La madre acompañante en los servicios pediátricos, ejemplo del pensamiento humanista de Fidel / The Accompanying Mother in Pediatric Services, An Example of Fidel's Humanist Thought

Introducción: El desarrollo de la pediatría en Villa Clara tiene una rica historia e importantes contribuciones de grandes personalidades. Una de ellas, fue la incorporación de la madre acompañante en los servicios pediátricos, controversial decisión inicialmente no bien comprendida, que se desarrolló en la provincia en 1968. Objetivo: Explicar el surgimiento de la madre acompañante en los servicios pediátricos de Villa Clara. Métodos: Para analizar el objeto de estudio se realizó una investigación histórica durante el año 2019 mediante el método teórico, que se sustenta en la interacción de lo histórico y lo lógico desde las dimensiones temporal y espacial; y el empírico, consistente en la revisión de fuentes primarias (análisis documental) y secundarias (incluido entrevistas con informantes clave), seguidos por la triangulación metodológica para arribar a consideraciones integradoras. Resultados: Se identificaron destacadas figuras de la especialidad de Pediatría en Villa Clara, y su contribución a la incorporación de la madre acompañante en los hospitales pediátricos. Conclusiones: Los servicios pediátricos de Villa Clara fueron pioneros en la incorporación del modelo de la madre acompañante y su generalización contó con el apoyo del líder histórico de la Revolución, Fidel Castro Ruz(AU)

Introduction: The development of pediatrics in Villa Clara has a rich history and important contributions from great personalities. One of them was the incorporation of the accompanying mother in the pediatric services, a controversial decision initially not well understood, which was developed in the province in 1968. Objective: To explain the emergence of the accompanying mother modality in the pediatric services of Villa Clara. Methods: To analyze the object of study, a historical research was carried out during 2019 using the theoretical method, which is based on the interaction of the historical and the logical from the temporal and spatial dimensions; and the empirical one, consisting in the review of primary sources (documentary analysis) and secondary sources (including interviews with key informants), followed by methodological triangulation to arrive at integrative considerations. Results: Outstanding figures of the specialty of Pediatrics in Villa Clara were identified, and their contribution to the incorporation of the accompanying mother modality in pediatric hospitals. Conclusions: The pediatric services of Villa Clara were pioneers in the incorporation of the accompanying mother model and its generalization had the support of the historical leader of the Revolution, Fidel Castro Ruz(AU)

FEEDING HABITS OF Paralonchurus brasiliensis (PERCIFORMES: SCIAENIDAE) FROM SOUTH OF BRAZIL / Hábitos Alimentarios de Paralonchurus brasiliensis (Perciformes: Sciaenidae) del sur del Brasil

ABSTRACT Shrimp trawling directly impacts target species and non-target species, altering micro-habitats and marine trophic webs. Thus, the objective of the present research was to analyze the feeding habits of Paralonchurus brasiliensis as a tool to evaluate the impact of trawling on the food chains in marine environments, in the South Atlantic of Brazil. One thousand and nineteen stomachs of P. brasiliensis were dissected after being captured as bycatch of shrimp Xiphopenaeus kroyeri, in Penha, on the north central coast of Santa Catarina, Brazil. The number of stomachs was enough to describe the feeding habits of P. brasiliensis, characterizing it as a carnivorous species and predominantly invertivorous. They also revealed that this species has a diversified and constant diet, with greater consumption of polychaetes, crustaceans, and ofiuroides, among other components of the macrobentos, all closely related to the sediment. It was also found that the target species X. kroyeri is not an important prey in the diet of P. brasiliensis, despite occupying the same habitat. According to the present study, P. brasiliensis can be characterized as a demersal-benthic species, predator, opportunistic and broad trophic spectrum. This work contributes to the understanding of trophic chains of the coastal ecosystems, using the P. brasiliensis as a model.

