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1.
Arq. ciências saúde UNIPAR ; 26(1): 13-21, Jan-Abr. 2022.
Article in Portuguese | LILACS | ID: biblio-1362662

ABSTRACT

O objetivo desse artigo é relatar os resultados de um programa de exercícios para indivíduos adultos com deficiências cognitivas e transtornos, utilizando diferentes exergames como ferramentas pedagógicas. A intervenção foi realizada com a participação de 26 indivíduos adultos com deficiências cognitivas e transtornos com idades entre 25 e 59 anos. A pesquisa de abordagem qualitativa, de cunho exploratória, a qual foram utilizados a entrevista semiestruturada e o diário de campo como instrumentos de pesquisa. Para interação com os exergames, foram utilizados os consoles Xbox 360 com Kinect, Xbox One com Kinect e Nintendo Wii U. As intervenções foram realizadas no Exergame Lab Brazil, na Escola Superior de Educação Física da UFPel, por um período de duas horas, uma vez por semana, totalizando 25 encontros. A utilização de Exergames tem grande potencial, tanto nos aspectos relacionados à viabilidade, por ser uma tecnologia de baixo custo e de fácil implementação, quanto nos resultados esperados. O Just Dance e o Kinect Sports foram os games que mais contribuíram nesta pesquisa. Os participantes da pesquisa ganharam independência e socialização, bem como melhoraram as habilidades específicas em cada game. Além disso, a possibilidade de utilização dos Exergames em casa também poderá auxiliar pais e responsáveis a melhorar aspectos da vida diária de adultos com deficiências cognitivas e transtornos.


The purpose of this article is to report the results of an exercise program for adults with cognitive disabilities and disorders using different exergames as pedagogical tools. The intervention was carried out with the participation of 26 individuals with cognitive disabilities and disorders aged between 25 and 59 years old. The exploratory, qualitative research used a semi-structured interview and a field diary as research instruments. The Xbox 360 with Kinect, Xbox One with Kinect and Nintendo Wii U consoles were used for the interactions with the exergames. The interventions were carried out at Exergame Lab Brazil, at the Physical Education School at UFPel, for a period of two hours, once a week, totaling 25 meetings. The use of Exergames presents great potential, both in relation to feasibility, since it is a low-cost, easy-to-implement technology, and in terms of expected results. Just Dance and Kinect Sports were the games that contributed most to this research. Research participants gained independence and socialization, as well as the improvement of specific skills in each game. In addition, the possibility of using Exergames at home can also help parents and guardians to improve aspects of the daily life of adults with cognitive disabilities and disorders.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Cognitive Dysfunction/therapy , Digital Inclusion , Health Promotion , Socialization , Syndrome , Teaching , Behavior , Exercise , Early Intervention, Educational , Video Games , Exercise Therapy/education , Virtual Reality , Mental Disorders/therapy
5.
Rev. colomb. cir ; 37(1): 151-155, 20211217. fig
Article in Spanish | LILACS | ID: biblio-1357603

ABSTRACT

Introducción. El síndrome lumbocostovertebral es una anomalía poco frecuente, que afecta a los cuerpos vertebrales, las costillas y músculos de la pared abdominal, y puede estar asociada a múltiples anomalías congénitas. Requiere un manejo multidisciplinario y tratamiento quirúrgico temprano para evitar complicaciones. Caso clínico. Se reporta el caso de un neonato masculino de 10 días de edad, que presentó desde el nacimiento 2 tumoraciones lumbares derechas, una que aumentaba de tamaño con el llanto, correspondió a una hernia lumbar, y la otra, a mielomeningocele. En estudios complementarios se evidenció fusión de costillas, fusión de cuerpos vertebrales lumbares, sacros (hemivértebras) y defecto de pared abdominal con protrusión de contenido intestinal. Se realizó cierre de la hernia lumbar con refuerzo protésico de pericardio bovino, sin complicaciones. Conclusión. En defectos extensos, como el que se reporta en este paciente, puede ser recomendable emplear material protésico. El pericardio bovino aparece como una opción segura, bien tolerada y eficaz para estos pacientes en particular. Este síndrome es una entidad rara, que amerita un equipo multidisciplinario para la resolución quirúrgica temprana y con ello evitar complicaciones.


