M. A. Noronha, D. Goldenberg, Marina Vilela Chagas Ferreira, R. Zatz, Francisco Tustumi
In Brazil, there is no published article that measures the expense of this condition for the health system. There are international studies that show that treating a pressure ulcer is significantly more expensive than preventing it. The purpose of this article is to describe the incidence of patients with hospitalization related to pressure ulcers, in the city of São Paulo, in the period of the 1st increase in cases of COVID - 19 (March 2020 to December 2020), as well as the related expense with these hospitalizations.
{"title":"Incidence of intra-hospital care related to pressure ulcers and the influence of the COVID-19 pandemic in the city of São Paulo, from March to December 2020","authors":"M. A. Noronha, D. Goldenberg, Marina Vilela Chagas Ferreira, R. Zatz, Francisco Tustumi","doi":"10.3823/2636","DOIUrl":"https://doi.org/10.3823/2636","url":null,"abstract":"In Brazil, there is no published article that measures the expense of this condition for the health system. There are international studies that show that treating a pressure ulcer is significantly more expensive than preventing it. The purpose of this article is to describe the incidence of patients with hospitalization related to pressure ulcers, in the city of São Paulo, in the period of the 1st increase in cases of COVID - 19 (March 2020 to December 2020), as well as the related expense with these hospitalizations.","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70308420","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}
Catastrophic anti phospholipid syndrome or CAPS for short, is a rare, devastating form of antiphospholipid syndrome that is characterized by successive multiple thrombi and multiorgan failure. One of the complications of antiphospholipid syndrome is nonbacterial thrombotic endocarditis or marantic endocarditis. Due to the nonspecific presentation of multiorgan failure it is difficult to have an early diagnosis. We are presenting a case of catastrophic anti phospholipid syndrome with superimposed aspergillus infection
{"title":"A case of catastrophic anti phospholipid syndrome with superimposed aspergillus infection","authors":"Elvina C Lingas, Maria del Mar Lucio Paredes","doi":"10.3823/2637","DOIUrl":"https://doi.org/10.3823/2637","url":null,"abstract":"Catastrophic anti phospholipid syndrome or CAPS for short, is a rare, devastating form of antiphospholipid syndrome that is characterized by successive multiple thrombi and multiorgan failure. One of the complications of antiphospholipid syndrome is nonbacterial thrombotic endocarditis or marantic endocarditis. Due to the nonspecific presentation of multiorgan failure it is difficult to have an early diagnosis. We are presenting a case of catastrophic anti phospholipid syndrome with superimposed aspergillus infection","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70308495","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}
André Takashi Oti, Rubens Fernando Gonçalves Ribeiro Júnior, Thyago Cezar Prado Pessôa, Lainy Carollyne da Costa Cavalcante, Lucas Nascimento Galvão, A. Monteiro, Ananda Vitória Barros Suzuki Damasceno, R. Couteiro, C. Costa, Edson Yuzur Yasojima
Objective: To evaluate new techniques and improvements in surgical instruments related to intestinal anastomosis procedures. Methods: A search was conducted on the free database of patents from the National Institute of Industrial Patent Office (INPI) and The United States Patent and Trademark Office (USPTO). Were analyzed all occurrences between 2012 and 2016 related to experimental surgery and intestinal anastomosis. The requests for patents were examined individually and the data collected was the nationality of the applicant, if was physical (PP) or legal (LP) person and if was innovation or invention. At the end, a comparative analysis between the two institutions was performed. Results: In INPI was found only 5 occurrences. All of them were deposited by legal entity and were inventions. In addition, only one was a national request. In USPTO database, 65 occurrences met the inclusion criteria. Of these, 48 were national applications and only 5 were filed by physical person. Conclusion: More requests were found in US database, predominating national trustee and greater solicitation to inventions than Brazilian database. The main applications for patents are invention of surgical instruments, the development of new biological glues and improvement of mechanical sutures. Inventions and Innovations Related to Better Results in Intestinal Anastomosis: a Patent Review
{"title":"Inventions and Innovations Related to Better Results in Intestinal Anastomosis: a Patent Review","authors":"André Takashi Oti, Rubens Fernando Gonçalves Ribeiro Júnior, Thyago Cezar Prado Pessôa, Lainy Carollyne da Costa Cavalcante, Lucas Nascimento Galvão, A. Monteiro, Ananda Vitória Barros Suzuki Damasceno, R. Couteiro, C. Costa, Edson Yuzur Yasojima","doi":"10.3823/2635","DOIUrl":"https://doi.org/10.3823/2635","url":null,"abstract":"Objective: To evaluate new techniques and improvements in surgical instruments related to intestinal anastomosis procedures. Methods: A search was conducted on the free database of patents from the National Institute of Industrial Patent Office (INPI) and The United States Patent and Trademark Office (USPTO). Were analyzed all occurrences between 2012 and 2016 related to experimental surgery and intestinal anastomosis. The