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1.
Semina cienc. biol. saude ; 43(1): 129-152, jan./jun. 2022. ilus, tab
Article in English | LILACS | ID: biblio-1354470

ABSTRACT

This macro-level scientometrics study aimed to analyze the similarities and differences in the scientific communication patterns of the Brazilian postgraduate programs (BPPs) belonging to the Biological Sciences II field (BS2), as defined by Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). Also, it was identified the most researched diseases and it was discussed their relationship with the needs of Brazilian public health considering the burden of disease (Disability-Adjusted Life Year - DALY, Brazil) estimated by the World Health Organization (WHO). Thus, the scientific production of the BS2's sub-areas Biophysics, Biochemistry, Pharmacology, Physiology, and Morphology was evaluated from 2013 to 2016, through considering the citation impact, Impact Factor (Journal Citation Reports), and scientific collaboration. Data collected included formal information provided to CAPES by all BPPs through the Plataforma Sucupira as well as metadata from Web of Science documents. In addition, were employed the standardized Medical Subject Headings (PubMed) for the analysis of researched diseases. We concluded that the patterns of scientific communication in Biophysics, Biochemistry, Pharmacology, Physiology, and Morphology were predominantly different. Thus, there is a need to consider specificities among the five sub-areas in the evaluation process performed by CAPES. Different approaches are revealed by identifying the most frequently researched diseases and explaining the contributions of each sub-area for Brazilian public health.


Este estudo cientométrico de nível macro teve como objetivo analisar as semelhanças e as diferenças nos padrões de comunicação científica dos programas de pós-graduação brasileiros (PPGs) da área de Ciências Biológicas II, avaliados pela Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). Além disso, foram identificadas as doenças mais pesquisadas e foi discutido sua relação com as necessidades de saúde pública brasileira, considerando a carga de doenças (Disability-Adjusted Life Year - DALY, Brasil) estimada pela Organização Mundial da Saúde (OMS). Assim, a produção científica das subáreas Biofísica, Bioquímica, Farmacologia, Fisiologia e Morfologia da área de Ciências Biológicas II foi avaliada de 2013 a 2016, considerando o impacto de citações, o Fator de Impacto (Journal Citation Reports) e a colaboração científica. Os dados coletados incluíram informações declaradas à CAPES por todos os PPGs por meio da Plataforma Sucupira, bem como metadados de documentos da Web of Science. Além disso, foram utilizados os cabeçalhos de Medical Subject Headings (PubMed) para a análise das doenças pesquisadas. Concluímos que os padrões de comunicação científica entre as subáreas Biofísica, Bioquímica, Farmacologia, Fisiologia e Morfologia foram predominantemente diferentes. Assim, é necessário considerar as especificidades entre as cinco subáreas no processo de avaliação realizado pela CAPES. Diferentes abordagens são reveladas a partir da identificação das doenças mais pesquisadas e da explicação das contribuições de cada subárea para a saúde pública brasileira.


Subject(s)
Humans , World Health Organization , Biological Science Disciplines , Medical Subject Headings , Impact Factor , Metadata , Powders , Biochemistry , Biophysics , Public Health , PubMed
2.
Rev. Méd. Inst. Mex. Seguro Soc ; 59(4): 262-263, 01/07/2021. tab
Article in Spanish | LILACS | ID: biblio-1358338

ABSTRACT

¿Cuál es la función de las palabras clave en un artículo científico? ¿Para qué sirven? ¿Son lo mismo que los descriptores? En el pre- sente editorial se responden esas y otras preguntas relacionadas con el uso de las palabras clave, a fin de que los autores de artí- culos científicos las elijan de una mejor manera para guiar a sus potenciales lectores y aumentar la visibilidad de su artículo, lo cual puede incrementar las probabilidades de que sea citado.


What is the role of keywords in a scholarly article? What are they for? Are keywords and descriptors the same? In this editorial those and other questions related to the use of keywords are answered, in order for the authors of scholarly articles to choose them properly so that they can guide their potential readers and increase the visibility of their article, which can lead to its citation.


