Estrategias de afrontamiento centradas en las emociones de enfermeros de un hospital de Corrientes en el año 2022 / Coping strategies focused on emotions in nurses from a hospital in Corrientes in the year 2022

Introducción: el personal de enfermería enfrenta a diario jornadas extendidas de trabajo, tiene muchos pacientes a su cargo, dificultades en las relaciones interpersonales, que podrían desencadenar en estrés, para lo cual el individuo desarrolla un proceso de adaptación o desequilibrio y es por esta razón la importancia de contar con estrategias para afrontar las situaciones. Objetivos: el objetivo de este estudio fue analizar las estrategias de afrontamiento ante situaciones de estrés utilizadas por los profesionales de enfermería de un Hospital Público de la ciudad de Corrientes capital, así como su asociación con variables socio demográficas. Metodología: estudio de tipo cuantitativo, descriptivo, transversal y observacional. La población incluyó enfermeros de un hospital público de la ciudad de Corrientes en el período 2022. Se consideró como criterios de inclusión personal de enfermería que cumpla funciones asistenciales y su tiempo de labor fuera de 1 año o más; como criterios de exclusión, personal que tuviera dos o más puestos de trabajo y de criterios de eliminación aquellos enfermeros que no se encuentren presentes al momento de la encuesta. El cálculo del tamaño muestral se realizó a través del método probabilístico aleatorio simple resultando de éste 120 profesionales de enfermería. Para la recolección de datos, se aplicó una encuesta adaptada del cuestionario Ways of Coping Questionnaire de Lazarus y Folkman. Resultados: se evidenció que la estrategia de afrontamiento más utilizada por los enfermeros fue la reinterpretación positiva. Conclusión: a través de este estudio se logró reconocer las estrategias de afrontamiento que el personal de enfermería utilizó al momento de enfrentar situaciones o experiencias estresantes[AU]

Introduction: nursing staff face extended work days daily, have many patients under their care, difficulties in interpersonal relationships, which could trigger stress, for which the individual develops a process of adaptation or imbalance and it is for this reason the importance of having strategies to deal with situations. Objectives: the objective of this study was to analyze coping strategies in stressful situations used by nursing professionals from a Public Hospital in the capital city of Corrientes, as well as their association with sociodemographic variables. Methodology: quantitative, descriptive, cross-sectional and observational study. The population included nurses from a public hospital in the city of Corrientes in the period 2022. Inclusion criteria were considered nursing personnel who perform care functions and their time of work was 1 year or more; as exclusion criteria, personnel who had two or more jobs and as elimination criteria those nurses who were not present at the time of the survey. The calculation of the sample size was carried out through the simple random probabilistic method, resulting in 120 nursing professionals. For data collection, a survey adapted from the Ways of Coping Questionnaire by Lazarus and Folkman was applied. Results: it was evidenced that the coping strategy most used by nurses was positive reinterpretation. Conclusion: through this study, it was possible to recognize the coping strategies that the nursing staff used when facing stressful situations or experiences[AU]

Introdução: a equipe de enfermagem enfrenta diariamente jorna-das de trabalho extensas, tem muitos pacientes sob seus cuidados, dificuldades no relacionamento interpessoal, podendo desenca-dear estresse, para o qual o indivíduo desenvolve um processo de adaptação ou desequilíbrio e por isso a importância de se ter estra-tégias para lidar com as situações. Objetivos: o objetivo deste estudo foi analisar as estratégias de enfrentamento em situações estressan-tes utilizadas por profissionais de enfermagem de um Hospital Pú-blico da capital Corrientes, bem como sua associação com variáveis sociodemográficas. Metodologia: estudo quantitativo, descritivo, transversal e observacional. A população incluiu enfermeiros de um hospital público da cidade de Corrientes no período de 2022. Os critérios de inclusão foram considerados pessoal de enfermagem que desempenha funções assistenciais e seu tempo de trabalho foi de 1 ano ou mais; como critérios de exclusão, pessoal que exercesse dois ou mais vínculos empregatícios e como critérios de eliminação os enfermeiros que não estivessem presentes no momento da pes-quisa. O cálculo do tamanho da amostra foi realizado pelo método probabilístico aleatório simples, resultando em 120 profissionais de enfermagem. Para a coleta de dados, foi aplicado um questionário adaptado do Questionário de Modos de Enfrentamento de Lazarus e Folkman. Resultados: evidenciou-se que a estratégia de enfrenta-mento mais utilizada pelos enfermeiros foi a reinterpretação posi-tiva. Conclusão: Por meio deste estudo, foi possível reconhecer as estratégias de enfrentamento que a equipe de enfermagem utiliza diante de situações ou experiências estressantes[AU]

Calidad de los registros electrónicos de enfermería de un hospital de alta complejidad de la ciudad de Corrientes. Año 2021 / Quality of the electronic nursing records of a highly complex hospitalin the city of Corrientes. Year 2021

Introducción: hacer el registro de los cuidados que la Enfermería proporciona diariamente a los pacientes, es una tarea esencial, tanto para dar una adecuada calidad sanitaria como para el desarrollo de la profesión. Objetivo: identificar la calidad de los registros electrónicos de Enfermería de un hospital de alta complejidad de la ciudad de Corrientes. Metodología: se realizó un estudio cuantitativo de tipo descriptivo transversal donde se revisaron 133 historias clínicas digitales mediante una herramienta adaptada y previamente validada. Resultados: de forma específica, la variable identificación del paciente obtuvo calidad buena, en cuanto al registro de la valoración se identificó que el 92% de las historias clínicas registraron menos de 6 indicadores, una calidad deficiente, y el 8% restante registró calidad regular, y la variable intervenciones obtuvo una calidad deficiente con un 87% de registro de los indicadores. Conclusión: en los resultados de la investigación se llegó a la conclusión de que, la calidad de los registros electrónicos de enfermería del servicio de terapia intensiva del hospital es de calidad deficiente respecto al registro electrónico del proceso enfermero[AU]

Introduction: recording the care that nursing provides daily to patients is an essential task, both for providing adequate health quality and for the development of the profession. Objective:to identify the quality of the electronic nursing records of a highly complex hospital in the city of Corrientes. Methodology: a cross-sectional descriptive quantitative study was carried out where 133 digital medical records were reviewed using an adapted and previously validated tool. Results: specifically, the patient identification variable obtained good quality, regarding the assessment record, it was identified that 92% of the medical records re-gistered less than 6 indicators, a poor quality, and the remaining 8% re-gistered regular quality, and the variable interventions obtained a poorquality with 87% registering the indicators. Conclusion: in the results of the investigation, it was concluded that the quality of the electronic nursing records of the hospital's intensive care service is of poor quality compared to the electronic record of the nursing process[AU]

