Table of contentsP001 - Sepsis impairs the capillary response within hypoxic capillaries and decreases erythrocyte oxygen-dependent ATP effluxR. M. Bateman, M. D. Sharpe, J. E. Jagger, C. G. EllisP002 - Lower serum immunoglobulin G2 level does not predispose to severe flu.J. Solé-Violán, M. López-Rodríguez, E. Herrera-Ramos, J. Ruíz-Hernández, L. Borderías, J. Horcajada, N. González-Quevedo, O. Rajas, M. Briones, F. Rodríguez de Castro, C. Rodríguez GallegoP003 - Brain protective effects of intravenous immunoglobulin through inhibition of complement activation and apoptosis in a rat model of sepsisF. Esen, G. Orhun, P. Ergin Ozcan, E. Senturk, C. Ugur Yilmaz, N. Orhan, N. Arican, M. Kaya, M. Kucukerden, M. Giris, U. Akcan, S. Bilgic Gazioglu, E. TuzunP004 - Adenosine a1 receptor dysfunction is associated with leukopenia: A possible mechanism for sepsis-induced leukopeniaR. Riff, O. Naamani, A. DouvdevaniP005 - Analysis of neutrophil by hyper spectral imaging - A preliminary reportR. Takegawa, H. Yoshida, T. Hirose, N. Yamamoto, H. Hagiya, M. Ojima, Y. Akeda, O. Tasaki, K. Tomono, T. ShimazuP006 - Chemiluminescent intensity assessed by eaa predicts the incidence of postoperative infectious complications following gastrointestinal surgeryS. Ono, T. Kubo, S. Suda, T. Ueno, T. IkedaP007 - Serial change of c1 inhibitor in patients with sepsis – A prospective observational studyT. Hirose, H. Ogura, H. Takahashi, M. Ojima, J. Kang, Y. Nakamura, T. Kojima, T. ShimazuP008 - Comparison of bacteremia and sepsis on sepsis related biomarkersT. Ikeda, S. Suda, Y. Izutani, T. Ueno, S. OnoP009 - The changes of procalcitonin levels in critical patients with abdominal septic shock during blood purificationT. Taniguchi, M. OP010 - Validation of a new sensitive point of care device for rapid measurement of procalcitoninC. Dinter, J. Lotz, B. Eilers, C. Wissmann, R. LottP011 - Infection biomarkers in primary care patients with acute respiratory tract infections – Comparison of procalcitonin and C-reactive proteinM. M. Meili, P. S. SchuetzP012 - Do we need a lower procalcitonin cut off?H. Hawa, M. Sharshir, M. Aburageila, N. SalahuddinP013 - The predictive role of C-reactive protein and procalcitonin biomarkers in central nervous system infections with extensively drug resistant bacteriaV. Chantziara, S. Georgiou, A. Tsimogianni, P. Alexandropoulos, A. Vassi, F. Lagiou, M. Valta, G. Micha, E. Chinou, G. MichaloudisP014 - Changes in endotoxin activity assay and procalcitonin levels after direct hemoperfusion with polymyxin-b immobilized fiberA. Kodaira, T. Ikeda, S. Ono, T. Ueno, S. Suda, Y. Izutani, H. ImaizumiP015 - Diagnostic usefullness of combination biomarkers on ICU admissionM. V. De la Torre-Prados, A. Garcia-De la Torre, A. Enguix-Armada, A. Puerto-Morlan, V. Perez-Valero, A. Garcia-AlcantaraP016 - Platelet function analysis utilising the PFA-100 does not predict infection, bacteraemia, sepsis or outcome in critically ill patientsN. Bolton, J. Dudziak, S. Bonney, A. Tridente, P. NeeP017 - Extracellular histone H3 levels are in...

Summary Background 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov , NCT03471494 . Findings Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding National Institute for Health Research Global Health Research Unit.

it is necessary to break with the dichotomy between theory and practice and promote the articulation of content with action, introducing the student as the author of their own knowledge.

