Pesquisa | SciELO

Precisa de ajuda?

Adicionar outro campo +

Histórico de busca

Não foram encontrados documentos para sua pesquisa

Resultados: 9

au:Zhu, Xu

Filtros

Coleções + Opções

Todos
Brasil

4
Espanha

2
Saúde Pública

2
Chile

1

Periódico + Opções

Todos
Bulletin of the World Health Organization

2
Revista Española de Enfermedades Digestivas

2
Biological Research

1
Brazilian Journal of Infectious Diseases

1
Brazilian Journal of Microbiology

1
International braz j urol

1
Latin American Journal of Solids and Structures

1

Ano de publicação + Opções

Todos
2016

3
2015

2
2017

2
2012

1
2019

1

Mostrar tudo...

SciELO Áreas Temáticas + Opções

Todos
Ciências da Saúde

6
Ciências Biológicas

3
Engenharias

1

WoS Áreas Temáticas + Opções

Todos
Diseases

3
Infectious

3
Gastroenterology

2
Geriatrics

2
Gerontologia

2
Health

2
Hepatology

2
Imaging

2
Medical

2
Medicine

2
Nuclear

2
Oncologia

2
Patologia

2
Pharmacology

2
Pharmacy

2

Mostrar tudo...

WoS Índice de Citações

Todos
Science Citation Index Expanded

7

Citáveis e não citáveis

Todos
Citável

9

Tipo de literatura + Opções

Todos
Artigo

8
Relato de caso

1

Ordenar por

Página de 1 Próxima

Selecionar esta página

Imprimir | Enviar por e-mail | Exportar |

Facebook
Twitter
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

0 Itens selecionados

Listar itens
Apagar todos da lista

Ropivacaine promotes apoptosis of hepatocellular carcinoma cells through damaging mitochondria and activating caspase-3 activity
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Wang, Wenting

; Zhu, Mingyue

; Xu, Zhixin

; Li, Wei

; Dong, Xu

; Chen, Yi

; Lin, Bo

; Li, Mengsen

Biological Research

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

2019, Volume 52 elocation 36

Resumo: En | Texto: En | PDF: En

Abstract Background: Recent evidences indicated that some local anaesthetic agents played a role in inhibiting the proliferation of cancer cells; Whether ropivacaine is able to promote apoptosis of hepatocellular carcinoma (HCC) cells is still unclear. The aim of this study was to investigate the effect of ropivacaine on the apoptosis of HCC cells. Methods: In the present study, we treated the HCC cell lines, Bel7402 and HLE with ropivacaine. MTT, DAPI stain, trypan blue exclusion dye assay, flow cytometry, electron microscopy, computational simulation, laser confocal microscope, Western blotting, and enzyme activity analysis of caspase-3 were applied to detect the growth and apoptosis of HCC cells and to explore the role mechanism of ropivacaine. Results: Ropivacaine was able to inhibit proliferation and promote apoptosis of HCC cells in a dose- and time-dependent manner. Ropivacaine also has a trait to inhibit the migration of HCC cells; ropivacaine damaged the mitochondria of HCC cells. The results also indicated that ropivacaine was able to interact with caspase-3, promote cytoplasmic caspase-3 migration into the nucleus, stimulate cleavage of caspase-3 and PARP-1, caspase-9 proteins, inhibit the expression of Bcl-2, promote expression of Apaf-1 and mitochondria release cytochrome C, and activate the activity of caspase-3. Conclusions: Ropivacaine has a novel role in promoting apoptosis of HCC cells; The role mechanism of ropivacaine maybe involve in damaging the function of mitochondria and activating the caspase-3 signalling pathway in HCC cells. Our findings provide novel insights into the local anaesthetic agents in the therapy of HCC patients.

https://doi.org/10.1186/s40659-019-0242-7 432 downloads

Comparison of esophageal motility in gastroesophageal reflux disease with and without globus sensation
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Yuming, Tang

; Jia, Huang

; Ying, Zhu

; Aihua, Qian

; Bin, Xu

; Weiyan, Yao

Revista Española de Enfermedades Digestivas

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Dez 2017, Volume 109 Nº 12 Páginas 850 - 855