Introdução: registrar os cuidados que a enfermagem presta diaria-mente aos pacientes é tarefa essencial, tanto para a prestação de uma saúde de qualidade adequada, quanto para o desenvolvimento da profissão. Objetivo: identificar a qualidade dos registros eletrônicos de enfermagem de um hospital de alta complexidade da cidade de Corrientes. Metodologia: realizouse um estudo quantitativo descritivo transversal onde foram revistos 133 prontuários digitais por meio de um instrumento adaptado e previamente validado. Resultados: especificamente, a variável identificação do paciente obteve qualidade boa, quanto ao registro de avaliação, identificouse que 92% dos prontuários registraram menos de 6 indicadores, a qualidade ruim, e os 8% restantes registraram qualidade regular, e a variável as intervenções obtiveram uma qualidade ruim com 87% registrando os indicadores. Conclusão: nos resultados da investigação concluiuse que a qualidade do prontuário eletrônico de enfermagem do serviço de terapia intensiva do hospital é de baixa qualidade em relação ao prontuário eletrônico do processo de enfermagem[AU]

Percepción de los usuarios sobre los comportamientos de cuidado humanizado en hospitales públicos de Corrientes / Users' perception of humanized care behaviors in public hospitals in Corrientes

Ante el riesgo de deshumanización de los profesionales que brindan el cuidado al paciente, a causa de la gran reestructuración administrativa de la mayoría de los sistemas de cuidado de salud en el mundo, se hace necesario el rescate del aspecto humano, espiritual y transpersonalObjetivo: describir la percepción de los usuarios sobre los comportamientos de cuidado humanizado en los hospitales públicos de Corrientes en el año 2022.Metodología: Se realizó un estudio descriptivo y transversal, se encuestó a usuarios atendidos en hospitales públicos de la Provincia de Corrientes, se utilizó el cuestionario "Percepción de comportamientos de cuidado humanizado de enfermería (PCHE) Clinicountry ­ 3ª versión. Para el análisis de los datos se utilizaron medidas de tendencia central y de dispersión, frecuencias absolutas y relativas.Resultados: Se encuestaron a 175 usuarios de hospitales públicos de la provincia de Corrientes, la edad media fue de 45, 69 años (DS= 16,97 años), el 64, 4 % es de género femenino. En relación al análisis general de la percepción de comportamientos de cuidado humanizado en los usuarios de servicios de salud atendidos en hospitales públicos, se observó que 131 (74,9%) usuarios percibieron el comportamiento de forma positiva.Conclusión: Se logró describir que la percepción sobre el comportamiento de cuidado humanizado de enfermería en los hospitales públicos de Corrientes fue positiva en la mayoría de los usuarios, se identificaron dimensiones que requieren de estrategias para mejorar el cuidado[AU]

Given the risk of dehumanization in patient care, due to the great administrative restructuring of most health care systems in the world, it is necessary to rescue the human, spiritual and transpersonal aspect.Objective: describe the perception of users about humanized care behaviors in public hospitals in Corrientes in the year 2022.Methodology: A descriptive and cross-sectional study was carried out, surveying users treated in public hospitals in the Province of Corrientes, using the questionnaire "Perception of humanized nursing care behaviors (PCHE) Clinicountry - 3rd version. for the analysis of the data, measures of central tendency and dispersion, absolute and relative frequencies were used.Results: 175 users of public hospitals in the province of Corrientes were surveyed, the mean age was 45.69 years (SD= 16.97 years), 64.4% are female. In relation to the general analysis of the perception of humanized care behaviors in users of health services treated in public hospitals, it was observed that 131 (74.9%) users perceived the behavior positively.Conclusion: It was possible to describe that the perception of the behavior of humanized nursing care in the public hospitals of Corrientes was positive in the majority of the users, dimensions hat require strategies to improve care were identified[AU]

Diante do risco de desumanização no atendimento ao paciente, devido à grande reestruturação administrativa da maioria dos sistemas de saúde do mundo, é necessário resgatar o aspecto humano, espiritual e transpessoal.Objetivo: descrever a percepção dos usuários sobre condutas de atendimento humanizado em hospitais públicos de Corrientes no ano de 2022.Metodologia: Realizou-se um estudo descritivo e transversal, pesquisando usuários atendidos em hospitais públicos da Província de Corrientes, utilizando o questionário "Percepção de condutas de cuidado humanizado de enfermagem (PCHE) Clinicountry - 3ª versão. para a análise dos dados, foram utilizadas medidas de tendência central e dispersão, frequências absolutas e relativas.Resultados: foram pesquisados 175 usuários de hospitais públicos da província de Corrientes, a idade média foi de 45,69 anos (DP= 16,97 anos), 64,4% são mulheres. Em relação à análise geral da percepção de comportamentos de cuidado humanizado em usuários de serviços de saúde atendidos em hospitais públicos, observou-se que 131 (74,9%) usuários perceberam o comportamento de forma positiva.Conclusão: Foi possível descrever que a percepção do comportamento de cuidado humanizado de enfermagem nos hospitais públicos de Corrientes foi positiva na maioria dos usuários, foram identificadas dimensões que requerem estratégias para melhorar o cuidado[AU]

Current trends in cacti drying processes and their effects on cellulose and mucilage from two Colombian cactus species.

The effect of temperature and drying technologies on mucilage and cellulose (obtained by the microwave-assisted extraction technique, MAE) from Opuntia ficus-indica (OFI) and Austrocylindropuntia cylindrica (CC) was determined using a conventional oven (CO) and Refractive Window (RW). Mathematical modeling was performed from drying kinetics data using the Lewis, Henderson-Pabis, Page, and Logarithmic models. Activation Energy (Ea) and Diffusivity (D) were also determined. The model with the best fit was the logarithmic one, with a correlation coefficient (R2) greater than 0.99. The obtained activation energies were 22.81 kJ mol-1 for Refractance window (RW) and 31.44 kJ mol-1 using conventional hot air drying (CO) while a diffusivity of 2.9 ∗10-8 m2 s-1 for RW and 1.3∗10-8 m2 s-1 for CO were found as well. According to our results, a greater drying efficiency and a less chemical deterioration of the plant sample are obtained by drying with Refractance window.