RESUMEN La pesca de arrastre de camarón afecta directamente a la especie de interes y a otras que no lo son, pero tambien quedan atrapadas, alterando los micro-hábitats y las vías tróficas marinas. Así, el presente estudio tuvo como objetivo analizar los hábitos alimentarios de Paralonchurus brasiliensis, como herramienta para evaluar el impacto de la pesca de arrastre sobre las cadenas alimentarias en ambientes marinos, en el Atlántico sur de Brasil. Se disecaron 1219 estómagos de P. brasiliensis capturados con "bycatch" del camarón Xiphopenaeus kroyeri, en Penha, litoral centro-norte de Santa Catarina, Brasil. El número de estómagos fue suficiente para la descripción de los hábitos alimentarios de P. brasiliensis, caracterizándola como una especie carnívora, predominantemente invertívora. Los resultados revelaron además que esta especie posee una dieta diversificada y constante, con mayor consumo de poliquetas, crustáceos y ofiuroides, entre otros componentes del macrobentos, todos íntimamente relacionados al sedimento. Se constató también que la especie de interes X. kroyeri no es una presa importante en la dieta de P. brasiliensis, a pesar de ocupar el mismo hábitat. De acuerdo con el presente estudio, P. brasiliensis puede ser caracterizada como una especie demersal bentónica, predadora, oportunista y de amplio espectro trófico. Este trabajo contribuye a la comprensión de las cadenas tróficas de los ecosistemas costeros, utilizando el caso de P. brasiliensis como modelo.

O direito da pessoa idosa ao acompanhante, refletido na compreensão de profissionais da Saúde: uma contribuição ao debate / The elderly person's right to a companion, reflected in the understanding of health professionals: a contribution to the debate / El derecho de las personas mayores a un compañero, reflejado en la comprensión de los profesionales de la salud: una contribución al debate

Identificar a compreensão dos profissionais de saúde, no Brasil, sobre o direito de acompanhante, garantido ao idoso internado em instituições hospitalares, é o principal objetivo deste escrito. A metodologia consiste em uma pesquisa explicativa, com abordagem qualitativa, utilizando-se a revisão integrativa de estudos publicados na Biblioteca Virtual em Saúde. Como resultado principal, observamos que são delegadas aos acompanhantes as mesmas atribuições do cuidador, o que contribui para a designação máxima da responsabilidade do cuidado à família.

Identifying the understanding of health professionals in Brazil about the right to accompanying elderly people hospitalized in hospital institutions is the main objective of this paper. The methodology consists of an explanatory research, with a qualitative approach, using the integrative review of studies published in the Virtual Health Library. As a main result, it was observed that the same responsibilities of the caregiver are delegated to the companion, which contributes to the maximum designation of responsibility for caring for the family.

Identificar la comprensión de los profesionales de la salud, en Brasil, sobre el derecho de un compañero, garantizado a los ancianos hospitalizados en los hospitales, es el objetivo principal de este documento. La metodología consiste en una investigación explicativa, con un enfoque cualitativo, utilizando la revisión integradora de los estudios publicados en la Biblioteca Virtual en Salud. Como resultado principal, observamos que las mismas funciones del cuidador se delegan a los compañeros, lo que contribuye a la designación máxima responsabilidad del cuidado familiar.

Correlation analysis between psychological counseling behaviors of accompanying family members and anxiety and depression of inpatients with hepatocellular carcinoma / 中国实用护理杂志

Objective To understand the correlation between psychological counseling behaviors of accompanying family members and anxiety and depression of inpatients with hepatocellular carcinoma. Methods Used self-designed questionnaires to investigate the behaviors of 45 accompanying family members psychological counseling for their relative hospitalized patients with hepatocellular carcinoma, at the same time, evaluated the anxiety and depression among those 45 hospitalized patients with hepatocellular carcinoma, then analyzed the correlation between the accompanying family members' psychological counseling behaviors and hepatocellular carcinoma in patients' anxiety and depression. Results Among the accompanying family members,53.3%(24/45) were the spouses of the patients. During the accompanying nursing time, there were 20.0%(9/45) accompanying families told to their relative patients less than 2 hours per day, and 80.0%(36/45) told to the patients over 2 hours per day. The proportion of anxiety and depression in the hospitalized patients with hepatocellular carcinoma was 28.9%(13/45) and 77.8% (34/45) respectively. Whether the relationship between the accompanying family members and the patients with hepatocellular carcinoma were spouse relationship was related to the incidence of depression in the patients (χ2=10.470, P=0.005), and whether the time accompanying family members spent in talking with the patients over 2 hours every day was correlative with the incidence of anxiety and depression in the patients (χ2=7.012, P =0.030 andχ2=6.438, P=0.040). The patients who accompanying families told to them less than 2 hours per day suffered a higher depression rate (8/9), and among the patients who accompanying families told to them over 2 hours per day, the lowest rate of anxiety (1/12) was found in the patients who accompanying families told to them around 4.1-6.0 hours per day. Conclusions The patients who are accompanied and cared by their spouses have lower depression rate and lesser depression extent. The accompanying families talk to the patients total 4.1-6.0 hours per day could most favorably reduce the incidence of anxiety and depression in the hospitalized patients with hepatocellular carcinoma.

