Does epidural anesthesia influence pelvic floor muscle endurance and strength and the prevalence of urinary incontinence 6  weeks postpartum?
ConclusionsPFM function and UI prevalence at 6  weeks postpartum are not significantly affected by epidural analgesia. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - December 4, 2019 Category: OBGYN Source Type: research

Evaluation of cortical thickness and brain volume on 3 Tesla magnetic resonance imaging in children with frontal lobe epilepsy
AbstractBackgroundFrontal lobe epilepsy (FLE) is the most common epilepsy syndrome in the pediatric population; however, brain magnetic resonance imaging (MRI) of the children with FLE is frequently normal. We use both cortical thickness and brain volume measurements to report on cortical changes in children with FLE. Our aim was to determine cortical thickness and brain volume changes on 3 Tesla MRI of children with FLE and normal brain magnetic resonance imaging.MethodsTwenty-seven children with FLE and 27 healthy controls received brain magnetic resonance imaging. Cortical thickness and regional brain volumes were asses...
Source: Neurological Sciences - December 4, 2019 Category: Neurology Source Type: research

Retrospective comparison of EASL 2018 and LI-RADS 2018 for the noninvasive diagnosis of hepatocellular carcinoma using magnetic resonance imaging
ConclusionsOn ECA-MRI, the LR-5 category of LI-RADS 2018 provides better sensitivity and accuracy than the EASL 2018 for diagnosing HCC. EASL 2018 provides comparable diagnostic performances between ECA-MRI and HBA-MRI, but the LR-5 category of LI-RADS 2018 provides better sensitivity on ECA-MRI than on HBA-MRI. (Source: Hepatology International)
Source: Hepatology International - December 4, 2019 Category: Infectious Diseases Source Type: research

Incidence of Type 2 Diabetes in Kuwaiti Children and Adolescents: Results From the Childhood-Onset Diabetes Electronic Registry (CODeR)
Background: Type 2 Diabetes (T2D) in children and adolescents has become an important public health concern due to the increase in childhood obesity worldwide. The urgency to address T2D is evident as children and adolescents are at a higher risk of complications due to prolonged disease duration. We aimed to estimate the incidence rate (IR) of T2D in Kuwaiti children and adolescents aged 14 years and younger between 2011 and 2013 and to describe their clinical characteristics at the time of diagnosis.Material and Methods: All newly diagnosed patients were registered through the Childhood-Onset Diabetes electronic Registry...
Source: Frontiers in Endocrinology - December 4, 2019 Category: Endocrinology Source Type: research

Outcomes of endodontically treated cracked teeth: a systematic review and meta-analysis
ConclusionThis systematic review determined the survival rate of endodontically treated cracked teeth to be moderately high. More studies in this area are, however, warranted before definitive conclusions can be derived.Clinical relevanceIn view of the relatively high survival rate, endodontic treatment rather than extraction should be considered for cracked teeth. (Source: Clinical Oral Investigations)
Source: Clinical Oral Investigations - December 4, 2019 Category: Dentistry Source Type: research

Long-term results of isolated transmyocardial laser revascularization in combination with the intramyocardial autologous bone marrow stem cells injection
AbstractTo evaluate the long-term results of TMLR using a CO2 laser in combination with intramyocardial injection of ABMSC as an isolated procedure in patients with the end-stage coronary artery disease, the study included 20 patients (90% male), with a mean age of 58.4 ± 8.7 years. To assess the long-term results, patients were examined in a hospital. The Minnesota Living with Heart Failure Questionnaire (MLHFQ) and the Seattle Angina Questionnaire (SAQ) were used. The evolution of laboratory and instrumental indices, as well as medical therapy, was assessed. The end points of the study were death, acute myocardial...
Source: Lasers in Medical Science - December 4, 2019 Category: Laser Surgery Source Type: research

Efficacy of open reduction and internal fixation in achieving bony union of comminuted mandibular fractures caused by civilian gunshot injuries
ConclusionComparative clinical trials have proven that ORIF is superior to MMF in the management of comminuted mandibular fractures. Early primary repair and internal fixation provides predictable and cost effective results. (Source: The Surgeon)
Source: The Surgeon - December 3, 2019 Category: Surgery Source Type: research

