Search | SciELO

Resumo O artigo objetiva analisar aspectos da estruturação da rede de atenção à saúde nas regiões do estado de Mato Grosso e a narrativa sobre eles, de atores institucionais representantes da gestão, da prestação de serviços e da sociedade. Tem por base a pesquisa sobre governança e regionalização do SUS neste estado, de abordagem quantitativa e qualitativa, cuja base empírica contemplou dados secundários, documentos institucionais e entrevistas com atores-chave, estes representando a gestão, a prestação de serviços e a sociedade. Os aspectos da estrutura deste recorte focam: cobertura da ESF; disponibilidade de estabelecimentos/serviços de saúde; força de trabalho; despesas com saúde. Entre 2010 e 2018, em que pese a melhoria de vários indicadores explorados: a oferta e a distribuição de serviços e de profissionais evidenciam desigualdades regionais; há limitações financeiras, insuficiência de serviços e de profissionais. A Rede de Atenção à Saúde não está estruturada como regulamentada e sim como cada região - e seus municípios - a entendem e a adaptam, conforme sua capacidade instalada. A APS promoveu avanços, porém não tem conseguido ser efetiva e resolutiva frente às necessidades de saúde, não coordenando adequadamente o cuidado e tampouco orientando a RAS.

Abstract The article analyzes aspects of the structuring of the health care network in the regions of the State of Mato Grosso, and the narrative about them, by institutional actors representing management, service providers and society. It is based on research on governance and regionalization of the SUS in this state, with a quantitative and qualitative approach, the empirical basis of which included secondary data, institutional documents and interviews with key actors representing management, service providers and society. In this research, the focus was on coverage of the Family Health Strategy; availability of health services; workforce; expenses on health. Between 2010 and 2018, despite the improvement of several indicators examined: the supply and distribution of services and professionals reveal regional inequalities; there are financial limitations and a lack of services and professionals. The Health Care Network (HCN) is not structured as regulated, but rather as each region - and its municipalities - interprets and adapts it, according to its installed capacity. The PHC network has promoted advances, but it has not been able to be effective and resolute in terms of health needs, not providing care properly nor coordinating the HCN.

https://doi.org/10.1590/1413-81232023282.12952021

Análise da estruturação da Rede de Atenção à Saúde no estado de Mato Grosso, Brasil, no contexto da Regionalização
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Martinelli, Nereide Lúcia

; Scatena, João Henrique Gurtler

; Castro, Marta de Lima

; Soares, Nina Rosa Ferreira

; Charbel, Simone Carvalho

; Souza, Neuciani Ferreira da Silva

; Medeiros, Alba Regina Silva

; Souza, Delma Perpétua Oliveira de

Ciência & Saúde Coletiva

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2023, Volume 28 N. 2 Pages 585 - 598

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

https://doi.org/10.1590/1413-81232023282.12952021

Metodología para el desarrollo del sistema Web para la gestión de los programas de maestría del Instituto “Pedro Kourí”
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics

Barrientos Rodríguez, Mario

; Zacca González, Grisel

; Castro Peraza, Marta

; Álvarez Gainza, Delmis

; Vidal Ledo, María

; Valdés Santiago, Damián

Revista Cubana de Informática Médica

Journal Metrics
- Sobre o periódico
- SciELO Analytics

dec 2022, Volume 14 N. 2 elocation e537

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

Abstract To carry out software development projects and as a final result obtain a high-quality product, with a low cost, a minimum of effort and its delivery on time, the activities carried out during each phase of the software construction process are fundamental, in which the identification and choice of the appropriate methodology play a significant role for the success of the project. The objective of the work is to propose a methodology for software development in a web environment, for the management of the master's programs of the “Pedro Kourí” Institute. To carry out this task, a review is carried out on the existing software development methodologies, the principles and foundations of best practices for agile methodologies and the most relevant traditional ones today, a comparison is established between the selected methodologies and the Rational Unified Process (RUP) methodology is proposed for the development of the software engineering processes of the web system for the management of the master's programs of the “Pedro Kourí” Institute.

RESUMEN Para llevar a cabo proyectos de desarrollo de software y como resultado final obtener un producto de alta calidad, con un bajo costo, un mínimo de esfuerzo y su entrega en tiempo, resultan fundamentales las actividades ejecutadas durante cada fase del proceso de construcción del software, en el que la identificación y elección de la metodología apropiada juegan un papel significativo para el éxito del proyecto. El objetivo del trabajo es proponer una metodología de desarrollo de software en ambiente web, para la gestión de los programas de maestrías del Instituto “Pedro Kourí”. Para llevar a cabo esta tarea se realizó una revisión sobre las metodologías de desarrollo de software existentes, los principios y fundamentos de las mejores prácticas para las metodologías ágiles y las tradicionales más relevantes en la actualidad, se estableció una comparación entre las metodologías seleccionadas y se propuso la metodología RUP (Rational Unified Process por sus siglas en inglés) para el desarrollo de los procesos de ingeniería de software del sistema web para la gestión de los programas de maestrías del Instituto “Pedro Kourí”.