Study on ecological environment and accompanying plants' community characteristics study of wild Panax japonicus in Enshi / 中国中药杂志

The paper is aimed to study the distribution, population density, soil conditions and community characteristics of accompanying plants' in Enshi sub-regional different areas, with a typical habitats investigation method. The results showed that the wild Panax japonicus mainly distributed in moist places under the forests, by streams, or secondary forests of high grass, within east longitude 29°-30°, north latitude 108°-110°and about 1 000-15 00 meters above sea level. The soils were mainly tide soil and humus with yellow-brown soil, yellow soil and red soil, and the humus thickness was5-30 centimeter, pH 6.0-6.8, the moisture content of 16.8%-24.2%, soil bulk density of 1.39-2.12. Its geographical vegetation types were mainly evergreen coniferous forest, evergreen-deciduous mixture broad leaved forest and evergreen coniferous forest mixed deciduous broad-leaved forest, including three levels community structure of arbors, shrubs and herbaceous; Its accompanying plants reached 86 families, 118 genera, 134 species of seed plants, the arbors included 15 families, 21 genera, 26 species and the dominant species community mainly Pinaceae such as Pinus massoniana, P. tabuliformis, P. henryi and Taxodiaceae such as Cunninghamia lanceolata, Cryptomeria fortunei etc. The shrubs included 39 families, 54 genera, 62 species with the dominant species such as Camellia oleifera, Kalopanax septemlobus, Akebia trifoliata, Trachycarpusfortunei, Rhamnus globosa, Smilax corbularia and so on. The herbaceous included 32 families, 43 genera, 46 species, and Ferns such as the black-footed Dryopteris, Dryopteris crassirhizom, Coniogramme affinis, Polystichum tripteron, Adiantum pedatum, Lunathyrium acrostichoides, Woodsia ilvensis and Woodwardia japonica were dominant species. The cover layer covered a large number of lichens and mosses. The wild P. japonicus can be found among the P. massoniana, P. tabuliformis, P. henryi, lichens and mosses. These may indicate that the wild P. japonicusin Enshi requires higher demands on the ecological environment, its accompanying plants are mainly the tree layer-shrub layer-herb layer, and vertical structure is obvious. The study provides a basis for domestication and conservation of P. japonicus resources.

Vivências e estratégias de enfrentamento em acompanhantes de familiar hospitalizado em uma unidade hospitalar do município de Cacoal-RO / Experiences and strategies for coping in family companions of hospitalized in a hospital unit of Cacoal-RO

Objetivo: analisar as vivências e estratégias de enfrentamento (coping) utilizadas pelos acompanhantes durante o processo de hospitalização de um familiar em uma Unidade Hospitalar do Município de Cacoal-RO. Método: pesquisa qualitativa e exploratória, com 05 (cinco) acompanhantes de familiar internado, de ambos os sexos, com dados coletados em uma entrevista semiestruturada e tratada pela Análise de Conteúdo de L. Bardin. Resultados: os sujeitos classificaram as suas vivências como sendo, uma "carreira difícil" e "muito cansativo, desconfortável, difícil e obrigatório, embora necessária; As estratégias de enfrentamento mais adotadas foram a "Reavaliação Positiva" com destaque para o Coping Religioso, além da "Aceitação de Responsabilidade", a "Resolução de Problemas" e o "Suporte Social"; As estratégias menos utilizadas foram "Confronto", o "Afastamento", o "Autocontrole" e a "Fuga-Esquiva". Conclui-se que os acompanhantes vivenciam a experiência como sendo uma "carreira difícil", cansativa, desconfortável, difícil e obrigatório, embora necessária; e apresentaram como principal estratégia de enfrentamento a Reavaliação Positiva, em que apontaram a utilização da religião (coping religioso), seguida da estratégia Aceitação de Responsabilidade, Resolução de Problemas e Suporte Social.

Objective: To analyze the experiences and coping strategies (coping) used by companions during the hospitalization process of a family in a Hospital Unit in the Municipality of Cacoal-RO. Method: qualitative exploratory study with 05 (five) family escort hospitalized, from both sexes, with data collected on a semi-structured interview and treated by L. Bardin Content Analysis. Results: subjects rated their experiences as being a "difficult career" and "very tiring, uncomfortable, difficult and required, although necessary; Coping strategies adopted were the most "positive reappraisal" highlighting the Religious Coping, beyond the "Acceptance of Responsibility", the "Troubleshooting" and the "Social Support"; The strategies used were less "Confrontation", the retirement means the self control and "Escape-Dodge". We conclude that the accompanying experience as a "difficult career," tiring, uncomfortable, difficult and obligatory but necessary; and presented as the main positive reappraisal coping strategy, which pointed to the use of religion (religious coping), followed by Responsibility Acceptance strategy, Problem Solving and Social Support.