requests for patents were examined individually and the data collected was the nationality of the applicant, if was physical (PP) or legal (LP) person and if was innovation or invention. At the end, a comparative analysis between the two institutions was performed. Results: In INPI was found only 5 occurrences. All of them were deposited by legal entity and were inventions. In addition, only one was a national request. In USPTO database, 65 occurrences met the inclusion criteria. Of these, 48 were national applications and only 5 were filed by physical person. Conclusion: More requests were found in US database, predominating national trustee and greater solicitation to inventions than Brazilian database. The main applications for patents are invention of surgical instruments, the development of new biological glues and improvement of mechanical sutures. Inventions and Innovations Related to Better Results in Intestinal Anastomosis: a Patent Review","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70308343","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}
Amanda Regina da Silva Góis, R. Xavier, R. Mola, Gerlene Grudka Lira, Brígida Maria Gonçalves de Melo Brandão, F. S. Abrão
Introduction: blood transfusion consists of the administration of blood components intravenously in clinical or surgical treatments. In the preoperative period, it is performed with the objective of improving tissue oxygenation, as well as promoting hemodynamic and hemostatic balance. Objective: to understand nursing care in the transfusion of blood components to surgical patients in the perioperative period. Method: this is a descriptive and exploratory study with a qualitative approach. Grounded Theory was used, with constant comparative analysis. A total of 18 nurses and 28 nursing technicians from a university hospital took part in the study. Data were collected between October 2019 and February 2020, through a sociodemographic questionnaire and semi-structured interviews. Results: the study resulted in the central category nursing care during transfusion, which gave rise to the categories: caring for before transfusion; caring for during transfusion; and caring for after transfusion, which were discussed according to the standardized nursing methodology. Conclusion: it was understood that nursing care is planned and implemented following an ordering of practices in a logical sequence due to the characteristics of the procedure in the perioperative period. Nurses demand indirect care; in contrast, nursing technicians engage in direct patient care.
{"title":"Nursing care in the transfusion of blood components to surgical patients in the perioperative period","authors":"Amanda Regina da Silva Góis, R. Xavier, R. Mola, Gerlene Grudka Lira, Brígida Maria Gonçalves de Melo Brandão, F. S. Abrão","doi":"10.3823/2634","DOIUrl":"https://doi.org/10.3823/2634","url":null,"abstract":"Introduction: blood transfusion consists of the administration of blood components intravenously in clinical or surgical treatments. In the preoperative period, it is performed with the objective of improving tissue oxygenation, as well as promoting hemodynamic and hemostatic balance. \u0000Objective: to understand nursing care in the transfusion of blood components to surgical patients in the perioperative period. \u0000Method: this is a descriptive and exploratory study with a qualitative approach. Grounded Theory was used, with constant comparative analysis. A total of 18 nurses and 28 nursing technicians from a university hospital took part in the study. Data were collected between October 2019 and February 2020, through a sociodemographic questionnaire and semi-structured interviews. \u0000Results: the study resulted in the central category nursing care during transfusion, which gave rise to the categories: caring for before transfusion; caring for during transfusion; and caring for after transfusion, which were discussed according to the standardized nursing methodology. \u0000Conclusion: it was understood that nursing care is planned and implemented following an ordering of practices in a logical sequence due to the characteristics of the procedure in the perioperative period. Nurses demand indirect care; in contrast, nursing technicians engage in direct patient care.","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43918638","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}
F. S. Abrão, Verônica Mirelle Alves Oliveira Pereira, Regina Célia de Oliveira, Carlos Silva, Amanda Regina da Silva Góis
Background: Since its discovery as the etiological agent of the Acquired Immune Deficiency Syndrome (AIDS), the Human Immunodeficiency Virus (HIV) has infected 75.7 million people worldwide. Due to the specific characteristics of the Brazilian population, spirituality, or spiritual well-being, is an important factor in the way individuals face the HIV/AIDS problematic and its consequences. This work seeks to understand the spirituality of people living with HIV in light of Neuman’s Systems Model. Methods and Finding: This is a qualitative, descriptive-exploratory research in light of the Systems Model proposed by Betty Neuman. Data collection took place between the months of March and August 2016 in an outpatient clinic of a university hospital located in the city of Recife, Pernambuco, Brazil, specialized in the treatment of patients with HIV/AIDS. Thirty people living with HIV participated in the study. The data were collected through a questionnaire and an interview with a semi-structured script and underwent categorical content analysis. The understanding of spirituality in living with HIV is presented in three categories: the discovery of the diagnosis and the initial reactions — stressors that affect the lines of defense; the spiritual and religious search — protection when stressors penetrate the lines of defense; and the influence of faith combined with ART in living with HIV — dynamic relationship of the variable spirituality with the other variables. Conclusions: The applicability of the theory can provide important gains to the patient living with HIV/AIDS, generating a way to ensure Spirituality in the Life of People with HIV in Light of Neuman’s Systems Model