A new large-flowered Cyrtochilum (Oncidiinae) from Colombia, named in honor of an esteemed taxonomist
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Castro, Cristian

; Moreno, Juan Sebastián

; Dalström, Stig

Lankesteriana

Journal Metrics
- Sobre o periódico
- SciELO Analytics

aug 2022, Volume 22 N. 2 Pages 133 - 144

Abstract: En | Text: En | PDF: En

Abstract A new and previously little-known Cyrtochilum (Orchidaceae: Oncidiinae), is named in honor and in memory of Leonore Bockemühl, who published a monographic treatment of Odontoglossum in 1989, which included many species that subsequently were transferred to Cyrtochilum based on molecular evidence. One of these species that was included in her treatment as ''Odontoglossum leucopterum'' is in fact an undescribed Cyr- tochilum and is described here. The real ''Odontoglossum leucopterum'', which was transferred to Cyrtochilum in 2001, has proven to be quite elusive since its original description. It was only recently photographed in the Sierra Nevada de Santa Marta in northern Colombia, its only known location, and photos of this rare orchid are featured here for the first time. The new Cyrtochilum is described, illustrated and compared with closely related Cyrtochilum species which are featured with line drawings and color photographs to illustrate the differences.

https://doi.org/10.15517/lank.v22i2.51860

Prevalencia y factores asociados a la hiponatremia en pacientes con nutrición enteral
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Serrano-Valles, Cristina

; Gómez-Hoyos, Emilia

; Ortolá-Buigues, Ana

; Primo-Martín, David

; Jiménez-Sahagún, Rebeca

; García-Calvo, Susana

; López-Gómez, Juan José

; Delgado-García, Esther

; Torres-Torres, Beatriz

; Izaola-Jáuregui, Olatz

; Sánchez-Ibáñez, Marta

; Castro, María Ángeles

; de Luis-Román, Daniel

Nutrición Hospitalaria

Journal Metrics
- Sobre o periódico
- SciELO Analytics

aug 2022, Volume 39 N. 4 Pages 723 - 727

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

Resumen Introducción: la hiponatremia es el trastorno electrolítico más frecuente a nivel hospitalario. En pacientes con nutrición enteral (NE) puede influir en el abordaje terapéutico, así como en la selección del preparado nutricional. Objetivos: describir la prevalencia de la hiponatremia en pacientes con NE y factores asociados. Métodos: estudio retrospectivo de 1651 pacientes no críticos con NE, valorados por el Servicio de Endocrinología y Nutrición desde enero de 2014 hasta enero de 2020. Se recogieron la edad, el sexo, el índice de masa corporal (IMC) (kg/m2), el estado nutricional mediante el cuestionario Mini Nutritional Assessment (MNA), el diagnóstico principal y la presencia de hiponatremia al inicio y durante la NE. Resultados: del total, el 53,9 % fueron hombres, con una mediana de edad de 76,8 [65,7-85,3] años. El diagnóstico principal más frecuente fue la patología neurológica (37,3 %). El 26,1 % de los pacientes presentaron hiponatremia: un 11,0 % al inicio de la NE y el 16,7% durante su administración. La hiponatremia fue más frecuente en aquellos con patología digestiva (28,7 %) e infecciosa (27,65 %). Según el MNA, hasta el 41,1 % presentaron desnutrición y la frecuencia de esta fue estadísticamente superior en los pacientes con que en aquellos sin hiponatremia (76,3 % vs. 55,8 %; p < 0,001). En el análisis multivariante, únicamente la desnutrición se asoció de manera significativa con la presencia de hiponatremia, con una OR de 2,86 [IC 95 %: 1,5-4,88]. Conclusiones: la hiponatremia se detectó en un tercio de los pacientes con NE. Su presencia fue hasta 2 veces más frecuente en los pacientes desnutridos, independientemente de la edad, el sexo, el IMC y la patología basal.

Abstract Introduction: hyponatremia is the most frequent disturbance in hospitalized patients. This situation may influence the therapeutic approach in patients with total enteral tube feeding (TEN). Objective: to study the prevalence of hyponatremia and the clinical factors that are associated with increased risk in a population with TEN. Methods: a retrospective study from January 2014 to January 2020; 1,651 non-critically ill patients receiving TEN were included who were assessed by the Department of Endocrinology and Nutrition. Data collected included sex, age, body mass index (BMI) (kg/m2), and nutritional status by Mini Nutritional Assessment (MNA); main disease diagnosis and development of hyponatremia at onset or during TEN were also included. Results: in all, 53.9 % of the total sample were males aged 76.8 [65.7-85.3] years. Neurological pathology was the most frequent primary diagnosis on admission (37.3 %). We found hyponatremia in 26.1 % —11.0 % at onset and 16.7 % during TEN—. Hyponatremia was more frequent in patients with digestive disease (28.7 %) and infectious disease (27.65 %). According to the MNA questionnaire 41.1 % were malnourished and nutritional status was worse in patients with hyponatremia (76.3 % vs. 55.8 %; p < 0.001). By multivariate analysis, malnutrition was only associated with hyponatremia status; OR, 2.86 [95 % CI: 1.5-4.88]. Conclusions: in this study, hyponatremia was detected in a third of patients. This was up to two more times as common in malnourished patients; however, age, sex, BMI, and baseline pathology were not related.

https://doi.org/10.20960/nh.03964

Multifocal Colonic Ulcerations: An Unusual Presentation of Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Silva, Vítor Macedo

; Freitas, Marta

; Carvalho, Pedro Boal

; Castro, Francisca Dias de

; Cotter, José

GE-Portuguese Journal of Gastroenterology

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jun 2022, Volume 29 N. 3 Pages 37 - 41

