RESUMO
OBJETIVO: mapear na literatura os cuidados de enfermagem antes, durante e após a sangria terapêutica em pessoa idosa. MÉTODO: esta revisão será conduzida conforme o Manual do Instituto Joanna Briggs com utilização das diretrizes do checklist PRISMA Extension for Scoping Reviews, utilizando as seguintes bases de dados: MEDLINE via PubMed, Web of Science, EMBASE, COCHRANE e, para a literatura cinzenta, Catálogo de Teses e Dissertações CAPES e o Google Scholar. Após a busca dos estudos, será feita remoção das duplicadas no gerenciador EndNote e, em seguida, serão exportadas para o software Rayyan onde serão analisados os títulos e resumos seguida da leitura do texto completo por pares e às cegas, e quaisquer desacordos serão discutidos com um terceiro revisor. Os dados extraídos serão apresentados por meio de fluxogramas, tabelas, quadros e discussão narrativa e descritiva. Será realizado o registro da revisão no Open Science Framework: https://doi.org/10.17605/OSF.IO/HS2EK.
OBJECTIVE: To map in the literature nursing care before, during, and after therapeutic bleeding in the elderly. METHOD: this review will be conducted by the Joanna Briggs Institute Manual using the PRISMA Extension for Scoping Reviews CHECKLIST guidelines using the following databases: MEDLINE via PubMed, Web of Science, EMBASE, COCHRANE and, for gray literature, Catalogue of theses and dissertations CAPES and Google Scholar. After searching the studies, the duplicates will be removed in the EndNote manager and then exported to the Rayyan software where the titles and abstracts will be analyzed followed by reading the full text by pairs and blind, and any disagreements will be discussed with a third reviewer. The extracted data will be presented through flowcharts, tables, and narrative and descriptive discussion. The review will be recorded in the Open Science Framework: https://doi.org/10.17605/OSF.IO/HS2EK.
RESUMO
En este escrito se hace breve mención a la Real Expedición Botánica de la Nueva Granada como escuela de botánica de Eloy Valenzuela, a su mentor, el protomédico gaditano José Celestino Mutis, al protagonismo de Valenzuela en los aspectos sociales de los pobladores de la Villa de Bucaramanga en el siglo XVIII. También se muestran las enfermedades más frecuentes de la época y los remedios con que eran socorridos los pacientes.
This paper does a brief mention of the Royal Botanical Expedition of New Granada as Eloy Valenzuela's school of botany. Shows José Celestino Mutis, the Spanish protomedical mentor of Valenzuela, and describes the Valenzuela's leading role in the social aspects of the inhabitants of the Villa de Bucaramanga in the 18th century. The most frequent diseases of the time and the remedies with which patients were helped are shown.
Assuntos
Médicos , Botânica , Colômbia , História da Medicina , SangriaRESUMO
A hipertensão arterial sistêmica (HAS) se caracteriza por níveis elevados de pressão arterial (PA) de maneira contínua. É uma doença de causas multifatoriais, difícil diagnóstico e com altas taxas de mortalidade. Um método com efeito hipotensor rápido é a terapia auricular por sangria, proveniente da Medicina Tradicional Chinesa (MTC). O objetivo deste estudo foi analisar os efeitos imediatos da terapia auricular em indivíduos hipertensos de uma unidade de pronto atendimento da cidade de Cascavel-PR. Para tanto, foi verificada a PA antes do procedimento (PA inicial), e se estivesse ≥ 140/90 mmHg, era realizada a técnica de sangria no ponto Erjian auricular. Dez minutos após, aferia-se novamente a PA (PA final). Os resultados demonstraram redução significativa tanto na PA sistólica (PAS) inicial (157,27 ± 14,49) quando comparada à PAS final (142,97 ± 14,01), quanto na PA diastólica (PAD) inicial (99,83 ± 11,26) em comparação com a PAD final (90,66 ± 8,82). Conclui-se que a sangria no ápice da orelha foi capaz de reduzir significativamente a PA nos indivíduos investigados. Entretanto, tornam-se necessários novos estudos neste sentido, a fim de comprovar os reais benefícios da acupuntura sobre a HAS (AU)