{"title":"Spirituality in the Life of People with HIV in Light of Neuman’s Systems Model","authors":"F. S. Abrão, Verônica Mirelle Alves Oliveira Pereira, Regina Célia de Oliveira, Carlos Silva, Amanda Regina da Silva Góis","doi":"10.3823/2633","DOIUrl":"https://doi.org/10.3823/2633","url":null,"abstract":"Background: Since its discovery as the etiological agent of the Acquired Immune Deficiency Syndrome (AIDS), the Human Immunodeficiency Virus (HIV) has infected 75.7 million people worldwide. Due to the specific characteristics of the Brazilian population, spirituality, or spiritual well-being, is an important factor in the way individuals face the HIV/AIDS problematic and its consequences. This work seeks to understand the spirituality of people living with HIV in light of Neuman’s Systems Model. Methods and Finding: This is a qualitative, descriptive-exploratory research in light of the Systems Model proposed by Betty Neuman. Data collection took place between the months of March and August 2016 in an outpatient clinic of a university hospital located in the city of Recife, Pernambuco, Brazil, specialized in the treatment of patients with HIV/AIDS. Thirty people living with HIV participated in the study. The data were collected through a questionnaire and an interview with a semi-structured script and underwent categorical content analysis. The understanding of spirituality in living with HIV is presented in three categories: the discovery of the diagnosis and the initial reactions — stressors that affect the lines of defense; the spiritual and religious search — protection when stressors penetrate the lines of defense; and the influence of faith combined with ART in living with HIV — dynamic relationship of the variable spirituality with the other variables. Conclusions: The applicability of the theory can provide important gains to the patient living with HIV/AIDS, generating a way to ensure Spirituality in the Life of People with HIV in Light of Neuman’s Systems Model","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46846795","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}
Bruna Carolina Lima, R. C. Machado, Anastasia Anna, Rosângela Claudia Novembre, V. Nery, Paulo Lopes, S. F. Sampaio, Camila Bomfim von Jakitsch
Background: Chest pain, of multicausal etiology, associated with a cardiac cause or not, is one of the most frequently presented symptoms by patients in Emergency Care Units. Despite its high prevalence in health services, there is still a deficiency in care standardization, which raises difficulties in acute coronary syndrome diagnosis and delay in treatment. The objective wasto assess the efficiency of professional training of nursing teams in Emergency Care Units on the use of a flowchart to care for patients with chest pain. Methods and Findings: This educational intervention study was conducted with 25 nursing team professionals. It has been developed in four steps: Step 1 referred to prior application of the validated research instrument. Step 2 comprised training to use the flowchart with an expository lesson on care of patients with chest pain and guidance regarding the flowchart to be implemented. Step 3 reapplied the validated instrument after class. Step 4 reapplied the instrument after 2 months of training for flowchart implementation. When comparing the results of the instrument applied to nursing team professionals, post-training and follow-up performance surpassed that of pre-training. It was observed that professionals with less than five years of experience showed better performance. This study had as limitation the small sample of health professionals participating in the offered training. Conclusion: Training was satisfactory and significant, and professionals demonstrated content assimilation, obtaining higher scores than at the beginning of the research. Nursing Team Training to Use a Flowchart to Care for Patients with Chest Pain
{"title":"Nursing Team Training to Use a Flowchart to Care for Patients with Chest Pain","authors":"Bruna Carolina Lima, R. C. Machado, Anastasia Anna, Rosângela Claudia Novembre, V. Nery, Paulo Lopes, S. F. Sampaio, Camila Bomfim von Jakitsch","doi":"10.3823/2632","DOIUrl":"https://doi.org/10.3823/2632","url":null,"abstract":"Background: Chest pain, of multicausal etiology, associated with a cardiac cause or not, is one of the most frequently presented symptoms by patients in Emergency Care Units. Despite its high prevalence in health services, there is still a deficiency in care standardization, which raises difficulties in acute coronary syndrome diagnosis and delay in treatment. The objective wasto assess the efficiency of professional training of nursing teams in Emergency Care Units on the use of a flowchart to care for patients with chest pain. Methods