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

Resumo Introdução: O linfoma de tecido linfoide associado à mucosa (MALT) é relativamente incomum, representando 5% de todos os linfomas não-Hodgkin. O local de envolvimento extra-nodal mais comum é o trato gastrointestinal, com a maioria dos casos a afetar o estômago (até 75% de todos os linfomas de MALT gastrointestinais). O envolvimento primário do cólon ocorre apenas em 2.5% dos doentes, sendo mais comummente observado como lesão polipoide única em avaliação endoscópica. Apresentação de caso: Apresentamos o caso de uma mulher de 61 anos, cuja colonoscopia após pesquisa de sangue oculto nas fezes positiva evidenciou lesões pseudo-polipoides superficialmente erosionadas no cólon ascendente proximal e no ângulo hepático. A análise histológica (microscópica e imunohistoquímica) de ambas as lesões foi concordante e compatível com linfoma de MALT. A tomografia computorizada de estadiamento revelou lesões nodulares pulmonares concomitantes, a maior localizada no lobo superior esquerdo com cerca de 34 mm. Devido ao estado disseminado da doença, a doente foi proposta para terapêutica sistémica com bendamustina e rituximab. À data de submissão deste caso, a doente continuava assintomática e sob tratamento com quimioterapia. Conclusão: Com este caso clínico pretendemos salientar a diversidade de apresentações possíveis no linfoma de MALT, bem como as suas localizações mais atípicas para as quais todos os gastroenterologistas devem estar atentos e com baixo limiar de suspeição.

Abstract Introduction: Mucosa-associated lymphoid tissue (MALT) lymphoma is relatively uncommon and accounts for only 5% of all non-Hodgkin lymphomas. The most common site of extranodal involvement is the gastrointestinal (GI) tract, with most cases affecting the stomach (up to 75% of all GI MALT lymphomas). Colonic disease occurs in only 2.5% of cases, most commonly manifesting as a single polypoid lesion on endoscopic evaluation. Case Presentation: We present the case of a 61-year-old woman whose colonoscopy (after a positive fecal occult blood test as part of colorectal cancer screening) revealed superficially ulcerated pseudo-polypoid lesions in the ascending proximal colon and hepatic flexure; microscopical and immunohistochemical analysis of the tissue sample was compatible with MALT lymphoma. Staging computed tomography showed concomitant nodular pulmonary lesions, the largest being located in the superior left lobe and 34 mm in size. Due to the disseminated state of the disease, systemic treatment with bendamustine and rituximab was initiated. Up to the time of submitting this paper, the patient was still asymptomatic and under chemotherapy treatment. Conclusion: With this case report, we aim to demonstrate the diversity of presentation of MALT lymphoma as well as its less typical locations; gastroenterologists should have an awareness of these and a low suspicion threshold.

https://doi.org/10.1159/000515466

Sistema Web para la gestión de los programas de maestrías del Instituto “Pedro Kourí”
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics

Barrientos Rodríguez, Mario

; Castro Peraza, Marta Ana

; Zacca González, Grisel

; Álvarez Gainza, Delmis

Revista Cubana de Informática Médica

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jun 2022, Volume 14 N. 1 elocation e468

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

ABSTRACT Introduction: The automation of information in Cuban institutions is a constantly evolving technological need that requires a comprehensive automation system. Objective: To implement a web system for the management of information related to the master's programs of the “Pedro Kourí” Institute. Material and Methods: An applied research of technological development and non-experimental, descriptive and cross-sectional design was carried out; the study universe was made up of four specialists from the teaching department and the unstructured interview was used to collect the information. The selected software development methodology was Unified Development Process and the Unified Modeling Language for modeling the system. As development tools: Visual Paradigm for UML 6.4 Enterprise Edition, WampServer 2.0f, MySQL 5.1.30, Zend Studio 5.5.1 and Apache 2.2.11. Results and Discussion: The modeling of the conceptual classes and the processes to be computerized were conceived and specified, as well as the diagrams of use cases of the system, sequence and design classes were made. Information management was automated in an integrated manner, which will allow obtaining and analyzing statistical reports and will facilitate carrying out a set of actions aimed at improving the quality of the institute's master's programs. Conclusions: The System will guarantee the automation of the academic processes, benefiting students, teachers and specialists of the entity's teaching department.

RESUMEN Introducción: La automatización de la información en las instituciones cubanas es una necesidad tecnológica en constante evolución que requiere de un sistema integral de automatización. Objetivo: Implementar un sistema web para la gestión de la información relacionada con los programas de maestrías del Instituto “Pedro Kourí”. Material y Métodos: Se realizó una investigación aplicada de desarrollo tecnológico y diseño no experimental, descriptivo y de corte transversal; el universo de estudio estuvo formado por 4 especialistas del departamento docente y para la recolección de la información se utilizó la entrevista no estructurada. La metodología de desarrollo de software seleccionada fue Proceso Unificado de Desarrollo y para el modelado del sistema Lenguaje Unificado de Modelado. Las herramientas de desarrollo empleadas fueron: Visual Paradigm for UML 6.4 Enterprise Edition, WampServer 2.0f, MySQL 5.1.30, Zend Studio 5.5.1 y Apache 2.2.11. Resultados y Discusión: Se especificó el modelado de las clases conceptuales y se concibieron los procesos a informatizar. Se realizaron los diagramas de casos de uso del sistema, de secuencia y de clases de diseño. Se automatizó la gestión de información de manera integrada, lo que permitirá obtener y analizar reportes estadísticos y facilitará llevar a cabo un conjunto de acciones encaminadas a mejorar la calidad de los programas de maestrías del instituto. Conclusiones: El Sistema garantizará la automatización de los procesos académicos, beneficiando tanto a alumnos, como a profesores y especialistas del departamento docente de la entidad.

