bluuebunny/crossref_metadata_2025 huggingface dataset:
Actuação fisioterapêutica nos acometimentos respiratórios e motores no pós-operatório de crianças submetidas a cirurgias abdominais.
Authors: Santo Caroline C , Gonçalves Marcela T , Piccolo Mariana M , Lima Simone , Rosa George J da , Paulin Elaine , Schivinski Camila S
Published: July 2022

to verify the physiotherapy performance in the respiratory and motor affections during postoperative period in pediatric patients undergoing abdominal surgery.was a literature review of articles published in the databases Lilacs, Medline and SciELO in the period 1983 to 2010 as well as books, papers presented at scientific meetings and journals of the area, who approached the post-therapy of abdominal surgery in children. The keywords used were: abdominal surgery, children and physiotherapy.28 articles, one book chapter and one dissertation had been selected that examined the question and proposed that contained all, or at least two of the descriptors listed. Most of the material included covers the incidence of respiratory complications after surgery for pediatric abdominal surgery due to immaturity of the respiratory system of this population, abdominal manipulation of surgical period, the prolonged time in bed, pain at the incision site and waste anesthetic. Some authors also discuss the musculoskeletal and connective tissue arising from the inaction and delay of psychomotor development consequent to periods of hospitalization in early childhood, taking on the role of physiotherapy to prevent motor and respiratory involvement.there are few publications addressing this topic, but the positive aspects of physiotherapy have been described, especially in relation to the prevention of respiratory complications and motor, recognized the constraints and consequences of hospitalizations and surgeries cause in children.
Diagnóstico genético pré-implantação: aspetos técnicos e considerações éticas.
Authors: Oliva Teles Natália
Published: July 2022

Following the advances in the techniques of medically assisted reproduction (ART), 1990 has seen the first born child after the development of pre-implantation genetic diagnosis. In this analysis embryos are tested for the presence of genetic anomalies at three to five days after fertilization and only unaffected embryos are transferred to the maternal uterus. The technique offers good prospects to couples at risk for conventional prenatal diagnosis. It is particularly useful where ART techniques are necessary, in which early embryo selection avoids later termination of pregnancy. In Portugal the application of laws concerning regulation of medically assisted reproduction in 2008 has clarified and formalised the medical and laboratory procedures and in some cases fundamentally changed them, particularly in the requirement to cryopreserve all high quality non-transferred embryos and in specifying conditions in which embryo experimentation may be permitted.
Viés de género na medicina.
Authors: Poínhos Rui
Published: July 2022

Gender bias consists in different practices for men and women. It has been suggested that gender biases in medicine occur at various levels, reflected in the way gender issues are included in medical curricula, equity between sexes in academic course and professional career, research and scientific publications, definition of pathologies, clinical practice and health policies. A review of the literature about gender bias in medicine was carried out, particularly in terms of research and clinical practice. The available evidence on this phenomenon and its effects is discussed, and proposals to its reduction are presented. There is a large body of scientific evidence on the existence of gender biases in medicine, leading mostly to greater inadequacy of clinical care provided to female patients. The proposals of several authors may contribute to the reduction of these effects and, consequently, to greater acuity of research and better adequacy of health care. In addition to the larger study of gender bias, we emphasize social, political and educational measures, the regard of participants' sex in the design of clinical trials and the inclusion of the study of gender theories and discussion of attitudes about gender in academic curricula.
Os mosquitos (Diptera, Culicidae) e a sua importância médica em Portugal: desafios para o século XXI.
Authors: Gouveia de Almeida A Paulo
Published: July 2022

Mosquitoes are dipterous insects, responsible for the transmission of several pathogenic agents to humans, causing vector-borne diseases, such as malaria, lymphatic and other filariasis, and several arboviral diseases such as yellow fever and dengue. In this revision, Culicidae or mosquitoes are summarily characterized, as well as their bioecology, internal morphology, digestive and egg maturation physiology, and the main methods for their collection and control. The epidemiology of mosquito-borne diseases depends on parameters such as Vectorial efficiency, Vector competence and Vectorial capacity, the concepts of which are presented. Forty one species of mosquitoes have been detected so far in mainland Portugal. Malaria was endemic till 1959, yellow fever outbreaks were registered in the XIX century, and human cases of dirofilarisis and West Nile fever have been detected. In face of the current climate changes in course and the threat of the (re)-introduction of exotic mosquito species, not only new cases of some of these diseases may occur, increasing their risk, but also other mosquito-borne diseases may be introduced constituting challenges for the XXI century, demanding a continued surveillance in a Public Health perspective.
Venous thromboembolism risk factors and practices of prophylaxis: ENDORSE study results in Portugal.
Authors: França Ana , Reis Abílio , Paulino Aida , Lohman Corina , Cartucho Daniel , Campello Glória , Morais Luísa , Moreira Pedro , Abreu Rui , Abreu Tiago
Published: July 2022