RESUMO:A avaliação realizada pelos enfermeiros constitui um processo indispensável para o tratamento de feridas. Objetivos: averiguar os aspectos considerados pelos enfermeiros no processo de avaliação de feridas; identificar os recursos materiais utilizados para proceder à avaliação; investigar o seguimento de protocolos e possíveis dificuldades na sua realização. Estudo exploratório-descritivo, de natureza qualitativa, realizado junto a 14 enfermeiras de quatro hospitais públicos de João Pessoa -PB. Os dados foram coletados durante agosto e setembro de 2005, através de entrevistas gravadas e não-gravadas. Para análise das respostas aplicou-se a técnica do Discurso do Sujeito Coletivo. Verificouse que a falta de material conduz a uma avaliação superficial; que a ausência de protocolo dificulta a avaliação e, que a imposição médica e a falta de experiência e treinamento específicos foram às principais dificuldades reveladas. Evidenciou-se a necessidade de criar condições materiais e aprimorar os conhecimentos científicos em relação ao processo de avaliação de feridas. ABSTRACT:Nursing evaluation constitutes an indispensable process in treating wounds. The objectives of this article are to verify the aspects considered by nurses in the wound evaluation process, identify the material resources used in order to proceed to the evaluation, and to investigate adherence to protocols and possible difficulties in their execution. This is an exploratory-descriptive study of qualitative nature, carried out among 14 nurses from four public hospitals in João Pessoa, PB, Brazil. The data was collected during August and September of 2005 through recorded and non-recorded interviews. In order to analyze the responses given, the collective subject technique was applied. This study verified that a lack of material leads to a superficial evaluation; that the absence of protocol makes the evaluation difficult; and medical imposition, the lack of experience, and the lack of specific training were the main difficulties revealed. The needs to create material conditions and improve scientific knowledge regarding the wound evaluation process were evidenced. RESUMEN:La evaluación hecha por los enfermeros constituye un proceso indispensable para el tratamiento de heridas. Objetivos: Averiguar los aspectos considerados por los enfermeros en el proceso de evaluación de las heridas; identificar los recursos materiales utilizados para proceder a la evaluación; investigar el resultado de los registros y de las posibles dificultades en su realización. Es un estudio Exploratorio-descriptivo, de naturaleza cualitativa, realizado junto con 14 enfermeros de cuatro hospitales públicos de la ciudad de João Pessoa -PB. Los datos fueron recolectados durante el mes de agosto y septiembre de 2005, por medio de entrevistas grabadas y no grabadas. Para el análisis de las respuestas se empleó la técnica del Discurso del Sujeto Colectivo. Se verificó que la falta del material lleva a una evaluación superficial, que la falta de registros dificulta la evaluaci...

resumo introdução:No contexto das doenças crônicas transmissíveis, a pandemia da aids vem gerando discussões em âmbito internacional sobre as formas de controlar seu avanço, inclusive na população idosa, a qual apresenta incidência considerável de casos. objetivo: Investigar o conhecimento e verificar a percepção de risco de idosos quanto à contaminação por Infecções Sexualmente Transmissíveis (IST) e HIV. métodos: Tratase de estudo descritivo de natureza quantitativa realizado com 55 idosos participantes de grupos em duas unidades de saúde da família interligadas à rede-escola. resultados: A maioria dos idosos era entre 60-70 anos, sexo masculino, casados, católicos, com o nível fundamental incompleto. Além disso, 40% dos idosos citaram o uso do preservativo como principal método de prevenção às infecções sexuais, 21,9% responderam que o HIV é transmitido de uma pessoa para outra por meio do contato sexual e 38,2% citaram que a doença não tem cura. Sobre a percepção de risco, 76,4% referiram que não tinham nenhuma possibilidade de adquirir Infecções Sexualmente Transmissíveis ou HIV. Tal fator pode contribuir para que essa população se considere pouco vulnerável à contaminação ou não se perceba em risco, o que os torna susceptíveis ao perigo da infecção, favorecendo o aumento do índice de idosos infectados no cenário nacional. Conclusão: Cabe aos organismos governamentais e não governamentais investir em práticas educativas, onde idosos possam ser inseridos em um ambiente que aborde a sexualidade, proporcionando maior segurança e qualidade de vida aos nossos cidadãos.Palavras-chave: idoso; doenças sexualmente transmissíveis; HIV.

