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The most frequent related factors were: being younger than 50 years old, motion sickness, being a woman, emetogenic potential of the chemotherapy, anxiety, conditioned stimulus, and expecting nausea after treatment. Even though it provides an appropriate definition of related factors, it does not mention chemotherapy, despite the various studies addressing the topic using different designs and presenting various objectives and outcomes. Sepsis in a university hospital: a prospective study for the cost analysis of patients' hospitalization.

To estimate the cost of hospitalization of patients with severe sepsis or septic shock admitted or diagnosed in the Urgent and Emergency sector at a university hospital and followed until the clinical outcome. An epidemiological, prospective, observational study conducted in a public hospital in southern Brazil for the period of one year August to August Sepsis notification forms, medical records and data of the cost sector were used for the collection of clinical and epidemiological data.

The higher costs were related to discharge, diagnosis of severe sepsis, the pulmonary focus of infection and the age group of up to 59 years. The high cost of the treatment of sepsis justifies investments in training actions and institution of protocols that can direct preventive actions, and optimize diagnosis and treatment in infected and septic patients. Impact of neoadjuvant therapy in downstaging of lower rectal adenocarcinoma and the role of pelvic magnetic resonance in staging.

In group 1, the accuracy of determining tumor depth T and lymph node involvement N was The mechanisms by which elevated HR increases mortality are not fully understood. To assess the relationship of baseline HR with clinical, neurohormonal and cardiac sympathetic activity in patients with chronic HF and elevated HR. This report refers to the baseline data of 16 initial patients. Baseline HR before randomization to one of the drugs was assessed, and patients were classified into two groups, with HR below or above mean values.

Cardiac sympathetic activity was assessed by iodine-metaiodobenzylguanidine myocardial scintigraphy. Mean HR was These patients had lower 6-min walk distance Effects of indacaterol versus tiotropium on exercise tolerance in patients with moderate COPD: a pilot randomized crossover study. Profile of thoracic trauma victims submitted to chest drainage. There is a question concerning the role of agricultural practices on carbon sequestration enhancement.

By producing biomass with agricultural crops and adding this residue to soil, it should act on the mitigation process of the greenhouse effect, especially CO2. The objectives of this study were to Brazilian guidelines for the diagnosis and treatment of cystic fibrosis. Costs of topical treatment of pressure ulcer patients. To evaluate the costs of a topical treatment of pressure ulcer PU patients in a hospital unit for treatment of chronic patients in This is an activity-based costing study. This method encompasses the identification, measurement and pricing of physical and human resources consumed for dressings.

Procedure costs varied between BRL For most dressings, the cost increased proportionally to the increase of the area and to the development of PU category. The primary barrier accounted for a high percentage of costs among all items required to the application of dressings human and material resources. Dressings applied in sacral PUs had longer application times. This study allowed us to understand the costs involved in the treatment of PUs, and it may support decision-makers and other cost-effectiveness studies.

Trata-se de um estudo de custos baseado no Sistema de custeio Baseado em Atividades.

Este estudo permitiu conhecer os. Interruptions of activities experienced by nursing professionals in an intensive care unit. Two nurses observed 33 nursing professionals for three hours. The data were recorded in real time, using a semistructured instrument. On average, the interruptions compromised 9. The activities geared towards indirect care of the patient suffered the highest number of interruptions Os dados foram registrados em tempo real, usando um instrumento semiestruturado.

Evaluating bronchodilator response in pediatric patients with post-infectious bronchiolitis obliterans: use of different criteria for identifying airway reversibility. II Brazilian Consensus on the use of human immunoglobulin in patients with primary immunodeficiencies. In the last few years, new primary immunodeficiencies and genetic defects have been described. Recently, immunoglobulin products with improved compositions and for subcutaneous use have become available in Brazil. In order to guide physicians on the use of human immunoglobulin to treat primary immunodeficiencies, based on a narrative literature review and their professional experience, the members of the Primary Immunodeficiency Group of the Brazilian Society of Allergy and Immunology prepared an updated document of the 1st Brazilian Consensus, published in The document presents new knowledge about the indications and efficacy of immunoglobulin therapy in primary immunodeficiencies, relevant production-related aspects, mode of use routes of administration, pharmacokinetics, doses and intervals , adverse events major, prevention, treatment and reporting , patient monitoring, presentations available and how to have access to this therapeutic resource in Brazil.

Na ultima decada emergiu uma linha de investigacao muito activa em termometros nao invasivos e precisos que possam determinar temperatura a escala nanometrica. Esta investigacao foi fortemente estimulada pelas numerosas solicitacoes da nanotecnologia e da biomedicina, por exemplo. Uma das abordagens mais promissoras propoe o uso de ioes trivalentes de lantanideos que apresenta propriedades fotoluminescentes que dependem da temperatura.