Extractivismo y despojo territorial en el campo colombiano: un compromiso decolonial con las políticas de lugar de las mujeres campesinas
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics

Rodríguez Castro, Laura

Tabula Rasa

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jun 2022, N. 42 Pages 313 - 337

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

Abstract Linked to extractive practices, territorial dispossession can be traced back to the colonisation of Abya Yala. From a decolonial commitment, this article complicates notions of dispossession and extractivism as merely emerging from war in Colombia and focuses on their presence in Campesinas territories. Based on the conceptualisations of the coloniality of power and coloniality of gender, I narrate how territorial dispossession and extractivism are felt in women’s ‘body-lands’ through foreign tourism/conservation development and new export crops in two rural veredas in the Colombian Andes and in the Sierra Nevada de Santa Marta where I conducted participatory visual projects in 2016. From a relational understanding of place, I also demonstrate the ways that the rural population is resisting and negotiating within these processes. Ultimately, I make a call for feminist scholars to politically commit to the dismantling of the coloniality of gender, and to the resistances to territorial dispossession and extractivism (epistemic and economic) that rural women are leading in place in the Global South.

Resumen El despojo territorial vinculado a las prácticas extractivas puede rastrearse a la colonización de Abya Yala. Partiendo de un compromiso decolonial, en este artículo problematizo las nociones de despojo y extractivismo como una consecuencia meramente de la guerra en Colombia y narro su presencia en los territorios de las mujeres campesinas. Con base en los conceptos de la colonialidad del poder y la colonialidad de género, en este artículo relato cómo se siente el despojo territorial y el extractivismo en el «cuerpo-tierra» de las mujeres a través de emprendimientos turísticos y conservacionistas extranjeros y de nuevos cultivos de exportación en dos veredas rurales en los Andes colombianos y en la Sierra Nevada de Santa Marta, en donde en el 2016 realicé proyectos participativos con métodos visuales. Desde una noción relacional del lugar, también demuestro las formas cómo la población rural resiste y negocia estos procesos. Para terminar, hago un llamado dentro de los feminismos académicos, hacía un compromiso político con desmantelar la colonialidad del género y con las resistencias frente al despojo territorial y el extractivismo (epistémico y económico) lideradas por las mujeres rurales en el Sur global.

Resumo O despojamento territorial associado às práticas extrativas pode-se rastrear na colonização de Abya Yala. Partindo de um compromisso decolonial, neste artigo problematizo as noções de despojamento e extrativismo como uma consequência puramente da guerra na Colômbia e narro sua presença nos territórios das mulheres camponesas. Com base nos conceitos da colonialidade do poder e da colonialidade de gênero, neste artigo relato como se sente o despojamento territorial e o extractivismo no “corpo-terra” das mulheres por meio de empreendimentos turísticos e conservacionistas estrangeiros e de novos cultivos de exportação em duas freguesias rurais nos Andes colombianos e na Serra Nevada de Santa Marta, onde realizei em 2016 projetos participativos com métodos visuais. Desde uma noção relacional do lugar, demonstro também as formas em que a população rural resiste e negocia esses processos. Para terminar, faço um apelo dentro dos feminismos acadêmicos para um compromisso político encaminhado ao desmantelamento da colonialidade do gênero e às resistências frente ao despojamento territorial e o extrativismo (epistêmico e econômico) lideradas pelas mulheres rurais no Sul global.

25 downloads

Sexualidade dos adolescentes no norte e concelho de Vila Nova de Famalicão
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Reis, Marta

; Cerqueira, Ana

; Branquinho, Cátia

; Guedes, Fábio Botelho

; Tomé, Gina

; Freitas, Joaquim Castro de

; Gaspar, Tania

; Matos, Margarida Gaspar de

Psicologia, Saúde & Doenças

Journal Metrics
- Sobre o periódico
- SciELO Analytics

apr 2022, Volume 23 N. 1 Pages 216 - 228

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

Abstract Sexual activity usually begins during adolescence, and national and international investigations suggest that age at first intercourse and condom use are crucial determinants of sexual health. This study analyzed trends in sexual behavior among adolescents from 2018 to 2021 in the educational region of northern Portugal. The sample consists of 2773 adolescents, of which 47.2% are boys, with an average age of 15 years. Most adolescents attend 8th grade, 10th grade or 12th grade. The measures included asking the adolescent whether he or she had already had a romantic relationship, sexual intercourse, age of first sexual intercourse, condom use in last sexual intercourse, sexual intercourse under the influence of alcohol or drug, HIV testing and HPV vaccine. Years of study, gender and years of schooling were analyzed. Most mentioned not having had sexual intercourse (82.6%). Among those who answered affirmatively, they referred having had their first sexual intercourse between 14 and 15 years of age. About a quarter in both studies reported not having used a condom in the last sexual intercourse (29% and 25%) and having had sexual intercourse associated with alcohol or drug consumption (11.8% and 9.3%). These results have significant implications for education and health policies, especially in the North of Portugal, directing them to the development of personal and social skills in the various structures that support support for Portuguese adolescents.