and Findings: This educational intervention study was conducted with 25 nursing team professionals. It has been developed in four steps: Step 1 referred to prior application of the validated research instrument. Step 2 comprised training to use the flowchart with an expository lesson on care of patients with chest pain and guidance regarding the flowchart to be implemented. Step 3 reapplied the validated instrument after class. Step 4 reapplied the instrument after 2 months of training for flowchart implementation. When comparing the results of the instrument applied to nursing team professionals, post-training and follow-up performance surpassed that of pre-training. It was observed that professionals with less than five years of experience showed better performance. This study had as limitation the small sample of health professionals participating in the offered training. Conclusion: Training was satisfactory and significant, and professionals demonstrated content assimilation, obtaining higher scores than at the beginning of the research. Nursing Team Training to Use a Flowchart to Care for Patients with Chest Pain","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47959091","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}
R. Santos, Gabriel de Jesus da Fonseca Loureiro, L. B. Barros
Background: Prevalence of allergic bronchopulmonary aspergillosis (ABPA) in asthmatic adults is estimated in 2,5%, what matches to more than 4.8 million of patients around the world; from those, more than 1.4 million are only in Latin America. Most patients with the disease are immunocompetent and present themselves with a poorly controlled asthma, secretive cough and recurrent pneumonia. It’s curiously sensible to glucocorticoids, so early diagnosis and treatment may prevent bronchiectasis; otherwise, if it isn’t recognized soon, may lead to ending stage pulmonary fibrosis. First described by Hinson in 1952, even after almost seven decades, it’s still hardly recognized and treated. Methods and Findings: A case report was performed through clinical follow up of a patient evaluated in a Brazilian hospital diagnosed with ABPA after four years of poorly controlled asthma after even being in ICU and mechanic ventilation support. The patient presented eosinophilia high serum IgE, central bronchiectasis and positive prick test for Aspergillus fumigatus. There was also performed a integrative research of all the studies published in Brazil since the first case report in 1989. There were researched the platforms PubMed, BVS (that covers MedLine and LILACS bases), Scielo, Cochrane, JAMA, NEJM and LANCET using the descriptors “allergic bronchopulmonary aspergillosis” and “Brazil”. There was found 17 articles about ABPA, 10 meeting the inclusion criteria. Of those, only 4 covered clinical and epidemiological features of ABPA in asthmatic patients. Conclusions: There are very few studies on ABPA in Brazil in the last 30 years. More research in the country is needed to make this diagnostic possibility part of severe asthma differential and lead the patients to earlier diagnosis.
{"title":"Allergic Bronchopulmonary Aspergillosis in Brazil","authors":"R. Santos, Gabriel de Jesus da Fonseca Loureiro, L. B. Barros","doi":"10.3823/2631","DOIUrl":"https://doi.org/10.3823/2631","url":null,"abstract":"Background: Prevalence of allergic bronchopulmonary aspergillosis (ABPA) in asthmatic adults is estimated in 2,5%, what matches to more than 4.8 million of patients around the world; from those, more than 1.4 million are only in Latin America. Most patients with the disease are immunocompetent and present themselves with a poorly controlled asthma, secretive cough and recurrent pneumonia. It’s curiously sensible to glucocorticoids, so early diagnosis and treatment may prevent bronchiectasis; otherwise, if it isn’t recognized soon, may lead to ending stage pulmonary fibrosis. First described by Hinson in 1952, even after almost seven decades, it’s still hardly recognized and treated. \u0000Methods and Findings: A case report was performed through clinical follow up of a patient evaluated in a Brazilian hospital diagnosed with ABPA after four years of poorly controlled asthma after even being in ICU and mechanic ventilation support. The patient presented eosinophilia high serum IgE, central bronchiectasis and positive prick test for Aspergillus fumigatus. There was also performed a integrative research of all the studies published in Brazil since the first case report in 1989. There were researched the platforms PubMed, BVS (that covers MedLine and LILACS bases), Scielo, Cochrane, JAMA, NEJM and LANCET using the descriptors “allergic bronchopulmonary aspergillosis” and “Brazil”. There was found 17 articles about ABPA, 10 meeting the inclusion criteria. Of those, only 4 covered clinical and epidemiological features of ABPA in asthmatic patients. \u0000Conclusions: There are very few studies on ABPA in Brazil in the last 30 years. More research in the country is needed to make this diagnostic possibility part of severe asthma differential and lead the patients to earlier diagnosis.","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47056434","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}
