Risk factors for postoperative pulmonary complications and prolonged hospital stay in pulmonary resection patients: a retrospective study.

BACKGROUND: Postoperative pulmonary complications are the main cause of morbidity and mortality after pulmonary resection. This study was undertaken to determine the risk factors associated with postoperative pulmonary complications (PPCs) and length of hospital stay (LOS) in pulmonary resection patients in a tertiary teaching hospital in Brazil. METHODS: A retrospective data gathering from 196 patients who underwent pulmonary resection between 2012 and 2016 was conducted. Demographic and hospital admission data were collected from patients with complete medical records. Univariate analysis was performed, followed by Poisson's regression for predicting the prevalence of postoperative pulmonary complications and length of hospital stay. RESULTS: Thirty-nine patients (20%) displayed pulmonary complications in the postoperative period. The risk factors associated with an increased prevalence of postoperative pulmonary complications in a multivariate analysis were: American Society of Anesthesiologists physical status (ASA) ≥ 3 (PR 4.77, p = 0.03, 95% CI: 1.17 to 19.46), predicted diffusion capacity of the lungs for carbon monoxide - corrected single breath (PR 0.98, p < 0.001, 95% CI: 0.96 to 0.99) and age of the patient (PR 1.04; p = 0.01; 95% CI: 1.01 to 1.06). Those associated with an increased prevalence of prolonged hospital stay were: duration of surgical procedure longer than five hours (PR 6.94, p = 0.01, 95% CI: 1.66 to 12.23), male sex (PR 5.72, p < 0.001, 95% CI: 1.87 to 9.58), and presence of postoperative pulmonary complications (PR 11.92, p < 0.001, 95% CI: 7.42 to 16.42). CONCLUSIONS: The rate of postoperative pulmonary complications in the study population is in line with the world average. Recognizing risk factors for the development of PPCs may help optimize allocation resources and preventive efforts.

[Violence and health professionals in primary health care]. / A violência e os profissionais da saúde na atenção primária.

The professionals who work on primary health care are affected by violence as they deal with very diverse patients. This exploratory descriptive study, with a qualitative approach, aimed at determining the situations in which primary health care professionals suffer aggressions. Data were collected in 2007, and included all members of a primary health care unit. Content analysis revealed seven categories of answers: work process in primary health care; health needs of the population; the risk of exposure to aggression, the aggressor; the types of aggression suffered; and the role of health management and health professionals in the primary health care context. The study showed the factors associated to risk of exposure to violence and its consequences, contributing with information and knowledge that may mitigate these events.

A violência e os profissionais da saúde na atenção primária / Violence and health professionals in primary health care

Os profissionais que atuam na atenção primária em saúde são afetados pela violência por lidarem com uma clientela muito diversificada. Foi realizado um estudo, do tipo qualitativo exploratório descritivo, que teve como objetivo conhecer as situações em que se dão as agressões aos profissionais de saúde na atenção primária em saúde. A coleta dos dados ocorreu em 2007, com a totalidade de uma equipe de saúde de uma unidade básica, por meio de entrevista semi-estruturada. A análise de conteúdo destacou sete diferentes categorias de respostas: o processo de trabalho na atenção primária; as necessidades de saúde da população; o risco de exposição à agressão; o agressor; os tipos de agressão sofridos; o papel da gestão; e do profissional da saúde no contexto da atenção primária. O estudo permitiu evidenciar os fatores associados ao risco de exposição à violência e suas implicações, contribuindo com informações e conhecimentos que podem atenuar estes eventos.

Dualidad entre dósis óptima y calidad del agua bruta, en el proceso de floculación de aguas

El principal objetivo del trabajo fue analizar la relación existente entre la dosis óptima de coagulante, determinada mediante ensayos de jarras, la calidad del agua bruta caracterizada a través de la turbiedad y alcalinidad y la turbiedad del agua sedimentada al aplicarle distintos gradientes y tiempos de floculación. Ademas se planteo encontrar una aplicación práctica sencilla

Dualidad entre dósis óptima y calidad del agua bruta, en el proceso de floculación de aguas

El principal objetivo del trabajo fue analizar la relación existente entre la dosis óptima de coagulante, determinada mediante ensayos de jarras, la calidad del agua bruta caracterizada a través de la turbiedad y alcalinidad y la turbiedad del agua sedimentada al aplicarle distintos gradientes y tiempos de floculación. Ademas se planteo encontrar una aplicación práctica sencilla