GRADO DE CUMPLIMIENTO DEL FORMATO F1-PIVUPSVI/02 Y ANÁLISIS DE LA RELACIÓN DE SUS CRITERIOS EN PACIENTES DE TERAPIA INTENSIVA DE UN HOSPITAL DE SEGUNDO NIVEL DE ATENCIÓN

In a population of 40 patients of a Hospital of Second Level of Care, the grade of compliance of the F1-PIVUPSVI / 02 format obtained a low overall compliance. It was found a finding a significant dependence between the academic degree and the compliance degree. It can be observed a slight increase in compliance according to the academic degree. Among the nine criteria, bag level, id and connected drainage was the most complied, and those of low compliance were hygienic and guidance measures. In terms of category, specialists in nursing report better compliance, the general nurses and graduates in nursing achieve the least compliance. Intensive therapy ranked first in compliance. For the inferential analysis, chi squared was applied, finding a significant dependence between the criteria for reporting data on urinary tract infection and the performance of hygienic measures on the patient. Carrying out hygienic measurements to the patient with the recording of the probe. As well as the counseling measures provided to the patient and relative to the record of functioning of the probe.Infections associated with bladder catheterization are in third place among the causes of morbidity, considering that millions of bladder catheterizations are performed globally for diagnosis and treatment. Therefore, the objective of this investigation is to determine the grade of compliance of the Intensive Therapy Form F1-PIVUPSVI / 02 ("Prevention of urinary tract infections in patients with bladder catheter installed"). The design of applied research was quantitative. Type of study is descriptive, transverse, correlational and observational

As políticas públicas de atendimento à crianca e ao adolescente vítimas de violência doméstica

This is a qualitative study that aimed to know and analyze the social representations of social workers regarding the assistance to the child and adolescent, victims of domestic violence. The data collection was carried out through semi-structured interviews and participant observation. The data analysis was based on the hermeneutic-dialectic perspective. The empirical categories that emerged from the subjects' representations were: "lack of policy", "do not support because have not received support", and "social assistance" whereas the political economic aspect was highlighted as determinant of violence; the cultural aspects, perpetuating a cycle of violence in the families. An important step must be taken is the formulation of public policies directed to all children and adolescents and not policies of exception, directed only to those who are in situation of "social and personal risk".Se trata de un estudio con aproximación cualitativa que buscó conocer y analizar las representaciones sociales de los trabajadores sociales acerca de la atención al nino y al adolescente víctimas de violencia doméstica. Para la recolecta de los datos, utilizamos entrevistas semiestructuradas y observación participante. El análisis de los datos se inspiró en la hermenéutica dialéctica. Las categorías empíricas que emergieron de las representaciones de los sujetos fueron: "ausencia de política", "no coger en los brazos porque no fue cogido" y "atención social" sobresaliendo el aspecto político-económico como determinante de la violencia; los aspectos culturales, perpetuando un ciclo de la violencia en las familias. Un paso importante que se debe dar es la formulación de políticas públicas para todos los niños y adolescentes y no políticas de excepción, solamente para aquellos en situación de "riesgo personal y social".Trata-se de um estudo de abordagem qualitativa que buscou conhecer e analisar as representações sociais dos trabalhadores sociais em torno do atendimento à criança e ao adolescente vítimas de violência doméstica. Para coleta dos dados, utilizamos entrevistas semi-estruturadas e observação participante. A análise dos dados inspirou-se na hermenêutica dialética. As categorias empíricas que emergiram das representações dos sujeitos foram: "ausência de política", "não dar colo porque não teve colo" e "atendimento social", sobressaindo o aspecto político-econômico como determinante da violência e os aspectos culturais, perpetuando um ciclo de violência nas famílias. Um passo importante que deve ser dado é a formulação de políticas públicas para toda criança e adolescente e não políticas de exceção, somente para aqueles em situação de "risco pessoal e social"

Use of organo-montmorillonite for the nitrate retention in water: Influence of alkyl length of loaded surfactants