Microwave ablation versus resection for colorectal cancer liver metastases – A propensity score analysis from a population-based nationwide registry
ConclusionAfter adjusting for factors known to affect treatment choice, no significant difference in OS was shown after MWA versus resection for CRCLM. This supports the potential role of MWA as a valid first-line treatment for patients with small CRCLM. (Source: European Journal of Surgical Oncology (EJSO))
Source: European Journal of Surgical Oncology (EJSO) - December 3, 2019 Category: Surgery Source Type: research

Disentangling brain functional network remodeling in corticobasal syndrome – A multimodal MRI study
ConclusionsOur data-driven results show impairment of functional connectivity and brain structure in CBS and explore their potential as imaging biomarkers. (Source: NeuroImage: Clinical)
Source: NeuroImage: Clinical - December 3, 2019 Category: Radiology Source Type: research

Early detection of hepatic encephalopathy after transjugular intrahepatic portsystemic shunt using multiparametric magnetic resonance with spectroscopy
ConclusionsOur study demonstrated the efficacy of spectroscopy in Patient subjected to TIPS. MR 3 T with spectroscopy can become a valid tool for monitor the dynamics of changes in brain metabolism after TIPS and to provide an early diagnosis of HE allowing an early treatment. (Source: European Journal of Radiology Open)
Source: European Journal of Radiology Open - December 3, 2019 Category: Radiology Source Type: research

Early detection of heart function abnormality by native T1: a comparison of two T1 quantification methods
AbstractObjectiveTo compare the robustness of native T1 mapping using mean and median pixel-wise quantification methods.MethodsFifty-seven consecutive patients without overt signs of heart failure were examined in clinical routine for suspicion of cardiomyopathy. MRI included the acquisition of native T1 maps by a motion-corrected modified Look-Locker inversion recovery sequence at 1.5  T. Heart function status according to four established volumetric left ventricular (LV) cardio MRI parameter thresholds was used for retrospective separation into subgroups of normal (n = 26) or abnormal heart function (n...
Source: European Radiology - December 3, 2019 Category: Radiology Source Type: research

The value(s) of information on social network sites: The role of user personality traits
Publication date: Available online 2 December 2019Source: European Review of Applied PsychologyAuthor(s): Yaniv Gvili, Ofrit Kol, Shalom LevyAbstractPurposeThe present research examines the relationship between personality of social network site (SNS) users and the perceived value of the information they seek. Building on the Reasoned Action Approach, personality is conceptualized as a background factor influencing people's attitude towards the information they search for on SNS.Design/methodology/approachData were collected using a face-to-face survey among Facebook users (n = 311). Personality traits were asses...
Source: European Review of Applied Psychology - December 3, 2019 Category: Psychiatry & Psychology Source Type: research

Evaluating the Validity of a Food Frequency Questionnaire in Comparison with a 7-Day Dietary Record for Measuring Dietary Intake in a Population of Survivors of Colorectal Cancer
ConclusionsRelative to a 7-day dietary record, the validity of an FFQ for measuring dietary intake among survivors of CRC appeared moderate to good for most nutrients and food groups. (Source: Journal of the Academy of Nutrition and Dietetics)
Source: Journal of the Academy of Nutrition and Dietetics - December 3, 2019 Category: Nutrition Source Type: research

The Effect of Training Given to Hemodialysis Patients According to the Comfort Theory
Conclusion It was observed that the training that is given in accordance with the Comfort Theory of Kolcaba to the hemodialysis patients increased the mean scores of patients' comfort. (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - December 3, 2019 Category: Nursing Tags: Feature Article Source Type: research

Toward Personalized Medicine Implementation: Survey of Military Medicine Providers in the Area of Pharmacogenomics.
Authors: DeLuca J, Selig D, Poon L, Livezey J, Oliver T, Barrett J, Turner C, Hellwig L Abstract INTRODUCTION: Personalized medicine is the right treatment, to the right patient, at the right dose. Knowledge of genetic predisposition to variable metabolism and distribution of drugs within the body is currently available as pharmacogenomic testing and is one of the pillars of personalized medicine. Pharmacogenomic testing is growing. It has become part of guidelines for dosing on FDA labels and has been used by health care organizations to improve outcomes and reduce adverse events. Additionally, it has been FDA app...
Source: Military Medicine - December 3, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research

