O papel do enfermeiro que atua no transplante ósseo

2009 ◽  
Vol 3 (3) ◽  
pp. 662
Author(s):  
Ana Rachel Ferreira Ribeiro ◽  
Michelle De Mendoça Silva ◽  
Michelle De Oliveira Menezes ◽  
Heliane Lopardi

ABSTRACT Objective: to describe the role of a nurse before the transplant bone involving the donor’s family. Method: descriptive study, based on data from Latin American and Caribbean in Health Sciences and Nursing Database, for the past nine years. It was carried through the pre-reading and selective reading having as resulted seven references. We done interpretative reading and finally analyze, clarify the role of the nurse who works in front of the bone transplant the donor's family. Results: the nurse’s performance goes very beyond the CIDOT, that is, beyond intra-hospital environment. The nurse has that to obtain to reach the community sensitizing it, gaining their confidence and showing him how is nobleman and important the act to communicate its family while still alive the desire of being a giver. Conclusion: the Law n° 9.434, 1997 of to the nurse the qualification and autonomy to act all actively in the process of bone transplant, it is enough then, to have the knowledge and will to pass of a spectator and collaborator, the professional with disposition to improve and help all the involved ones in this procedures. Descriptors: transplant; bone; nurses; tissues; organs.RESUMOObjetivo: descrever a atuação do enfermeiro diante do transplante ósseo envolvendo a família do doador. Método: estudo descritivo e exploratório, tendo como base de dados a Base de Dados de Enfermagem e Literatura Latino-Americana e do Caribe em Ciências da Saúde, nos últimos nove anos. Foi realizada a pré-leitura e leitura seletiva tendo como resultado sete referências. Realizamos leitura interpretativa e de análise para enfim, esclarecer o papel do enfermeiro que atua no transplante ósseo diante da família do doador. Resultados: a atuação do enfermeiro vai muito além da CIDOT, ou seja, de um ambiente intra-hospitalar. O enfermeiro deve alcançar a comunidade sensibilizando-a, ganhando sua confiança e mostrando-lhe como é nobre e importante o ato de comunicar em vida a sua família o desejo de ser um doador. Conclusão: a Lei nº 9.434, 1997 dá ao enfermeiro capacitação e autonomia para atuar ativamente em todo o processo de transplante ósseo, basta então, ele ter o conhecimento e vontade para passar de mero expectador e colaborador, a profissional disposto a melhorar e ajudar todos os envolvidos nesse procedimento. Descritores: transplante; osso; enfermeiro; tecidos; órgãos.RESUMENObjetivo: describir la actuación del enfermero ante el trasplante de hueso envolviendo la familia del donante. Método: estudio descriptivo y exploratório, teniendo como base de datos el Literatura Latino Americana y del Caribe en Ciencias de la Salud y Base de Datos de Enfermería, en los últimos nueve años. Fue realizada la prélectura y lectura selectiva teniendo como resultado siete referencias. Realizamos lectura interpretativa y de análisis para en fin, aclarar el papel del enfermero que actua en el trasplante óseo. Resultados: la actuación del enfermero va más allá de la CIDOT, o sea, de un ambiente intra-hospitalario. El enfermero tiene que lograr alcanzar la  comunidad sensibilizándola, ganándola y mostrando como es noble e importante el acto de comunicar en vida su familia el deseo de ser un donante. Conclusión: la leye nº 9.434, 1997 del enfermero capacitación y autonomía para actuar activamente en todo proceso de trasplante óseo, basta entonces, él tener el conocimiento y voluntad para pasar de simple expectador y colaborador, a profesional dispuesto a mejorar y ayudar todos los envueltos en este procedimiento. Descriptores: trasplante; hueso; enfermero; tejido; órganos.