The removal of NO3− from water was performed and compared among four organo-montmorillonites (OMt) with quaternary amine surfactants of different chain lengths [octadecyl trimethyl-(ODTMA), hexadecyl trimethyl-(HDTMA), tetradecyl trimethyl-(TDTMA) and dodecyl trimethyl-ammonium (DDTMA)] and loadings [100%, 200%, 400% of the Mt cation exchange capacity (CEC)]. The maximum adsorption of NO3− was attained by the long chain length surfactants (64 and 100 mg NO3− ions per gram of OMt, for HDTMA and ODTMA, respectively) with initial loading of 400% with respect to the CEC of Mt. The short chain length surfactants (DDTMA and TDTMA) did not show adsorption of NO3− except for TDTMA 400 sample. The NO3− adsorption produced a slight expansion of the interlayer thickness of the OMt samples loaded with long-chain surfactants that was assigned to the entrance of NO3− by a synergic effect with these surfactants. The decrease of the negative zeta potential, found for OMt samples relative to that of Mt sample, was attributed to the surfactant chain length rather than to the actual surfactant loaded amounts, which allowed attaining positive zeta potential values for the OMt loaded with long-chain surfactants. The NO3− adsorption on OMt samples caused a slight decrease in the positive zeta potential values, reflecting the external surface coating by NO3−. For long-chain molecules, this behaviour also indicated the formation of greater interactions such as ion pairs between the positive polar group of the surfactant and NO3− ions.Fil: Jaworski, María Angélica. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Investigación y Desarrollo en Ciencias Aplicadas "Dr. Jorge J. Ronco". Universidad Nacional de la Plata. Facultad de Ciencias Exactas. Centro de Investigación y Desarrollo en Ciencias Aplicadas; Argentina. Universidad Nacional de La Plata. Facultad de Ingeniería; ArgentinaFil: Flores, Federico Manuel. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Centro de Tecnología de Recursos Minerales y Cerámica. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Tecnología de Recursos Minerales y Cerámica; ArgentinaFil: Fernandez, Mariela Alejandra. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Centro de Tecnología de Recursos Minerales y Cerámica. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Tecnología de Recursos Minerales y Cerámica; ArgentinaFil: Casella, Mónica Laura. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Investigación y Desarrollo en Ciencias Aplicadas "Dr. Jorge J. Ronco". Universidad Nacional de la Plata. Facultad de Ciencias Exactas. Centro de Investigación y Desarrollo en Ciencias Aplicadas; ArgentinaFil: Torres Sanchez, Rosa Maria. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Centro de Tecnología de Recursos Minerales y Cerámica. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Tecnología de Recursos Minerales y Cerámica; Argentin

Synthesis and characterization of adsorbents for the elimination of nitrates and bromates from water aiming to develop a continuous oxyanion water elimination system

It is known that the excess of oxyanions such as NO 3 and BrO 3 in drinking water affects its quality. In this work, three adsorbents (montmorillonite (Mt), silica (Si), and diatomaceous earth) loaded with hexadecyl- (H) and octadecyl-trimethylammonium (O) were used to remove these oxyanions from aqueous solutions by adsorption. In batch systems, the highest NO 3 removal was obtained with Mt modified with H and O (Mt-H and Mt-O), attaining 33% and 50%, respectively, while for BrO 3 removal Si modified with H and O, Si-H and Si-O samples, reached 38% and 42%, respectively. A direct relationship between the adsorption capacity of NO 3 and BrO 3 and the mass of the adsorbent was found in column filtration tests with Mt-O and Mt-H samples in standard solution and real groundwater samples. The adsorption capacity of the column, in the groundwater sample, remained constant after two reuses.The results obtained are promising for the development of a continuous oxyanion removal system containing the low-cost clay Mt modified with either H or O.Fil: Azaro, M.. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas; Argentina. Universidad Nacional de La Plata; ArgentinaFil: Flores, Federico Manuel. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Centro de Tecnología de Recursos Minerales y Cerámica. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Tecnología de Recursos Minerales y Cerámica; ArgentinaFil: Casella, Mónica Laura. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Investigación y Desarrollo en Ciencias Aplicadas "Dr. Jorge J. Ronco". Universidad Nacional de la Plata. Facultad de Ciencias Exactas. Centro de Investigación y Desarrollo en Ciencias Aplicadas; ArgentinaFil: Peroni, B.. Universidad Nacional de La Plata; Argentina. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas; ArgentinaFil: Rodríguez, C.. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas; ArgentinaFil: Torres Sanchez, Rosa Maria. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Centro de Tecnología de Recursos Minerales y Cerámica. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Tecnología de Recursos Minerales y Cerámica; ArgentinaFil: Jaworski, María Angélica. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Investigación y Desarrollo en Ciencias Aplicadas "Dr. Jorge J. Ronco". Universidad Nacional de la Plata. Facultad de Ciencias Exactas. Centro de Investigación y Desarrollo en Ciencias Aplicadas; Argentin