Subject(s)
Humans , Subject Headings , Medical Informatics , Vocabulary, Controlled , Medical Subject Headings , Research , Periodical
3.
Rev. cienc. cuidad ; 18(1): 30-41, 2021.
Article in Spanish | LILACS, BDENF, COLNAL | ID: biblio-1147584

ABSTRACT

La administración de medicamentos es uno de los pilares fundamen-tales en la gestión del cuidado de la enfermería, de ahí la impor-tancia y responsabilidad de su manejo con personas que estén re-cibiendo fármacos especializados por su condición aguda o crítica. Objetivo: Construir un instrumento de valoración con los principios homeodinámicos y el concepto de pandimensionalidad de la teoría de seres humanos unitarios, para la administración de medicamen-tos especializados, como inotrópicos y vasopresores en servicios de UCI y urgencias. Materiales y métodos: Es una investigación cua-litativa con enfoque descriptivo, para conocer la realidad del sujeto de cuidado desde la premisa sobre la relación de la administración de medicamentos y los principios de la teoría de Seres Humanos Unitarios. Resultados: Se construyó un instrumento de valoración desde la perspectiva de la teoría de Rogers. La misma permite al profesional de enfermería evaluar y generar propuestas de cuida-do guiadas al equilibrio armónico de los campos de energía, según propone esta teórica en relación con la administración de medica-mentos. También le facilita al estudiante el identificar las alteracio-nes de los principios de la teoría en relación a los efectos de los medicamentos. Conclusiones: El instrumento permite contemplar los principios homeodinámicos y la pandimensionalidad; además, facilita los procesos de cuidado en la administración de medicamen-tos, que en ocasiones por diferentes causas no se evalúa la respuesta del sujeto de cuidado ante un medicamento, retrasando su evolución ante la enfermedad.


The administration of medications is one of the fundamental pillars in the management of nursing care, hence the importance and responsibility of the management of medications to people who are receiving specialized medicine for their acute or critical condition, that is why this study was proposed The objective: is to build an assessment instrument with the homeodynamic principles and the concept of pandimensionality of the theory of unitary human beings for the administration of specialized drugs such as inotropics and vasopressors in ICU and emergency health services. Materials and methods: qualitative with a descriptive approach, to know the reality of the care subject from the premise of the relationship of the administration of medicines and principles of the theory of Unitary Human Beings, Results: an assessment instrument was built from the pers-pective of Rogers' theory that allows the nursing professional to evaluate and generate proposals for care guided to the harmonic balance of the energy fields proposed by this theory in relation to the administration of medications, also, it allows the student to identify alterations in the prin-ciples of the theory in relation to the effects of medications Conclusions: the instrument allows to contemplate homeodynamic principles and the concept of pandimensionality thus facilitate the process of care for the administration of drugs that sometimes for different reasons does not evaluate the response of the care subject to a drug, delaying the evolution of the subject before the disease.


A administração de medicamentos é um dos eixos fundamentais do cuidado de enfermagem, sendo importante a responsabilidade do seu manejo com pessoas que recebem fármacos espe-cializados pela sua condição aguda ou crítica. Objetivo: Construir um instrumento de avaliação dos princípios homeodinâmicos e o conceito de pandimensionalidade da teoria do ser humanos unitários, para a administração de medicamentos especializados como inotrópicos e vasopres-sores nas UTI e Unidades de Emergência. Materiais e métodos: Pesquisa qualitativa com foco descritivo para conhecer a realidade do sujeito de cuidado sobre a relação da administração de medicamentos e os princípios da teoria do Ser Humano Unitário. Resultados: Construiu-se um instrumento de valoração desde a perspectiva de Rogers, permitindo ao profissional de enferma-gem avaliar e gerar propostas de cuidado guiadas ao equilíbrio harmônico dos campos de energia, segundo a proposta da teoria em relação com a administração de medicamentos. Também lhe fa-cilita ao estudante identificar as alterações dos princípios da teoria em relação com os efeitos dos medicamentos. Conclusões: O instrumento permite contemplar os princípios homeodinâmicos e pandimensionalidade; além disso, facilita os processos de cuidado na administração de medica-mentos que ocasionalmente, por diferentes causas não se avalia a resposta do sujeito de cuidado ante um medicamento, retrasando a sua evolução perante a doença.


Subject(s)
Critical Care Nursing , Therapeutics , Medical Subject Headings
4.
Rev. panam. salud pública ; 45: e78, 2021. tab, graf
Article in English | LILACS | ID: biblio-1289861

ABSTRACT

ABSTRACT The Health Sciences Descriptors (DeCS) vocabulary establishes a unique and common language that allows the organization and facilitates the search and retrieval of technical and scientific literature on health available in the information sources of the Virtual Health Library. The DeCS, created by the Latin American and Caribbean Center on Health Sciences Information (BIREME), a specialized center of the Pan American Health Organization/World Health Organization (PAHO/WHO), is the translation and extension of the Medical Subject Headings (MeSH) vocabulary, maintained by the United States National Library of Medicine. BIREME, in coordination with experts from Latin America and the Caribbean, has included in the DeCS the topics of equity, gender, ethnicity and human rights—cross-cutting themes in the programmatic framework of PAHO/WHO technical cooperation—to ensure better retrieval and use of scientific information and evidence related to these topics. The objective of this article is to describe the methodology used during the terminology review of the DeCS and to report the results obtained and the impacts of the terminology expansion in the field of equity, which included the inclusion of 35 new descriptors.