Rev Rene ◽  
2015 ◽  
Vol 16 (4) ◽  
pp. 613 ◽  
Author(s):  
Camila Fernandes da Silva Carvalho ◽  
Isaiane da Silva Carvalho ◽  
Rosineide Santana de Brito ◽  
Allyne Fortes Vitor ◽  
Ana Luísa Brandão de Carvalho Lira

Objective: to analyze the scientific production about the role of the man as a caregiver during the birth process of his partner. Methods: integrative review held in electronic databases Scopus, Cumulative Index to Nursing and Allied Health Literature, PubMed, ISI Web of Knowledge, and Latin American and Caribbean in Health Sciences. Results: there were 389 scientific articles located, of which 26 studies were selected that showed active roles - physical and emotional support - and passive roles – spectator or total lack of viewer participation – of the partner during the birth process. The monitoring of this event by the father is considered positive experience. However, the lack of incentive limits their active participation. Conclusion: despite the historical, religious, cultural, institutional or individual barriers, there is a desire to actively participating in the child´s birth, even though sometimes parents are unprepared to provide the support they would like.


2009 ◽  
Vol 3 (4) ◽  
pp. 1169
Author(s):  
Gabriela Baptista Vieira ◽  
Rose Mary Costa Rosa Andrade Silva ◽  
Eliane Ramos Pereira ◽  
Marcos Andrade Silva

Objective: this study aims to correlate the feelings of the client with cancer mainly highlighting the anguish in a perspective Heideggerian existentialist. Methods: a descriptive study, qualitative, the type bibliography. To review, it took a search in books and in the database of the Scientific Electronic Library Online, Literature Latin American and Caribbean Health Sciences, Virtual Health Library, and Google Scholar, using the terms: oncology nursing, cancer, anxiety, Heidegger. Twelve articles were selected considering the cut time of the last twelve years and the inclusion of subjective approaches. The Heideggerian approach subsidized understanding of issues of subjectivity, bringing contributions to a humanized intervention. Results: the cancer is a disease that refers the man to get in touch with their own finitude, so the person with cancer experiences a feeling of anguish, so that client has a need for assistance not just in physical but also emotional. The sense of anguish allows a man to the rescue of daily living, to suit the whole, and that feeling emerges when the man realizes that it is finite. Conclusion: it is crucial to understanding this type of feeling for nursing, to consider the being within their individualities, which will directly reflect the quality of its assistance. Descriptors:   oncologic nursing; emotions; stress psychological; anxiety; existentialism.


2017 ◽  
Vol 70 (2) ◽  
Author(s):  
Jennifer E J Jun ◽  
Angus Kinkade ◽  
Anthony C H Tung ◽  
Aaron M Tejani