Assistência ambulatorial geriátrica: hierarquização da demanda

In Brazil, the rapid growth of the elderly population has been causing a great impact on the healthcare system, with increased costs and service utilization. The inefficiency of traditional models for geriatric healthcare has made it essential to change the healthcare concepts for this population. This can take place through the development of new healthcare models that include the means to identify, assess and treat elderly patients with a variety of morbid and functional conditions, and which can be applied diverse healthcare scenarios. An outpatient model is proposed, with two stages that differ in the depth and coverage of their actions. These stages are organized as increasing levels of complexity and are capable of selecting subgroups of individuals that, because of their risk characteristics, should follow different paths through the healthcare structure. This paper discusses the first stage of this model, which involves risk identification among large groups of elderly people, by means of structuring a hierarchical flow of actions and using assessment tools of adequate sensitivity and specificity. Individuals aged 65 years or over who are detected through walk-in outpatient consultation, home visits or telephone interview are classified using a rapid screening risk evaluation instrument composed of eight items. Depending upon the level of risk presented, the individual will either be referred to another level of functional evaluation (medium-high and high risk levels), or to normal clinical care and old people's community centers (low and medium risk levels). The second stage will be the subject of a subsequent paper.No Brasil, o rápido crescimento da população de idosos vem produzindo grande impacto no sistema de saúde, com elevação dos custos e da utilização dos serviços. A ineficiência dos modelos tradicionais de assistência ao idoso torna imprescindível a mudança no paradigma de atenção à saúde dessa população, por meio do desenvolvimento de novos modelos de atenção que incorporem a identificação, a avaliação e o tratamento de idosos com perfis mórbidos e funcionais variados, passíveis de serem aplicados nas diversas modalidades assistenciais. Propõe-se um modelo ambulatorial, em duas etapas, que se diferencia pela profundidade e abrangência das ações, organizadas em níveis crescentes de complexidade e capazes de selecionar subgrupos de indivíduos que, por suas características de risco, devem progredir, diferenciadamente, na estrutura de atenção. Descreve-se a primeira etapa, que pressupõe a captação e identificação de risco de grandes grupos de idosos, por meio de um fluxo hierarquizado de ações e o uso de instrumentos de avaliação com sensibilidades e especificidades adequadas. O indivíduo com 65 anos ou mais, captado por demanda espontânea ambulatorial, captação domiciliar ou busca telefônica, é classificado segundo avaliação de risco, denominada Triagem Rápida, composta de oito itens. Dependendo do risco encontrado, o indivíduo será encaminhado para acompanhamento clínico usual e atividades em centros de convivência de idosos (risco baixo e médio) ou para outra etapa da avaliação funcional (riscos médio-alto e alto). A segunda etapa será tema de artigo posterior

Malaria in pregnant women living in areas of low transmission on the southeast Brazilian Coast: molecular diagnosis and humoural immunity profile

Key words: autochthonous malaria -pregnancy -molecular diagnostic techniques -humoural -immunity -asymptomatic infections Pregnant women and children are the main groups at risk of acquiring malaria worldwide. Every year, 125 million women from endemic countries become pregnant. In areas of low transmission for Plasmodium falciparum, pregnant women have little or no immunity against the disease and usually suffer severe episodes of malaria. In areas of high or moderate transmission, there are significant levels of acquired immunity and the effects on the mother and foetus are less severe. Although malaria caused by P. falciparum in pregnant women has been widely investigated, the interaction of this cohort with Plasmodium vivax and Plasmodium malariae requires a more comprehensive approach. The World Health Organization (WHO) recommends four antenatal care visits, including malaria tests. However, this criterion depends on the local conditions and specific orientations for each are

AD205-2201-ADA6-Inclout App

En el presente trabajo de estudio se desarrolló el proceso correspondiente de una validación de idea de negocio, el cual tiene como nombre “Inclout”, esta es una app que brinda el servicio de asesoría especializada a aquellas personas que sientan esa necesidad de resolver y acertar en la elección de prendas de vestir para distintas ocasiones con el uso de prendas propias y/o en la orientación de compra inteligente para la elección del outfit adecuado de acuerdo a la ocasión. Esta aplicación está dirigida a hombres y mujeres de 18 a 35 años del nivel socioeconómico A y B de Lima Metropolitana. Durante el proceso de investigación se utilizaron las fuentes primarias, utilizando entrevistas y experimentos para conocer las necesidades del público objetivo para el proyecto a elaborar. Luego será validado por herramientas tales como el Business Model Canvas, el perfil del cliente entre otros. Es importante detallar que los pasos mencionados líneas anteriores permitieron realizar las mejoras filtradas por parte del público objetivo. Como paso final se elaboró el plan financiero del proyecto con un periodo de tres años con el fin de determinar la potencialidad del servicio a ofrecer al público. Es por ello, que se tomó en cuenta los números importantes en todo el proyecto tales como la inversión inicial, los gastos a incurrir, pronósticos de ventas entre otros aspectos importantes para la adecuada ejecución a un periodo de corto plazo.In the present study work, the corresponding process of a business idea validation was developed, which has the name "Inclout", this is an app that provides the specialized advisory service to those people who feel that need to solve and hit in the choice of clothing for different occasions with the use of their own garments and/or in the intelligent purchase orientation for the choice of the appropriate outfit according to the occasion. This application is aimed at men and women from 18 to 35 years of socioeconomic level A and B of Metropolitan Lima. During the research process, primary sources were used, using interviews and experiments to meet the needs of the target audience for the project to be developed. It will then be validated by tools such as the Business Model Canvas, the customer profile, among others. It is important to detail that the steps mentioned above allowed the improvements filtered by the target audience to be made. As a final step, the financial plan of the project was prepared with a period of three years in order to determine the potential of the service to be offered to the public. For this reason, important numbers were taken into account throughout the project, such as the initial investment, expenses to be incurred, sales forecasts, among other important aspects for proper execution in a short-term period.Trabajo de investigació

