Diba Maria Sebba de Souza (original) (raw)
Papers by Diba Maria Sebba de Souza
Editora BAGAI eBooks, Dec 31, 2023
Revista Brasileira de Ortopedia, 2020
Resumo Objetivo Comparar as técnicas de antissepsia utilizando clorexidina degermante associada a... more Resumo Objetivo Comparar as técnicas de antissepsia utilizando clorexidina degermante associada a álcool etílico e a clorexidina alcoólica versus clorexidina degermante associada a clorexidina alcoólica, em procedimentos cirúrgicos ortopédicos. Métodos Trata-se de um estudo clínico, primário, randomizado, analítico e de centro único, constituído por 170 pacientes ortopédicos submetidos a abordagem cirúrgica, alocados em 2 grupos aleatórios, nos quais foram testados clorexidina degermante + clorexidina alcoólica (grupo CDCA) e clorexidina degermante + álcool etílico a 70% + clorexidina alcoólica (grupo CDACA). Foram realizadas culturas nos meios manitol e eosina azul de metileno (EAM) de amostras colhidas nos períodos de pré-degermação (0), pós-degermação (1) e após a incisão suturada (2). Resultados Em relação ao crescimento bacteriano nos meios de cultura manitol e EAM entre os grupos, em cada período de estudo (0, 1 e 2), não ocorreu diferença estatística significativa nesta pesqu...
Research, Society and Development
Introduction: Frailty syndrome is characterized by reduced physical and cognitive reserves, makin... more Introduction: Frailty syndrome is characterized by reduced physical and cognitive reserves, making older people vulnerable to adverse events. This study describes a prototype sensor system developed for assessing frailty through physiological parameters and frailty markers. Methods: A prototype combining four sensors in network and a software package was developed and tested in four long-term care facility senior residents of both sexes, aged 60 and older, showing no locomotive syndrome or severe cognitive impairment. Three of them were frail and able to walk without aid (P1), holding onto the wall (P2) or with a cane (P3), and a non-frail participant (P4) walked without aid. Results: Regarding mean acceleration, P1 and P4 showed the lowest and highest values, respectively, on the antero-posterior axis; P4 had the lowest value on the medio-lateral axis; and P3 presented the highest value on the vertical axis. All participants showed similar roll angular velocity; P4 presented the lo...
Research, Society and Development
Introdução: A manutenção da qualidade de vida aos idosos apresenta diversos desafios, em destaque... more Introdução: A manutenção da qualidade de vida aos idosos apresenta diversos desafios, em destaque a fragilidade. Esse processo decorrente de alterações metabólicas e fisiológicas é avaliado atualmente por diferentes parâmetros, desde a sarcopenia a incapacidade funcional. Objetivo: Buscou-se avaliar os estudos presentes na literatura acerca da repercussão da fragilidade, bem como compreender os instrumentos para sua definição e o impacto na vida dos indivíduos, analisando meios de prevenção dessas implicações e preservação da saúde. Metodologia: Realizou-se uma revisão de literatura narrativa com análise descritiva, com a utilização dos descritores qualidade de vida; idoso; sarcopenia; atividades diárias; avaliação geriátrica. Resultados: Foram analisados 60 artigos, separados e tabelados conforme o desenho do estudo. Observou-se que através dos diversos critérios existentes para definição da fragilidade, há correlação positiva entre essa síndrome e a qualidade de vida em idosos. Co...
A ocorrência de úlceras por pressão (UP) é realidade em vários locais de assistência à saúde e ca... more A ocorrência de úlceras por pressão (UP) é realidade em vários locais de assistência à saúde e caracterizam-se por serem lesões freqüentemente encontradas em pacientes graves hospitalizados ou em locais de institucionalização por longos períodos. O objetivo geral deste estudo foi: analisar a incidência de úlceras por pressão e os fatores de risco para o seu desenvolvimento em pessoas idosas residentes em Instituições de Longa Permanência (ILPI). Trata-se de estudo quantitativo de coorte, prospectivo. Inicialmente o projeto foi aprovado pelo Comitê de Ética em Pesquisa da Universidade do Vale do Sapucaí e aprovação dos responsáveis em quatro Instituições de Longa Permanência para os idosos (ILPI), em 3 cidades do Sul de Minas Gerais, que constituíram os locais para a coleta de dados. A amostra constou de 94 idosos que atenderam os seguintes requisitos: ter idade igual ou superior a 60 anos; apresentar escore = 18 (em aplicação da Escala de Braden) e aceitar participar do estudo. Os d...