<p><strong>ABSTRACT</strong></p><p><strong>Background:</strong> Finasteride and dutasteride are competitive inhibitors of 5a-reductase enzymes and are commonly used to treat symptomatic benign prostatic hyperplasia (BPH).</p><p><strong>Objective:</strong> To compare the efficacy and safety of finasteride and dutasteride in terms of clinically important outcomes.</p><p><strong>Data Sources:</strong> A literature search was performed using the search terms “prostatic hyperplasia”, “prostatic hypertrophy”, “dutasteride”, “finasteride”, “quality of life”, “adverse drug reaction”, and “mortality”. The Embase, PubMed, Cochrane Central Register of Controlled Trials, International Pharmaceutical Abstracts, Cumulative Index to Nursing and Allied Health Literature, and Latin American and Caribbean Health Sciences Literature databases were searched from inception to December 2015.</p><p><strong>Study Selection and Data Extraction:</strong> Randomized controlled trials, quasi-randomized trials, and systematic reviews comparing finasteride with dutasteride, either as monotherapy or in combination with a-blockers, for treatment of men with BPH were included. The outcomes of interest included need for prostate-related surgery, episodes of acute urinary retention, withdrawals due to adverse events, number of patients experiencing serious adverse events, mortality, and sexual dysfunction.</p><p><strong>Data Synthesis:</strong> Four studies involving a total of 1879 patients were included in the analysis. There were no significant differences in any of the clinically important outcomes examined: for prostate-related surgery, odds ratio (OR) 2.01 (95% confidence interval [CI] 0.18–22.24); for episodes of acute urinary retention, OR 1.47 (95% CI 0.68–3.19); for number of withdrawals due to adverse events, OR 1.10 (95% CI 0.68–1.75); for total number of patients experiencing adverse events, OR 0.94 (95% CI 0.78–1.14); for number of patients experiencing serious adverse events, OR 1.31 (95% CI 0.87–1.97); and for sexual dysfunction, OR 0.83 (95% CI 0.64–1.08).</p><p><strong>Conclusion:</strong> There is insufficient evidence to suggest that either finasteride or dutasteride offers an advantage in efficacy or safety over the other, in terms of clinically important outcomes.</p><p><strong>RÉSUMÉ</strong></p><p><strong>Contexte :</strong> Le finastéride et le dutastéride sont des inhibiteurs compétitifs de l’enzyme 5 alpha-réductase. Ils sont fréquemment employés comme traitement symptomatique de l’hyperplasie bénigne de la prostate (HBP).</p><p><strong>Objectif :</strong> Comparer l’efficacité et l’innocuité du finastéride et du dutastéride en ce qui concerne les résultats thérapeutiques cliniquement importants.</p><p><strong>Sources des données :</strong> Une recherche documentaire a été effectuée à l’aide des termes « hyperplasie de la prostate », « hypertrophie de la prostate », « dutastéride », « finastéride », « qualité de vie », « réaction indésirable aux médicaments » et « mortalité ». Les bases de données Embase, PubMed, International Pharmaceutical Abstracts, Cumulative Index to Nursing and Allied Health Literature et Latin American and Caribbean Health Sciences Literature ainsi que le Registre central Cochrane des essais comparatifs ont été interrogées pour la période allant de leur création à décembre 2015.</p><p><strong>Sélection des études et extraction des données :</strong> Les essais comparatifs à répartition aléatoire, les essais quasi-aléatoires et les analyses systématiques qui comparent le finastéride et le dutastéride, en monothérapie ou en association avec des a-bloquants, pour le traitement de la HBP chez l’homme, ont été retenus. Parmi les résultats d’intérêt, on comptait : la nécessité de recourir à une chirurgie de la prostate, les épisodes de rétention urinaire aiguë, les retraits de l’étude pour cause d’événements indésirables, le nombre total de patients ayant subi des événements indésirables graves, la mortalité et le dysfonctionnement sexuel.</p><p><strong>Synthèse des données :</strong> Quatre études comptant au total 1879 patients ont été retenues pour l’analyse. Aucune différence significative n’a été relevée en ce qui touche les résultats thérapeutiques cliniquement importants : la nécessité de recourir à une chirurgie de la prostate (risque relatif approché [RRA] de 2,01, intervalle de confiance [IC] à 95 % de 0,18 à 22,24), les épisodes de rétention urinaire aiguë (RRA de 1,47, IC à 95 % de 0,68 à 3,19), le nombre de retraits de l’étude pour cause d’événements indésirables (RRA de 1,10, IC à 95 % de 0,68 à 1,75), le nombre total de patients ayant subi des événements indésirables (RRA de 0,94, IC à 95 % de 0,78 à 1,14); le nombre de patients ayant subi des événements indésirables graves (RRA de 1,31, IC à 95 % de 0,87 à 1,97) et le dysfonctionnement sexuel (RRA de 0,83, IC à 95 % de 0,64 à 1,08).</p><p><strong>Conclusion :</strong> Il n’y a pas suffisamment de données probantes pour croire que le finastéride ou le dutastéride offrent, l’un par rapport à l’autre, un avantage quant à l’efficacité ou à l’innocuité, en ce qui concerne les résultats thérapeutiques cliniquement importants.</p>


Author(s):  
Enrique Mu

Until recently, there was no doubt about what constituted a university education and how it was carried out. Suddenly, the COVID-19 pandemic occurred, and in a few weeks, not only education, but the entire world changed. In the new normal, post-pandemic world, it is possible that teaching face-to-face courses will be the exception, not the rule, in the U.S. and the Latin American and Caribbean regions. Furthermore, this virtual instruction will possibly be at massive levels with tens or hundreds of thousands of students at a time, modeled after massive open online courses (MOOCs).