Brinquedoteca hospitalar: a visão dos acompanhantes de crianças / Hospital toy library: the view of the child accompanying / Ludoteca hospitalaria: la visión de los acompañantes de los niños

Nas últimas décadas, os hospitais têm criado estratégias que visam humanizar a assistência à saúde, entre as quais se destaca a implantação de brinquedotecas. Este estudo teve como objetivo geral investigar a percepção dos acompanhantes de pacientes pediátricos acerca desses espaços. Participaram 39 acompanhantes de quatro hospitais. Para esta investigação, utilizou-se um roteiro de entrevista semiestruturada, cujos dados foram analisados por meio da análise de conteúdo. Os resultados indicaram que os participantes conceituam a brinquedoteca a partir das atividades que são realizadas no espaço e das relações estabelecidas entre as pessoas e os objetos que lá se encontram. Além disso, consideram-na como promotora de desenvolvimento e bem-estar. O brincar foi compreendido pelos acompanhantes como parte da experiência de ser criança e permiti-lo no hospital favorece a preservação de um importante componente da rotina infantil. Em síntese, os acompanhantes avaliam a brinquedoteca como espaço promotor de saúde e desenvolvimento.

In the last decades, hospitals have created strategies to humanize the health assistance, among these there is the implementation of toy library. This study had as general objective investigate the perception of the accompanying of pediatric patients on these spaces. There were 39 accompanying participants of four hospitals. For this investigation we used a semi-structure interview script, and the collected data were analyzed using content analysis. The results indicated that the participants conceptualize the playroom from the activities that are held in the space and the relationships established between people and the objects found there. Also, they consider it as a promoter of development and welfare. The play was understood by accompanying as part of being a child experience and allows it in the hospital favors the preservation of an important component of children's routine. In summary, the accompanying evaluated the playroom as a space of health and development promotion.

En las últimas décadas, los hospitales crearon estrategias destinadas a humani­zar la asistencia sanitaria, entre ellas, se destaca la implantación de ludotecas. El estu­dio pretende investigar la percepción de los acompañantes de pacientes pediátricos sobre estos espacios. Participaron 39 acompañantes de cuatro hospitales. Fue utilizado un guión­ de entrevista semiestructurada, siendo los datos analizados mediante análisis de contenido. Los resultados indicaron que los participantes conceptúan la ludoteca a partir de las actividades que se realizan en el espacio y de las relaciones que se establecen­ entre las personas y de estas con los objetos que están allí. Además, la consideran como promotora de desarrollo y bienestar. Los acompañantes entendieron el juego como parte de la experiencia de ser un niño y dejarlo en el hospital promueve la preservación de un importante componente de la rutina infantil. En resumen, los acompañantes evalúan la ludoteca como espacio promotor de salud y desarrollo.

O brincar no contexto hospitalar na visão dos acompanhantes de crianças internadas / The act of playing within the hospital context in the vision of the accompanying persons of the hospitalised children

INTRODUÇÃO: a hospitalização infantil pode comprometer o desenvolvimento normal da criança, em decorrência da quebra de sua rotina e do processo de adaptação à nova realidade. São várias as iniciativas no sentido de promover espaços em hospitais que possibilitem à criança contato com atividades lúdicas. Muitas são as variáveis que influenciam a atitude da criança perante a possibilidade de realização de atividades lúdicas, dentre elas, a participação dos acompanhantes. Saber qual a interpretação dos mesmos sobre o brincar no contexto hospitalar e quais as características que associam a essa atividade é essencial para melhor planejamento das ações de atendimento OBJETIVO: esta pesquisa teve por objetivo analisar a opinião dos acompanhantes sobre a promoção do brincar no espaço de hospitalização da criança MÉTODO: para tanto, os acompanhantes responderam a questionários durante o período de internação. Os dados foram analisados através de estatística descritiva e análise de conteúdo. Participaram do estudo 65 mães de crianças internadas, sendo que a maioria acompanhava pacientes na faixa etária entre 2 a 6 anos RESULTADOS: todas avaliaram que a criança deve participar da brinquedoteca, pois auxilia na recuperação, propiciando alívio do sofrimento, acalmando a criança e aliviando as tensões CONCLUSÃO: conclui-se os acompanhantes consideram importante a brinquedoteca no contexto de hospitalização das crianças para amenizar efeitos da internação e auxiliar no desenvolvimento infantil.

