A laparoscopia como tratamento para hérnias diafragmáticas pós-traumáticas / Laparoscopy as treatment of post-traumatic diaphragmatic hernias

Objetivo: avaliar o status quo da aplicação do tratamento laparoscópico de hérnias diafragmáticas pós-traumáticas em adultos. Métodos: revisão narrativa da literatura, na qual foi feita busca eletrônica em bancos de dados de artigos e publicações relacionadas ao tratamento laparoscópico de hérnias diafragmáticas pós-traumáticas em adultos, através dos bancos de dados MEDLINE (PubMed), SciELO, LILACS e ScienceDirect. Foram excluídas publicações que abordassem sobre hérnias diafragmáticas de origem não-traumática, hérnias não diafragmáticas e pesquisas em animais. Resultados: mediante a pesquisa com os descritores indicados e busca manual em bancos de dados, foram analisados os títulos e resumos e, com a aplicação dos critérios de exclusão, foram eleitos 19 artigos para serem analisados por este estudo. Finalmente, os artigos foram estudados e analisados com o fim de identificar o status quo da aplicação do tratamento laparoscópico de hérnias diafragmáticas pós-traumáticas em adultos. Conclusão: a literatura disponível descreve o tratamento laparoscópico de hérnias diafragmáticas pós-traumáticas em adultos como um método seguro que, quando bem indicado, tem como vantagens uma diminuição do trauma cirúrgico local e um menor tempo de recuperação, promovendo com sucesso a redução dos tecidos herniados e reparo do assoalho diafragmático. Finalmente, destacamos que a TC é descrita como o exame de imagem de predileção para a detecção de rupturas diafragmáticas, sendo dever do médico suspeitar dessas lesões quando se tratando de traumas com rápida desaceleração (dessa forma promovendo uma diminuição da incidência de diagnósticos tardios)

The nurse in the management of materials in teaching hospitals

OBJECTIVETo present the nurse's integration within materials management of six teaching hospitals of Paraná - Brazil, and to describe the activities performed by nurses within this process.METHODA study of a qualitative approach and descriptive nature, conducted in teaching hospitals in Paraná, between June and August of 2013. The data collection was conducted through semi-structured interviews with eight nurses who worked in materials management; data were analyzed using content analysis.RESULTSThese showed that nurses perform ten categories of activities, distributed into four of the five steps of the materials management process.CONCLUSIONThe nurse, in performing of these activities, in addition to favoring the development of participative management, contributes to the organization, planning, and the standardization of the hospital supply process, giving greater credibility to the work with professionals who use the materials, and to the suppliers

Frequency of CDH1 germline variants and contribution of dietary habits in early age onset gastric cancer patients in Brazil

Introduction The contribution of CDH1 germline variants to gastric cancer burden among young adults is unknown in Brazil. We aimed to evaluate the frequency of CDH1 germline variants and the diet/lifestyle habits in early age onset gastric cancer (EOGC, A, c.387G>T, c.1676G>A, and c.1806C>A. The MLPA results revealed no rearrangements and CDH1 transcription analysis for variants of interest were inconclusive. EOGC patients had a higher red (OR:2.6, 95%CI:1.4-4.9) and processed (OR:3.1, 95%CI:1.6-6.0) meat intake and higher fruit consumption (OR:0.4, 95%IC:0.3-0.7) compared to eating habits of the Brazilian population. Conclusions No unequivocal pathogenic germline CDH1 variants were identified in Brazilian EOGC patients. Dietary habits may be associated with the EOGC development

Ways to Measuring Quality of Life in Mental Health

As quality is of life considered as a measure of clinical outcome that prioritizes client assessment itself and the effects of a disease, a life change or a treatment has on their daily life and their level of satisfaction and well-being, their evaluation allows obtain a safe parameter for implementing clinical interventions that may have more positive impact on the lives of these people. It is believed that investigate the QoL of a given population is a strategy that will enable to broaden the understanding of the problems experienced by patients in order to facilitate effective future interventions, improving the quality of lived days. This information can also be used to identify patients at higher risk of problems and thus anticipate interventions, contributing to health promotion thereof. Nevertheless, there is currently a growing interest in transforming the QoL in a quantitative measure. To this end, the measurement of quality of life through the perception of the patient has been recommended. Some studies indicate that the measurement of quality of life the mental patient is an indicator of the care he receives and that this issue should be included in the assessment and care planning. There are few studies witch accessed the influence of health intervention on patients ‘quality of life, anxiety, and depressive symptom levels. With this brief contribution, we hope can deepen discussion regards public health and mental wellbeing, as well as the options of measurement instruments to assess mental health interventions and thus able to gather more arguments to answer the following question: What`s the best way for measuring quality of life in Mental health

Educomunicação, Transformação Social e Desenvolvimento Sustentável

Esta publicação apresenta os principais trabalhos dos GTs do II Congresso Internacional de Comunicação e Educação nos temas Transformação social, com os artigos que abordam principalmente Educomunicação e/ou Mídia-Educação, no contexto de políticas de diversidade, inclusão e equidade; e, em Desenvolvimento Sustentável os artigos que abordam os avanços da relação comunicação/educação no contexto da educação ambiental e desenvolvimento sustentável