RESUMEN El vocabulario Descriptores en Ciencias de la Salud (DeCS) establece un lenguaje único y común que permite la organización y facilita la búsqueda y recuperación de la literatura técnica y científica en salud disponible en las fuentes de información de la Biblioteca Virtual en Salud. El DeCS, creado por el Centro Latinoamericano y del Caribe de Información en Ciencias de la Salud (BIREME), un centro especializado de la Organización Panamericana de la Salud/Organización Mundial de la Salud (OPS/OMS), es la traducción y la extensión del vocabulario Medical Subject Headings (MeSH), mantenido por la National Library of Medicine de los Estados Unidos. BIREME, en coordinación con expertos de América Latina y el Caribe, ha incluido en el DeCS los temas de equidad, género, etnicidad y derechos humanos —temas transversales en el marco programático de la cooperación técnica de la OPS/OMS— para garantizar una mejor recuperación y uso de la información y evidencia científica relacionadas a estos temas. El objetivo de este artículo es describir el método de revisión terminológica del DeCS e informar los resultados obtenidos y los impactos de la ampliación terminológica en el área de equidad, que comprendió la inclusión de 35 nuevos descriptores.


Subject(s)
Latin American and Caribbean Center on Health Sciences Information , Health Equity , Access to Information , Medical Subject Headings , Terminology as Topic
6.
Biomédica (Bogotá) ; 40(supl.2): 16-26, oct. 2020. graf
Article in Spanish | LILACS | ID: biblio-1142444

ABSTRACT

Actualmente, el mundo se enfrenta a la pandemia generada por el SARS-CoV-2, infección para la cual no hay medidas farmacológicas de prevención ni tratamiento. Hasta el momento, ha dejado más de 4'880.000 casos confirmados y 322.000 muertes. Se han propuesto diferentes estrategias para el control de la enfermedad que implican la participación de diferentes sectores de la sociedad con acciones guiadas por lineamientos jurídicos y basados en medidas de salud pública, entre ellas, la contención, la mitigación, el aislamiento físico y la cuarentena. Dado que se trata de una situación de dimensión poblacional, la información tiene un papel fundamental; sin embargo, la proliferación de términos nuevos, muchas veces usados erróneamente, causa confusión y desinformación y, en consecuencia, limitan la participación ciudanía. En ese contexto, en el presente documento se hizo una revisión de los términos utilizados en epidemias y pandemias de enfermedades infecciosas, con énfasis en la COVID-19, para facilitar al público general la comprensión de los términos relevantes sobre el comportamiento de los agentes patógenos y de su ciclo epidémico y pandémico, así como los criterios para la adopción de las decisiones pertinentes en salud pública. Se aspira a que el glosario resultante ayude al uso correcto de los términos y a homogenizar la información.


Currently, the world is facing the pandemic generated by SARS-CoV-2. There are no no pharmacological measures for the prevention or treatment of this infection and, so far, it has caused more than 4'880.000 confirmed cases and 322.000 deaths. The different strategies for the control of the disease that have been proposed involve the participation of different actors. Such participation, guided by legal guidelines based on public health measures, include containment, mitigation, physical isolation, and quarantine. As this is a population-based problem, information plays a primary role; however, the many new terms hat have arisen and their misuse confuse and, therefore, misinform thus limiting citizen participation. For this reason, we conducted a review of the terms used in epidemics and pandemics of infectious diseases, particularly COVID-19. We considered and differentiated the relevant terms to facilitate the understanding of pathogen's behavior and epidemic and pandemic cycles, as well as the criteria for public health decision-making for the general public. This glossary should facilitate the use of the terms and standardize the information.


Subject(s)
Coronavirus Infections , Pandemics , Disaster Management , Medical Subject Headings , SARS-CoV-2
7.
Braz. J. Pharm. Sci. (Online) ; 56: e18028, 2020. tab, graf
Article in English | LILACS | ID: biblio-1249168

ABSTRACT

Pharmaceutical care (PC) is in the implementation process in Brazil and Latin America. Synthesis of evidence has been requested for monitoring and evaluating the process regarding the treatment effect. The objective is to build and disseminate a systematic review protocol to make a standard for updating results from pharmaceutical care for hypertension and for other diseases. This is a protocol for systematic review studies regarding a real example of a protocol reasoned in pharmaceutical care for hypertension in primary care. This protocol was delineated grounded in the Cochrane Handbook. Descriptors and words were defined using MeSH (Medical Subject Headings), DeCS (Descriptors in Health Sciences) and Emtree thesaurus, and the search was performed in English, Spanish and Portuguese, without filters, up to March, 27th, 2017. The results were structured in the PRISMA flowchart. Results found from all databases were: the Cochrane Library (n= 202); PubMed (n= 2608); LILACs (n= 909); Embase (n= 1653); Scopus (n=1298); IPA (n=967); and Web of Sciences (n=435). From these, 1688 were duplicate articles. The content of this paper can aid the constant monitoring of pharmaceutical care implementation and contribute to the improvement of the quality and evidence levels of published studies.