Resumo A atividade sexual geralmente é iniciada durante o período da adolescência, e as investigações nacionais e internacionais, sugerem que a idade da primeira relação sexual e o uso de preservativo são determinantes cruciais para a saúde sexual. Este estudo averiguou as tendências dos comportamentos sexuais dos adolescentes de 2018 a 2021 na região educativa do norte de Portugal. Participaram 2773 adolescentes, dos quais 47,2% são rapazes, com uma média de idades de 15 anos. A maioria dos adolescentes frequentam o 8º ano, o 10º ano ou o 12º ano. As medidas incluíam perguntar sobre ter relacionamento amoroso, ter relações sexuais, idade da primeira relação sexual, uso do preservativo na última relação sexual, ter relações sexuais associadas ao álcool ou drogas, teste do VIH e vacina do HPV. Analisou-se os anos de estudo, o género e o ano de escolaridade. A maioria mencionou não ter tido relações sexuais (82,6%). De entre os adolescentes que referiram já ter tido, mencionaram ter tido a primeira relação sexual entre os 14 e os 15 anos. Cerca de um quarto, em ambos os estudos, reporta não ter usado preservativo na última relação sexual (29% e 25%) e ter tido relações sexuais associadas ao consumo de álcool ou drogas (11,8% e 9,3%). Estes resultados têm implicações nas políticas de educação e de saúde, sobretudo no que se refere à zona Norte de Portugal, direcionando as mesmas para o desenvolvimento de competências pessoais e sociais nas várias estruturas que servem de suporte de apoio aos adolescentes portugueses.

https://doi.org/10.15309/22psd230121 39 downloads

10.

Recomendaciones de manejo de los anticoagulantes orales directos (DOACs) anti Xa y anti IIa
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics

Ceresetto, José M.

; Tajer, Carlos

; Duboscq, Cristina

; Bottaro, Federico

; Casais, Patricia

; Korin, Jorge

; Fondevila, Carlos

; Giumelli, Carla

; Scazziota, Alejandra

; Rossi, Andrea

; Botto, Fernando

; Ariscancela, Maria Ester

; Martinuzzo, Marta

; Zaidel, Ezequiel

; Fitz Maurice, Mario

; Bahit, Cecilia

; Vazquez, Fernando

; Molnar, Soledad

; Saizberg, Simón

; Negri Aranguren, Pedro

; Rosa, Claudio

; Fedele, José Luis

; Comignani, Pablo

; Pombo, Gonzalo

; Raña, Pablo

; Adamczuk, Yolanda

; Martí, Alejandra

; Charask, Adrián

; Penchasky, Diana

; Riveros, Dardo

; Mariani, Javier

; Puente, Dolores

; Celebrin, Lucia

; Bosio, Martín

; Brodsky, Andrés

; Sanchez Lucero, Analía

; Castillo Costa, Yanina

; Hirschson, Alfredo

; Arbesú, Guillermo

; Viñuales, Susana

; Kazelian, Lucía

; Maneyro, Alberto

; Gutierrez, Victoria

; Castro Rios, Miguel

; Gagliardi, Juan

; Lescano, Adrián

; Repetto, Fernanda

Medicina (Buenos Aires)

Journal Metrics
- Sobre o periódico
- SciELO Analytics

apr 2022, Volume 82 Suppl. 2 Pages 1 - 55

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

Abstract Direct oral anticoagulants have emerged as the drugs that have changed the man agement of the antithrombotic treatment in the last 15 years. Their advantages, like a more friendly way of anticoagulation and their lower risk of bleeding, especially in the brain, have positioned these new anticoagu lants as the first drug of choice in the two most frequent indications of anticoagulation, atrial fibrillation, and the venous thromboembolic disease. However, not all the patients can receive these agents, not all the direct oral anticoagulants have the same characteristics, and most importantly, not all the diseases with an indication of an anticoagulant drug can be treated with them. Therefore, it is mandatory that all the faculties involved in the management of these drugs must know them in depth, to decide the best treatment for the patient. This position paper, from a group of experts in anticoagulation in Argentina, can help the general practitioner in the daily use of direct oral anticoagulants based on the new evidence and the experience of a wide group of professionals. The way we relate to the anticoagulant treatment has changed in the last years. The doctors who work with them must also do so.

Resumen Los anticoagulantes orales directos han surgido como una de las herramientas que ha cambiado el manejo de la enfermedad trombótica en los últimos 15 años. Sus ventajas, desde el punto de vista de la facilidad de uso y menor riesgo de sangrado, especialmente de sangrado cerebral, han posicionado a estos nuevos anticoagulantes como la primera alternativa de tratamiento en las dos indicaciones más frecuentes en que necesitamos estas drogas, la fibrilación auricular y la enfermedad tromboembólica venosa. Sin embargo, no todos los pacientes pueden recibir estos agentes, no todos los anticoagulantes directos tienen las mismas pro piedades y fundamentalmente, no todas las enfermedades con indicación de un anticoagulante pueden tratarse con ellos;con lo cual es necesario que todos los profesionales que están involucrados en el manejo de estos medicamentos estén obligados a conocerlos en profundidad, para poder decidir el mejor tratamiento en cada caso particular. Este documento de posición de expertos de diferentes especialidades de Argentina, presenta lineamientos para el uso correcto de los anticoagulantes directos en base a nueva evidencia y a la experiencia de uso de un amplio grupo de profesionales. La forma de relacionarnos con el tratamiento anticoagulante ha cambiado. Los médicos que trabajamos con ellos también debemos hacerlo.

810 downloads

11.