Venous thromboembolism (VTE) risk assessment is a cornerstone for the achievement of best practices and outcomes. Epidemiologic data and practices related to venous thromboprophylaxis as considered by the global ENDORSE study, (Epidemiologic International Day for the Evaluation of Patients at Risk for Venous Thromboembolism in the Acute Hospital Care Setting), enrolled 68,183 patients from 32 countries, in which Portugal. Within ENDORSE, data from all participant countries analyzed to determine their risk of VTE and to evaluate the suitability of prophylaxis.European patients were enrolled from randomly selected hospitals in Portugal (European Hospital Register), according to ENDORSE study inclusion/exclusion criteria. The Seventh ACCP evidence-based consensus guidelines were employed to evaluate VTE risk and prophylaxis use.From a total of 3,145 beds assessed, 2,183 were considered eligible and 1,632 met all criteria. Of these, 860 (52.7%; 95% CI 50.3-55.1) were at risk of VTE: 525 surgical patients (68.9%; 95% CI 65.5-72.1) and 335 medical patients (38.5%; 95% CI 35.3-41.2). The rate of prophylaxis according to ACCP guidelines in overall patients at risk was 58.5% (503 patients). The prophylaxis rate for VTE was 59% (310 patients) in surgical patients and 57.6% (n=193) in medical patients. 39.7% of surgical patients and 39.4 % of medical patients who did not meet the criteria for prophylaxis were also on prophylaxis with an anticoagulant, which was considered to be inappropriate.More than a half of these hospitalized patients in Portugal were deemed at risk of VTE and less than two-thirds of them received appropriate prophylaxis. New strategies are required for implementation of venous thromboprophylaxis in Portuguese hospitals.
Trauma scores na avaliação de politraumatizados: quais e para quê?
Authors: Sousa António Nogueira , Paiva José A , Fonseca Sara A , Raposo Frederico J , Loureiro Alvaro M , Valente Luís F , Gonçalves António M , Cabral Abel T , Almeida Luís
Published: July 2022

The improvement rescue and transport of politrauma patients (PTP) increases the number of patients admitted to the Emergency departments in very severe conditions. The early prediction of later complications and bad outcomes is paramount for a good strategy. The aim of this study was to evaluate the severity of PTP in the Trauma Room (TR) of a Level 1 Hospital, using the ISS, RTS, TRISS scores and define variables associated with bad outcomes, namely ICU admission (ICU), ARDS, MODS and Death.Prospective study with data collection of demographic, clinical, laboratory and imaging parameters of all PTP admitted to the TR. The ISS was calculated by the Abbreviated Injury Scale, RTS and TRISS by Trauma.org site formulas. Statistical analysis was performed in SPSS.278 patients were admitted in TR after Manchester screening during 6 months: 244 (185 men, 59 women) were studied, average age 39,32±19.32 years. Hospital admission- 157 patients (ICU-46, Intermediate Care Unit-29, Surgery Services-82) and 85 discharged. Submitted to Surgery-75. Scores: ISS-13,58±19,32, RTS-7,30±1,01; TRISS-92,42±15,85; Glasgow Coma Score (GCS)-13,00±3,61.Severe complications: ARDS-8%; SIRS-40%; MODS-18%; Death-14%.There is statistical correlation between Surgery Type: ICU and MODS; GCS, ISS, RTS, TRISS: ICU, ARDS, MODS and Death. Multivariate analysis shows that Surgery Type, GCS and TRISS predict ICU admission (ROC-0,884); TRISS predicts ARDS (ROC-0,844); TRISS predicts MODS (ROC-0,876); TRISS and age predicts Death (ROC-0,887).This study confirms scores validity in PTP assessment, as they are able to predict severe complications. TRISS seems to be the best score for prediction of bad outcomes.
Causas e consequências da variabilidade da hemoglobina glicada numa população pediátrica.
Authors: Santos Maria Inês , Resende Catarina , Rosário Frederico , Campos Joana , Carvalho Graça , Figueiredo Cecília
Published: July 2022

Type one diabetes mellitus is the second most frequent disease in childhood, presenting with serious complications when inadequately controlled. The most useful measure of metabolic control is hemoglobin A1c (HbA1c), being essential the awareness of the causes of its variability.to evaluate the effect of age and time of disease on HbA1c; to evaluate the relationship between HbA1c and serum lipid and microalbuminuria values.Observational, transversal and analytic study, based on data obtained in the files of all patients that attain the Pediatric Diabetic Consult. The studied variables were: sex, actual age, diagnostic age, metabolic control and chronic complications. Statistical analysis was made with Excel2003® and SPSS 15.0®. A significance level of 5% was adopted. Results: a 96 diabetic population was obtained. Last year HbA1c average was 8,3% and was less than 7,5% in one third of the cases. Adolescent's HbA1c (8,4%) was significantly higher than in children (7,8%) (p=0,03). Diabetics with a disease longer than five years presented higher HbA1c values (9% vs. 7,8%; p
Localized Pigmented Villonodular Synovitis of the Shoulder: a Rare Presentation of an Uncommon Pathology
Authors: Madruga Dias João , Costa Maria Manuela , Duarte Artur , Pereira da Silva José A.
Published: July 2022