Systemic arterial hypertension (SAH) is characterized by continuously elevated blood pressure (BP) levels. It is a multifactorial disease, difficult to be diagnosed and presents high mortality rates. One method with a rapid hypotensive effect is an auricular bloodletting therapy from Traditional Chinese Medicine. The aim of this study was to analyze the immediate effects of auricular therapy in hypertensive individuals at an Emergency Medical Unit in the city of Cascavel-PR. To do so, the BP was verified before the procedure (initial BP), and if it was within the required criteria, the bloodletting technique was performed at the Erjian auricular point. Ten minutes later, BP was measured (end BP). A significant decrease in the results for initial systolic BP (SBP) (157,27 ± 14,49) compared to end SBP (142,97 ± 14,01), as well as for initial diastolic BP (DBP) (99,83 ±BP11,26) compared to end DBP (90,66 ± 8,82) has been shown. Therefore, it is concluded that the bleeding of ear apex has been able to cut down significantly the BP of the examined individuals. Nevertheless, in order to prove the real benefits of acupuncture on SAH further studies in this respect are necessary (AU)
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Sangria , Acupuntura Auricular/métodos , Hipertensão , Medicina Tradicional ChinesaRESUMO
A sangria terapêutica é um procedimento hemoterápico de simples realização, eficaz quando indicada corretamente. Atualmente, as principais doenças que se beneficiam com este tratamento são as hiperferritinemias e as eritrocitoses. O presente estudo teve como objetivo principal conhecer o perfil dos pacientes submetidos à sangria terapêutica em um consultório privado de hematologia, localizado na região sul de Santa Catarina. Trata-se de estudo observacional e retrospectivo, com análise quantitativa de dados secundários. Todos os 113 pacientes identificados compuseram a amostra final. As indicações de sangria mais prevalentes foram hiperferritinemia secundária (46,9%) e hiperferritinemia com mutação do gene HFE (44,2%). A média de idade dos pacientes foi de 53,12 anos, sendo a maioria composta por homens (84,1%), todos da raça branca, e 31% procedentes de Criciúma. Destes pacientes, 77,9% realizaram estudo genético, o qual mostrou 56,8% positivos para hiperferritinemia com mutação do gene HFE, 6,8% para o gene da policitemia vera e 36,4% com resultado negativo. Ao comparar os índices laboratoriais antes e após a sangria terapêutica, observouse redução estatisticamente significativa nos valores de ferritina sérica e saturação de transferrina nos casos de hiperferritinemia com mutação do gene HFE e de ferritina sérica para hiperferritinemia secundária. Conclui-se que o perfil dos pacientes submetidos à sangria terapêutica na região sul de Santa Catarina, no período estudado, é composto principalmente por homens, acima de 50 anos de idade, e que a indicação mais prevalente para o tratamento são as sobrecargas de ferro.
Therapeutic bloodletting is a haemotherapic procedure of easy execution and effective when indicated correctly. Currently, the main diseases that benefit from this treatment are the iron overload syndromes and erythrocytosis. The main objective of this study was to know the profile of patients submitted to bloodletting therapy in a private hematology practice, located in the southern region of Santa Catarina. It is an observational and retrospective study with quantitative analysis of secondary data. All the 113 patients identified have composed the final sample. The most prevalent phlebotomy indications were secondary iron overload (46.9%) and iron overload with mutation of the HFE gene (44.2%). The average age of the patients was 53.12 years, most of which were men (84.1%), all of the white race and 31.0% of Criciúma. Of these patients, 77.9% performed genetic study, being 56.8% positive for iron overload with mutation of the HFE gene, 6.8% for the polycythemia vera gene and 36.4% showed negative result. By comparing the laboratory indices before and after the therapeutic bloodletting, significant reduction was observed in the values of serum ferritin and transferrin saturation in the iron overload with mutation of the HFE gene cases. About secondary iron overload, it was observed significant reduction only in serum ferritin. It's concluded that the profile of patients who are submitted to therapeutic bloodletting in the southern region of Santa Catarina, in the studied period, is composed mainly of men, above 50 years of age and the most prevalent indication for treatment are the iron overloads.
