health. The study aimed to know the assistance of professionals of the Family Healht Strategy in falls accidental. This is a exploratory, descripive-analytical study, transversal to the work process of 72 professionals linked to eight Family Health Teams in a municipality on the western dorder of Rio Grande do Sul. The interviews were recorded, digitized and organize in a data base in the IRAMUTEC software and analyzed by descending hierarchical classification, similarity analysis and word cloud. The results show that professionals perform care for victms the falls accidental, in a diferente way in care and managemente, with na emphasis on resolvability, the elderly and continuity of care in the Health Care Network.Descriptors: Accidental Falls, Family Health Strategy, Patient Care Team. Accidentes por caídas: asistencia profesional en la estrategia de salud familiarResumen: Los accidentes por caídas representan la tercera causa de muerte en el país, fomentando acciones multiprofesionales para promover, proteger y recuperar la salud. El estúdio tuvo como objetivo conocer la assistencia de profesionales de la Estrategia de Salud Familiar en accidentes por caídas. Este es um estúdio exploratório, descripptivo-analítico, transversal al proceso de trabajo de 72 profesionales vinculados a ocho equipos de salud familiar de um município en la frontera oeste del Rio Grande do Sul. Las entrevistas fueron grabadas, digitalizadas y organizadas en un base de datos em formato de texto. Los datos se procesaron en el software IRAMUTEC y se analizaron mediante clasificación jerárquica descendente, análisis de similitude y nuble de palavras. Los resultados muestran que los profesionales brindan atención a las víctimas de accidentes debido a caídas, de uma manera diferene en la atención y el manejo, com énfasis en la resolubilidad, los ancianos y la continuidad de la atención en la Red de Atención Médica.Descriptores: Accidentes por Caídas, Estrategia de Salud Familiar, Grupo de Atención al Paciente.


2012 ◽  
Vol 32 (3) ◽  
pp. 459-466 ◽  
Author(s):  
Ricardo L. Schons ◽  
Adroaldo D. Robaina ◽  
Márcia X. Peiter

In this study, it was discussed the efficiency criteria in each of the elements that compose a central pivot, and this analysis was applied to two sets of systems located in regions of Cruz Alta and Santo Augusto, state of Rio Grande do Sul, Brazil. The methodology used combines water and energy assessment through an indicator called Normalized Specific Consumption in Irrigation (C ENI), allowing thus a comparison between equipment and projects. The C ENI in Cruz Alta region showed 72% of the equipment above the standard (8.68 kWh mm-1 ha-1 100m-1), and in Santo Augusto region 64.28% with consumption above the standard. The mean irrigation efficiency for Cruz Alta region was 29.85%, with standard deviation of 5.41%, and for Santo Augusto region, it was 29.02%, with standard deviation of 5.15%.


2020 ◽  
Vol 41 (9) ◽  
pp. 1099-1105 ◽  
Author(s):  
Christopher G. Lenz ◽  
Shu Tan ◽  
Andrew L. Carey ◽  
Kaenson Ang ◽  
Timothy Schneider

Background: Matrix-induced autologous chondrocyte implantation (MACI) is an established treatment method for larger joints and has shown promising results in the ankle as well. We present a series of patients after ankle MACI with long-term follow-up of clinical and radiological outcomes. Methods: We present the follow-up of 15 patients who underwent MACI grafting from August 2003 to February 2006. The mean follow-up was 12.9 years. Clinical evaluations were conducted using the American Orthopaedic Foot & Ankle Society (AOFAS), Foot and Ankle Activity Measurement (FAAM), and visual analog scale (VAS) scoring systems and the magnetic resonance observation of cartilage repair tissue (MOCART) scoring system for radiological evaluation. Results: The mean size of the talar osteochondral defects was 204 mm2. We found a significant improvement in mean AOFAS score from 60 preoperatively to a mean of 84 at 12 years postoperatively. The 12-year FAAM score for Activities of Daily Living was 89% (range, 62%-99%). The mean 12-year MOCART score was 65 points (range, 30-100 points) with significant agreement between assessors ( P < .001). However, the MOCART scores did not correlate with the FAAM scores ( P = .86). Conclusion: Considering our long-term follow-up, we believe MACI is a reliable treatment method for talar osteochondral defects providing lasting pain relief and satisfying clinical results. However, with an equivalent outcome, but at higher costs, and the requirement for 2 operative procedures, the results do not seem to be superior to other established methods. The clinical utility of the MOCART score requires further scrutiny since we were not able to show any correlation between the score and clinical outcome. Level of Evidence: Level IV, case series.