INTRODUCTION: the infant hospitalisation may put at risk the normal development of the children due to the breaking of their routine and the adjustment to the new reality process. There are several initiatives to promote spaces in hospitals so that the children can have contact with recreational activities. There are many variables that may influence the children's attitude towards the possibility of playful activities, among them the involvement of the accompanying persons. It is essential to learn their interpretation of the playing activities in the hospital context and which characteristics are associated with this activity in order to reach better planning of the assistance OBJECTIVE: this study aimed to examine the opinion of the accompanying persons on promoting play during the children's hospitalisation METHODS: therefore, the accompanying persons answered questionnaires during that period of hospitalisation. Data were analysed using descriptive statistics and content analysis RESULTS: 65 mothers of hospitalised children, mostly accompanied patients aged from 2-6 years old. All of them confirmed that the children should attend the playroom since it helps in recovery, providing relief from suffering, calming them and thus relieving tensions CONCLUSION: as a conclusion, the accompanying persons highlight the importance of the playroom in the context of hospitalisation of children to soothe its effects of and help in the development of the children.

Studies on pictures and their accompanying essays on spreading of traditional Chinese medicine in France and construction of their archive library / 中华医学图书情报杂志

After a description of the studies on spreading of traditional Chinese medicine in France, the signifi-cance and process of constructing the archive library of pictures and their accompanying essays on spreading of tra-ditional Chinese medicine in France , the precious documents on traditional Chinese and Western medicine in Yun-nan Museum of Traditional Chinese Medicine were arranged according to the accumulated data and achievements in previous studies on the spreading of traditional Chinese medicine in France, a key national social foundation-supported project of the State Chinese Medicine Administration Bureau during the Twelfth-Five Year Plan period. The spreading history of traditional Chinese medicine in France was summarized with the methods used in studies on anthropology , archive and information science .Digital protection of the pictures and their accompanying essays on spreading of traditional Chinese medicine in France was studied.An archive library of pictures and their accompan-ying essays on spreading of traditional Chinese medicine in France was established with multiple functions.

Accompanying persons education effectiveness and Ethical analysis in the department of Geriatrics / 中国医学伦理学

Objective:Explore the education content and method for the accompanying persons to enhance the capacity of taking care of patient .Methods:Life satisfaction index ( LSR-A) Scale and accompanying persons chaperone capability questionnaire are the tools of this research .This research trained the 45 accompanying persons care ability, and used before and after comparison .Results:Before the intervention , Most of the persons′life satis-faction levels was at a low level (41 persons′≤13), only 4 (8.9%) at a medium level.After the intervention, life satisfaction levels was improved (27 persons′≥14).Life sat!sfaction was improved (P<0.05).Chaperone capability situation was improved , for the P values in all the examination were <0 .05 .Conclusion:The manage-ment could strengthen the support for accompanying persons , could effectively improve their life satisfaction and im-prove their ability to accompany , thus improving the quality of patient care .The hospital should also consider the nursing ethical problems in accompanying persons education .

Survey Reveals the Significance of Mothers Accompanying Their Children in the Rehabilitation Facility / The Japanese Journal of Rehabilitation Medicine

At the time that they left the rehabilitation facility, we conducted a survey of mothers who had accompanied their children during their stay in the rehabilitation facility. We conducted a five-tiered evaluation of the extent of their satisfaction and of their answers to various questions and studied the significance of mothers accompanying their children during their stay in the rehabilitation facility. There were 334 respondents, and the response rate was 74%. According to the results, 91% were satisfied or somewhat satisfied ; 94% thought, or thought to a certain extent, "I was able to concentrate on engaging with my child more than at home"; 94% thought, or thought to a certain extent, "I gained a good understanding of how to handle childrearing and training at home"; 87% thought, or thought to a certain extent, "There was a positive change in my child, and I saw improvement in the way my child functioned"; and 87% thought, or thought to a certain extent, "It was good to be able to exchange information with other mothers and the staff." The importance of the role played in rehabilitation when mothers and children attended the rehabilitation facility together thus became clear. When a child's motor functions improve through intensive training, and when the mother's motivation regarding rehabilitation increases and her ability to handle the child improves, it is highly significant in many ways : improvement can be seen not only in motor development but also in psychological development. The child becomes easier to handle, the things that can be done in daily life, at home, increase ; and after leaving the facility, it is possible to link the advances made in the rehabilitation facility to setting and attaining new goals.