Subject(s)
Pharmaceutical Services/organization & administration , Primary Health Care/standards , Systematic Reviews as Topic , Hypertension/drug therapy , Patients/classification , Evidence-Based Medicine/statistics & numerical data , Medical Subject Headings
8.
Diagn. tratamento ; 24(2): [59-63], abr - jun 2019. tab, fig
Article in Portuguese | LILACS | ID: biblio-1015338

ABSTRACT

Introdução: Com o crescimento contínuo das informações disponíveis na área da saúde, é fundamental que o profissional da saúde desenvolva habilidades e competências para realizar buscas de evidências cientificas. Objetivo: Apresentar as principais bases da área da saúde e os mecanismos de busca específicos para cada uma delas. Métodos: Estudo descritivo desenvolvido na Disciplina de Medicina Baseada em Evidências da Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp). Resultados: Este estudo apresentou os quatro passos do processo de busca em uma base de dados científica da área da saúde: (1) identificação da pergunta estruturada por meio dos acrônimos PICO/PECO, (2) escolha da base de dados (3) escolha e uso dos descritores em saúde apropriados para cada base (DeCS/MeSH/EMTREE) e (4) escolha e uso dos operadores booleanos (AND/OR/AND NOT). Conclusão: O processo de elaboração de uma estratégia de busca para bases de dados da área da saúde pode ser estruturado em quatro passos iniciais, que vão da identificação da pergunta estruturada ao uso dos operadores booleanos. Apropriar-se destes passos é fundamental para conseguir elaborar uma estratégia de busca adequada, capaz de recuperar os estudos de interesse e que abordem realmente a pergunta proposta.


Subject(s)
Epidemiology, Descriptive , Databases, Bibliographic , Evidence-Based Medicine , Medical Subject Headings , Methodology as a Subject , Search Engine
9.
Article in English | WPRIM | ID: wpr-763808

ABSTRACT

Medical Subject Headings (MeSH), a medical thesaurus created by the National Library of Medicine (NLM), is a useful resource for natural language processing (NLP). In this article, the current status of the Japanese version of Medical Subject Headings (MeSH) is reviewed. Online investigation found that Japanese-English dictionaries, which assign MeSH information to applicable terms, but use them for NLP, were found to be difficult to access, due to license restrictions. Here, we investigate an open-source Japanese-English glossary as an alternative method for assigning MeSH IDs to Japanese terms, to obtain preliminary data for NLP proof-of-concept.


Subject(s)
Asians , Humans , Licensure , Medical Subject Headings , Methods , Natural Language Processing , Vocabulary, Controlled
10.
Article in English | WPRIM | ID: wpr-786202

ABSTRACT

Recurrent urinary tract infections (UTIs) in children are associated with development of pyelonephritis and renal scarring. Traditionally, continuous antibiotic prophylaxis (CAP) has been used to prevent recurrent UTI. Recent studies have challenged the efficacy of CAP for preventing renal scarring and have raised concerns about inducing bacterial resistance. This review focuses on studies published between January 2000 and April 2019 and evaluates the use of CAP in children for avoiding recurrent UTIs and renal scarring. A systematic literature search was carried out using the following search terms and related medical subject headings in the MEDLINE electronic database: ‘urinary tract infection’, ‘antimicrobial/antibiotic prophylaxis’, and ‘children/pediatrics’. Randomized clinical trials (RCTs), original research articles, guidelines, systematic reviews, and meta-analyses describing antibiotic prophylaxis for UTIs were included. A total of 34 RCTs, 9 systematic reviews, and 3 guidelines describing antibiotic prophylaxis were included in this review. The efficacy of CAP for preventing recurrent UTI remains unclear due to non-generalizability of results obtained from suboptimally designed clinical trials. CAP has not been proven as beneficial for preventing new renal scarring in children. Additionally, CAP is associated with increased risk of multidrug resistant infections in children. No conclusive evidence can be drawn from the available clinical data to support routine use of CAP for prevention of renal scarring. Accumulation of evidence from additional well designed studies may result in different conclusions in the future. It is important to identify specific risks for recurrent UTI and ensuing renal injury to ensure more judicious use of CAP.


