<pre> </pre><pre><strong>Purpose:</strong> Determine the prevalence of injuries due to dislocation in the primary dentition and the associated sequelae in children treated at Pediatric Dentistry Clinic of the School of Pharmacy, Dentistry and Nursing, Federal University of Ceará. <strong>Material and</strong> <strong>Methods:</strong> The research protocol was reviewed and approved by the Institutional Research Ethics Committee Medical School of the Federal University of Ceará, Fortaleza, Ceará, Brazil. It was conducted through a transversal retrospective observational investigation. Data were collected from the medical records from 2000 to 2014. We use the statistical analysis software SPSS (Statistical Packacge for the Social Sciences) 17.0 for Windows. <strong>Results:</strong> The sample consisted of 52 patients, totaling 75 traumatized primary teeth. The average age at injury was 37.6 months and the most affected gender was male (65.4 %). Most injuries occurred at home (57.7 %) and consequently to fall from height (73%). The most common type of dislocation for injury was intrusion (53.3 %) and color change (42.7%), pulp necrosis (37.3 %) and obliteration of the root canal (13.3%) the most frequent sequelae. <strong>Conclusions: </strong>The high prevalence of sequelae (74.7 %) shows that proper treatment should happen at right time in order to reduce the occurrence of sequelae.</pre><pre><strong><br /></strong></pre><pre><strong>KEYWORDS</strong></pre><pre><strong><br /></strong></pre><pre> Deciduous teeth; Sequelae; Tooth injuries.</pre>
Objetivo: Mensurar a incidência de lesão por pressão (LP) em usuários internados em unidades críticas de uma instituição pública de referência no sudoeste da Bahia. Método: Estudo longitudinal prospectivo. Os dados foram coletados entre junho e agosto de 2017, por meio de entrevista direta, prontuário, prescrição médica e inspeção da pele do participante. Resultados: Dos 83 participantes, 39 (47%) desenvolveram LP. A média de permanência no estudo foi de 6,8 dias. A maioria era do sexo masculino, de cor preta ou parda e tinha baixa escolaridade. A média de idade foi de 47,6 anos (±19,8). Foi evidenciado que o uso contínuo de drogas vasoativas e sedoanalgesia está associado à LP. Trinta e dois (38,55%) participantes apresentaram alto risco para desenvolvimento de LP. A região calcânea (44%) foi a mais acometida. O número de lesões por participante foi de 1,28, em média, predominando lesões no estágio 1 (68%). A ocorrência de desfecho desfavorável (óbito) foi estatisticamente significativa. Conclusão: O caráter multifatorial de surgimento das LP requer a adoção de medidas institucionais focadas na prevenção deste evento adverso, devendo fazer parte do processo de educação permanente dos profissionais.
BACKGROUND AND OBJECTIVES: The sensation of pain is essential for life, and its assessment in critical non-contacting patients can be performed using validated scales. The Behavioral Pain Scale is a highly accurate tool that has been widely used in this group of patients. This study aimed to describe and characterize pain and the use of analgesia in the emergency or intensive care service. METHODS: This was a cross-sectional study with a quantitative approach with 67 critically ill patients unable to verbalize their pain perception, who were hospitalized in the emergency service or Intensive Care Units of a public hospital in Vitória da Conquista, Bahia from April to July 2017. Clinical and epidemiological data were collected using the medical record and then applied to the Behavioral Pain Scale for pain assessment. RESULTS: There was a predominance of male patients (47/70.1%). Three groups were identified based on the use of sedatives and analgesics: patients taking sedatives and analgesics combined, only analgesia, and those without any sedation or analgesia. We observed ascending Behavioral Pain Scale scores in all groups during tracheal suction, but the same did not occur with the physiological parameters. CONCLUSION: The study proposes the adoption of pain assessment scales in critical patients, such as the Behavioral Pain Scale, as well as the use of protocols for analgesia management, and consequently improve the quality of care and patient's recovery.
