563 results

Evaluation of the behavior of the preschool one just admitted in the unit of pediatrics and the use of the therapeutic toy

Mariana Coelho Campos, Karen Cristina S. Rodrigues, Marcia Carla Morete Pinto

DOI: 10.1590/s1679-45082010ao1462

ABSTRACTObjective:To evaluate the behavior of children before and after a therapeutic play session.Methods:A quantitative and descriptive study was carried out in a major hospital of the city of Santos, State of São Paulo, involving 30 preschool children recently admitted to a pediatric ward. A behavior scale was applied before and after a therapeutic play session. This scale comprises six categories: moving, gazing, expressing feelings, talking, playing, and not responding to stimuli or requests. Each category is scored from 1 to […]

The impact of motivational interventions for increasing physical activity

Aneci Sobral Rocha, Marcio Marega

DOI: 10.1590/s1679-45082010ao1442

ABSTRACTObjective:To assess whether incentives for practicing regular physical activities in fact help raising the frequency of exercising.Methods:Male and female subjects undergoing two to three assessments in the Check-Up Unit of Hospital Israelita Albert Einstein (HIAE) were evaluated by noting any increase in levels of physical activity, improvements in mean metabolic unit numbers, and the sensitization index. The International Physical Activity Questionnaire was applied to assess the sample.Results:There were 1,879 subjects − 1,559 (83%) males and 320 (17%) females – aged […]

Magnetic resonance imaging findings in adnexial torsion

Ronald Meira Castro Trindade, Ronaldo Hueb Baroni, Michelle Rosemberg, Marianne Siquara de Quadros, Marcelo de Castro Jorge Racy, Adriano Tachibana, [...]

DOI: 10.1590/s1679-45082010rc878

ABSTRACTAdnexial torsion is an unusual event, but a major cause of abdominal pain in women. It is often associated with ovarian tumor or cyst, but can occur in normal ovaries, especially in children. The twisting of adnexial structures may involve the ovary or tube, but frequently affects both. In most cases, it is unilateral, with slight predilection for the right side. In imaging findings, increased ovarian volume and adnexial masses are observed, with reduced or absent vascularization. In cases of […]

En bloc pancreaticoduodenectomy and right hemicolectomy to treat locally advanced right colon cancer: report of three cases

Sergio Renato Pais Costa, Sergio Henrique Couto Horta, Alexandre Cruz Henriques, Jaques Waisberg, Manlio Basílio Speranzini

DOI: 10.1590/s1679-45082010rc786

ABSTRACTAlthough colorectal tumors are fairly common surgical conditions, 5 to 12% of these tumors are locally advanced (T4 tumors) upon diagnosis. In this particular situation, the efficacy of en bloc multivisceral resection has been proven. When right-colon cancer invades the proximal duodenum or even the pancreatic head, a challenging dilemma arises due to complexity of the curative surgical procedure. Therefore, en bloc pancreaticoduodenectomy with right hemicolectomy should be performed to obtain free margins. The present study reports three cases of […]

Communication difficulties and strategies used by the nurses and their team in caring for the hearing impaired

Fernanda da Rocha Britto, Maria Mercedes Fernandez Samperiz

DOI: 10.1590/s1679-45082010ao1339

ABSTRACTObjectives:To identify communication difficulties faced by the nursing staff and to learn the strategies developed for non-oral communication.Methods:This is a descriptive, exploratory, level I study with a quantitative approach. The sample group comprised 37 registered nurses and 63 licensed practical nurses of a private hospital who, after undergoing the ethical-legal procedures, answered a questionnaire to identify difficulties faced and strategies used in the care for hearing-impaired patients.Results:Difficulty in explaining matters of interest to the patient was reported by 66% of […]

Modification of the gasless fetoscopy technique for the treatment of large myelomeningocele: a study in sheep

Denise Araujo Lapa Pedreira, Gregório Lorenzo Acácio, Rogério Chaccur Abou-Jamra, Rita de Cássia Sanches Oliveira, Elia Garcia Caldini, Paulo Hilário Nascimento Saldiva

DOI: 10.1590/s1679-45082010ao1440

ABSTRACTObjective:To change the gasless fetoscopy technique in order to reduce the diameter of entry orifices in the myometrium.Methods:Seven pregnant ewes were submitted to fetoscopy for repairing a large skin defect measuring 4.0 × 3.0 cm, created in the fetal lumbar region at the gestational age of 100 days. The defect was repaired through continuous suture of the skin with approximation of borders. Gasless fetoscopy was used for performing the suture with three orifices to allow entry of the trocar into […]

Nursing and spirituality

Raphael de Brito Pedrão, Ruth Beresin

DOI: 10.1590/s1679-45082010ao1208

ABSTRACTObjectives:To evaluate the spiritual well-being of nurses; to appraise their opinions as to the importance of offering patients spiritual assistance, and to verify whether nurses received any specific type of preparation during their professional training for giving spiritual assistance to patients.Methods:This is an exploratory and descriptive study, carried out with a sample of 30 nurses who worked at the Stepdown Unit and Oncology Unit of Hospital Israelita Albert Einstein, using the application of the Spiritual Well-Being Scale (SWS) and a […]

Exercise-induced ventricular arrhythmias: analysis of predictive factors in a population with sleep disorders

Fatima Dumas Cintra, Marcia Regina Pinho Makdisse, Wercules Antônio Alves de Oliveira, Camila Furtado Rizzi, Francisco Otávio de Oliveira Luiz, Sergio Tufik, [...]

DOI: 10.1590/s1679-45082010ao1469

ABSTRACTObjective:To assess the prevalence of ventricular arrhythmias induced by exercise in a population with sleep disorders and to analyze the triggering factors.Methods:Patients were consecutively selected from the database of the Sleep Clinic of Universidade Federal de São Paulo. All subjects were submitted to basal polysomnography, blood sample collection, physical examination, 12-lead ECG, spirometry, cardiorespiratory exercise study on a treadmill, and echocardiogram. The Control Group was matched for age and gender.Results:A total of 312 patients were analyzed. Exercise-induced ventricular arrhythmia was […]

Active search of women as an efficacy factor for a breast and cervical cancer screening program in the city of Jundiaí, São Paulo, Brazil

João Bosco Ramos Borges, Renata Guarisi, Andressa de Araújo Lacerda, Juliana Letícia Poli, Pítia Cárita de Godoy Borges, Sirlei Siani Moraes

DOI: 10.1590/s1679-45082010a01454

ABSTRACTObjective:To compare the profile of women looking for gynecological care to the profile of women invited to participate in the program, assessing breast and cervical cancer risk factors in each group and comparing Papanicolaou’s test and mammography results.Methods:Medical records of 46 women participating in a breast and cervical cancer prevention program and 42 medical reports of women that regularly visited the primary healthcare unit from August to December 2006 were examined.Results:The mean interval between the last Papanicolaou’s tests was of […]

Microcirculatory assessment in daily clinical practice – not yet ready but not too far!

Diamantino Ribeiro Salgado, Raphaël Favory, Daniel De Backer

DOI: 10.1590/s1679-45082010rw1311

ABSTRACTShock is characterized by an alteration in tissue perfusion that may lead to tissue hypoxia. Recent guidelines recommend aggressive and early resuscitation therapy, but mortality rate is still unacceptably high. Unfortunately, traditional clinical surrogates used to guide resuscitation therapy poorly correlate with microcirculatory blood flow, a key determinant of tissue perfusion. New techniques that directly assess microcirculatory perfusion at the bedside have emerged as a complement to traditional macrohemodynamic parameters. These techniques have been supported by several studies showing microcirculatory […]

1 54 55 56 57