Subject(s)
Anti-Bacterial Agents , Antibiotic Prophylaxis , Child , Cicatrix , Humans , Medical Subject Headings , Pediatrics , Pyelonephritis , Urinary Tract Infections , Urinary Tract
11.
Article in English | WPRIM | ID: wpr-717592

ABSTRACT

BACKGROUND: Sparganosis is a larval cestodiasis caused by the plerocercoid of Spirometra spp. Since the first description of human sparganosis in 1924, several hundred cases have been reported in Korea. However, systematic approaches for literature surveys of Korean sparganosis have seldom appeared. METHODS: We searched publicly available databases such as PubMed, Research Information Sharing Service, and Korea Medical Citation Index with relevant Medical Subject Headings. RESULTS: At least 438 Korean sparganosis cases have been described from 1924 to 2015. Preoperative diagnosis has been significantly increased since the 1980s due to popularization of serological and imaging diagnostics. Cases were largely detected from fifth decades in general, but cerebral sparganosis was detected in relatively young age groups (third and fourth decades). Sparganosis was prevalent in men (75.9%). Consumption of frog/snake and drinking unfiltered water were found in 63.4% and 16.9% of patients, respectively. Most frequently affected sites were subcutaneous tissues (49.9%), followed by the central nervous system (36.2%). Involvements of visceral organs (7.6%), ocular regions (3.6%), and muscles (2.7%) were noticed. In women, breast sparganosis constituted a large proportion (34.2%). Sparganosis associated with immunocompromised patients has recently been reported. CONCLUSION: Sparganosis has been continuously reported in Korea during the past 90 years, although its incidence has decreased during the last 20 years. The disease is mostly characterized by subcutaneous nodule, but infection of the worm in vital organs often results in serious illness. Continuous awareness is warranted to monitor sparganosis occurrence and associated clinical consequences.


Subject(s)
Breast , Central Nervous System , Diagnosis , Drinking , Female , Humans , Immunocompromised Host , Incidence , Information Dissemination , Korea , Male , Medical Subject Headings , Muscles , Sparganosis , Sparganum , Spirometra , Subcutaneous Tissue , Water
12.
Article in English | WPRIM | ID: wpr-742348

ABSTRACT

Delayed ejaculation (DE) is a poorly defined and uncommon form of male sexual dysfunction, characterized by a marked delay in ejaculation or an inability to achieve ejaculation. It is often quite concerning to patients and their partners, and sometimes frustrates couples' attempts to conceive. This article aims to review the pathophysiology of DE and anejaculation (AE), to explore our current understanding of the diagnosis, and to present the treatment options for this condition. Electronic databases were searched from 1966 to October 2017, including PubMed (MEDLINE) and Embase. We combined “delayed ejaculation,” “retarded ejaculation,” “inhibited ejaculation,” or “anejaculation” as Medical Subject Headings (MeSH) terms or keywords with “epidemiology,” “etiology,” “pathophysiology,” “clinical assessment,” “diagnosis,” or “treatment.” Relevant sexual medicine textbooks were searched as well. The literature suggests that the pathophysiology of DE/AE is multifactorial, including both organic and psychosocial factors. Despite the many publications on this condition, the exact pathogenesis is not yet known. There is currently no single gold standard for diagnosing DE/AE, as operationalized criteria do not exist. The history is the key to the diagnosis. Treatment should be cause-specific. There are many approaches to treatment planning, including various psychological interventions, pharmacotherapy, and specific treatments for infertile men. An approved form of drug therapy does not exist. A number of approaches can be employed for infertile men, including the collection of nocturnal emissions, prostatic massage, prostatic urethra catheterization, penile vibratory stimulation, probe electroejaculation, sperm retrieval by aspiration from either the vas deferens or the epididymis, and testicular sperm extraction.


Subject(s)
Catheterization , Catheters , Diagnosis , Drug Therapy , Ejaculation , Epididymis , Humans , Male , Massage , Medical Subject Headings , Psychology , Sperm Retrieval , Spermatozoa , Urethra , Vas Deferens
13.
Rev. méd. Chile ; 145(12): 1610-1618, dic. 2017. tab, graf
Article in Spanish | LILACS | ID: biblio-902487

ABSTRACT

Developing skills to search the medical literature has potential benefits on patient care and allow physicians to better orient their efforts when answering daily clinical questions. The objective of this paper is to share useful tools for optimizing medical literature retrieval in MEDLINE using PubMed including MeSH terms, filters and connectors.