Resumo: En | Texto: En | PDF: En

Backgrounds and aims: This study aimed to compare the esophageal motility between gastroesophageal reflux disease (GERD) patients with typical symptoms but without globus sensation and GERD patients only with globus symptoms. Methods: A total of 57 consecutive GERD patients diagnosed by endoscopy or by 24-hour pH monitoring between May 2013 and September 2015 were included retrospectively into the study. The patients were grouped based on the presence or absence of globus. Thirty patients presented with typical reflux symptoms but without globus were assigned to the typical GERD group and 27 patients only with globus symptom were assigned to the globus GERD group. All patients underwent esophageal high resolution manometry (HRM) and the differences in esophageal motility between the two groups were analyzed. Results: The globus GERD group showed a significantly greater lower esophageal sphincter (LES) length, LES basal pressure and upper esophageal sphincter (UES) residual pressure than that of the typical GERD group (3.47 ± 0.76 vs 2.65 ± 0.62 cm, 21.71 ± 9.68 vs 16.04 ± 8.49 mmHg, 7.30 ± 4.42 vs 4.12 ± 2.92 mmHg, all p < 0.05). There was no significant difference between the two groups in terms of the distal wave amplitude, mean wave duration, distal contractile integral (DCI), contractile front velocity (CFV), distal latency (DL), integrated relaxation pressure (IRP) and UES basal pressure. The incidence of esophageal dysmotility in the globus GERD group (33.3%) was higher than in the typical GERD group (23.3%). There was no significant difference in esophageal acid exposure of the non-erosive gastroesophageal reflux disease (NERD) patients between the two groups. Conclusions: Globus GERD patients have a higher UES residual pressure, longer LES length, higher LES basal pressure and greater esophageal dysmotility than typical GERD patients. HRM is useful in evaluating esophageal motility of GERD patients.

https://doi.org/10.17235/reed.2017.4449/2016 486 downloads

Effects of the Strain Rate Sensitivity and Strain Hardening on the Saturated Impulse of Plates
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Zhu, Ling

; He, Xu

; Chen, F. L.

; Bai, Xueyu

Latin American Journal of Solids and Structures

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Ago 2017, Volume 14 Nº 7 Páginas 1273 - 1292

Resumo: En | Texto: En | PDF: En

Abstract This paper studies the stiffening effects of the material strain rate sensitivity and strain hardening on the saturated impulse of elastic, perfectly plastic plates. Finite element (FE) code ABAQUS is employed to simulate the elastoplastic response of square plates under rectangular pressure pulse. Rigid-plastic analyses for saturated impulse, which consider strain rate sensitivity and strain hardening, are conducted. Satisfactory agreement between the finite element models (FEM) and predictions of the rigid-plastic analysis is obtained, which verifies that the proposed rigid-plastic methods are effective to solve the problem including strain rate sensitivity and strain hardening. The quantitative results for the scale effect of the strain rate sensitivity are given. The results for the stiffening effects suggest that two general stiffening factors n 1 and n 2, which characterizes the strain rate sensitivity and strain hardening effect, respectively can be defined. The saturated displacement is inversely proportional to the stiffening factors (i.e. n 1 and n 2) and saturated impulse is inversely proportional to the square roots of the stiffening factors (i.e. n 1 and n 2). Formulae for displacement and saturated impulse are proposed based on the empirical analysis.

https://doi.org/10.1590/1679-78253664 2875 downloads

Superior mesenteric arteriovenous fistula presenting as gastrointestinal bleeding: case report and literature review
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Wang, Chong

; Zhu, Xuan

; Guo, Gui-Hai

; Shu, Xu

; Wang, Jian

; Zhu, Yin

; Li, Bi-Min

; Wang, Ying

Revista Española de Enfermedades Digestivas

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Ago 2016, Volume 108 Nº 8 Páginas 503 - 507