Sobre o olhar do psicanalista e outras ferramentas de trabalho: novas recomendações / On the psychoanalysts look and other work tools: New recommendations / Sobre la mirada del psicoanalista y otras herramientas de trabajo: nuevas recomendaciones

A partir de recomendações técnicas realizadas por Freud aos psicanalistas, a autora examina novas possibilidades de ajustes do setting e novas ferramentas a serem consideradas em virtude de uma observação mais ampla do funcionamento mental que se desenvolveu neste século que nos separa do texto original. O olhar do analista é reconsiderado em sua importância em certas condições do trabalho psicanalítico. Inicialmente é considerado o olhar como recurso em busca de coesão para situações de desintegração. Depois a autora examina o olhar quando o paciente realiza transformações em alucinose e passa a ver o analista de modo tal que este não se reconhece. Nestas circunstâncias surge o desafio de encontrar interlocutor para o exame das diferenças, onde o modelo do analista acompanhante é proposto como alternativa ao olhar e à associação livre.

Basing herself on the technical recommendations made by Freud to the psychoanalysts, the author examines new possibilities for adjustment of the setting and new tools to be considered, due to a wider observation of mental functioning that has developed in this century that separates us from the original text. The analyst's perspective is reconsidered in its importance under certain conditions of the psychoanalytical work. Initially, to look at a patient is considered a resource in the search for cohesion in situations of disintegration. The author then examines the action of looking at a patient when he or she holds transformations in hallucinosis and sees the analyst in such a way that this one cannot recognize him or herself. In these circumstances, the challenge is to find an interlocutor for the examination of the differences. As such, the model of the accompanying analyst is proposed as an alternative to the eyes and to free association.

A partir de las recomendaciones técnicas hechas por Freud a los psicoanalistas, el autor examina las nuevas posibilidades de ajuste de setting y nuevas herramientas para ser consideradas en virtud de una observación más amplia del funcionamiento mental que se desarrolló en este siglo que nos separa del texto original. La visión del analista es considerada importancia en determinadas condiciones del trabajo psicoanalítico. Inicialmente es considerado como recurso en busca de cohesión para situaciones de desintegración. Después la autora examina la visión cuando el paciente tiene transformaciones en alucinosis y pasa a ver al analista de tal modo que este no se reconoce. En estas circunstancias, el desafío es encontrar interlocutor para el examen de las diferencias, donde el modelo del analista acompañante es propuesto como alternativa a la visión y a la libre asociación.

Vivências em serviço de urgências: o papel dos acompanhantes dos doentes / Emergency room: the role of the accompanying person

As pessoas que acompanham um utente no serviço de urgência (SU), familiares ou não, são parte integrante da unidade de cuidados. Em Portugal, a prática comum no acompanhamento a adultos é a permanência numa sala de espera exterior. Este estudo exploratório realizado em Portugal procura compreender melhor as vivências em SU dos diversos envolvidos, procurando clarificar o papel dos acompanhantes no serviço de urgência, para reflectir sobre formas de promover a sua participação em todo o processo. Adoptou-se a técnica dos incidentes críticos que foi aplicada por entrevista a 71 indivíduos que representam as diversas partes envolvidas: 2 administrativos (2,8 por cento); 7 médicos (9,9 por cento); 9 auxiliares de acção médica (12,7 por cento); 9 bombeiros (12,7 por cento); 9 utentes (12,7 por cento); 20 enfermeiros (28,2 por cento); 15 acompanhantes (21,1 por cento). Os principais resultados indicam que: i) os participantes relatam mais incidentes negativos que positivos (72,9 por cento), associados a comportamentos e atitudes emocionais (tais como, agressividade dos acompanhantes, distância e agressividade dos profissionais e acompanhantes que dificultam a prestação de cuidados); ii) os participantes raramente referem insatisfação ou ineficácia dos cuidados e tratamentos (constituem 4,3 por cento dos incidentes); ii) os incidentes positivos (17,1 por cento) referem-se a profissionais humanos e sensíveis (50 por cento) e eficazes (25 por cento). O serviço de urgência constitui uma zona de tempestade emocional e é necessário repensar a forma como o acompanhante dos doentes decorre.