Switching from efavirenz to rilpivirine improves sleep quality and self-perceived cognition but has no impact on neurocognitive performances
Conclusion: Our results do not support the hypothesis that switching to RPV improves cognitive function in patient under stable treatment with EFV. Nonetheless, improvements in neuropsychiatric symptoms, sleep quality and self-perceived cognition were observed. (Source: AIDS)
Source: AIDS - December 3, 2019 Category: Infectious Diseases Tags: CLINICAL SCIENCE Source Type: research

No overall change in the rate of weight gain after switching to an integrase-inhibitor in virologically suppressed adults with HIV
Conclusion: We found no clear evidence of an overall increase in rate of weight gain following switch to INSTI in virologically suppressed individuals. (Source: AIDS)
Source: AIDS - December 3, 2019 Category: Infectious Diseases Tags: CONCISE COMMUNICATION Source Type: research

A randomized controlled trial of the effects of local tranexamic acid on mortality, rebleeding, and recurrent endoscopy need in patients with upper gastrointestinal hemorrhage
Conclusion Locally administered TXA confers no additional benefit over standard care in patients with upper gastrointestinal hemorrhage. (Source: European Journal of Gastroenterology and Hepatology)
Source: European Journal of Gastroenterology and Hepatology - December 3, 2019 Category: Gastroenterology Tags: Original Articles: Gastroenterology Source Type: research

A prospective study comparing patient-reported outcomes in Crohn’s disease
Conclusions The BSFS and a VAS appear to be responsive with moderate-to-strong construct validity to monitor patients with Crohn’s disease. (Source: European Journal of Gastroenterology and Hepatology)
Source: European Journal of Gastroenterology and Hepatology - December 3, 2019 Category: Gastroenterology Tags: Original Articles: Gastroenterology Source Type: research

Trends in cancer mortality among people with vs without diabetes in the USA, 1988 –2015
AbstractAims/hypothesisCancer-related death is higher among people with vs without diabetes. However, it is not known if this excess risk has changed over time or what types of cancer may be driving these changes.MethodsTo estimate rates of site-specific cancer mortality in adults with vs without self-reported diagnosed diabetes, we used data from adults aged ≥18 years at the time of the interview who participated in the 1985—2012 National Health Interview Survey. Participants’ data were linked to the National Death Index by the National Center for Health Statistics to determine vital status and cause o...
Source: Diabetologia - December 3, 2019 Category: Endocrinology Source Type: research

Characterization of Doxorubicin Liposomal Formulations for Size-based Distribution of Drug and Excipients Using Asymmetric-Flow Field-Flow Fractionation (AF4) and Liquid Chromatography-Mass Spectrometry (LC-MS)
Publication date: Available online 2 December 2019Source: International Journal of PharmaceuticsAuthor(s): Siyam M. Ansar, Thilak MudaligeAbstractDoxorubicin liposomal formulations were characterized for the particle size distribution and size-based distribution of lipids and doxorubicin (DOX). An asymmetric flow-field flow fractionation (AF4) method was developed and employed for size-based fractionation of the doxorubicin liposomal formulations. Liposome size-fractions collected from AF4 were analyzed for particle size using nanoparticle tracking analysis (NTA) and dynamic light scattering (DLS). Three doxorubicin liposo...
Source: International Journal of Pharmaceutics - December 3, 2019 Category: Drugs & Pharmacology Source Type: research

Retrospective Cohort Comparison of Gonadotropin versus follicle-stimulating hormone for in ovarian response patients undergoing in vitro fertilization
Conclusionshp-HMG and rFSH did not lead to significantly different treatment outcomes in POR patients undergoing IVF/ISCI with a GnRH antagonist protocol, although significantly higher serum IGF-1 level and insignificantly lower serum IGFBP-1 level on the day of oocyte retrieval associated with hp-HMG might suggest a beneficial endocrine environment. (Source: Current Therapeutic Research)
Source: Current Therapeutic Research - December 3, 2019 Category: Drugs & Pharmacology Source Type: research