Mucilage and cellulosic derivatives as clarifiers for the improvement of the non-centrifugal sugar production process.

Non-centrifugal cane sugar (NCS) is the second most important Colombian agribusiness in social importance. However, the sugar cane industry is facing some challenges caused by the controversial nutritional and safety attributes of NCS. Some Colombian NCS producers employ natural mucilages as clarifiers; but the uncontrolled application of these components has caused a risk of extinction in the mucilage source plants. Other producers employ acrylamide as a clarifier. Health consequences have generated concerns from the consumers and demanded control from the food authorities. Efforts are being made to develop a standard manufacturing methodology to increase NCS productivity and improve its quality, hygiene, and storability. The application of better clarifiers, which provide the best clarifying activity and minimize the toxicity while conserving NCS's natural attributes, is one of the outstanding challenges as well. This study is a proposal which looks for sustainable, natural, nontoxic, and economical clarifiers for the Colombian NCS producers.

Alzheimer's disease and type 2 diabetes mellitus: Pathophysiologic and pharmacotherapeutics links.

At present, Alzheimer's disease (AD) and type 2 diabetes mellitus (T2DM) are two highly prevalent disorders worldwide, especially among elderly individuals. T2DM appears to be associated with cognitive dysfunction, with a higher risk of developing neurocognitive disorders, including AD. These diseases have been observed to share various pathophysiological mechanisms, including alterations in insulin signaling, defects in glucose transporters (GLUTs), and mitochondrial dysfunctions in the brain. Therefore, the aim of this review is to summarize the current knowledge regarding the molecular mechanisms implicated in the association of these pathologies as well as recent therapeutic alternatives. In this context, the hyperphosphorylation of tau and the formation of neurofibrillary tangles have been associated with the dysfunction of the phosphatidylinositol 3-kinase and mitogen-activated protein kinase pathways in the nervous tissues as well as the decrease in the expression of GLUT-1 and GLUT-3 in the different areas of the brain, increase in reactive oxygen species, and production of mitochondrial alterations that occur in T2DM. These findings have contributed to the implementation of overlapping pharmacological interventions based on the use of insulin and antidiabetic drugs, or, more recently, azeliragon, amylin, among others, which have shown possible beneficial effects in diabetic patients diagnosed with AD.

Catalytic Conversion of n-C7 Asphaltenes and Resins II into Hydrogen Using CeO2-Based Nanocatalysts.

This study focuses on evaluating the volumetric hydrogen content in the gaseous mixture released from the steam catalytic gasification of n-C7 asphaltenes and resins II at low temperatures (<230 °C). For this purpose, four nanocatalysts were selected: CeO2, CeO2 functionalized with Ni-Pd, Fe-Pd, and Co-Pd. The catalytic capacity was measured by non-isothermal (from 100 to 600 °C) and isothermal (220 °C) thermogravimetric analyses. The samples show the main decomposition peak between 200 and 230 °C for bi-elemental nanocatalysts and 300 °C for the CeO2 support, leading to reductions up to 50% in comparison with the samples in the absence of nanoparticles. At 220 °C, the conversion of both fractions increases in the order CeO2 < Fe-Pd < Co-Pd < Ni-Pd. Hydrogen release was quantified for the isothermal tests. The hydrogen production agrees with each material's catalytic activity for decomposing both fractions at the evaluated conditions. CeNi1Pd1 showed the highest performance among the other three samples and led to the highest hydrogen production in the effluent gas with values of ~44 vol%. When the samples were heated at higher temperatures (i.e., 230 °C), H2 production increased up to 55 vol% during catalyzed n-C7 asphaltene and resin conversion, indicating an increase of up to 70% in comparison with the non-catalyzed systems at the same temperature conditions.

La capacitación del electromédico en gerencia para el mantenimiento a equipos médicos / The electromedicine technologist's training in management of medical equipment maintenance

El mantenimiento preventivo en las instituciones hospitalarias se ejecuta para minimizar las acciones correctivas. Esto trae consigo una disminución de los gastos, una reducción de los riesgos y un aumento de la disponibilidad técnica de los equipos médicos, con la disminución de los tiempos de parada de los servicios, lo cual redunda en la excelencia de los servicios médicos prestados. En el campo de las tecnologías médicas ocurre un gran avance cada día, por lo que los equipos son más sofisticados y costosos. Este artículo tiene el objetivo de exponer la importancia de la capacitación ineludible del personal de Electromedicina en la actividad de gestión de mantenimiento a equipos médicos, a partir de las necesidades que ofrece la interpretación de su inventario. Se brindan pautas básicas sobre la preparación permanente y continuada del electromédico en mantenimiento a equipos médicos y se demuestra lo útil que resulta un inventario para gestionar la capacitación de los recursos humanos, lo cual se debe a la consulta, el análisis-síntesis y la sistematización de múltiples fuentes bibliográficas impresas e insertadas en la web: bases de datos Medline, Scielo, Redalyc y Google Académico. De ellas se revisó el material de 62 y, finalmente, se seleccionaron 24 artículos. Se concluyó que la capacitación en esta temática es fundamental para que las tareas de mantenimiento constituyan en verdad herramientas eficaces, que beneficien no solo a la institución prestadora de servicios de salud, sino al paciente y al personal médico(AU)

Preventive maintenance in hospital institutions is carried out to minimize corrective actions. This brings about a decrease in expenses, a reduction of risks and an increase in the technical availability of medical equipment, with a reduction in the times that services stop, which results in the excellence of the medical services provided. In the field of medical technologies, great advances occur every day, the reason why pieces of equipment are more sophisticated and expensive. This article aims to expose the importance of the unavoidable training of electromedicine personnel in the activity of maintenance management for medical equipment, based on the needs offered by the interpretation of its stock. Basic guidelines are provided about the permanent and continuous training of the electromedicine technologist in maintenance of medical equipment, while it is demonstrated how useful an equipment stock is to manage the training of human resources, which responds to the work developed after consultation, analysis-synthesis and systematization from multiple bibliographic sources printed and inserted on the databases of Medline, Scielo, Redalyc and Google Scholar. Of these sources, the material of 62 was reviewed and, finally, 24 articles were selected. It was concluded that training on this subject is essential for maintenance tasks, which truly constitute effective tools, benefiting not only the institution that provides health services, but also the patient and the medical personnel(AU)

Physicochemical characteristics of calcined MnFe2O4 solid nanospheres and their catalytic activity to oxidize para-nitrophenol with peroxymonosulfate and n-C7 asphaltenes with air.

