Pub Date : 1900-01-01DOI: 10.53902/sojcem.2022.02.000513
María Raad Sarabia
The state of pregnancy generates a series of physiological changes that increase the risk of pathologies compared to non-pregnant women. At the level of the bile duct, bile salt stasis occurs, which increases the ability to generate stones. However, most patients are asymptomatic and respond adequately to expectant management and medical therapy. The rate of complications is low, with acute cholangitis, choledocholithiasis and acute pancreatitis being the indication for invasive management in obstetric patients. We present a clinical case of an obstetric patient with a history of cholecystectomy who presented residual choledocholithiasis with a subsequent episode of acute cholangitis and obstructive jaundice that required management with endoscopic retrograde cholangiopancreatography
{"title":"Successful Endoscopic Management of Residual Choledocolithiasis in Pregnancy: A Case Report","authors":"María Raad Sarabia","doi":"10.53902/sojcem.2022.02.000513","DOIUrl":"https://doi.org/10.53902/sojcem.2022.02.000513","url":null,"abstract":"The state of pregnancy generates a series of physiological changes that increase the risk of pathologies compared to non-pregnant women. At the level of the bile duct, bile salt stasis occurs, which increases the ability to generate stones. However, most patients are asymptomatic and respond adequately to expectant management and medical therapy. The rate of complications is low, with acute cholangitis, choledocholithiasis and acute pancreatitis being the indication for invasive management in obstetric patients. We present a clinical case of an obstetric patient with a history of cholecystectomy who presented residual choledocholithiasis with a subsequent episode of acute cholangitis and obstructive jaundice that required management with endoscopic retrograde cholangiopancreatography","PeriodicalId":146372,"journal":{"name":"SOJ Complementary and Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128746558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.53902/sojcem.2021.01.000501
Moath Mohamed Farasani
Introduction: Cardiovascular disease (CVD) is a common term used to refer to disorders affecting the blood vessels or the heart that have led to the majority of deaths worldwide. Aim: The aim of the present study was to explore nurse's perception of their role and their experiences in relation to engaging with cardiovascular disease prevention in the primary care setting. Methods: In the selection of clinical nurses who were interested in primary care to participate, qualitative describing design and impracticable sampling were used. The data collection methods include semi-structured and one-on-one interviews. The results were analyzed by the methodology for qualitative content analysis. Results: In this study, 10 nurses were participated and their role in CVD prevention plays a part in health education, diagnosis and consultation, reassurance, monitoring of vital signs, and collecting blood samples. The challenges include cultural obstacles and vocabulary, negative attitudes, contradictory regulations, a lack of equipment, a shortage of nursing staff and the lack of knowledge and information. Electronic information, patient education, nurse training, and communication workshops are the facilitators for nurses that prevent heart disease. Conclusion: Cardiovascular disease is lethal, but adequate preventive programs can accommodate it. In addition, nurses play an important role in preventing CVD in primary healthcare and should therefore concentrate efforts on the enhancement of their capacity. The aim of future research should be to understand how patients interpret and incorporate data on the prevention of CVD provided by nurses.
{"title":"Cardiovascular Disease Patient Prevention Experience with Nurses in the Primary Care Sector","authors":"Moath Mohamed Farasani","doi":"10.53902/sojcem.2021.01.000501","DOIUrl":"https://doi.org/10.53902/sojcem.2021.01.000501","url":null,"abstract":"Introduction: Cardiovascular disease (CVD) is a common term used to refer to disorders affecting the blood vessels or the heart that have led to the majority of deaths worldwide. Aim: The aim of the present study was to explore nurse's perception of their role and their experiences in relation to engaging with cardiovascular disease prevention in the primary care setting. Methods: In the selection of clinical nurses who were interested in primary care to participate, qualitative describing design and impracticable sampling were used. The data collection methods include semi-structured and one-on-one interviews. The results were analyzed by the methodology for qualitative content analysis. Results: In this study, 10 nurses were participated and their role in CVD prevention plays a part in health education, diagnosis and consultation, reassurance, monitoring of vital signs, and collecting blood samples. The challenges include cultural obstacles and vocabulary, negative attitudes, contradictory regulations, a lack of equipment, a shortage of nursing staff and the lack of knowledge and information. Electronic information, patient education, nurse training, and communication workshops are the facilitators for nurses that prevent heart disease. Conclusion: Cardiovascular disease is lethal, but adequate preventive programs can accommodate it. In addition, nurses play an important role in preventing CVD in primary healthcare and should therefore concentrate efforts on the enhancement of their capacity. The aim of future research should be to understand how patients interpret and incorporate data on the prevention of CVD provided by nurses.","PeriodicalId":146372,"journal":{"name":"SOJ Complementary and Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115189582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.53902/sojcem.2021.01.000508
L. S. Bezerra
In view of the COVID-19 pandemic, the organization of the services of the Brazilian Unified Health System (SUS) played a fundamental role based on aspects such as the structuring of services and levels of health care, hiring and training of professionals, allocation of resources, as well as such as the offer and access to hospital beds. This essay seeks to discuss how the current dynamics of SUS in relation to the organization of services has influenced the performance of this system in coping with the pandemic of COVID-19.
{"title":"The Brazilian Unified Health System Organization of Services: Challenges and Demands in Times of COVID-19","authors":"L. S. Bezerra","doi":"10.53902/sojcem.2021.01.000508","DOIUrl":"https://doi.org/10.53902/sojcem.2021.01.000508","url":null,"abstract":"In view of the COVID-19 pandemic, the organization of the services of the Brazilian Unified Health System (SUS) played a fundamental role based on aspects such as the structuring of services and levels of health care, hiring and training of professionals, allocation of resources, as well as such as the offer and access to hospital beds. This essay seeks to discuss how the current dynamics of SUS in relation to the organization of services has influenced the performance of this system in coping with the pandemic of COVID-19.","PeriodicalId":146372,"journal":{"name":"SOJ Complementary and Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115655328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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