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Introduction Eosinophilic gastroenteritis (EGE) is a rare idiopathic disease that can affect one or more organs of the digestive tract. It has an estimated incidence of 1–20 cases per 100,000 patients. Klein et al. classified EGE into 3 subtypes: predominant mucosal, muscular, or subserosal. Clinical Case We report a case of a 32-year-old woman, who presented with diffuse abdominal pain, nausea, postprandial infarction, diarrhea, and moderate ascites of three-week evolution. The rest of physical examination did not show alterations. The past medical history was unremarkable. Laboratory test results revealed peripheral blood eosinophilia. Abdominal CT scan revealed diffuse and concentric parietal thickening of the distal 2/3 of esophagus, moderate volume ascites, and small bowel wall thickening and distension on the left quadrants. The paracentesis revealed 93.3% of eosinophils. The colon biopsies evidenced an increase in the number of eosinophils. Secondary causes of eosinophilia were excluded. The patient was treated with oral prednisolone 40 mg/day with immediate clinical and analytical improvement. Conclusion Eosinophilic gastroenteritis is a rare condition with a nonspecific and highly variable clinical presentation, which requires a high level of clinical suspicion. It is a diagnosis of exclusion. Secondary causes of eosinophilia such as intestinal tuberculosis, parasitosis, and malignant neoplasms should be excluded.

To discuss priorities and possibilities for promoting international collaboration and new research evidence on NANDA International, Inc. (NANDA-I). METHODS: Theoretical reflection article based on the literature and the authors' opinions on the subject matter, carried out by six research nurses. CONCLUSIONS: International research collaboration for NANDA-I allows the improvement of research production in an actual clinical setting, especially with multicenter and validation studies, conducted by researchers from different countries. This provides for improved understanding of patients' experiences and may help to produce robust scientific evidence. IMPLICATIONS FOR NURSING KNOWLEDGE:The generation of new evidence may lead to an increase in NANDA-I visibility and in nurses' understanding of its meaning for clinical practice and for the formulation of diagnostic hypotheses.

Objective. To identify the nursing diagnoses through reports in the medical records of patients monitored in a specialized ischemic heart disease outpatient clinic.Methods. Cross-sectional study with retrospective data collection in the medical records. From the data collected, the nursing diagnoses were proposed by the researchers and submitted for validation by specialist cardiology nurses.Results. A total of 13 nursing diagnoses were evaluated from the medical records of 50 outpatients with the following validation agreements among the specialists: Ineffective health management (100%), Noncompliance (100%), Sedentary lifestyle (100%), Activity intolerance (100%), Decreased cardiac output (88%), Risk of decreased cardiac tissue perfusion (65%), Risk of intolerance to activity (65%), Acute pain (76%), Ineffective health maintenance (65%), Risk-prone health behavior (65%), Risk for decreased cardiac output (65%), Risk for intolerance to activity (65%), Ineffective respiratory pattern (53%), Impaired memory (29%).Conclusion. In this study, the nursing diagnoses validated for stable heart disease patients were linked to adherence to treatment and to the cardiovascular responses of the patients, reinforcing the importance of early intervention. These results allow the multidisciplinary team to individualize the goals and interventions proposed for ischemic heart disease patients.Descriptors: ambulatory care; cross-sectional studies; nursing diagnosis; outpatients; nursing process; myocardial ischemia.How to cite this article: Cardoso PC, Caballero LG, Ruschel KB, Moraes MAP, Silva ERR. Profile of the nursing diagnoses in stable heart disease patients. Invest. Educ. Enferm. 2019; 37(2):e08.ReferencesWorld Health Organization. World Health Statistics 2018: monitoring health for the SDGs, sustainable development goals [Internet]. Geneva: WHO; 2018 [cited: 7 May 2019]. Available from: https://www.who.int/gho/publications/world_health_statistics/2018/en/ Ministério da Saúde. Informações de Saúde (TABNET) - Assistência à Saúde. DATASUS. Departamento de Informatica a Serviço do SUS [Internet]. 2016 [cited: 7 May 2019]. 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Peroxisome biogenesis disorders are related to a spectrum of genetic diseases that range from severe Zellweger syndrome to milder infantile Refsum disease. Zellweger syndrome is characterised by dysmorphic features, severe hypotonia, seizures, failure to thrive, liver dysfunction and skeletal defects. Increased levels of very long chain fatty acids are the biochemical hallmark and the most common mutations found in the PEX1 gene. We report an unusual presentation of Zellweger syndrome in a 2-month-old female infant with severe malnutrition, opportunistic infections, lymphopaenia and a small thymic shadow on chest radiography. With this clinical picture, an initial hypothesis of primary immunodeficiency was considered. It was later confirmed to not be the case. On follow-up, global developmental delay, bilateral optic nerve atrophy and moderate bilateral sensorineural deafness grade II were documented. There were no further infectious complications and we concluded malnutrition was the cause of the infant's immunocompromised state.