Manganese ferrite solid nanospheres (MSNs) were prepared by a solvothermal method and calcined at various temperatures up to 500 °C. Their surface area, morphology, particle size, weight change during calcination, surface coordination number of metal ions, oxidation state, crystal structure, crystallite size, and magnetic properties were studied. The MSNs were used as catalysts to activate potassium peroxymonosulfate (PMS) for the oxidative degradation of para-nitrophenol (PNP) from water and for the oxidation of n-C7 asphaltenes in flowing air at atmospheric (0.084 MPa) and high pressure (6 MPa). Mn was in oxidation states (II) and (III) at calcination temperature of 200 °C, and the crystalline structure corresponded to jacobsite. Mn was in oxidation states (III) and (IV) at 350 °C and in oxidation states (II), (III), and (IV) at 500 °C, and the crystalline structure was maghemite at both temperatures. MSN catalysts generated hydroxyl (HO·) and sulfate (SO4·-) radicals in the PMS activation and generated HO· radicals in the n-C7 asphaltene oxidation. In both reactions, the best catalyst was MSN calcined at 350 °C (MSN350), because it has the highest concentration of Mn(III) in octahedral B sites, which are directly exposed to the catalyst surface, and the largest total and lattice oxygen contents, favoring oxygen mobility for Mn redox cycles. The MSN350 sample reduces the decomposition temperature of n-C7 asphaltenes from 430 to 210 °C at 0.084 MPa and from 370 to 200 °C at 6.0 MPa. In addition, it reduces the effective activation energy by approximately 77.6% in the second combustion (SC) region, where high-temperature oxidation reactions take place.

Niveles de Referencia para Diagnóstico en Procedimientos Radiológicos Dentales: Una Guía Práctica / Diagnostic Reference Levels in Dental Radiological Procedures: A Practical Guide

RESUMEN: Las exposiciones médicas con radiación ionizante son actualmente la principal fuente de exposición a la radiación artificial a nivel global, entre ellas, los exámenes dentales corresponden a uno de los más frecuentes. Para prevenir dosis innecesariamente altas a los pacientes durante estas exposiciones, la Comisión Internacional de Protección Radiológica (ICRP) recomienda la utilización de Niveles de Referencia para Diagnóstico (DRLs), como una herramienta efectiva de ayuda a la optimización de la protección radiológica en la exposición médica de pacientes. Dado que la legislación de Chile aún no ha incorporado el uso de los DRLs, el presente trabajo de revisión tuvo como objetivo analizar la publicación N° 135 de la ICRP para generar un documento que sirva de guía para los odontólogos, explicando de manera didáctica y en un lenguaje sencillo, pero técnico, los principales aspectos a tener en cuenta para establecer los DRLs en procedimientos de radiología dental.

SUMMARY: Currently exposure to ionizing radiation is currently the main source of exposure to artificial radiation worldwide, with dental examinations being one of the most frequent events. In order to prevent exposure of unnecessarily high doses in patients, the International Commission on Radiological Protection (ICRP) recommends the use of Diagnostic Reference Levels (DRLs), as an effective tool to help maximize protection from radiation during medical exposure of patients. Given that the Chilean legislation has not yet incorporated the use of DRLs, the purpose of this study was to analyze publication N° 135 of the ICRP to generate a document, to serve as a guide for dentists, didactically outlining in simple but technical language, the main aspects to consider when establishing DRLs in dental radiology procedures.

Estrategias de afrontamiento del personal de enfermería ante la muerte del paciente pediátrico / Strategies for coping with the death of the paediatric patient.Estratégias para lidar com a morte do paciente pediátrico

El estudio tiene como objetivo describir las estrategias de afrontamiento del personal de enfermería ante la muerte del paciente pediátrico en los Servicios de Cuidados Críticos y Hemato-Oncología. El trabajo de investigación es de tipo cuantitativo, descriptivo, transversal, aplicado a 32 enfermeros/ as que desempeñan su labor en el Servicio de Cuidados Críticos y Hemato-Oncología de un Hospital pediátrico público, por medio de un cuestionario basado en la Escala de Medición del Proceso de Afrontamiento y Adaptación de Callista Roy. De acuerdo con los resultados, se obtuvo que los enfermeros/as poseen una alta capacidad para afrontar la muerte con un 75%. En el presente estudio se observó que el personal de enfermería posee alto grado de capacidad de afrontamiento ante la muerte del paciente pediátrico en el Servicio de Cuidados Críticos y Hemato-oncología de un Hospital Pediátrico público de Corrientes[AU]

The objective of the study is to describe the nursing staff's coping strategies when faced with the death of a pediatric patient in the Critical Care and Hemato-Oncology Services. The research work is quantitative, descriptive, cross-sectional, applied to 32 nurses who carry out their work in the Critical Care and Hemato-Oncology Service of a public pediatric Hospital, by means of a questionnaire based on the Measurement Scale of the Coping and Adaptation Process by Callista Roy. According to the results, it was obtained that the nurses have a high capacity to face death with 75%. In the present study, it was observed that the nursing staff has a high degree of capacity to cope with the death of the pediatric patient in the Critical Care and Hemato-oncology Service of a public Pediatric Hospital in Corrientes[AU]

O objetivo do estudo é descrever as estratégias de enfrentamento da equipe de enfermagem frente ao óbito de um paciente pediátrico nos Serviços de Terapia Intensiva e Hemato- Oncologia. A pesquisa é quantitativa, descritiva, transversal, aplicada a 32 enfermeiros que realizam seu trabalho no Serviço de Terapia Intensiva e Hemato-Oncologia de um Hospital Público Pediátrico, por meio de um questionário baseado na Escala de Medição do Processo de Enfrentamento e Adaptação, de Callista Roy. De acordo com os resultados, obteve-se que os enfermeiros possuem alta capacidade de enfrentamento à morte com 75%. No presente estudo, observou-se que a equipe de enfermagem possui alto grau de capacidade para lidar com a morte do paciente pediátrico no Serviço de Terapia Intensiva e Hemato-oncologia de um Hospital Pediátrico Público de Corrientes[AU]

Tamizaje de diabetes mellitus en pacientes del Hospital Mario Catarino Rivas, San Pedro Sula, Honduras / Diabetes Mellitus screening in patients at the Mario Catarino Rivas Hospital, San Pedro Sula, Honduras

