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[PMID]:29189226
[Au] Autor:Sofer D
[Ad] Endereço:Dalia Sofer.
[Ti] Título:Women in Rural America Are Losing Hospital-Based Obstetric Services.
[So] Source:Am J Nurs;117(12):14-15, 2017 Dec.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Isolated counties with low populations are most affected.
[Mh] Termos MeSH primário: Serviços Técnicos Hospitalares/organização & administração
Acesso aos Serviços de Saúde/organização & administração
Serviços de Saúde Materna/organização & administração
Serviços de Saúde Rural/organização & administração
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000527469.46588.dc


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[PMID]:26584594
[Au] Autor:Vroobel K; Gonzalez D; Wren D; Thompson L; Swansbury J; Fisher C; Thway K
[Ad] Endereço:Sarcoma Unit, Royal Marsden Hospital, London, UK.
[Ti] Título:Ancillary molecular analysis in the diagnosis of soft tissue tumours: reassessment of its utility at a specialist centre.
[So] Source:J Clin Pathol;69(6):505-10, 2016 Jun.
[Is] ISSN:1472-4146
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: The histological diagnosis of soft tissue tumours (STTs) can be difficult, sometimes requiring a combination of morphology, immunophenotype and ancillary molecular tests. Many STTs are associated with characteristic genetic aberrations that can be assessed using fluorescence in situ hybridisation (FISH), reverse transcription-PCR (RT-PCR) or mutational analysis. We have previously assessed the practicality and sensitivity of using these modalities as part of the routine diagnosis of STT in paraffin-embedded material and now revisit the subject in light of further experience in this field. METHODS: 200 consecutive cases from 2013 that had undergone FISH, RT-PCR or mutational analysis were assessed to evaluate their diagnostic utility compared with preliminary histological assessment. RESULTS: 218 FISH, 91 RT-PCR and 43 mutational analysis tests were performed. Compared with the previous study, FISH for MDM2 amplification in possible well-differentiated/dedifferentiated liposarcomas, and mutational analysis for assessing KIT, PDGFR and BRAF mutations made up a large proportion of the workload (107 and 43 tests, respectively). As in the previous study, alveolar rhabdomyosarcoma showed the best FISH:RT-PCR concordance. Unlike previously, RT-PCR showed marginally higher sensitivity than FISH (78.9% and 76.9%), while continuing to demonstrate higher specificity (90.9% and 84.3%). RT-PCR again showed an increased failure rate (5.5%; 1% for FISH). CONCLUSIONS: We demonstrate the continuing utility of RT-PCR and FISH for STT diagnosis, and that each has advantages in specific contexts. These ancillary molecular tests are important tools in both defining and excluding diagnoses of STT, which is crucial in determining prognosis and guiding appropriate management.
[Mh] Termos MeSH primário: Hibridização in Situ Fluorescente/métodos
Lipossarcoma/diagnóstico
Proteínas Proto-Oncogênicas c-mdm2/metabolismo
Reação em Cadeia da Polimerase Via Transcriptase Reversa/métodos
Neoplasias de Tecidos Moles/diagnóstico
[Mh] Termos MeSH secundário: Serviços Técnicos Hospitalares
Análise Mutacional de DNA
Seres Humanos
Lipossarcoma/metabolismo
Inclusão em Parafina
Proteínas Proto-Oncogênicas c-mdm2/genética
Estudos Retrospectivos
Neoplasias de Tecidos Moles/metabolismo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
EC 2.3.2.27 (MDM2 protein, human); EC 2.3.2.27 (Proto-Oncogene Proteins c-mdm2)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170328
[Lr] Data última revisão:
170328
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:151121
[St] Status:MEDLINE
[do] DOI:10.1136/jclinpath-2015-203380


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Texto completo SciELO Brasil
[PMID]:26676268
[Au] Autor:Steinman M; Morbeck RA; Pires PV; Abreu Filho CA; Andrade AH; Terra JC; Teixeira Junior JC; Kanamura AH
[Ad] Endereço:Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
[Ti] Título:Impact of telemedicine in hospital culture and its consequences on quality of care and safety.
