Objetivo: Determinar o rendimento da Proteína Purificada Derivada (PPD) em comunicantes de tuberculose pulmonar ativa.Metodologia: Trata-se de um estudo descritivo, transversal e de abordagem quantitativa realizado em duas Unidades Básicas de Saúde localizadas em Belém-PA. Participaram da pesquisa 42 comunicantes de ambos os sexos. As informações foram colhidas por meio de um formulário estruturado, com perguntas fechadas e finalizadas com a realização da aplicação do PPD. Resultados: O rendimento do PPD apresentou 22 comunicantes (52,3%) positivos, 19 comunicantes (45,2%) negativos e 1 contato (2,3%) não retornou para a avaliação. Conclusão: A pesquisa demonstra que a maior parte dos comunicantes que realizam a prova tuberculínica podem estar infectados pelo Bacilo de Koch. Descritores: Tuberculose, Teste Tuberculínico, Tuberculose Latente THE EFFICIENCY OF TUBERCULIN TEST AMONG THE CONTACTS OF PEOPLE WITH PULMONARY TUBERCULOSIS IN BELÉM- PAObjective: To determine the efificiency of Derived Purified Protein (PPD) in active pulmonary TB patients. Methodology: This is a descriptive, cross-sectional study with a quantitative approach carried out in two Basic Health Units located in Belém-PA.Participated in the scientific study 42 contacts of both sexes, which the information was collected through a structured form, with closed questions and finalized with the implementation of the PPD. Results: The PPD efficiency presented 22 positive (52.3%) communicants, 19 negative (45.2%) and 1 contact (2.3%) did not return to the evaluation. Conclusion: Research shows that most contacts who perform the tuberculin test may be infected by Koch bacillus.Descriptors: Tuberculosis, Tuberculin Test, Latent Tuberculosis. LA RENDIMIENTO DEL TEST TUBERCULINICO ENTRE COMUNICANTES DE PORTADORES DE TUBERCULOSIS PULMONAR EN BELÉM-PAObjetivo: Determinar el rendimiento de la Proteína Purificada Derivada (PPD) en comunicantes de tuberculosis pulmonar activa. Metodología: Se trata de un estudio descriptivo, transversal y de abordaje cuantitativo realizado en dos Unidades Básicas de Salud ubicadas en Belém-PA. Participaron de la encuesta 42 comunicantes de ambos sexos. La información fue recogida a través de un formulario estructurado, con preguntas cerradas y finalizadas con la aplicación del PPD. Resultados: El ingreso del PPD presentó 22 comunicantes (52,3%) positivos, 19 comunicantes (45,2%) negativos y 1 contacto (2,3%) no regresó para la evaluación. Conclusión: La investigación demuestra que la mayor parte de los comunicantes que realizan la prueba tuberculínica pueden estar infectados por el Bacilo de Koch
Objective: This study aims to gather, characterize, evaluate and integrate studies that investigated the management of nursing care in the main clinical emergencies. Method: This is a review of national and international literature, which includes the analysis of research results that offer support to nurses in relation to conduct in the main clinical emergencies. Results: Among the most cited clinical emergencies in the articles, the management of nursing care in hypertensive crisis, hyperglycemic crisis, upper and lower gastrointestinal bleeding, acute pulmonary edema, burn patients and sepsis stand out. Final considerations: The study had limitations regarding the number of scientific articles specifically related to urgency and nursing care. Furthermore, it is concluded that nurses play a fundamental role in the prevention, diagnosis, treatment, evolution and stabilization of the clinical picture.
Objective: To analyze from scientific productions how technology with the insertion of Modified Obstetric Alert Scores (MEOWS) can support the health professional responsible for carrying out the reception and risk classification in obstetrics in maternity hospitals. Method: This is an integrative literature review that selected 20 articles in the MEDLINE, LILACS, SciELO and PUBMED databases, which were analyzed and the inclusion criteria applied: articles available in full, published in Portuguese, English and Spanish, that answered the research question. Results: The selected articles were grouped into thematic categories, 1) Nurse's role in welcoming with Obstetric Risk Classification; 2) Insertion of the Modified Obstetric Warning Scoring System (MEOWS) in the Obstetric Urgency and Emergency Unit; 3) Technology and its contribution to Nursing Care. Final considerations: The technology offers a better guarantee for patient safety, as it allows intervention and quick access to the obstetric care needed in the face of the evidenced risk.
Objectives: To know the ethical parameters in relation to the allocation of scarce resources in the midst of the pandemic. Method: This is an integrative literature review that included articles published in 2020, during the Covid-19 pandemic, in journals indexed in Lilacs and Scielo databases, available for free, and studies discussed in international bioethics forums focused on discussing ethical dilemmas during the pandemic. Results: There are strong justifications for the development and application of triage protocols in case the pandemic exceeds the capacity to provide intensive care to all patients. Conclusion: It is important that hospitals take immediate steps to develop a decision-making process, anticipate what will be the priority criteria in this pandemic moment and involve the ethics team in the institutions, in order to take the burden off the decision of health professionals, which are already overloaded.
Objective: to understand the knowledge of pregnant women about congenital syphilis from the perspective of the health education process in a primary health care unit of the Unified Health System. Methods: descriptive study with a qualitative approach, carried out in a Basic Health Unit in Belém, Pará, which interviewed 14 pregnant women. Data were interpreted according to the content analysis technique: pre-analysis; exploration of the material; treatment of results and interpretation. Results: from the participants' statements, three categories emerged: pregnant women's knowledge about congenital syphilis, health education about congenital syphilis in prenatal care and care and prevention of congenital syphilis. Conclusion: public policies are needed to sensitize women and partners and train professionals who provide prenatal care.
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