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1.
Biochem Med (Zagreb) ; 30(1): 010502, 2020 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-31839720

RESUMO

Extravascular body fluids (EBF) analysis can provide useful information in the differential diagnosis of conditions that caused their accumulation. Their unique nature and particular requirements accompanying EBF analysis need to be recognized in order to minimize possible negative implications on patient safety. This recommendation was prepared by the members of the Working group for extravascular body fluid samples (WG EBFS). It is designed to address the total testing process and clinical significance of tests used in EBF analysis. The recommendation begins with a chapter addressing validation of methods used in EBF analysis, and continues with specific recommendations for serous fluids analysis. It is organized in sections referring to the preanalytical, analytical and postanalytical phase with specific recommendations presented in boxes. Its main goal is to assist in the attainment of national harmonization of serous fluid analysis and ultimately improve patient safety and healthcare outcomes. This recommendation is intended to all laboratory professionals performing EBF analysis and healthcare professionals involved in EBF collection and processing. Cytological and microbiological evaluations of EBF are beyond the scope of this document.


Assuntos
Líquidos Corporais/química , Técnicas de Laboratório Clínico/normas , Líquidos Corporais/metabolismo , Exsudatos e Transudatos/química , Exsudatos e Transudatos/metabolismo , Guias como Assunto , Humanos , Segurança do Paciente , Derrame Pleural/diagnóstico , Garantia da Qualidade dos Cuidados de Saúde , Sociedades Médicas , Manejo de Espécimes/normas
2.
Anaesthesia ; 75(1): 96-108, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31729019

RESUMO

Anaesthetists are thought to be at increased risk of suicide amongst the medical profession. The aims of the following guidelines are: increase awareness of suicide and associated vulnerabilities, risk factors and precipitants; to emphasise safe ways to respond to individuals in distress, both for them and for colleagues working alongside them; and to support individuals, departments and organisations in coping with a suicide.


Assuntos
Anestesistas/psicologia , Anestesistas/estatística & dados numéricos , Transtornos Mentais/diagnóstico , Estresse Psicológico/diagnóstico , Suicídio/prevenção & controle , Suicídio/psicologia , Guias como Assunto , Humanos , Transtornos Mentais/complicações , Transtornos Mentais/psicologia , Fatores de Risco , Estresse Psicológico/complicações , Estresse Psicológico/psicologia , Suicídio/estatística & dados numéricos , Reino Unido
4.
Swiss Dent J ; 129(11): 929-936, 2019 Nov 11.
Artigo em Alemão | MEDLINE | ID: mdl-31701730

RESUMO

A balanced and wholesome diet provides the human organism with energy (macronutrients) and all necessary micronutrients (vitamins, minerals, proteinogenic amino acids, omega fatty acids) necessary for the maintenance of all metabolic processes. The necessary quantity and composition especially of energy-supplying macronutrients change with age due to physiological and pathological changes in the body. These age-related changes as well as corresponding recommendations for elderly patients will be summarized in the following article based on the current S3 guidelines of the German Society for Nutritional Medicine on «Clinical Nutrition in Geriatrics¼ as well as further literature and the recommendations of the German Nutrition Society. Nutrition at the terminal stage of life and special nutritional advices for persons suffering from diabetes mellitus are not discussed.


Assuntos
Envelhecimento/fisiologia , Ingestão de Energia , Micronutrientes , Estado Nutricional , Vitaminas , Idoso , Guias como Assunto , Humanos , Minerais
5.
J Nurs Adm ; 49(12): 583-585, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31725517

RESUMO

Developing a professional practice model (PPM) is essential for hospitals seeking Magnet designation. The article describes the development and implementation of a PPM in a tertiary hospital that was the 1st hospital in mainland China applying for Magnet recognition. This article provides a framework for hospital administrators who wish to reference a successful process when creating their own Magnet PPMs.


Assuntos
Competência Clínica/normas , Guias como Assunto , Recursos Humanos de Enfermagem no Hospital/normas , Papel Profissional , Qualidade da Assistência à Saúde/normas , Centros de Atenção Terciária/normas , Adulto , China , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos de Enfermagem
7.
Bull Cancer ; 106(11): 1039-1049, 2019 Nov.
Artigo em Francês | MEDLINE | ID: mdl-31570215

RESUMO

Return to work is a public health priority which led the French Health Authority to publish recommendations about "return to work and health: prevention of exclusion from work". The aim of this article is to present a literature review of return to work after cancer. Studies about medium-term and long-term effects of cancer are sparse. They suggest worker durable effects. Factors associated with return to work are linked to the patient characteristics, to characteristics of the illness and the treatment, to the workplace and to the help provided to the patient during the return to work process. A specific plan for returning to work in 3 phases (situation comprehension, identification of negative and positive factors for returning to work, implementation of measures concerning the patient, the workplace and the coordination between return to work actors) should be built for each patient, involving the worker, the occupational practitioner, the general and specialist practitioners.