Introduction. Lumbocostovertebral syndrome is a rare anomaly that affects the vertebral bodies, ribs and muscles of the abdominal wall, and can be associated with multiple congenital abnormalities. It requires multidisciplinary management and early surgical treatment to avoid complications. Clinical case. The case of a 10-day-old male neonate is reported, who presented from birth 2 right lumbar tumors, one that increased in size with crying, corresponded to a lumbar hernia, and the other, to myelomeningocele. In complementary studies, rib fusion, fusion of lumbar and sacral vertebral bodies (hemivertebrae), and abdominal wall defect with protrusion of intestinal contents were evidenced. The lumbar hernia was closed with prosthetic reinforcement with a bovine pericardium, without complications. Conclusion. In extensive defects, such as the one reported in this patient, it may be advisable to use prosthetic material. The bovine pericardium appears as a safe, well tolerated and effective option for these patients in particular. This syndrome is a rare entity, which requires a multidisciplinary team for early surgical resolution and thus avoid complications.


Subject(s)
Humans , Congenital Abnormalities , Meningomyelocele , Syndrome , Hernia, Abdominal , Hernia , Lumbar Vertebrae
6.
Bol. micol. (Valparaiso En linea) ; 36(2): 5-11, dic. 2021. ilus
Article in Spanish | LILACS | ID: biblio-1352529

ABSTRACT

El síndrome de la uña verde o cloroniquia corresponde a la infección por Pseudomonas aeruginosa de una lámina ungueal dañada en pacientes con algún factor de riesgo identificable, siendo los más frecuentes la inmunosupresión, el ambiente húmedo constante y la patología ungueal preexistente. Su diagnóstico es relativamente sencillo si se logra observar la tríada característica de coloración verdosa de la lámina ungueal, paroniquia proximal crónica y onicolisis distal; en casos de duda diagnóstica se puede enviar una muestra de la uña afectada para cultivos o estudio histopatológico. El pilar de su tratamiento corresponde al uso de antibióticos tópicos o sistémicos en conjunto con medidas generales que protejan de la humedad. Es muy importante enfatizar la prevención de esta patología en el personal de salud, especialmente en el contexto del lavado de manos frecuente y riguroso implementado durante la pandemia COVID-19, ya que existen reportes de transmisión nosocomial de P. aeruginosa por profesionales de la salud con infección ungueal.(AU)


Green nail syndrome or chloronychia is the infection of a damaged nail plate by Pseudomonas aeruginosa in a patient with an identifiable risk factor; the most frequently described are immunosuppression, a persistent moist environment and preexisting nail disease. Its diagnosis is relatively simple if the characteristic triad of green discoloration of the nail plate, chronic proximal paronychia and distal onycholysis can be observed, in cases of doubt a sample of the affected nail can be sent for cultures or histopathology. The cornerstone of treatment is the use of topical or systemic antibiotics along with measures to protect the nail from moisture. Prevention of this disease must be emphasized in health care personnel, especially in the context of frequent and rigorous handwashing practices implemented during the COVID-19 pandemic, since there are reports of nosocomial transmission of P. aeruginosaby health care professionals with nail infection.(AU)


Subject(s)
Pseudomonas aeruginosa/pathogenicity , Pseudomonas Infections , Nails/microbiology , Pseudomonas Infections/diagnosis , Pseudomonas Infections/drug therapy , Syndrome , Health Personnel , Onychomycosis , Onycholysis , COVID-19
11.
Rev. colomb. obstet. ginecol ; 72(3): 298-306, July-Sept. 2021. graf
Article in Spanish | LILACS | ID: biblio-1351954