[So] Source:Einstein (Sao Paulo);13(4):580-6, 2015 Oct-Dec.
[Is] ISSN:2317-6385
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Ab] Resumo:OBJECTIVE: To describe the impact of the telemedicine application on the clinical process of care and its different effects on hospital culture and healthcare practice. METHODS: The concept of telemedicine through real time audio-visual coverage was implemented at two different hospitals in São Paulo: a secondary and public hospital, Hospital Municipal Dr. Moysés Deutsch, and a tertiary and private hospital, Hospital Israelita Albert Einstein. RESULTS: Data were obtained from 257 teleconsultations records over a 12-month period and were compared to a similar period before telemedicine implementation. For 18 patients (7.1%) telemedicine consultation influenced in diagnosis conclusion, and for 239 patients (92.9%), the consultation contributed to clinical management. After telemedicine implementation, stroke thrombolysis protocol was applied in 11% of ischemic stroke patients. Telemedicine approach reduced the need to transfer the patient to another hospital in 25.9% regarding neurological evaluation. Sepsis protocol were adopted and lead to a 30.4% reduction mortality regarding severe sepsis. CONCLUSION: The application is associated with differences in the use of health services: emergency transfers, mortality, implementation of protocols and patient management decisions, especially regarding thrombolysis. These results highlight the role of telemedicine as a vector for transformation of hospital culture impacting on the safety and quality of care.
[Mh] Termos MeSH primário: Assistência à Saúde/métodos
Cultura Organizacional
Segurança do Paciente
Qualidade da Assistência à Saúde/estatística & dados numéricos
Telemedicina
[Mh] Termos MeSH secundário: Serviços Técnicos Hospitalares/utilização
Cuidados Críticos/métodos
Serviços Médicos de Emergência/métodos
Feminino
Mortalidade Hospitalar/tendências
Seres Humanos
Disseminação de Informação/métodos
Tempo de Internação
Masculino
Meia-Idade
Qualidade da Assistência à Saúde/tendências
Telemedicina/organização & administração
Telemedicina/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1608
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151218
[St] Status:MEDLINE


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[PMID]:26351265
[Au] Autor:Schoenfisch AL; Pompeii LA; Lipscomb HJ; Smith CD; Upadhyaya M; Dement JM
[Ad] Endereço:Duke University School of Nursing, Durham, North Carolina.
[Ti] Título:An urgent need to understand and address the safety and well-being of hospital "sitters".
[So] Source:Am J Ind Med;58(12):1278-87, 2015 Dec.
[Is] ISSN:1097-0274
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Hospital sitters provide continuous observation of patients at risk of harming themselves or others. Little is known about sitters' occupational safety and well-being, including experiences with patient/visitor-perpetrated violence (type II). METHODS: Data from surveys, focus groups, individual interviews at six U.S. hospitals were used to characterize the prevalence of and circumstance surrounding type II violence against sitters, as well as broader issues related to sitter use. RESULTS: Sitter respondents had a high 12-month prevalence of physical assault, physical threat, and verbal abuse compared to other workers in the hospital setting. Sitters and other staff indicated the need for clarification of sitters' roles regarding patient care and sitter well-being (e.g., calling for assistance, taking lunch/restroom breaks), training of sitters in personal safety and de-escalation, methods to communicate patient/visitor behaviors, and unit-level support. CONCLUSIONS: The burden of type II violence against hospital sitters is concerning. Policies surrounding sitters' roles and violence prevention training are urgently needed.