Those who accompany a patient in the emergency service, either members of the family or others, are an integral part of the care unit. In Portugal, the usual practice in adults' accompaniment is the permanence in an exterior waiting room. This exploratory study aims at better understanding the emergency service experiences of all those involved, trying to clarify the role of the accompanying person, and reflecting on ways of promoting their participation in the entire process. The Critical Incidents Technique was adopted and administered by interview to 71 participants that represent the several involved parts: 2 administrative workers (2.8%); 7 doctors (9.9%); 9 medical assistants (12.7%); 9 fire-fighters (12.7%); 9 users (12.7%); 20 nurses (28.2%); 15 accompanying persons (21.1%). The main results suggest that: i) participants report more negative incidents (72.9%), related to emotional behaviours and attitudes (such as accompanying person's aggressiveness, professionals' distance and aggressiveness); ii) participants' reference to dissatisfaction or inefficacy of care is rare (4.3% of the incidents); iii) positive incidents are centred on sensitive professionals (50%) and efficacy (25%). The emergency service is an area of emotional storm and it is necessary to rethink the way users are being accompanied by their dear ones.

The role of sex chaperone on self-acceptance,anxiety,depression and coping strategy in stable phase extensive burn patients / 中华行为医学与脑科学杂志

Objective To investigate the role of sex chaperone on self-acceptance,anxiety,depression and coping strategy in stable phase extensive burn patients'.Methods According to the different role of accompanies,the extensive burn patients in stable phase were divided into sex chaperone accompany groups(treatment group)and non-sex chaperone accompany group(control group).They were assessed by self-acceptance questionnaire(SAQ),self-rating anxiety scale(SAS),self-rating depression scale(SDS)and medical coping modes questionnaire(MCMQ).The results were statistically analyzed.Results The treatment group patients'results are as follows:SAQ total score was(41.37±6.98),self-acceptance factor score was(20.56±4.87),self-evaluation factor score was(22.35±5.82),MCMQ facing factor score was(21.80±4.07),MCMQ avoiding factor score was(22.35±5.82).The results of treatment group patients were significantly higher than those in control group,it had significant differences(P<0.05 or P<0.01);while the treatment group patients'scores of SAS,SDS,MCMQ yield factor were significantly lower that those in the contorl group.The self-acceptance factor score appeared to be negative correlation with the SAS score,SDS score and MCMQ yield factor score,while to be positive correlation with MCMQ facing/avoiding factor score.Conclusion Sex chaperone'accompany can eliminate the extensive burn patients'tension and the effect of adverse psychological factors,and meet family love needs of patients,then improve the level of patient self-acceptance,reverse the negative emotion of patients,and guide patients in a positive way to face the disease.

The Meaning of \lceilFukuchukan\rfloor in the Abdominal Symptom of Daikenchuto-syo / 日本東洋医学雑誌

Daikenchuto is recorded in Kampo textbooks as a prescription for abdominal disorders. We considered fukuchukan (coldness in the abdomen) as equaling a sensation of coldness centering on the navel, and we examined the usefulness of using Daikenchuto as a medication for this symptom. We administered Daikenchuto to 90 patients who presented with coldness of the navel. The patients were divided into 2 groups:the first group had accompanying digestive symptoms, the second had no accompanying digestive symptoms. We then examined their response rates, and improvement rates for coldness centering on the navel. We also examined the abdominal strength and pulse strength for responders and non-responders, respectively.The Digestive Symptoms group consisted of 64 patients. In this group, the response rate was 81.3%.The improvement rate of coldness centering on the navel was 92.3% in responders and 41.7% in non-responders, and the difference was highly statistically significant (p<0.001). The Non-digestive Symptoms group consisted of 26 patients. In this group, the response rate was 38.5%. The improvement rate of coldness centering on the navel was 100% in responders and 43.8% in non-responders, and the difference was statistically significant (p=0.022).In a comparison of all 90 responder and non-responder cases, weak abdominal strength was 62.9% in responders and 42.9% in non-responders, intermediate abdominal strength or above was 37.1% in responders and 57.1% in non-responders, and the difference between abdominal strength and response rate (p=0.076) was non-significant. Weak pulse was 54.8% in responders and 40.7% in non-responders, intermediate pulse strength or above was 45.2% in responders and 59.3% in non-responders, and the difference between pulse strength and response rate (p=0.221) was non-significant. 13 of these cases were above intermediate, for both abdominal strength and pulse strength.We conclude that for patients presenting with a sensation of coldness centering on the navel, there is a strong possibility that the efficacy of Daikenchuto-syo is suggested, regardless of whether or not there are other digestive symptoms. Moreover, Daikenchuto proved effective in 13 cases where both abdominal strength and pulse strength were above an intermediate level, suggesting that a sensation of coldness centering on the navel can be the key to finding the sensho of Daikenchuto-sho.

