Training Nurses for the Cardiopulmonary Resuscitation of the Adult and Older Adult in a Surgery Service

Health organizations must have nurses qualified to respond to people’s different problems, which also include advanced skills in approaching people in cardiac arrest. Early and adequate intervention by nurses in emergency situations prevent health complications in adults and the older adult, as well as guarantees better future conditions for their well-being and for a healthier aging process. Aims: To evaluate nurses’ perception of the difficulties in assisting people with Cardiorespiratory Arrest; evaluate the effectiveness of continuous training to overcome difficulties in assisting people with Cardiorespiratory Arrest. Methodology: A descriptive, correlational and longitudinal study was performed, using a quantitative approach. Data collection was performed trough questionnaire was applied to 21 nurses from a Surgery Service. Results: The results of the study indicated that the training had an impact on improving the performance of the nursing team. The performance in Cardiopulmonary Resuscitation was highlighted through the consolidation of knowledge by the sample, improving the training of nurses. Conclusions: We conclude that in-service training is an essential contribution to the training of nurses in Cardiorespiratory Arrest contexts, cooperating to update knowledge and develop skills adapted to increasingly technological and complex environments. Considering that nurses are the professionals who detect Cardiorespiratory Arrest earlier, there is an indisputable need to carry out continuous training and implement strategies based on scientific evidence to improve the skills of clinical practice. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.info:eu-repo/semantics/publishedVersio

Robotic assisted deep brain stimulation neurosurgery: first steps on system development

The advantages of Deep Brain Stimulation (DBS) lead to an increasing number of stereotactic DBS surgeries, which are extensive procedures that require extreme precision and steadiness of tool handling. Robotic manipulators known for their consistency, movement precision and steadiness have the potential to be remarkable tools to assist the neurosurgeons and can refine the quality/working conditions, while improving surgery outcome. Currently, robotic systems for stereotactic neurosurgeries with simple/pragmatic low budget solutions that fulfil the surgeons' needs are not yet available. Thus, we have been asked to develop such robotic system. In this paper we present our first steps toward such endeavour. Specifically, we implemented a simulation environment for robotic assisted DBS neurosurgery that allows emulating several hardware setups within the operating room, and to test and assess their performance. The simulator is useful not only as tool for developing specialized control applications, but also for training clinicians. First results support the viability of the sought solution and open way to future developments.This work has been partially financed by projects FP7 Marie Curie ITN - NETT (project no 289146), FCT FCOMP-01-0124-FEDER-022674 and Pest-C/MATUI0013/2011 (FCT grant ref. UMINHO/BIC/8/2012)

Papa Bem dos 6 aos 12 meses

A coleção "Papa Bem: Alimentar e Educar" inclui 40 fichas.Este Projeto é financiado por fundos nacionais Portugueses através da Fundação para a Ciência e a Tecnologia, QREN e COMPET

Alimentos e porções para crianças de 1 a 5 anos

Este Projeto é financiado por fundos nacionais Portugueses através da Fundação para a Ciência e a Tecnologia, QREN e COMPETE

Família Papa Bem

Este Projeto é financiado por fundos nacionais Portugueses através da Fundação para a Ciência e a Tecnologia, QREN e COMPETE

Papa Bem dos 3 aos 5 anos

Este Projeto é financiado por fundos nacionais Portugueses através da Fundação para a Ciência e a Tecnologia, QREN e COMPETE

Guia rápido para compras saudáveis

Este Projeto é financiado por fundos nacionais Portugueses através da Fundação para a Ciência e a Tecnologia, QREN e COMPETE

Papa Bem dos 0 aos 6 meses

A coleção "Papa Bem: Alimentar e Educar" inclui 40 fichas.Este Projeto é financiado por fundos nacionais Portugueses através da Fundação para a Ciência e a Tecnologia, QREN e COMPETE

Papa Bem dos 12 aos 36 meses

A coleção "Papa Bem: Alimentar e Educar" inclui 40 fichas.Este Projeto é financiado por fundos nacionais Portugueses através da Fundação para a Ciência e a Tecnologia, QREN e COMPET

Systematic Review and Correlations with HPV Status and Patient Survival

Funding: This study was financially supported by the Virology Laboratory from the Pathology Department of the Portuguese Oncology Institute of Lisboa IUIC/1168, with contributions by the Research Center of the Portuguese Oncology Institute of Porto (project no. PI86-CI-IPOP-66-2017), by Base Funding-UIDB/00511/2020 of the Laboratory for Process Engineering, Environment, Biotechnology, and Energy—LEPABE—funded by national funds through the FCT/MCTES (PIDDAC), and Project 2SMART-engineered Smart materials for Smart citizens, with reference NORTE-01- 0145-FEDER-000054, supported by Norte Portugal Regional Operational Programme (NORTE 2020) under the PORTUGAL 2020 Partnership Agreement through the European Regional Development Fund (ERDF).PIK3CA mutations are believed to contribute to the pathogenesis of human papillomavirus (HPV)-associated head and neck squamous cell carcinomas (HNSCC). This study aims to establish the frequency of PIK3CA mutations in a Portuguese HNSCC cohort and to determine their association with the HPV status and patient survival. A meta-analysis of scientific literature also revealed widely different mutation rates in cohorts from different world regions and a trend towards improved prognosis among patients with PIK3CA mutations. DNA samples were available from 95 patients diagnosed with HNSCC at the Portuguese Institute of Oncology in Lisbon between 2010 and 2019. HPV status was established based on viral DNA detected using real-time PCR. The evaluation of PIK3CA gene mutations was performed by real-time PCR for four mutations (H1047L; E542K, E545K, and E545D). Thirty-seven cases were found to harbour PIK3CA mutations (39%), with the E545D mutation (73%) more frequently detected. There were no significant associations between the mutational status and HPV status (74% WT and 68% MUT were HPV (+); p = 0.489) or overall survival (OS) (3-year OS: WT 54% and MUT 65%; p = 0.090). HPV status was the only factor significantly associated with both OS and disease-free survival (DFS), with HPV (+) patients having consistently better outcomes (3-year OS: HPV (+) 65% and HPV (-) 36%; p = 0.007; DFS HPV (+) 83% and HPV (-) 43%; p = 0.001). There was a statistically significant interaction effect between HPV status and PIK3CA mutation regarding DFS (Interaction test: p = 0.026). In HPV (+) patients, PIK3CA wild-type is associated with a significant 4.64 times increase in the hazard of recurrence or death (HR = 4.64; 95% CI 1.02-20.99; p = 0.047). Overall, PIK3CA gene mutations are present in a large number of patients and may help define patient subsets who can benefit from therapies targeting the PI3K pathway. The systematic assessment of PIK3CA gene mutations in HNSCC patients will require further methodological standardisation.publishersversionpublishe