Effect of Nano-hydroxyapatite and platelet-rich fibrin covered by the amniotic membrane on osseointegration after mandibular piezoelectric ridge splitting
ConclusionsThe results of this study suggest that concomitant use of PRF with nHA graft covered with AM for augmentation around the dental implant in a narrow posterior mandible after piezoelectric alveolar ridge splitting accelerate osseointegration and significantly increase bone density around the osseointegrated implant and decrease bone resorption in comparison to that achieved with the graft alone. (Source: The Saudi Dental Journal)
Source: The Saudi Dental Journal - December 3, 2019 Category: Dentistry Source Type: research

Knowledge and Compliance of Dentists' and Dental Students' With Respect to Relevant Guidelines for Prescribing Antibiotic Prophylaxis for the Prevention of Infective Endocarditis: A Systematic Review
ConclusionKnowledge levels of guidelines for antibiotic prophylaxis varied greatly depending on the study design, respondent characteristics, and time period factors. There is a lack of research published on compliance rates for dentists and dental students with respect to guidelines for the prevention of infective endocarditis. (Source: Journal of Evidence Based Dental Practice)
Source: Journal of Evidence Based Dental Practice - December 3, 2019 Category: Dentistry Source Type: research

Variations in stepped-wedge cluster randomized trial design: Insights from the Patient-Centered Care Transitions in Heart Failure trial
Publication date: February 2020Source: American Heart Journal, Volume 220Author(s): Rudy R. Unni, Shun Fu Lee, Lehana Thabane, Stuart Connolly, Harriette GC Van SpallThe stepped-wedge (SW) cluster randomized controlled trial, in which clusters cross over in a randomized sequence from control to intervention, is ideal for the implementation and testing of complex health service interventions. In certain cases however, implementation of the intervention may pose logistical challenges, and variations in SW design may be required.We examine the logistical and statistical implications of variations in SW design using the optimi...
Source: American Heart Journal - December 3, 2019 Category: Cardiology Source Type: research

Superior Hypogastric Plexus Blocks for Postoperative Pain Management in Abdominal Hysterectomies
Objective: To evaluate the efficacy of intraoperative superior hypogastric plexus (SHP) blocks on postoperative pain management in abdominal hysterectomies. Materials and Methods: A total of 78 female American Society of Anesthesiologists grade I or II patients who underwent elective total abdominal hysterectomy for benign reasons were assessed for eligibility. After exclusion of patients who did not fulfill the inclusion criteria, 60 patients were evaluated in 2 groups: patients who had intraoperative SHP block (SHP; n=30), and patients who did not have intraoperative SHP block (No-SHP; n=30). Results: There was n...
Source: The Clinical Journal of Pain - December 3, 2019 Category: Anesthesiology Tags: Original Articles Source Type: research

A pre-drive ocular assessment predicts alertness and driving impairment: A naturalistic driving study in shift workers
This study assessed the efficacy of a pre-drive ocular assessment for predicting sleep-related impairment in naturalistic driving, in rotating shift workers. Fifteen healthcare workers drove an instrumented vehicle for 2 weeks, while working a combination of day, evening and night shifts. The vehicle monitored lane departures and behavioural microsleeps (blinks>500 ms) during the drive. Immediately prior to driving, ocular parameters were assessed with a 4-min test. Lane departures and behavioural microsleeps occurred on 17.5 % and 10 % of drives that had pre-drive assessments, respectively. Pre-drive blink duration s...
Source: Accident Analysis and Prevention - December 3, 2019 Category: Accident Prevention Source Type: research

Effects of Passiflora incarnata Linnaeus on polysomnographic sleep parameters in subjects with insomnia disorder: a double-blind randomized placebo-controlled study
The purpose of the present double-blind randomized placebo-controlled clinical study was to investigate the effects of Passionflower on polysomnographic sleep parameters in subjects with insomnia disorder. A total number 110 adult participants (mean age = 40.47 ± 11.68, Female = 53.6%) met the inclusion criteria of insomnia disorder according to the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders). After randomization, patients received either the Passionflower extract or the placebo for 2 weeks. Patients underwent an overnight polysomnography and complet...
Source: International Clinical Psychopharmacology - December 3, 2019 Category: Psychiatry Tags: Original Articles Source Type: research