Resumo: En | Texto: En | PDF: En

Superior mesenteric arteriovenous fistula (SMAVF) is a rare vascular disorder usually following penetrating abdominal trauma or gastrointestinal surgery. Percutaneous endovascular treatment such as embolization, has been widely used to treat this disease. We report a patient, who was presented with melena at the onset of his symptoms, then an acute hematemesis in shock. A SMAVF was diagnosed on an angiogram after a large mesenteric vein was seen on CT. The patient had a successful emergency endoscopic variceal ligation (EVL) to stop bleeding. Then the patient received fistula embolization with covered stent.

https://doi.org/10.17235/reed.2015.3852/2015 719 downloads

Efficacy, safety, tolerability and population pharmacokinetics of tedizolid, a novel antibiotic, in Latino patients with acute bacterial skin and skin structure infections
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Ortiz-Covarrubias, Alejandro

; Fang, Edward

; Prokocimer, Philippe G.

; Flanagan, Shawn D.

; Zhu, Xu

; Cabré-Márquez, Jose Francisco

; Tanaka, Toshiaki

; Passarell, Julie

; Fiedler-Kelly, Jill

; Nannini, Esteban C.

Brazilian Journal of Infectious Diseases

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Abr 2016, Volume 20 Nº 2 Páginas 184 - 192

Resumo: En | Texto: En | PDF: En

Abstract Acute bacterial skin and skin structure infections are caused mainly by Gram-positive bacteria which are often treated with intravenous vancomycin, daptomycin, or linezolid, with potential step down to oral linezolid for outpatients. Tedizolid phosphate 200 mg once daily treatment for six days demonstrated non-inferior efficacy, with a favourable safety profile, compared with linezolid 600 mg twice daily treatment for 10 days in the Phase 3 ESTABLISH-1 and -2 trials. The objective of the current post-hoc analysis of the integrated dataset of ESTABLISH-1 and -2 was to evaluate the efficacy and safety of tedizolid (N = 182) vs linezolid (N = 171) in patients of Latino origin enrolled into these trials. The baseline demographic characteristics of Latino patients were similar between the two treatment groups. Tedizolid demonstrated comparable efficacy to linezolid at 48–72 h in the intent-to-treat population (tedizolid: 80.2% vs linezolid: 81.9%). Sustained clinical success rates were comparable between tedizolid- and linezolid-treated Latino patients at end-of-therapy (tedizolid: 86.8% vs linezolid: 88.9%). Tedizolid phosphate treatment was well tolerated by Latino patients in the safety population with lower abnormal platelet counts at end-of-therapy (tedizolid: 3.4% vs linezolid: 11.3%, p = 0.0120) and lower incidence of gastrointestinal adverse events (tedizolid: 16.5% vs linezolid: 23.5%). Population pharmacokinetic analysis suggested that estimated tedizolid exposure measures in Latino patients vs non-Latino patients were similar. These findings demonstrate that tedizolid phosphate 200 mg, once daily treatment for six days was efficacious and well tolerated by patients of Latino origin, without warranting dose adjustment.

https://doi.org/10.1016/j.bjid.2015.12.007 1523 downloads

Analysis of risk factors leading to postoperative urethral stricture and bladder neck contracture following transurethral resection of prostate
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Tao, Huang

; Jiang, Yu Yong

; Jun, Qi

; Ding, Xu

; Jian, Duan Liu

; Jie, Ding

; Ping, Zhu Yu

International braz j urol

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Abr 2016, Volume 42 Nº 2 Páginas 302 - 311

Resumo: En | Texto: En | PDF: En

ABSTRACT Purpose: To determine risk factors of postoperative urethral stricture (US) and vesical neck contracture (BNC) after transurethral resection of prostate (TURP) from perioperative parameters. Materials and Methods: 373 patients underwent TURP in a Chinese center for lower urinary tract symptoms suggestive of benign prostatic obstruction (LUTS/BPO), with their perioperative and follow-up clinical data being collected. Univariate analyses were used to determine variables which had correlation with the incidence of US and BNC before logistic regression being applied to find out independent risk factors. Results: The median follow-up was 29.3 months with the incidence of US and BNC being 7.8% and 5.4% respectively. Resection speed, reduction in hemoglobin (ΔHb) and hematocrit (ΔHCT) levels, incidence of urethral mucosa rupture, re-catheterization and continuous infection had significant correlation with US, while PSA level, storage score, total prostate volume (TPV), transitional zone volume (TZV), transitional zone index (TZI), resection time and resected gland weight had significant correlation with BNC. Lower resection speed (OR=0.48), urethral mucosa rupture (OR=2.44) and continuous infection (OR=1.49) as well as higher storage score (OR=2.51) and lower TPV (OR=0.15) were found to be the independent risk factors of US and BNC respectively. Conclusions: Lower resection speed, intraoperative urethral mucosa rupture and postoperative continuous infection were associated with a higher risk of US while severer storage phase symptom and smaller prostate size were associated with a higher risk of BNC after TURP.