ABSTRACT

Objetivo: reportar el caso de una gestante con síndrome en espejo asociada a miocardiopatía no compactada (MNC), tanto en la madre como el feto, en los que el tratamiento médico antenatal en la madre llevó a un resultado materno perinatal favorable. Presentación del caso: se describe el caso de una primigestante de 16 años, con 33 semanas de embarazo, remitida desde una institución de primer nivel de atención a una institución privada de cuarto nivel en la ciudad de Medellín, Colombia, por presentar feto con hidropesía en ultrasonido obstétrico de control. Durante la hospitalización, la paciente presentó signos clínicos y ecocardiográficos de falla cardiaca (disnea, edema e hipoxemia), a la vez que se confirmó el diagnóstico de Hydrops fetalis (síndrome en espejo). Se instauró tratamiento diurético con furosemida en la madre, logrando mejoría del cuadro materno y del edema fetal. En el puerperio mediato hospitalario se confirmaron la presencia de miocardiopatía no compactada en la resonancia magnética nuclear cardiaca, tanto de la madre como del recién nacido. Ambos egresaron en adecuadas condiciones y fueron vinculados al programa de seguimiento cardiovascular: falla cardiaca y de cardiopatía congénitas, respectivamente. Conclusión: se presenta un caso de síndrome en espejo asociado a miocardiopatía no compactada materna y fetal. Es limitado el número de reportes de síndrome en espejo por anomalías cardiacas (maternas y fetales) y pobre la descripción de los tratamientos realizados que surgen como temas a investigar. Sería importante considerar el diagnóstico de MNC en fetos con hidropesía no asociados a isoinmunización y con disfunción cardiaca, así como su atención por equipos multidisciplinarios.


ABSTRACT Objective: To report the case of a pregnant woman with mirror syndrome associated with noncompaction cardiomyopathy in the mother and the fetus, in which antenatal medical treatment provided to the mother resulted in a favorable perinatal maternal outcome. Case presentation: A 16-year old primigravida with 33 weeks of gestation referred from a Level I institution to a private Level IV center in Medellín, Colombia, because of a finding of fetal hydrops on obstetric ultrasound. During hospitalization, the patient showed clinical and ultrasonographic signs of heart failure (dyspnea, edema and hypoxemia), with the diagnosis of hydrops fetalis (mirror syndrome) also confirmed. Diuretic treatment with furosemide was initiated in the mother, with subsequent improvement of the maternal condition as well as of the fetal edema. During the subacute postpartum period in the hospital, the presence of non-compaction cardiomyopathy was confirmed on cardiac nuclear magnetic resonance imaging in both the mother and the newborn. After discharge in adequated condition, they were included in the cardiovascular follow-up program for heart failure and congenital heart disease, respectively. Conclusion: A case of mirror syndrome associated with maternal and fetal non-compaction cardiomyopathy is presented. There is a limited number of reports on mirror syndrome due to cardiac anomalies (maternal and fetal), with weak treatment descriptions, pointing to the need for research in this area. It would be important to consider the diagnosis of non-compaction cardiomyopathy in fetuses with hydrops unrelated to isoimmunization or cardiac dysfunction and approach these cases from a multidisciplinary perspective.


Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Infant , Adolescent , Placenta Diseases , Hydrops Fetalis , Isolated Noncompaction of the Ventricular Myocardium , Cardiomyopathies , Syndrome , Edema , Fetus
12.
Rev. colomb. obstet. ginecol ; 72(3): 258-270, July-Sept. 2021. tab, graf
Article in Spanish | LILACS | ID: biblio-1351951