Objective: To compare the workload obtained from the Nursing Activities Score (NAS), rated three times a day, at the end of each work shift, and scored once per day for a 24-hour period. Methods: A prospective longitudinal study with adults hospitalized at an intensive care center, from a highly complex public hospital in southern Brazil. The data collection was conducted using the Epimed Monitor®. In the fi rst period of the study (Period 1), the mean NAS score was obtained using three daily evaluations, and in the second period (Period 2) the NAS was scored once per day. The comparison of the variables was verifi ed using the Mann Whitney and student t-test. The study was approved by the Research Ethics Committee of the institution. Results: During the study, 1738 NAS evaluations were performed on 338 patients. The mean NAS score was 74±20.9% for the total number of patients. There was no difference between the mean of Period 1 (74.1±20.8%) and the mean of Period 2 (73.9 ± 21%) (p=0.806). Period 2 had more evaluations in the NAS category ≤50% and fewer evaluations in the NAS category 50.1-100%, as compared to Period 1 (p<0.001 and p=0.029, respectively). Conclusion: The mean NAS score was similar when comparing assessments conducted three-times-per-day with the one performed once a day, assessing the nursing workload based on the previous 24 hours. ResumoObjetivo: Comparar a carga de trabalho obtida a partir do Nursing Activities Score (NAS) pontuado três vezes ao dia, no fi nal de cada turno de trabalho, e pontuado uma vez ao dia considerando as 24 horas. Métodos: Estudo longitudinal prospectivo, realizado com adultos internados em um Centro de Terapia Intensiva de um hospital público de alta complexidade do sul do Brasil. A coleta de dados foi realizada através do sistema Epimed Monitor®. No primeiro período do estudo (Período 1) a pontuação média do NAS foi obtida a partir de três avaliações diárias e no segundo período (Período 2) o NAS foi pontuado uma vez ao dia. A comparação das variáveis foi verifi cada por meio dos testes t-Student e Mann Whitney U. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da instituição de origem. Resultados: Durante o estudo foram realizadas 1738 avaliações de NAS em 338 pacientes. A média de pontuação do NAS foi de 74±20,9% para o total de pacientes. Não houve diferença entre a média do Período 1 (74,1±20,8%) e a média do Período 2 (73,9±21%) (p= 0,806). O Período 2 teve mais avaliações na categoria de NAS ≤50% e menos avaliações na categoria de NAS 50,1-100% em relação ao Período 1 (p<0,001 e p= 0,029, respectivamente). Conclusão: A pontuação média do NAS é semelhante quando comparada a aferição realizada três vezes ao dia com a realizada uma vez ao dia considerando as 24 horas anteriores para avaliação de carga de trabalho de enfermagem Resumen Objetivo: Comparar la carga de trabajo obtenida a partir del Nursing Activities Score (NAS) con valoración tres veces por día, al fi nal de cada turno de trabajo, y con valoración una vez por día considerando las 24 horas. Mét...