Differential core pharmacotherapy in bipolar I versus bipolar II disorder and European versus American patients not in a syndromal episode
Assess bipolar disorder subtype and treatment location effects on bipolar disorder core pharmacotherapy. Outpatients not in a syndromal episode referred to the University of Milan and Stanford University Bipolar Disorder Clinics were assessed with SCID for the fourth Edition of the Diagnostic and Statistical Manual of Mood Disorders, and the Systematic Treatment Enhancement Program for Bipolar Disorder Affective Disorders Evaluation, respectively. Prevalence and clinical correlates of antidepressant, antipsychotic, and mood stabilizer use, in aggregate and individually, were compared in bipolar I (BDI) versus II (BDII) pat...
Source: International Clinical Psychopharmacology - December 3, 2019 Category: Psychiatry Tags: Original Articles Source Type: research

A Genetic Model of the Connectome
Publication date: Available online 2 December 2019Source: NeuronAuthor(s): Dániel L. Barabási, Albert-László BarabásiSummaryThe connectomes of organisms of the same species show remarkable architectural and often local wiring similarity, raising the question: where and how is neuronal connectivity encoded? Here, we start from the hypothesis that the genetic identity of neurons guides synapse and gap-junction formation and show that such genetically driven wiring predicts the existence of specific biclique motifs in the connectome. We identify a family of large, statistically significant b...
Source: Neuron - December 3, 2019 Category: Neuroscience Source Type: research

An overlap of antineutrophil cytoplasmic antibody (ANCA)-associated glomerulonephritis and IgG4-related kidney disease
ConclusionsANCA-GN and IgG4-RKD overlap syndrome concerned mainly MPO-ANCA positive patients. The IgG subclass analysis of MPO-ANCA showed lower percentage of IgG1 subclass. The association between ANCA-GN and IgG4-RKD is possible and represents a special entity. (Source: Clinica Chimica Acta)
Source: Clinica Chimica Acta - December 3, 2019 Category: Laboratory Medicine Source Type: research

[Learning curve for inflatable penile prosthesis].
CONCLUSION: In this monocentric and retrospective study, the learning curve for first time implantation of inflatable penile prosthesis is acquired after 20 surgeries. Specific training could lower this number, but needs further evaluation. LEVEL OF EVIDENCE: 3. PMID: 31786111 [PubMed - as supplied by publisher] (Source: Progres en Urologie)
Source: Progres en Urologie - December 3, 2019 Category: Urology & Nephrology Tags: Prog Urol Source Type: research

Energetic characterization of uracil derivatives: orotic and isoorotic acids
Publication date: Available online 2 December 2019Source: Thermochimica ActaAuthor(s): Luísa M.P.F. Amaral, Piotr Szterner, Victor M.F. Morais, Maria D.M.C. Ribeiro da Silva, Manuel A.V. Ribeiro da SilvaAbstractThe standard (po =0.1 MPa) molar enthalpies of formation of orotic and isoorotic acids, in the crystalline phase, were derived from the respective standard massic energies of combustion measured by static bomb combustion calorimetry, in oxygen, at T =298.15 K, as ‒821.7 ± 1.1 kJ·mol-1 and ‒838.3 ± 1.9 kJ·mol-1, respectivel...
Source: Thermochimica Acta - December 3, 2019 Category: Chemistry Source Type: research

The Use of Test-negative Controls to Monitor Vaccine Effectiveness: A Systematic Review of Methodology
Conclusions: Our review highlights similarities and differences in the application of the test-negative design that deserve further examination. If vaccination reduces disease severity in breakthrough infections, particular care must be taken in interpreting vaccine effectiveness estimates from test-negative design studies. (Source: Epidemiology)
Source: Epidemiology - December 3, 2019 Category: Epidemiology Tags: Methods Source Type: research

Composition of a maternal high fat diet rich in satured fats and omega 3 in gestation and lactation for studies with rodents
Conclusion The formulated diets with a higher amount of saturated fatty acids meet the nutritional requirements of the gestation and lactation period. The high fat diet with omega 3 was able to attenuate the changes observed in dams and their offspring.RESUMO Objetivo Elaborar uma dieta hiperlip ídica rica em gorduras saturadas e suplementada com ômega 3 para estudos experimentais em roedores. Métodos Foram utilizados ingredientes industriais e purificados na elaboração das dietas, e o óleo de linhaça como fonte de ômega 3 na concentração de 3,5% (v/m). As...
Source: Revista de Nutricao - December 3, 2019 Category: Nutrition Source Type: research

