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Systemic infection caused by the methicillin-resistant Staphylococcus aureus USA300-LV lineage in a Brazilian child previously colonized methicillinresistant methicillin resistant USA300LV USALV USA300 LV USA USA30 USA3
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Whitaker, Carolina de Oliveira

; Chamon, Raiane Cardoso

; Oliveira, Tamara Lopes Rocha de

; Nouér, Simone Aranha

; Santos, Kátia Regina Netto dos

Brazilian Journal of Infectious Diseases

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2023, Volume 27 N. 2 elocation 102737

Abstract: En | Text: En | PDF: En

ABSTRACT The methicillin-resistant Staphylococcus aureus (MRSA) USA300-Latin American variant (USA300-LV) lineage is well documented in northern Latin American countries. It has replaced established clones in hospital environments. We herein report a systemic infection caused by a USA300-LV isolate in a 15-year-old boy, from a low-income area of Rio de Janeiro, previously colonized by the same strain. During hospital stay, seven pvl-positive MRSA USA300-LV isolates were recovered by nasal swab, blood and abscess secretion. The patient underwent intravenous vancomycin, daptomycin, and oral sulfamethoxazole/trimethoprim, and was discharged after 45 days after full recovery. This is the first documented case of a community-acquired MRSA infection caused by the USA300-LV variant in Brazil in a previously colonized adolescent with no history of recent travel outside of Rio de Janeiro. The need for improved surveillance programs to detect MRSA colonization in order to control the spread of hypervirulent lineages among community and hospital settings is highlighted. methicillinresistant methicillin resistant (MRSA USA300Latin USALatin USA300 USA USA300LV USALV LV (USA300-LV countries environments 15yearold yearold 15 year old boy lowincome low income Janeiro strain stay pvlpositive pvl positive swab secretion vancomycin daptomycin sulfamethoxazoletrimethoprim sulfamethoxazole trimethoprim sulfamethoxazole/trimethoprim 4 recovery communityacquired acquired highlighted USA30 1 USA3

https://doi.org/10.1016/j.bjid.2022.102737

Characteristics and outcomes of patients with COVID-19 admitted to the ICU in a university hospital in São Paulo, Brazil - study protocol
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Ferreira, Juliana C.

; Ho, Yeh-Li

; Besen, Bruno A.M.P.

; Malbuisson, Luiz M.S.

; Taniguchi, Leandro U.

; Mendes, Pedro V.

; Costa, Eduardo L.V.

; Park, Marcelo

; Daltro-Oliveira, Renato

; Roepke, Roberta M.L.

; Silva Jr, João M.

; Carmona, Maria José C.

