Influence Of Spirituality In Pediatric Cancer Management: A Systematic Review

Context: Pediatric cancer is a wide challenge for the patients, family and health care team. They must deal with anxiety, distress, and pain. Thereby, to find meaning for this journey, they use different coping strategies, among which, spirituality appears to be a way, providing well-being and hope.Objective: The purpose of this review was to analyze the influence of spirituality in childhood cancer care, involving biopsychosocial aspects of child, family, and health professionals facing cancer.Data Sources: To achieve this goal, a systematic review of literature was conducted via electronic databases Scopus, MEDLINE and PubMed using Medical Subject Headings (MeSH) terms: “spiritualityâ€, “neoplasm†and “pediatricâ€.Study Selection: Through this search it was found 65 articles. After analyzing them by abstract 13 met the eligibility criteria and were entirely read before included in the final sample.Data Extractions: sys Most of the studies stated that spirituality helps pediatric patients and their families to find a positive meaning from cancer experience, turning better the management of child. Besides, health practitioners may be able to facilitate this process working as a multidisciplinary team, providing to patient an unabridged care. Results: In this context, previous studies stated that when health care team respects patient’s spirituality their connection becomes stronger allowing confidence to take place, promoting treatment engagement. Spirituality also revealed to be a psychological support that acts improving life’s quality.Conclusion: So, it is necessary to promote a deep discussion about this topic since graduation, providing humanized care to child with cancer by qualified health practitioners

Ebola: an international public health emergency

The outbreak of Ebola in West Africa could become one of the worst infectious-disease-driven humanitarian crises of recent times. With more than 3000 deaths since the first case was confirmed in March 2014, the international community has recognized Ebola as a public health emergency of international concern and a clear threat to global health security. The complexity of dealing with this Ebola outbreak has highlighted the need for traditional actors, such as WHO and the CDC, to embrace the wider health and humanitarian community. The epidemic reinforces the need for nations to investment in health infrastructure and disease surveillance to keep pace with other developments in Africa. If Ebola arrives in high-income and middleincome nations, it should be contained quickly. The crisis shows the importance of sufficient levels of multilateral funding for WHO. The world needs a strong WHO, with the financing and political influence to fulfil its historic mission

Rastreio de tuberculose nos funcionários de um Hospital Distrital

RESUMO: INTRODUÃÃO â após terem surgido dois casos com baciloscopias positivas em funcionários do Hospital Distrital de Oliveira de Azeméis em 1996, foi feito um rastreio de tuberculose em todos os profissionais desse Hospital.MATERIAL E MÃTODOS â foi afixado um aviso em todos os Serviços solicitando aos funcionários a realização da prova de tuberculina. Esta foi efectuada mediante injecçãao intra-dérmica de 2 unidades PPD (RT 23), por um único profissional de enfermagem. Aderiram à prova de Mantoux 202 dos 241 funcionários.Em todos os funcionários que referiram sintomas respiratórios (tosse e expectoração), foi efectuada telerradiografia de torax e baciloscopias em amostras após coloração pelo metodo de Ziebl-Neelsen e exame cultural em meio de Lowenstein-Jensen (exames realizados em 27 funcionários).RESULTADOS â foram encontrados 11 easos de tuberculose-infecção em indivíduos com menos de 35 anos (tendo 9 feito tratamento com terapêutica trip la durante dois meses) e 6 casos de tuberculose pulmonar com baciloscopias positivas e confirmados no exame cultural.CONCLUSÃES â do estudo realízado concluiu-se que a incidência de tuberculose pulmonar nos funcionários do Hospital Distrital de Oliveira de Azeméis em 1996 foi de 2,54%, o que corresponde aproximadamente ao triplo da incidência na população em geral da área em questão.REV PORT PNEUMOL 1998; IV (2): 147- 153 ABSTRACT: BACKGROUND: After two cases of Pulmonary Tuberculosis were found in healthcare workers of a Regional Hospital in Portugal a study was done to determine the incidence of Tuberculosis in health-workers of the Oliveira de Azeméis Hospital in 1996.METHODS: An information-note was affixed in all Services asking all the workers to do the Tuberculin-test. An intradermic injection of 2 U. of PPD (RT 23), by one trained nurse was done in 202 of 241 health-workers that joined the study.In all workers that reported respiratory symptoms, a thoracic radiograph, sputum bacteriologic analyses with Ziehl-Neelsen coloration and culture in Lowenstein- Jensen were done.RESULTS: 11 cases of Tuberculosis-infection has been reported by the tuberculin tests. 9 of them were treated with triple therapy during two months. 6 cases of Pulmonary Tuberculosis confirmed by the presence of AAR bacilus in sputum and a positive culture in Lowenstein-Jensen were found.CONCLUSIONS: In this study, we concluded that the incidence of Pulmonary Tuberculosis in healt-heare workers of the Oliveira de Azemeis Hospital in 1996 was 2,54%, that corresponds to the triple of the incidence in the general population of the area at the same time.REV PORT PNEUMOL 1998; IV (2): 147-153 Key-words: Tuberculosis, Healthcare workers, Tuberculin-test, Portugal, Palavras-chave: Tuberculose, Profissionais de saúde, Funcionários de um hospital, Rastreio, Portuga