RESUMO
En 1982 C. Maslach definió a este síndrome en las siguientes dimensiones: cansancio emocional, despersonalización y disminución de logros personales. En este estudio se intenta evaluar su prevalencia y distribución en los agentes de salud del ßrea de emergencia, identificar las variables de riesgo, y determinar sus efectos en el desempe±o laboral, para luego poder crear estrategias que disminuyan los factores de riesgo
Assuntos
Mão de Obra em Saúde , Notificação de Acidentes de Trabalho , Síndrome de Adaptação Geral/diagnóstico , Síndrome de Adaptação Geral/etiologia , Estresse FisiológicoRESUMO
En 1982 C. Maslach definió a este síndrome en las siguientes dimensiones: cansancio emocional, despersonalización y disminución de logros personales. En este estudio se intenta evaluar su prevalencia y distribución en los agentes de salud del ßrea de emergencia, identificar las variables de riesgo, y determinar sus efectos en el desempe±o laboral, para luego poder crear estrategias que disminuyan los factores de riesgo
Assuntos
Estresse Fisiológico/diagnóstico , Síndrome de Adaptação Geral/diagnóstico , Síndrome de Adaptação Geral/etiologia , Notificação de Acidentes de TrabalhoRESUMO
El Síndrome Pos pericardiotomía, el Síndrome de Dessler y la pericarditis Post traumatismo cardíaco son cuadros clínicos con signo sintomatología similar,con una patogenia autoinmune común.Los pacientes se presentan con fiebre, dolor toráxico,frote pericárdico,leucositosis y eritro elevada.El Taponamiento Cardíaco es infrecuente.Se presenta una caso de Síndrome Pos pericardiotomía con Taponamiento cardíaco recidivante que requirió una ventana pleuropercárdica y respondió al tratamiento con corticoides
Assuntos
Síndrome Pós-PericardiotomiaRESUMO
Medical and biochemical analysis were performed on 58 patients with chronic alcoholism. In accordance with medical characterisation, patients were divided in three groups: A (patients having only hepatopathy), B (patients with hepatopathy and neuropathy) and C (patients having only alcoholic neuropathy). Simultaneously, several parameters related to heme biosynthesis were examined. Urinary delta-aminolevulic acid (ALA), porphobilinogen (PBG) and porphyrins and fecal porphyrins measurements did not show significant difference among all studied groups. The activities of ALA-dehydratase (ALA-D), uroporphyrinogen-I-synthase (URO-I-S) and uroporphyrinogen-III-synthase (URO-III-S) were monitored in peripheral erythrocytes. From the enzymes measured, only ALA-D levels in groups B and C were significantly depressed (p < 0.002) compared with normal subjects. The decrease in ALA-D correlated with the degree of neuropathy.
Assuntos
Alcoolismo/metabolismo , Sintase do Porfobilinogênio/metabolismo , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
El Síndrome Pos pericardiotomía, el Síndrome de Dessler y la pericarditis Post traumatismo cardíaco son cuadros clínicos con signo sintomatología similar,con una patogenia autoinmune común.Los pacientes se presentan con fiebre, dolor toráxico,frote pericárdico,leucositosis y eritro elevada.El Taponamiento Cardíaco es infrecuente.Se presenta una caso de Síndrome Pos pericardiotomía con Taponamiento cardíaco recidivante que requirió una ventana pleuropercárdica y respondió al tratamiento con corticoides
Assuntos
Síndrome Pós-PericardiotomiaRESUMO
There is a vast gap between methodology and practice in the analysis and assessment of health programs. This presents an acute problem in developing countries where resource allocation decisions at the tight budgetary margin have important practical consequences. The prospects for improving this primitive situation depend critically on progress in analysis of the affordability and effectiveness of health programs. The analysis of affordability--especially on the recurrent cost side--is a necessary condition which can help ensure that proposed programs are unlikely to be vulnerable to implementation delays or underfinancing of operating costs which may seriously compromise the benefits expected from new investments. Improved analysis of effectiveness is also essential in order to help planners choose the best pattern of resource use from among the various combinations of programs that are affordable. To do this will require the devotion of substantial analytical effort to fill the great void of organized empirical knowledge available to those seeking to assess the effectiveness of health interventions. In particular there must be a shift in focus from single interventions directed at communicable diseases in children to a broader concern with multi-purpose interventions, including those directed against the emerging problems of non-communicable disease in adults.