https://doi.org/10.1590/S1677-5538.IBJU.2014.0500 2604 downloads

Isolation of an aryloxyphenoxy propanoate (AOPP) herbicide-degrading strain Rhodococcus ruber JPL-2 and the cloning of a novel carboxylesterase gene (feh)
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Hongming, Liu

; Xu, Lou

; Zhaojian, Ge

; Fan, Yang

; Dingbin, Chen

; Jianchun, Zhu

; Jianhong, Xu

; Shunpeng, Li

; Qing, Hong

Brazilian Journal of Microbiology

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Jun 2015, Volume 46 Nº 2 Páginas 425 - 432

Resumo: En | Texto: En | PDF: En

The strain JPL-2, capable of degrading fenoxaprop-P-ethyl (FE), was isolated from the soil of a wheat field and identified as Rhodococcus ruber. This strain could utilize FE as its sole carbon source and degrade 94.6% of 100 mg L−1 FE in 54 h. Strain JPL-2 could also degrade other aryloxyphenoxy propanoate (AOPP) herbicides. The initial step of the degradation pathway is to hydrolyze the carboxylic acid ester bond. A novel esterase gene feh, encoding the FE-hydrolyzing carboxylesterase (FeH) responsible for this initial step, was cloned from strain JPL-2. Its molecular mass was approximately 39 kDa, and the catalytic efficiency of FeH followed the order of FE > quizalofop-P-ethyl > clodinafop-propargyl > cyhalofop-butyl > fluazifop-P-butyl > haloxyfop-P-methyl > diclofop-methy, which indicated that the chain length of the alcohol moiety strongly affected the hydrolysis activity of the FeH toward AOPP herbicides.

https://doi.org/10.1590/S1517-838246220140208 1759 downloads

Legislation coverage for child injury prevention in China
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Li, Li

; Scherpbier, Robert

; Wu, Jing

; Zhu, Xu

; Zhang, Wei

; Zhang, Lin

; Gao, Xin

; Luo, Jiesi

; Hu, Guoqing

Bulletin of the World Health Organization

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Mar 2015, Volume 93 Nº 3 Páginas 169 - 175

摘要目的调查中国法律法规在多大程度上反映预防儿童非故意伤害的有效干预措施。方法我们把重点放在六种常见的致命儿童受伤原因：溺水、道路交通伤害、跌落、中毒、烧伤和窒息。我们研究了由联合国儿童基金会、世界卫生组织和欧洲儿童安全联盟建议的...

Résumé Objectif Examiner dans quelle mesure les interventions efficaces de prévention des traumatismes involontaires chez l'enfant sont reflétées dans les lois et les réglementations en Chine. Méthodes Nous nous sommes concentrés sur les six causes communes de traumatismes mortels chez l'enfant – la noyade, les accidents de la route, les chutes, l'empoisonnement, les brûlures et la suffocation. Nous avons étudié 27 interventions recommandées par le Fonds des Nations Unies pour l'enfance, l'Organisation mondiale de la Santé ou l'Alliance européenne pour la sécurité de l'enfant. Nous avons effectué une recherche sur les lois chinoises dans l'Infrastructure des connaissances nationales de la Chine et Lawyee en utilisant les mots-clés et les synonymes pour les 27 interventions. Nous avons passé...

Резюме Цель Изучить, насколько эффективные мероприятия по предотвращению неумышленного детского травматизма детей отражены в законодательных и норматив...

