Introdução: A sindrome mao-pe (SMP) ou eritrodisestesia palmopalmar e uma reacao cutanea toxica decorrente da quimioterapia antineoplasica, que ocorre com frequencia e constitui importante problema clinico ao individuo com neoplasia maligna. O desenvolvimento da SMP pode levar a interrupcao do tratamento e, com frequencia, a reducao da dose do quimioterapico. Objetivo: Analisar os dados clinicos e epidemiologicos de pacientes com SMP tratados com quimioterapia. Método: Estudo descritivo e retrospectivo, com coleta de dados realizada entre janeiro de 2013 e janeiro de 2014 em prontuarios utilizando-se do registro de toxicidades dos antineoplasicos e da Escala de Performance Status do Eastern Cooperative Oncology Group. Resultados: Foram analisados 250 prontuarios. Destes, 70 realizaram tratamento quimioterapicos e 15 (21,4%) apresentaram SMP, com toxicidade grau 1 apos uso de dois ciclos de capecitabina (13,3%); grau 2 apos dois, quatro e ate 12 ciclos de tratamento (40%); grau 3 apos cinco e 11 ciclos de capecitabina (20%); e, em grau 4, um paciente apresentou toxicidade apos dois ciclos de capecitabina e outro, apresentou SMP apos dois ciclos de doxorrubicina lipossomal (13,3%). Conclusão: O tratamento com quimioterapia causa alto risco de apresentar SMP. No entanto, mostrou baixa incidencia dessa sindrome em pacientes com cancer que fazem tratamento com capecitabina, doxorrubicina e citarabina.
Introduction: breast cancer is the leading cause of death among Brazilian women, 57 120 new cases are expected in 2015. Therefore, there is the need for strategic actions aimed at prevention and early diagnosis. Health education is an action directed on the knowledge of people, and this process helps to reduce cancer morbidity and mortality statistics. Objective: to identify the knowledge level of students in relation to breast cancer, its risk factors and how to prevent them. Material and methods: this is a quantitative, descriptive and exploratory research. Healthcare academics at Federal University of Sergipe conducted a presentation targeted to high school students from public schools, dramatizing real situations, emphasizing prevention and early diagnosis of breast cancer, and after that, they performed data collection using a questionnaire related to breast cancer prevention. Ethical issues were followed according to Resolution 466/12 of the National Health Council. Results: the sample consisted of 185 students, mostly female, between 18 to 20 years old, attending high school. In the last three years, 80.5% reported having received information on breast cancer; 53% received information on breast self-examination. Even after receiving knowledge about the prevention of breast cancer, 61.1% did not perform the breast self-examination; among the ones who did it, 64.9% did not find changes in the breast. Knowledge and awareness of women about breast cancer seem to be related to the delay in diagnosis and also in adherence to screening practices. Conclusion: most people received information about breast cancer, but do not use it correctly. Even though not being able to change some risk factors such as age and family history, the information about prevention is useful for women to know their risks and can take a conscious attitude to early detection. MÉD UIS. 2016;29(1):37-44.
Objective: To evaluate the occurrence of hematological and functional toxicities during chemotherapy with doxorubicin and cyclophosphamide in women with breast invasive ductal carcinoma. Methods: This was a descriptive, cross-sectional and quantitative study, involving the data collection in clinical records of 119 women undergoing chemotherapy for breast invasive ductal carcinoma in an oncology outpatient clinic, carried out between February 2014 and February 2015. Results: The investigated toxicities and their respectively occurrences in patients exposed to doxorubicin and cyclophosphamide were hemoglobinemia (26,5%), leukopenia (21,6%), neutropenia (10,8%), thrombocytopenia (none) and reduced hematocrit (28,4%), in addition to fatigue (93,1%), fever (20,6%), gain (35,3%) and weight loss (22,5%). In these variables, there were no significant differences between the exposed and not exposed patients. The association with taxanes showed a significant reduction in hematocrit values (p=0.019) and the toxicities distributed by age group were not significant within the exposed group. Conclusions: Exposure to doxorubicin and cyclophosphamide was not associated with an increase in the occurrence of hematotoxicities and functional impacts in women with breast ductal invasive carcinoma, except when associated with taxane agents.