La Diabetes Mellitus es un problema de salud pública, a nivel mundial se estima que existen aproximadamente 425 millones de personas afectadas, en Honduras para el 2015 reportaron 495,011 personas con Diabetes Mellitus, actualmente se registra que 7%-10% de la población la padece. El Hospital Mario Catarino Rivas (HMCR) es el mayor centro asistencial en San Pedro Sula, donde se brindan 1,500 atenciones mensuales a pacientes con la enfermedad. Objetivo: Determinar los factores de riesgo de padecer diabetes en pacientes que asisten al HMCR de octubre del 2018 a enero del 2019. Metodología: se realizó un estudio cuantitativo, descriptivo, transver-sal. Poblacíón: 6000 pacientes que asistieron a consulta externa. Muestra: 600 pacien-tes, calculándose con el programa estadístico Open Epi. Muestreo: fue por conveniencia Instrumento: cuestionario de Factores de Riesgo FINDRISK para identificar factores de riesgo. Resultados: 37.33% obtuvo un puntaje entre 7-11 puntos teniendo riesgo ligeramente elevado para Diabetes Mellitus, 19.67% adquirieron entre 15-20 puntos y 4.68% obtuvieron más de 20 puntos, lo cual representan tener un riesgo alto y muy alto respectivamente, con una media de 10.9 y una desviación estándar de 5.1; el restante 38.32% no tiene riesgopara Diabetes Mellitus tipo 2. Conclusión: Aproxi-madamente la cuarta parte de la población que participó en el estudio tiene riesgo alto y muy alto y la media de la población total del estudio presenta riesgo ligeramente elevado...(AU)

Development of Nanofluids for the Inhibition of Formation Damage Caused by Fines Migration: Effect of the interaction of Quaternary Amine (CTAB) and MgO Nanoparticles.

Fines migration is a common problem in the oil and gas industry that causes a decrease in productivity. In this sense, the main objective of this study is to develop nanocomposites based on the interaction of quaternary amine (hexadecyltrimethylammonium bromide-CTAB) and MgO to enhance the capacity of retention of fine particles in the porous medium. MgO nanoparticles were synthesized by the sol-gel method using Mg(NO3)2·6H2O as a precursor. Nanoparticles were characterized by dynamic light scattering (DLS), the point of zero charge (pHpzc), thermogravimetric analysis, and Fourier transform infrared spectroscopy (FT-IR). Different nanoparticle sizes of 11.4, 42.8, and 86.2 nm were obtained, which were used for preparing two system nanofluids. These systems were evaluated in the inhibition of fines migration: in the system I MgO nanoparticles were dispersed in a CTAB-containing aqueous solution, and system II consists of a nanocomposite of CTAB adsorbed onto MgO nanoparticles. The fines retention tests were performed using Ottawa sand 20/40 packed beds and fine particles suspensions at concentrations of 0.2% in a mass fraction in deionized water. Individual and combined effects of nanoparticles and CTAB were evaluated in different treatment dosages. The analysis of the interactions between the CTAB and the MgO nanoparticles was carried out through batch-mode adsorption and desorption tests. The best treatment in the system I was selected according to the fines retention capacity and optimized through a simplex-centroid mixture design for mass fractions from 0.0% to 2.0% of both CTAB and MgO nanoparticles. This statistical analysis shows that the optimal concentration of these components is reached for a mass fraction of 0.73% of MgO nanoparticles and 0.74% in mass fraction of CTAB, where the retention capacity of the porous medium increases from 0.02 to 0.39 mg·L-1. Based on the experimental results, the nanofluids combining both components showed higher retention of fines than the systems treated only with CTAB or with MgO nanoparticles, with efficiencies up to 400% higher in the system I and higher up to 600% in the system II. To evaluate the best performance treatment under reservoir conditions, there were developed core flooding tests at fixed overburden pressure of 34.5 MPa, pore pressure at 6.9 MPa and system temperature at 93 °C. Obtaining critical rate increases in 142.8%, and 144.4% for water and oil flow in the presence of the nanofluid. In this sense, this work offers a new alternative for the injection of nanocomposites as a treatment for the problem of fines migration to optimize the productivity of oil and gas wells.

Upgrading of Extra-Heavy Crude Oils by Dispersed Injection of NiO-PdO/CeO2±Î´ Nanocatalyst-Based Nanofluids in the Steam.

The main objective of this study is to evaluate the injection of a dispersed nanocatalyst-based nanofluid in a steam stream for in situ upgrading and oil recovery during a steam injection process. The nanocatalyst was selected through adsorption and thermogravimetric experiments. Two nanoparticles were proposed, ceria nanoparticles (CeO2±Î´), with and without functionalization with nickel, and palladium oxides (CeNi0.89Pd1.1). Each one was employed for static tests of adsorption and subsequent decomposition using a model solution composed of n-C7 asphaltenes (A) and resins II (R) separately and for different R:A ratios of 2:8, 1:1, and 8:2. Then, a displacement test consisting of three main stages was successfully developed. At the beginning, steam was injected into the porous media at a temperature of 210 °C, the pore and overburden pressure were fixed at 150 and 800 psi, respectively, and the steam quality was 70%. This was followed by CeNi0.89Pd1.1 dispersed injection in the steam stream. Finally, the treatment was allowed to soak for 12 h, and the steam flooding was carried out again until no more oil production was observed. Among the most relevant results, functionalized nanoparticles achieved higher adsorption of both fractions as well as a lower decomposition temperature. The presence of resins did not affect the amount of asphaltene adsorption over the evaluated materials. The catalytic activity suggests that the increase in resin content promotes a higher conversion in a shorter period of time. Also, for the different steps of the dynamic test, increases of 25% and 42% in oil recovery were obtained for the dispersed injection of the nanofluid in the steam stream and after a soaking time of 12 h, compared with the base curve with only steam injection, respectively. The upgraded crude oil reached an API gravity level of 15.9°, i.e., an increase in 9.0° units in comparison with the untreated extra-heavy crude oil, which represents an increase of 130%. Also, reductions of up to 71% and 85% in the asphaltene content and viscosity were observed.

Influence of the Ce4+/Ce3+ Redox-Couple on the Cyclic Regeneration for Adsorptive and Catalytic Performance of NiO-PdO/CeO2±Î´ Nanoparticles for n-C7 Asphaltene Steam Gasification.