Research, Society and Development
In Brazil, the aging process takes place under unfavorable economic, social and health conditions... more In Brazil, the aging process takes place under unfavorable economic, social and health conditions. Therefore, a better understanding of the functionality patterns of different elderly populations becomes essential, especially in times of Covid-19. The objective of study is to assess the functionality of institutionalized and community older people. Cross-sectional study with 51 older people, divided into two groups: Institutionalized Older People Group (GII) and Community Older People Group (GIC), assessed by the Mini Mental State Examination, Clinical Functional Vulnerability Index-20 (IVCF-20), Barthel Scale, Lawton Scale and Tinneti Scale, descriptive analysis, multivariate multiple correspondence technique, multinomial and binomial logistic regression, with the R software were performed. The results showed: the quartiles: robust GIC (IVCF-20=6.75), independent (Lawton=21/Barthel=100). The fragile GII (IVCF-20=18), partially dependent (Lawton=13/Barthel=100). In GII association o...
Fragility is a syndrome characterized by reduced physical and cognitive reserves making the elder... more Fragility is a syndrome characterized by reduced physical and cognitive reserves making the elderly more vulnerable to adverse events, hospitalizations, falls, loss of independence, and death. Inertia sensors have been applied to quantify motion assessment in Timed Up and Go (TUG) test, accelerometers are used during balance assessment, and algorithms differentiate fragile, pre-fragile, and robust elderly people.
Revista da Escola de Enfermagem da USP
Objective: Evaluate the effect of essential oil in odor reduction for intestinal ostomy bags. Met... more Objective: Evaluate the effect of essential oil in odor reduction for intestinal ostomy bags. Method: Primary study, semi-experimental, prospective clinical trial with quantitative approach. A product prepared with Melaleuca armillaris leaves was tested in ostomy pouches, with and without effluents, for adhesion and odor control. Instrument: Labeled Magnitude Scale. Results: Colostomized participants, with a mean age of 73 ± 14.94, predominantly males; and informal caregivers, with a mean age of 44 ± 8.98, predominantly females. In the visual evaluation of the oil, 100% of the participants perceived its adherence. Regarding the evaluation of effluent odor by the colostomized, five reported “strong odor” before oil use and, six reported “weak” odor after use (p = 0.005). Five informal caregivers reported “very strong” effluent odor before oil use; and one reported “weak” and nine reported “moderate” after use (p = 0.0025). Conclusion: There was a reduction in the odor of effluents in...
Revista da Escola de Enfermagem da USP
RESUMO Objetivo: Avaliar o efeito do óleo essencial na redução de odor em bolsas de estomia intes... more RESUMO Objetivo: Avaliar o efeito do óleo essencial na redução de odor em bolsas de estomia intestinal. Método: Estudo primário, ensaio clínico quase experimental, prospectivo, com abordagem quantitativa. Preparado com folhas de Melaleuca armillaris, foi testado em bolsas coletoras, sem e com efluentes, quanto à aderência e odor. Instrumento: escala de magnitude rotulada. Resultados: Participantes colostomizados, com média de 73 anos ± 14,94, predomínio do sexo masculino; e cuidadores informais, com média de 44 anos ± 8,98, predomínio do sexo feminino. Na avaliação visual do óleo, 100% dos participantes perceberam a aderência. Em relação à avaliação do odor dos efluentes pelos colostomizados, cinco relataram “odor forte” antes do uso do óleo e, após o uso, seis relataram odor “fraco” (p = 0,005). Cinco cuidadores informais detectaram odor “muito forte” dos efluentes antes do uso do óleo e, após o uso, um “fraco” e nove “moderado” (p = 0,0025). Conclusão: Houve redução do odor dos ef...
Geriatrics, Gerontology and Aging, 2020
Giant cell arteritis is a large-vessel vasculitis usually seen in older adults. The inflammatory ... more Giant cell arteritis is a large-vessel vasculitis usually seen in older adults. The inflammatory process results in systemic, ophthalmic, and neurological lesions. It is difficult to diagnose in older adults and may present as a medical emergency. Here, we report the case of an 83-year-old woman who presented with bitemporal headache, jaw claudication, glossodynia, failure to thrive, and amaurosis fugax. The findings supported the hypothesis of giant cell arteritis. Despite receiving treatment, the patient died of an acute myocardial infarction. Headache in older adults raises the possibility of giant cell arteritis, especially when combined with an ophthalmic emergency. Many symptoms indicate the condition, but the diagnosis may be challenging, especially for the generalist physician.