Work accidents with biological material: factors associated with abandoning clinical and laboratory follow-up
Conclusion: Given the high abandonment rate found, it is suggested to implement strategies to ensure follow-up and reduce risks to health workers. (Source: Revista da Escola de Enfermagem da USP)
Source: Revista da Escola de Enfermagem da USP - December 3, 2019 Category: Nursing Source Type: research

Application of the MISSCARE scale in an Oncology Service: a contribution to patient safety
Conclusions: there is a need to develop nursing interventions that neutralize and/or reduce the negative results of this missed care in order to improve the quality of care provided to cancer patients.RESUMO Objetivo: Investigar a preval ência da falta do atendimento em enfermagem nas unidades de oncologia e suas causas. Método: Um estudo transversal foi conduzido em unidades oncológicas de internação em um hospital particular. Participaram 83 profissionais da equipe de enfermagem. O instrumento MISSCARE e um questionário soc iodemográfico foram administrados. Foram usadas es...
Source: Revista da Escola de Enfermagem da USP - December 3, 2019 Category: Nursing Source Type: research

Factors affecting the occupational accident rates among nurses
ABSTRACT Objective: In this hospital-based study, we aimed to determine occupational accident perceptions and occupational accident reasons in sample of Turkish nurses. Method: In the study, the Epworth Sleepiness Scale, the Workload Scale and a Study Questionnaire Form including the employment characteristics of the nurses, their socio demographic characteristics, and the occupational accidents they encountered. Results: 108 nurses (90 females, 18 males; mean age, 26.42 ±5.5 years) participated in the study. 68.5% of nurses have undergone at least once a occupational accident. Most of the participants were found to...
Source: Revista da Escola de Enfermagem da USP - December 3, 2019 Category: Nursing Source Type: research

Judicial deployment of nursing error
Conclusion: Lawsuits culminated in convictions. In addition, they point to the need for better structure and support for professionals who undergo legal experience. (Source: Acta Paulista de Enfermagem)
Source: Acta Paulista de Enfermagem - December 3, 2019 Category: Nursing Source Type: research

Workplace violence in Family Health Units: a study of mixed methods
Conclusion Violence has proved prevalent in work in family health units and improvements in structure, human and material resources as well as public safety are needed to control and prevent worker aggression. (Source: Acta Paulista de Enfermagem)
Source: Acta Paulista de Enfermagem - December 3, 2019 Category: Nursing Source Type: research

Nominata
Resumo Objetivo: Determinar as atividades laborais associadas à dor lombar crônica inespecífica em trabalhadores de enfermagem. Métodos: Estudo transversal com 90 trabalhadores entre auxiliares, técnicos e enfermeiros. Dois instrumentos foram utilizados: o Work-Related Activities that may Contribute to Job-Related Pain and/or injury e Escala Visual Numé rica. Os dados foram analisados de forma descritiva e analítica, comparados por meio dos testes Qui-quadrado ou exato de Fischer, correlações de Pearson ou de Spearman e o Teste U de Mann-Whitney. O nível ...
Source: Acta Paulista de Enfermagem - December 3, 2019 Category: Nursing Source Type: research

Wet packs: is extending drying time increasing water (scarce natural resource) consumption?
Resumo Objetivo: Determinar as atividades laborais associadas à dor lombar crônica inespecífica em trabalhadores de enfermagem. Métodos: Estudo transversal com 90 trabalhadores entre auxiliares, técnicos e enfermeiros. Dois instrumentos foram utilizados: o Work-Related Activities that may Contribute to Job-Related Pain and/or injury e Escala Visual Numé rica. Os dados foram analisados de forma descritiva e analítica, comparados por meio dos testes Qui-quadrado ou exato de Fischer, correlações de Pearson ou de Spearman e o Teste U de Mann-Whitney. O nível ...
Source: Acta Paulista de Enfermagem - December 3, 2019 Category: Nursing Source Type: research