The main objective of this study is to evaluate the regenerative effect of functionalized CeO2±Î´ nanoparticles with a mass fraction of 0.89% of NiO and 1.1% of PdO in adsorption and subsequent decomposition of n-C7 asphaltenes in steam gasification processes. During each regeneration cycle, the adsorption capacity and the catalytic activity of the nanoparticles were evaluated. To estimate the adsorption capacity of the nanoparticles, adsorption kinetics were studied at a fixed concentration of n-C7 asphaltenes of 10 mg·L-1 as well as adsorption isotherms at three different temperatures at 25 °C, 55 °C, and 75 °C. To evaluate the catalytic activity, the loss of mass of the nanoparticles was evaluated by isothermal conversions with a thermogravimetric analyzer at 230 °C, 240 °C, and 250 °C, and at non-isothermal conditions involving a heating from 100 °C to 600 °C at a 20 °C·min-1 heating rate. The asphaltenes showed a high affinity for being adsorbed over the nanoparticles surface, due to the nanoparticles-asphaltene interactions are stronger than those that occur between asphaltene-asphaltene, and this was maintained during nine evaluated regeneration cycles as observed in the Henry's constant that increased slightly, with changes of 21%, 26% and 31% for 25 °C, 55 °C and 75 °C. Polanyi's adsorption potential decreases by 2.6% for the same amount adsorbed from the first cycle to the ninth. In addition, the catalytic activity of the nanoparticles did not change significantly, showing that they decompose 100% of the n-C7 asphaltenes in all cycles. However, the small decrease in the adsorption capacity and catalytic activity of the nanoparticles is mainly due to the presence and change in concentration and ratio of certain elements such as oxygen, iron or others at the surface of the nanoparticle as shown by X-ray photoelectron spectroscopy (XPS) analyses. Thermodynamic parameters of adsorption such as Δ H a d s o , Δ S a d s o , and Δ G a d s o and the effective activation energy (Ea) were calculated to compare adsorptive and catalytic performance during each cycle. There is an increase of 9.3% and 2.6% in the case of entropy and enthalpy, respectively, and a decrease of 0.5%, 3.1% and 6.5% for 25 °C, 55 °C and 75 °C respectively for the Gibss free energy from cycle 1 to cycle 9. It was found that these parameters are correlated with the Ce concentration and oxidation state ratios (Ce3+/Ce4+ couple) at the surface.

Optimization of the Load of Transition Metal Oxides (Fe2O3, Co3O4, NiO and/or PdO) onto CeO2 Nanoparticles in Catalytic Steam Decomposition of n-C7 Asphaltenes at Low Temperatures.

The main objective of this work is the catalyst optimization of Fe2O3-, Co3O4-, NiO- and/or PdO- (transition element oxides-TEO) functionalized CeO2 nanoparticles to maximize the conversion of asphaltenes under isothermal conditions at low temperatures (<250 °C) during steam injection processes. Adsorption isotherms and the subsequent steam decomposition process of asphaltenes for evaluating the catalysis were performed through batch adsorption experiments and thermogravimetric analyses coupled to Fourier-transform infrared spectroscopy (FTIR), respectively. The adsorption isotherms and the catalytic behavior were described by the solid-liquid equilibrium (SLE) model and isothermal model, respectively. Initially, three pairs of metal oxide combinations at a mass fraction of 1% of loading of CeNi1Pd1, CeCo1Pd1, and CeFe1Pd1 nanoparticles were evaluated based on the adsorption and catalytic activity, showing better results for the CeNi1Pd1 due to the Lewis acidity changes. Posteriorly, a simplex-centroid mixture design of experiments (SCMD) of three components was employed to optimize the metal oxides concentration (Ni and Pd) onto the CeO2 surface by varying the oxides concentration for mass fractions from 0.0% to 2.0% to maximize the asphaltene conversion at low temperatures. Results showed that by incorporating mono-elemental and bi-elemental oxides onto CeO2 nanoparticles, both adsorption and isothermal conversion of asphaltenes decrease in the order CeNi1Pd1 > CePd2 > CeNi0.66Pd0.66 > CeNi2 > CePd1 > CeNi1 > CeO2. It is worth mentioning that bi-elemental nanoparticles reduced the gasification temperature of asphaltenes in a larger degree than mono-elemental nanoparticles at a fixed amount of adsorbed asphaltenes of 0.02 mg·m-2, confirming the synergistic effects between Pd and Fe, Co, and Ni. Further, optimized nanoparticles (CeNi0.89Pd1.1) have the best performance by obtaining 100% asphaltenes conversion in less than 90 min at 220 °C while reducing 80% the activation energy.

Sugammadex Reversal of a Large Subcutaneous Depot of Rocuronium in a Dialysis Patient: A Case Report.

Sugammadex is a modified gamma cyclodextrin that encapsulates rocuronium. We report the successful use of sugammadex in the management of an elderly man with end-stage renal failure who sustained an infiltration of subcutaneous rocuronium during rapid sequence induction of general anesthesia. Given the erratic absorption of subcutaneous rocuronium from the tissue, sugammadex was chosen to reverse the neuromuscular block at the end of the procedure. This report demonstrates the efficacy of sugammadex to reverse neuromuscular block in elderly patients with poor renal function. Moreover, the duration of action for sugammadex was sufficient to neutralize the ongoing absorption of subcutaneous rocuronium.

Características de los pacientes con Neumonía Temprana Asociada a la Ventilación Mecánica, internados en el Servicio de Terapia Intensiva del Hospital Julio C. Perrando de Resistencia, Chaco, en el periodo comprendido desde el 01 de Mayo de 2016 hasta el 31 de Mayo de 2017 / Characteristics of patients with Early Pneumonia Associated with Mechanical Ventilation, admitted to the Intensive Care Service of the Julio C. Perrando de Resistencia Hospital, Chaco, in the period from May 1, 2016 to May 31, 2017