Lesión renal aguda en el paciente pediátrico: revisión integrativa
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Rodríguez-Durán, Ana

; Martínez-Urbano, Julia

; Laguna-Castro, Marta

; Crespo-Montero, Rodolfo

Enfermería Nefrológica

Journal Metrics
- Sobre o periódico
- SciELO Analytics

mar 2022, Volume 25 N. 1 Pages 11 - 27

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

ABSTRACT Introduction: Acute kidney injury has become a common complication in hospitalised children, especially when they are in a critical clinical situation. Objective: To identify and synthesise the most up-to-date scientific literature on acute kidney injury in the paediatric population. Methodology: Descriptive study of integrative review. The search for articles was carried out in the PubMed, Scopus and Google Scholar databases. The search strategy was established with the following MeSH terms: “acute kidney injury”, “children” and “paediatric”. Methodological quality was assessed using the STROBE scale. Results: 35 articles were included, 19 with a retrospective observational design, 12 prospective observational, 3 literature reviews and 1 qualitative study. There are no notable socio-demographic variables that imply a greater probability of presenting acute kidney injury. Both aetiology and risk factors are highly variable. Acute kidney injury is associated with a greater number of complications and hospital stay. There is no evidence of nursing care in acute kidney injury in paediatric patients. Conclusions: A lack of homogeneity in the criteria for definition, incidence, aetiology, risk factors and treatment in paediatric patients with acute kidney injury is observed, as well as a scarcity of original research articles. Paediatric acute kidney injury is associated with higher mortality, morbidity, longer hospital stays and duration of mechanical ventilation. The role of nursing in the management of conservative treatment and renal replacement therapies is vital in the survival of such patients.

RESUMEN Introducción: La lesión renal aguda se ha convertido en una complicación común en los niños hospitalizados, especialmente cuando están en una situación clínica crítica. Objetivos: Conocer y sintetizar la bibliografía científica más actualizada sobre la lesión renal aguda en la población pediátrica. Metodología: Estudio descriptivo de revisión integrativa. La búsqueda de artículos se ha realizado en las bases de datos Pubmed, Scopus y Google Scholar. La estrategia de búsqueda se estableció con los siguientes términos MeSH: ”acute kidney injury”, “children” y “pediatric”. La calidad metodológica se realizó mediante la escala STROBE. Resultados: Se incluyeron 35 artículos, 19 de diseño observacional retrospectivo, 12 observacionales prospectivos, 3 revisiones bibliográficas y 1 estudio cualitativo. No hay variables sociodemográficas destacables que impliquen mayor probabilidad de presentar lesión renal aguda. Tanto la etiología como los factores de riesgo son muy variables. La lesión renal aguda se asocia a mayor número de complicaciones y estancia hospitalaria. No hay evidencia de cuidados enfermeros en la lesión renal aguda en pacientes pediátricos. Conclusiones: Se observa una falta de homogeneidad en los criterios de definición, incidencia, etiología, factores de riesgo y de tratamiento en los pacientes pediátricos con lesión renal aguda, y escasez de artículos originales de investigación. La lesión renal aguda pediátrica se asocia a mayor mortalidad, morbilidad, mayor estancia hospitalaria y mayor duración de la ventilación mecánica. El papel de enfermería en el manejo del tratamiento conservador y de las terapias de reemplazo renal de este cuadro, es fundamental en la supervivencia de estos pacientes.

https://doi.org/10.37551/s2254-28842022002

12.

Comunicação política, fake news e redes sociais: uma revisão sistemática da literatura
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics

Castro, Rafael

; Souza, Ana

; Ferreira, Marta

; Mello, José

Postdata

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jan 2022, Volume 27 N. 1 Pages 48 - 63

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

Abstract This paper aims to present the debate on the relations between political communication, fake news and social networks through a systematic review of the literature from 2000 to 2020. Prisma Group's recommendations were used to offer a comprehensive and synthetic view of ongoing research that resulted in the selection and analysis of 25 scientific papers from 1,819 documents. The results show that the phenomenon of fake news has been interfering in political campaigns, electoral processes and the voting intentions of citizens in various parts of the world. The studies converge by problematizing in different ways the current environment of overload and information disorder in which circulate those incorrect, false and poor quality and their economic, political and social consequences, as shown by the ten identified thematic axes. The studies also indicate that democracy, politics and freedom of expression take on a new configuration in the post-truth and disinformation environment that has marked the 21st century, especially since the second decade.

Resumo Este artigo tem por objetivo apresentar o debate sobre as relações entre comunicação política, fake news e redes sociais por meio de uma revisão sistemática da literatura considerando o período de 2000 a 2020. Foram utilizadas as recomendações do Grupo PRISMA, de modo a oferecer uma visão abrangente e ao mesmo tempo sintética das pesquisas em andamento que resultaram na seleção e análise de 25 artigos científicos a partir de 1.819 documentos. Os resultados mostram que o fenômeno das fake news vem interferindo nas campanhas políticas, nos processos eleitorais e nas intenções de voto dos cidadãos em várias partes do mundo. Os estudos convergem ao problematizarem de diferentes maneiras o ambiente atual de sobrecarga e desordem de informações no qual circulam aquelas incorretas, falsas e de má qualidade e seus desdobramentos econômicos, políticos e sociais, como mostram os dez eixos temáticos identificados. Os estudos indicam ainda que a democracia, a política e a liberdade de expressão assumem uma nova configuração no ambiente de pós-verdade e desinformação que vem marcando o século XXI, em especial a partir da segunda década.

Resumen Este artículo tiene como objetivo presentar el debate sobre las relaciones entre la comunicación política, las noticias falsas y las redes sociales a través de una revisión sistemática de la literatura considerando el período de 2000 a 2020. Las recomendaciones del Grupo Prima se utilizaron para ofrecer una visión completa y sintética de la investigación en curso que dio lugar a la selección y análisis de 25 artículos científicos de 1.819 documentos. Los resultados muestran que el fenómeno de las fake news ha estado interfiriendo en las campañas políticas, los procesos electorales y las intenciones de voto de los ciudadanos en varias partes del mundo. Los estudios convergen por la problemática de diferentes formas en el entorno actual de sobrecarga y desorden de la información en el que circulan aquellos de mala, falsedad y mala calidad y sus consecuencias económicas, políticas y sociales, como lo demuestran los diez ejes temáticos identificados. Los estudios también indican que la democracia, la política y la libertad de expresión asumen una nueva configuración en el entorno de posverdad y desinformación que ha marcado el siglo XXI, especialmente desde la segunda década.

