Calil A.M.,Centro Universitario Sao Camilo
Revista brasileira de enfermagem | Year: 2010
The aim of the present study was to think the Oncology Course in the baccalaureate nursing curriculum pointing relevant issues about its introduction, considering professional training and qualification, labor market demand and a critical reflection about nurse's professional competences. Score is also the role of technology in helping training and education of new health professionals.
Volpini M.M.,Centro Universitario Sao Camilo
Einstein (São Paulo, Brazil) | Year: 2013
To define the nutritional profile of institutionalized elderly individuals. Comparative correlation and quantitative field study conducted in a Long-Stay Institution in Sao Paulo (SP), Brazil, between December 2010 and January 2012. To define nutritional diagnosis, data were collected from patient files, such as body mass index, circumferences, triceps skinfold, muscle area of the arm, thickness of the adductor pollicis, handgrip strength, and biochemical test results. The anthropometric variables were presented as mean, standard deviation, and percentages, and were grouped by gender and stratified by age. The level of statistical significance was p<0.05. One hundred and two elderly individuals were selected, and 84 were females. Excess weight was the most common anthropometric diagnosis in men (n=11; 61%), with the detection of protein depletion in those aged 70 years, and possible cases of sarcopenic obesity. All women were in good health conditions (n=84; 100%). However, in 27% (n=23) of them, protein depletion was evident. More anthropometric studies are necessary which would allow a definition of local reference standards, stratified by gender and age group. The difference between populations and factors, such as inclusion and exclusion criteria, and methodological characteristics, limit the use of international standards, interfering in the reliability of the nutritional diagnosis.
Duarte L.A.,Centro Universitario Sao Camilo
Revista Neurociencias | Year: 2013
Objective. To describe the pathology of Friedreich's Ataxia and correlate its clinical aspects to the study of affected nervous structures in this disease. Method. The search for materials was carried out during July-2011 to January-2013. The materials were published in Portuguese, English, French or Spanish and were sought in digital databases without restriction on publication date. Also were used books of author's personal collection. Results. In FA some nervous cells degenerate, especially kinesthetic sensory fibers. The central lesions occur in the cerebellum, where the lesions are in the cortex, the vermis and the dentate nucleus; in the brainstem, where there is greater involvement in spinocerebellars tracts, and lower in vestibular nucleus and vagus nerve nucleus; in the spinal cord, where degeneration occurs in the posterior funiculi and espinocerebelares and corticospinal tracts; in the PNS, where there is degeneration in large caliber myelinated fibers; and the sense organs. Conclusion. The knowledge of neuroanatomical and clinical aspects are essential for professionals in health, in view of the importance of this nosological entity and its complex and multifactorial clinical condition.
Marques Filho J.,Centro Universitario Sao Camilo
Revista brasileira de reumatologia | Year: 2011
Informed consent is a mandatory document in human subject research protocols. Its principles have been recently established in the history of Medicine, and the first official document to establish the need for an informed consent from the research subject was the Nuremberg Code (1947). All following documents confirmed that the informed consent is mandatory in human subject research. However, the informed consent, which represents patients' autonomy or self-determination regarding their relationship with their physicians, took a while to be included in medical care practice and medical deontology codes. The convenience of using the informed consent in medical practice is widely discussed today, especially in rheumatology. Our opinion is that the obligation of a signed informed consent provided by the patient for every medical procedure is neither reasonable nor practical. It should be used for more invasive or risky therapeutic procedures. We understand that the informed consent does not guarantee that the patient has been fully informed, which is an essential condition for the current rheumatological practice. Its adoption in routine medical care practice would make medical intervention bureaucratic, and, thus, quite different from the Hippocratic view, which considered the trustful physician-patient relationship fundamental for an adequate medical care practice.
Da Cunha A.M.C.A.,Centro Universitario Sao Camilo
Mundo da Saude | Year: 2011
The Lean methodology has been largely studied and used by companies worldwide. It seeks to eliminate the process waste by rendering speed and reducing the total time of the service provided, while improving the result quality. This paper aims at evaluating the applicability of using the Lean methodology in a hospital laundry. A case study was employed with a quantitative research by developing the implementation project of the Lean methodology in the work process of a hospital laundry. The result was the creation of a continuous flow by standardizing the processes that allowed the inventories to be reduced, improved the productivity and decreased the lead time. All the resulting improvements directly impacted on reducing the costs involved in the processing of hospital clothes. Although the quantification of the results justifies the methodology application to develop improvement projects, the main and higher gain is changing behaviors and attitudes of the employees in a favorable environment that allows everybody to express their competencies totally by means of a continuous improvement view.