RESUMO
INTRODUCTION: The need of short instruments to evaluate Quality of life determines World Health Organization Quality of Life Group (WHOQOL Group) to develop an abbreviated version of the WHOQOL-100, the WHOQOL-bref. The objective is to present the Brazilian field trial of the WHOQOL-bref. METHODS: WHOQOL-bref is composed by 26 questions divided in four domains: physical, psychological, social relationships and environment. The evaliation instrument, BDI (beck depression inventory) and BHS (beck hopelessness scale) were used in a 300 subjects sample in Porto Alegre, South Brazil. RESULTS/CONCLUSIONS: The instrument showed a good performance concerning internal consistency, discriminant validity, criterion validity, concurrent validity and test-retest reliability. The intrument allies good psychometric performance and practicity for use which puts it as an interesting option to evaluate quality of life in Brazil.
Assuntos
Qualidade de Vida , Organização Mundial da Saúde , Brasil , Estudos de Casos e Controles , Estudos de Avaliação como Assunto , Feminino , Humanos , Modelos Lineares , Masculino , Reprodutibilidade dos Testes , Inquéritos e QuestionáriosRESUMO
OBJECTIVE: The WHOQOL group have developed an instrument to evaluate Quality of Life, the WHOQOL-100, available in 20 different languages (WHOQOL Group, 1998). The field trial of the portuguese version of the instrument is presented. METHODS: Two hundred and fifty patients from four main medical areas (Psychiatry, Clinical, Surgery and Ginecology) of the Hospital de Clínicas de Porto Alegre and 50 controls were evaluated with the Portuguese version of the WHO Quality of Life Instrument (WHOQOL-100), Beck Depression Inventory (BDI) and Beck Hopelessness Scale (BHS) in Porto Alegre, south Brazil. RESULTS AND CONCLUSION: The instrument showed a good psychometric performance with good internal consistency, discriminant validity, criterion validity, concurrent validity and reliability. The authors conclude that the intrument is ready for use in Brazil, it being important to evaluate its performance in other regions and with different samples.
Assuntos
Estudos de Avaliação como Assunto , Qualidade de Vida , Organização Mundial da Saúde , Adulto , Feminino , Humanos , MasculinoRESUMO
The authors present the clinical history of a 61 year old woman who was treated in the Metropolitan Hospital Complex Arnulfo Arias Madrid of the Social Security. The patient had experienced weight loss, chills and pain in the left chest for a period of one month. The chest X-ray showed an irregular oval shaped pulmonary infiltrate, 5 x 5 cm, in the upper one third of the left lung field. Fiberoptic bronchoscopy revealed an endobronchial lesion in the superior division of the left upper lobe bronchus. Transbronchial biopsy and bronchial brushings showed Crytpcoccus neoformans. Clinical evaluations did not reveal involvement of the central nervous system, the immunological system or evidence of neoplastic disease. The patient was treated with Amphotericin B and Ketoconazole resulting in a complete cure. Amphotericin B was used on an ambulatory basis for the first time in their institution and in Panama.
Assuntos
Criptococose/tratamento farmacológico , Pneumopatias Fúngicas/tratamento farmacológico , Criptococose/diagnóstico , Feminino , Humanos , Pneumopatias Fúngicas/diagnóstico , Pessoa de Meia-IdadeRESUMO
The authors present 15 patients with proven malignant pleural effusion who underwent pleurodesis with Povidone. They obtained a complete response in 100% of the cases. The average duration of the response was 23.3 weeks ranging from 3 to 83 weeks. Seven patients are alive and on follow up with an average response time of 30 weeks. Six patients are dead, with an average response time of fifteen weeks. We don't know the late results in 2 patients after the control (4 weeks after treatment). The pleural tube remained in place from 2 to 8 days. There were no untoward or colateral effects in these patients. The cost of the Povidone utilized was B/0.40 per patient. The cost, the efficacy and the absence of ill effects make Povidone the agent of choice in the palliative treatment of malignant pleural effusion.
Assuntos
Braquiterapia , Povidona-Iodo/uso terapêutico , Feminino , Humanos , Masculino , Derrame Pleural MalignoRESUMO
Propone un modelo de cuidado de enfermeria al anciano, integrando elementos biologicos, psicologicos y sociales en un hogar geriatrico. Se ofrece un modelo institucional para el cuidado del viejo presentando las acciones del personal de salud y los mecanismos de coordinacion para integrarlas con el animo de que sea aplicado haciendo las adaptaciones locales requeridas.
Assuntos
Idoso , Humanos , Masculino , Feminino , Enfermagem Geriátrica/normas , Instituição de Longa Permanência para Idosos/organização & administração , Envelhecimento/fisiologia , Envelhecimento/psicologia , Família , Serviços de Saúde para Idosos , Instituição de Longa Permanência para Idosos/economia , Instituição de Longa Permanência para Idosos , Morbidade , Avaliação em Enfermagem , Ciências da Nutrição , Características da População , Fatores SocioeconômicosRESUMO
Hemos hecho algunas consideraciones de lo que conocemos con el nombre de pulmon de shock con especial interes en la patogenia y la fisiopatologia, se ha hecho enfasis en la prevencion y en el manejo actual de este sindrome cuya significacion en la clinica moderna va en aumento