13.

Regionalização e Rede de Atenção à Saúde em Mato Grosso
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Martinelli, Nereide Lúcia

; Costa, Alane Andréa Souza

; Scatena, João Henrique G.

; Soares, Nina Rosa Ferreira

; Charbel, Simone Carvalho

; Castro, Marta de Lima

; Spinelli, Maria Angelica dos Santos

; Mota, Virgínia de Albuquerque

; Silva, Lidiane Mara de Ávila e

Saúde e Sociedade

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2022, Volume 31 N. 4 elocation e210195pt

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

Resumo Este estudo analisa a estruturação da Rede de Atenção à Saúde nas regiões de saúde do estado de Mato Grosso, considerando as ações planejadas nos instrumentos de gestão do governo do estado e da Secretaria de Estado de Saúde (SES), nos anos de 2012 a 2017, em conformidade com as diretrizes da Portaria MS/GM nº 4.279, de 30 de dezembro de 2010, que orienta o processo de conformação das redes de atenção à saúde no âmbito do Sistema Único de Saúde (SUS). Trata-se de estudo qualitativo, de natureza exploratório-descritiva, do tipo documental, que analisou os documentos públicos referentes ao planejamento do governo na especificidade do setor de saúde, o que inclui o Plano Plurianual, o Plano Estadual de Saúde e o Plano Estratégico da SES. Os achados do estudo mostram que, embora algumas ações/atividades relacionadas às diretrizes da portaria estivessem contempladas nos documentos pesquisados, ainda não foram suficientes para o estabelecimento de uma rede de atenção regionalizada de qualidade e para o fortalecimento da Atenção Primária à Saúde (APS) com capacidade de ser coordenadora do cuidado e ordenadora da rede no estado de Mato Grosso.

Abstract This study analyzes the structuring of the Health Care Network in the health regions of the state of Mato Grosso, considering the actions planned in the management instruments of the State government and the State Department of Health (SES), in the years of 2012 to 2017, in accordance with the guidelines of Ordinance MS/GM No 4.279, of December 30, 2010, which guides the process of conformation of Health Care Networks within the scope of the Brazilian National Health System (SUS). This is a qualitative, exploratory-descriptive study, of documentary type, which analyzed the public documents related to government planning on the specificity of the health sector, which includes the Pluriannual Plan, the State Health Plan and the Strategic Plan of the SES. The findings of the study show that, although some actions/activities related to the guidelines of the Ordinance were included in the researched documents, they were not yet sufficient for establishing a quality regionalized care network and for strengthening the Primary Health Care (PHC) with the capacity to coordinate care and order the network in the state of Mato Grosso.

https://doi.org/10.1590/s0104-12902022210195pt

14.

Comparative venomic profiles of three spiders of the genus Phoneutria
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Fernandes, Frederico Francisco

; Moraes, Juliana Rodrigues

; Santos, Jaqueline Leal dos

; Soares, Thiago Geraldo

; Gouveia, Vitor José Pinto

; Matavel, Alessandra C. S.

; Borges, William de Castro

; Cordeiro, Marta do Nascimento

; Figueiredo, Suely Gomes

; Borges, Márcia Helena

Journal of Venomous Animals and Toxins including Tropical Diseases

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2022, Volume 28 elocation e20210042

Abstract: En | Text: En | PDF: En

Abstract Background: Spider venoms induce different physio-pharmacological effects by binding with high affinity on molecular targets, therefore being of biotechnological interest. Some of these toxins, acting on different types of ion channels, have been identified in the venom of spiders of the genus Phoneutria, mainly from P. nigriventer. In spite of the pharmaceutical potential demonstrated by P. nigriventer toxins, there is limited information on molecules from venoms of the same genus, as their toxins remain poorly characterized. Understanding this diversity and clarifying the differences in the mechanisms of action of spider toxins is of great importance for establishing their true biotechnological potential. This prompted us to compare three different venoms of the Phoneutria genus: P. nigriventer (Pn-V), P. eickstedtae (Pe-V) and P. pertyi (Pp-V). Methods: Biochemical and functional comparison of the venoms were carried out by SDS-PAGE, HPLC, mass spectrometry, enzymatic activities and electrophysiological assays (whole-cell patch clamp). Results: The employed approach revealed that all three venoms had an overall similarity in their components, with only minor differences. The presence of a high number of similar proteins was evident, particularly toxins in the mass range of ~6.0 kDa. Hyaluronidase and proteolytic activities were detected in all venoms, in addition to isoforms of the toxins Tx1 and Tx2-6. All Tx1 isoforms blocked Nav1.6 ion currents, with slight differences. Conclusion: Our findings showed that Pn-V, Pe-V and Pp-V are highly similar concerning protein composition and enzymatic activities, containing isoforms of the same toxins sharing high sequence homology, with minor modifications. However, these structural and functional variations are very important for venom diversity. In addition, our findings will contribute to the comprehension of the molecular diversity of the venoms of the other species from Phoneutria genus, exposing their biotechnological potential as a source for searching for new active molecules.

https://doi.org/10.1590/1678-9199-jvatitd-2021-0042

15.