; Carvalho, Carlos Roberto Ribeiro

; Hirota, Adriana

; Kanasiro, Alberto Kendy

; Crescenzi, Alessandra

; Fernandes, Amanda Coelho

; Miethke-Morais, Anna

; Bellintani, Arthur Petrillo

; Canasiro, Artur Ribeiro

; Carneiro, Bárbara Vieira

; Zanbon, Beatriz Keiko

; Batista, Bernardo Pinheiro De Senna Nogueira

; Nicolao, Bianca Ruiz

; Besen, Bruno Adler Maccagnan Pinheiro

; Biselli, Bruno

; Macedo, Bruno Rocha De

; Toledo, Caio Machado Gomes De

; Pompilio, Carlos Eduardo

; Carvalho, Carlos Roberto Ribeiro De

; Mol, Caroline Gomes

; Stipanich, Cassio

; Bueno, Caue Gasparotto

; Garzillo, Cibele

; Tanaka, Clarice

; Forte, Daniel Neves

; Joelsons, Daniel

; Robira, Daniele

; Costa, Eduardo Leite Vieira

; Silva Júnior, Elson Mendes Da

; Regalio, Fabiane Aliotti

; Segura, Gabriela Cardoso

; Marcelino, Gustavo Brasil

; Louro, Giulia Sefrin

; Ho, Yeh-Li

; Ferreira, Isabela Argollo

; Gois, Jeison de Oliveira

; Silva Junior, Joao Manoel Da

; Reusing Junior, Jose Otto

; Ribeiro, Julia Fray

; Ferreira, Juliana Carvalho

; Galleti, Karine Vusberg

; Silva, Katia Regina

; Isensee, Larissa Padrao

; Oliveira, Larissa dos Santos

; Taniguchi, Leandro Utino

; Letaif, Leila Suemi

; Lima, Lígia Trombetta

; Park, Lucas Yongsoo

; Chaves Netto, Lucas

; Nobrega, Luciana Cassimiro

; Haddad, Luciana

; Hajjar, Ludhmila

; Malbouisson, Luiz Marcelo

; Pandolfi, Manuela Cristina Adsuara

; Park, Marcelo

; Carmona, Maria José Carvalho

; Andrade, Maria Castilho Prandini H De

; Santos, Mariana Moreira

; Bateloche, Matheus Pereira

; Suiama, Mayra Akimi

; Oliveira, Mayron Faria de

; Sousa, Mayson Laercio

; Louvaes, Michelle

; Huemer, Natassja

; Mendes, Pedro

; Lins, Paulo Ricardo Gessolo

; Santos, Pedro Gaspar Dos

; Moreira, Pedro Ferreira Paiva

; Guazzelli, Renata Mello

; Reis, Renato Batista Dos

; Oliveira, Renato Daltro De

; Roepke, Roberta Muriel Longo

; Pedro, Rodolpho Augusto De Moura

; Kondo, Rodrigo

; Rached, Samia Zahi

; Fonseca, Sergio Roberto Silveira Da

; Borges, Thais Sousa

; Ferreira, Thalissa

; Cobello Junior, Vilson

; Sales, Vivian Vieira Tenório

; Ferreira, Willaby Serafim Cassa

Clinics

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2020, Volume 75 elocation e2294

Abstract: En | Text: En | PDF: En

OBJECTIVES: We designed a cohort study to describe characteristics and outcomes of patients with coronavirus disease (COVID-19) admitted to the intensive care unit (ICU) in the largest public hospital in Sao Paulo, Brazil, as Latin America becomes the epicenter of the pandemic. METHODS: This is the protocol for a study being conducted at an academic hospital in Brazil with 300 adult ICU beds dedicated to COVID-19 patients. We will include adult patients admitted to the ICU with suspected or confirmed COVID-19 during the study period. The main outcome is ICU survival at 28 days. Data will be collected prospectively and retrospectively by trained investigators from the hospital’s electronic medical records, using an electronic data capture tool. We will collect data on demographics, comorbidities, severity of disease, and laboratorial test results at admission. Information on the need for advanced life support and ventilator parameters will be collected during ICU stay. Patients will be followed up for 28 days in the ICU and 60 days in the hospital. We will plot Kaplan-Meier curves to estimate ICU and hospital survival and perform survival analysis using the Cox proportional hazards model to identify the main risk factors for mortality. ClinicalTrials.gov: NCT04378582. RESULTS: We expect to include a large sample of patients with COVID-19 admitted to the ICU and to be able to provide data on admission characteristics, use of advanced life support, ICU survival at 28 days, and hospital survival at 60 days. CONCLUSIONS: This study will provide epidemiological data about critically ill patients with COVID-19 in Brazil, which could inform health policy and resource allocation in low- and middle-income countries.

https://doi.org/10.6061/clinics/2020/e2294 1957 downloads

Daptomycin and vancomycin non-susceptible methicillin-resistant Staphylococcus aureus clonal lineages from bloodstream infection in a Brazilian teaching hospital
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Damasco, Andreia Paredes

; Costa, Thaina Miranda da

; Morgado, Priscylla Guimarães Migueres

; Guimarães, Lorrayne Cardoso

; Cavalcante, Fernanda Sampaio

; Nouér, Simone Aranha

; Santos, Kátia Regina Netto dos

Brazilian Journal of Infectious Diseases

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mar 2019, Volume 23 N. 2 Pages 139 - 142

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction: This study aimed to characterize Staphylococcus aureus isolates from bloodstream infections in patients attending a teaching hospital, between 2011 and 2015. Methods: The minimum inhibitory concentration for daptomycin, linezolid, oxacillin, teicoplanin, vancomycin, and trimethoprim/sulfamethoxazole was accessed by broth microdilution. SCCmec type and clonal profile were determined by molecular tests. Vancomycin heteroresistance was evaluated using screening tests and by population analysis profile/area under the curve. Results: Among 200 S. aureus isolates, 55 (27.5%) were MRSA, carrying SCCmec II (45.5%) or IV (54.5%). The most frequent MRSA lineages were USA100 (ST5-II) (45.5%) and USA800 (ST5-IV) (30.9%). Six isolates were confirmed as vancomycin heteroresistant, showing area under the curve ratio 1.1, 1.2 or 1.3 (four USA100, one USA800 and one USA1100 isolates). Conclusions: Daptomycin and vancomycin non-susceptible MRSA clonal lineages were found in bloodstream infections over five years, highlighting the importance of continuous surveillance of multiresistant bacteria in hospitals.

https://doi.org/10.1016/j.bjid.2019.03.003 553 downloads

Epidemiological study of snakebite cases in Brazilian Western Amazonia
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Roriz, Katia Regina Pena Schesquini