[Mh] Termos MeSH primário: Hospitais/estatística & dados numéricos
Saúde do Trabalhador
Recursos Humanos em Hospital/psicologia
Violência no Trabalho/estatística & dados numéricos
Local de Trabalho/psicologia
[Mh] Termos MeSH secundário: Adulto
Serviços Técnicos Hospitalares
Feminino
Seres Humanos
Masculino
North Carolina
Recursos Humanos em Hospital/estatística & dados numéricos
Prevalência
Pesquisa Qualitativa
Inquéritos e Questionários
Texas
Visitas a Pacientes
Local de Trabalho/estatística & dados numéricos
Violência no Trabalho/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1610
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150910
[St] Status:MEDLINE
[do] DOI:10.1002/ajim.22529


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[PMID]:26158245
[Au] Autor:Dessap AM; Roche-Campo F; Launay JM; Charles-Nelson A; Katsahian S; Brun-Buisson C; Brochard L
[Ad] Endereço:AP-HP, Hôpitaux Universitaires Henri Mondor, DHU A-TVB, Service de Réanimation Médicale, Créteil, France; Université Paris Est Créteil, Faculté de Médecine de Créteil, IMRB, Groupe de recherche clinique CARMAS, Créteil, France. Electronic address: armand.dessap@hmn.aphp.fr.
[Ti] Título:Delirium and Circadian Rhythm of Melatonin During Weaning From Mechanical Ventilation: An Ancillary Study of a Weaning Trial.
[So] Source:Chest;148(5):1231-1241, 2015 Nov.
[Is] ISSN:1931-3543
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Delirium is frequent in patients in the ICU, but its association with the outcome of weaning from mechanical ventilation has not been assessed. Circadian rhythm alteration may favor delirium. In the current study, we assessed the impact of delirium during weaning and associated alterations in the circadian rhythm of melatonin excretion. METHODS: This was a substudy of 70 participants of the B-type Natriuretic Peptide for the Fluid Management of Weaning trial, comparing two fluid management strategies during weaning. Patients with or without delirium (as assessed using the Confusion Assessment Method for the ICU) were compared in terms of baseline characteristics and outcomes and the circadian rhythm of melatonin excretion using the 24-h excretion of its urinary metabolite 6-sulfatoxymelatonin (aMT6s). RESULTS: Among the 70 patients included, 43 (61.4%) experienced delirium at the initiation of weaning. Delirium at the initiation of weaning was associated with more alcohol consumption, a greater severity of illness, and medication use before weaning (including neuromuscular blockade, antibiotics, sedatives, and narcotics). Delirium at the initiation of weaning was associated with more respiratory and neurologic complications and a reduced probability of successful extubation (Cox multivariate model hazard ratio of successful extubation = 0.54; 95% CI, 0.30-0.95; P = .03). Delirium was also associated with a significant reduction in peak, mean, amplitude, and total values of aMT6s urinary excretion during the first 24 h of weaning (general linear model F statistic = 5.81, P = .019). CONCLUSIONS: Delirium is frequent at the initiation of ventilator weaning. It is associated with a prolongation of weaning and an alteration in the circadian rhythm of melatonin excretion. TRIAL REGISTRY: ClinicalTrials.gov; No.: NCT00473148; URL: www.clinicaltrials.gov.
[Mh] Termos MeSH primário: Serviços Técnicos Hospitalares
Ritmo Circadiano
Delírio/urina
Unidades de Terapia Intensiva
Melatonina/análogos & derivados
Respiração Artificial
Desmame do Respirador/métodos
[Mh] Termos MeSH secundário: Idoso
Delírio/etiologia
Feminino
Seguimentos
Seres Humanos
Masculino
Melatonina/urina
Meia-Idade
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
2208-40-4 (6-sulfatoxymelatonin); JL5DK93RCL (Melatonin)
[Em] Mês de entrada:1602
[Cu] Atualização por classe:170614
[Lr] Data última revisão:
170614
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:150710
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


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[PMID]:25245470
[Au] Autor:Sack C; Sack H; Willich N; Popp W
[Ad] Endereço:Stabsstelle Controlling, Universitätsklinikum Essen (AöR), Hufelandstraße 55, 45147, Essen, Germany, cornelia.sack@uk-essen.de.
[Ti] Título:Evaluation of the time required for overhead tasks performed by physicians, medical physicists, and technicians in radiation oncology institutions: the DEGRO-QUIRO study.
[So] Source:Strahlenther Onkol;191(2):113-24, 2015 Feb.