Subject(s)
Humans , Physicians , Information Storage and Retrieval/methods , Guidelines as Topic , PubMed , Periodicals as Topic , Information Storage and Retrieval/standards , MEDLINE , Medical Subject Headings
14.
Rev. colomb. psiquiatr ; 46(3): 178-186, July-Sept. 2017. tab
Article in English | LILACS, COLNAL | ID: biblio-960134

ABSTRACT

Abstract Introduction: The phantom limb pain has been described as a condition in which patients experience a feeling of itching, spasm or pain in a limb or body part that has been previously amputated. Such pain can be induced by a conflict between the representation of the visual and proprioceptive feedback of the previously healthy limb. The phantom limb pain occurs in at least 42-90% of amputees. Regular drug treatment of phantom limb pain is almost never effective. Methods: A systematic review of the literature was conducted in Medline and Cochrane using the MESH terms "phantom limb pain" and "psychotherapy", published in the last 10 years, in English and Spanish, finding 49 items. After reviewing the abstracts, 25 articles were excluded for not being related to the objective of the research. Additionally cross references of included articles and literature were reviewed. Objectives: To describe the psychotherapies used in the management of phantom limb pain, their effectiveness and clinical application reported in the literature. Aims: The mechanisms underlying phantom limb pain were initially explained, as were the published studies on the usefulness of some psychotherapies such as mirror visual feedback and immersive virtual reality, visual imagery, desensitisation and reprocessing eye movements and hypnosis. Conclusions: The phantom limb pain is a complex syndrome that requires pharmacological and psychotherapeutic intervention. The psychotherapies that have been used the most as adjuvants in the treatment of phantom limb pain are mirror visual feedback, desensitisation and reprocessing eye movements, imagery and hypnosis. Studies with more representative samples, specifically randomised trials are required.


Resumen Introducción: El dolor de miembro fantasma ha sido descrito como una condición en la que los pacientes experimentan una sensación de prurito, espasmo o dolor en un miembro o parte del cuerpo previamente amputado. Dicho dolor puede ser inducido por un conflicto entre la representación de la retroalimentación visual y propioceptiva del miembro previamente sano. El dolor de miembro fantasma ocurre en al menos 42 al 90% de los amputados. El tratamiento farmacológico regular del dolor del miembro fantasma casi nunca es efectivo. Método: Se realizó una revisión sistemática en las bases de datos Medline y Cochrane usando palabras MESH "phantom limb pain" y "psychotherapy", publicados en los últimos 10 anos, en español e inglés, encontrando 49 artículos. Al revisar los resúmenes, se excluyeron 25 artículos por no ser afines con el objetivo de la investigación. Adicionalmente se revisaron referencias cruzadas de los artículos incluidos y literatura médica. Objetivos: Describir las psicoterapias usadas en el manejo del dolor de miembro fantasma, su efectividad y aplicación clínica reportada en la literatura. Desarrollo: Se explican inicialmente los mecanismos subyacentes al dolor de miembro fantasma y se describen los estudios publicados sobre la utilidad del uso de algunas psicoterapias como la retroalimentación visual con espejo y con realidad virtual inmersiva, imaginería visual, reprocesamiento y desensibilización por movimientos oculares e hipnoterapia. Conclusiones: El dolor de miembro fantasma es un síndrome complejo que requiere intervención farmacológica y psicoterapéutica. Las psicoterapias que más se han usado como coadyuvantes en el tratamiento del dolor de miembro fantasma son la retroalimentación visual con espejo, la desensibilización y reprocesamiento por movimientos oculares, la imaginería y la hipnosis. Se requieren estudios con muestras más significativas, específicamente estudios clínicos aleatorizados.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Pain , Phantom Limb , Psychotherapy , Medical Subject Headings , Emotions , Feedback, Sensory , Pain Management , Amputees
15.
Rev. enferm. Inst. Mex. Seguro Soc ; 25(2): 145-150, Abril.-Jun. 2017. tab
Article in Spanish | LILACS, BDENF | ID: biblio-1031331

ABSTRACT

Resumen


En este ensayo se hace un abordaje de los Descriptores en Ciencias de la Salud (DeCS) desde una perspectiva del paradigma de la complejidad, como ruta de abordaje se determinó definir a los DeCS, definir el descriptor Enfermería Basada en la Evidencia (EBE) y el término Enfermería de Práctica Avanzada (EPA). Posteriormente, se delineó lo que en el pensamiento complejo se llama auto-eco-organización y al interior de ese entramado proponemos a los DeCS como un mensaje en la complejidad de la comunicación étic-émic. Se explicó la interrelación de la transdisciplina de la EBE y, a manera de conclusión, se hizo una breve reflexión sobre la subsunción del lenguaje en general y el lenguaje controlado en particular, en un entorno global.