Pigmented Vilonodular Synovitis is a rare clinical entity characterized as a synovial membrane benign tumour, despite possible aggressive presentation with articular destruction. The localized variant is four times less frequent and the shoulder involvement is uncommon. We present the case of a Caucasian 59 year-old patient, who presented with left shoulder pain, of uncharacteristic quality, with local swelling and marked functional limitation of 1 month duration. Shoulder ultrasonography showed subacromial bursitis. An ultrasoundguided aspiration was performed: synovial fluid was citrine-colored and translucid. One month later, the patient maintained swelling, pain and functional impairment of the left shoulder. New shoulder ultrasound revealed exuberant subacromial bursitis, which was again aspirated using ultrasound guidance. The synovial fluid was haematic, without changes in the cell count or biochemical analysis and cultural exams. We performed an injection with 60 mg of hexacetonide triamcinolone. Two months later there was a relapse, with shoulder ultrasonography once more showing subacromial bursitis with extensive synovial membrane proliferation. Shoulder MRI revealed subacromial bursitis involving the anterior, posterior and medial recesses, with deltoid distension, but without tendinous or intra-articular involvement. In the interior of the bursa hypointense images in T2 were observed, suggesting the diagnosis of Pigmented Vilonodular Synovitis. The patient had surgical bursectomy with success and without complications. The histological exam of the operatory piececonfirmed the imaging diagnosis. Pigmented Vilonodular Synovitis is uncommon, rarely affecting the shoulder in a localized variant. It is a diagnosis to be considered in shoulder pain, especially if associated with recurrent subacromial bursitis.
Prognóstico Vital em Doentes com Cancro Avançado: Revisão Sistemática da Literatura
Authors: Tavares Teresa , Gonçalves Edna
Published: July 2022

Prognosticar é uma competência médica crucial para a adequação de planos terapêuticos e a gestão de expectativas e prioridades dos doentes e famílias. Em 2005, a European Association of Palliative Care (EAPC) publicou recomendações sobre a formulação do prognóstico vital em doentes com cancro avançado. É objetivo deste estudo analisar a literatura subsequente a esta revisão e atualizar as recomendações apresentadas. Usando a mesma estratégia do grupo da EAPC, efetuamos uma pesquisa sistemática da literatura nas bases de dados eletrónicas PubMed e Scopus incluindo estudos originais em adultos com cancro avançado, sem tratamento dirigido à neoplasia, com sobrevivência mediana inferior a 90 dias. Os artigos foram analisados e classificados quanto ao grau de evidência por dois revisores independentes. Os 41 artigos analisados permitiram manter recomendações com evidência grau A para a estimativa clínica da sobrevivência e para o Palliative Prognostic score e agora também para o Palliative Prognostic Index, estado funcional, dispneia, linfopenia e desidrogenase lática. Recomendações quanto ao uso de preditores como proteína C reativa, leucocitose, azotemia, hipoalbuminemia e sexo masculino apresentaram uma força grau B. Formular o prognóstico vital e comunicá-lo adequadamente ao doente e família são competências cruciais dos médicos, particularmente daqueles que lidam com doentes em fimde vida. A impressão clínica combinada com a evidência científica permite estimar com maior acuidade o tempo de vida restante dos doentes com cancro avançado, permitindo estabelecer prioridades e gerir de forma mais adequada os recursos existentes.
Eventos adversos e não conformidades em imagiologia.
Authors: Brandão Paulo , Rodrigues Susana , Nelas Luís , Neves José , Alves Vítor
Published: July 2022

In 2000, the Institute of Medicine's report, To Err Is Human: Building a Safer Health System, caught the public attention documenting the magnitude of the medical error problem and the inherent patient safety: medical errors cause between 44,000 and 98,000 deaths annually in the United States. Currently, there is a growing interest in risk management on the medical field, particularly in the management of adverse events. It has been mainly due to the commitment of the World Health Organization, that this field of research has gained increasing the attention it deserves. Medical imaging is one of the high risk fields for the occurrence of errors, especially due to the multiplicity of techniques, the several stakeholders and the complexity of the whole circuit that involves the conduct of studies. Many of the methods used to analyze patient safety were adapted from risk-management techniques in high-risk industries (e.g. chemical, nuclear power and aviation industry). It is recognized that we can learn more from our mistakes than from our successes and the reporting systems in these industries have provided a valuable contribution to error prevention and risk management techniques. At a minimum, adverse events reporting systems can help to identify hazards and risks, providing important information on the system aspects that should be improved. However, the accumulation of potentially relevant data contributes little to healthcare services improvement. It is crucial to apply models to identify the underlying system failures, the root causes, and enhance the sharing of knowledge and experience. In this paper, it is suggested a solution to reduce adverse events, by identifying and eliminating the root causes that are in their source. How the Eindhoven Classification Model was adapted and extended specifically for the Medical Imaging field is also presented. The proposed approach includes the root causes analysis and introduces incomplete information concepts through the use of logical-mathematical operators formally sustained. This model is the basis of the adverse event and near misses reporting and learning system that was developed for Medical Imaging and is implemented in two Portuguese healthcare institutions. The objectives, characteristics and function of this system are presented throughout this article.
Sistemas de identificação biométrica: a propósito do controlo.
Authors: Simões José Augusto
Published: July 2022

The ethics and morals make the line between lawful to unlawful, the right and wrong, acceptable from the unacceptable. Furthermore the purpose of ethics in the field of profesional practice is, in particular the application of moral standards based on honesty, courtesy and honour. But they are not the only ones. Confidentiality should be the first of duties the professional has no right to disclose information that was only reported in their work and because it was necessary to run it. This requirement aims to protect the recipient of the service and avoid damage to society. The professional should also encourage members of his team, because solidarity is a very effective way to improve the intellectual and moral qualities of work partners and ensure their involvement. When you have an honest professional conduct within and outside of professional practice, you attract confidence and prestige, which is an incentive to drive, with safety, the proper course of his career. The purpose of the biometric control based on the need to expedite the fulfilment of a goal whose integration is recognized by law under the control of the employer's: the setting of working hours, monitoring the attendance and registration of working time. This record is also the accounting and control of additional work. To consider the biometric control as an appropriate mean to ensure a «legitimate purpose», the Law 67/98 requires the National Commission for Data Protection, in each case, to ascertain whether the prevailing interests the rights and freedoms guarantees data subjects on the interest for the treatment of data relied upon by the employer. This procedure seems to be the best fit to the principle of proportionality and therefore the processing of data should be refused where it appears unjustified, inappropriate and excessive, or when, by their lack of reliability, it undermines the purpose of determining it.
Intervenção precoce na psicose: primeiro episódio psicótico e período crítico.
Authors: Coentre Ricardo , Levy Pedro , Figueira Maria Luísa
Published: July 2022