Assuntos
Neoplasias , Retorno ao Trabalho , Fatores Etários , Guias como Assunto , Humanos , Fatores Sexuais , Fatores Socioeconômicos , Avaliação da Capacidade de Trabalho , Local de Trabalho
10.
J Nurs Adm ; 49(11): 525-530, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31651611

RESUMO

Healthcare workplace violence is a growing concern among nurses; however, nurse administrators and managers may not be fully aware of the level, frequency, or extent of the trauma that staff nurses experience. This information gap is influenced by nurses' failure to report violent incidents, their belief that they are expected to care for violent/assaultive patients, time required for extensive documentation about these incidents, and perceptions that minimal follow-up to mitigate future episodes will occur. This article describes the evidence-based structures, processes, and practices supported to minimize organizational risk and protect nurses and other staff from being physically or emotionally injured and/or traumatized in the workplace.


Assuntos
Guias como Assunto , Recursos Humanos de Enfermagem no Hospital/psicologia , Gestão da Segurança/métodos , Gestão da Segurança/normas , Violência no Trabalho/prevenção & controle , Violência no Trabalho/psicologia , Local de Trabalho/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
11.
J Nurs Adm ; 49(11): 556-560, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31651616

RESUMO

OBJECTIVE: This descriptive survey explores the experiences of chief nursing officers (CNOs) who have participated in hospital-based building or remodeling projects. BACKGROUND: As a pivotal member of the leadership team for facility projects, CNOs are often charged with contributing to decisions regarding placement of technology connections, selection of design elements to prevent healthcare-associated infections, choice of location for supplies, and management of construction change orders. METHODS: A descriptive survey approach guided telephone interviews with 12 CNOs from across the United States. Credibility was achieved through peer debriefing and member checking. Transferability was demonstrated through detailed description; dependability and confirmability were demonstrated through an audit trail of the data collection and analysis processes. RESULTS: Three main themes were identified, and a list of practice implications was developed. CONCLUSIONS: CNOs can use the recommendations from this study as a starting point for future building or remodeling projects.


Assuntos
Atitude do Pessoal de Saúde , Guias como Assunto , Arquitetura Hospitalar/normas , Liderança , Enfermeiras Administradoras/psicologia , Papel Profissional , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Estados Unidos
12.
Rev Prat ; 69(6): 607-611, 2019 Jun.
Artigo em Francês | MEDLINE | ID: mdl-31626415

RESUMO

The first administrations of a molecule to humans, so-called phase I studies of drug development, follow experimental animal studies which allow to have a first assessment of the pharmacological effects and toxicity of the molecule under development. Typically, these studies are performed in "healthy" subjects or in relapsing patients with cancer. Participants' safety is a priority. Trained professionals administer single doses, followed by repeated doses, in authorized medical centres. They allow to study the pharmacokinetic and pharmacodynamic profile of tested molecules in humans and to explore some sources of variability of these parameters. These studies are highly regulated and their methodology is fairly standardized.


Assuntos
Ensaios Clínicos como Assunto , Desenvolvimento de Medicamentos , Indústria Farmacêutica , Relação Dose-Resposta a Droga , Desenvolvimento de Medicamentos/legislação & jurisprudência , Indústria Farmacêutica/legislação & jurisprudência , Guias como Assunto , Humanos
13.
Zhonghua Liu Xing Bing Xue Za Zhi ; 40(10): 1186-1190, 2019 Oct 10.
Artigo em Chinês | MEDLINE | ID: mdl-31658514

RESUMO

Pharmacoepidemiology refers to the use of epidemiological research methods in studying the application and use of drugs in large populations to evaluate the safety and efficacy of medical products. Therefore, standardized pharmacoepidemiology research is the basis of the above work. Based on systematic reviews of national and international pharmacoepidemiological methodological standards and guidelines, and in combination with Chinese medical and health practice and experts' opinions, the Professional Committee of Pharmacoepidemiology of Chinese Pharmaceutical Association developed the group standard, guide on methodological standards in pharmacoepidemiology (T/CPHARMA 002-2019), to better guide the work of pharmacoepidemiology. The guideline was designed to provide advice and reference for pharmacoepidemiology research by government, regulatory agencies, research institutions, and pharmaceutical manufacturers in China.