RESUMO
As estrias são cicatrizes indesejáveis que surgem na pele devido ao rompimento das fibras de colágeno e elastina presentes na derme, causando uma atrofia no tecido provocando o aparecimento de estrias, onde no início têm aspecto avermelhado, e quando se tornam "velhas" apresentam um aspecto esbranquiçado e abrilhantado (estrias nacaradas). O presente estudo contou com a participação de 16 mulheres iniciais, e ao final 3, com idades entre 18 e 35 anos que apresentavam estrias nacaradas na região abdominal pós-gravidez. Elas foram divididas em dois grupos: no Grupo A foi aplicada a eletrogalvanopuntura e, no Grupo B aplicada a acupuntura na técnica de pica-pau (sangria), no intuito de melhorar o aspecto do tecido estriado. Os resultados foram satisfatórios mostrando a eficácia das duas técnicas no tratamento das estrias nacaradas pós-gestacionais.(AU)
Stretch marks are unwanted scars that develop on the skin caused by the breakdown of collagen fibers and elastin found in the dermis, leading to tissue atrophy, forming the stretch marks, which are often red at the beginning, before gradually fading to a silvery white color. This study consisted initially of 16 women, and 3 at the end, aged 18 to 35, suffering of silvery white stretch marks on abdominal area after pregnancy. A sample of women was divided into two comparison groups: Group A used galvanic puncture, and Group B used the aloodletting acupuncture technique, to heal the stretch marks. The results were satisfactory and showed the significant efficacy of both treatments for improving pregnancy stretch marks.(AU)
Assuntos
Humanos , Feminino , Adulto , Estrias de Distensão , Acupuntura , Sangria , PunçõesRESUMO
BACKGROUND: In the current medical practice, central venous catheters (CVC) are very useful; however, their use involves certain risks, which increase morbidity and mortality, especially in newborns. The aim of this study was to describe both the frequency of complications and survival of CVC placed in newborns hospitalized in a third level neonatal intensive care unit (NICU). METHODS: A descriptive, observational and prospective study was carried-out in the NICU from the Hospital de Pediatría, Centro Médico Nacional Siglo XXI. Demographic, perinatal and CVC variables were recorded. RESULTS: We included 152 CVCs, which were inserted in 123 newborns. For the CVC insertion, the puncture technique [percutaneous and subclavian] was used in 56.6 % (n = 86). There was at least one complication in 48.7 %.(n = 74). The most frequent complications were colonization 32.4 % (n = 24) and CVC-related bacteremia in 27 % (n = 20). Survival probability for CVC was 93.4 % at 10 days and 91.4 % at 17 days. Kaplan-Meier survival analysis demonstrated significantly lower survival probability for non-central catheters. CONCLUSIONS: Most of CVC complications occurred within the first two weeks after these CVC were installed. Infectious complications were the most frequent.
Introducción: los catéteres venosos centrales (CVC) son de gran utilidad en la práctica médica actual; sin embargo, no están exentos de riesgos, lo que incrementa la morbilidad y mortalidad, especialmente en los recién nacidos (RN). El objetivo fue registrar la frecuencia de complicaciones de los CVC y su duración en RN en una unidad de cuidados intensivos neonatales (UCIN) de tercer nivel. Métodos: se realizó un estudio observacional descriptivo, prolectivo en la UCIN del Hospital de Pediatría del Centro Médico Nacional Siglo XXI. Se registraron variables demográficas, perinatales y del CVC. Resultados: se incluyeron 123 RN a quienes se les colocaron 152 CVC. La técnica más usada para la inserción del CVC fue la punción (percutánea o subclavia) en 56.6 % (n = 86). En 48.7 % (n = 74) de los CVC se presentó alguna complicación. Las más frecuentes fueron colonización en 32.4 % (n = 24) y bacteriemia relacionada con CVC en 27 % (n = 20). La probabilidad de duración de los CVC libres de complicaciones fue de 93.4 % a los 10 días y de 91.4 % a los 17 días. Los catéteres venosos no centrales tuvieron menor probabilidad de duración. Conclusión: la mayoría de las complicaciones de los CVC se presentaron en las primeras dos semanas de haber sido instalados. Las complicaciones infecciosas fueron las más frecuentes.