Besides intervention in prepsychotic period, early intervention in psychosis includes interventions done after the onset of the first-episode psychosis, namely psychopharmacological and psychosocial phase-specific intervention. The main aim is to reduce the duration of untreated psychosis (DUP) and to ensure that besides remission of the symptoms there is also a psychosocial recovery. Many centers set up an assertive and integrated early intervention program, involving an active search of patients with a treatment that includes antipsychotic medication, cognitive behavioral therapy, psychoeducation, family and vocational interventions. The authors of this review explain the concepts and main studies that support this kind of treatment in early psychosis. The results of published data show that is possible to reduce the DUP and improve the clinical and functional outcomes with this intervention. Critical period hypothesis proposes that deterioration occurs aggressively in the first 2 to 5 years of early psychosis, so it is crucial to intervene in this period to ensure a functional recovery. Cost-benefit ratio seems to be favorable to early intervention model, with reduction of in-stay period, which is an important component of the direct costs of psychotic illness. Early intervention service model organization is also reviewed by the authors of this research. The results of many studies show favorable outcomes for the integrative early intervention and so many countries included it in their political mental health directives and attributed funds for early intervention in psychosis.
Quimioembolização transarterial com partículas carregadas com doxorrubicina no tratamento do carcinoma hepatocelular.
Authors: Sousa Pedro Filipe , Preto Ana Sofia , Leão Daniela , Madureira António Miguel , Paquete Joaquim , Costa-Maia J , Vilares-Morgado P
Published: July 2022

Retrospective study to evaluate local tumor control and survival data after transcatheter arterial chemoembolization with doxorubicin eluting beads in the treatment of hepatocellular carcinoma. Between April 2007 and November 2008, a total of 47 patients (mean age 61,7 years; range 42-84 years) with hepatocellular carcinoma were treated with transcatheter arterial chemoembolization. In total 73 chemoembolization procedures were performed in superselective manner with microcatheter (mean 1,57 procedures per patient). The local chemoembolization protocol consisted of doxorubicin eluting beads mainly 300-500 micra but also 500-700 micra and 700-900 micra, to a maximum dose per session of 150 mg doxorubicin. Tumor response was evaluated with CT imaging. Change in tumor size was calculated and response was evaluated according to the European Association for the Study of the Liver (EASL) criteria. Survival from first chemoembolization was calculated in the subgroup treated between April 2007 and January 2008 (24 patients). Follow-up imaging was performed until January 2009 or patient death. Evaluation of tumor response resulted in complete response in 13 patients (27,7%), partial response in 15 patients (31,9%), stable disease in 9 patients (19,1%) and progressive disease in 10 patients (21,3%). The one year survival rate after chemoembolization in the 24-patient subgroup was 54%. Chemoembolization with doxorubicin eluting beads is a minimally invasive, safe and effective therapy option for palliative treatment of hepatocellular carcinoma.
Estudo Epidemiológico dos Locais de Morte em Portugal em 2010 e Comparação com as Preferências da População Portuguesa
Authors: Gomes Barbara , Sarmento Vera P. , Ferreira Pedro Lopes , Higginson Irene J.
Published: July 2022

Introdução: No contexto de um envelhecimento acentuado da população e aumento da mortalidade por doenças crónicas, este estudo epidemiológico nacional compara os locais onde as pessoas morrem com as preferências da população.Material e Métodos: Dados de óbitos em 2010 por género, grupo etário, região de residência (NUTS II) e local de morte (hospital/clínica, domicílio e outro), em pessoas com 16 anos ou mais, foram cedidos pelo Instituto Nacional de Estatística. Dados de preferências da população para local de morte obtiveram-se em 2010 através do inquérito telefónico PRISMA. Compara-se a distribuição de óbitos por local de morte com as preferências da população, segundo variáveis independentes, através de análise descritiva e inferencial.Resultados: Dos 105 471 óbitos que ocorreram em Portugal em 2010, 61,7% deram-se em hospitais/clínicas e 29,6% no domicílio. Dos 1 286 residentes em Portugal que participaram no inquérito PRISMA, 51,2% expressaram preferência por morrer em casa, 35,7% escolheram uma unidade de cuidados paliativos, 8,9% o hospital e 2,2% lar ou residência.Discussão e Conclusão: Existe um desfasamento substancial entre a realidade e preferências para local de morte em Portugal. Para ir ao encontro destas preferências é prioridade nacional desenvolver serviços de cuidados paliativos domiciliários, que previnam o aumento de óbitos hospitalares e que apoiem a morte em casa, com qualidade e respeitando preferências individuais. Recomenda-se a alteração das categorias de local de óbito no certificado oficial, com inclusão das opções ‘unidade de cuidados paliativos’ e ‘lar ou residência’, dado que as preferências dos cidadãos distinguem claramente entre estes locais.
Dementia: Not Only Alzheimer’s disease, an Eye on Frontotemporal Dementia
Authors: Galimberti Daniela , Scarpini Elio
Published: July 2022