How to cite this article:Sousa MM, Oliveira JS, Soares MJGO, Bezerra SMMS, Araújo AA, Oliveira SHS. Association of social and clinical conditions to the quality of life of patients with heart failure. Rev Gaúcha Enferm. 2017;38(2):e65885. doi: http://dx.doi. org/10.1590/1983-1447.2017 ABSTRACTObjective: To analyze the association between sociodemographic and clinical conditions with the quality of life related to health of heart failure patients Method: Cross-sectional study with a non-random sample of 84 outpatients with heart failure, performed in the city of João Pessoa, PB, Brazil, in the period from January to July 2015. The questionnaire by name Minnesota Living with Heart Questionnaire was used The following tests were applied in data analysis: t-Student, ANOVA and Pearson's Correlation, com a 5% significance level. Results:The average scores of the Minnesota Living with Heart Failure Questionnaire showed a good quality of life in the group under study. There was a significant negative association between quality of life and age: thus the lower the age, the worse the quality of life. Conclusion:Health promotion actions become necessary to improve the coping capacity of this disease, especially for younger patients. Keywords: Heart failure. Quality of life. Association. Health promotion. RESUMO Objetivo: Analisar a associação entre as condições sociodemográficas e clínicas com a qualidade de vida relacionada à saúde de pacientes com insuficiência cardíaca.Método: Estudo transversal, com amostra não probabilística de 84 pacientes com insuficiência cardíaca, em seguimento ambulatorial, realizado no município de João Pessoa, PB, Brasil, no período de janeiro a julho de 2015. Utilizou-se o questionário Minnesota Living with Heart Failure Questionnaire. Na análise dos dados, foram aplicados os testes: t-Student, ANOVA e Correlação de Pearson, com nível de significância de 5%. Resultados: Os escores médios do Minnesota Living with HeartFailure Questionnaire revelaram boa qualidade de vida do grupo pesquisado. Houve associação negativa significante entre qualidade de vida e idade: portanto, quanto menor a idade, pior a qualidade de vida. Conclusão:Fazem-se necessárias ações de promoção à saúde para melhorar a capacidade de enfretamento dessa doença, em especial, para os pacientes mais jovens.Palavras-chave: Insuficiência cardíaca. Qualidade de vida. Associação. Promoção da saúde. RESUMEN Objetivo: Analizar la asociación entre las condiciones sociodemográficas y clínicas con la calidad de vida relacionada con la salud de los pacientes con insuficiencia cardiaca.Método: Estudio transversal con una muestra no probabilística de 84 pacientes ambulatorios con insuficiencia cardiaca, realizados en la ciudad de João Pessoa, PB, Brasil, de enero a julio de 2015. Se utilizó el cuestionario de Minnesota Living with Heart Failure. En el análisis de los datos, se aplicaron las pruebas: la t de Student, ANOVA y correlación de Pearson, con un nivel de significación del 5%.Resultados: Las puntuaciones promedio de los Minnesota ...

Objective: Assessing the adequacy of knowledge, attitude and practice of women regarding male and female condoms as STI/HIV preventive measures. Method: An evaluative Knowledge, Attitude and Practice (KAP) household survey with a quantitative approach, involving 300 women. Data collection took place between June and August 2013, in an informal urban settlement within the municipality of João Pessoa, Paraiba, Northeast Brazil. Results: Regarding the male condom, most women showed inadequate knowledge and practice, and an adequate attitude. Regarding the female condom, knowledge, attitude and practice variables were unsatisfactory. Significant associations between knowledge/religious orientation and attitude/education regarding the male condom were observed. Conclusion: A multidisciplinary team should be committed to the development of educational practices as care promotion tools in order to improve adherence of condom use. DESCRIPTORS INTRODUCTIONGiven the feminization of the HIV epidemiological profile, issues related to women's sexuality has attracted increasing attention, stressing the responsibility of users, managers and health professionals in controlling the epidemic. According to the World Health Organization, the lack of protection in sexual intercourse constitutes a significant risk factor for the transmission of sexually transmitted infections (STIs) and HIV worldwide, making condom use an essential element in reducing contamination cycles (1) . In general, women experience obstacles in using condoms, whether it is the female condom by having difficulty in handling, unavailability or access, or the male condom, usually because its use depends on the partner. In this sense, a study conducted with 80 African-American men in attempt to evaluate their response upon request for condom use concluded that issues such as masculinity/chauvinism need to be addressed with heterosexual men, in order to facilitate negotiation between sexual partners (2) . The relationship dynamics play an important role in STI contamination cycles, as some women cannot insist on condom use for various reasons, such as trusting her partner, fear of abandonment or sexual coercion caused by strong persuasion (3) . Gender relations become a determining factor for women with low sexual negotiation power on condom use, making them more vulnerable to HIV exposure (4) . In relation to single women, research has identified that this pattern of submission is no different; for those who seek serious commitment, they liked having unprotected sex with the same men with whom they had extended sexually-affective bonds (5) . In addition to gender issues, other factors are also associated with not using condoms, such as low socioeconomic and cultural levels (6) . In this scenario, poverty detriments women; not only because of the difficulty in understanding information relevant to prevention, which involves knowledge, but also the subservient role to which they are subjected for not being income providers for the family (7) . In this s...

There were hearing alterations in children with HIV/AIDS analyzed in this study. Discreet hearing losses were the most occurring. We verified statistically significant associations with the use of antiretroviral therapy and otitis. Therefore, we point out the importance of auditory monitoring and intervention as soon as possible, thus favoring adequate development in language and decreasing possible difficulties in learning and social inclusion.