A student's guide to Middle English

http://www.ester.ee/record=b1217973*es

Social and regional varieties of present-day English

http://www.ester.ee/record=b1293368*es

An introduction to English phonetics for the Estonian learner

http://www.ester.ee/record=b1355649*es

Alteraciones fisiológicas de la piel percibidas por gestantes asistidas en servicios públicos de salud

OBJETIVO: Descrever as alterações de pele percebidas por gestantes durante o período gestacional e verificar o grau de incômodo que tais modificações provocaram. MÉTODOS: Estudo descritivo exploratório com participação de 124 gestantes, de quatro unidades básicas de saúde da região Leste de São Paulo. RESULTADOS: A maioria das gestantes (91,1 %), percebeu mudanças na pele, durante o período gestacional, No total, foram registradas 345 alterações fisiológicas. As alterações mais citadas foram as manchas, alterações vasculares e estrias. A maioria relatou desconforto em razão dessas alterações. CONCLUSÃO: O conhecimento sobre as alterações permite ao profissional de saúde não subvalorizar esta problemática nem tampouco investir em intervenções desnecessárias.OBJECTIVE: To describe skin changes perceived by pregnant women during the gestation period and verify the level of discomfort caused by those changes. METHODS: Is a descriptive study involving 124 pregnant women in four basic health units in the eastern region of Sao Paulo. RESULTS: Most women (91.1%) perceived skin changes during the period of gestation. In total, 345 physiological alterations were recorded. The alterations most frequently cited were: skin spots, vascular changes and grooves. The majority of them reported discomfort due to those changes. CONCLUSION: The knowledge about the alterations allows the health professional to not undervalue these problems and to not invest in unnecessary interventions.OBJETIVO: Describir las alteraciones de piel percibidas por gestantes durante el período de gestación y verificar el grado de incomodidad que esas modificaciones provocaron. MÉTODOS: Estudio descriptivo exploratorio con participación de 124 gestantes en cuatro unidades básicas de salud de la región Este de Sao Paulo. RESULTADOS: Durante el período de gestación la mayoría de las gestantes (91,1 %) percibió cambios en la piel. En total, fueron registradas 345 alteraciones fisiológicas. Las alteraciones más citadas fueron: manchas, alteraciones vasculares y, estrías. La mayoría relató incomodidad debido a esas alteraciones. CONCLUSIÓN: El conocimiento sobre las alteraciones le permite al profesional de la salud no subvalorizar esta problemática ni invertir en intervenciones desnecesarias

REDESCRIPTION OF SEIRA OCEANICA YOSII, 1960 (COLLEMBOLA: ENTOMOBRYIDAE)

REDESCRIPTION OF SEIRA OCEANICA YOSII, 1960 (COLLEMBOLA: ENTOMOBRYIDAE

COLLEMBOLA ASSOCIATED WITH GRASSES IN THE GROUNDS OF THE UNIVERSITY OF PUERTO RICO AT MAYAGÜEZ

COLLEMBOLA ASSOCIATED WITH GRASSES IN THE GROUNDS OF THE UNIVERSITY OF PUERTO RICO AT MAYAGÜE

NINE NEW RECORDS OF COLLEMBOLA (INSECTA) FROM PUERTO RICO AND THE FIRST RECORD OF THE ORDER FROM TORTOLA, BRITISH WEST INDIES

NINE NEW RECORDS OF COLLEMBOLA (INSECTA) FROM PUERTO RICO AND THE FIRST RECORD OF THE ORDER FROM TORTOLA, BRITISH WEST INDIE

FIRST TWO RECORDS OF PROTURA (INSECTA) FROM THE DOMINICAN REPUBLIC WITH SYNOPSES OF BOTH SPECIES

FIRST TWO RECORDS OF PROTURA (INSECTA) FROM THE DOMINICAN REPUBLIC WITH SYNOPSES OF BOTH SPECIE

A students guide to Middle English

http://www.ester.ee/record=b1317245*es

Utility of chemoport in paediatric oncological patients, a surgical perspective.

INTRODUCTION : A totally implantable access device or ‘chemoport’ is a small medical appliance that is installed beneath the skin. A catheter connects the port to a central vein with a large inflow of blood. Under the skin, the port has a septum through which drugs can be injected and blood samples can be drawn repeatedly, usually with far less discomfort for the patient than a more typical "needle stick". Ports are used mostly to treat oncology and hematology patients, but recently ports have been adapted also for hemodialysis patients. But, in our institute we use it for various paediatric oncological diseases. In this retrospective study, we try to study the number of patients who underwent chemoport insertions, the duration for which the chemoport was in situ and the number of patients who successfully completed chemotherapy. We have also tried to study the chemoport related complications and reasons for removal of the chemoports. AIM/OBJECTIVES : To assess the utilization, indications for insertion, removal and risk factors responsible for the premature removal of the chemoports. MATERIALS AND METHODS : All children who underwent chemoport insertion between January 2007 and December 2013 were included in this study. This was a retrospective study. The details of eligible patient were obtained from the clinical work station and centenary block operation register. Data were analysed using 2*2 tables for odd’s ratio and chi square test was employed to know the significance of the risk factors with the use of SPSS software version 1.6. RESULTS : 239 children were studied for the period between January 2007- December 2013. 69 of the children had completed treatment, 97 were still undergoing chemotherapy, 32 had complications like infection, thrombosis, extravasation, broken catheter and hematoma, deaths were seen in 17 children with chemoport in situ and 24 were lost to follow up. The median duration for which chemoport remained in situ including those with complications was 273 days. Amongst the risk factors leading to premature removal of the chemoport studied namely; pre insertion chemotherapy, duration of surgery, seniority of the surgeon, serum albumin, prothrombin time, INR, Platelet count, total count and absolute neutrophil count at insertion. Absolute neutrophil count was the sole factor that reached statistical significance with a P value of 0.03. CONCLUSION : Chemoport is a good tool for vascular access in paediatric cancer patients requiring long term chemotherapy Chemoports are not without complications. The most common complications are infectious complications amounting to 10.87% of our study population. Absolute neutrophil count <500 cells/microlitre is a strong predictor of complications with chemoport at any stage of chemotherapy