This manuscript is an invited editorial to the review "Clinical, Genetic and Neuropathological Features of Frontotemporal Dementia: An Update and Guide" by Jorge Pelicano Paulos and João Massano.
Abcesso renal na gravidez.
Authors: Santos Leonor , Borges Augusta , Serrano Fátima , Alves Maria José , Campos Ana
Published: July 2022

The development of a kidney abscess is extremely rare despite the fact that urinary tract infections are quite common during pregnancy. The pathogenesis of renal abscess has changed over the years. Nowadays, more than 75% of the renal abscess arises from a previous urinary tract infection. The authors report the case of a 35 year-old woman, pregnant, with fever, nausea, vomits, right lumbar tenderness, admitted in the urgency room. Clinical examination and complementary diagnostic exams led to the diagnosis of renal abscess. It's made a review of the literature about the subject.
Determinação não invasiva da pressão de encravamento da artéria pulmonar por ecocardiografia.
Authors: Marcelino Paulo , Lopes Mário G
Published: July 2022

Pulmonary capillary wedge pressure (Pw) is an important hemodynamic parameter frequently used in Intensive Care. Much effort was taken by investigators to noninvasively obtain this parameter particularly using echocardiography. The authors reviewed the published works in this field. There are a great number of correlations between echocardiographic variables and Pw, including equations for its precise assessment. Changes in echocardiographic parameters due to modifications in volume status and more recently tissue Doppler evaluation are also related fields. Despite the quality and quantity of investigation, no single method was established or accepted for non-invasive assessment of Pw using echocardiography. The major problems are related to the study of different populations regarding its basic clinical condition and to the complexity of equations described. Non-invasive assessment of Pw in clinical setting using echocardiography is still a hard task for this technique. Probably, the use of echocardiography as a non-invasive tool for hemodynamic assessment should use other methodologies, and not rely on Pw determination.
Prevalência e impacte da incontinência urinária de stresse antes e durante a gravidez.
Authors: Santos Paula Clara , Mendonça Denisa , Alves Odete , Barbosa Alcindo Maciel
Published: July 2022

Female Urinary Incontinence (UI) is a major public health issue given its high prevalence and its physical, psychological and social impact on women's lives. The aim of this study was to determine the prevalence and impact of Stress Urinary Incontinence (SUI) before and during pregnancy in parturients from the Viana do Castelo district.A cross-sectional study was carried out considering a representative sample of the district comprising 336 women who gave birth in the Santa Luzia Hospital between 15th January and 29th March 2002. A questionnaire was submitted to all the women during the postpartum period at hospital.The prevalence of SUI, defined as Have you ever experienced urine loss while performing an effort? was of 5.4% (IC 95%:3.0-7.8) before pregnancy and 51.5% (IC 95%:46.1-56.9) during the current pregnancy. The factors associated with the occurrence of SUI before pregnancy were multiparity (OR=9.96), diabetes (OR=4.61) and obesity (OR=4.76), and with SUI during pregnancy were multiparity (OR=1.66), diabetes (OR=2.62) and constipation (OR=1.73). The vast majority (88.9%) of women suffering from SUI feel uncomfortable as they feel wet, 48.5% feel nervous or troubled and 57.3% fear that others may notice the smell. During pregnancy, only less than half of the women who experienced urine loss sought help from a healthcare professional, although the majority was interested in having this problem treated.SUI affects a great number of women from the district before and during pregnancy. SUI is reflected in many aspects of health and mostly affects physical and emotional well-being, but only a small percentage of women reveal the burden of SUI to a healthcare professional. In the face of such evidence, it turns out very important for healthcare professionals to be aware of this reality and concerned to give response to this healthcare problem.
Bactérias Multirresistentes Associadas aos Cuidados de Saúde num Hospital Pediátrico: Experiência de Cinco Anos
Authors: Mação Patrícia , Lopes João Casalta , Oliveira Henrique , Oliveira Guiomar , Rodrigues Fernanda
Published: July 2022

