Objective: to discuss the occurrence accidents with cutting and piercing material among nursing workers. Methods: this was a descriptive and exploratory research which was based on literature review. A selection of articles on the internet was through the descriptors related to the subject and interpretative reading of the material. Articles were included dissertations and books relating to issues. The collection of material for the study was conducted from July 2007 to July 2008. Results: the contents were organized in the following subject matters: Conditions of nursing work and the context of accidents with pierce-cutting materials; The health workers knowledge regarding the occupational accidents; Preventive measurements and treatment. Conclusion: it is verified that, most part of accidents happen because of inappropriate work conditions, with the existence of the following components: professional’s ignorance, working days, division and accumulation of unsatisfactory tasks, and others factors that predispose some workers to the risks of accidents with pierce-cutting materials and biological exposure. Descriptors: work accidents; nursing team; work conditions.
RESUMOO progresso tecnológico aliado a um crescimento demográfico sem precedentes trouxe riscos de exploração excessiva dos recursos e destruições irreversíveis ao patrimônio natural. A política ambiental vinculada a uma política econômica, nos pressupostos do desenvolvimento sustentável, deve ser essencialmente estratégia de risco destinada a minimizar o conflito entre desenvolvimento econômico e sustentabilidade ecológica. O presente trabalho apresenta um mapeamento tecnológico dos processos de biorremediação dentro do contexto da biotecnologia sustentável por meio de indicadores de patentes, utilizando o software de busca e análise de dados Orbit.Palavras chave: Biorremediação. Biotecnologia Sustentável. Patente. Mapeamento Tecnológico. ABSTRACTTechnological progress combined with a population growth brought unprecedented risks of overexploitation of resources and irreversible destruction to the natural patrimony. Environmental policy linked to an economic policy, the assumptions of sustainable development should be essentially risk strategy designed to minimize conflict between economic development and ecological sustainability. This paper presents a technology mapping of bioremediation processes within the context of sustainable biotechnology through patent indicators, using the software search and analysis of Orbit database.
68 Background: Complete and accurate medical record (MR) documentation is essential to quality of cancer patient care, whose complex health and social needs should be addressed during medical consultation. We aimed to evaluate the MR compliance before and after an engagement plan (EP) and an education meeting (EM) for oncologists. Methods: An integrated EP was designed to improve medical notes in a Brazilian cancer center. Firstly, a pool of 160 selected MR of patients with prevalent neoplasms was reviewed to identify frequently missed components. Based on this result, a set of MR documentation standards was developed and presented in an EM for oncologists. To verify its effect, a cross-sectional analysis was performed using 25 standard elements collected from randomized MR before and after the EM such as pathology report, cancer stage, medical history, treatment plan, patient comprehension, and initial psychological assessment. It was given particular emphasis to psychological assessment during the EM as a low documentation of it was identified after the first MR review. The variation of the proportions pre- and post-EM was assessed using the chi-square test. Results: A total of 850 elements were collected from 34 patients’ MR two months pre-EM and 950 elements of 38 patients’ MR two weeks after. Of these patients, pre-EM 18 were under intravenous (IV) therapy and 16 under oral antineoplastic therapy and, post-EM, 14 and 24 patients were under IV and oral therapy, respectively. Pre-EM, MR compliance of patients under oral therapy was 68% and for patients under IV therapy 78% (P = 0.0013). Post-EM, the difference between MR compliance of patients under oral and IV therapy was 6% (82% vs. 88%, P = 0.0167). Overall MR compliance pre-EM was 73% and post-EM 84% (P < 0.0001). Psychological assessment pre- and post-EM were 9% and 50% (P = 0.0002), respectively. Conclusions: Patients under IV therapy have a more accurate MR documentation than patients under oral therapy. Overall compliance of MR documentation was significantly improved after an EM, a part of an integrated EP. Psychological assessment documentation has not only improved, but it is expected that more attention has been given to this valuation by oncologists.
Neonatal jaundice is defined by a yellowish discoloration of the skin, conjunctiva, and sclera due to elevated serum or plasma bilirubin in the neonatal period. In most newborns it is an ephemeral, low-severity event. This event can be triggered, for example, by ABO and Rh factor incompatibility, glucose-6-phosphate dehydrogenase (G6PD) deficiency, and immaturity of liver metabolism processes. However, breastfeeding-associated neonatal jaundice stems from two different mechanisms: the direct effect of mature human milk inducing increased intestinal reabsorption of bilirubin and jaundice resulting from inadequate intake of human milk.
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