[Is] ISSN:1439-099X
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Developments in radiation oncology in recent years have highlighted the increasing deployment of personnel resources for tasks not directly related to patients. These tasks include patient-related activities such as treatment planning, reviewing files, and administrative duties (e.g., invoicing for services, documentation). The aim of the present study, part of the QUIRO project of the German Society of Radiation Oncology (DEGRO), was to describe, on the basis of valid data, the deployment of personnel resources in radiation oncology centers for "overhead" tasks. METHODS: Questionnaires were used to analyze the percentages of time needed for various tasks. The target group comprised physicians, medical physics experts (MPE), and medical technical radiology assistants (MTRA). A total of 760 personnel from 65 radio-oncology centers in the German inpatient and outpatient sector participated (32 % physicians, 23 % MPE, and 45 % MTRA). RESULTS: High percentages of overhead tasks during working time were measured for each of the three personnel groups considered (physicians, MPE, and MTRA). Patient-related efficiency, i.e., the percentage of working time associated directly or indirectly with the patient, was highest among MTRA and lowest among MPE. Particular features could be seen in the activity profiles of personnel in university clinics. Duties in the areas of research and teaching resulted in a greater percentage of overhead tasks for physicians and MPE. Irrespective of function (physician, MPE, or MTRA), a managerial role resulted in lower patient-related efficiency, as well as a narrower time budget for direct patient care compared with non-managerial employees. CONCLUSION: Using the data gathered, it was possible to systematically investigate the time required for overhead tasks in radio-oncological centers. Overall, relatively high time requirements for a variety of overhead tasks were measured. These time requirements, generated for example by administrative duties or research and teaching, are currently not taken into adequate consideration in terms of remuneration or personnel capacity planning.
[Mh] Termos MeSH primário: Serviços Técnicos Hospitalares/estatística & dados numéricos
Física Sanitária/estatística & dados numéricos
Médicos/estatística & dados numéricos
Radioterapia (Especialidade)/estatística & dados numéricos
Sociedades Médicas
Análise e Desempenho de Tarefas
Tecnologia Radiológica/estatística & dados numéricos
Estudos de Tempo e Movimento
[Mh] Termos MeSH secundário: Serviços Técnicos Hospitalares/recursos humanos
Alemanha
Física Sanitária/recursos humanos
Seres Humanos
Radioterapia (Especialidade)/recursos humanos
Inquéritos e Questionários
Tecnologia Radiológica/recursos humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1504
[Cu] Atualização por classe:170916
[Lr] Data última revisão:
170916
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140924
[St] Status:MEDLINE
[do] DOI:10.1007/s00066-014-0758-2


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[PMID]:25647932
[Au] Autor:Nugent B; Emmerich C
[Ti] Título:Top 4 sources of savings in support services.
[So] Source:Healthc Financ Manage;68(12):74-7, 2014 Dec.
[Is] ISSN:0735-0732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Examples of ways that a hospital can reduce support-service costs include: Incorporating more comprehensive performance metrics as part of its contract renewal process for food services. Managing equipment service contracts centrally and reexamining existing contracts. Converting from heavy-weight to lighter-weight linens. Providing rigorous training for environmental services staff on critical touch points in patient room cleaning.
[Mh] Termos MeSH primário: Serviços Técnicos Hospitalares/economia
Instalações de Saúde/economia
[Mh] Termos MeSH secundário: Controle de Custos/métodos
Eficiência Organizacional/economia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1503
[Cu] Atualização por classe:150204
[Lr] Data última revisão:
150204
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:150205
[St] Status:MEDLINE


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[PMID]:25080651
[Au] Autor:Støre-Valen M; Larssen AK; Bjørberg S
[Ti] Título:Buildings' impact on effective hospital services--the means of the property management role in Norwegian hospitals.
[So] Source:J Health Organ Manag;28(3):386-404, 2014.