Educación alimentaria y nutricional en los trastornos de la conducta alimentaria
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Castro-Alija, María José

; Valero-Pérez, Marlhyn

; Belmonte-Cortés, Susana

; Díaz-Plaza, Marta de Diego

Nutrición Hospitalaria

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2022, Volume 39 N. spe2 Pages 27 - 32

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

Resumen Los trastornos de la conducta alimentaria (TCA) son una patología compleja en la que intervienen numerosos factores etiopatogénicos y su abordaje requiere un enfoque interdisciplinar, por lo que la educación nutricional (EN) debe formar parte tanto de los programas de prevención como del tratamiento, ya que la EN tiene como finalidad modificar la conducta alimentaria para alcanzar patrones más saludables y para ello se requiere el desarrollo de programas de enseñanza nutricional dirigidos al paciente y su entorno, incidiendo en los diferentes factores que condicionan las elecciones alimentarias y las actitudes hacia la alimentación. La EN en estos pacientes es una herramienta terapéutica fundamental para conseguir normalizar la conducta alimentaria, ya que va a permitir aportar conocimientos que faciliten la adopción de conductas saludables, abandonar ideas erróneas y disminuir el temor irracional hacia determinados alimentos, así como minimizar el riesgo nutricional y normalizar la conducta alimentaria. La prevalencia de los TCA ha ido en incremento a lo largo de los años y es tal la preocupación, que las diferentes comunidades autónomas, hospitales y entidades gubernamentales han elaborado guías y protocolos donde incluyen la EN para la prevención y el abordaje de la enfermedad. La evidencia científica y organismos como la Sociedad Americana de Nutrición Parenteral y Enteral (ASPEN), la Asociación Americana de Dietética (ADA) y la Sociedad Española de Nutrición Clínica y Metabolismo (SENPE) reconocen la importancia de la EN en el tratamiento de los TCA y la participación de los profesionales de la nutrición en esta área. Por tanto, el enfoque de la prevención de los TCA debe ser amplio, de manera que abarque los grupos vulnerables y su entorno; de la misma forma, los protocolos de actuación para el tratamiento deben incluir como uno de sus pilares la EN mediante la implementación de programas de educación nutricional para conseguir cambios de la conducta alimentaria, programas que pueden llevarse a cabo en las distintas fases o modalidades del tratamiento (hospitalización, hospital de día, consultas externas, etc.) aunque cada uno tenga distintos objetivos y aborde diferentes áreas temáticas. Deberán desarrollarse de forma multidisciplinar con una delegación de funciones clara para cada profesional en pro de la recuperación y estabilidad del paciente y su entorno sociofamiliar.

Abstract Eating disorders (ED) are a complex pathology in which numerous etiopathogenic factors intervene, and their approach requires an interdisciplinary approach, which is why nutritional education (NE) should be part of both prevention and treatment programs, since NE aims to modify eating behavior to achieve healthier patterns and, for this, the development of nutritional teaching programs is required, directed to the patients and their environment, focusing on the different factors that condition food choices and attitudes towards feeding. NE in these patients is a fundamental therapeutic tool to achieve normalization of eating behavior, since it will allow to contribute knowledge that facilitates the adoption of healthy behaviors, abandon erroneous ideas, and reduce the irrational fear of certain foods, as well as minimize nutritional risk and normalize eating behavior. The prevalence of eating disorders has been increasing over the years and the concern is such that the different autonomous communities, hospitals, and government entities have developed guidelines and protocols that include NE for the prevention and management of the disease. Scientific evidence and organizations such as the American Society of Parenteral and Enteral Nutrition (ASPEN), the American Dietetic Association (ADA), and the Spanish Society of Clinical Nutrition and Metabolism (SENPE) recognize the importance of NE in the treatment of ED and the participation of nutrition professionals in this area. Therefore, the approach to the prevention of ED must be broad, so that it encompasses vulnerable groups and their environment; in the same way, action protocols for treatment must include NE as one of their pillars, through implementation of nutritional education programs to achieve changes in eating behavior, which can be carried out in the different phases or treatment modalities (hospitalization, day hospital, outpatient clinics, etc.) even though each one has different objectives and addresses different theme areas, and they must be developed in a multidisciplinary way with a delegation of clear functions for each professional, in favor of the recovery and stability of the patient and his sociofamilial environment.

https://doi.org/10.20960/nh.04175

Showing

itens per page

Page of 15 Next

Select one or more results

All Alphabetic

Results

Comparative chart Download CSV

Statistics of

Send result

To*

Use ; (semicolon) to insert more emails.

Send to email

This page

Selected records

All references (max. 300)

Your email

Subject

Comments

Export format:

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

BibTeX

Citation

CSV (for Excel, etc)

Export:

This page

Selected itens

All references (max. 2000)

Sem resultados

No documents were found for your search

Glossary and search help

You can enrich your search in a very simple way. Use the search indexes combined with the connectors (AND or OR) and specify more your search.

For example, if you want to search for articles about
cases of dengue in Brasil in 2015, use:
ti:dengue and publication_year:2015 and aff_country:Brasil

See below the complete list of search indexes that can be used:

Index code	Element
ti	article title
au	author
kw	article keywords
subject	subject (title words, abstract and keywords)
ab	abstract
ta	journal short title (e.g. Cad. Saúde Pública)
journal_title	journal full title (e.g. Cadernos de Saúde Pública)
la	publication language code (e.g. pt - Portuguese, es - Spanish)
type	document type
pid	publication identifier
publication_year	publication year of publication
sponsor	sponsor
aff_country	country code of the author's affiliation
aff_institution	author affiliation institution
volume	article volume
issue	article issue
elocation	elocation
doi	DOI number
issn	journal ISSN
in	SciELO colection code (e.g. scl - Brasil, col - Colômbia)
use_license	article usage license code

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

All the contents of this site www.scielo.br, except where otherwise noted, is licensed under a Creative Commons Attribution License.
more »