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Marília, Brazil

Pivatelli F.C.,Servico de Hemodinamica e Cardiologia Intervencionista Do Hospital de Base | Dos Santos M.A.,Servico de Hemodinamica e Cardiologia Intervencionista Do Hospital de Base | Fernandes G.B.,Curso de Enfermagem | De Abreu L.C.,Federal University of ABC | And 7 more authors.
International Archives of Medicine

Background: Decreased heart rate variability (HRV) is related to higher morbidity and mortality. In this study we evaluated the linear and nonlinear indices of the HRV in stable angina patients submitted to coronary angiography. Methods. We studied 77 unselected patients for elective coronary angiography, which were divided into two groups: coronary artery disease (CAD) and non-CAD groups. For analysis of HRV indices, HRV was recorded beat by beat with the volunteers in the supine position for 40 minutes. We analyzed the linear indices in the time (SDNN [standard deviation of normal to normal], NN50 [total number of adjacent RR intervals with a difference of duration greater than 50ms] and RMSSD [root-mean square of differences]) and frequency domains ultra-low frequency (ULF) ≤ 0,003 Hz, very low frequency (VLF) 0,003 - 0,04 Hz, low frequency (LF) (0.04-0.15 Hz), and high frequency (HF) (0.15-0.40 Hz) as well as the ratio between LF and HF components (LF/HF). In relation to the nonlinear indices we evaluated SD1, SD2, SD1/SD2, approximate entropy (-ApEn), α1, α2, Lyapunov Exponent, Hurst Exponent, autocorrelation and dimension correlation. The definition of the cutoff point of the variables for predictive tests was obtained by the Receiver Operating Characteristic curve (ROC). The area under the ROC curve was calculated by the extended trapezoidal rule, assuming as relevant areas under the curve ≥ 0.650. Results: Coronary arterial disease patients presented reduced values of SDNN, RMSSD, NN50, HF, SD1, SD2 and -ApEn. HF ≤ 66 ms§ssup§2§esup§, RMSSD ≤ 23.9 ms, ApEn ≤-0.296 and NN50 ≤ 16 presented the best discriminatory power for the presence of significant coronary obstruction. Conclusion: We suggest the use of Heart Rate Variability Analysis in linear and nonlinear domains, for prognostic purposes in patients with stable angina pectoris, in view of their overall impairment. © 2012 Pivatelli et al.; licensee BioMed Central Ltd. Source

da Silva N.M.,Hospital do Circulo Operario | Waterkemper R.,Federal University of Health Sciences, Porto Alegre | da Silva E.F.,Curso de Enfermagem | Cordova F.P.,Area Tecnica de Saude da Crianca e Aleitamento Materno | Bonilha A.L.,Federal University of Rio Grande do Sul
Revista brasileira de enfermagem

This is a descriptive study, with a qualitative approach, aimed to identify the knowledge of puerperal women on exclusive breastfeeding. Data were collected between September-October 2011, through semi-structured interview. Thirteen puerperal women, interned in a rooming unit of a public institution in the city of Caxias do Sul-RS, participated in the study. Data analysis was performed using thematic analysis. From the interpretation of information three categories emerged: the knowledge about exclusive breastfeeding, the breastfeeding process and the influences of received information. Even getting information from health professionals in the prenatal period, it is possible to understand that there is a need to improve communication and monitoring of mothers, as a continuity of professional care in the postpartum period, and also later, in the remote. Source

Parreira J.G.,Disciplina de Cirurgia de Urgencia | Perlingeiro J.A.G.,Disciplina de Cirurgia de Urgencia | Solda S.C.,Disciplina de Cirurgia de Urgencia | Assef J.C.,Disciplina de Cirurgia de Urgencia | And 23 more authors.
Revista do Colegio Brasileiro de Cirurgioes

Objective: to analyze the implementation of a trauma registry in a university teaching hospital delivering care under the unified health system (SUS), and its ability to identify points for improvement in the quality of care provided. Methods: the data collection group comprised students from medicine and nursing courses who were holders of FAPESP scholarships (technical training 1) or otherwise, overseen by the coordinators of the project. The itreg (ECO Sistemas-RJ/SBAIT) software was used as the database tool. Several quality “filters” were proposed to select those cases for review in the quality control process. Results: data for 1344 trauma patients were input to the itreg database between March and November 2014. Around 87.0% of cases were blunt trauma patients, 59.6% had RTS>7.0 and 67% ISS<9. Full records were available for 292 cases, which were selected for review in the quality program. The auditing filters most frequently registered were laparotomy four hours after admission and drainage of acute subdural hematomas four hours after admission. Several points for improvement were flagged, such as control of overtriage of patients, the need to reduce the number of negative imaging exams, the development of protocols for achieving central venous access, and management of major TBI. Conclusion: the trauma registry provides a clear picture of the points to be improved in trauma patient care, however, there are specific peculiarities for implementing this tool in the Brazilian milieu. © 2015, Colegio Brasileiro de Cirurgioes. All rights reserved. Source

Ferreira L.S.,Curso de Enfermagem | Pinho Md.o S.,Curso de Enfermagem | Pereira M.W.,Federal University of Santa Maria | Ferreira A.P.,Nucleo Interdisciplinar de Pesquisa
Revista brasileira de enfermagem

Aging exposes the individuals to a number of limitations, such as the physical, nutritional and cognitive, which can cause them to hospitalization in long-stay institutions. In this study, it was aimed to evaluate to evaluate the cognitive profile of elderly institutionalized through three instruments. Sixty institutionalized elderly people in long-stay institutions underwent assessment through the Mini Mental State Examination (MMSE), the Trail Making Test and the Clinical Dementia Rating. It was found that the percentage of seniors with cognitive impairment by the MMSE was 30% of the sample, being more prevalent in women (36.2% of cognitive loss) compared to men (7.7% of cognitive loss). There was no consistency between the results obtained by the MMSE with the other instruments tested. Source

Gama G.G.G.,Curso de Enfermagem | Mussi F.C.,Federal University of Bahia | Pires C.G.S.,Federal University of Bahia | Guimaraes A.C.,Federal University of Bahia
Ciencia e Saude Coletiva

The study described beliefs and behavior patterns related to causes and control measures of coronary artery disease (CAD). A hundred adults in an outpatient clinic in Salvador in the state of Bahia were interviewed. The results were analyzed via the qualitative analysis technique. It predominantly involved married and unemployed black men, aged <60 years, with low schooling and income. The average beliefs on the cause of CAD was 1.53 per participant and blamed behavioral, biological, relational and religious factors, and represented excesses related to dayto-day tensions and eating habits. Most of the participants did not consider the disease to be chronic and believed that treatment would be temporary and they would be cured. The average beliefs for control measures were of 1.45, with dietary measures and medication. A sedentary lifestyle was the norm and reducing smoking and alcohol, using less salt and saturated fat in the preparation of meals, consuming white meat, cooked and industrialized food was seen as the answer. Only 66% complied with medical prescriptions. Lack of understanding of the causes and control measures of CAD makes the implementation of medical care, better living and health conditions and self-care essential. Source

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