[Is] ISSN:1477-7266
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this paper is to assess the status of the physical assets of Norwegian hospital facilities in terms of technical condition, building performance, usability and adaptability, thereby comprehending the main challenges for property management as part of facilities management (FM) within hospitals of the Norwegian Specialist Health-Care Services and permitting a discussion on a more strategic property management role. DESIGN/METHODOLOGY/APPROACH: The research is based on an action research approach using data collection from surveys, schemes and questionnaires, literature studies, documentation analysis and workshops with an active research team involvement with stakeholders. In-depth interviews were undertaken with owner representatives, property management representatives and health-care deliverers, and a GAP analysis allowed a study of the quality of property management (as part of the FM). FINDINGS: A severe technical backlog was documented together with a strong demand for structural upgrading, which was roughly estimated to be approximately 30-35 billion NOK in 2012 (3.75-4.4 billion euros). Improvements are necessary in all areas of FM delivery within limited economic frameworks, even though several examples of good property management (as part of FM delivery) were found. A gap exists between the general strategy concerning hospital assets and the property management role, particularly with regard to the translation of change in user needs into changed facilities. A need for an increasing professionalization of the role is pressing, turning attention from operational costs and control to potential added value. This requires a shift of focus from the property manager in order to implement visions and goals for the health-care sector, which involves several actions such as an improved communication between stakeholders and technically improved skills, thus ensuring the recruitment and capability of property management staff and improved measurement processes. PRACTICAL IMPLICATIONS: This paper give two major recommendations: first, a stronger integration of the property management role as part of the FM delivery with the executive management of the Health Authorities and Regional and Local Health Trusts; and second, a nationally coordinated strategy for the development of property management in the Specialist Health-Care Services (called Strategic FM). The authors believe that developing a pool of competencies at the national level is necessary to develop the tools, methods and standardized measurements to enable a change in the use of the terms of added value and sustainability. Ultimately, this will enhance the assets of the healthl sector, and this paper suggests a model that allows for this development. ORIGINALITY/VALUE: This paper shows a model for property management as a strategic role in a holistic process involving all stakeholders from both the bottom up and the top down. The authors believe this process will engage the stakeholders in agreeing upon a clear vision and set of goals for the health-care service assets.
[Mh] Termos MeSH primário: Serviços Técnicos Hospitalares
Eficiência Organizacional
Serviço Hospitalar de Engenharia e Manutenção
[Mh] Termos MeSH secundário: Noruega
Pesquisa Qualitativa
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1409
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:140802
[St] Status:MEDLINE


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[PMID]:24833648
[Au] Autor:Mohammed SF; Borlaug BA; McNulty S; Lewis GD; Lin G; Zakeri R; Semigran MJ; LeWinter M; Hernandez AF; Braunwald E; Redfield MM
[Ad] Endereço:From the Division of Cardiovascular Diseases (S.F.M., B.A.B., G.L., R.Z., M.M.R.) and Mayo Graduate School (S.F.M., R.Z.), Mayo Clinic, Rochester, MN; Duke Clinical Research Institute, Durham, NC (S.M., A.F.H.); Massachusetts General Hospital, Boston, MA (G.D.L., M.J.S.); University of Vermont, Burl
[Ti] Título:Resting ventricular-vascular function and exercise capacity in heart failure with preserved ejection fraction: a RELAX trial ancillary study.
[So] Source:Circ Heart Fail;7(4):580-9, 2014 Jul.
[Is] ISSN:1941-3297
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Exercise intolerance is a hallmark of heart failure, but factors associated with impaired exercise capacity in heart failure with preserved ejection fraction are unclear. We hypothesized that in heart failure with preserved ejection fraction, the severity of resting ventricular and vascular dysfunction are associated with impairment in exercise tolerance as assessed by peak oxygen consumption. METHODS AND RESULTS: Subjects with heart failure with preserved ejection fraction enrolled in the PhosphodiesteRasE-5 Inhibition to Improve CLinical Status And EXercise Capacity in Diastolic Heart Failure (RELAX) clinical trial (n=216) underwent baseline Doppler echocardiography, cardiopulmonary exercise testing, and cardiac MRI. RELAX participants were elderly (median age 69 years) and 48% were women. Ejection fraction (60%) and stroke volume (77 mL) were normal, while diastolic dysfunction (medial E/e', 16; deceleration time, 185 ms; left atrial volume, 44 mL/m(2)) and increased arterial load (arterial elastance, 1.51 mm Hg/mL) were evident. Peak oxygen consumption was reduced (11.7 mLkg(-1)min(-1), 1141 mL/min) and age, sex, body mass index, hemoglobin, and chronotropic response collectively explained 64% of the variance in raw peak oxygen consumption (mL/min). After adjustment for these variables, left ventricular structure (diastolic dimension [1.5%, P=0.008] and left ventricular mass [1.6%, P=0.008]), resting stroke volume (2.0%, P=0.002), left ventricular diastolic dysfunction (deceleration time [0.9%, P=0.03] and E/e' [1.4%, P=0.009]), and arterial function (arterial elastance [2.1%, P=0.002] and systemic arterial compliance [1.5%, P=0.007]), each explained only a small additional portion of the variance in peak oxygen consumption. CONCLUSIONS: In heart failure with preserved ejection fraction, potentially modifiable factors (obesity, anemia, and chronotropic incompetence) are strongly associated with exercise capacity, whereas resting measures of ventricular and vascular structure and function are not. CLINICAL TRIAL REGISTRATION URL: http://www.clinicaltrials.gov. Unique identifier: NCT00763867.