Early surgery with neuraxial anaesthesia in patients on chronic antiplatelet therapy with a proximal femur fracture : Multicentric randomised clinical trial

Background: Patients with proximal femur fracture on antiplatelet treatment benefit from early surgery. Our goal was to perform early surgery under neuraxial anaesthesia when indicated by the platelet function test. Methods: We conducted a multicentre randomised open-label parallel clinical trial. Patients were randomised to either early platelet function-guided surgery (experimental group) or delayed surgery (control group). Early surgery was programmed when the functional platelet count (as measured by Plateletworks) was >80 × 10 /L. The primary outcome was the emergency admission-to-surgery interval. Secondary outcomes were platelet function, postoperative bleeding, medical and surgical complications, and mortality. Results: A total of 156 patients were randomised, with 78 in each group, with a mean (SD) age of 85.96 (7.9) years, and 67.8% being female. The median (IQR) time to surgery was 2.3 (1.5-3.7) days for the experimental group and 4.9 (4.4-5.6) days for the control group. One-third of patients did not achieve the threshold functional platelet count on the first day of admission, requiring more than one test. There was no difference in clinical outcomes between groups. Conclusions: A strategy individualised according to the platelet function test shortens the time to proximal femur fracture surgery under neuraxial anaesthesia in patients on chronic antiplatelet treatment. Better powered randomised clinical trials are needed to further evaluate the clinical impact and safety of this strategy

Síndrome de DRESS asociado al uso de vancomicina en un paciente hospitalizado: reporte de caso

Introducción: el síndrome de DRESS es una reacción de hipersensibilidad inducida por fármacos, difícil de diagnosticar. Usualmente se manifiesta clínicamente por una alteración hematológica consistente en un aumento de los eosinófilos y síntomas sistémicos, además por tratarse de una patología potencialmente letal se debe diagnosticar y tratar tempranamente. Caso clínico: se describe el caso de un paciente masculino que ingresa por fractura de tibia y peroné con requerimiento de osteosíntesis que posteriormente se retiró. En los días siguientes reingresó con cuadro de 3 días de evolución consistente en picos febriles, edema y dolor en herida 8/10 en la escala análoga del dolor de la Organización Mundial de la Salud (OMS). Se hace diagnóstico de osteomielitis en tibia y tejidos blandos, iniciando antibioticoterapia empírica con vancomicina. Dos semanas después del tratamiento presenta un nuevo cuadro clínico caracterizado por edema en rostro, afección cutánea, aumento del porcentaje y conteo absoluto de los eosinófilos en sangre. Conclusión: se diagnostica síndrome de DRESS causado por vancomicina y se inicia tratamiento con corticoides y antihistamínicos

Predictors of functional impairment and awareness in people with dementia, mild cognitive impairment and healthy older adults from a middle-income country

ObjectiveTo investigate the demographic, clinical and cognitive correlates of functional capacity and its awareness in people with dementia (PwD; n = 104), mild cognitive impairment (PwMCI; n = 45) and controls (healthy older adults; n = 94) in a sample from a middle-income country.MethodsDementia and MCI were diagnosed, respectively, with DSM-IV and Petersen criteria. Performance in activities of daily living (ADL) at three different levels [basic (The Katz Index of Independence), instrumental (Lawton instrumental ADL scale) and advanced (Reuben’s advanced ADL scale)], measured through self- and informant-report, as well as awareness (discrepancy between self- and informant-report), were compared between groups. Stepwise regression models explored predictors of ADL and their awareness.ResultsPwD showed impairment in all ADL levels, particularly when measured through informant-report. No differences were seen between controls and PwMCI regardless of measurement type. PwD differed in awareness of instrumental and basic, but not of advanced ADL, compared to controls. Age, gender, education and fluency were the most consistent predictors for ADL. Diagnosis was a significant predictor only for instrumental ADL. Awareness of basic ADL was predicted by memory, and awareness of instrumental ADL was predicted by general cognitive status, educational level, and diagnosis.ConclusionResults reinforce the presence of lack of awareness of ADL in PwD. Use of informant-reports and cognitive testing for fluency are suggested for the clinical assessment of ADL performance. Finally, assessment of instrumental ADL may be crucial for diagnostic purposes