Introdução: Nos últimos anos tem-se assistido a um aumento das infeções por bactérias multirresistentes. Os dados pediátricos no global, e em particular em Portugal, são escassos.Objectivos: Avaliar a evolução das infeções por bactérias multirresistentes associadas aos cuidados de saúde num hospital pediátrico.Material e Métodos: Estudo retrospetivo de incidência efetuado nas enfermarias médicas, cirúrgicas e de cuidados intensivos num hospital pediátrico nível III, entre Janeiro de 2005 e Dezembro de 2009. As bactérias multirresistentes estudadas foram Staphylococcus aureus meticilino-resistente (SAMR), bacilos gram negativos produtores de β-lactamases de espectro expandido (ESBL), Enterococcus spp resistentes à vancomicina (ERV), Pseudomonas aeruginosa multirresistentes (PAMR) e Acinetobacter baumanii resistente aos carbapenems. Foram analisados dados demográficos, clínicos, laboratoriais, terapêuticos e presença de fatores de risco.Resultados: Durante o período de estudo foram identificadas 106 bactérias multirresistentes associadas, correspondentes a 72 crianças, com predomínio do sexo masculino (65,3%). As bactérias multirresistentes mais frequentemente identificadas foram SAMR (35,8%), PAMR (29,2%) e bacilos gram negativos com fenótipo ESBL (17,9%). Destas 106 bactérias multirresistentes, 45 (42,5%) foram identificadas em infeção. Ao longo do período de estudo, a proporção anual de infeções por bactérias multirresistentes variou entre 32,0% em 2006 e 55,6% em 2009 (p = 0,376). A taxa de incidência global de infeção por estas bactérias foi de 0,400 por 1 000 dias de internamento, correspondendo a 0,274 infeções por 100 internamentos, valor que se manteve estável ao longo dos cinco anos. Predominaram as infeções da corrente sanguínea (31,1%), intra-abdominais (20,0%), associadas a cateter venoso central (17,8%) e da pele e tecidos moles (11,1%). Todas as crianças tinham fatores de risco e os mais frequentemente identificados foram antibioticoterapia prévia e doença crónica de base (> 90%). Seis crianças (13,3%) faleceram durante o internamento.Conclusões: Ao longo do período de estudo, a proporção de bactérias multirresistentes apresentou uma tendência de aumento, embora sem significado estatístico. As taxas de incidência de infeção mantiveram-se estáveis. SAMR foram as bactérias mais frequentemente identificadas, seguidas por PAMR e bacilos gram negativos ESBL. O tipo de infeção mais frequente foi da corrente sanguínea, seguido pelas infeções intra-abdominais e as associadas a dispositivos invasivos. A totalidade das crianças apresentava fatores de risco, nomeadamente antibioticoterapia prévia e doença crónica de base.
Navegantes do Solimões
Authors: Santos Marcos Roberto dos , Vieira Viviane Cristina , Ferraz Janaína de Aquino
Published: July 2022

As pesquisas com línguas de sinais indígenas têm crescido significativamente no Brasil nos últimos anos, demonstrando a urgência de um olhar científico reflexivo e sistematizado para essas pessoas e para a valorização de suas línguas. Nesse contexto, essa pesquisa tem como objetivo analisar a constituição dos sinais emergentes de surdos indígenas do povo Omágua-Kambeba do município de São Paulo de Olivença, localizado na Mesorregião do Alto Solimões, no estado do Amazonas, bem como o impacto desses sinais nas práticas discursivas e sociais. Para isso serão utilizados estudos de teóricos da Análise de Discurso Crítica (adc) como Fairclough (2004, 2016); Ferraz (2015); Magalhães, Martins e Resende (2017). Também pesquisadores de línguas de sinais como Cuxac (1997), Quadros e Karnopp (2004); Fusellier-Souza (2003) entre outros. O referencial teórico-analítico é baseado na adc. Percebe-se que esses itens lexicais são constituídos por um sistema linguístico organizado, também se revelam como práticas que influenciam diretamente nas atividades sociais desses surdos dentro das comunidades.
BACTERIAL PATTERN AMONG SEPSIS PATIENTS IN INTERNAL MEDICINE INPATIENT WARD DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA IN 2017-2019
Authors: Toyyibah Ilma Dzurriyyatan , Rusli Musofa , Juniastuti Juniastuti
Published: July 2022

Highlights:1. Bacteria remain a major cause of bacterial sepsis.2. The most common causal agent in bacterial septicaemia was the gram-positive bacterium.
Abstract:
Background: Bacteria remain the primary cause of bacterial sepsis. Gram-negative bacteria are the most commonly isolated from sepsis patients. However, gram-positive bacterial infections have also increased recently. Objective: To identify the pattern of bacterial infection in sepsis patients in Internal Medicine inpatient ward Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Material and Method: This retrospective study reviewed the medical records of all sepsis patients in Internal Medicine Ward Dr. Soetomo General Academic Hospital, Surabaya, Indonesia from January 1 – December 31, 2016. All patients were divided according to bacterial species into two groups: patients with gram-positive and gram-negative infection. The collected data were statistically analyzed using SPSS ver. 16.0 to find out the frequency. Result: From 179 eligible data reviewed, there were 103 (57.5%) patients with gram-positive bacterial infection and 76 (43.5%) patients with a gram-negative bacterial infection. The major isolates of gram-positive bacteria were Staphylococcus hominins (30 isolates) and gram-negative bacteria was Escherichia coli (30 isolates), 43 isolates showed multi-drug resistant organisms; Escherichia coli ESBL 23 isolates, Klebsiella pneumoniae ESBL 3 isolates, Klebsiella oxytoca ESBL 2 isolates and Methilcillin Resistance Staphylococcus aureus 5 isolates. Conclusion: The most common causative agent in bacterial sepsis was gram-positive bacteria. The major isolated gram-positive bacteria are Staphylococcus hominis and gram-negative bacteria were Escherichia coli. The species of multi-drug resistant organisms found are Methilcillin-Resistant Staphylococcus aureus (MRSA), Escherichia coli ESBL, Klebsiella pneumonia ESBL and Klebsiella oxytoca ESBL. Among the patients with multi-drug resistant organism infection, Escherichia coli ESBL were the most prevalent one.
EXPOSURE TO GOAT BILE FOR 28-DAYS CAUSES HEPATOCYTE INJURY: A HISTOPATHOLOGICAL STUDY
Authors: Rizki Isnantono Prabowo  , Nurina Hasanatuludhhiyah  , Nily Sulistyorini  , Kusuma Eko Purwantari
Published: July 2022