Work activities and non-specific chronic low back pain in nursing workers
Resumo Objetivo: Determinar as atividades laborais associadas à dor lombar crônica inespecífica em trabalhadores de enfermagem. Métodos: Estudo transversal com 90 trabalhadores entre auxiliares, técnicos e enfermeiros. Dois instrumentos foram utilizados: o Work-Related Activities that may Contribute to Job-Related Pain and/or injury e Escala Visual Numé rica. Os dados foram analisados de forma descritiva e analítica, comparados por meio dos testes Qui-quadrado ou exato de Fischer, correlações de Pearson ou de Spearman e o Teste U de Mann-Whitney. O nível ...
Source: Acta Paulista de Enfermagem - December 3, 2019 Category: Nursing Source Type: research

Anti-infective medication administration errors by dose omission
Conclusion: The anti-infective medication administration error rate by dose omission was significant and higher than for the other groups of drugs, showing a higher incidence using the intravenous route and at times approaching changes of shifts. Safety barriers must be implemented, such as dose triple-checking (at the pharmacy, when the medication is received at the intensive care unit, and at the time of administration). Additionally, adequate drug scheduling, continuing education, and training programs for safe use of medications can be useful for preventing these errors. (Source: Acta Paulista de Enfermagem)
Source: Acta Paulista de Enfermagem - December 3, 2019 Category: Nursing Source Type: research

Clinical and metabolic alterations and insulin resistance among adolescents
Resumo Objetivo Analisar as altera ções clínicas, metabólicas e sua relação com a resistência à insulina entre adolescentes. Métodos Estudo analítico, realizado com 357 adolescentes de escolas públicas estaduais de um município do Nordeste brasileiro. O formulário aplicado continha as variáveis Índice de Massa Corpora l, Circunferência da Cintura, Circunferência do Pescoço, Índice de Conicidade, Pressão Arterial Média; Triglicerídeos, Glicemia, High — Density Lipoprote...
Source: Acta Paulista de Enfermagem - December 3, 2019 Category: Nursing Source Type: research

Nursing intervention based on Neuman's theory and mediated by an educational game
Resumo Objetivo Avaliar interven ção de enfermagem baseada na teoria de Betty Neuman mediada por jogo educativo no que tange à redução dos níveis de ansiedade e estresse vivenciados pelos usuários submetidos à revascularização miocárdica. Métodos Trata-se de estudo de intervenção, realizado com usuários em pré-oper atório de revascularização miocárdica, internados em hospitais de referência localizados na região Sudeste do Brasil. A amostra constituiu-se de 32 participante...
Source: Acta Paulista de Enfermagem - December 3, 2019 Category: Nursing Source Type: research

Prevalence of clinical complications high risk associated with AIDS death
Conclusion: The study showed the prevalence of high risk for the development of clinical complications, greater associative strength in LT-CD4 + indicators, opportunistic diseases and clinical manifestations with proposed risk score. These results suggest the need for special attention from specialized care services to outpatients. (Source: Acta Paulista de Enfermagem)
Source: Acta Paulista de Enfermagem - December 3, 2019 Category: Nursing Source Type: research

Risk factors associated to falls of hospitalized patients in medical-surgical clinics
Conclusion Main identified risk factors were: use of auxiliary devices, fall background, post-surgical status, walking difficulties, decreased strength on body extremities, impaired balance, impaired physical mobility, little-known setting, and insufficient non-slip flooring in bathrooms. (Source: Acta Paulista de Enfermagem)
Source: Acta Paulista de Enfermagem - December 3, 2019 Category: Nursing Source Type: research

Predictive value of ATRIA risk score for contrast-induced nephropathy after percutaneous coronary intervention for ST-segment elevation myocardial infarction
SUMMARY BACKGROUND: The AnTicoagulation and Risk factors In Atrial fibrillation (ATRIA) risk score used to detect the thromboembolic and hemorrhagic risk in atrial fibrillation patients has been shown recently to predict poor clinical outcomes in patients with acute myocardial infarction (ACS), regardless of having atrial fibrillation (AF). We aimed to analyze the relationship between different risk scores and contrast-induced nephropathy (CIN) development in patients with ACS who underwent urgent percutaneous coronary intervention (PCI) and compare the predictive ability of the ATRIA risk score with the MEHRAN risk score....
Source: Revista da Associacao Medica Brasileira - December 3, 2019 Category: General Medicine Source Type: research