Melaleuca oil has great medicinal properties. The objective is to develop a product based on Mela... more Melaleuca oil has great medicinal properties. The objective is to develop a product based on Melaleuca armillaris to evaluate its antihistaminic action and to compare the antihistaminic effect and protective effect of M. armillaris oil and ointment. Pruritus intensity was assessed at sensitization points. Eighty volunteers, aged between 21 and 60 years (male and female) participated in the study, without contraindications to the Prick test. The left forearm was sensitized at four points: A: control (+) histamine, B: control (-) M. armillaris oil, C: histamine and after 2 min, drying and application of M. armillaris. D: M. armillaris and after 2 min the application of histamine. The right forearm was sensitized at four points. A: control (+) histamine; B: control (-) M. armillaris ointment. C: histamine and after 2 min, drying and application of M. armillaris. D: M. armillaris ointment and after 2 min, drying and application of histamine. Reading was taken after 15 min. Areas obtaine...
Geriatrics, Gerontology and Aging, 2020
Giant cell arteritis is a large-vessel vasculitis usually seen in older adults. The inflammatory ... more Giant cell arteritis is a large-vessel vasculitis usually seen in older adults. The inflammatory process results in systemic, ophthalmic, and neurological lesions. It is difficult to diagnose in older adults and may present as a medical emergency. Here, we report the case of an 83-year-old woman who presented with bitemporal headache, jaw claudication, glossodynia, failure to thrive, and amaurosis fugax. The findings supported the hypothesis of giant cell arteritis. Despite receiving treatment, the patient died of an acute myocardial infarction. Headache in older adults raises the possibility of giant cell arteritis, especially when combined with an ophthalmic emergency. Many symptoms indicate the condition, but the diagnosis may be challenging, especially for the generalist physician.
ESTIMA, Brazilian Journal of Enterostomal Therapy, 2019
Objectives: Analyze critically the “1st Brazilian Recommendation for Biofilm Management in Chroni... more Objectives: Analyze critically the “1st Brazilian Recommendation for Biofilm Management in Chronic and Complex Wounds” (from Portuguese, “1a Recomendação Brasileira para o Gerenciamento de Biofilme em Feridas Crônicas e Complexas”). Method: Reviewing information contained in said document according to current literature. Results: The publication was showed to lack methodology compatible with its title; gaps in the recommendations were perceived regarding evidence classification, as well as an absence of grounding from important international consensus, published in the last three years, about treatment of complex wounds with suspected biofilm. Conclusion: The document was concluded to be inadequate for use as a clinical guideline, being considered only a bibliographic review about the theme.
ESTIMA, Brazilian Journal of Enterostomal Therapy, 2019
Introduction: peristomal dermatitis can be caused by leakage between adhesive plate and skin. Obj... more Introduction: peristomal dermatitis can be caused by leakage between adhesive plate and skin. Objective: to describe the peristomal plate cut mold (PPCM) for simultaneous evaluation of new products for the treatment of dermatitis. Methods: experience report about creation of a cut model, with sufficient size and width to expose part of the skin with dermatitis, to apply another product. The trapezoidal cut, according to positions 3, 6, 9 or 12 hours, corresponding to one of the quadrants, it was performed on the plate of carboxymethylcellulose, pectin, and gelatine coupled to the stoma bag. The entire part of the plate adhered to the skin was adapted to the control product. In the photographic analysis, CorelDRAW 19.0 was used. The lesions were measured in pixels. Result: the cut did not interfere with the adhesion of two parts device board, it made possible the simultaneous application and testing of a new product and the comparison of the healing with the plate. Conclusion: the PP...