; Zaqueo, Kayena Delaix

; Setubal, Sulamita Silva

; Katsuragawa, Tony Hiroshi

; Silva, Renato Roriz da

; Fernandes, Carla Freire Celedônio

; Cardoso, Luiz Augusto Paiva

; Rodrigues, Moreno Magalhães de Souza

; Soares, Andreimar Martins

; Stábeli, Rodrigo Guerino

; Zuliani, Juliana Pavan

Revista da Sociedade Brasileira de Medicina Tropical

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jun 2018, Volume 51 N. 3 Pages 338 - 346

Abstract: En | Text: En | PDF: En

Abstract INTRODUCTION Brazil has the largest number of snakebite cases in South America, of which the large majority is concentrated in the Midwest and North. METHODS In this descriptive observational study, we assessed the epidemiological and clinical snakebite cases referred to the Centro de Medicina Tropical de Rondônia from September 2008 to September 2010. RESULTS We followed up 92 cases from admission until discharge, namely 81 (88%) men and 11 (12%) women, with a mean age of 37 years, and mainly from rural areas (91.3%). The snakebites occurred while performing work activities (63%) during the Amazon rainy season (78.3%). The vast majority of individuals presented from the Porto Velho microregion (84.7%). Approximately 95.6% of the snakebites were caused by snakes of the genus Bothrops, followed by two lachetics and two elapidics cases. Surgery was performed in 10 cases (9 fasciotomies in the lower limb and 1 amputation). No deaths were reported in this study, but 4 cases (4.3%) developed sequelae in the lower limb. CONCLUSIONS This study can contribute to a better understanding of envenomation in the state of Rondônia and thus can be useful for identifying real conditions that can increase the incidence of snakebites in this region. Moreover, the study results can serve as a basis for improving educational campaigns designed to prevent these types of snakebites, as well as for preserving snakes.

https://doi.org/10.1590/0037-8682-0489-2017 2819 downloads

AS DIFERENTES FASES DO CICLO MENSTRUAL NÃO INFLUENCIAM O RENDIMENTO DE ATLETAS DE NADO SINCRONIZADO
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Souza, Angélica Gregório de

; Passos, Victor Luís dos Santos

; Cardoso, Wemson Wangler Ferreira

; Ponciano, Kátia Regina

; Fugita, Meico

; Figueira Junior, Aylton José

; Bocalini, Danilo Sales

Revista Brasileira de Medicina do Esporte

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dec 2017, Volume 23 N. 6 Pages 460 - 464

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Introdução: O conhecimento referente à influência das fases do ciclo menstrual no desempenho ainda é inconclusivo. Objetivo: Analisar o desempenho físico e técnico de atletas de nado sincronizado em três diferentes fases do ciclo menstrual. Métodos: Seis atletas de nível nacional (idade: 17,6 ± 6,15) com ciclo menstrual normal foram avaliadas, considerando as seguintes fases do ciclo menstrual, folicular (F), ovulatória (O) e lútea (L). Foram avaliados os parâmetros antropométricos, neuromotores, o deslocamento vertical, alçada de eggbeater e o desempenho na rotina técnica. Resultados: Não foram encontradas alterações de parâmetros antropométricos, força dos membros superiores (F; O; L); abdominal (F; O; L) e flexibilidade (F; O; L). Nos testes específicos, tanto deslocamento vertical, alçada de eggbeater (F; O; L) e desempenho técnico (F: 77 ± 4, O: 80 ± 5, L: 77 ± 4; pontos) não se alteraram ao longo das fases do ciclo menstrual. Conclusão: Os dados do presente estudo indicam que as fases do ciclo menstrual não exercem influência direta no desempenho de atletas de nado sincronizado.

ABSTRACT Introduction: Knowledge regarding the influence of the phases of the menstrual cycle on the performance is still inconclusive. Objective: To analyze the physical and technical performance of synchronized swimmers in three different phases of the menstrual cycle. Methods: Six athletes of national level (age: 17.6±6.15) with normal menstrual cycle were evaluated considering the following phases of the menstrual cycle, namely, follicular (F), ovulatory (O) and luteal (L). Anthropometric, and neuromotor parameters, vertical displacement, eggbeater kick and performance in the technical routine were evaluated. Results: No changes were found in the anthropometric parameters, strength of the upper limbs (F; O; L); abdominal (F; O; L) and flexibility (F; O; L). In the specific tests, vertical displacement, eggbeater kick (F; O; L), and technical performance (F: 77±4; O: 80±5; L: 77±4 points) did not change throughout the menstrual cycle. Conclusion: The data of the present study indicate that the phases of the menstrual cycle do not directly influence the performance of synchronized swimming athletes.