Abstract


In this essay an approach is made to the Descriptors in Health Sciences (DeCS) from a perspec¬tive of the complexity paradigm, as an approach path was determined to define the DeCS, to define the descriptor Nursing Based on Evidence (EBE) and The term Advanced Practice Nursing (EPA). Later, we delineated what in complex thinking is called self-eco-organization and within that framework we propose the DeCS as a message in the complexity of ethical-emic communi-cation. The interrelation of the transdiscipline of EBE was explained, and by way of conclusion a brief reflection was made on the subsumption of language in general and controlled language in particular, in a global environment.


Subject(s)
Humans , Subject Headings , Evidence-Based Nursing , Medical Subject Headings , Advanced Practice Nursing , Information Services , Mexico , Humans
16.
Article in English | WPRIM | ID: wpr-142213

ABSTRACT

BACKGROUND: Abdominoplasty, with or without liposuction, is among the most frequently performed aesthetic procedures. Its main objective is to improve the body contour by means of excising redundant skin and fat tissue. Although abdominoplasty is considered a safe procedure with high satisfaction rates, intraoperative and postoperative complications can become a challenge for the surgical team. The aim of this article is to offer a synopsis of the most common complications arising after abdominoplasty, along with evidence-based guidelines about how to prevent and treat them. METHODS: A systematic MEDLINE search strategy was designed using appropriate Medical Subject Headings (MeSH) terms, and references were scanned for further relevant articles. RESULTS: According to the published case series, local complications are considerably more common than complications with systemic repercussions. Approximately 10% to 20% of patients suffer a local complication following abdominoplasty, while fewer than 1% suffer a systemic complication. Prevention and management strategies are critically discussed for complications including seroma, haematoma, infection, skin necrosis, suture extrusions, hypertrophic scars, neurological symptoms, umbilical anomalies, deep venous thrombosis and pulmonary thromboembolism, respiratory distress, and death. CONCLUSIONS: The complications of abdominoplasty vary in severity and in the impact they have on the aesthetic outcomes. Recommendations for prevention and management are based on various levels of evidence, with a risk of observer bias. However, most complications can be treated appropriately following the current standards, with satisfactory results.


Subject(s)
Abdominoplasty , Cicatrix, Hypertrophic , Cosmetic Techniques , Humans , Lipectomy , Medical Subject Headings , Necrosis , Observer Variation , Postoperative Complications , Pulmonary Embolism , Reconstructive Surgical Procedures , Seroma , Skin , Surgery, Plastic , Sutures , Venous Thrombosis
17.
Article in English | WPRIM | ID: wpr-142212

ABSTRACT

BACKGROUND: Abdominoplasty, with or without liposuction, is among the most frequently performed aesthetic procedures. Its main objective is to improve the body contour by means of excising redundant skin and fat tissue. Although abdominoplasty is considered a safe procedure with high satisfaction rates, intraoperative and postoperative complications can become a challenge for the surgical team. The aim of this article is to offer a synopsis of the most common complications arising after abdominoplasty, along with evidence-based guidelines about how to prevent and treat them. METHODS: A systematic MEDLINE search strategy was designed using appropriate Medical Subject Headings (MeSH) terms, and references were scanned for further relevant articles. RESULTS: According to the published case series, local complications are considerably more common than complications with systemic repercussions. Approximately 10% to 20% of patients suffer a local complication following abdominoplasty, while fewer than 1% suffer a systemic complication. Prevention and management strategies are critically discussed for complications including seroma, haematoma, infection, skin necrosis, suture extrusions, hypertrophic scars, neurological symptoms, umbilical anomalies, deep venous thrombosis and pulmonary thromboembolism, respiratory distress, and death. CONCLUSIONS: The complications of abdominoplasty vary in severity and in the impact they have on the aesthetic outcomes. Recommendations for prevention and management are based on various levels of evidence, with a risk of observer bias. However, most complications can be treated appropriately following the current standards, with satisfactory results.


Subject(s)
Abdominoplasty , Cicatrix, Hypertrophic , Cosmetic Techniques , Humans , Lipectomy , Medical Subject Headings , Necrosis , Observer Variation , Postoperative Complications , Pulmonary Embolism , Reconstructive Surgical Procedures , Seroma , Skin , Surgery, Plastic , Sutures , Venous Thrombosis
18.
Safety and Health at Work ; : 143-150, 2017.
Article in English | WPRIM | ID: wpr-45277