Neste trabalho demonstra-se que esta tecnica combina as vantagens de te um limite de deteccao de 0. Este termometro molecular pode ser processado em filmes finos ou nanoparticulas, abrindo os campos de aplicacao a diferentes utilizacoes. As nanoparticulas de silica produzidas sao caracterizadas na presenca e na ausencia de ioes lantanideos. O rendimento quantico de emissao depende apenas da proporcao dos silanos e pode atingir o valor de 0. Quando processados como filmes, este termometro permite o mapeamento de temperaturas com resolucao espacial 1. A racionalizacao da dependencia de temperatura e uma ferramenta util para desenvolver termometros que operam em gamas de temperatura especificos e.

A combinacao de esforcos de um grande numero de diversas disciplinas ira previsivelmente permitir o surgimento de termometros moleculares novos e sofisticados, preenchendo os principais requisitos das nanociencias. Intervening factors for the initiation of treatment of patients with stomach and colorectal cancer.

The search for medical care occurred within 30 days after the onset of symptoms, in most cases. The mean total time between the onset of symptoms and the beginning of treatment ranged from 15 to 16 months, and the mean time between the search for medical care and the diagnosis was 4. Predictors of hope among women with breast cancer during chemotherapy.

Identifying the predictors of hope in patients with breast cancer during chemotherapy treatment. A prospective longitudinal study. The sample was composed of women who responded to the instruments of hope, anxiety and depression, coping, fatigue, religiosity and self-esteem in the first and last cycle of chemotherapy.

12222, Week 27

These variables were used in adjusting the logistic regression model that characterized multivariate statistics, allowing identification of predictor variables. The delay in undergoing treatment from the onset of breast cancer symptoms, Karnofsky Performance Status, depression, self-esteem and pain were characterized as factors being associated to hope by univariate analysis. Among the variables analyzed, pain was the only predicting factor of hope. Pain was the predicting factor in this sample.

Hope increased during treatment and revealed the following associated factors: Karnofsky Performance Status, delay in starting the treatment, depression, self-esteem and pain.

O Pilão – NEF/AAC

This study brought forth a multidisciplinary contribution, allowing for understanding the factors that can influence hope and presenting support to nursing care. The data evidenced conditions of improvement or worsening of hope, which requires interdisciplinary attention in Oncology. Estudo prospectivo longitudinal.

Factors associated with low adherence to medicine treatment for chronic diseases in Brazil. Season of birth bias in eating disorders--fact or fiction? A season of birth SoB bias is said to be present if the SoB pattern for a particular group varies from the pattern within the normal population. Significant biases have been found for several disorders including eating disorders EDs. This article critically reviews the existing literature on SoB in ED in order to inform future hypothesis-based research. A literature search identified 12 papers investigating SoB in ED.

Despite methodological differences, the studies consistently show a SoB bias for anorexia nervosa AN in the spring months, in both the northern and southern Hemispheres. This is especially strong for early-onset and restrictive subtype of AN.

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These findings suggest that SoB is a risk factor for AN. However, none of the studies have been methodologically satisfactory. Future research needs to overcome numerous methodological challenges and to explore specific hypotheses to explain this bias. Costs of the Smoking Cessation Program in Brazil.

(Português) Einstein e Freud: Guerra e Paz Num Diálogo Interdisciplinar

Os custos do atendimento e gerenciamento do programa foram estimados utilizando a metodologia do microcusteio. O Programa de Tratamento do Tabagismo tem bom desempenho em termos de custo por paciente que deixa de fumar. To determine the prevalence of symptoms of ocular surface disease OSDI surface disease and its relationship with associated risk factors in patients of ophthalmic practices using OSDI questionnaire. The OSDI average value was Women had OSDI symptoms more frequently than men odds ratio: 1.

Patients without disease were younger than the patients with severe disease Ophthalmological patients have a prevalence of Female and older age was associated with ocular surface disease. To assess whether preretinal hemorrhage PRH is associated with the presence and severity of retinopathy of prematurity ROP in high-risk patients. Prospective cohort study, patients referred to the Department of Ophthalmology for ROP screening during October-November were evaluated weekly on 4 occasions to assess the relationship with PRH and the development of ROP as well as degree of severity associated.

Stage I severity occurred more frequently.

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  • HPR is a risk factor for the development of ROP during the first weeks of life and is associated with stages of mild severity. Bariatric surgery is considered the most effective tool in the control and treatment of severe obesity, but patients undergoing this procedure are at increased risk of developing nutritional deficiencies by limiting the intake and absorption of many nutrients. To assess the impact of vitamin D deficiency and calcium in bone in patients after gastric bypass in Roux-en-Y, pointing directly at the type of administration, doses and effects after surgery.