RESUMEN Introducción: El conocimiento referente a la influencia de las fases del ciclo menstrual en el rendimiento sigue siendo inconcluso. Objetivo: Analizar el rendimiento físico y técnico de atletas de nado sincronizado en tres fases diferentes del ciclo menstrual. Métodos: Se evaluaron seis atletas de nivel nacional (edad: 17.6 ± 6.15) con ciclo menstrual normal, teniendo en cuenta las siguientes fases del ciclo menstrual: folicular (F), ovulatoria (O) y lútea (L). Se evaluaron los parámetros antropométricos, neuromotores, el desplazamiento vertical, el eggbeater (“batidora”) y el rendimiento en la rutina técnica. Resultados: No se encontraron cambios en parámetros antropométricos, fuerza de las extremidades superiores (F, O, L); abdominal (F, O, L) y flexibilidad (F, O, L). En las pruebas específicas, tanto desplazamiento vertical, eggbeater (F, O; L) y rendimiento técnico (F: 77 ± 4, O: 80 ± 5, L: 77 ± 4 puntos) no se alteraron a lo largo de las fases del ciclo menstrual. Conclusión: Los datos de este estudio indican que las fases del ciclo menstrual no ejercen ninguna influencia directa sobre el rendimiento de atletas de nado sincronizado.

https://doi.org/10.1590/1517-869220172306175109 3091 downloads

Política de Educação Permanente em Saúde no Brasil: a contribuição das Comissões Permanentes de Integração Ensino-Serviço
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França, Tânia

; Medeiros, Katia Rejane de

; Belisario, Soraia Almeida

; Garcia, Ana Cláudia

; Pinto, Isabela Cardoso de Matos

; Castro, Janete Lima de

; Pierantoni, Célia Regina

Ciência & Saúde Coletiva

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jun 2017, Volume 22 N. 6 Pages 1817 - 1828

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo O artigo analisa o papel das Comissões Permanentes de Integração Ensino-Serviço (CIES) na implementação da Politica de Educação Permanente em Saúde (EPS). Trata-se de estudo multicêntrico de abordagem qualiquantitativa que utilizou questionário on line autoaplicável e entrevista semiestruturada como técnica de coleta de dados. Os informantes chave foram os responsáveis pela Política de EPS das 27 Secretarias Estaduais de Saúde (SES) e 7 coordenadores das CIESs das cinco Regiões do Brasil. Os achados apontaram a existência de setor específico de EPS na maioria das SES; alta escolarização, experiência e vínculo estável dos gestores. Quanto às CIESs, constatou-se: existência na maioria dos estados; diversidade de seu processo de criação; composição plural; regularidade de reuniões; boa relação com instituições formadoras; dificuldades na utilização e manejo dos recursos destinados à EPS. O estudo apontou avanços demonstrando a importância dessas instâncias como espaços de negociação, pactuação e desenvolvimento da EPS. Contudo, desafios ainda precisam ser superados para que se consolidem os projetos nas SES fortalecendo a PNEPS.

Abstract The article analyzes the role of Permanent Committees of Teaching-Service Integration (CIES) in the implementation of Permanent Education in Health Policy (EPS). It is a multicenter study with a qualitative-quantitative approach which used a self-applied online questionnaire and a semi-structured interview for data collection. The key respondants were the responsible for EPS Policy of the 27 State Health Secretariats (SES) and 7 coordinators of CIESs of the five regions of Brazil. The findings showed the existence of a specific EPS sector in most SES; high level of schooling, experience and stable employment status of the managers. Regarding CIESs, it was verified: existence in most of the states; creative process diversity; plural composition; regularity of meetings; good relationship with training institutions; difficulties in the use and management of resources destined for EPS. The study indicated progress, showing the importance of these instances as spaces of negotiation, agreement and development of EPS. However, challenges still need to be overcome in order to consolidate projects in the SES, strengthening the PNEPS.

https://doi.org/10.1590/1413-81232017226.30272016 1145 downloads

Política de Educação Permanente em Saúde no Brasil: a contribuição das Comissões Permanentes de Integração Ensino-Serviço
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França, Tânia

; Medeiros, Katia Rejane de

; Belisario, Soraia Almeida

; Garcia, Ana Cláudia

; Pinto, Isabela Cardoso de Matos

; Castro, Janete Lima de

; Pierantoni, Célia Regina

Ciência & Saúde Coletiva

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jun 2017, Volume 22 N. 6 Pages 1817 - 1828

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-81232017226.30272016 7496 downloads

Complete substitution of the Brazilian endemic clone by other methicillin-resistant Staphylococcus aureus lineages in two public hospitals in Rio de Janeiro, Brazil
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Chamon, Raiane Cardoso

; Ribeiro, Sthefanie da Silva

; Costa, Thaina Miranda da

; Nouér, Simone Aranha

; Santos, Katia Regina Netto dos

Brazilian Journal of Infectious Diseases

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mar 2017, Volume 21 N. 2 Pages 185 - 189