Journal of Wound, Ostomy and Continence Nursing, 2007
The aim of this study was to analyze the incidence of pressure ulcers (PUs) in elderly people liv... more The aim of this study was to analyze the incidence of pressure ulcers (PUs) in elderly people living in long-term care facilities (LTCFs). DESIGN: We completed a prospective, comparison cohort study. SUBJECTS AND SETTING: Ninety-four persons, 60 years or older, participated in the study. Participants resided in 4 not-for-profit LTCFs in 3 cities in the southern region of the Brazilian state of Minas Gerais. METHODS: Participants underwent complete skin examination and Braden Scale rating every 2 days for 3 months. When a PU was detected, a careful examination was done to assess its stage, location, and size. From this moment on, the patient was included in the incidence rate and was excluded from the study. RESULTS: The incidence rate of PUs was 39.4%; 37 (77.1%) developed a single ulcer. The most common locations were the malleolus (27.1%) and the ischium (25.0%). Stage I PU were most frequent (66.7%). Females (62.8%) and whites (68.19%) prevailed, with an average age of 79.06 Ϯ 9.6 years. Body mass index was 20.93 Ϯ 4.9, with a predominance of urinary diseases (58.5%) and use of neuroleptics/psychotropics (52.1%); 28.7% had had a previous ulcer. Gender and the occurrence of a previous ulcer were found to predict the development of PU, based on logistic regression analysis (r 2 ϭ 0.311). CONCLUSIONS: The overall incidence of PU was significant, but the incidence of stage II and higher PUs was less than 12% and no elders had stage III or IV ulcers. Factors associated with PU development include female gender, regular use of neuroleptic or psychotropic medications, and a history of pressure ulceration.
ESTIMA, Brazilian Journal of Enterostomal Therapy, 2019
Introduction: peristomal dermatitis can be caused by leakage between adhesive plate and skin. Obj... more Introduction: peristomal dermatitis can be caused by leakage between adhesive plate and skin. Objective: to describe the peristomal plate cut mold (PPCM) for simultaneous evaluation of new products for the treatment of dermatitis. Methods: experience report about creation of a cut model, with sufficient size and width to expose part of the skin with dermatitis, to apply another product. The trapezoidal cut, according to positions 3, 6, 9 or 12 hours, corresponding to one of the quadrants, it was performed on the plate of carboxymethylcellulose, pectin, and gelatine coupled to the stoma bag. The entire part of the plate adhered to the skin was adapted to the control product. In the photographic analysis, CorelDRAW 19.0 was used. The lesions were measured in pixels. Result: the cut did not interfere with the adhesion of two parts device board, it made possible the simultaneous application and testing of a new product and the comparison of the healing with the plate. Conclusion: the PP...
Revista Sobecc, 2015
Investigar o número de cirurgias eletivas que são canceladas e identificar as suas causas. Método... more Investigar o número de cirurgias eletivas que são canceladas e identificar as suas causas. Métodos: Estudo descritivo, exploratório, prospectivo e quantitativo, realizado em um hospital universitário utilizando os dados de cirurgias eletivas agendadas e canceladas no período de abril a junho de 2014, extraídos do Sistema TASY e do Serviço de Arquivo Médico e Estatística. Resultados: Durante três meses, foram agendadas 1.699 cirurgias eletivas, das quais 466 (27,4%) foram canceladas. O turno matutino foi responsável por 336 (72,1%) não realizações, e os pacientes do Sistema Único de Saúde tiveram 384 (29,2%) cirurgias canceladas dentre 1.314 agendadas. O setor de Proctologia teve 22 canceladas (43,1%), dentre 51 agendadas, enquanto a Ortopedia teve 133 (38,3%), dentre 347. O principal motivo dos cancelamentos foi "a critério do cirurgião", observado em 264 casos (56,7%). Conclusão: O número de suspensões foi alto e as causas detalhadas não foram identificadas, pois os registros não informam de forma específica o motivo do cancelamento. Palavras-chave: Enfermagem perioperatória. Assistência perioperatória. Indicadores de qualidade em assistência à saúde. Administração hospitalar. Hospitais de ensino.
Australian Journal of Physiotherapy, 2007
Description A general indicator of health status (function and well-being) and includes primarily... more Description A general indicator of health status (function and well-being) and includes primarily non-psychiatric health status questions. The SF-36 is a well-researched, reliable and valid broad-based, sophisticated instrument with population norms and normative data for a wide variety of medical conditions. The SF-36 assesses health-related quality of life in 8 areas: 1) limitations in physical activities because of health problems; 2) limitations in social activities because of physical or emotional problems; 3) limitations in usual role activities because of physical health problems; 4) bodily pain; 5) general mental health; 6) limitations in usual role activities because of emotional problems; 7) vitality (energy and fatigue); and 8) general health perceptions. The original version of SF-36 [Ware & Sherborne, 1992] was used in this study. This dataset contains the scores of eight SF-36 subscales above. Study Sample 227 participants in the study completed SF-36 instrument. Data Collection Method SF-36 questionnaire was self-administered in paper-and-pencil format on the arrival day at the clinic.