Assuntos
Farmacoepidemiologia/métodos , Farmacoepidemiologia/normas , Projetos de Pesquisa/normas , China , Guias como Assunto , Revisão Sistemática como Assunto
15.
Lima; Perú. Ministerio de Salud; 20191000. 25 p. graf, tab.
Monografia em Espanhol | LILACS, LIPECS | ID: biblio-1023630

RESUMO

Contribuir con la prevención y control de la tuberculosis (TB) en el país, mediante la generación de información epidemiológica oportuna para la toma de decisiones en Salud Pública o a la Autoridad Nacional de Salud


Assuntos
Tuberculose , Saúde Pública , Surtos de Doenças , Guias como Assunto
18.
Ann Agric Environ Med ; 26(3): 479-482, 2019 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-31559807

RESUMO

INTRODUCTION: Trauma is the third cause of death among the general population in Poland, and the first in people aged 1-44 years. Trauma centers are hospitals dedicated to treating patients with multiple organ injuries, in a complex way that endeavours to ensure a lower mortality rate, shorter hospital stay and better outcomes if the patients are transferred to such a center. Worldwide, there are many models on how to treat a trauma patient, but them to be qualified for the procedure, the selection of potential patients is crucial. OBJECTIVE: The aim of the study was to compare the Polish model for qualification to a trauma center and American Guidelines for Field Triage. MATERIAL AND METHODS: Retrospective analysis of medical documentation recorded between 1 January 2014 - 31 December 2014 was undertaken. The study concerned trauma patients admitted to the Emergency Department of the Regional Trauma Center at the Copernicus Memorial Hospital in Lódz, Poland. Inclusion criterion was initial diagnosis 'multiple-organ injury' among patients transported by the Emergency Medical Service (EMS). RESULTS: In the period indicated, 3,173 patients were admitted to the Emergency Department at the Copernicus Memorial Hospital. From among them, 159 patients were included in the study. Only 13.2% of the patients fulfilled the Polish Qualification Criteria to Trauma Center in comparison to 87.4% who fulfilled the American Guidelines for Field Triage. CONCLUSIONS: Polish qualification criteria do not consider the large group of patients with severe injuries (ISS>15), but indicate patients with minimal chance of survival. Polish criteria do not consider the mechanism of injury, which is a relevant predictive indicator of severe or extremely severe injuries (ISS>15). Further studies should be undertaken to improve the qualification and treatment of trauma patients in Poland.


Assuntos
Centros de Traumatologia/normas , Triagem/normas , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Guias como Assunto , Humanos , Lactente , Tempo de Internação , Masculino , Polônia , Estudos Retrospectivos , Estados Unidos , Ferimentos e Lesões/mortalidade , Ferimentos e Lesões/terapia , Adulto Jovem
19.
Accid Anal Prev ; 132: 105285, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31476585

RESUMO

Over the years the characteristics of traffic on Dutch motorways has changed, but its design guidelines did not develop as rapidly and large parts remain unchanged since the first guidelines from the 1970s. During the latest revision of the Dutch motorway design guidelines it became clear that a solid and comprehensive theoretical, or evidence based, background was lacking for the validity of the prescribed ramp spacing and required length for weaving segments. This article presents the underpinning of revising the Dutch design manual for motorways for turbulence in traffic. For this study loop detector data at eight on-ramps and five off-ramps were collected as well as empirical trajectory data at fourteen different on-ramps (three), off-ramps (three) and weaving segments (eight) in The Netherlands. The results show that the areas around ramps that are influenced by turbulence are smaller than described in the design manuals and that, in their present form, the microscopic simulation software packages VISSIM and MOTUS fail to simulate the number and location of lane-changes around ramps realistically.


Assuntos
Condução de Veículo/estatística & dados numéricos , Ambiente Construído/normas , Ambiente Construído/estatística & dados numéricos , Guias como Assunto , Humanos , Veículos Automotores/estatística & dados numéricos , Países Baixos
20.
J Nurs Adm ; 49(10): 503-508, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517758

RESUMO

OBJECTIVE: To examine changes in new nurses' competencies across the 1st year of practice. BACKGROUND: Competency assessment is a challenge for nurse residency programs and often focuses on skills checklists and confidence self-reports. The Appraisal of Nursing Practice, an observational rating based on Quality and Safety in Nursing Education standards, was developed to help evaluate an RN residency program. METHODS: Preceptors, nurse educators, and/or unit managers from various units rated new nurse residents. Ratings were compared for 353 nurses at 3 points: within the 1st month in the program (T1), at 5 months (T2), and at month 11 (T3). RESULTS: Competency ratings increased significantly for all subscales from T1 to T2. Ratings continued to increase significantly from T2 to T3, although at a slightly slower rate. Teamwork and evidence-based practice increased the most. CONCLUSIONS: Future studies should explore factors affecting the trajectory in developing nursing competencies within various settings.


Assuntos
Competência Clínica/normas , Avaliação de Desempenho Profissional/normas , Guias como Assunto , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem/normas , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Tempo , Estados Unidos
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