Abstract: En | Text: En | PDF: En

Abstract Staphylococcus aureus is an important cause of bloodstream infections. Therefore, the main purpose of this work was to characterize a collection of 139 S. aureus isolates from bloodstream infections in two public hospitals in relation to their antimicrobial susceptibility profile, staphylococcal cassette chromosome mec types, and clonal relationship. Methicillin resistance and resistance to other 12 agents were accessed by the disk diffusion test. Minimum inhibitory concentration to mupirocin was also determined. The SCCmec types were accessed by multiplex PCR, and the clonal relationship was determined by pulsed field gel electrophoresis method and restriction modification system characterization. Besides, multilocus sequence typing was performed for representative methicillin-resistant S. aureus isolates. The military hospital showed a dissemination of the New York/Japan (USA100/ST5/CC5/SCCmecII) lineage associated to multidrug resistance, including mupirocin resistance, and the teaching hospital presented polyclonal and non-multidrug resistant MRSA isolates. Complete substitution of the Brazilian endemic clone by other lineages was found in both hospitals. These findings can highlight differences in policy control and prevention of infections used in the hospitals and a change in the epidemiological profile of MRSA in Brazilian hospitals, with the replacement of BEC, a previously well-established clone, by other lineages.

https://doi.org/10.1016/j.bjid.2016.09.015 860 downloads

Production of MA956 Alloy Reinforced Aluminum Matrix Composites by Mechanical Alloying
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Gomes, Luiz Antonio Carlos Moutinho

; Travessa, Dilermando Nagle

; González-Carrasco, Jose Luis

; Lieblich, Marcela

; Cardoso, Katia Regina

Materials Research

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dec 2015, Volume 18 Pages 48 - 54

Abstract: En | Text: En | PDF: En

Aluminum matrix composites (AMC) are attractive structural materials for automotive and aerospace applications. Lightweight, environmental resistance, high specific strength and stiffness, and good wear resistance are promising characteristics that encourage research and development activities in AMC in order to extend their applications. Powder metallurgy techniques like mechanical alloying (MA) are an alternative way to design metal matrix composites, as they are able to achieve a homogeneous distribution of well dispersed particles inside the metal matrix. In this work, aluminum has been reinforced with particles of MA956, which is an oxide dispersion strengthened (ODS) iron base alloy (Fe-Cr-Al) of high Young’s modulus and that incorporates a small volume fraction of nanometric yttria particles introduced by mechanical alloying. The aim of this work is to investigate the use of MA to produce AMC reinforced with 5 and 10 vol.% of MA956 alloy particles. Homogeneous composite powders were obtained after 20 h of milling. The evolution of morphology and particle size of composite powders was the typical observed in MA. The composite powders produced with 10 vol.% MA956 presented a more accentuated decrease in particle size during the milling, reaching 37 μm after 50 h. The thermal stability of the composite and the existence of interface reactions were investigated aiming further high temperature consolidation processing. Heat treatment at 420 °C resulted in partial reaction between matrix and reinforcement particles, while at 570 °C the extension of reaction was complete, with formation in both cases of Al-rich intermetallic phases.

https://doi.org/10.1590/1516-1439.346114 3118 downloads

10.

Padrão de intervenções de enfermagem realizadas em vítimas de trauma segundo o Nursing Activities Score
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Nogueira, Lilia de Souza

; Padilha, Katia Grillo

; Silva, Daniela Vieira

; Lança, Ellen de Fátima Caetano

; Oliveira, Elaine Machado de

; Sousa, Regina Marcia Cardoso de

Revista da Escola de Enfermagem da USP

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dec 2015, Volume 49 N. spe Pages 29 - 35

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

ABSTRACT Objective To identify the pattern of nursing interventions performed on trauma victims in the Intensive Care Unit (ICU). Method Prospective study performed in the ICU of a hospital in São Paulo, Brazil. Nursing interventions were identified using the Nursing Activities Score (NAS). Results The sample consisted of 200 patients, most of them male, with a mean age of 40.7, victims of transport accidents. The NAS mean was 71.3%. The pattern of nursing interventions identified included monitoring and titration, laboratory investigations, medication (with the exception of vasoactive drugs), hygiene procedures, caring for drains, mobilization and positioning, support and care of relatives and patient, administrative and managerial tasks, respiratory support, care of artificial airways, treatment for improving lung function, and quantitative urine output measurement. The monitoring and mobilization interventions required care beyond what is normally required by ICU patients. Conclusion The results of this study provide important contributions to plan training activities and to size ICU nursing team.