Editora BAGAI eBooks, Dec 31, 2023
Revista Brasileira de Ortopedia, 2020
Resumo Objetivo Comparar as técnicas de antissepsia utilizando clorexidina degermante associada a... more Resumo Objetivo Comparar as técnicas de antissepsia utilizando clorexidina degermante associada a álcool etílico e a clorexidina alcoólica versus clorexidina degermante associada a clorexidina alcoólica, em procedimentos cirúrgicos ortopédicos. Métodos Trata-se de um estudo clínico, primário, randomizado, analítico e de centro único, constituído por 170 pacientes ortopédicos submetidos a abordagem cirúrgica, alocados em 2 grupos aleatórios, nos quais foram testados clorexidina degermante + clorexidina alcoólica (grupo CDCA) e clorexidina degermante + álcool etílico a 70% + clorexidina alcoólica (grupo CDACA). Foram realizadas culturas nos meios manitol e eosina azul de metileno (EAM) de amostras colhidas nos períodos de pré-degermação (0), pós-degermação (1) e após a incisão suturada (2). Resultados Em relação ao crescimento bacteriano nos meios de cultura manitol e EAM entre os grupos, em cada período de estudo (0, 1 e 2), não ocorreu diferença estatística significativa nesta pesqu...
Research, Society and Development
Introduction: Frailty syndrome is characterized by reduced physical and cognitive reserves, makin... more Introduction: Frailty syndrome is characterized by reduced physical and cognitive reserves, making older people vulnerable to adverse events. This study describes a prototype sensor system developed for assessing frailty through physiological parameters and frailty markers. Methods: A prototype combining four sensors in network and a software package was developed and tested in four long-term care facility senior residents of both sexes, aged 60 and older, showing no locomotive syndrome or severe cognitive impairment. Three of them were frail and able to walk without aid (P1), holding onto the wall (P2) or with a cane (P3), and a non-frail participant (P4) walked without aid. Results: Regarding mean acceleration, P1 and P4 showed the lowest and highest values, respectively, on the antero-posterior axis; P4 had the lowest value on the medio-lateral axis; and P3 presented the highest value on the vertical axis. All participants showed similar roll angular velocity; P4 presented the lo...
Research, Society and Development
Introdução: A manutenção da qualidade de vida aos idosos apresenta diversos desafios, em destaque... more Introdução: A manutenção da qualidade de vida aos idosos apresenta diversos desafios, em destaque a fragilidade. Esse processo decorrente de alterações metabólicas e fisiológicas é avaliado atualmente por diferentes parâmetros, desde a sarcopenia a incapacidade funcional. Objetivo: Buscou-se avaliar os estudos presentes na literatura acerca da repercussão da fragilidade, bem como compreender os instrumentos para sua definição e o impacto na vida dos indivíduos, analisando meios de prevenção dessas implicações e preservação da saúde. Metodologia: Realizou-se uma revisão de literatura narrativa com análise descritiva, com a utilização dos descritores qualidade de vida; idoso; sarcopenia; atividades diárias; avaliação geriátrica. Resultados: Foram analisados 60 artigos, separados e tabelados conforme o desenho do estudo. Observou-se que através dos diversos critérios existentes para definição da fragilidade, há correlação positiva entre essa síndrome e a qualidade de vida em idosos. Co...
A ocorrência de úlceras por pressão (UP) é realidade em vários locais de assistência à saúde e ca... more A ocorrência de úlceras por pressão (UP) é realidade em vários locais de assistência à saúde e caracterizam-se por serem lesões freqüentemente encontradas em pacientes graves hospitalizados ou em locais de institucionalização por longos períodos. O objetivo geral deste estudo foi: analisar a incidência de úlceras por pressão e os fatores de risco para o seu desenvolvimento em pessoas idosas residentes em Instituições de Longa Permanência (ILPI). Trata-se de estudo quantitativo de coorte, prospectivo. Inicialmente o projeto foi aprovado pelo Comitê de Ética em Pesquisa da Universidade do Vale do Sapucaí e aprovação dos responsáveis em quatro Instituições de Longa Permanência para os idosos (ILPI), em 3 cidades do Sul de Minas Gerais, que constituíram os locais para a coleta de dados. A amostra constou de 94 idosos que atenderam os seguintes requisitos: ter idade igual ou superior a 60 anos; apresentar escore = 18 (em aplicação da Escala de Braden) e aceitar participar do estudo. Os d...