FLORESTA ◽  
2014 ◽  
Vol 44 (4) ◽  
pp. 553
Author(s):  
Igor Da Silva Narvaes ◽  
Solon Jonas Longhi ◽  
Ricardo De Vargas Kilca ◽  
Tales Eduardo Sangoi Rodrigues

AbstractThis study was part of the Long Term Ecological Project (PELD) conducted in the São Francisco de Paula National Forest, RS where Mixed Ombrophilous Forest is predominant. The aim was to identify distribution of arboreous species depending on different soil conditions occurring in the low, medium and upper slopes of the studied area. 180 sample units of 100 m2 distributed along the topographical gradient were installed, with identification of the totality of arboreous species with 3 cm ≤ CBH < 30 cm and height exceeding 1.30 meters. In addition, thirteen environmental variables were collected in each sub-unit. The Canonical Correspondence Analysis model (CCA) indicated that only the slope, the topographic position, the stoniness and the soil color (up to 50 cm in depth) were the variables that best distinguished the sample groups of the slope environments. Out of the 53 species included in the model, ten species showed best correlations with the typical environments of upper slopes and 12 species were most characteristics of the lower positions, while the remaining resulted well adapted to different hillside topographic conditions. Environmental preferences of the species could be considered in silvicultural and recuperation programs applied to hillside environments of the region.Keywords:  Araucarian Forest; species distribution pattern, edaphic characteristics; canonical correspondence analysis. ResumoOcupação de espécies arbóreas em um gradiente topográfico na Floresta Ombrófila Mista no Rio Grande do Sul. O presente estudo foi parte do Projeto Ecológico de Longa Duração (PELD), realizado na Floresta Nacional de São Francisco de Paula, RS, onde predomina a Floresta Ombrófila Mista. O objetivo foi identificar relações de distribuição das espécies arbóreas em diferentes condições edáficas que ocorrem em posições inferiores, médias e superiores em encostas na área de estudo. Foram instaladas 180 subunidades amostrais de 100 m2 distribuídas ao longo dessas encostas, identificados todos os indivíduos arbóreos com 3 cm ≤ CAP < 30 cm e altura superior a 1,30 metros, além de13 variáveis ambientais inventariadas em cada subunidade. O modelo de Análise de Correspondência Canônica (ACC) indicou que a variação na declividade, na posição topográfica, na pedregosidade e na cor dos solos (na profundidade de até 50 cm) foram as variáveis que melhor distinguiram os grupos de parcelas que caracterizaram os ambientes das encostas. Das 53 espécies inseridas no modelo, dez espécies demonstraram maiores correlações com os ambientes típicos das encostas superiores e 12 espécies foram mais características das posições inferiores, enquanto que as demais apresentaram ampla adaptação às diferentes posições das encostas. As preferências ambientais das espécies poderiam ser consideradas em programas silviculturais e de recuperação nos ambientes de encostas na região.Palavras-chave:  Floresta com Araucária; padrão de distribuição de espécies; características edáficas; análise de correspondência canônica. 


2019 ◽  
Vol 3 ◽  
pp. 79
Author(s):  
Geraldine Alves dos Santos ◽  
Päivi Sanerma

ABSTRACTMany studies have been carried out, mainly in the last decades, to understand the normal and pathological process of aging in the different areas of knowledge. However, many gaps still remain in the progress of science. In this sense, the overall objective of the present study was to evaluate the comparison between the performance of congruent elderly people in Brazil and Finland. The study method had a quantitative, descriptive cross - sectional design. The sample consisted of 194 subjects of both sexes, aged between 60 and 79 years, residing in the municipality of Ivoti / Rio Grande do Sul / Brazil and 93 subjects, both genders aged 65 to 85 years residing in Riihimäki / Finland. The instrument used was the Mini Mental State Examination (MMSE). Data were analyzed statistically in SPSS version 25.0 through descriptive analysis of frequency and comparison of means by the Mann Whitney test (p≤0.05). The results showed that the cognitive performance of elderly people in the Ivoti group was significantly higher than those of Riihimäki. It can be concluded that cultural variables influenced outcomes, such as experiences in the early stages of human development and current interpersonal relationships.Keywords: Cognitive performance. Successful aging. Elderly. RESUMOMuitos estudos têm sido realizados, principalmente nas últimas décadas, para compreender o processo normal e patológico de envelhecimento, nas diferentes áreas do conhecimento. Entretanto, muitas lacunas ainda se mantêm presentes no progresso da ciência. Neste sentido, o objetivo geral do presente estudo foi avaliar a comparação entre o desemepnho congitivo de pessoas idosas residentes no Brasil e na Finlândia. O método do estudo teve um delineamento quantitativo, descritivo e transversal. A amostra compreendeu 194 sujeitos, de ambos os sexos, com idade entre 60 e 79 anos, residentes no município de Ivoti/Rio Grande do Sul/Brasil e 93 sujeitos, de ambos os sexos com idade entre 65 e 85 anos residentes em Riihimäki/Finlândia. O instrumento utilizado foi o Mini Exame do Estado Mental (MEEM). Os dados foram analisados estatisticamente no programa SPSS versão 25.0 através de análises descritivas de frequência e de comparação de médias pelo teste Mann Whitney (p≤0,05). Os resultados demonstraram que o desempenho cognitivo das pessoas idosas do grupo de Ivoti foi significativamente maior que os de Riihimäki. Pode-se concluir que variáveis culturais influenciaram os resultados, tais como experiências nas fases iniciais do desenvolvimento humano e as relações interpessoais atuais.Palavras-chave: Desempenho cognitivo. Velhice. Idosos.