RESUMOObjetivo: verificar o conhecimento dos discentes do curso de enfermagem acerca da norma regulamentadora 32 e as condutas pré e pós exposição a materiais biológicos, além de identificar a situação vacinal dos discentes. ABSTRACT Objective: to ascertain nursing students' knowledge of Regulatory Standard 32 and conduct pre-and post-exposure to biological materials, in addition to identifying their vaccination status. Method: in this descriptive, quantitative, cross-sectional study, data were collected using a questionnaire, from 163 students at Southwest Bahia State University, Jequié, between August and September 2014, and were analyzed using the Statistical Package for Social Sciences (SPSS, 21.0). The study was approved by the Research Ethics Committee (Opinion No. 242.588/2013, CAAE: 04830812.7.0000.0055). Results: only 34% reported knowledge of NR 32; hepatitis B immunization rates were low (only 22.7% performed the anti-HBs test); and only one of the students exposed to biological materials had performed care according to the Ministry of Health protocol. Conclusion: nursing students are at risk in their practical activities, where greater need can be seen for teaching to address biosafety. Keywords: Occupational health; nursing students; occupational risks; exposure to biological agents. RESUMENObjetivo: verificar el conocimiento de los estudiantes del curso de enfermería acerca de la norma reguladora 32 y las conductas pre y post exposición a materiales biológicos, además de identificar la situación de vacunación de los alumnos. Método: Estudio cuantitativo descriptivo de corte transversal. La recolección de datos fue realizada, en la Universidad Estadual del Sudoeste de Bahía, Jequié, entre agosto y septiembre de 2014 junto a 163 alumnos. Se utilizó un cuestionario y se efectuó un análisis a través del programa Statistical Package for Social Sciences/SPSS, 21.0. Estudio aprobado por el Comité de Ética en Investigación, dictamen nº 242.588/2013, CAAE: 04830812.7.0000.0055. Resultados: sólo el 34% relató conocer la NR 32; bajos índices de inmunización contra la hepatitis B, pues sólo el 22,7% realizó el examen anti-Hbs; y sólo uno de los estudiantes que sufrieron exposición a materiales biológicos realizó atención en conformidad con el protocolo del Ministerio de Salud. Conclusión: los estudiantes de enfermería son susceptibles en el campo práctico, donde se percibe una mayor necesidad en el abordaje sobre bioseguridad en el contexto de enseñanza. Palabras clave: Salud laboral; estudiantes de enfermería; riesgos laborales; exposición a agentes biológicos. Biossegurança sob a ótica dos graduandos de enfermagem IntroduçãoA saúde do trabalhador tem por objetivo compreender as relações entre trabalho e o processo saúde/ doença, visando à promoção e proteção da saúde e a redução dos danos às pessoas que estão submetidas a riscos e agravos durante o desenvolvimento de suas atividades laborais Os trabalhadores da área da saúde estão expostos a inúmeros riscos ocupacionais causados por agentes físicos, químico...
Objectives: To describe the knowledge of nursing teachers of a nursing course on Norm 32 and on postexposure practices to biological materials and to identify the vaccination status of these teachers. Method: Quantitative descriptive cross-sectional study. Data was collected between September and October 2014, using a questionnaire and analyzed using the SPSS statistical software 21.0. The participants were 35 nursing teachers. Results: 71.4% were female; 100% claimed to have knowledge on biosecurity; 51.4% knew Norm 32; 71.4% were immunized for hepatitis B; 22.9% had accidents involving biological material; only 14.3% cited washing the injury with water and soap after the occurrence of an accident. Conclusion: It was evidenced that there is a weakness in the teachers' knowledge regarding biosafety actions. 22,9% tenían accidentes con material biológico; sólo el 14,3% citó lavado con agua y jabón lesión ante la ocurrencia de un accidente. Conclusión: Se demostró que hay una debilidad en el conocimiento de los profesores en relación con las acciones de bioseguridad. Descriptors
Objectives: Measuring the incidence of pressure injury (PI) in users hospitalized in critical units of a public reference institution in southwestern Bahia. Method: Prospective longitudinal study. Data were collected between June and August of 2017, through a direct interview, medical records, medical prescription and inspection of the participant’s skin. Results: Of the 83 participants, 39 (47%) developed PI. The medium stay in the study was 6.8 days. Most of them were male, black or brown and had low schooling. The mean age was 47.6 years (± 19.8). It was evidenced that the continuous use of vasoactive drugs and sedoanalgesia is associated with PI. Thirty- two (38.55%) participants presented a high risk for PI development. The calcaneal region (44%) was the most affected. The number of lesions per participant was 1.28, on average, with lesions in stage 1 (68%) predominating. The occurrence of an unfavorable outcome (death) was statistically significant. Conclusion: The multifactorial character of the emergence of PI requires the adoption of institutional measures focused on the prevention of this adverse event, and should be part of the process of permanent education of professionals.
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