RESUMEN Objetivo Identificar el patrón de las intervenciones de enfermería en víctimas de trauma en las primeras 24 horas en la Unidad de Cuidados Intensivos (UCI). Método Estudio prospectivo, realizado en la UCI de un hospital de São Paulo, Brasil. Se utilizó el Nursing Activities Score (NAS) para identificar las intervenciones de enfermería. Resultados La muestra fue de 200 pacientes, en su mayoría hombres, edad media 40,7 años, víctimas de accidentes de tráfico. El promedio NAS fue de 71,3% y el patrón de las intervenciones de enfermería incluye las actividades de monitoreo y valoración; investigaciones de laboratorio; medicación, excepto fármacos vasoactivos; procedimientos de higiene; cuidar de los drenajes; movilización y posicionamiento; apoyo y cuidado de familiares y pacientes; tareas administrativas y de gestión; apoyo respiratorio; cuidado de las vías aéreas artificiales; y tratamiento para mejorar la función pulmonar. Las intervenciones de monitoreo y movilización hubo la necesidad de atención más allá de la que normalmente exigen los pacientes de la UCI. Conclusión Los resultados de este estudio aportan importantes contribuciones a la planificación de las acciones encaminadas a la creación de capacidades y el diseño del equipo de enfermería en la unidad de críticos.

RESUMO Objetivo Identificar o padrão de intervenções de enfermagem realizadas em vítimas de trauma nas primeiras 24 horas de internação na Unidade de Terapia Intensiva (UTI). Método Estudo prospectivo, realizado na UTI de um hospital em São Paulo, Brasil. O instrumento Nursing Activities Score (NAS) foi utilizado para identificar as intervenções de enfermagem. Resultados A casuística foi composta por 200 pacientes, a maioria homens, com idade média de 40,7 anos, vítimas de acidentes de transporte. A média do NAS foi de 71,3% e o padrão de intervenções de enfermagem identificado incluiu as atividades de monitorização e controles; investigações laboratoriais; medicação, exceto drogas vasoativas; procedimentos de higiene; cuidados com drenos; mobilização e posicionamento; suporte e cuidado aos familiares e pacientes; tarefas administrativas e gerenciais; suporte respiratório; cuidado com vias aéreas artificiais; e tratamento para melhora da função pulmonar. Nas intervenções de monitorização e mobilização, houve a necessidade de cuidados além do normalmente requerido por pacientes de UTI. Conclusão Os resultados desta pesquisa trazem importantes contribuições para o planejamento de ações que visem a capacitação e o dimensionamento da equipe de enfermagem na unidade crítica.

https://doi.org/10.1590/S0080-623420150000700005 4 downloads

11.

Nursing Activities Score: an updated guideline for its application in the Intensive Care Unit
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Padilha, Katia Grillo

; Stafseth, Siv

; Solms, Diana

; Hoogendoom, Marga

; Monge, Francisco Javier Carmona

; Gomaa, Om Hashem

; Giakoumidakis, Konstantinus

; Giannakopoulou, Margarita

; Gallani, Maria Cecília

; Cudak, Edyta

; Nogueira, Lilia de Souza

; Santoro, Cristiane

; Sousa, Regina Cardoso de

; Barbosa, Ricardo Luis

; Miranda, Dinis dos Reis

Revista da Escola de Enfermagem da USP

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dec 2015, Volume 49 N. spe Pages 131 - 137

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

https://doi.org/10.1590/S0080-623420150000700019 4 downloads

12.

Padrão de intervenções de enfermagem realizadas em vítimas de trauma segundo o Nursing Activities Score
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Nogueira, Lilia de Souza

; Padilha, Katia Grillo

; Silva, Daniela Vieira

; Lança, Ellen de Fátima Caetano

; Oliveira, Elaine Machado de

; Sousa, Regina Marcia Cardoso de

Revista da Escola de Enfermagem da USP

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dec 2015, Volume 49 N. spe Pages 29 - 35

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

https://doi.org/10.1590/s0080-623420150000700005

13.

Nursing Activities Score: an updated guideline for its application in the Intensive Care Unit Score
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Padilha, Katia Grillo

; Stafseth, Siv

; Solms, Diana

; Hoogendoom, Marga

; Monge, Francisco Javier Carmona

; Gomaa, Om Hashem

; Giakoumidakis, Konstantinus

; Giannakopoulou, Margarita

; Gallani, Maria Cecília

; Cudak, Edyta

; Nogueira, Lilia de Souza

; Santoro, Cristiane

; Sousa, Regina Cardoso de

; Barbosa, Ricardo Luis

; Miranda, Dinis dos Reis

Revista da Escola de Enfermagem da USP

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dec 2015, Volume 49 N. spe Pages 131 - 137