ABSTRACT

Objetivo: describir las características clínicas y la frecuencia de complicaciones maternas, fetales y neonatales, según técnica de anestesia neuroaxial (AN) en mujeres con síndrome de transfusión feto-fetal (STFF) tratadas con fotocoagulación láser (FL). Materiales y métodos: estudio de cohorte retrospectiva descriptivo. Se incluyeron gestantes con STFF tratadas con FL y AN en la Fundación Valle del Lili, Cali (Colombia) entre 2013-2017. Se excluyeron pacientes con STFF estadio-V de Quintero. Se usó estadística descriptiva. El protocolo fue aprobado por el Comité de Ética de la institución. Resultados: 32 participantes cumplieron con los criterios de inclusión y de exclusión. La población estuvo constituida por mujeres jóvenes, multíparas. En el 87,5% de los casos se realizó intervención de urgencia. El 43,7% presentaba el estadio-III de Quintero y en el 56,2 % de las gestantes se utilizó anestesia epidural. Las variables hemodinámicas maternas exhibieron un comportamiento similar, acorde al momento de la cirugía y la técnica neuoraxial implementada. El 65,6 % de las gestantes presentó hipotensión sostenida y el 9,3 % desarrolló edema pulmonar. El 65,6 % de las pacientes experimentó parto pretérmino y el 18,7 % ruptura prematura de membranas. Se registraron 14 muertes fetales y cinco neonatales. No se registraron casos de mortalidad materna. Conclusiones: en pacientes con STFF que requieren FL, el uso de la anestesia epidural, espinal o combinada probablemente se asocia con un comportamiento similar al de las variables hemodinámicas maternas, durante los momentos de la cirugía. Los profesionales que brindan atención a estas gestantes deben estar alerta ante la frecuente aparición de complicaciones maternas, fetales y neonatales. Se requieren estudios prospectivos que evalúen la seguridad y la efectividad de las diferentes técnicas de anestesia neuroaxial en pacientes con STFF.


Objective: To describe the clinical characteristics and the frequency of maternal, fetal and neonatal complications in accordance with the neuraxial anesthesia (NA) technique in women with twin-to- twin transfusion syndrome (TTTS) treated with laser photocoagulation. Materials and Methods: Descriptive retrospective cohort study of pregnant patients with TTTS treated with laser photocoagulation under NA at Fundación Valle del Lili, Cali (Colombia), between 2013-2017. Patients with Quintero stage VTTTS were excluded. The protocol was approved by the institutional ethics committee. Results: Of the participants, 32 met the inclusion and exclusion criteria. The study population consisted of young, multiparous women. Urgent interventions were performed in 87.5% of cases; 43.7% were Quintero stage III and epidural anesthesia was used in 56.2% of the women. Maternal hemodynamic variables were similar, in accordance with the timing of surgery and the neuraxial technique used. Sustained hypotension occurred in 65.6% of the pregnant women and 9.3% developed pulmonary edema. Pre-term delivery occurred in 65.6% of the patients and 18.7% had premature rupture of membranes. There were 14 fetal demises and five neonatal deaths. There were no cases of maternal mortality. Conclusions: In patients with TTTS requiring laser photocoagulation, the use of epidural, spinal or combined anesthesia is likely associated with similar maternal hemodynamic variables at the time of surgery. Practitioners providing care to these pregnant women must be aware of the frequent occurrence of maternal, fetal and neonatal complications. Prospective studies to assess the safety and effectiveness of the different neuraxial anesthesia techniques in patients with TTTS are required.


Subject(s)
Female , Pregnancy , Infant, Newborn , Fetofetal Transfusion , Pregnancy, Twin , Anesthesia, Epidural , Anesthesia, Spinal , Safety , Syndrome , Laser Coagulation , Fetoscopy , Anesthesia
13.
Alerta (San Salvador) ; 4(3): 102-98, jul. 29, 2021. ilus
Article in Spanish | LILACS, BISSAL | ID: biblio-1282073