The Meaning of "Fukuchukan" in the Abdominal Symptom of Daikenchuto-syo / 日本東洋医学雑誌

Daikenchuto is recorded in Kampo textbooks as a prescription for abdominal disorders. We considered <i>fukuchukan</i> (coldness in the abdomen) as equaling a sensation of coldness centering on the navel, and we examined the usefulness of using Daikenchuto as a medication for this symptom. We administered Daikenchuto to 90 patients who presented with coldness of the navel. The patients were divided into 2 groups:the first group had accompanying digestive symptoms, the second had no accompanying digestive symptoms. We then examined their response rates, and improvement rates for coldness centering on the navel. We also examined the abdominal strength and pulse strength for responders and non-responders, respectively.<br>The Digestive Symptoms group consisted of 64 patients. In this group, the response rate was 81.3%.The improvement rate of coldness centering on the navel was 92.3% in responders and 41.7% in non-responders, and the difference was highly statistically significant (p<0.001). The Non-digestive Symptoms group consisted of 26 patients. In this group, the response rate was 38.5%. The improvement rate of coldness centering on the navel was 100% in responders and 43.8% in non-responders, and the difference was statistically significant (p=0.022).<br>In a comparison of all 90 responder and non-responder cases, weak abdominal strength was 62.9% in responders and 42.9% in non-responders, intermediate abdominal strength or above was 37.1% in responders and 57.1% in non-responders, and the difference between abdominal strength and response rate (p=0.076) was non-significant. Weak pulse was 54.8% in responders and 40.7% in non-responders, intermediate pulse strength or above was 45.2% in responders and 59.3% in non-responders, and the difference between pulse strength and response rate(p=0.221) was non-significant. 13 of these cases were above intermediate, for both abdominal strength and pulse strength.<br>We conclude that for patients presenting with a sensation of coldness centering on the navel, there is a strong possibility that the efficacy of Daikenchuto-syo is suggested, regardless of whether or not there are other digestive symptoms. Moreover, Daikenchuto proved effective in 13 cases where both abdominal strength and pulse strength were above an intermediate level, suggesting that a sensation of coldness centering on the navel can be the key to finding the <i>sensho</i> of Daikenchuto-sho.

Clinic anatomy and design of island skin flap in the lower leg / 基础医学与临床

Objective To study the blood supply of the flap accompanying vessels of the cutaneous nerves in the lower leg, and to design the reversed flap for clinical reference. Methods Anatomic observation was performed on 30 adults’ lower extremity specimens perfused via pressure with red latex through femoral arteries. Results Superficial peroneal nerves, sural nerves and saphenous nerves were all nourished by their accompanying arteries which, anastomosed with the cutaneous perforating branches of other arteries, also nourish the corresponding skin areas. Conclusion The blood supply of the reversed island flap accompanying vessels of the cutaneous nerves in the lower leg is reliable and so it is possible to design long flaps along the cutaneous nervous axis.

O desafio de assistir a família e a saúde do paciente com transtorno mental / The challenge of assisting a family and the patient's health with mental illness

Este estudo teve por objetivo identificar problemas de saúde percebidos pelo familiar cuidador que participa das atividades de um serviço extra-hospitalar em saúde mental. Optou-se por uma metodologia de caráter qualitativo. Foram entrevistados cinco familiares. As entrevistas tiveram como eixo norteador questões referentes aos problemas de saúde por eles percebidos. Os dados encontrados foram submetidos à análise de conteúdo, privilegiando a análise temática. Assim, emergiram os seguintes temas: assistência à saúde e à família que permitiram compreender a necessidade de inclusão dos familiares no projeto terapêutico, bem como a elaboração de programas de educação em saúde, privilegiando as orientações grupais e, sobretudo, a implantação de visita domiciliária atrelada ao acompanhante terapêutico baseado no referencial da reabilitação psicossocial.

The objective of this study was to identify health problems recognized by the family accompanying person who participates in activities outside the hospital service regarding mental illness. A methodology with qualitative character was opted. Five family members were interviewed. The interviews had as a guiding point, questions regarding health problems perceived by them. Data collected were submitted to content analysis, favoring the thematic analysis. Thus, the following themes emerged: assistance to health and family which allowed to comprehend the need to include family members in the therapeutic project as well as the elaboration of education programs in health, favoring the group orientations and, especially, to schedule the home visit in conjunction with the therapeutic accompanying person based on the referential of the psychosocial rehabilitation.