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

ABSTRACT Objective To describe nursing workload in Intensive Care Units (ICU) in different countries according to the scores obtained with Nursing Activities Score (NAS) and to verify the agreement among countries on the NAS guideline interpretation. Method This cross-sectional study considered 1-day measure of NAS (November 2012) obtained from 758 patients in 19 ICUs of seven countries (Norway, the Netherlands, Spain, Poland, Egypt, Greece and Brazil). The Delphi technique was used in expertise meetings and consensus. Results The NAS score was 72.8% in average, ranging from 44.5% (Spain) to 101.8% (Norway). The mean NAS score from Poland, Greece and Egypt was 83.0%, 64.6% and 57.1%, respectively. The NAS score was similar in Brazil (54.0%) and in the Netherlands (51.0%). There were doubts in the understanding of five out 23 items of the NAS (21.7%) which were discussed until researchers’ consensus. Conclusion NAS score were different in the seven countries. Future studies must verify if the fine standardization of the guideline can have a impact on differences in the NAS results. ICU (ICU (NAS interpretation crosssectional cross sectional 1day day 1 November 2012 75 Norway, Norway (Norway Spain Poland Brazil. . Brazil) consensus 728 72 8 72.8 average 445 44 5 44.5 (Spain 1018 101 101.8 Norway. (Norway) 830 83 0 83.0% 646 64 6 64.6 571 57 57.1% respectively 54.0% 540 54 (54.0% 51.0%. 510 51.0% 51 (51.0%) 2 21.7% 217 21 7 (21.7% researchers results 201 72. 4 44. 10 101. 83.0 64. 57.1 54.0 (54.0 51.0 (51.0% 21.7 (21.7 20 83. 57. 54. (54. 51. (51.0 21. (21. (54 (51. (21 (5 (51 (2 (

RESUMEN Objetivo Describir la carga de trabajo de enfermería en Unidades de Cuidados Intensivos (UCI) de diferentes países según el Nursing Activities Score (NAS) y establecer una guía estandarizada para su utilización en UCI. Método estudio observacional en 19 UCIs de siete países (Noruega, Países Bajos, España, Polonia, Egipto, Grecia y Brasil) incluyendo 758 pacientes adultos en Noviembre de 2012. Resultados La puntuación media total en la escala NAS fue de 72.81% com valores entre 44.46% (España) y 101.8% (Noruega). Las medias NAS en Polonia, Grecia y Egipto fue de 83.0%, 64.59% y 57.11% respectivamente. El NAS medio fue similar en Brasil (53.98%) y los Países Bajos (50.96%). De los 23 ítems de la escala hubo problemas en la interpretación de 5 de ellos (21.74%). Este problema se resolvió mediante el consenso entre los investigadores. Conclusión El presente estudio demuestra variación en la carga de trabajo en UCI de diferentes países. La guía estandarizada de puntuación del NAS puede servir como una herramienta para resolver dudas en futuras aplicaciones. (UCI (NAS 1 Noruega, Noruega (Noruega España Polonia 75 2012 7281 72 81 72.81 4446 44 46 44.46 (España 1018 101 8 101.8 Noruega. . (Noruega) 830 83 0 83.0% 6459 64 59 64.59 5711 57 11 57.11 respectivamente 53.98% 5398 53 98 (53.98% 50.96%. 5096 50.96% 50 96 (50.96%) 2 21.74%. 2174 21.74% 21 74 (21.74%) investigadores aplicaciones 7 201 728 72.8 444 4 44.4 10 101. 83.0 645 6 64.5 571 57.1 53.98 539 9 (53.98 509 50.96 (50.96% 217 21.74 (21.74% 20 72. 44. 83. 64. 57. 53.9 (53.9 50.9 (50.96 21.7 (21.74 53. (53. 50. (50.9 21. (21.7 (53 (50. (21. (5 (50 (21 ( (2