Objective: The aim of the present study was to analyze the legislation relating to individuals with disabilities in Latin America, focusing on the definition of individuals with disabilities and how they are certified as such. Method: In this investigation,the legal provisions in force in Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Cuba, Ecuador, El Salvador, Guatemala, Haiti, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Dominican Republic, Uruguay and Venezuela were retrieved via the internet. It was then sought to identify the following: the specificity of guarantees of human rights and fundamental freedoms for individuals with disabilities, in line with the United Nations Convention on the Rights of Persons with Disabilities; the definition of disability and individuals with disability; what criteria are applied, i.e. whether a specific table, the International Classification of Functioning (ICF) or the International Classification of Diseases (ICD) is used;and whether the disability is assessed in a biomedical or biopsychosocial manner, i.e.whether this is done solely by a doctor or is a multiprofessional assessment, and whether, if done by a doctor, there is any support through psychological or social worker evaluation when necessary. Results: With the exception of Cuba, for which no specific legislation was found, the legislation dealing with individuals with disabilities in the other Latin American countries investigated in this study has been constructed in line with the main provisions of the United Nations Convention on the Rights of Persons with Disabilities. In Bolivia, Chile, Colombia, Ecuador, El Salvador, Guatemala, Honduras, Panama, Dominican Republic, Uruguay and Venezuela, disabilities are assessed and certified through tables or the ICD or ICF. Biopsychosocial assessments Assessment of Individuals with Disabilities in Latin America: a Comparative Study of the Legislation
{"title":"Assessment of individuals with disabilities in Latin America: a comparative study of the legislation","authors":"Rosylane Rocha, F. Cortés, Rui Nunes","doi":"10.3823/2630","DOIUrl":"https://doi.org/10.3823/2630","url":null,"abstract":"Objective: The aim of the present study was to analyze the legislation relating to individuals with disabilities in Latin America, focusing on the definition of individuals with disabilities and how they are certified as such. Method: In this investigation,the legal provisions in force in Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Cuba, Ecuador, El Salvador, Guatemala, Haiti, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Dominican Republic, Uruguay and Venezuela were retrieved via the internet. It was then sought to identify the following: the specificity of guarantees of human rights and fundamental freedoms for individuals with disabilities, in line with the United Nations Convention on the Rights of Persons with Disabilities; the definition of disability and individuals with disability; what criteria are applied, i.e. whether a specific table, the International Classification of Functioning (ICF) or the International Classification of Diseases (ICD) is used;and whether the disability is assessed in a biomedical or biopsychosocial manner, i.e.whether this is done solely by a doctor or is a multiprofessional assessment, and whether, if done by a doctor, there is any support through psychological or social worker evaluation when necessary. Results: With the exception of Cuba, for which no specific legislation was found, the legislation dealing with individuals with disabilities in the other Latin American countries investigated in this study has been constructed in line with the main provisions of the United Nations Convention on the Rights of Persons with Disabilities. In Bolivia, Chile, Colombia, Ecuador, El Salvador, Guatemala, Honduras, Panama, Dominican Republic, Uruguay and Venezuela, disabilities are assessed and certified through tables or the ICD or ICF. Biopsychosocial assessments Assessment of Individuals with Disabilities in Latin America: a Comparative Study of the Legislation","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45839435","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}
R. Beltrão, C. Pinho, Evelyn Quirino, Ana Catarina de Melo Araújo, Sara Larissa de Melo Araújo, Aline Beatriz dos Santos Silva, M. B. A. Silva, D. B. Miranda-Filho, M. S. Andrade
Introduction: Tetanus has a worldwide distribution and high lethality. The goal of this study was to characterize the tetanus cases confirmed in Pernambuco and identify factors associated with death in these patients. Methods: Cross-sectional, with internal comparison groups. For data analysis we used the chi-square test and Pearson estimated the odds ratios and their respective confidence intervals at 95%. Multivariate analysis was applied to multiple logistic regression Results: The incidence of tetanus ranged between 0.65 and 2.79 cases per 100,000 inhabitants with higher involvement of adults, male and city population. Only 13.8% had received the vaccine and 23.4% received it as prophylaxis. The average mortality rate was 20.4%. In multivariate analysis, presented neck stiffness as a symptom (p = 0.029), which was associated with increased mortality. Conclusion: There is a need for greater investment in the prevention of the disease, both in immunization coverage and in the application of prophylaxis. Despite the hospitalization guarantee with proper care, there was an increase in tetanus mortality, suggesting that more specific studies should be conducted to investigate what may have influenced this change. Special attention should be offered to cases that presented neck stiffness as a symptom, because these groups have a higher chance of progressing to death.