2020 ◽  
pp. 1-13 ◽  
Author(s):  
Kornelia Kończal

In early 2018, the Polish parliament adopted controversial legislation criminalising assertions regarding the complicity of the ‘Polish Nation’ and the ‘Polish State’ in the Holocaust. The so-called Polish Holocaust Law provoked not only a heated debate in Poland, but also serious international tensions. As a result, it was amended only five months after its adoption. The reason why it is worth taking a closer look at the socio-cultural foundations and political functions of the short-lived legislation is twofold. Empirically, the short history of the Law reveals a great deal about the long-term role of Jews in the Polish collective memory as an unmatched Significant Other. Conceptually, the short life of the Law, along with its afterlife, helps capture poll-driven, manifestly moralistic and anti-pluralist imaginings of the past, which I refer to as ‘mnemonic populism’. By exploring the relationship between popular and political images of the past in contemporary Poland, this article argues for joining memory and populism studies in order to better understand what can happen to history in illiberal surroundings.


2011 ◽  
Vol 18 (3) ◽  
pp. 364-373 ◽  
Author(s):  
Nayereh Baghcheghi ◽  
Hamid Reza Koohestani

The present study was carried out to explore Iranian nurses’ use of placebos in clinical practice and their knowledge and attitude towards its use. A cross-sectional, descriptive study was conducted using self-report questionnaires. All nurses working in a university hospital in Arak (n = 342) were invited to participate in the study. Among 295 respondents, 221 (75%) reported that they had used at least one placebo within the past year and 179 (81%) told patients they were receiving actual medication. The most common reason and symptom for placebo use were after unjustified demand for medication and pain, respectively. Only 60 (20.33%) of the nurses believed that placebos should never be used. Results showed that most nurses in our study had used placebos and probably will continue to use them. Placebo use is viewed as ethically permissible among nurses. Some patients benefit from the placebos, but their use raises ethical questions. The role of placebo treatment, its mechanisms, and its ethics issues should be taught to nurses.


2009 ◽  
Vol 3 (4) ◽  
pp. 1042
Author(s):  
Milene Dias Ferreira ◽  
Vivian Stefani Godoy ◽  
Luiza Tayar Facchin ◽  
Renata Cristina de Campos Pereira Silveira ◽  
Helena Megumi Sonobe ◽  
...  

Objective: to identify and assess the available evidences in the literature about factors that interfere with the adherence of the health workers to standard precautions. Methods: this is an integrative literature review, conducted through electronic search of articles in the following databases: PubMed, digital archive produced by the National Library of Medicine (MEDLINE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Latin American and Caribbean Center on Health Sciences Information (LILACS), EMBASE and COCHRANE Library, published between 1999 and 2008. In total, 14 articles were analyzed. Results: the analysis of articles identified a variety of factors that can interfere positively or negatively with the adherence of health workers to standard precautions. Most (13/14) were classified as evidence level 6, since they were descriptive articles. Reasons were grouped in three categories: factors related to individuals, to institutions and to the process of work. Conclusion: although the present study does not provide strong scientific evidences, it permitted the identification of a group of variables that should be better researched in analytical and experimental studies, which can support in a more concrete way the improvement of the levels of adherence of health workers to standard precautions. Descriptors: health personnel; guideline adherence; universal precautions.


Author(s):  
Erick De Oliveira Lemes ◽  
Amanda Ferreira Lucena ◽  
Kátia Merces Moreira ◽  
Larissa Soares Geremias ◽  
Nathalia Assis Alves