Highlights:
1. Bile consumption, especially goat bile, is believed to have therapeutic effects even though it contains harmful ingredients that can cause toxic effects on the liver2. The administration of goat bile for 28 days had a toxic effect on the liver of the mice based on histopathological findings
Abstract:
Background: Bile consumption by Indonesians is believed to have therapeutic effects, especially goat bile. Goat bile is thought to contain harmful ingredients that can cause toxic effects on the liver. However, the 28-days oral toxicity study of goat bile has not been performed. Objective: To analyze the hepatotoxic effect of subchronic administration of goat bile on the liver of mice (Mus musculus). Material and Method: This was an experimental research with a post-test-only control group design. The samples used were 32 Balb/C mice (Mus musculus), which were grouped into 4 groups. The samples were administered with goat bile orally (3.2, 6.4, or 12.8 mL/kg/day) for 28 days. The liver was taken for histopathological examination and the hepatocytes injury score was performed. The scoring results were analyzed using Kruskal-Wallis, Mann-Whitney, and Spearman correlation tests (p<0.05). Result: Goat bile administration was associated with hepatocyte injury (p= 0.004). Groups with goat bile administration of 6.4 and 12.8 mL/kg/day had significant differences with the control group (p= .015 and .029 respectively) and the 3.2 mL/kg/day administered group (p= 0.006 and 0.009 respectively). Moreover, the increased administration of goat bile had a positive correlation with the level of hepatocyte injury (p= 0.004 and r_s= 0.504) Conclusion: Goat bile administration for 28 days had a significant toxic effect on the liver of mice at a dose of 6.4 mL/kg/day.
THE USE OF GLUCOSAMINE AND THE INCREASE OF IOP: A LITERATURE REVIEW
Authors: Wega Yusan Wira Perdana  , Pirlina Umiastuti  , Nabila Putri Wardhani  , Amirah Jasmine  , Nur Milati Bani Mostavan  , Nadhilah Putri Ghaisani  , Audi Salman Faza
Published: July 2022

Highlights:
1. There are differences in the result of the use of glucosamine and the increase of intraocular pressure.2. There are many other factors that may contribute to the increase in the intraocular pressure other than the use of glucosamine such as races, genetics, different dose, and duration of glucosamine use.
Abstract:
Background: Glucosamine is an amino monosaccharide that can directly stimulate the synthesis of glycosaminoglycans in the cartilage. It has been widely used as an osteoarthritis treatment. However, several literatures show the possible side effects of glucosamine, such as increased intraocular pressure (IOP). Objective: The objective of this study was to determine if there was any correlation between the use of glucosamine and the increase in IOP. Material and Method: This was a descriptive qualitative study that implied a systematic review design. The study sample consisted of patients with osteoarthritis (OA) and glaucoma in Iran, Indonesia, Thailand, the USA, and India between 2013 and 2018. The literature search was conducted on a database (PubMed and Google Scholar) and selected using inclusion and exclusion criteria. Discussion: The research identified 5 studies on the use of glucosamine and the increase of IOP. Two articles provide significant results on the correlation between the use of glucosamine and the increase of IOP (P < 0.05). In addition, two studies showed significant IOP reduction outcomes after discontinuation of glucosamine (P < 0.05). A case series indicated an increase in IOP during the 6th month of glucosamine use but still at normal value. Conclusion: Many other factors contribute to IOP growth, other than the use of glucosamine. Therefore, a large-scale randomized clinical trial or a multicentre cohort study using the same parameters is still needed to improve the quality of the subsequent systematic review
Élelmiszerreklámban előforduló kommunikációs paradoxonok összehasonlító elővizsgálata szemantikus differenciállal
Authors: Forgács Attila , Mohácsi Anett
Published: July 2022

A hatékony reklám leköti a figyelmet, az üzenete érthető, elfogadható és megjegyezhető, valamint serkenti a vásárlást. A komplex cél eléréséhez nem elegendő a puszta információközlés, valamilyen kommunikációs többlet (pl. paradoxon) alkalmazása is indokolt lehet. Számos eltérő hatású kommunikációs paradoxon alkalmazása jöhet szóba. Jelen közlemény az Osgood-féle szemantikus differenciál alkalmazásával, vizuális-kvantitatív szinten hasonlítja össze a kommunikációs paradoxonok különféle fajtáit, a double bind, az ambiguens, valamint a neutrális reklámot. A neutrális reklám csak megnevez egy terméket, jelen esetben a tejet. Míg az ambiguens reklám ellentmondó verbális, vagy optikai üzenetet tartalmaz, a double bind reklám egymást kizáró utasítást jelent (pl. „Egyen és fogyjon!”). A mintavétel véletlenszerű volt, nem reprezentatív. A vizsgálati mintába hangsúlyosan a 20-as éveiben járó fiatalok, zömmel egyetemisták kerültek. A válaszokat a MindTitude™ applikációval értékeltük, és az eredményeket is eme program elvei szerint ábrázoltuk. Az alkalmazás részletesebb leírása a Mindtitude márkanév internetes keresőrendszerekbe írásával érhető el. Az ambiguens reklámot minden tekintetben pozitívabban ítélték meg a megkérdezettek. A neutrális reklám és a double bind reklám értékelése alig különbözött egymástól, mindkettőt negatívan minősítették. Míg az ambiguencia ellentmondó üzenete kognitív átkeretezést igényel, ezért mélyebb érzelmi és kognitív feldolgozással jár, feszültséget és érdeklődést kelt, figyelemkoncentrációval, hosszútávú emlékezeti megtartással, következményesen eredményes vásárlásösztönzéssel járhat, addig a double bind utasítás elsődlegesen viselkedésgátló hatású, csökkenti a vásárlókedvet.  A kettős kötés másodlagos hatása emocionális, a tehetetlenségen keresztül letargikus hatású, tompítja az érzelmi feldolgozás amplitúdóját. Az ambiguencia alkalmazása ajánlható a reklámokban, míg a double bind alkalmazása kontraindikált.
JEL- kódok: L66, L82, L96, M31
The Mediating Effect of Positive Psychological Capital in the Relationship between Major Satisfaction and Job-Seeking Anxiety of University Students Preparing for Employment
Authors:   The Association of Korea Counseling Psychology Education Welfare, CHI Myong-Won , LEE Ju-Yeon
Published: July 2022