ABSTRACT

El síndrome de cordón umbilical corto es una anomalía poco común e incompatible con la vida que se asocia a defectos de la pared anterior del feto, cordón umbilical corto o ausente y anomalías de los miembros. Esta entidad es la más severa y más infrecuente entre los defectos de la pared anterior del abdomen, con una incidencia de 1 en 14 000 nacimientos. Se presenta el caso de un recién nacido de término, de sexo indeterminado, producto de primer embarazo, de parto abdominal. A las 28 semanas de gestación se diagnosticó un defecto en pared abdominal anterior y una imagen quística de columna vertebral por ultrasonografía. Al nacimiento se observaron los órganos abdominales expuestos, el cordón umbilical grueso, de 10 cm de longitud, eventración de intestinos e hígado y cifoescoliosis marcada, ausencia de genitales externos y de ano, un remanente de miembro inferior derecho y miembro inferior izquierdo completo con pie equinovaro. Se le dio apoyo ventilatorio y falleció a los 15 minutos de vida


Short umbilical cord syndrome is a rare and life-incompatible abnormality associated with fetal anterior wall defects, absent or short umbilical cord, and limb abnormalities. This entity is the most severe and rarest of anterior abdominal wall defects, with an incidence of 1 in 14,000 births. We present the case of a full-term newborn, of undetermined sex, product of first pregnancy, of abdominal delivery. At 28 weeks' gestation, an anterior abdominal wall defect and a cystic image of the spine were diagnosed by ultrasonography. At birth, the exposed abdominal organs, the thick umbilical cord, 10 cm in length, eventration of the intestines and liver and marked kyphoscoliosis, absence of external genitalia and anus, a remnant of the right lower limb and complete left lower limb with foot were observed. equinovarus. Ventilatory support was given and died at 15 minutes of life


Subject(s)
Syndrome , Umbilical Cord , Parturition , Intestines
14.
Rev. cuba. med ; 60(2): e1945, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1280350

ABSTRACT

Introducción: Con el propósito de justificar la decisión diplomática de los Estados Unidos, se publicaron dos artículos científicos en revistas médicas que intentan sostener la idea de que en La Habana hubo un ataque dirigido a personal de la embajada estadounidense. Objetivo: Demostrar la falta de rigor científico en dos investigaciones de series de casos no independientes sobre los síntomas de salud de diplomáticos de los Estados Unidos en La Habana. Método: Se realiza un análisis documental de dos publicaciones de series de casos. Se evalúan hipótesis diagnósticas. Resultados: Existe superposición amplia entre las dos series en cuanto a pacientes compartidos y en contraste se presentan algunas diferencias en los datos clínicos que superan lo esperado. Conclusiones: En ambas publicaciones se desaprovecha la riqueza semiográfica de síntomas y la información psicosocial. Se enfatiza más en argumentos asociados al fetichismo de la tecnología expresado en la interpretación de hallazgos inespecíficos. El análisis de datos clínicos permitió ver que se trata de un grupo heterogéneo de personas cuyas quejas de salud han sido reunidas por la interacción de otros factores psicosociales contextuales(AU)


Introduction: In order to justify the diplomatic decision of the United States, two scientific articles were published in medical journals that attempt to support the idea that, in Havana, there was an attack aimed at US embassy personnel. Objective: To prove the lack of scientific consistency in two investigations of non-independent case series on the health symptoms of United States diplomats in Havana. Method: A documentary analysis of two publications of case series is carried out. Diagnostic hypotheses are evaluated. Results: There is wide overlap between the two series in terms of shared patients and in contrast there are some differences in the clinical data that exceed what was expected. Conclusions: In both publications the semiographic wealth of symptoms and psychosocial information are wasted. More emphasis is placed on arguments associated with the fetishism of technology expressed in the interpretation of nonspecific findings. The analysis of clinical data allowed us to see that it is a heterogeneous group of people whose health complaints have been brought together by the interaction of other contextual psychosocial factors(AU)


Subject(s)
Humans , Politics , Research , Syndrome , Technology , Dizziness/etiology , Tension-Type Headache/etiology
17.
Gac. méd. Méx ; 157(3): 315-322, may.-jun. 2021. tab, graf
Article in Spanish | LILACS | ID: biblio-1346113