RESUMO Objetivo Descrever a carga de trabalho de enfermagem em Unidades de Terapia Intensiva (UTI) de diferentes países, segundo o Nursing Activities Score (NAS), e padronizar o manual do NAS para uso nessas Unidades. Método Estudo transversal realizado em 19 UTI de sete países (Noruega, Holanda, Espanha, Polônia, Egito, Grécia e Brasil) com um total de 758 pacientes adultos, em novembro de 2012. Resultados A média do NAS total da amostra foi 72.81%, com variação entre 44.46% (Espanha) e101.81% (Noruega). Nas UTI da Polônia, Grécia e Egito, as médias foram de 83.00%, 64.59% e 57.11%, respectivamente. As médias NAS no Brasil (53.98%) e na Holanda (50,96%) foram similares. Dos 23 itens da escala, houve dúvidas no entendimento de 5(21.74%), que foram solucionados por consenso entre os pesquisadores. Conclusão O estudo mostrou diferentes cargas de trabalho de enfermagem nas UTI estudadas. Um manual padronizado do NAS para uso nessas unidades contribuirá para sanar dúvidas em futuras aplicações. (UTI NAS, , (NAS) 1 Noruega, Noruega (Noruega Espanha Polônia Egito 75 adultos 2012 7281 72 81 72.81% 4446 44 46 44.46 (Espanha e10181 e101 e101.81 Noruega. . (Noruega) 8300 83 00 83.00% 6459 64 59 64.59 5711 57 11 57.11% respectivamente 53.98% 5398 53 98 (53.98% 50,96% 5096 50 96 (50,96% similares 2 escala 521.74%, 52174 5 21.74% 21 74 5(21.74%) pesquisadores estudadas aplicações (NAS 7 201 728 8 72.81 444 4 44.4 e1018 e10 e101.8 830 0 83.00 645 6 64.5 571 57.11 53.98 539 9 (53.98 50,96 509 (50,96 521 521.74% 5217 2174 21.74 5(21.74% 20 72.8 44. e1 e101. 83.0 64. 57.1 53.9 (53.9 50,9 (50,9 52 521.74 217 21.7 5(21.74 72. 83. 57. 53. (53. 50, (50, 521.7 21. 5(21.7 (53 (50 521. 5(21. (5 5(21 ( 5(2 5(

https://doi.org/10.1590/s0080-623420150000700019

14.

Opportunistic infections among individuals with HIV-1/AIDS in the highly active antiretroviral therapy era at a Quaternary Level Care Teaching Hospital
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Galisteu, Katia Jaira

; Cardoso, Luciana Ventura

; Furini, Adriana Antônia da Cruz

; Schiesari Júnior, Arlindo

; Cesarino, Claudia Bernardi

; Franco, Célia

; Baptista, Andrea Regina de Souza

; Machado, Ricardo Luiz Dantas

Revista da Sociedade Brasileira de Medicina Tropical

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apr 2015, Volume 48 N. 2 Pages 149 - 156

Abstract: En | Text: En | PDF: En

INTRODUCTION : In this study, clinical-laboratory and epidemiological characteristics are described for a group of 700 individuals with HIV (human immunodeficiency virus)/AIDS (acquired immunodeficiency syndrome) in the ART (antiretroviral therapy) era at a teaching hospital that provides a quaternary level of care, with an emphasis on opportunistic infections (OIs), co-infections and immune profile. METHODS : A retrospective cross-sectional study of AIDS cases was conducted from 1998 to 2008 by reviewing medical records from the Base Hospital/FUNFARME (Fundação Faculdade Regional de Medicina), São José do Rio Preto, São Paulo, Brazil. RESULTS: The individuals were 14 to 75 years of age, and 458 were males. Heterosexuals accounted for 31.1% of all patients. Eighty-three percent were on ART, and 33.8% of those presented difficulties with treatment adherence. OIs were analyzed from medical records, and Pneumocystis jiroveci pneumonia was the most prevalent, regardless of the LTCD4+ (TCD4+ Lymphocytes) levels. Individuals whose viral loads were ≥10,000 showed a 90% greater chance of neurotoxoplasmosis. For P. jiroveci pneumonia, neurotoxoplasmosis, esophageal candidiasis, pulmonary tuberculosis and neurocryptococcosis, the chances of infection were higher among patients with LTCD4+ levels below 200 cells/mm3. HIV/hepatitis C virus (HCV) and HIV/hepatitis B virus (HBV) co-infections were significantly associated with death. CONCLUSIONS : OIs remain frequent in the ART era even in populations where the access to medical care is considered satisfactory.

https://doi.org/10.1590/0037-8682-0299-2014 12298 downloads

15.

Effect of Equal Channel Angular Pressing (ECAP) on microstructure and properties of Al-FeAlCr intermetallic phase composites
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Cardoso, Kátia Regina

; Muñoz-Morris, Maria A.

; Lieblich, Marcela

; Morris, David

Materials Research

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jun 2014, Volume 17 N. 3 Pages 775 - 780

Abstract: En | Text: En | PDF: En

An aluminium matrix composite was prepared by mixing commercial aluminium powders and 15 vol % of FeAlCr powders and consolidation by hot extrusion. The extruded composite was subjected to severe plastic deformation by equal channel angular pressing (ECAP) at room temperature and at 150°C. The extruded composite presents a uniform distribution of particles although some defects are observed such as residual pores and particle agglomerates. The particle distribution does not show a significant change due to ECAP. The extruded composite exhibits a relatively fine grain size of the order of 1-2 μm that was refined to 550 nm after three ECAP passes at room temperature by route A and to 636 nm after four passes at 150°C by route Bc. The yield stress of the composites was increased by 140 to 180% after ECAP as compared with the extruded condition.

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