Research, Society and Development
In Brazil, the aging process takes place under unfavorable economic, social and health conditions... more In Brazil, the aging process takes place under unfavorable economic, social and health conditions. Therefore, a better understanding of the functionality patterns of different elderly populations becomes essential, especially in times of Covid-19. The objective of study is to assess the functionality of institutionalized and community older people. Cross-sectional study with 51 older people, divided into two groups: Institutionalized Older People Group (GII) and Community Older People Group (GIC), assessed by the Mini Mental State Examination, Clinical Functional Vulnerability Index-20 (IVCF-20), Barthel Scale, Lawton Scale and Tinneti Scale, descriptive analysis, multivariate multiple correspondence technique, multinomial and binomial logistic regression, with the R software were performed. The results showed: the quartiles: robust GIC (IVCF-20=6.75), independent (Lawton=21/Barthel=100). The fragile GII (IVCF-20=18), partially dependent (Lawton=13/Barthel=100). In GII association o...
Fragility is a syndrome characterized by reduced physical and cognitive reserves making the elder... more Fragility is a syndrome characterized by reduced physical and cognitive reserves making the elderly more vulnerable to adverse events, hospitalizations, falls, loss of independence, and death. Inertia sensors have been applied to quantify motion assessment in Timed Up and Go (TUG) test, accelerometers are used during balance assessment, and algorithms differentiate fragile, pre-fragile, and robust elderly people.
Revista da Escola de Enfermagem da USP
Objective: Evaluate the effect of essential oil in odor reduction for intestinal ostomy bags. Met... more Objective: Evaluate the effect of essential oil in odor reduction for intestinal ostomy bags. Method: Primary study, semi-experimental, prospective clinical trial with quantitative approach. A product prepared with Melaleuca armillaris leaves was tested in ostomy pouches, with and without effluents, for adhesion and odor control. Instrument: Labeled Magnitude Scale. Results: Colostomized participants, with a mean age of 73 ± 14.94, predominantly males; and informal caregivers, with a mean age of 44 ± 8.98, predominantly females. In the visual evaluation of the oil, 100% of the participants perceived its adherence. Regarding the evaluation of effluent odor by the colostomized, five reported “strong odor” before oil use and, six reported “weak” odor after use (p = 0.005). Five informal caregivers reported “very strong” effluent odor before oil use; and one reported “weak” and nine reported “moderate” after use (p = 0.0025). Conclusion: There was a reduction in the odor of effluents in...
Revista da Escola de Enfermagem da USP
RESUMO Objetivo: Avaliar o efeito do óleo essencial na redução de odor em bolsas de estomia intes... more RESUMO Objetivo: Avaliar o efeito do óleo essencial na redução de odor em bolsas de estomia intestinal. Método: Estudo primário, ensaio clínico quase experimental, prospectivo, com abordagem quantitativa. Preparado com folhas de Melaleuca armillaris, foi testado em bolsas coletoras, sem e com efluentes, quanto à aderência e odor. Instrumento: escala de magnitude rotulada. Resultados: Participantes colostomizados, com média de 73 anos ± 14,94, predomínio do sexo masculino; e cuidadores informais, com média de 44 anos ± 8,98, predomínio do sexo feminino. Na avaliação visual do óleo, 100% dos participantes perceberam a aderência. Em relação à avaliação do odor dos efluentes pelos colostomizados, cinco relataram “odor forte” antes do uso do óleo e, após o uso, seis relataram odor “fraco” (p = 0,005). Cinco cuidadores informais detectaram odor “muito forte” dos efluentes antes do uso do óleo e, após o uso, um “fraco” e nove “moderado” (p = 0,0025). Conclusão: Houve redução do odor dos ef...
Geriatrics, Gerontology and Aging, 2020
Giant cell arteritis is a large-vessel vasculitis usually seen in older adults. The inflammatory ... more Giant cell arteritis is a large-vessel vasculitis usually seen in older adults. The inflammatory process results in systemic, ophthalmic, and neurological lesions. It is difficult to diagnose in older adults and may present as a medical emergency. Here, we report the case of an 83-year-old woman who presented with bitemporal headache, jaw claudication, glossodynia, failure to thrive, and amaurosis fugax. The findings supported the hypothesis of giant cell arteritis. Despite receiving treatment, the patient died of an acute myocardial infarction. Headache in older adults raises the possibility of giant cell arteritis, especially when combined with an ophthalmic emergency. Many symptoms indicate the condition, but the diagnosis may be challenging, especially for the generalist physician.