{"title":"Incidence and Factors Associated with Death for Tetanus in Adults","authors":"R. Beltrão, C. Pinho, Evelyn Quirino, Ana Catarina de Melo Araújo, Sara Larissa de Melo Araújo, Aline Beatriz dos Santos Silva, M. B. A. Silva, D. B. Miranda-Filho, M. S. Andrade","doi":"10.3823/2629","DOIUrl":"https://doi.org/10.3823/2629","url":null,"abstract":"Introduction: Tetanus has a worldwide distribution and high lethality. The goal of this study was to characterize the tetanus cases confirmed in Pernambuco and identify factors associated with death in these patients. \u0000Methods: Cross-sectional, with internal comparison groups. For data analysis we used the chi-square test and Pearson estimated the odds ratios and their respective confidence intervals at 95%. Multivariate analysis was applied to multiple logistic regression \u0000Results: The incidence of tetanus ranged between 0.65 and 2.79 cases per 100,000 inhabitants with higher involvement of adults, male and city population. Only 13.8% had received the vaccine and 23.4% received it as prophylaxis. The average mortality rate was 20.4%. In multivariate analysis, presented neck stiffness as a symptom (p = 0.029), which was associated with increased mortality. \u0000Conclusion: There is a need for greater investment in the prevention of the disease, both in immunization coverage and in the application of prophylaxis. Despite the hospitalization guarantee with proper care, there was an increase in tetanus mortality, suggesting that more specific studies should be conducted to investigate what may have influenced this change. Special attention should be offered to cases that presented neck stiffness as a symptom, because these groups have a higher chance of progressing to death.","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41477066","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}
Bruno Felipe Remigio Dâmaso, C. Pinho, J. R. Cabral, Evelyn Quirino, M. S. Andrade, Magaly Bushatsky, Regina Célia de Oliveira, Lygia Maria Pereira da Silva
Objective: To identify the scientific evidence of the literature on social support for adolescents with HIV / AIDS. Methods: An integrative review was carried out in the LILACS, BDENF and MEDLINE / PubMed databases, conducted in January 2017. Results: 12 articles, published between 2005 and 2015, were selected and analyzed, which pointed to the importance of social support to adolescents living with HIV / AIDS. It’s important to highlight the particular importance of support from relatives and non-relatives, especially regarding to health services and non-governmental organizations. Conclusions: The support offered by both family members and institutions is considered a potentiating factor in physical, social and psychological health, in positive behaviors and in coping with the condition of living with HIV and AIDS.
{"title":"Social Support To Adolescents Living With HIV / AIDS: An Integrative Literature Review","authors":"Bruno Felipe Remigio Dâmaso, C. Pinho, J. R. Cabral, Evelyn Quirino, M. S. Andrade, Magaly Bushatsky, Regina Célia de Oliveira, Lygia Maria Pereira da Silva","doi":"10.3823/2628","DOIUrl":"https://doi.org/10.3823/2628","url":null,"abstract":"Objective: To identify the scientific evidence of the literature on social support for adolescents with HIV / AIDS. \u0000Methods: An integrative review was carried out in the LILACS, BDENF and MEDLINE / PubMed databases, conducted in January 2017. \u0000Results: 12 articles, published between 2005 and 2015, were selected and analyzed, which pointed to the importance of social support to adolescents living with HIV / AIDS. It’s important to highlight the particular importance of support from relatives and non-relatives, especially regarding to health services and non-governmental organizations. \u0000Conclusions: The support offered by both family members and institutions is considered a potentiating factor in physical, social and psychological health, in positive behaviors and in coping with the condition of living with HIV and AIDS.","PeriodicalId":73409,"journal":{"name":"International archives of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44208283","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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