Objective To examine the extent to which effective interventions to prevent unintentional child injury are reflected in the laws and regulations of China. Methods We focused on the six common causes of fatal child injuries – drowning, road traffic injury, falls, poisoning, burns and suffocation. We investigated 27 interventions recommended by the United Nations Children’s Fund, the World Health Organization or the European Child Safety Alliance. We searched China National Knowledge Infrastructure and Lawyee for Chinese legislations using keywords and synonyms for the 27 interventions. We reviewed the identified legislations for statements specifying the responsible implementation department. Findings Seven national laws, nine regulations of the State Council and 46 departmental regulations were found to relate to at least one of the interventions. Although seven of the 27 internationally recommended interventions were covered by Chinese laws, 10 were not covered by any current Chinese law or regulation. None of the interventions against drowning and falls that we investigated was covered by national laws. The implementation responsibilities for effective interventions were either not specified or were assigned to multiple governmental departments in 11 or 20 legislative documents, respectively. Conclusion In Chinese laws and regulations, interventions proven to prevent major causes of unintentional child injuries are underrepresented and the associated implementation responsibilities are often poorly defined. China should include all such interventions in laws and regulations, and assign implementation responsibility for each to a single department of the national government.

ملخص الغرض دراسة مدى انعكاس التدخلات الفعالة لوقاية الأطفال من الإصابات غير المتعمدة على القوانين واللوائح في الصين. الطريقة قمنا بالتركيز على الأسباب ا...

Resumen Objetivo Examinar en qué grado contemplan las leyes y normativas de China las intervenciones efectivas para prevenir lesiones accidentales de niños. Métodos El estudio se centró en las seis causas comunes de lesiones mortales infantiles: ahogamiento, lesiones por accidentes de tráfico, caídas, envenenamiento, quemaduras y asfixia. Se investigaron 27 intervenciones recomendadas por el Fondo para la Infancia de las Naciones Unidas, la Organización Mundial de la Salud o la Alianza Europea para la Seguridad Infantil. A continuación, se realizaron búsquedas de legislaciones de China en las bases de datos China National Knowledge Infrastructure y Lawyee usando palabras claves y sinónimos de las 27 intervenciones. Por último, se revisaron las legislaciones identificadas a fin de buscar declaraciones que especificaran el departamento responsable de la aplicación. Resultados Se halló que siete leyes nacionales, nueve normativas del Consejo de Estado y 46 normativas departamentales estaban relacionadas con al menos una de las intervenciones. Aunque las leyes de China abarcaban siete de las 27 intervenciones que se recomiendan a nivel internacional, diez de ellas no estaban incluidas en ninguna normativa o ley actual de China. Las leyes nacionales no abarcaban ninguna de las intervenciones contra ahogamientos y caídas investigadas. Las responsabilidades de aplicación de intervenciones efectivas no estaban especificadas o estaban asignadas a varios departamentos gubernamentales en 11 o 20 documentos legislativos, respectivamente. Conclusión En las leyes y normativas de China, las intervenciones que han demostrado la prevención de lesiones infantiles no intencionadas están subrepresentadas y las responsabilidades de aplicación asociadas a menudo tienen una definición vaga. China debe incluir todas estas intervenciones en las leyes y normativas, así como asignar la responsabilidad de aplicación de cada una a un único departamento del gobierno nacional.

https://doi.org/10.2471/BLT.14.139998 989 downloads

Practice audits to reduce caesareans in a tertiary referral hospital in south-western China
Facebook Twitter

Outras redes sociais
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Outras redes