Melaleuca oil has great medicinal properties. The objective is to develop a product based on Mela... more Melaleuca oil has great medicinal properties. The objective is to develop a product based on Melaleuca armillaris to evaluate its antihistaminic action and to compare the antihistaminic effect and protective effect of M. armillaris oil and ointment. Pruritus intensity was assessed at sensitization points. Eighty volunteers, aged between 21 and 60 years (male and female) participated in the study, without contraindications to the Prick test. The left forearm was sensitized at four points: A: control (+) histamine, B: control (-) M. armillaris oil, C: histamine and after 2 min, drying and application of M. armillaris. D: M. armillaris and after 2 min the application of histamine. The right forearm was sensitized at four points. A: control (+) histamine; B: control (-) M. armillaris ointment. C: histamine and after 2 min, drying and application of M. armillaris. D: M. armillaris ointment and after 2 min, drying and application of histamine. Reading was taken after 15 min. Areas obtaine...
Geriatrics, Gerontology and Aging, 2020
Giant cell arteritis is a large-vessel vasculitis usually seen in older adults. The inflammatory ... more Giant cell arteritis is a large-vessel vasculitis usually seen in older adults. The inflammatory process results in systemic, ophthalmic, and neurological lesions. It is difficult to diagnose in older adults and may present as a medical emergency. Here, we report the case of an 83-year-old woman who presented with bitemporal headache, jaw claudication, glossodynia, failure to thrive, and amaurosis fugax. The findings supported the hypothesis of giant cell arteritis. Despite receiving treatment, the patient died of an acute myocardial infarction. Headache in older adults raises the possibility of giant cell arteritis, especially when combined with an ophthalmic emergency. Many symptoms indicate the condition, but the diagnosis may be challenging, especially for the generalist physician.
ESTIMA, Brazilian Journal of Enterostomal Therapy, 2019
Objectives: Analyze critically the “1st Brazilian Recommendation for Biofilm Management in Chroni... more Objectives: Analyze critically the “1st Brazilian Recommendation for Biofilm Management in Chronic and Complex Wounds” (from Portuguese, “1a Recomendação Brasileira para o Gerenciamento de Biofilme em Feridas Crônicas e Complexas”). Method: Reviewing information contained in said document according to current literature. Results: The publication was showed to lack methodology compatible with its title; gaps in the recommendations were perceived regarding evidence classification, as well as an absence of grounding from important international consensus, published in the last three years, about treatment of complex wounds with suspected biofilm. Conclusion: The document was concluded to be inadequate for use as a clinical guideline, being considered only a bibliographic review about the theme.
ESTIMA, Brazilian Journal of Enterostomal Therapy, 2019
Introduction: peristomal dermatitis can be caused by leakage between adhesive plate and skin. Obj... more Introduction: peristomal dermatitis can be caused by leakage between adhesive plate and skin. Objective: to describe the peristomal plate cut mold (PPCM) for simultaneous evaluation of new products for the treatment of dermatitis. Methods: experience report about creation of a cut model, with sufficient size and width to expose part of the skin with dermatitis, to apply another product. The trapezoidal cut, according to positions 3, 6, 9 or 12 hours, corresponding to one of the quadrants, it was performed on the plate of carboxymethylcellulose, pectin, and gelatine coupled to the stoma bag. The entire part of the plate adhered to the skin was adapted to the control product. In the photographic analysis, CorelDRAW 19.0 was used. The lesions were measured in pixels. Result: the cut did not interfere with the adhesion of two parts device board, it made possible the simultaneous application and testing of a new product and the comparison of the healing with the plate. Conclusion: the PP...