A intolerância ao glúten é uma incapacidade do organismo em absorver os nutrientes do glúten, que é a principal proteína encontrada em alguns cereais. A incapacidade de absorver partes do glúten pode ser devida a um componente genético ou pode ser adquirida em qualquer fase da vida. A intolerância pode ainda se manifestar após a ingestão de alimentos que contém este elemento, ou em casos assintomáticos, em que mesmo com a ausência dos sintomas, o intestino sofre agressões pela ingestão ao glúten. O estudo teve como objetivo pesquisar sobre o diagnóstico, intolerância ao glúten e alternativas de alimentos para os pacientes. O estudo foi composto por um conjunto de publicações contidas em periódicos, livros-textos, monografias, dissertações e teses. A coleta foi realizada nas bases eletrônicas Scielo (Scientific Eletronic Library Online), Bireme (Biblioteca Regional de Medicina), BVS (Biblioteca Virtual em Saúde), Pubmed e Lilacs (Literatura Latino Americana e do Caribe em Ciências Sócias e da Saúde) e publicações como: monografias, dissertações e teses disponíveis eletronicamente, bem como livros-textos no período de 1989 a 2016. Através da realização deste estudo, foi possível perceber que o glúten está presente na maioria dos alimentos disponíveis, sendo encontrado no trigo, na cevada, no centeio, na aveia e derivados, e se faz necessário que existam companhas informativas aos portadores, especialmente, os quais buscam informações quanto a sua deficiência e formas de conviver com ela, sempre prezando pelo seu bem-estar e qualidade de vida. Palavras-chave: Intolerância. Ingestão. Glúten. AbstractThe gluten intolerance is an inability of the body to absorb nutrients, which is one of the main nutrients of some cereals. The inability to absorb the parts can be a genetic component or can be acquired at any stage of life. Intolerance may continue to manifest itself after a process of awareness, that is, in asymptomatic cases, when with the absence of bowel symptoms, in the aggression to the use. The study had a good relationship with diagnosis, gluten intolerance and food alternatives for patients. The study was composed of a set of publications contained in periodicals, textbooks, monographs, dissertations and theses. The collection was carried out in the electronic databases of Scielo, the Regional Library of Medicine, the Virtual Health Library, Pubmed and Lilacs and the publication in English of Latin American and Caribbean Literature in Social and Health Sciences. The monographs, dissertations and theses available electronically, as well as textbooks from 1989 to 2016, are not found in wheat, in barley, rye, oats and derivatives. It is necessary to have information about the patients, especially those who seek information about their disability and ways of living with them, always esteemed by their well-being and quality of life. Keywords: Intolerance. Ingestion. Gluten.


2015 ◽  
Vol 3 (11) ◽  
pp. 0-0 ◽  
Author(s):  
Анатолий Капустин ◽  
Anatoliy Kapustin

The article discusses the main features of the Law of the Eurasian Economic Union (EAEU) from the point of view of modern international law, its legal nature and place, and functions in the regulation of the Eurasian integration. The article investigates the importance of the Foundation agreement as the international legal basis of the Union and its legal system. The author conducts comparative law analysis of conceptual models of the integration law on the example of the European legal theories of the European Union and Latin American theories of law on regional economic integration. This article gives comprehensive international law characteristics of regulatory definitions and conceptual framework of the EAEU law. The author classifies contractual sources of the Union’s Law and reveals the relationship between them. The author shows the role of secondary sources of the Union’s Law — acts of intergovernmental bodies. The author does not only list the sources enumerated in the EAEU Treaty, but also makes a forecast about the role of other international law acts and norms in the development of the EAEU Law concept. The author draws the conclusion that the Union’s Law is of an international law nature.


Author(s):  
Fabiana Rezer ◽  
Wladimir Rodrigues Faustino ◽  
Bruno Felipe Oliveira Pereira

Objective: To list the main hemodialysis catheters that trigger infection. Method: systematic literature review, descriptive with quantitative approach, in which searches were performed in the databases: SCIELO (Scientific Electronic Library Online), LILACS (Latin American and Caribbean Health Sciences Literature), BDENF (Nursing Database), MEDLINE (Online Medical Literature Search and Analysis System), IBECS (Spanish Bibliographic Index in Health Sciences), COCHRANE LIBRARY and CINAHL (Cumulative Index to Nursing and Allied Health Literature), data collection was held between April and July 2019. Results: 11 articles were selected after applying the inclusion/exclusion criteria. The studies showed that the main triggering catheters of infection are the provisional catheters, of which stand out the double lumen. Conclusion: Due to the high use in health services, vigilance in the use of temporary catheters, especially double lumen, is recommended.


Sign in / Sign up

Export Citation Format

Share Document