Métricas
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Runmei, Ma

; Terence T, Lao

; Yonghu, Sun

; Hong, Xiao

; Yuqin, Tian

; Bailuan, Li

; Minghui, Yang

; Weihong, Yang

; Kun, Liang

; Guohua, Liang

; Hongyu, Li

; Li, Geng

; Renmin, Ni

; Wenjin, Qi

; Zhuo, Chen

; Mingyu, Du

; Bei, Zhu

; Jing, Xu

; Yanping, Tao

; Lan, Zhang

; Xianyan, Song

; Zaiqing, Qu

; Qian, Sun

; Xiaoyun, Yi

; Jihui, Yu

; Dandan, Zhang

Bulletin of the World Health Organization

Métricas do periódico
- Sobre o periódico
- SciELO Analytics

Jul 2012, Volume 90 Nº 7 Páginas 488 - 494

Resumo: En Es Fr | Texto: En Es Fr | PDF: En | PDF: Es | PDF: Fr

OBJECTIVE: To assess the effectiveness of a three-stage intervention to reduce caesarean deliveries in a Chinese tertiary hospital. METHODS: A retrospective study was conducted to assess whether educating staff, educating patients and auditing surgeon practices (introduced in 2005) had reduced caesarean delivery rates. Multiple logistic regression was used to check for a potential association between caesarean rates and rates of admission to the neonatal intensive care unit (NICU). FINDINGS: The caesarean delivery rate ranged from 53.5% to 56.1% in 2001-2004 and from 43.9% to 36.1% in 2005-2011. When 2001-2004 and 2005-2011 were treated as "before" and "after" periods to evaluate the intervention's impact on the mean caesarean section rate, a significant reduction was noted: from 54.8% to 40.3% (odds ratio, OR: 0.56; 95% confidence interval, CI: 0.52-0.59; χ2 test: P < 0.001). The overall drop in the caesarean section rate was significant (χ2 test: P < 0.001) and inversely correlated with the years (Spearman's ρ: -0.096; P < 0.001). Although complicated pregnancies increased after 2004, the primary caesarean section rate decreased annually by 20% on average in 2005-2011, after practice audits were implemented. Multiple logistic regression showed a positive association between the caesarean delivery rate and the rate of admission to the NICU (adjusted OR: 1.26; 95% CI: 1.14-1.40). CONCLUSION: Patient and staff education and practice audits reduced the Caesarean section rate in a tertiary referral hospital without an increase in admissions to the NICU.

OBJETIVO: Evaluar la eficacia de una intervención en tres etapas para reducir los partos por cesárea en un hospital de atención terciaria en China. MÉTODOS: Se realizó un estudio retrospectivo para evaluar si el programa educativo para el personal y los pacientes y la auditoría de las prácticas de los cirujanos (que se pusieron en marcha en el año 2005) habían disminuido la tasa de partos por cesárea. Se empleó una regresión logística múltiple para comprobar la posible relación entre la tasa de cesáreas y la tasa de admisión en la unidad de cuidados intensivos neonatales (UCIN). RESULTADOS: La tasa de partos por cesárea osciló entre el 53,5% y el 56,1% entre 2001 y 2004 y entre el 43,9% y el 36,1% entre 2005 y 2011. Se constata una reducción significativa en la misma si se consideran los años 2001-2004 y 2005-2011 como periodos «antes» y «después» para evaluar el impacto de la intervención sobre la tasa media de partos por cesárea: del 54,8% al 40,3% (razón de posibilidades, OR: 0,56; intervalo de confianza, IC, del 95%: 0,54 - 0,59; χ2test P<0,001). La disminución general en la proporción de cesáreas fue significativa (χ2 test: P<0,001) y estuvo relacionada de forma inversa con los años (correlación de Spearman ρ: -0,096; P<0,001). A pesar del aumento de embarazos complicados después de 2004, la tasa de cesáreas primarias disminuyó anualmente hasta un 20% de media entre los años 2005-2011 después de haber puesto en marcha las auditorías de las prácticas. La regresión logística múltiple mostró una relación positiva entre la tasa de partos por cesárea y la tasa de admisión en la unidad de cuidados intensivos neonatales UCIN (OR ajustada: 1,26; IC del 95%: 1,14-1,40). CONCLUSIÓN: El programa educativo para el personal y los pacientes, así como las auditorías de las prácticas redujeron la tasa de cesáreas en un hospital de atención terciaria sin aumentar el número de admisiones en la UCIN.