2003 ◽  
Vol 8 ◽  
pp. 217-248 ◽  
Author(s):  
Fernando Camargo
Keyword(s):  

El presente trabajo constituye un esfuerzo por identificar y contextualizar algunos de los diferentes agentes y factores que influyeron en el proceso de ocupación eficaz del margen izquierdo del río Uruguay, es decir, la Banda Oriental del Uruguay, las Misiones Orientales del Uruguay y el Continente de São Pedro (actualmente República Oriental del Uruguay y estado del Rio Grande do Sul, Brasil), por las metrópolis ibéricas. El análisis se concentra en los orígenes de ese proceso y sus primeras implicaciones diplomáticas en el siglo XV, hasta el Tratado de Madrid, de 1750.


2015 ◽  
Vol 35 (4) ◽  
pp. 769-777 ◽  
Author(s):  
Izabele B. Kruel ◽  
Monica C. Meschiatti ◽  
Gabriel C. Blain ◽  
Ana M. H. de Ávila

ABSTRACT Changes in the frequency of occurrence of extreme weather events have been pointed out as a likely impact of global warming. In this context, this study aimed to detect climate change in series of extreme minimum and maximum air temperature of Pelotas, State of Rio Grande do Sul, (1896 - 2011) and its influence on the probability of occurrence of these variables. We used the general extreme value distribution (GEV) in its stationary and non-stationary forms. In the latter case, GEV parameters are variable over time. On the basis of goodness-of-fit tests and of the maximum likelihood method, the GEV model in which the location parameter increases over time presents the best fit of the daily minimum air temperature series. Such result describes a significant increase in the mean values of this variable, which indicates a potential reduction in the frequency of frosts. The daily maximum air temperature series is also described by a non-stationary model, whose location parameter decreases over time, and the scale parameter related to sample variance rises between the beginning and end of the series. This result indicates a drop in the mean of daily maximum air temperature values and increased dispersion of the sample data.


2018 ◽  
Vol 6 ◽  
pp. 2-15
Author(s):  
Jana Koefender ◽  
Diego Pascoal Golle ◽  
Candida Elisa Manfio ◽  
Roberta Cattaneo Horn ◽  
André Schoffel ◽  
...  
Keyword(s):  

2018 ◽  
Vol 38 (10) ◽  
pp. 1918-1922 ◽  
Author(s):  
Taina S. Alberti ◽  
Fabio R.P. Bruhn ◽  
Valmor Lansini ◽  
Margarida B. Raffi ◽  
Haide V. Scheid ◽  
...  

ABSTRACT: Hydatidosis and cysticercosis are parasitoses caused by the larval forms of the cestodes Equinococcus spp. and Taenia spp., which belong to the Taeniidae family. Their definitive hosts are canids and humans, respectively, with ruminants as the intermediate hosts and humans as an accidental host of both diseases. These parasites are responsible for large economic losses in slaughterhouses due to condemnation of carcasses and by-products. The present study reports the mean incidence rates of hydatidosis and cysticercosis in cattle slaughtered in the southern region of Rio Grande do Sul state, Brazil. The incidence rates observed between 2013 and 2016 were 19.96% and 0.9%, respectively, with decreased tendency of occurrence of both diseases in those years. Despite the downward tendency of the diseases, hydatidosis presented high incidence. Hydatidosis performance over the years was characterized by significant increase in the number of cases, followed by marked decrease. Cysticercosis presented a decrease in number of cases at the beginning and the end of each year. These diseases have a significant socioeconomic impact as they are responsible for large losses in the livestock industry, due to reduced productivity and carcass condemnation, and represent a risk to public health.


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