This study targeted 208 fourth-grade students from four universities in Gyeonggi andChungnam to examine the effect of major satisfaction of university students preparing foremployment on job-seeking anxiety and verify the mediating effect of positive psychologicalcapital in these relationships. According to the results of this study, first, there was a negativecorrelation between major satisfaction and job-seeking anxiety, job-seeking anxiety and positivepsychological capital each. And there was a positive correlation between major satisfaction andpositive psychological capital. Second, the major satisfaction of university students preparing foremployment was found to be a factor influencing job-seeking anxiety. Finally, the partialmediation effect of positive psychological capital was verified in the effect of major satisfactionperceived on job-seeking anxiety. Therefore, it is necessary to expand major, psychological andemotional support counseling services through departments and schools.
Analysis of Research Trends Related to Peer Play of Young Children in Korean Domestic Journal
Authors:   The Association of Korea Counseling Psychology Education Welfare, YUN Jeong-A , LEE Ah-Rem
Published: July 2022

This study investigated research trends by analyzing period, subjects, method, and content ofpapers related to peer play in childhood. From 1996 to 2021, 131 papers related to youngchildren's peer play were targeted, and the research results are as follows. First, the number ofstudies on young children's peer play doubled from 2012 to 2016 compared to the previousperiod, and from 2017 to 2021, the number of published papers accounted for the majority ofthe total. Second, in terms of research subjects trends, papers targeting only young childrenaccounted for the largest proportion, and longitudinal studies have been actively conductedsince 2017. Third, as a result of analyzing the trend of research methods, quantitative researchmethods were higher than 90%, and among them, correlation studies to find out the relationshippatterns or trends between variables accounted for the largest percentage. Fourth, looking at theresearch content trends of papers related to young children peer play, the human and physicalenvironment surrounding young children, young children development, and programdevelopment and performance were found in order. Through the results of this study, theimportance of infant peer play for play-oriented education and the direction of future infantpeer play research were presented.
Study on Actual State of Counseling Ethics Experienced by Vocational Counselors
Authors:   The Association of Korea Counseling Psychology Education Welfare, LEE Jin-Hee , CHOI Woong-Yong
Published: July 2022

The purpose of this study is to research the counseling ethics experienced by vocationalcounselors to examine the differences due to the actual state of counseling ethics in the field ofvocational ethics and socio-demographic characteristics. The main conclusions of this study areas follows. First, among the counseling ethical problems experienced by vocational counselors,the most serious issue is that it is difficult for them to fully concentrate on counseling due toheavy administrative work. Lack of personal counseling or educational analysis, continuingcounseling despite the inability to expect further results, counseling focused on job placementfor their employment result are the problems that follow. Second, the experience of counselingethical problems due to socio-demographic characteristics was found greater with counselors inage of 20s-30s than those in their 40s or older, intermediate counselors than beginner orexperienced counselors, counseling or psychological majors than other majors, and privateinstitutions.
The Effect of Service Orientation of Care Helpers on the Satisfaction of Users: Focused on Mediation of Service Quality
Authors:   The Association of Korea Counseling Psychology Education Welfare, JO Mi-Jeong
Published: July 2022

The purpose of this study is to analyze the effect of elderly care service orientation on service satisfaction, on the mediating effect of service quality. To verify this, caregivers working at 132 senior service organizations in Daegu and Gyeongbuk and elderly users receiving services were targeted. Exploratory factor analysis and regression analysis were examined for a total of 320 copies, and the mediating effect was PROCESS macro. was analyzed using As a result of the study, first, it was verified that service orientation is a leading variable of service satisfaction. Second, service quality showed mediating effect on service orientation and service satisfaction. The higher the service orientation of the caregivers, the higher the service quality, which can further increase the service satisfaction of the elderly. Therefore, it is important for elderly care providers to know what they are aiming for in providing services, and senior welfare institutions need education and compensation that can be applied to caregivers in the field.
The Effects of Covert Narcissism on Social Anxiety in University students: Moderated Mediating Effects of Maladaptive Self-Focused Attention through Perceived Social Support
Authors:   The Association of Korea Counseling Psychology Education Welfare, RHYU Ha-Kyung , LEE Sang-Hee
Published: July 2022

This study aimed to examine the moderated mediation effect of perceived social support through maladaptive self-focused attention on the association between covert narcissism and social anxiety. Data from 352 college students in South Korea were analyzed by using moderated mediation analysis. The results are as follows: First, maladaptive self-focused attention had partial mediation effects in the pathway from covert narcissism to social anxiety. Second, a professors’ support and friends’ support of perceived social support had moderation effects in the pathway from maladaptive self-focused attention to social anxiety. Third, a professors’ support of perceived social support had moderated mediation effects through maladaptive self-focused attention in the relationship between covert narcissism and social anxiety. Finally, the significance and limitations of this study and suggestions for future research were discussed.