OBJECTIF: Evaluer l'efficacité d'une intervention en trois étapes pour réduire les accouchements par césarienne dans un hôpital de troisième ligne chinois. MÉTHODES: Une étude rétrospective a été menée afin de déterminer si l'éducation du personnel, l'éducation des patients et l'audit des pratiques des chirurgiens (introduit en 2005) avaient réduit les taux d'accouchement par césarienne. Une régression logistique multiple a été utilisée pour vérifier une éventuelle corrélation entre les taux de césarienne et les taux d'admission à l'unité de soins intensifs néonataux. RÉSULTATS: Le taux de césarienne variait de 53,5% à 56,1% en 2001-2004 et de 43,9% à 36,1% en 2005-2011. Lorsque 2001-2004 et 2005-2011 ont été traités en tant que périodes "avant" et "après" pour évaluer l'impact des interventions sur le taux moyen de césarienne, une réduction significative a été mise en évidence: de 54,8% à 40,3% (rapport des chances, OR: 0,56; intervalle de confiance à 95%, IC: 0,52 à 0,59; test de χ2: P <0,001). La baisse globale du taux de césarienne était significative (test de χ2: P <0,001) et inversement corrélée avec les années (ρ de Spearman: -0,096; P <0,001). Bien que les grossesses compliquées aient augmenté après 2004, le taux de césarienne primaire a diminué chaque année de 20% en moyenne en 2005-2011, après que l'audit de bonnes pratiques ait été mis en œuvre. Une régression logistique multiple a montré une corrélation positive entre le taux de naissance par césarienne et le taux d'admission à l'unité de soins intensifs néonataux (OR ajusté: 1,26, IC 95%: 1,14 à 1,40). CONCLUSION: L'éducation des patients et du personnel ainsi que l'audit de bonnes pratiques ont réduit le taux de césarienne dans un hôpital de troisième ligne, sans augmentation des admissions en soins intensifs néonataux.

https://doi.org/10.2471/BLT.11.093369 1923 downloads

Exibindo

itens por página

Página de 1 Próxima

Selecione um ou mais resultados

Todos Ordem alfabética

Resultados

Gráfico comparativo Download CSV

Visualizar estatísticas de

Enviar resultado

E-mail do(s) destinatários*

Utilize ; (ponto e vírgula) para mais de um e-mail.

Enviar por e-mail

Esta página

Registros selecionados

Todos os registros (max. 300)

Alterar remetente, assunto e comentários

Seu email

Assunto

Comentários

Alterar remetente, assunto e comentários

Exportar resultados

Formato de exportação:

RIS (para EndNote, ProCite, Reference Manager, RefWorks, Citavi, etc.)

BibTeX

Citação

CSV (para Excel, etc)

Exportar:

Esta página

Itens selecionados

Todos os registros (max. 2000)

Mostrar mais

Sem resultados

Não foram encontrados documentos para sua pesquisa

Glossário e ajuda para busca

Você pode enriquecer sua busca de uma forma muito simples. Use os índices de pesquisa combinados com os conectores (AND ou OR) e especifique cada vez mais sua busca.

Por exemplo, se você deseja buscar artigos sobre
casos de dengue no Brasil em 2015, use:
ti:dengue and publication_year:2015 and aff_country:Brasil

Veja abaixo a lista completa de índices de pesquisa que podem ser usados:

Cód. do Índice	Elemento
ti	título do artigo
au	autor
kw	palavras-chave do artigo
subject	assunto (palavras do título, resumo e palavras-chave)
ab	resumo
ta	título abreviado da revista (ex. Cad. Saúde Pública)
journal_title	título completo da revista (ex. Cadernos de Saúde Pública)
la	código do idioma da publicação (ex. pt - Português, es - Espanhol)
type	tipo do documento
pid	identificador da publicação
publication_year	ano de publicação do artigo
sponsor	financiador
aff_country	código do país de afiliação do autor
aff_institution	instituição de afiliação do autor
volume	volume do artigo
issue	número do artigo
elocation	elocation
doi	número DOI
issn	ISSN da revista
in	código da coleção SciELO (ex. scl - Brasil, col - Colômbia)
use_license	código da licença de uso do artigo

SciELO - Scientific Electronic Library Online
Rua Dr. Diogo de Faria, 1087 – 9º andar – Vila Clementino 04037-003 São Paulo/SP - Brasil
Email: scielo@scielo.org

Todo o conteúdo de www.scielo.org, exceto onde está identificado, está licenciado sob uma Licença Creative Commons.
saiba mais »