ABSTRACT

A huge number of chemicals are produced and used in the world, and some of them can have negative effects on the reproductive health of workers. To date, most chemicals and work environments have not been studied for their potential to have damaging effects on the workers' reproductive system. Because of the lack of information, many workers may not be aware that such problems can be related to occupational exposures. Newly industrialized countries such as Republic of Korea have rapidly amassed chemicals and other toxicants that pose health hazards, especially to the reproductive systems of workers. This literature review provides an overview of peer-reviewed literature regarding the teratogenic impact and need for safe handling of chemicals. Literature searches were performed using PubMed, Google Scholar, and ScienceDirect. Search strategies were narrowed based on author expertise and 100 articles were chosen for detailed analysis. A total of 47 articles met prespecified inclusion criteria. The majority of papers contained studies that were descriptive in nature with respect to the Medical Subject Headings (MeSH) terms and keywords: “reproductive and heath or hazard and/or workplace or workers or occupations.” In the absence of complete information about the safe occupational handling of chemicals in Republic of Korea (other than a material safety data sheet), this review serves as a valuable reference for identifying and remedying potential gaps in relevant regulations. The review also proposes other public health actions including hazard surveillance and primary prevention activities such as reduction, substitution, ventilation, as well as protective equipment.


Subject(s)
Developed Countries , Medical Subject Headings , Occupational Exposure , Occupational Health , Primary Prevention , Public Health , Reproductive Health , Republic of Korea , Social Control, Formal , Ventilation
19.
Article in English | WPRIM | ID: wpr-41206

ABSTRACT

OBJECTIVES: A citation analysis of biomedical and health sciences journals was conducted based on their enlistment in journal databases to identify the factors contributing to the citation metrics. METHODS: Among the 1,219 academic journals managed by the National Center for Medical Information and Knowledge at the Korea Centers for Disease Control and Prevention, 556 journals were included for analysis as of July 2016. The characteristics of the journals include history years, publication media, language, open-access policy as well as the status enlisted in international and domestic databases, such as Science Citation Index (SCI), Scopus, Medline, PubMed Central, Embase, and Korea Citation Index (KCI). Six bibliometric measures were collected from SCI, Scopus, and KCI as of 2015, the most recent disclosure year. Analyses of group differences and influential factors were conducted using t-tests, Mann-Whitney tests, and multiple regression. RESULTS: Journal characteristics, such as history years, publication media, and open-access policy, were not significant factors influencing global or domestical citation of the journals. However, global citations were higher for SCI and Medline enlisted journals than for their counterparts. Among KCI journals, the KCI impact factors of journals published in English only were lower. CONCLUSIONS: Efforts by journals to be enlisted in international databases, especially in SCI and Medline, are critical to enhance their global circulation. However, articles published in English only hinder the use of domestic researchers. Different strategies are required for enhancing international and domestic readerships.


Subject(s)
Access to Information , Disclosure , Journal Impact Factor , Korea , Medical Subject Headings , Publications , Regression Analysis , Republic of Korea
20.
Med. UIS ; 29(1): 77-93, ene.-abr. 2016. tab
Article in Spanish | LILACS | ID: lil-795506

ABSTRACT

La insuficiencia Adrenal es una enfermedad caracterizada por alteración de la función suprarrenal, se puede clasificar de varias formas, pero sinimportar cuál sea el tipo de insuficiencia, está claro que su principalproblema es la alteración de la secreción de cortisol, Hormona importante para las situaciones de estrés que nuestro organismo, si no está en valoresadecuados, puede llevar a la persona a un desenlace fatal. En cuanto a lacrisis adrenal lo más importante es saberla identificar y actuar inmediatamente y de forma adecuada para prevenir la morbimortalidad. De acuerdo al tipo de insuficiencia adrenal al que nos estemos enfrentando vamos a tener diferentes alteraciones hormonales y diferencias en algunas de sus manifestaciones clínicas, como ocurre en la Enfermedad de Addison, el único cuadro clínico acompañado dehiperpigmentación y que también puede tener alteración de los mineralocorticoides asociados a algunas características como perdida de lalibido, entre otras. Acerca del diagnóstico es muy importante que seaoportuno, adecuado y que se establezca la causa de enfermedad. Eltratamiento debe ir orientado según el cuadro clínico del paciente...


Adrenal insufficiency is a condition characterized by impaired adrenalfunction, it can be classified in various ways, but no matter what kind offailure it is clear that their main problem is the altered secretion of cortisol,an important hormone for stress our body, if not in proper values, can takethe person to a fatal outcome. Regarding the adrenal crisis mostimportantly know it identify and act immediately and appropriately toprevent morbidity and mortality. According to the type of adrenalinsufficiency that we’re facing are going to have different hormonalDEPARTAMENTO DE POSIBILIDADES EDITORIALESREVISTA MÉDICAS UISchanges and differences in some clinical manifestations, as in Addison’sdisease, the only clinical accompanied by hyperpigmentation and may alsohave impaired the mineralocorticoid associated with some features suchas loss of libido, among others. About the diagnosis is very important thatappropriate, adequate and that the cause of disease is established.Treatment should be oriented according to the clinical picture of thepatient...


Subject(s)
Colombia , Endocrinology , Medical Subject Headings
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