ABSTRACT

Resumen El dolor neuropático localizado (DNL) es de origen periférico y se caracteriza por áreas circunscritas de dolor con sensibilidad anormal de la piel o síntomas espontáneos característicos de dolor neuropático, por ejemplo, dolor urente. Se debe resaltar que el DNL está confinado a un área específica no mayor a una hoja de papel tamaño carta. El DNL representa 60 % de las condiciones de dolor neuropático. No existe una única etiología. El abordaje diagnóstico es similar al de otros síndromes dolorosos neuropáticos. Se utilizan herramientas diagnósticas generales para evaluar las características clínicas. En la actualidad no existen guías específicas de manejo del DNL, por lo que se utilizan las guías para dolor neuropático en general. En las guías de la Sociedad Canadiense de Dolor se incluyen los tratamientos tópicos como parte de las estrategias de segunda línea. Pese a la falta de guías, los parches de lidocaína a 5 % y los parches de capsaicina a 8 % han demostrado ser efectivos en modelos de DNL.


Abstract Localized neuropathic pain (LNP) is of peripheral origin and is characterized by circumscribed areas of pain with abnormal skin sensitivity or spontaneous symptoms that are characteristic of neuropathic pain, e.g. burning pain. It should be noted that LNP is confined to a specific area no larger than a letter size sheet of paper. LNP accounts for 60 % of neuropathic pain conditions. There is no single etiology of LNP. The diagnostic approach is similar to that for other neuropathic pain syndromes. General diagnostic tools are used to assess clinical features. So far, there are no specific guidelines for the management of LNP; for this reason, guidelines for general neuropathic pain are used. Topical treatments are included as part of second-line strategies in the Canadian Pain Society guidelines. Despite the lack of guidelines, 5 % lidocaine patches and 8 % capsaicin patches have been proven effective in LNP models.


Subject(s)
Humans , Neuralgia/diagnosis , Neuralgia/etiology , Syndrome , Canada
18.
Int. braz. j. urol ; 47(3): 551-557, May-June 2021. tab
Article in English | LILACS | ID: biblio-1154496

ABSTRACT

ABSTRACT Purpose: False-negative urodynamic findings may mislead or prevent planned treatments due to unmatched findings with the clinical presentation. We hypothesized that the absence of urodynamic demonstration of SUI or OAB on urodynamics would interfere with clinical outcomes. Materials and Methods: Materials and Methods: We prospectively studied 124 women with (94) or without (30) demonstrable SUI after sling operations. Similarly, 64 women with OAB syndrome with (38) or without (26) demonstrable DO were also compared after treatment with anticholinergic agents. Patients were assessed with the UDI-6 and IIQ-7 questionnaires 3 and 6 months after treatment. Results: Only 76% of SUI patients demonstrated urine leakage during urodynamics. The UDI-6 score was higher in the demonstrable-SUI and demonstrable-DO groups, while the IIQ-7 score was comparable within the incontinence or urgency/frequency groups. Demonstrable and non-demonstrable SUI-operated patients showed similar outcomes. Patients with urgency syndromes with or without demonstrable DO had a similar rate of improvement with anticholinergic therapy. Conclusions: Women with clinical complaints of SUI objectively demonstrated on urodynamics presented the same subjective clinical outcome as those with SUI lacking objective demonstration when measured by the UDI-6 and IIQ-7 questionnaires. Similarly, patients with OAB syndrome with or without demonstrable DO had similar clinical improvement when treated with anticholinergics and measured using the same questionnaires.


