Community-acquired Acinetobacter baumannii pneumonia: a rare case in Brazil.

Acinetobacter baumannii, a common pathogen in nosocomial infections, is a rare cause of community-acquired pneumonia. This report highlights the difficulties in its early diagnosis and effective treatment, as it is a multidrug-resistant microorganism with rapid, unfavorable progression. To better understand its clinical outcome, we searched the literature for similar cases but found no community-acquired cases in Brazil.

Community-acquired Acinetobacter baumannii pneumonia: a rare case in Brazil

ABSTRACT Acinetobacter baumannii, a common pathogen in nosocomial infections, is a rare cause of community-acquired pneumonia. This report highlights the difficulties in its early diagnosis and effective treatment, as it is a multidrug-resistant microorganism with rapid, unfavorable progression. To better understand its clinical outcome, we searched the literature for similar cases but found no community-acquired cases in Brazil.

Increase of placental sensitivity to melatonin and the alteration to its local synthesis in hypertensive syndromes in pregnancy.

OBJECTIVE: To evaluate the relation between hypertensive syndromes and melatonin, and its possible protective role against lesions due to hypertension. METHODS: Placentas were classified into gestational hypertension (GH), chronic hypertension (CH), pre-eclampsia (PE) and pre-eclampsia superimposed on chronic hypertension, and morphologically examined by hematoxylin-eosin and periodic acid Schiff methods. Immunohistochemistry was performed to detect tryptophan hydroxylase (TH) and melatonin receptor 1A (MR-1A). RESULTS: MR-1A expression was higher in all types of hypertensive syndromes in pregnancy (HSP), mainly in cases with GH, in Caesarean section delivery, preterm placentas and in the cases with alterations in the placental morphology, particularly those presenting inflammation. The expression of TH was higher in cases with CH when compared with the control. This expression was lower in primigestas, in the cases of inflammation and with PE. CONCLUSIONS: HSP therapies should be considered and studied, especially in the cases of HSP associated with PE, in which the placenta is more sensitive as it has more receptors, but its synthesis ability is reduced. As for GH and CH, the possible benefits should be evaluated, since the local placental ability to produce melatonin still exists.

Satisfação de clientes hospitalizados em relação às atividades lúdicas desenvolvidas por estudantes universitários / Satisfaction of patient hospitalized in relation to the playful activitiesdeveloped by university students / Satisfacción de los clientes hospitalizados en relación con las actividades lúdicas desarrolladas por los estudiantes universitarios

A hospitalização é considerada um fator estressante ao cliente e sua família. A realização de atividades lúdicas em hospitais constitui uma forma de contribuir para a assistência pautada nos valores humanos, minimizando consequências negativas que esta pode acarretar. O grupo SARAKURA foi criado em 2004, com o propósito de levar entretenimento às pessoas hospitalizadas no Hospital de Clínicas da Universidade Federal do Triângulo Mineiro (HC/UFTM). Diante disso, objetivou-se caracterizar os clientes internados no HC/UFTM e verificar a opinião sobre sua satisfação em relação às atividades lúdicas realizadas pelo grupo SARAKURA. Foi aplicado questionário a 218 clientes que receberam a visita do SARAKURA durante a hospitalização. Os dados foram submetidos à análise estatística descritiva, evidenciando que os participantes avaliaram como ótimo: o período em que o grupo esteve presente na enfermaria (66,98%), o horário da visita (50%), as atividades lúdicas realizadas (66,05%), os recursos materiais utilizados (70,18%), a atuação dos alunos (76,15%) e a possibilidade de outras visitas (86,70%). O tempo de permanência do grupo obteve conceito bom segundo 37,61% dos participantes. Concluiu-se que o trabalho do grupo SARAKURA apresentou boa aceitação, mediante a atuação de seus integrantes, que buscam promover uma cultura de respeito e de valorização da vida humana.

Hospitalization is considered a stressful factor to the patient and your family. So, the accomplishment of playful activities in hospitals constitutes a form to contribute for the assistance based in the human values, minimizing the negative consequences that hospitalization can cause. The group SARAKURA was created in 2004, with the intention to take entertainment to the people hospitalized in the Hospital de Clínicas da Universidade Federal do Triângulo Mineiro (HC/UFTM). Ahead of this, it was objectified to characterize the patients interned in the HC/UFTM and to verify its opinion on its satisfaction in relation to the playful activities carried through by the group SARAKURA. Questionnaire was applied the 218 patients who received a visit from SARAKURA during hospitalization. The data had been submitted to the analysis descriptive statistics, evidencing that the participants had evaluated as excellent the period where the group was present in the infirmary (66,98%), the schedule (50%), the carried through playful activities (66,05%), the used material resources (70,18%), the performance of the students (76,15%) and the possibility of other visits (86,70%). The time of permanence of the group had gotten good concept for 37,61% of the participants. It was concluded that the work of group SARAKURA presented good acceptance, by means of the performance of its integrant ones, that they search to promote a culture of respect and valuation of the life human being.

La hospitalización se considera un factor agotador para el cliente y su familia. Así, el uso de actividades ludicas en los hospitales es una forma de contribuir a la asistencia basada en los valores humanos, reduciendo las consecuencias negativas que la hospitalización puede causar. El grupo SARAKURA fue creado en 2004 con el propósito de llevar el entretenimiento a personas hospitalizadas en Hospital de Clínicas da Universidade Federal do Triângulo Mineiro (HC / UFTM). Delante de eso se objetivó caracterizar los clientes internados en el HC/UFTM y verificar sus puntos de vista sobre su satisfacción con las actividades ludicas desarrolladas por el grupo SARAKURA. Se aplicó un cuestionario a 218 clientes que habían recibido la visita del SARAKURA durante la hospitalización. Los datos fueron analizados según estadística descriptiva y los resultados evidenciaron que los participantes evaluaron como óptimo: el periodo en que el grupo estuvo presente en la enfermería (66,98%, el horario (50%), las actividades lúdicas realizadas (66,05%), los recursos materiales utilizados (70,18%), la actuación de los alumnos (76,15%) y la posibilidad de otras visitas (86,70%). El tiempo de permanencia del grupo alcanzó concepto bueno para 37,61% de los participantes. Se concluyó que la labor de la SARAKURA mostró buena aceptación por parte de las acciones de sus miembros, tratando de promover una cultura de respeto y el aprecio de la vida humana.