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Brasília de Minas, Brazil

Felli V.E.A.,University of Sao Paulo | da Silva E.J.,University of Brasilia | Torri Z.,University of Brasilia | Abreu A.P.,University of Brasilia | Branco M.T.A.,Hospital Universitario Of Brasilia
Revista Latino-Americana de Enfermagem | Year: 2013

Objective: To analyze the workloads, strain processes and sickness absenteeism among nursing workers from a teaching hospital in the Brazilian Central-West. Method: A descriptive and cross-sectional study was developed with a quantitative approach, based on the theoretical framework of the social determination of the health-disease process. Data were collected between January and December 2009, based on records of complaints related to occupational exposure among nursing professionals, filed in the software Monitoring System of Nursing Workers' Health. For the sake of statistical analysis, relative and absolute frequencies of the variables and the risk coefficient were considered. Results: 144 notifications of occupational exposure were registered across the analysis period, which represented 25% of the total nursing population at the hospital. The physiological and psychic workloads were the most representative, corresponding to 37% and 36%, respectively. These notifications culminated in 1567 days of absenteeism for disease treatment. Conclusions: The findings evidence the impact of occupational illnesses on the absenteeism of nursing workers, and can be used to demonstrate the importance of institutional investments in occupational health surveillance. © 2013 Revista Latino-Americana de Enfermagem. Source

Sousa J.B.,Hospital Universitario Of Brasilia
Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery | Year: 2012

Proficiency and competence of endoscopists is perhaps the mainstay of successful diagnostic and therapeutic colonoscopy. To analyze indications, diagnostic findings, and complications of colonoscopies performed by resident physicians in a university teaching hospital. Were analyzed 1,000 colonoscopies consecutively performed by fourth-year residents under direct supervision of experienced colonoscopists. Information on patients' demographic data, bowel preparation, indications for the procedure, success of the procedure, diagnostic findings, and complications were obtained. A total of 596 (59.6%) female and 404 (40.4%) male patients were examined. Age ranged from 3 to 99 years (mean 53.8 years). Bowel preparation was performed with 10% mannitol solution in 978 patients (97.8%), being considered appropriate in 97.6% of cases. Main indications were: diagnosis (56.4%), therapy (9.6%), screening (17.3%), and surveillance (22%). Cecal and ileocecal valve intubation rates were 90.3 and 58.6%, respectively. Colonoscopy was normal in 45.8% of cases. The most common diagnosis was diverticulosis (18.5%), followed by polyps (17%) and malignancies (6.8%). Findings consistent with an inflammatory process were identified in 122 patients (12.2%) and vascular abnormalities were detected in 11 patients (1.1%). Other diagnoses accounted for 3.9% of cases. There were two cases (0.2%) of complications (submucosal hematoma and bleeding), both after polypectomy, with no need for surgical intervention. The residents under supervision and guidance of specialists can perform colonoscopies with excellent success and low complication rates, with final results comparable to those achieved by fully trained endoscopists. Source

Lobo M.E.,Hospital Universitario Of Brasilia
BMJ case reports | Year: 2010

Stiff-person syndrome (SPS) is a rare neurological condition consisting of progressive and fluctuating rigidity of the axial muscles combined with painful spasms. The pathophysiology of SPS is not fully understood, but there seems to be an autoimmune component. The use of rituximab, a chimeric monoclonal antibody targeting CD20 protein in the surface of mature B cells, for the treatment of SPS is a recent therapeutical approach showing promising results. The authors present a case report of a 41-year-old female patient diagnosed with SPS who was treated with rituximab in a public hospital in Brasília, Brazil, showing a good and safe response to the treatment so far. Our data go along with some recent articles published in the literature. Source

Rodrigues F.F.,Federal University of Grande Dourados | Correa L.F.,Federal University of Grande Dourados | De Arruda T.B.,Federal University of Grande Dourados | Casulari L.A.,Hospital Universitario Of Brasilia
Ethnicity and Disease | Year: 2011

Objective: To evaluate the prevalence of metabolic syndrome in an indigenous Brazilian population. Methods: Indigenous Brazilians aged 18- 69 years from Jaguapiru Village, Dourados, MS were studied. Participants were selected by simple random sampling of 360 houses in the village. The abdominal circumference of the population was evaluated, and measurements <80 cm for females or <90 cm for males were considered normal. Capillary blood glucose levels by glucometer and oral glucose tolerance tests were measured, and, when necessary, total cholesterol, HDL cholesterol and triglyceride levels were assessed. Results: Of the 632 indigenous Brazilians in the study, 281 were males. We observed that 287 (45.4%) presented abdominal circumference values greater than normal; of those, 199 were women (43.4% of all women in the study) and 88 were men (26.1% of all men in the study). Conclusion: Metabolic syndrome is common in the Indian Jaguapiru Village. Source

Moura M.,Estudo Realizado Pela Coordenacao de Neurologia da Secretaria de Estado de Saude Do Distrito Federal | Casulari L.A.,Hospital Universitario Of Brasilia
Revista Panamericana de Salud Publica/Pan American Journal of Public Health | Year: 2015

Objective. To analyze the impact of a non-specific, decentralized treatment protocol for ischemic stroke in older individuals on the quality of the care provided in the public health care system (SUS, Sistema Único de Saúde) in the Federal District. Method. This retrospective historical control study employed data from the SUS Hospital Information System (SIH/SUS). Two time periods were compared: before and after the adoption of a protocol based on non-specific measures (medical therapy without alteplase) and decentralized care. A set of 2 369 admissions of patients older than 60 years with ischemic stroke was analyzed for the period of 2006/2007, and 5 207 admissions for 2010/2011. The variables were frequency, length of stay, mortality, lethality of ischemic stroke, intensive care unit (ICU) admission, and hospital reimbursement for ischemic stroke admissions. Effectiveness was evaluated based on mortality and lethality rates and efficiency was evaluated based on length of stay, use of ICU, and reimbursed amounts. Results. In the second time period, there was an increase of 119.8% in the number of ischemic stroke admissions (P = 0.0001), increase of 27.3% in absolute mortality, decrease of 5.0% in lethality rate (P = 0.02), and increase of 130.6% in ICU utilization rate (P = 0.0001). There was no difference between the periods regarding mean number of inpatient days and reimbursed amounts. Conclusions. The indicators used in the present study showed improved effectiveness of acute ischemic stroke treatment with the use of a non-specific, decentralized protocol. However, no impact was observed on efficiency. Source

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