Subject(s)
Humans , Female , Urinary Incontinence , Urinary Incontinence, Stress/drug therapy , Urologic Surgical Procedures , Syndrome , Urodynamics , Treatment Outcome
19.
rev. cuid. (Bucaramanga. 2010) ; 12(2): e1302, mayo 1, 2021. tab, graf
Article in Spanish | LILACS, BDENF | ID: biblio-1341829

ABSTRACT

Resumen Introducción La Insuficiencia cardiaca avanzada genera deterioro clínico y funcional marcado en el paciente. A través del tiempo se han desarrollado investigaciones para evaluar síntomas y aliviar el sufrimiento. El presente artículo tiene como objetivo identificar los clúster de síntomas en pacientes con insuficiencia cardiaca avanzada, que puedan contribuir en la consolidación del conocimiento. Materiales y Métodos Una estrategia PICO estableció la pregunta clave de revisión desarrollada, mediante PRISMA, con búsquedas en: Scopus, Pubmed, Embase y Google Scholar. Se incluyeron artículos de fuente primaria, insuficiencia cardiaca avanzada, publicados 2010 - 2019 en inglés y español, se excluye población pediátrica. Se realizaron análisis descriptivos de los síntomas encontrados. Resultados De 8000 estudios, fueron incluidos 11 para revisión completa, la mayoría de corte transversal, cuyas características de la muestra corresponde 50% hombres, entre 56 y 83 años. Se identificaron en el clúster físico síntomas: fatiga, dificultad para dormir, disnea; en el cluster emocional se identifican: Depresión, deterioro cognitivo y preocupación, además se encontró evaluación de síntomas por región geográfica. Discusión Existe un consenso en la clasificación de síntomas en grupos denominados físico y emocional, llama la atención que el edema en algunos casos no está incluido en ellos. Limitaciones Se incluyeron dos estudios del mismo autor en diferente año de publicación, población y los clúster son los mismos, pero con análisis de variables como calidad de vida y estado funcional. Conclusión Diversidad de poblaciones, tipos de estudio y métodos de análisis, no permiten un único enfoque para agrupación de los síntomas más frecuentes en pacientes con insuficiencia cardiaca avanzada.


Abstract Introduction Advanced heart failure leads to severe clinical and functional deterioration in patients. Over the years, research has been focused on the evaluation of symptoms and alleviation of suffering. This study aims to identify symptom clusters among patients with advanced heart failure in order to contribute towards knowledge consolidation. Materials and Methods The PICO strategy helps define the key review question developed through PRISMA, involving searches in Scopus, PubMed, Embase and Google Scholar. Primary source articles on advanced heart failure which had been published between 2010 and 2019 in English and Spanish, excluding the pediatric population, were considered for this review. We carried out a descriptive analysis of the symptoms found in the articles. Results A total of 11 out of 8000 studies were selected for a complete review, most of them are cross-sectional studies in which sample characterization corresponds to 50% of men aged 56 to 83 years. Fatigue, sleeping difficulty and dyspnea were some of the symptoms found in the physical symptom cluster, while depression, cognitive deterioration and concern were found in the emotional symptom cluster. Evaluations of symptoms by geographic region were also found. Discussion There is a general consensus about the classification of symptoms in physical and emotional clusters. However, it is surprising to find out that edema is not included in any of them. Limitations Two studies from the same author but published in different years were included in the review as the population and clusters were the same but different variables such as quality of life and functional status were studied. Conclusion Having diverse populations, study types and analysis methods do not allow applying a single approach to grouping the most frequent symptoms in patients with advanced heart failure.