Santos MP, Sousa LB de.Pré-carnaval educativo sobre infecções sexualmente... Português/InglêsRev enferm UFPE on line., Recife, 11(12):5116-21, dec., 2017 5116 ISSN: 1981-8963 ISSN: 1981-8963 https://doi.org/10.5205/1981-8963-v11i12a23503p5116-5121-2017 ABSTRACT Objective: to report the experience of conducting a workshop with adolescents about Sexually Transmitted Infections. Method: qualitative, descriptive study, type of experience report, about the execution of a workshop, with a qualitative approach, with the presence of 34 students from the Gastronomy course group. The age group of these adolescents was, on average, 18 years old. For the data collection, a field diary was used, where two nurses made notes about their perceptions about the behavior and the expressions of the adolescents. Results: the theme of the workshop was "Pouting with Teens about Sexually Transmitted Infections." The workshop made it possible for teenagers to express their thoughts and construct knowledge, having as their own doubts. From each question, a discussion led by the nurse was generated. Conclusion: it is necessary to go beyond the construction of knowledge, it is necessary that the adolescent really learn, delineate beneficial attitudes and adopt behaviors favorable to health. Descriptors: Nursing; Sexual Health; Health Education; Adolescent. PRÉ-CARNAVAL EDUCATIVO SOBRE INFECÇÕES SEXUALMENTE TRANSMISSÍVEIS COM ADOLESCENTES ESCOLARES EDUCATIONAL PRE-CARNIVAL ON SEXUALLY TRANSMITTED INFECTIONS WITH SCHOOL ADOLESCENTS PRE-CARNAVAL EDUCATIVO SOBRE INFECCIONES SEXUALMENTE TRANSMISIBLES CON ADOLESCENTES ESCOLARES RESUMENObjetivo: relatar la experiencia de la conducción de un taller con adolescentes acerca de las Infecciones Sexualmente Transmisibles. Método: estudio cualitativo, descriptivo, tipo relato de experiência, acerca de la ejecución de un taller, de abordaje cualitativo, con la presencia de 34 alumnos de la clase del curso de Gastronomía. El grupo de edad de estos adolescentes era, en promedio, de 18 años. Para la recolección de datos, se utilizó un diario de campo, donde dos enfermeros hacían anotaciones en cuanto a sus percepciones acerca del comportamiento y de las expresiones de los adolescentes. Resultados: el tema del taller fue << Charlando con adolescentes sobre Infecciones Sexualmente Transmisibles >>. El taller posibilitó a los adolescentes expresar pensamientos y construir conocimiento, teniendo como norte sus propias dudas. A partir de cada pregunta, se generaba una discusión guiada por el enfermero. Conclusión: hay que ir más allá de la construcción del conocimiento, es necesario que el adolescente realmente aprenda, delinee actitudes benéficas y adopte comportamientos favorables a la salud. Descriptores: Enfermería; Salud Sexual; Educación en Salud; Adolescente.
Introdução: O tratamento precoce do câncer infantojuvenil possibilita um prognostico significativo para o paciente, aumentando a sobrevida e diminuindo os riscos de complicações oncológicas, o que torna imperiosa a sua instituição o mais rápido possível. Objetivo: Analisar os fatores associados a instituição precoce do tratamento oncológico na população pediátrica brasileira. Método: Estudo ecológico, com dados de casos de todos os tipos de câncer diagnosticados no Brasil de 2013 a 2019, na população infantojuvenil (0 a 19 anos), disponibilizados no PAINEL-Oncologia. Resultados: Foram incluídos 39.711 casos, dos quais 29.381 (74%) realizaram o tratamento oportuno, isto e, 30 dias antes do prazo máximo estipulado pela Lei Federal no. 12.732/12. Entre os principais fatores associados ao maior tempo até a chegada a instituição terapêutica, destacam-se: neoplasias malignas, com modalidade terapêutica não cirúrgica, residentes da Região Norte, entre 11 e 19 anos, e neoplasias que acometem os olhos e o Sistema Nervoso Central. Conclusão: Os achados deste estudo apontam dados essenciais, em consonância com a literatura, para visualização da situação atual do tratamento oncológico na população infantojuvenil no Brasil, ao mesmo tempo que demostram problemáticas que, se solucionadas, podem contribuir significativamente para a queda da morbimortalidade.
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