Journal of Wound, Ostomy and Continence Nursing, 2007
The aim of this study was to analyze the incidence of pressure ulcers (PUs) in elderly people liv... more The aim of this study was to analyze the incidence of pressure ulcers (PUs) in elderly people living in long-term care facilities (LTCFs). DESIGN: We completed a prospective, comparison cohort study. SUBJECTS AND SETTING: Ninety-four persons, 60 years or older, participated in the study. Participants resided in 4 not-for-profit LTCFs in 3 cities in the southern region of the Brazilian state of Minas Gerais. METHODS: Participants underwent complete skin examination and Braden Scale rating every 2 days for 3 months. When a PU was detected, a careful examination was done to assess its stage, location, and size. From this moment on, the patient was included in the incidence rate and was excluded from the study. RESULTS: The incidence rate of PUs was 39.4%; 37 (77.1%) developed a single ulcer. The most common locations were the malleolus (27.1%) and the ischium (25.0%). Stage I PU were most frequent (66.7%). Females (62.8%) and whites (68.19%) prevailed, with an average age of 79.06 Ϯ 9.6 years. Body mass index was 20.93 Ϯ 4.9, with a predominance of urinary diseases (58.5%) and use of neuroleptics/psychotropics (52.1%); 28.7% had had a previous ulcer. Gender and the occurrence of a previous ulcer were found to predict the development of PU, based on logistic regression analysis (r 2 ϭ 0.311). CONCLUSIONS: The overall incidence of PU was significant, but the incidence of stage II and higher PUs was less than 12% and no elders had stage III or IV ulcers. Factors associated with PU development include female gender, regular use of neuroleptic or psychotropic medications, and a history of pressure ulceration.
ESTIMA, Brazilian Journal of Enterostomal Therapy, 2019
Introduction: peristomal dermatitis can be caused by leakage between adhesive plate and skin. Obj... more Introduction: peristomal dermatitis can be caused by leakage between adhesive plate and skin. Objective: to describe the peristomal plate cut mold (PPCM) for simultaneous evaluation of new products for the treatment of dermatitis. Methods: experience report about creation of a cut model, with sufficient size and width to expose part of the skin with dermatitis, to apply another product. The trapezoidal cut, according to positions 3, 6, 9 or 12 hours, corresponding to one of the quadrants, it was performed on the plate of carboxymethylcellulose, pectin, and gelatine coupled to the stoma bag. The entire part of the plate adhered to the skin was adapted to the control product. In the photographic analysis, CorelDRAW 19.0 was used. The lesions were measured in pixels. Result: the cut did not interfere with the adhesion of two parts device board, it made possible the simultaneous application and testing of a new product and the comparison of the healing with the plate. Conclusion: the PP...
Revista Sobecc, 2015
Investigar o número de cirurgias eletivas que são canceladas e identificar as suas causas. Método... more Investigar o número de cirurgias eletivas que são canceladas e identificar as suas causas. Métodos: Estudo descritivo, exploratório, prospectivo e quantitativo, realizado em um hospital universitário utilizando os dados de cirurgias eletivas agendadas e canceladas no período de abril a junho de 2014, extraídos do Sistema TASY e do Serviço de Arquivo Médico e Estatística. Resultados: Durante três meses, foram agendadas 1.699 cirurgias eletivas, das quais 466 (27,4%) foram canceladas. O turno matutino foi responsável por 336 (72,1%) não realizações, e os pacientes do Sistema Único de Saúde tiveram 384 (29,2%) cirurgias canceladas dentre 1.314 agendadas. O setor de Proctologia teve 22 canceladas (43,1%), dentre 51 agendadas, enquanto a Ortopedia teve 133 (38,3%), dentre 347. O principal motivo dos cancelamentos foi "a critério do cirurgião", observado em 264 casos (56,7%). Conclusão: O número de suspensões foi alto e as causas detalhadas não foram identificadas, pois os registros não informam de forma específica o motivo do cancelamento. Palavras-chave: Enfermagem perioperatória. Assistência perioperatória. Indicadores de qualidade em assistência à saúde. Administração hospitalar. Hospitais de ensino.
Australian Journal of Physiotherapy, 2007
Description A general indicator of health status (function and well-being) and includes primarily... more Description A general indicator of health status (function and well-being) and includes primarily non-psychiatric health status questions. The SF-36 is a well-researched, reliable and valid broad-based, sophisticated instrument with population norms and normative data for a wide variety of medical conditions. The SF-36 assesses health-related quality of life in 8 areas: 1) limitations in physical activities because of health problems; 2) limitations in social activities because of physical or emotional problems; 3) limitations in usual role activities because of physical health problems; 4) bodily pain; 5) general mental health; 6) limitations in usual role activities because of emotional problems; 7) vitality (energy and fatigue); and 8) general health perceptions. The original version of SF-36 [Ware & Sherborne, 1992] was used in this study. This dataset contains the scores of eight SF-36 subscales above. Study Sample 227 participants in the study completed SF-36 instrument. Data Collection Method SF-36 questionnaire was self-administered in paper-and-pencil format on the arrival day at the clinic.