Resumo Introdução A insuficiência cardíaca avançada gera deterioração clínica e funcional marcado no paciente. Foi desenvolvida ao longo do tempo pesquisas para avaliar os sintomas e aliviar o sofrimento. O presente artigo tem como objetivo identificar os agrupamentos de sintomas em pacientes com insuficiência cardíaca avançada, que podem contribuir para a consolidação do conhecimento. Materiais e Métodos Uma estratégia PICO estabeleceu a questão-chave de revisão desenvolvida, usando PRISMA, com buscas em: Scopus, Pubmed, Embase e Google Scholar. Artigos de uma fonte primária foram incluídos, insuficiência cardíaca avançada, publicados em 2010 - 2019 em inglês e espanhol, a população pediátrica é excluída. Foram realizadas análises descritivas dos sintomas encontrados. Resultados Dos 8.000 estudos, 11 foram incluídos para revisão completa, a maioria de corte transversal, cujas características da amostra correspondem a 50% de homens, entre 56 e 83 anos. Foram identificados no agrupamento físico os sintomas: cansaço, dificuldade para dormir, dispneia; no agrupamento emocional, foram identificados: Depressão, deterioração cognitiva e preocupação, assim como foi encontrada uma avaliação dos sintomas por região geográfica. Discussão Existe um consenso na classificação dos sintomas em grupos denominados físico e emocional, chama a atenção que o edema em alguns casos não está incluído neles. Limitações Foram incluídos dois estudos do mesmo autor em diferentes anos de publicação, a população e os agrupamentos são os mesmos, mas com análise de variáveis como qualidade de vida e estado funcional. Conclusão A diversidade de populações, tipos de estudos e métodos de análise não permitem uma abordagem única para agrupar os sintomas mais frequentes em pacientes com insuficiência cardíaca avançada.


Subject(s)
Syndrome , Symptom Assessment , Heart Failure
20.
Rev. Eugenio Espejo ; 15(2): 57-67, 20210516.
Article in Spanish | LILACS | ID: biblio-1248313

ABSTRACT

El síndrome de burnout (SB) constituye una patología que se caracteriza por la manifestación de agotamiento emocional, despersonalización y sentimiento de pérdida de realización personal. Se realizó un estudio con el objetivo de describir el SB en estudiantes de enfermería de la Filial Cañar de la Universidad Católica de Cuenca, durante los años 2019 y 2020, el que tuvo un enfoque cuantitativo, observacional, de tipo descriptivo transversal, en el que participaron 192 estudiantes de la Carrera de Enfermería, Filial Cañar, Universidad Católica de Cuenca. Este fue ejecutado en el período 2019-2020, mediante la aplicación de la Escala Unidimensional del Burnout Estudiantil. el 97,4% de los involucrados tuvo algún nivel de SB. La prueba de chi cuadrado en las variables: repitencia de asignaturas, problemas de puntualidad y la ansiedad provocada por las obligaciones académicas en relación con el nivel de SB arrojó valores no significativos. El resto de los factores que permitieron valorar el nivel de SB se asociaron significativamente con este, con p valores menores que 0,05. Entre las variables sociodemográficas exploradas, solo la presencia de discapacidad se asoció significativamente con esta entidad. Se estableció dependencia entre el burnout académico y los siguientes factores explorados: ciclo que cursa, inconvenientes con docente o autoridad de la institución, sobrecarga de actividades, horarios, exceso de tareas, relación con los compañeros, competitividad entre compañeros, existencia de espacios recreativos y capacidad de realizar tareas por sí solo.


Burnout syndrome (BS) is a pathology characterized by the manifestation of emotional exhaus-tion, depersonalization, and a feeling of loss of personal fulfillment. This research aimed to describe BS in nursing students of the Catholic University of Cuenca in the city of Cañar, during the years 2019 and 2020. A quantitative, observational, descriptive cross-sectional study was carried out. 192 students from the Nursing Career of the Catholic University of Cuenca in the city of Cañar participated. This research was executed in the period 2019-2020 through the application of the Unidimensional Scale of Student Burnout. 97.4% of students had some level of BS. The chi-square test in the variables: repetition of subjects, punctuality problems and anxiety caused by academic obligations in relation to the level of SB, showed non-significant values. The rest of the factors that allowed assessing the level of BS were significantly associa-ted with it, with p values less than 0.05. Among the sociodemographic variables explored, only the presence of disability was significantly associated with this entity. Dependency was establi-shed between academic burnout and the following factors explored: current cycle, problems with the teacher or the institution's authority, overload of activities, schedules, excess tasks, relationship with classmates, competitiveness among classmates, existence of recreational spaces and ability to perform tasks by himself/herself


Subject(s)
Humans , Male , Female , Adult , Students, Nursing , Syndrome , Burnout, Psychological , Anxiety , Universities , Depersonalization
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