Neumonía Temprana Asociada a la Ventilación Mecánica representa el 80% de casos de neumonías intrahospitalarias, en pacientes intubados o traqueostomizados bajo ventilación mecánica. Objetivos. Describir las características de los pacientes que presentan Neumonía Temprana Asociada a la Ventilación Mecánica, en el Servicio de Terapia Intensiva del Hospital "Dr. Julio C. Perrando", en el periodo comprendido desde 01/05/2016 al 31/05/2017. Materiales y métodos. Se realizó un estudio cuantitativo, descriptivo, transversal. La muestra quedó conformada por 100 pacientes seleccionados entre 400, que reunían criterios de inclusión, exclusión y eliminación; luego se realizó un muestreo aleatorio simple. Las variables fueron edad, sexo, tiempo de estancia hospitalaria, días de uso de ventilación mecánica, días de uso ventilación mecánica al momento del diagnóstico neumonía temprana y tipo de microorganismos. Resultados. Según la edad, el promedio fue 41 años; respecto al sexo, predominó el masculino, 52%. El promedio de tiempo de estancia hospitalaria fue 25 días, y 22 días de uso de ventilación mecánica. Predominó un 52% al cuarto día de uso de ventilación mecánica hasta el diagnóstico de Neumonía Temprana. En los microorganismos, predominó Staphylococcus aureus, 39%. Conclusiones. El estudio demostró que el sexo masculino, 41 años de edad, 25 días de tiempo de estancia hospitalaria, 22 días de uso de VM, cuarto día de uso de VM para el diagnóstico Neumonía Temprana, y Staphylococcus aureus, son características en pacientes con Neumonía Temprana Asociada a la VM

Abstract. Early Pneumonia Associated with Mechanical Ventilation represents 80% of cases of intrahospital pneumonia, in intubated or tracheostomized patients under mechanical ventilation. Objectives. To describe the characteristics of patients with Early Pneumonia Associated with Mechanical Ventilation, in the Intensive Care Service of the "Dr. Julio C. Perrando ", in the period from 01/05/2016 to 05/31/2017. Materials and methods. A quantitative, descriptive, cross-sectional study was carried out. The sample consisted of 100 patients selected among 400, who met criteria for inclusion, exclusion and elimination; then a simple random sampling was performed. The variables were age, sex, length of hospital stay, days of mechanical ventilation, days of mechanical ventilation at the time of diagnosis, early pneumonia and type of microorganisms. Results. According to age, the average was 41 years; regarding sex, the male predominated, 52%. The average length of hospital stay was 25 days, and 22 days of mechanical ventilation. It predominated 52% on the fourth day of mechanical ventilation until diagnosis of Early Pneumonia. In microorganisms, Staphylococcus aureus, 39%, predominated. Conclusions. The study showed that the male sex, 41 years of age, 25 days of hospital stay, 22 days of MV use, fourth day of MV use for the diagnosis of Early Pneumonia, and Staphylococcus aureus, are characteristic in patients with Pneumonia. Early Associated with the VM

Resumo A pneumonia precoce associada à ventilação mecânica representa 80% dos casos de pneumonia intra-hospitalar, em pacientes intubados ou traqueostomizados sob ventilação mecânica. Objetivos. Descrever as características dos pacientes com Pneumonia Precoce Associada à Ventilação Mecânica, no Serviço de Terapia Intensiva do "Dr. Julio C. Perrando ", no período de 01/05/2016 a 31/05/2017. Materiais e métodos. Foi realizado um estudo quantitativo, descritivo e transversal. A amostra foi composta por 100 pacientes selecionados entre 400, que preencheram os critérios de inclusão, exclusão e eliminação; Em seguida, foi realizada uma amostragem aleatória simples.As variáveis foram idade, sexo, tempo de internação, dias de ventilação mecânica, dias de ventilação mecânica no momento do diagnóstico, pneumonia precoce e tipo de microrganismo. Resultados. Segundo a idade, a média foi de 41 anos; Em relação ao sexo, predominou o sexo masculino, 52%. O tempo médio de internação foi de 25 dias e 22 dias de ventilação mecânica. Predominou 52% no quarto dia de ventilação mecânica até o diagnóstico de Pneumonia Precoce. Nos microorganismos, Staphylococcus aureus, 39%, predominou. Conclusões. O estudo mostrou que a do sexo masculino, 41 anos de idade, de 25 dias de permanência hospitalar, 22 dias de uso VM, quarto dia de uso VM para o diagnóstico de pneumonia de início precoce e Staphylococcus aureus são características em pacientes com pneumonia Associado cedo com a VM

Efectos adversos de la vacuna antigripal en el personal de enfermería del Instituto de Cardiología "Juana Francisca Cabral" de la Ciudad de Co / Adverse effects of the influenza vaccine on the nursing staff of the "Juana Francisca Cabral" Cardiology Institute of the City of Corrientes Capital in the period August-September 2018

La vacunación antigripal está recomendada en el personal sanitario de forma anual, constituye un elemento esencial en los programas de prevención de infecciones asociadas a los cuidados de salud, las mismas no están exentas a efectos adversos. Objetivo: El objetivo de este trabajo fue describir la frecuencia de los efectos adversos de la vacuna antigripal en el personal de enfermería del Instituto de Cardiología "Juana Francisca Cabral" de la Ciudad de Corrientes Capital en el periodo 2018. Material y Método: Se realizó un estudio cuantitativo, descriptivo, transversal y observacional, con una muestra probabilística aleatoria simple de 122 unidades de análisis perteneciente a una población de 210 enfermeros. Para la recolección de datos se utilizó un cuestionario de elaboración propia, la tabulación se llevó acabo en una matriz de datos y para sus análisis se utilizaron los programas Excel y SPSS. Resultados: Se analizaron 122 enfermeros en los cuales, los efectos adversos locales se presentaron con una mayor frecuencia (34%) en el sexo masculino, de estos, el dolor es el más frecuente con un 26%. Así, los efectos adversos sistémicos se presentaron en un 12%, donde la cefalea fue el más frecuente con un 11%. Conclusión: Los efectos adversos de la vacuna antigripal que se presentaron con más frecuencia fueron los efectos locales. Por otra parte el tiempo de aparición de los efectos adversos se presentó entre las 16-24 hs.

Summary: Influenza vaccination is recommended in the workforce on a yearly basis, it constitutes an essential element in the programmes of prevention of infections associated with health care, they are not exempt to adverse effects. The objective of this study was to describe the frequency of the adverse effects of the flu vaccine in nurses of the Institute of Cardiology "Juana Francisca Cabral" in the city of Capital flows in the period 2018. Material and method: a prospective and observational, quantitative, descriptive study with a sample simple random probability of 122 units belonging to a population of 210 registered. A homemade questionnaire was used for data collection, tabulation was conducted in an array of data and Excel and SPSS programs were used for their analysis. Results: Analyzed 122 nurses in which local adverse effects occurred most frequently (34%) in males, of these, pain is the most frequent with 26%. Thus, systemic adverse effects were presented in 12%, where the headache was the most common with 11%. Conclusion: The adverse effects of the flu vaccine which arose more frequently were the local effects. On the other hand the time of occurrence of the adverse effects arose between 16-24 hours.