[Mh] Termos MeSH primário: Serviços Técnicos Hospitalares
Tolerância ao Exercício/fisiologia
Insuficiência Cardíaca/fisiopatologia
Descanso/fisiologia
Volume Sistólico/fisiologia
Resistência Vascular/fisiologia
Função Ventricular Esquerda/fisiologia
[Mh] Termos MeSH secundário: Idoso
Diástole
Ecocardiografia Doppler
Teste de Esforço
Feminino
Seguimentos
Insuficiência Cardíaca/diagnóstico
Seres Humanos
Imagem Cinética por Ressonância Magnética
Masculino
Meia-Idade
Pacientes Ambulatoriais
Consumo de Oxigênio
Índice de Gravidade de Doença
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1409
[Cu] Atualização por classe:161215
[Lr] Data última revisão:
161215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140517
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1161/CIRCHEARTFAILURE.114.001192


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[PMID]:24700347
[Au] Autor:Nocon CC; Baroody FM
[Ad] Endereço:Section of Otolaryngology-Head and Neck Surgery, Department of Surgery, The University of Chicago Medicine, 5841 S. Maryland Avenue, MC 1035, Chicago, IL, 60637, USA, Cheryl.Nocon@uchospitals.edu.
[Ti] Título:Acute rhinosinusitis in children.
[So] Source:Curr Allergy Asthma Rep;14(6):443, 2014 Jun.
[Is] ISSN:1534-6315
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Acute rhinosinusitis in children is a common disorder that is characterized by some or all of the following symptoms: fever, rhinorrhea, nasal congestion, cough, postnasal drainage, and facial pain/headache. It often starts as an upper respiratory tract infection that is complicated by a bacterial infection in which the symptoms worsen, persist, or are particularly severe. The accurate diagnosis of acute rhinosinusitis is challenging because of the overlap of symptoms with other common diseases, heavy reliance on subjective reporting of symptoms by the parents, and difficulties related to the physical examination of the child. Antibiotics are the mainstay of treatment. There is no strong evidence for the use of ancillary therapy. Orbital and intracranial complications may occur and are best treated early and aggressively. This article reviews the diagnosis, pathophysiology, bacteriology, treatment, and complications of acute rhinosinusitis in children.
[Mh] Termos MeSH primário: Rinite
Sinusite
[Mh] Termos MeSH secundário: Doença Aguda
Serviços Técnicos Hospitalares
Antibacterianos/uso terapêutico
Criança
Seres Humanos
Rinite/diagnóstico
Rinite/microbiologia
Rinite/fisiopatologia
Rinite/prevenção & controle
Sinusite/diagnóstico
Sinusite/microbiologia
Sinusite/fisiopatologia
Sinusite/prevenção & controle
Esteroides/administração & dosagem
Esteroides/uso terapêutico
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Steroids)
[Em] Mês de entrada:1405
[Cu] Atualização por classe:171105
[Lr] Data última revisão:
171105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140405
[St] Status:MEDLINE
[do] DOI:10.1007/s11882-014-0443-7



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