Objetivos: identificar o risco para úlceras de pressão (UP) em idosos de Unidade de Terapia Intensiva (UTI); comparar o risco de UP com as variáveis sexo, faixa etária e especialidade; comparar o risco de UP entre idosos, adultos jovens e médios. Método: estudo exploratório, analítico e retrospectivo realizado em uma UTI com amostra de 216 pacientes. Resultados: o risco de UP nas duas avaliações manteve-se elevado. Não houve diferença de risco de UP entre os pacientes idosos e os adultos jovens e médios. Conclusão: a avaliação do risco de UP é imprescindível para a qualidade da assistência em UTI.Descritores: Úlcera por Pressão, Idoso, Unidades de Terapia Intensiva.Risk factors for pressure ulcers in elderly patients in a Intensive Care UnitObjectives: To identify risk of pressure ulcers (PU) on elderly in Intensive Care Unit (ICU), to compare the risk of PU with gender, age and specialty and to compare the risk of PU in the elderly, young and middle adults. Method: exploratory, analytical and retrospective in ICU with a sample of 216 patients. Results: the risk for PU in the two ratings remained high. There was no difference in risk for PU among the elderly and young and middle adults. Conclusion: the assessment of risk for PU is essential to the quality of ICU care.Descriptors: Pressure Ulcer, Aged, Intensive Care Units.Los factores de riesgo para las úlceras por presión en ancianos en la Unidad de Cuidados IntensivosObjetivos: identificar el riesgo para las úlceras por presión (UPP) en la Unidad de Terapia Intensiva (UTI), para comparar el riesgo de la UPP con el sexo, la edad y la especialidad y para comparar el riesgo entre los adultos mayores, jóvenes y la mediana edad. Método: exploración, análisis y retrospectiva en la UTI con una muestra de 216 pacientes. Resultados: el riesgo de UPP en las dos clasificaciones se mantuvieron altos. No hubo diferencias en el riesgo de la UPP entre los adultos mayores y jóvenes y de mediana edad. Conclusión: la evaluación del riesgo de la UPP es esencial para la calidad de la atención en la UCI.Descriptores: Úlcera por Presión, Anciano, Unidades de Cuidados Intensivos.

RESUMOIntrodução: As infeções associadas aos cuidados de saúde constituem uma importante causa de morbi-mortalidade neonatal, levando a um aumento do tempo de internamento e consequentemente dos seus custos. O objetivo deste estudo foi avaliar a taxa de incidência de infeções associadas aos cuidados de saúde e os seus principais fatores de risco em recém-nascidos de muito baixo peso. Material e Métodos: Estudo retrospetivo dos recém-nascidos de muito baixo peso internados numa maternidade com apoio perinatal diferenciado, durante um período de 10 anos (2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014) ABSTRACT Introduction: Healthcare associated infections in very low birth weight infants are associated with significant morbidity and mortality and are also a cause of increased length of stay and hospital costs. The objective of this study was to evaluate the rate of healthcareassociated sepsis and associated risk factors in very low birth weight infants. Material and Methods:Retrospective observational study including very low birth weight infants hospitalized in a Neonatal Intensive Care Unit during ten years (2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014). We evaluated the association between several risk factors and healthcare-associated sepsis. Results: 461 very low birth weight infants were admitted. There were 110 episodes of HS in 104 very low birth weight infants and 53 episodes of sepsis associated with central vascular catheter. The density of the sepsis was 7.5/1 000 days of hospitalization and the density of central vascular catheter -associated sepsis was 22.6/1 000 days of use. The infants with HS had lower average birth weight and gestational age (959 ± 228 g vs 1191 ± 249 g and 27.6 ± 2 vs 29.8 ± 2.2 weeks), p < 0.001. After adjusting for birth weight and gestational age we verified an association between healthcare-associated sepsis and antibiotic therapy in D1, the duration of parenteral nutrition and central vascular catheter. After logistic regression only the gestational age and duration of parenteral nutrition remained as independent significant risk factors for healthcare-associated sepsis. Discussion: The independent factors for healthcare-associated sepsis are gestational age and duration of parenteral nutrition. Conclusion: For each extra week on gestational age the risk declined in 20% and for each day of NP the risk increased 22%. Keywords: Cross Infection; Infant, Low Birth Weight; Risk Factors; Sepsis. INTRODUÇÃOAs infeções associadas aos cuidados de saúde (IACS) constituem um problema grave e temível nas unidades de cuidados intensivos neonatais, estando associadas ao aumento da morbi-mortalidade, do tempo de internamento e dos seus custos. 1,2As taxas de IACS neonatais com gravidade associada, como sépsis, reportadas em estudos internacionais variam entre 0,1% nos recém-nascidos de termo e 21-30% nos recém-nascidos de muito baixo peso (RNMBP), tendo uma relação inversamente proporcional ao peso ao nascimento. 1,3Nos últimos anos, os avanços técnicos e a melh...