Resumo: Gripe, a vacinação é recomendada na força de trabalho em uma base anual, é um elemento essencial nos programas de prevenção de infecções associadas a cuidados de saúde, eles não são isentos de efeitos adversos. Objetivo: O objetivo deste estudo foi descrever a frequência dos efeitos adversos da vacina contra a gripe em enfermeiras do Instituto de Cardiologia "Juana Francisca Cabral" na cidade de fluxos de Capital no período de 2018. Material e método: um prospectivo e observacional, estudo quantitativo, descritivo, com uma probabilidade aleatória simples de amostra de 122 unidades pertencentes a uma população de 210 registrado. Utilizou-se um questionário caseiro para coleta de dados, tabulação foi conduzida em uma matriz de dados e programas Excel e SPSS foram usados para sua análise. Resultados: 122 enfermeiros que foram analisados, os efeitos adversos locais ocorreram mais frequentemente (34%) nos machos, destes, a dor é o mais frequente com 26%. Assim, os efeitos adversos sistêmicos foram apresentados em 12%, onde a dor de cabeça foi o mais comum com 11%. Conclusão: Os efeitos adversos da vacina contra a gripe que surgiu com mais frequência foram os efeitos locais. Por outro lado, o tempo de ocorrência dos efeitos adversos surgiu entre 16 a 24 horas.

Percepción sobre el desarrollo de competencias en seguridad de los pacientes de los estudiantes de la Carrera de Licenciatura en Enfermería en el período 2018 / Perception on the development of competencies in patient safety for students of the Bachelor of Nursing Degree in the period 2018

Introducción: En la Argentina de acuerdo al estudio Iberoamericano de Efectos Adversos se evidencio que, el 46% de los efectos adversos producidos por la atención sanitaria son evitables , por lo que la seguridad del paciente en la formación de los estudiantes de Licenciatura en Enfermería, debería ser uno de los ejes de fundamentales para comprender los riesgos que conllevan sus actividades, el impacto de los errores sobre los pacientes y el papel primordial que tiene la enfermería para evitar mayores daños al paciente. Objetivo: Describir la percepción sobre el desarrollo de competencias en seguridad de los pacientes de los estudiantes del segundo ciclo de la Carrera de Licenciatura en Enfermería en el período 2018. Metodología: Se realizó un estudio de tipo cuantitativo, descriptivo y transversal. La muestra fue de 61 estudiantes de 3°, 4° y 5° año de la Carrera de Licenciatura en enfermería, seleccionados por un muestro aleatorio simple. Para la recolección de los datos se utilizó un cuestionario adaptado, basándose en el cuestionario de la versión italiana validada de Educación profesional de salud en Seguridad del paciente. Resultados: En la percepción sobre el desarrollo de las competencias en seguridad del paciente la dimensión mejor valorada por los estudiantes fue la actitudinal, seguida por la cognoscitiva y la procedimental. Se observaron diferencias significativas en la valoración según sexo, no se observaron diferencias en las percepciones según edad. Conclusión: Los estudiantes de la carrera de licenciatura en Enfermería perciben el desarrollo de sus competencias en el área de seguridad del paciente como favorables acerca de los contenidos cognoscitivos, procedimentales y actitudinales. Se observaron diferencias significativas en las valoraciones según sexo en las tres dimensiones evaluadas.

Summary: Introduction: In Argentina, according to the Ibero-American study of Adverse Effects, it was evidenced that 46% of the adverse effects produced by health care are avoidable, so that the patient's safety in the training of Nursing students, it should be one of the fundamental axes to understand the risks involved in its activities, the impact of errors on patients and the primary role of nursing to avoid further damage to the patient. Objective: To describe the perception of the development of competencies in patient safety of students in the second cycle of the Bachelor of Nursing in the period 2018. Methodology: A quantitative, descriptive and transversal study was carried out. The sample was of 61 students of 3rd, 4th and 5th year of the Degree in Nursing, selected by a simple random sample. To collect the data, an adapted questionnaire was used, based on the questionnaire of the validated Italian version of Health Professional Education in Patient Safety. Results: In the perception of the development of competencies in patient safety, the dimension most valued by the students was attitudinal, followed by cognitive and procedural. Significant differences were observed in the assessment according to sex, no differences were observed in the perceptions according to age. Conclusion: The students of the Bachelor's Degree in Nursing perceive the development of their competencies in the area of patient safety as favorable about the cognitive, procedural and attitudinal contents. Significant differences were observed in the evaluations according to sex in the three dimensions evaluated

Resumo: Introdução: Na Argentina, de acordo com o estudo ibero-americano de efeitos adversos, evidenciou-se que 46% dos efeitos adversos produzidos pelos cuidados de saúde são evitáveis, de modo que a segurança do paciente na formação de estudantes de Enfermagem, Deve ser um dos eixos fundamentais para entender os riscos envolvidos em suas atividades, o impacto dos erros nos pacientes e o papel primordial da enfermagem para evitar mais danos ao paciente. Objetivo: Descrever a percepção do desenvolvimento de competências em segurança do paciente de escolares do segundo ciclo do Bacharelado em Enfermagem no período de 2018. Metodologia: Foi realizado um estudo quantitativo, descritivo e transversal. A amostra foi de 61 alunos do 3º, 4º e 5º ano do Curso de Graduação em Enfermagem, selecionados por amostra aleatória simples. Para coleta dos dados, utilizou-se um questionário adaptado, baseado no questionário da versão italiana validada de Educação Profissional em Saúde em Segurança do Paciente. Resultados: Na percepção do desenvolvimento de competências em segurança do paciente, a dimensão mais valorizada pelos estudantes foi a atitude, seguida pela cognitiva e processual. Diferenças significativas foram observadas na avaliação de acordo com o sexo, não foram observadas diferenças nas percepções de acordo com a idade. Conclusão: Os acadêmicos do Curso de Licenciatura em Enfermagem percebem o desenvolvimento de suas competências na área de segurança do paciente como favorável aos conteúdos cognitivo, procedimental e atitudinal. Diferenças significativas foram observadas nas avaliações de acordo com o sexo nas três dimensões avaliadas.